Nursing standard (Royal College of Nursing (Great Britain) : 1987)
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Alcohol misuse in older adults has been referred to as a'silent epidemic'. National strategies for substance misuse advocate an integrated approach to care. This article considers the principles of an integrated assessment for older people who misuse alcohol and how this approach can improve access to services for older adults.
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Audit is recognised as a crucial component of improving the quality of patient care. Examples include giving patients safe, reliable and dignified care, enhancing their experiences and satisfaction by encouraging them to self-direct their recovery, and reducing the length of stay in hospital, readmission rates and delayed discharge. This article describes clinical audit, the stages involved in the process and the support required to achieve strategic objectives.
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The management of long-term conditions in the older adult population can be challenging and complex. After examining the literature and exploring some common issues, this article uses a reflective case study to demonstrate key findings in the management of hypertension and diabetes in an older adult that can be used to support effective interventions and positive outcomes.