Medical Crises in Older People
Discussion Paper Series ISSN 2044-4230

Journal Contributions

Delirium & Dementia  

    • Tanajewski L, Franklin M, Gkountouras G, Berdunov V, Harwood RH, Goldberg SE, Bradshaw LE, Gladman JRF, Elliott RA. Cost effectiveness of a specialist Medical and Mental Health Unit for older people with cognitive impairment admitted to a general hospital: economic evaluation in a pragmatic randomised controlled trial (NIHR TEAM trial). PLOS One 2015;  http://dx.doi.org/10.1371/journal.pone.0140662

    • Whittamore KH, Goldberg SE, Bradshaw LE, Harwood RH on behalf of the Medical Crises in Older People Study Group. Factors Associated with Family Caregiver Dissatisfaction with Acute Hospital Care of Older Cognitively Impaired Relatives. J Am Geriatr Soc 62:2252–2260, 2014. http://dx.doi.org/10.1111/jgs.13147/pdf

    • Fisher JM, Gordon AL, MacLullich AMJ, Tullo E, Davis DHJ, Blundell A, Field RH, Teodorczuk A. 2014. Towards an understanding of why undergraduate teaching about delirium does not guarantee gold-standard practice – results from a UK national survey. Age and Ageing, available through advance access at http://ageing.oxfordjournals.org/content/early/2014/10/16/ageing.afu154.abstract

    • Goldberg S, Harwood R, Whittamore K, Pollock K, Gladman JRF. Caring for cognitively impaired older patients in the general hospital: a qualitative analysis of similarities and differences between a specialist medical and mental health unit and standard care wards. International Journal of Nursing Studies http://dx.doi.org/10.1016/j.ijnurstu.2014.02.002

    • Glover A, Bradshaw LE, Watson N, Laithwaite E, Goldberg SE, Whittamore KH, Harwood RH. Diagnoses, problems and healthcare interventions amongst older people with an unscheduled hospital admission who have concurrent mental health problems: a prevalence study. BMC Geriatrics 2014, 14-43 http://www.biomedcentral.com/1471-2318/14/43

    • Porock D, Clissett P, Harwood RH, Gladman JRF, Disruption, control and coping: responses of and to the person with dementia in hospital. Ageing and Society 2014, February pp 1 – 27 http://dx.doi.org/10.1017/S0144686X13000561, Published online: 19 September 2013

    • Clissett P, Porock D, Harwood RH, Gladman JRF. The responses of health care professionals to the admission of people with cognitive impairment to acute hospital settings: an observational and interview study J Clin Nursing 19 SEP 2013, http://dx.doi.org/10.1111/jocn.12342

    • Spencer K, Foster P, Whittamore KH, Goldberg SE, Harwood RH. Delivering dementia care differently—evaluating the differences and similarities between a specialist medical and mental health unit and standard acute care wards: a qualitative study of family carers’ perceptions of quality of care. BMJ Open 2013;3:e004198 http://dx.doi.org/10.1136/bmjopen-2013-004198

    • Griffiths A, Knight A, Harwood R. & Gladman JRF. Preparation to care for confused older patients in general hospitals: a study of UK health professionals. Age and Ageing 2013; http://dx.doi.org/10.1093/ageing/aft171

    • Goldberg SE. & Harwood RH. Experience of general hospital care in older patients with cognitive impairment: are we measuring the most vulnerable patients’ experience? BMJ Qual Saf 2013; 0: 1-4 http://dx.doi.org/10.1136/bmjqs-2013-001961

    • Bradshaw LE, Goldberg SE, Lewis SA, Whittamore K, Gladman JRF, Jones RG. & Harwood RH. Six-month outcomes following an emergency hospital admission for older adults with co-morbid mental health problems indicate complexity of care needs. Age & Ageing, 1-7, 2013. http://dx.doi.org/10.1093/ageing/aft074

    • Sartain K. Carer. An outstanding example of hospital care for patients with dementia. BMJ 2013, 346. http://dx.doi.org/10.1136/bmj.f2513

    • Whittamore K, Goldberg S, Gladman JRF, Jones RG, Harwood RH. The diagnosis, prevalence and outcome of delirium in a cohort of older people with mental health problems on general hospital wards International Journal of Geriatric Psychiatry 2013. http://dx.doi.org/10.1002/gps.3961

    • Clissett P, Porock D, Harwood RH, Gladman JRF. The challenges of achieving person-centred care in acute hospitals: a qualitative study of people with dementia and their families. International Journal of Nursing Studies 2013 http://dx.doi.org/10.1016/j.ijnurstu.2013.03.001

