Assessment of Older People's Health and Social Care Needs and ...

More documents

Recommendations

Info

Conference ProceedingsDeveloping a StandardisedApproach to the Assessmentof Older People's Needs andPreferences:A Perspective from Kerry, the Southern HealthBoard RegionBer Power, Continuing Care Placement Co-ordinator, St. ColumbanusHome, Killarney, Kerry---------------------------------The aim of this paper is to provide an overview of the system of assessment procedures that wehave in place in Kerry, which is a Community Care area of the Southern Health Board. Our system ofassessment procedures form a continuum from initial assessment through to specialist assessmentand assessment by our age care evaluation team.Assessment within a Strategic Framework'Ageing with Confidence'Our approach to assessment has been developed as an integral part of our strategy for older peoplein both Cork and Kerry which is called 'Ageing with Confidence'. This strategy was developed afterextensive consultation with all the relevant stakeholders and adopted by the Southern Health Boardin 2000. One of the goals of the strategy is to enable older people, in accordance with their ownpreferred wishes, to live in their own homes for as long as possible. 'Ageing with Confidence' has fourfoundation stones which guide our assessment continuum. These are:• keeping the older person well• supporting the older person to remain at home• acute care• continuing care.
Need for Standardised AssessmentIn developing the 'Ageing with Confidence' strategy, we recognised the need for a standardisedapproach to assessment. This was in order that we, as professionals, would speak the samelanguage, share a common understanding and, as such, meet the needs of older people. In order todo this, we had to develop a tool which would be common to all our groups, be they in the acutehospital, community hospital or community setting. This has ensured that older people receiveappropriate, effective and timely interventions to their health and social care needs, and again, Iemphasise social care needs. It has also helped the co-ordination and integration of services andinformation between acute hospital and community settings.Initial AssessmentInitial assessments are conducted by the General Practitioner or the Public Health Nurse. Theadvantage of this is that both are familiar faces to older people. They make use of the .Barthel Index,the ten Point Mental Test Score and also assess home and social circumstances.Such assessments are done only if a need is identified. We question the need to carry outassessments with older people when they are well.Community Hospital AssessmentThe next level of assessment is the community hospital assessment. Community hospitals in Kerryprovide long-stay, respite and palliative care for older people. Community hospital assessments arecarried out by a team comprising a medical officer, director of nursing, physiotherapist, PHN andcontinuing care placement co-ordinator. This team generally meets weekly or fortnightly in eachcommunity hospital to discuss patient care. Discharge plans are prepared for patients who areleaving the hospital, community supports are identified and 'at risk' older people are identified.Specialist AssessmentSpecialist assessment is carried out by the consultant in medicine for the elderly and a multidisciplinaryteam in Tralee General Hospital. Older people who receive specialist assessment arethose whose needs cannot be met in community hospitals or who have complications in terms ofdischarge and continuing care. The purpose of the specialist assessment is to provide an accuratediagnosis of the older people's problem; to arrange co-ordinated treatment from the specialist teamwhich would then try to improve their functional capacity and to examine their rehabilitativepotential. All of this is done in order to improve the autonomy of the older person and to reduce hisor her dependency.Older people are involved in the assessment process. It is not just professionals making a plan forolder people. They have to be part of that plan themselves.Assessment of Older People's Health and Social Care Needs and Preferences
Page 4 and 5:
National Council on Ageing and Olde
Page 6 and 7:
Developing a Standardised Approach
Page 8:
Conference Proceedings
Page 11 and 12:
-Conference Presentations-'--------
Page 13 and 14:
also emphasised that screening tool
Page 16 and 17: Chairperson's Welcome andIntroducti
Page 18: Conference Proceedings
Page 21 and 22: Bias Towards Home Care SolutionsThe
Page 23 and 24: TSubventions for Community CareIITh
Page 25 and 26: Pathways to Care Old AgeScreening a
Page 29 and 30: Pathways to Care: Old AgeScreening
Page 31 and 32: 11• older people suffering depres
Page 35 and 36: .~A..aStandardised Proactive Assess
Page 37 and 38: Assessment of the Health andSocial
Page 39 and 40: The Assessment ProcessThe assessmen
Page 41 and 42: How Home First is StructuredThe mem
Page 43 and 44: '1.,:;:'-~"il.~'.~The Future of Hom
Page 45 and 46: "-~1J_'----------------------------
Page 48 and 49: Physiotherapy NeedsAssessmentEmma S
Page 50 and 51: Needs and PreferencesOne of the 2im
Page 52 and 53: The organic illnesses can be divide
Page 54 and 55: --------------------------------Que
Page 56 and 57: Screening and AssessmentIf a mammog
Page 58 and 59: What Screening Tools are NotScreeni
Page 60 and 61: Older People in Extended CareWe mus
Page 62 and 63: Discussion Points Followingthe Seco
Page 69 and 70: _f--------------As health professio
Page 71 and 72: Pillars of the Strategic FrameworkF
Page 73 and 74: • cross programmejmulti-sectoral
Page 76 and 77: The Single AssessmentProcess in the
Page 78: Conference ProceedingsPurpose of As
Page 82 and 83: _1----------Conference ProceedingsI
Page 84: 'I·iConference Proceedings
Page 87 and 88: at my newborn grandchildren. This i
Page 89 and 90: Discussion Points from theFinal Ses
Page 92 and 93: _f-------------------Dr. Suzanne Ca
Page 94 and 95: ---~-------------------------------
Page 99 and 100: Assessment of Older People's Health
Page 101 and 102: The calculation of risk is highly c
Page 105 and 106: Risk assessment in older drivers is
Page 107 and 108: Table 3: Process of clinical drivin
Page 111 and 112: Assessment of Oicler]eople's Health
Page 114 and 115: Conference ProceedingsTerms of Refe
Page 116 and 117:
MembershipIJohn BradyNoel ByrneKit
show all

Assessment of Older People's Health and Social Care Needs and ...

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?