Australasian journal on ageing
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Observational Study
Implementation of a model of care for hospitalised older persons with cognitive impairment (the Confused Hospitalised Older Persons program) in six New South Wales hospitals.
To evaluate the implementation of a model of care known as the Confused Hospitalised Older Persons (CHOPs) program to improve recognition, assessment and management of older persons with cognitive impairment (delirium and/or dementia) admitted to acute hospitals. ⋯ The CHOPs program improved identification, risk assessment and management of cognitive impairment in older hospitalised patients.
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To systematically review literature reporting processes, impact and outcomes of medication review and reconciliation in Australian residential aged care facilities (RACFs). ⋯ Medication review may be a useful strategy to identify and prompt resolution of MRPs. However, the impact on clinical and resident-centred outcomes remains unclear.
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To explore qualitative insights into the pain experience of older women with quantitatively derived pain profiles. ⋯ Women with different pain profiles used different language and strategies in managing their pain experience, information which can guide clinicians to provide more tailored support for self-management and care of arthritis pain.
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Malnutrition after hip fracture is recognised as the co-morbidity most likely to impact hospital length of stay and cost. Despite this, the role of enteral tube feeding in hip fracture patients remains unclear. ⋯ This study describes experienced, multidisciplinary clinician consensus and support for an 'Enteral tube feeding decision support tool' to be applied in acute hip fracture settings. Further studies are being undertaken to identify the impact of the checklist tool on informed consent decision processes in this population.
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Best-evidence dementia knowledge has the potential to improve care practices in aged care settings, although limited research has explored understanding among the Japanese workforce. This study examines the knowledge of dementia and educational needs among aged care professionals across Japan. ⋯ These results may be used by academics, clinical educators and policy specialists to inform the development of workplace education in the Japanese aged care sector that aims to improve care quality.