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All Outputs (81)

Falls prevention interventions in older adults with cognitive impairment: A systematic review of reviews (2015)
Journal Article
Harwood, R., Booth, V., Booth, V., Logan, P., Harwood, R. H., & Hood, V. (2015). Falls prevention interventions in older adults with cognitive impairment: A systematic review of reviews. International Journal of Therapy and Rehabilitation, 22(6), 289-296. https://doi.org/10.12968/ijtr.2015.22.6.289

Aim: This critical review explores the review material on falls prevention interventions in older adults with a cognitive impairment such as dementia. Method: A critical, systematic, review of review method was used. Five large electronic databas... Read More about Falls prevention interventions in older adults with cognitive impairment: A systematic review of reviews.

Medical Crises in Older People: cohort study of older people attending acute medical units, developmental work and randomised controlled trial of a specialist geriatric medical intervention for high-risk older people; cohort study of older people with mental health problems admitted to hospital, developmental work and randomised controlled trial of a specialist medical and mental health unit for general hospital patients with delirium and dementia; and cohort study of residents of care homes and interview study of health-care provision to residents of care homes (2015)
Journal Article
Gladman, J., Harwood, R., Conroy, S., Logan, P., Elliott, R., Jones, R., …Frowd, N. (2015). Medical Crises in Older People: cohort study of older people attending acute medical units, developmental work and randomised controlled trial of a specialist geriatric medical intervention for high-risk older people; cohort study of older people with mental health problems admitted to hospital, developmental work and randomised controlled trial of a specialist medical and mental health unit for general hospital patients with delirium and dementia; and cohort study of residents of care homes and interview study of health-care provision to residents of care homes. Programme Grants for Applied Research, 3(4), 1-410. https://doi.org/10.3310/pgfar03040

Background This programme of research addressed shortcomings in the care of three groups of older patients: patients discharged from acute medical units (AMUs), patients with dementia and delirium admitted to general hospitals, and care home residen... Read More about Medical Crises in Older People: cohort study of older people attending acute medical units, developmental work and randomised controlled trial of a specialist geriatric medical intervention for high-risk older people; cohort study of older people with mental health problems admitted to hospital, developmental work and randomised controlled trial of a specialist medical and mental health unit for general hospital patients with delirium and dementia; and cohort study of residents of care homes and interview study of health-care provision to residents of care homes.

Factors associated with family caregiver dissatisfaction with acute hospital care of older cognitively impaired relatives (2014)
Journal Article
the Medical Crises in Older People Study Group, Whittamore, K. H., Goldberg, S. E., Bradshaw, L. E., & Harwood, R. H. (2014). Factors associated with family caregiver dissatisfaction with acute hospital care of older cognitively impaired relatives. Journal of the American Geriatrics Society, 62(12), 2252-2260. https://doi.org/10.1111/jgs.13147

© 2014, The American Geriatrics Society. Objectives To identify patient and caregiver characteristics associated with caregiver dissatisfaction with hospital care of cognitively impaired elderly adults.Design Secondary analysis of data from a randomi... Read More about Factors associated with family caregiver dissatisfaction with acute hospital care of older cognitively impaired relatives.

P488: The effects of cognitive and exercise interventions for people with mild cognitive impairment and dementia on carers: a systematic review (2014)
Journal Article
Gondek, D., Patel, D. R. K., Pollock, K., das Nair, R., Harwood, R. H., & van der Wardt, V. (in press). P488: The effects of cognitive and exercise interventions for people with mild cognitive impairment and dementia on carers: a systematic review. European Geriatric Medicine, 5(S1), Article S237. https://doi.org/10.1016/S1878-7649%2814%2970653-9

Systematic review into motivational strategies that support adherence to exercise for people with mild cognitive impairment (MCI) or dementia (2014)
Journal Article
Van der Wardt, V., Patel, D. R. K., Gondek, D., Pollock, K., Logan, P., das Nair, R., & Harwood, R. H. (2014). Systematic review into motivational strategies that support adherence to exercise for people with mild cognitive impairment (MCI) or dementia. European Geriatric Medicine, 5(Supp.1), S238. https://doi.org/10.1016/s1878-7649%2814%2970657-6

Introduction: Physical exercise has a positive effect on cognitive functioning, mobility and activities of daily living in people with dementia (Forbes & al., 2013; Pitkälä & al., 2013). Most exercise studies employ motivational strategies to support... Read More about Systematic review into motivational strategies that support adherence to exercise for people with mild cognitive impairment (MCI) or dementia.

A qualitative study into the attitudes of people with mild cognitive impairment and early stages of dementia, and their carers, about falls interventions and risk (2014)
Journal Article
Peach, M., Pollock, K., Harwood, R., Van Der Wardt, V., & Masud, T. (2014). A qualitative study into the attitudes of people with mild cognitive impairment and early stages of dementia, and their carers, about falls interventions and risk. European Geriatric Medicine, 5(S1), S169. doi:10.1016/S1878-7649(14)70440-1

Introduction: Falls are a common and serious problem for older people with cognitive impairment. Successful intervention to reduce falls risk could result in great benefit to patients and their families, and reduce costs. This study examines patients... Read More about A qualitative study into the attitudes of people with mild cognitive impairment and early stages of dementia, and their carers, about falls interventions and risk.

Antihypertensive treatment in people with dementia (2014)
Journal Article
van der Wardt, V., Logan, P. A., Conroy, S., Harwood, R. H., & Gladman, J. R. (2014). Antihypertensive treatment in people with dementia. Journal of the American Medical Directors Association, 15(9), https://doi.org/10.1016/j.jamda.2014.03.005

Introduction The range and magnitude of potential benefits and harms of antihypertensive treatment in people with dementia has not been previously established. Method A scoping review to identify potential domains of benefits and harms of antihyp... Read More about Antihypertensive treatment in people with dementia.

Diagnoses, problems and healthcare interventions amongst older people with an unscheduled hospital admission who have concurrent mental health problems: a prevalence study (2014)
Journal Article
Glover, A., Bradshaw, L., Watson, N., Laithwaite, E., Goldberg, S. E., Whittamore, K. H., & Harwood, R. H. (2014). Diagnoses, problems and healthcare interventions amongst older people with an unscheduled hospital admission who have concurrent mental health problems: a prevalence study. BMC Geriatrics, 14, Article 43. https://doi.org/10.1186/1471-2318-14-43

Background Frail older people with mental health problems including delirium, dementia and depression are often admitted to general hospitals. However, hospital admission may cause distress, and can be associated with complications. Some commentator... Read More about Diagnoses, problems and healthcare interventions amongst older people with an unscheduled hospital admission who have concurrent mental health problems: a prevalence study.

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.