Clinical

Our clinical nursing articles aim to inform and educate nurse practitioners and students. This is achieved through the publication of peer-reviewed, evidence-based, relevant and topical articles.

Organic versus mixed specialist older adult inpatient mental health units for people with dementia

Organic versus mixed specialist older adult inpatient mental health units for people...

Why you should read this article: • To understand the challenges of providing inpatient care for people with dementia • To familiarise yourself with the differences between organic inpatient wards and mixed inpatient wards • To learn about the optimal inpatient environment for people with dementia Dementia presents a major public health challenge to healthcare providers globally. When older people with dementia need inpatient mental healthcare, they can be cared for in one of two different types of older adult ward. These patients can either be admitted to an organic inpatient ward for people with dementia or the subtypes of dementia, or they can be admitted to a mixed inpatient ward for older people who have either functional or organic conditions. Using a quality assurance pilot study, the authors aimed to investigate whether the quality of care for patients with dementia differed between mixed and organic inpatient wards in units exclusively serving older people. The quality of care on both types of ward was compared by analysing observed interactions between patients and staff, patient well-being and patient environment and mealtimes. The quality of care was measured with a specially developed instrument and against evidence-based standards of care. The ratings of both types of ward showed high levels of quality interactions between patients and staff. There were minimal differences in the quality of patient and staff interactions, patient well-being, and patient environment and mealtimes between the two types of ward. Further work on outcomes and carer experiences needs to be undertaken to establish the optimal care environment for people with dementia.

Using video consultations to support family carers of people living with dementia

The experiences of a team of Admiral Nurses in setting up and conducting video consultations

The psychological effects of caring for a family member with dementia

An integrative review of the effects of caring for a family member with dementia at home

Frailty assessment and interventions for community-dwelling older adults: a rapid review

Frailty assessment and interventions for community-dwelling older adults: a rapid review

Nurses in primary care and community settings need to identify frailty and optimise care

Supporting older people with dementia to sleep well while in hospital

Supporting older people with dementia to sleep well while in hospital

Sleep is essential for health, well-being and recovery but is challenging in acute hospitals

Understanding the issues experienced by older people undergoing emergency surgery

Understanding the issues experienced by older people undergoing emergency surgery

Outcomes for older patients are suboptimal when compared with younger people

Reimagining care homes: can the COVID-19 pandemic act as a catalyst for enhancing staff status and education?

Can the COVID-19 pandemic act as a catalyst for enhancing staff status and education?

The pandemic has brought the challenges experienced by care homes to the forefront

Nursing students’ experiences of, and socialisation in, dementia care in the acute hospital setting

Nursing students’ experiences of dementia care in the acute hospital setting

Students need to be socialised in dementia care earlier during undergraduate nurse education

Improving medicine concordance

Improving medicine concordance in a patient with Parkinson’s and dementia: a case study

Parkinson’s is a progressive neurological condition and can lead to Parkinson’s dementia

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 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...

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

Palliative and end of life care for people with advanced dementia

The status and direction of palliative care for people with dementia

Using virtual care interventions for hospitalised older people with dementia

Using iPads can help patients connect with family and take part in person-centred activities

How to support the inclusion in research of older people who lack capacity to consent

Support for nurses to ensure that older people who lack capacity can participate in research

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