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Professor Rowan Harwood's Outputs (115)

Caring for cognitively impaired older patients in the general hospital: A qualitative analysis of similarities and differences between a specialist Medical and Mental Health Unit and standard care wards (2014)
Journal Article
Goldberg, S. E., Whittamore, K. H., Pollock, K., Harwood, R. H., & Gladman, J. R. (2014). Caring for cognitively impaired older patients in the general hospital: A qualitative analysis of similarities and differences between a specialist Medical and Mental Health Unit and standard care wards. International Journal of Nursing Studies, 51(10), https://doi.org/10.1016/j.ijnurstu.2014.02.002

Background: Around half of people aged over 70 admitted as an emergency to general hospital have dementia, delirium or both. Dissatisfaction is often expressed about the quality of hospital care. A medical and mental health unit was developed to pr... Read More about Caring for cognitively impaired older patients in the general hospital: A qualitative analysis of similarities and differences between a specialist Medical and Mental Health Unit and standard care wards.

Experiences of family carers of older people with mental health problems in the acute general hospital: a qualitative study (2013)
Journal Article
Clissett, P., Porock, D., Harwood, R. H., & Gladman, J. R. (2013). Experiences of family carers of older people with mental health problems in the acute general hospital: a qualitative study. Journal of Advanced Nursing, 69(12), https://doi.org/10.1111/jan.12159

Aims
To explore the experiences of family carers of people with cognitive impairment during admission to hospital.

Background
Providing appropriate care in acute hospitals for people with co-morbid cognitive impairment, especially dementia or de... Read More about Experiences of family carers of older people with mental health problems in the acute general hospital: a qualitative study.

The evidence for treating hypertension in older people with dementia: a systematic review (2013)
Journal Article
Beishon, L. C., Harrison, J. K., Harwood, R. H., Robinson, T. G., Gladman, J., & Conroy, S. (2014). The evidence for treating hypertension in older people with dementia: a systematic review. Journal of Human Hypertension, 28(5), 283-287. https://doi.org/10.1038/jhh.2013.107

Hypertension and dementia commonly co-exist in older people, yet guidance is lacking on how to manage these co-existing conditions. The aim of this systematic review was to assess the evidence for the treatment of hypertension in older people with de... Read More about The evidence for treating hypertension in older people with dementia: a systematic review.

The challenges of achieving person-centred care in acute hospitals: a qualitative study of people with dementia and their families (2013)
Journal Article
Clissett, P., Porock, D., Harwood, R. H., & Gladman, J. R. (2013). The challenges of achieving person-centred care in acute hospitals: a qualitative study of people with dementia and their families. International Journal of Nursing Studies, 50(11), https://doi.org/10.1016/j.ijnurstu.2013.03.001

Background

Person-centred care has been identified as the ideal approach to caring for people with dementia. Developed in relation to long stay settings, there are challenges to its implementation in acute settings. However, international policy i... Read More about The challenges of achieving person-centred care in acute hospitals: a qualitative study of people with dementia and their families.

Preparation to care for confused older patients in general hospitals: a study of UK health professionals (2013)
Journal Article
Griffiths, A., Knight, A., Harwood, R. H., & Gladman, J. R. (2014). Preparation to care for confused older patients in general hospitals: a study of UK health professionals. Age and Ageing, 43(4), 521-527. https://doi.org/10.1093/ageing/aft171

Background and Objective: in the UK, two-thirds of patients in general hospitals are older than 70, of whom half have dementia or delirium or both. Our objective was to explore doctors, nurses and allied health professionals' perceptions of their pre... Read More about Preparation to care for confused older patients in general hospitals: a study of UK health professionals.

Disruption, control and coping: responses of and to the person with dementia in hospital (2013)
Journal Article
Porock, D., Clissett, P., Harwood, R. H., & Gladman, J. R. (2015). Disruption, control and coping: responses of and to the person with dementia in hospital. Ageing and Society, 35(1), https://doi.org/10.1017/S0144686X13000561

This qualitative study aimed to gain insight into the experience of hospitalisation from the perspectives of the older person with dementia, their family care-giver and other patients sharing the ward (co-patients). Non-participant observation of car... Read More about Disruption, control and coping: responses of and to the person with dementia in hospital.

Six-month outcomes following an emergency hospital admission for older adults with co-morbid mental health problems indicate complexity of care needs (2013)
Journal Article
Bradshaw, L., Goldberg, S. E., Lewis, S. A., Whittamore, K., Gladman, J. R., Jones, R. G., & Harwood, R. H. (2013). Six-month outcomes following an emergency hospital admission for older adults with co-morbid mental health problems indicate complexity of care needs. Age and Ageing, 42(5), https://doi.org/10.1093/ageing/aft074

BACKGROUND:
two-thirds of older patients admitted as an emergency to a general hospital have co-existing mental health problems including delirium, dementia and depression. This study describes the outcomes of older adults with co-morbid mental heal... Read More about Six-month outcomes following an emergency hospital admission for older adults with co-morbid mental health problems indicate complexity of care needs.

The diagnosis, prevalence and outcome of delirium in a cohort of older people with mental health problems on general hospital wards (2013)
Journal Article
Whittamore, K. H., Goldberg, S. E., Gladman, J. R., Bradshaw, L. E., Jones, R. G., & Harwood, R. H. (2013). The diagnosis, prevalence and outcome of delirium in a cohort of older people with mental health problems on general hospital wards. International Journal of Geriatric Psychiatry, 29(1), https://doi.org/10.1002/gps.3961

Keywords:
older person;delirium;Delirium Rating Scale;validity;prognosis;diagnosis;general hospital
Objectives
This paper aimed to measure the prevalence and outcomes of delirium for patients over 70 admitted to a general hospital for acute medica... Read More about The diagnosis, prevalence and outcome of delirium in a cohort of older people with mental health problems on general hospital wards.

