Nursing Research
Live-in Care and Nursing
In November 2006 and February 2007, Consultus Care & Nursing Agency Ltd commissioned research among the UK’s over-75s to ascertain their thoughts on long-term care and post-hospital nursing, particularly in the context of live-in nursing.
The key combined findings were:
- The prospect of going into a nursing home concerns most people (58%)
- 88% would prefer to be nursed in their own home.
- 91% would prefer to convalesce in their own home
- 88% agree live-in nursing should be more readily available
- 89% agree more information about live-in nursing should be made available
Source: TNS Face to Face Services
You can read the research by clicking here: Full Live-in Nursing Research. You will need to have Adobe Reader in order to view. (No part of the research may be reproduced without the express permission of Consultus or their agents).
Further research was conducted in January 2007 by a leading disability equipment provider.
Their report (compiled by A.C.R.S.) demonstrates that on the whole, older people have a very upbeat view of their local neighbourhoods; almost all (92%) are content with where they live. 74% have lived in their homes for more than 20 years. The respondents’ chief considerations were being near to local shops (81%), transport (76%), friends (75%) and relatives (72%).
A third (38%) say the area where they live may not be as safe as it was, alluding to an increase in criminal activity and unsociable behaviour and indicating they would like to feel safer in and around their own homes.
26% of the elderly people surveyed admitted they sometimes feel lonely, and almost a quarter say they ‘don’t get out much these days’.
If you would like to know how Consultus can provide 24/7 nursing, care or companionship to people in their own homes please visit our Home Page. If you are a District Nurse, GP or other Social or Primary Care practitioner please go to our dedicated website for Healthcare Professionals.
Where and how do people want to die?
The costs of dying at home
The (non-financial) value of 'a good death'
Research by Marie Curie Cancer Care concludes that more "high quality palliative care in the community would, if achieved appropriately, open the way to both NHS savings (or other service improvements) and a better quality of life for individuals and families facing death".
See "Valuing Choice – Dying at Home", Marie Curie Cancer Care (external link, requires Adobe Reader)
Palliative Care: Further reading
Audit Commission (2002). NHS Cancer Care in England and Wales.
Bosanquet, N (2002). Models of cost effective Palliative Care Service Delivery. Disease Management and Health Outcomes 10 (6): 349-353.
Critchley P, Jadad AR, Taniguchi A, Woods A, Stevens R, Reyno L & Whelan TJ (1000). Are some palliative care delivery systems more effective and efficient than others? A systematic review of comparative studies. Journal of Palliative Care, 15(4): 40-47.
Department of Health (2003a). Building on the Best; Choice, Responsiveness and Equity in the NHS. Stationary Office, London.
Department of Health (2003b). £12 million to improve care for the dying.
Douglas et al (2000). Are palliative care teams cost effective? Palliative Medicine, 14: 234-235. Palliative Care Congress, Warwick, March 2000.
Franks PJ, Salisbury C, Bosanquet N, Wilkinson EK, Kite S, Naysmith A & Higginson IJ (2000). The level of need for palliative care: a systematic review of literature. Palliative Medicine, 14(2): 93-104.
Goddard M (1989). The role of economics in the evaluation of hospice care. Health Policy, 13: 19-34.
Grande GE, Addington-Hall JM & Todd CJ (1998). Place of death and access to home care services: Are certain patient groups at a disadvantage? Social Science & Medicine, 47(5): 565-579.
Griffin J (1991) Dying with Dignity. Office of Health Economics: UK.
Hearn J and Higginson IJ (1998). Do specialist palliative care teams improve outcomes for cancer patients? Palliative Medicine 12, 317-332.
Higginson IJ (2003). Priorities and preferences for end of life care. National Council for Hospice and Specialist Palliative Care Services, London.
Higginson IJ, Astin P & Dolan S (1998). Where do cancer patients die? Ten year trends in the place of death of cancer patients in England. Palliative Medicine, 12(5): 353-363.
Higginson IJ, Finlay IG, Goodwin DM, Hood K, Edwards AGK, Cook A, Douglas HR & Normand CE (2003). Is there evidence that palliative care teams alter end-of-life experiences of patients and their carers? Journal of Pain and Symptom Management, 25(2): 150-168.
Higginson IJ, Jarman B, Astin P & Dolan S (1999). Do social factors affect where patients die: an analysis of 10 years of cancer deaths. Journal of Public Health Medicine, 21: 22-28.
Higginson IJ & Sen-Gupta GJA (2000). Place of care in advanced cancer: A qualitative systematic review of patient preferences. Journal of Palliative Medicine, 3(3): 287-300.
Hill F & Oliver C (1988). Hospice – an update on the cost of patient care. Health Trends, 20: 81-84.
Jordhoy MS, Saltvedt I, Fayers P, Loge JH, Ahlner-Elmqvist M & Kaasa S (2003).
Which cancer patients die in nursing homes? Quality of life, medical and socio-demographic characteristics. Palliative Medicine, 17(5): 433-444.
Koop PM & Strang VR (2003). The bereavement experience following home-based family care giving for persons with advanced cancer. Clinical Nursing Research, 12(2): 127-144.
Macmillan Cancer Relief. Health Professionals: Gold Standards Framework.
NCHSPCS (2000). The Palliative Care Survey 1999. National Council for Hospice and Specialist Palliative Care Services.
Office of National Statistics. Annual Review of the Registrar General on deaths in England and Wales: DH-1 Series No.34 2001.
Richards MA (2003) Modelling the costs of specialist palliative care. Supporting information for national partnership group work on planning and funding specialist palliative care provision, 2003/4 – 2005/6.
Rinck GC. van den Bos GA. Kleijnen J. de Haes HJ. Schade E. Veenhof CH (1997). Methodologic issues in effectiveness research on palliative cancer care: a systematic review. Journal of Clinical Oncology. 15(4):1697-1707.
Salisbury C, Bosanquet N, Wilkinson EK, Franks PJ, Kite S, Lorentzon M & Naysmith A (1999). The impact of different models of specialist palliative care on patients' quality of life: a systematic literature review. Palliative Medicine, 13:3-17.
Serra-Prat M., Gallo P. and Picaza J.M. (2001). Home palliative care as a cost saving alternative: evidence from Catalonia. Palliative Medicine 15, 271-278.
Smeenk FWJM, van Haastregt JCM, de Witte LP & Crebolder HFJM (1998). Effectiveness of home care programmes for patients with incurable cancer on their quality of life and time spent in hospital: systematic review. British Medical Journal, 316: 1939-1944.
Tong E, McGraw SA, Dobihal E, Baggish R, Cherlin E & Bradley EH (2003). What is a good death? Minority and non-minority perspectives. Journal of Palliative Care, 19(3): 168-175.
Townsend, Frank, Fermont et al (1990) Terminal cancer care and patients' preference for place of death: prospective study. British Medical Journal, 301: 415-417.
Ward S, Salzano S, Sampson F & Cowan J (2003) Analysis of the potential economic impact of guidance on improving supportive and palliative care for adults with cancer. Economic review for the second consultation of the NICE guidelines on 'Improving supportive and palliative care for adults with cancer'. October 2003.
Wilkinson EK, Salisbury C, Bosanquet N, Franks PJ, Kite S, Lorentzon M & Naysmith A (1999). Patient and carer preference for, and satisfaction with, specialist models of palliative care: a systematic literature review. Palliative Medicine, 13(3): 197-216.
Ventafridda V, De Conno F, Ripamonti C, et al (1989). Comparison of home and hospital care of advanced cancer patients. Tumori, 75: 619-625.
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