Cargando…
Service organisation for people with dementia after an injurious fall: challenges and opportunities
INTRODUCTION: people with dementia are more likely to fall and less likely to recover well after a fall than cognitively intact older people. Little is known about how best to deliver services to this patient group. This paper explored current service provision to help inform the development of a ne...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2019
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6503936/ https://www.ncbi.nlm.nih.gov/pubmed/30921459 http://dx.doi.org/10.1093/ageing/afz010 |
_version_ | 1783416490754572288 |
---|---|
author | Wheatley, Alison Bamford, Claire Shaw, Caroline Boyles, Miriam Fox, Chris Allan, Louise |
author_facet | Wheatley, Alison Bamford, Claire Shaw, Caroline Boyles, Miriam Fox, Chris Allan, Louise |
author_sort | Wheatley, Alison |
collection | PubMed |
description | INTRODUCTION: people with dementia are more likely to fall and less likely to recover well after a fall than cognitively intact older people. Little is known about how best to deliver services to this patient group. This paper explored current service provision to help inform the development of a new intervention. METHODS: qualitative approaches were used to explore the views and experiences of people with dementia, family carers and professionals providing services to people with dementia following an injurious fall. These data were analysed using a thematic, iterative analysis. FINDINGS: while a wide range of services potentially relevant to people with dementia was identified, there were no dedicated services for people with dementia with fall-related injuries in our three geographical areas. Factors influencing service uptake included a lack of knowledge of local provision amongst professionals and underdeveloped information sharing systems. Some aspects of current service organisation were incompatible with the needs of people with dementia. These include an emphasis on time-limited interventions; lack of longer-term follow-up; and service delivery in environments that could be challenging for people with dementia. CONCLUSIONS: care pathways for people with dementia who fall are fragmented and unclear. This is likely to preclude people with dementia from receiving all appropriate support and contribute to poor recovery following a fall. The findings highlight the need for new approaches to service organisation and delivery which address the specific needs of people with dementia who fall. |
format | Online Article Text |
id | pubmed-6503936 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-65039362019-05-09 Service organisation for people with dementia after an injurious fall: challenges and opportunities Wheatley, Alison Bamford, Claire Shaw, Caroline Boyles, Miriam Fox, Chris Allan, Louise Age Ageing Short Report INTRODUCTION: people with dementia are more likely to fall and less likely to recover well after a fall than cognitively intact older people. Little is known about how best to deliver services to this patient group. This paper explored current service provision to help inform the development of a new intervention. METHODS: qualitative approaches were used to explore the views and experiences of people with dementia, family carers and professionals providing services to people with dementia following an injurious fall. These data were analysed using a thematic, iterative analysis. FINDINGS: while a wide range of services potentially relevant to people with dementia was identified, there were no dedicated services for people with dementia with fall-related injuries in our three geographical areas. Factors influencing service uptake included a lack of knowledge of local provision amongst professionals and underdeveloped information sharing systems. Some aspects of current service organisation were incompatible with the needs of people with dementia. These include an emphasis on time-limited interventions; lack of longer-term follow-up; and service delivery in environments that could be challenging for people with dementia. CONCLUSIONS: care pathways for people with dementia who fall are fragmented and unclear. This is likely to preclude people with dementia from receiving all appropriate support and contribute to poor recovery following a fall. The findings highlight the need for new approaches to service organisation and delivery which address the specific needs of people with dementia who fall. Oxford University Press 2019-05 2019-03-28 /pmc/articles/PMC6503936/ /pubmed/30921459 http://dx.doi.org/10.1093/ageing/afz010 Text en © The Author(s) 2019. Published by Oxford University Press on behalf of the British Geriatrics Society. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Short Report Wheatley, Alison Bamford, Claire Shaw, Caroline Boyles, Miriam Fox, Chris Allan, Louise Service organisation for people with dementia after an injurious fall: challenges and opportunities |
title | Service organisation for people with dementia after an injurious fall: challenges and opportunities |
title_full | Service organisation for people with dementia after an injurious fall: challenges and opportunities |
title_fullStr | Service organisation for people with dementia after an injurious fall: challenges and opportunities |
title_full_unstemmed | Service organisation for people with dementia after an injurious fall: challenges and opportunities |
title_short | Service organisation for people with dementia after an injurious fall: challenges and opportunities |
title_sort | service organisation for people with dementia after an injurious fall: challenges and opportunities |
topic | Short Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6503936/ https://www.ncbi.nlm.nih.gov/pubmed/30921459 http://dx.doi.org/10.1093/ageing/afz010 |
work_keys_str_mv | AT wheatleyalison serviceorganisationforpeoplewithdementiaafteraninjuriousfallchallengesandopportunities AT bamfordclaire serviceorganisationforpeoplewithdementiaafteraninjuriousfallchallengesandopportunities AT shawcaroline serviceorganisationforpeoplewithdementiaafteraninjuriousfallchallengesandopportunities AT boylesmiriam serviceorganisationforpeoplewithdementiaafteraninjuriousfallchallengesandopportunities AT foxchris serviceorganisationforpeoplewithdementiaafteraninjuriousfallchallengesandopportunities AT allanlouise serviceorganisationforpeoplewithdementiaafteraninjuriousfallchallengesandopportunities |