Why are family carers of people with dementia dissatisfied with general hospital care?: a qualitative study (2012)
Journal Article
Jurgens, F. J., Clissett, P., Gladman, J. R., & Harwood, R. H. (2012). Why are family carers of people with dementia dissatisfied with general hospital care?: a qualitative study. BMC Geriatrics, 12(57), Article 1. https://doi.org/10.1186/1471-2318-12-57

Background
Families and other carers report widespread dissatisfaction with general hospital care for confused older people.

Methods
We undertook a qualitative interviews study of 35 family carers of 34 confused older patients to ascertain their... Read More about Why are family carers of people with dementia dissatisfied with general hospital care?: a qualitative study.

Acute medical unit comprehensive geriatric assessment intervention study (AMIGOS): Study protocol for a randomised controlled trial (2011)
Journal Article
Edmans, J., Conroy, S., Harwood, R., Lewis, S., Elliott, R. A., Logan, P., Bradshaw, L., Franklin, M., & Gladman, J. (2011). Acute medical unit comprehensive geriatric assessment intervention study (AMIGOS): Study protocol for a randomised controlled trial. Trials, 12, Article 200. https://doi.org/10.1186/1745-6215-12-200

Background
Many older people presenting to Acute Medical Units (AMU) are discharged after only a short stay (< 72 hours), yet many re-present to hospital or die within 1 year. Comprehensive Geriatric Assessment may improve patient outcomes for this... Read More about Acute medical unit comprehensive geriatric assessment intervention study (AMIGOS): Study protocol for a randomised controlled trial.

Does looped nasogastric tube feeding improve nutritional delivery for patients with dysphagia after acute stroke? A randomised controlled trial (2010)
Journal Article
Beavan, J., Paul Conroy, S., Harwood, R., Gladman, J. R., Leonardi-Bee, J., Sach, T., Bowling, T., Sunman, W., & Gaynor, C. (2010). Does looped nasogastric tube feeding improve nutritional delivery for patients with dysphagia after acute stroke? A randomised controlled trial. Age and Ageing, 39(5), 624-630. https://doi.org/10.1093/ageing/afq088

Background: nasogastric tube (NGT) feeding is commonly used after stroke, but its effectiveness is limited by frequent dislodgement.

Objective: the objective of the study was to evaluate looped NGT feeding in acute stroke patients with dysphagia.... Read More about Does looped nasogastric tube feeding improve nutritional delivery for patients with dysphagia after acute stroke? A randomised controlled trial.

An evaluation of a specialist multiagency home support service for older people with dementia using qualitative methods (2007)
Journal Article
Rothera, I., Jones, R., Harwood, R., Avery, A. J., Fisher, K., James, V., Shaw, I., & Waite, J. (2008). An evaluation of a specialist multiagency home support service for older people with dementia using qualitative methods. International Journal of Geriatric Psychiatry, 23(1), 65-72. https://doi.org/10.1002/gps.1841

Background
Standard home care support for people with dementia has been criticised in statutory inspection reports, and may lead to unnecessary crises, hospital or care home admissions.

Objective
To establish whether a specialist multiagency hom... Read More about An evaluation of a specialist multiagency home support service for older people with dementia using qualitative methods.

Multifactorial day hospital intervention to reduce falls in high risk older people in primary care: a multi-centre randomised controlled trial [ISRCTN46584556] (2006)
Journal Article
Masud, T., Coupland, C., Drummond, A. E., Gladman, J. R., Kendrick, D., Sach, T., Harwood, R. H., Kumar, P., Morris, R., Taylor, R., Youde, J., & Conroy, S. (2006). Multifactorial day hospital intervention to reduce falls in high risk older people in primary care: a multi-centre randomised controlled trial [ISRCTN46584556]. Trials, 7(1), Article 10. https://doi.org/10.1186/1745-6215-7-5

Falls in older people are a major public health concern in terms of morbidity, mortality and cost. Previous studies suggest that multifactorial interventions can reduce falls, and many geriatric day hospitals are now offering falls intervention progr... Read More about Multifactorial day hospital intervention to reduce falls in high risk older people in primary care: a multi-centre randomised controlled trial [ISRCTN46584556].

Measurement of health-related quality of life for people with dementia: Development of a new instrument (DEMQOL) and an evaluation of current methodology (2005)
Journal Article
Smith, S. C., Lamping, D. L., Banerjee, S., Harwood, R., Foley, B., Smith, P., Cook, J., Murray,, . J., Prince, M., Levin, E., Mann, A., & Knapp, M. (2005). Measurement of health-related quality of life for people with dementia: Development of a new instrument (DEMQOL) and an evaluation of current methodology. Health Technology Assessment, 9(10), https://doi.org/10.3310/hta9100

Objectives: To develop and validate a psychometrically rigorous measure of health-related quality of life (HRQoL) for people with dementia: DEMQOL.

Data sources: Literature review. Expert opinion. Interviews and questionnaires.

Review methods:... Read More about Measurement of health-related quality of life for people with dementia: Development of a new instrument (DEMQOL) and an evaluation of current methodology.