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All Outputs (11)

Comprehensive geriatric assessment for older adults admitted to hospital (2017)
Journal Article
Ellis, G., Gardner, M., Tsiachristas, A., Langhorne, P., Burke, O., Harwood, R. H., …Shepperd, S. (2017). Comprehensive geriatric assessment for older adults admitted to hospital. Cochrane Database of Systematic Reviews, 2017(9), Article CD006211. https://doi.org/10.1002/14651858.CD006211.pub3

© 2017 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. Background: Comprehensive geriatric assessment (CGA) is a multi-dimensional, multi-disciplinary diagnostic and therapeutic process conducted to determine the medical, mental, a... Read More about Comprehensive geriatric assessment for older adults admitted to hospital.

Should I stay or should I go?: how healthcare professionals close encounters with people with dementia in the acute hospital setting (2017)
Journal Article
Allwood, R., Pilnick, A., O'Brien, R., Goldberg, S., Harwood, R. H., & Beeke, S. (2017). Should I stay or should I go?: how healthcare professionals close encounters with people with dementia in the acute hospital setting. Social Science and Medicine, 191, 212-225. https://doi.org/10.1016/j.socscimed.2017.09.014

Around a quarter of hospital beds in the UK are occupied by patients living with dementia (PWD), and communication impairments are common across all types of dementia, often exacerbated by the hospital environment. Unsurprisingly, healthcare professi... Read More about Should I stay or should I go?: how healthcare professionals close encounters with people with dementia in the acute hospital setting.

What Works to Improve and Manage Fecal Incontinence in Care Home Residents Living With Dementia? A Realist Synthesis of the Evidence (2017)
Journal Article
Buswell, M., Goodman, C., Roe, B., Russell, B., Norton, C., Harwood, R., …Bunn, F. (2017). What Works to Improve and Manage Fecal Incontinence in Care Home Residents Living With Dementia? A Realist Synthesis of the Evidence. Journal of the American Medical Directors Association, 18(9), 752-760.e1. https://doi.org/10.1016/j.jamda.2017.05.025

The prevalence of fecal incontinence (FI) in care homes is estimated to range from 30% to 50%. There is limited evidence of what is effective in the reduction and management of FI in care homes. Using realist synthesis, 6 potential program theories o... Read More about What Works to Improve and Manage Fecal Incontinence in Care Home Residents Living With Dementia? A Realist Synthesis of the Evidence.

Making difficult decisions with older patients on medical wards (2017)
Journal Article
Khizar, B., & Harwood, R. H. (2017). Making difficult decisions with older patients on medical wards. Clinical Medicine, 17(4), 353-356. https://doi.org/10.7861/clinmedicine.17-4-353

Decision making with older people can be difficult because of medical complexity, uncertainty (about prognosis, treatment effectiveness and priorities), difficulties brought by cognitive and communication impairment and the multiple family and other... Read More about Making difficult decisions with older patients on medical wards.

How to deal with violent and aggressive patients in acute medical settings (2017)
Journal Article
Harwood, R. (2017). How to deal with violent and aggressive patients in acute medical settings. Journal of the Royal College of Physicians of Edinburgh, 47(2), 176-182. https://doi.org/10.4997/jrcpe.2017.218

Dealing with violence and aggression is an area where health professionals often feel uncertain. Standing at the interface between medicine, psychiatry and law, the best actions may not be clear, and guidelines neither consistently applicable nor exp... Read More about How to deal with violent and aggressive patients in acute medical settings.

Attitudes of older people with mild dementia and mild cognitive impairment and their relatives about falls risk and prevention: a qualitative study (2017)
Journal Article
Peach, T., Pollock, K., van der Wardt, V., das Nair, R., Logan, P., & Harwood, R. H. (2017). Attitudes of older people with mild dementia and mild cognitive impairment and their relatives about falls risk and prevention: a qualitative study. PLoS ONE, 12(5), 1-15. https://doi.org/10.1371/journal.pone.0177530

Objective: To explore the perceptions of older people with mild dementia and mild cognitive impairment, and their family carers, about falling, falls risk and the acceptability of falls prevention interventions.
Design: Qualitative study involving t... Read More about Attitudes of older people with mild dementia and mild cognitive impairment and their relatives about falls risk and prevention: a qualitative study.

Adherence support strategies for exercise interventions in people with mild cognitive impairment and dementia: a systematic review (2017)
Journal Article
van der Wardt, V., Hancox, J., Gondek, D., Logan, P., das Nair, R., Pollock, K., & Harwood, R. H. (2017). Adherence support strategies for exercise interventions in people with mild cognitive impairment and dementia: a systematic review. Preventive Medicine Reports, 7, https://doi.org/10.1016/j.pmedr.2017.05.007

Exercise-based therapy may improve health status for people with Mild Cognitive Impairment (MCI) or dementia but cannot work without adherence, which has proven difficult. This review aimed to evaluate strategies to support adherence among people wit... Read More about Adherence support strategies for exercise interventions in people with mild cognitive impairment and dementia: a systematic review.

Challenges and opportunities in understanding dementia and delirium in the acute hospital (2017)
Journal Article
Jackson, T. A., Gladman, J. R., Harwood, R. H., MacLullich, A. M., Sampson, E. L., Sheehan, B., & Davis, D. H. (2017). Challenges and opportunities in understanding dementia and delirium in the acute hospital. PLoS Medicine, 14(3), Article e1002247. https://doi.org/10.1371/journal.pmed.1002247

What is the problem?

Dementia in general hospitals

Dementia is very common in patients admitted to acute hospitals, affecting one in four patients, with 6% of people living with dementia being inpatients in acute hospitals at any given time [1,... Read More about Challenges and opportunities in understanding dementia and delirium in the acute hospital.

Where next for delirium research? (2017)
Journal Article
Harwood, R. H., & Teale, E. (2018). Where next for delirium research?. International Journal of Geriatric Psychiatry, 33(11), 1512-1520. https://doi.org/10.1002/gps.4696

Clinicians who manage delirium must do so without key information required for evidence‐based practice, not least lack of any clearly effective treatment for established delirium. Both the nature of delirium and the methods used to research it contri... Read More about Where next for delirium research?.