Evidence
Themed Review

Advancing Care - Research with care homes

There are more than twice as many people living in care homes in England and Wales, than there are people staying in hospital. Yet we know far more about effective treatments in hospital and less about what works most effectively to improve care for older people in care homes. Research in care homes is a ...

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General surgery is mostly safe during pregnancy

Routine data from English hospitals show that general surgery during pregnancy, such as removing the appendix or gallbladder, does not commonly harm mother or baby. This suggests that surgery in pregnant women is generally safe, but that mothers could be provided with more specific estimates of the risks. This large observational study assessed the “real ...

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A third of people with dementia have treatable vision problems

New data shows that around a third of people with dementia have serious vision problems, such as cataracts or short sightedness, more than the general population of that age. Levels are higher still for people with dementia in care homes – about half have vision problems. Yet this study showed that many of the people ...

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Closer working between care home staff and visiting healthcare professionals could improve residents’ health

Promoting integration between care home staff and visiting healthcare professionals was the common success ingredient behind diverse efforts to improve residents’ health. Collectively called “relational working”, it involved things like staff jointly identifying, planning and implementing care procedures. Other approaches, like paying doctors to do more in care homes, and or investing in training of ...

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Mobile phone support helps smokers quit

This review found that mobile phone based support is effective at helping people quit smoking for at least six months. Support was mainly via text messages, although some packages combined this with personalised assessment. Mobile phone support was usually compared with standard cessation advice and treatment, or online support that was not tailored to the ...

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Coordinating care for people with long term conditions and dementia: room for improvement

New evidence shows that almost one fifth of people with dementia also have other serious conditions such as stroke, diabetes and visual impairment. Services are not currently designed to provide adequate integrated care for people with dementia plus other conditions. For instance, people with dementia are less likely to get diabetes checks or cataract surgery ...

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Supporting carers of people with dementia

Dementia is becoming more common as we live longer. Caring for people with dementia is demanding, with increased dependency as the disease progresses and behaviour which is often challenging. Many carers are older and may have their own health problems as well. We need to know more about the needs of carers and which kinds ...

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Stopping Donepezil may be linked to nursing home placement for people with Alzheimer’s disease, but a “cause and effect” not conclusive

This follow up study examined whether the drugs donepezil or memantine affected the chance that people with Alzheimer’s disease could continue to live in the community, rather than move permanently to a nursing home. One or both of the drugs was taken for a year and then participants could have any treatment thereafter. The study ...

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A coping programme moderately reduces depression and anxiety in carers of people with dementia

This NIHR-funded trial found that a programme to support carers of people with dementia was moderately effective in reducing carers’ depression and anxiety scores for up to two years. It was also cost-effective. The programme consisted of eight sessions delivered by psychology graduates, covering topics such as managing difficult behaviour, accessing support and planning for ...

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