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Assuring good deaths at home

‘It is to be hoped that “building back better” following the pandemic will include strategies to reduce social isolation, especially among the vulnerable and those at the end of their lives.’ .

Nurse-led home modification interventions for community-dwelling older adults with dementia and their impact on falls prevention

In order to reach older adults with dementia living in the community, a doctor in the neurology outpatient clinic of a local public hospital was interviewed. Older adults with dementia were identified...

Fall prevention programmes for older adults in the community: impact on rate of falls

Sherrington et al's (2020) systematic review involved a vigorous search of nine databases from the date of inception to 7 November 2019. This included searches for ongoing and recently completed...

A new tool to measure acuity in the community: a case study

A referral was made by a patient's GP after virtual review. The patient is a 79-year-old woman, whose case is presented below..

The importance of place

While each coastal community reflects its unique blend of history and culture as well as its geography, old resort towns and old fishing and trading ports may share common challenges that are...

Buried bumper syndrome: prevention and management in the community

BBS is when the internal bumper migrates along the stoma tract outside of the stomach (Cyrany et al, 2016). BBS is thought to be caused by excessive compression of the tissue between the internal...

Link between housing and health and how it affects older people

The Hyde Housing Association Ltd (2021) stated that anyone can apply for housing, but eligibility criteria would need to be met for the range of housing available. Eligibility would be based on need,...

The known unknowns of assisted hydration at the end of life

Another factor contributing to the widespread variability in practice is the uncertainty about its impact. A recent systematic review of 15 studies found insufficient evidence to draw conclusions...

What's in a name?

The challenge of infection control in patients' homes

Effective hand hygiene remains one of the cornerstones of good infection control. Since its conception in 1979, the, originally six-, now seven-stage, handwashing technique (World Health Organization...

End-of-life care: perspective of a relative rather than a professional

The call came at midnight on Good Friday 2020: my relative, anonymised to Jim, experienced a sudden acute event and called 999 and then me, as the family nurse. I arrived to find an ambulance crew...