Evidence and Practice

Clinical

Managing malnutrition in older adults in the community during the COVID-19 pandemic

Managing malnutrition in older adults in the community during the COVID-19 pandemic

Care interventions for older adults in the community to identify malnutrition risk

Benefits of medicines optimisation for older people living with frailty

A case study of polypharmacy involving an older person living with frailty

Effective mouth care for older people living in nursing homes

Effective mouth care for older people living in nursing homes

The reasons why oral health can deteriorate in nursing home residents and potential effects

Identifying and treating sepsis in older people: a quality improvement project in hospitals and nursing homes in Texas

Identifying and treating sepsis in older people: a quality improvement project in Texas

Sepsis training for hospital and nursing home staff can reduce sepsis mortality

Developing a support group for carers of people living with dementia

A dementia nurse specialist who ran an educational support group for carers reflects on it

Fast-track training of temporary healthcare support workers to supplement hospital staff during the COVID-19 pandemic

Fast-track training of temporary healthcare support workers to supplement hospital...

How a Scottish health board trained and redeployed staff to work as temporary healthcare support workers

CPD articles

Preventing, identifying and managing delirium in nursing homes and acute settings

Preventing, identifying and managing delirium in nursing homes and acute settings

Older people in nursing homes are vulnerable to delirium, a condition causing confusion

Senior in pain

Holistic pain assessment in older people and older people living with dementia

Nurses have a crucial role in pain assessment for older people and those living with dementia

Sexually speaking: person-centred conversations with people living with a dementia

Sexually speaking: person-centred conversations with people living with a dementia

Nursing responsibilities in addressing sexuality in people living with a dementia

Type 2 diabetes in older people: pathophysiology, identification and management

Type 2 diabetes in older people: pathophysiology, identification and management

Exploring the implications of increased longevity and how this is linked to type 2 diabetes

Sexual health and well-being in later life

Sexual health and well-being in later life

This article defines sexual health and explores the changes people experience in later life

Extending the Newcastle Model: how therapeutic communication can reduce distress in people with dementia

How therapeutic communication can reduce distress in people with dementia

Newcastle Model’s biopsychosocial framework is revisited to understand the caregiving context

How to

Hearing loss

How to address the communication needs of older patients with hearing loss

Hearing loss is a common problem in older people and may have a negative effect on their care while in hospital, as well as resulting in significant cost to the NHS. This article outlines the findings of a two-year project in an NHS trust to improve the care of older people with hearing loss. An important outcome of the project was the development of a hearing loss toolkit containing good practice recommendations and tools to help staff in all NHS trusts, and other care settings, implement practical and cost-effective improvements.

Planning

How to use advance care planning in a care home

Admission to a care home is a major event for many individuals and, for some, a time when they may lose their independence. It is at this juncture that they should be given the opportunity to participate in planning their future care. An advance care plan (ACP) is a means for people with capacity to document their preferences for their care and to enable providers to advocate on their behalf. Some people will have lost mental capacity before admission to a care facility, so it is essential for staff to be familiar with the complexities of the Mental Capacity Act 2005 to support residents approaching the end of life. This article outlines the processes of ACP and identifies resources available to support the introduction of ACP into care homes.

Practice question

Picture shows a carer helping an older woman who is walking with the help of a zimmer frame

How do I use the Clinical Frailty Scale?

Frailty identification instruments improve outcomes and help plan for future needs

How do I manage delirium in older people with COVID-19?

Delirium is a common coronavirus symptom, and people in long-term care facilities are at risk

My research study improves patient care – how can I share it?

Tips and rules for successfully sharing your research at a conference or professional meeting

Picture shows a group of older people hiking in the countryside

How do I encourage older people to become physically active?

Types of physical activity that can benefit older adults and some suggested resources

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How can I ensure dementia care is based on the best available evidence?

Critically appraised topic (CAT) process helps ensure clinical practice is evidence-based

Nurse attending to an older patient who is experiencing and needs hydration

How do I manage the care of an older person with delirium?

Guidelines recommend prompt detection by screening older people on admission to hospital

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