A report by Public Health England indicates that older people in England are living longer nowadays. Longevity statistics show that among persons aged 65, men can expect to live for a further 19 years and women a further 21 years.
There are some concerns remaining, however, concerning various health inequalities and the fact that many elderly people live with poor health.
Robertson, D et al. Psychology and Aging, Vol 31(1), Feb 2016, 71-81.
Perceptions of aging have been shown to impact the psychological and physical health of older adults. Experimental studies have found that priming older adults with negative attitudes toward aging results in immediate declines in psychological, physical and cognitive functions. Longitudinal studies have supported this work illustrating the longer term impact of negative and positive perceptions of aging on psychological and physical health.
However, it is surprising that there are a limited number of studies that have investigated the longitudinal association between perceptions of aging and cognitive function. The aim of this article is therefore to explore the association between perceptions of aging and cognitive function across a number of domains in a population representative sample of adults aged 50 and older.
The sample was assessed twice over 2 years. Negative perceptions of aging at baseline were independently associated with longitudinal decline in verbal fluency and self-rated memory over a 2-year period after adjustment for physical and mental health.
These findings suggest that negative perceptions of aging may play a role in cognitive decline in the older population. Furthermore, aging perceptions may be a modifiable factor to target for future interventions.
This new quality standard covers organisational factors in preventing and controlling healthcare-associated infections in secondary care settings.
NICE quality standards describe high-priority areas for quality improvement in a defined care or service area. Each standard consists of a prioritised set of specific, concise and measurable statements. They draw on existing guidance, which provides an underpinning, comprehensive set of recommendations, and are designed to support the measurement of improvement.
This quality standard covers organisational factors in preventing and controlling healthcare-associated infections in secondary care settings.
Organisational factors include management arrangements, policies, procedures, monitoring, evaluation, audit and accountability.
Secondary care settings include hospital buildings and grounds; inpatient, day case and outpatient facilities and services; elective and emergency care facilities; and hospital maternity units and services.
This is the second COPD pulmonary rehabilitation audit report. Its recommendations are directed collectively to commissioners, provider organisations, referrers for pulmonary rehabilitation and to pulmonary rehabilitation practitioners themselves. The report identifies two broad areas for improvement: firstly action to improve referral and access to pulmonary rehabilitation; and secondly action to improve the quality of treatment when patients attend pulmonary rehabilitation.
Mayrhofer, A. et al. Dementia. Published online: February 9 2016
Background: The conceptualisation and development of the role of Dementia Champions in clinical practice is ongoing, and dementia specific training has a significant impact on the scope of the role.
Aim: This survey aimed to elicit Dementia Champions’ views on their role and associated training needs.
Methods: Data were collected via an online survey.
Findings: Of 188, 34 Dementia Champions (response rate 18%) participated. Most perceived dementia awareness training as useful, but limited. Areas suggested for further development were context specific skills training, education programmes that were formally recognised, and clarification around the expectations of the role.
Conclusion: Expectations of ‘champion roles’ in dementia need to be re-visited, specifically in relation to the remit of the role and the level of education, preparation and support required for Dementia Champions to become change agents in dementia care.
Guardian Health – A look at how patients pay for healthcare around the world and the general standard of care they might expect
Upfront payments: no
Data: The UK came first in the latest Commonwealth Fund assessment of healthcare systems around the rich world, but other surveys such as a European one earlier this month are not so flattering. Healthcare spending as a proportion of GDP is falling behind international averages, and an elderly demographic, the obesity epidemic and alcohol bingeing are all taking their toll. The UK also has the worst cancer outcomes of any rich country.
Upfront payments: no
Data: Middle of the pack. Germany was positioned fifth in the latest Commonwealth Fund rankings, spending more than the EU average on healthcare – but its lengths of stay in hospital tend to be higher than in other countries.
Upfront payments: yes
Data: The US scores poorly on many fronts, ranked 11th out of 11 in the Commonwealth Fund 2014 list. And yet it far outstrips all its peers in terms of the amount it spends on healthcare – a whopping 17% of GDP.