    • Clissett P, Porock D, Harwood RH, Gladman JRF. Experiences of family carers of older people with cognitive impairment in the acute general hospital: a qualitative study. Journal of Advanced Nursing 2013 http://dx.doi.org/10.1111/jan.12159

    • Goldberg SE, Bradshaw SE, Kearney F, Russell C, Whittamore K, Foster PER, Mamza J, Gladman JRF, Jones RG, Lewis SA, Porock, D, Harwood RH on behalf of the Medical Crises in Older People study group. Care in specialist medical and mental health unit compared with standard care for older people with cognitive impairment admitted to general hospital: randomised controlled trial (NIHR TEAM trial). BMJ 2013;347:f4132 http://dx.doi.org/10.1136/bmj.f4132.

    • Gladman J, Porock D, Griffiths A, Clissett P, Harwood RH, Knight A, Jurgens F, Jones R, Schneider J, Kearney F. Care of Older People with Cognitive Impairment in General Hospitals. Final report NIHR Service Delivery and Organisation programme; 2012. http://www.netscc.ac.uk/hsdr/projdetails.php?ref=08-1809-227

    • Jurgens FJ, Clissett P, Gladman JR & Harwood R. Why are family carers of people with dementia dissatisfied with general hospital care? a qualitative study. MBC Geriatrics 2012; Available at http://dx.doi.org/10.1186/1471-2318-12-57

    • Bradshaw LE, Goldberg SE, Schneider JM & Harwood R. Carers for older people with co-morbid cognitive impairment in general hospital: characteristics and psychological well-being. Int J Geriatr Psychiatry 2012; Available at: http://dx.doi.org/10.1002/gps.3871

    • Harwood RH. Dementia for the hospital physician. Clinical Medicine 2012;12:35-39

    • Goldberg S, Whittamore K, Harwood R, Bradshaw L, Gladman J, Jones R. The prevalence of mental health problems amongst older adults admitted as an emergency to a general hospital. Age Ageing 2011; http://dx.doi.org/10.1093/ageing/afr106

    • Howe L. Occupational engagement for patients with dementia and delirium. Occupational Therapy News May 2011, 19(5) 30-31

    • Harwood RH, Goldberg SE, Whittamore KH, Russell C, Gladman JRF, Jones RG, Porock D, Lewis SA, Bradshaw LE, Elliott RA and Medical Crises in Older People Study Group (mcop). Evaluation of a Medical and Mental Health Unit compared with standard care for older people whose emergency admission to an acute general hospital is complicated by concurrent 'confusion': a controlled clinical trial. Trials 2011, 12:123 http://www.trialsjournal.com/content/pdf/1745-6215-12-123.pdf

Acute Care

    • Darby J, Williamson T, Logan P, Gladman JRF. Comprehensive Geriatric Assessment on an acute medical unit: A qualitative study of older people's and informal carer's perspectives of the care and treatment they received. Clin Rehab 2016 http://dx.doi.org/10.1177/0269215515624134
    • Tanajewski L, Franklin M, Gkountouras G, Berdunov V, Edmans J, Conroy S, Bradshaw LE, Gladman JRF, Elliott RA. Cost effectiveness of an interface geriatrician intervention for frail older people discharged from acute medical unit: economic evaluation in a two-centre randomised controlled trial (NIHR AMIGOS trial). PLOS One 2015 http://dx.doi.org/10.1371/journal.pone.0121340. http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0121340
    • Conroy SP, Ansari K, Williams M, Laithwaite E, Teasdale B, Dawson J, et al. A controlled evaluation of comprehensive geriatric assessment in the emergency department: the 'Emergency Frailty Unit'. Age Ageing. 2014 Jan;43(1):109-14. http://dx.doi.org/10.1093/ageing/aft087
    • Franklin M, Berdunov V, Edmans J, Conroy S, Gladman JRF, Tanajewski L, Gkountouras G. & Elliott R. Identifying patient-level health and social care costs for older adults discharged from acute medical units in England. Age & Ageing 2014, 43: 703-707 http://dx.doi.org/10.1093/ageing/afu073
    • Edmans J, Bradshaw L, Franklin M, Gladman J, Conroy S. Randomised controlled trial of specialist geriatric medical assessment for patients discharged from hospital acute assessment units. BMJ 2013;347:f5874. http://www.bmj.com/content/347/bmj.f5874
    • Edmans, J, Bradshaw L, Gladman JRF, Franklin M, Berdunov V, Elliott R. & Conroy SP. The Identification of Seniors at Risk (ISAR) score to predict clinical outcomes and health service costs in older people discharged from UK acute medical unitsAge & Ageing, 1-7, 2013. http://dx.doi.org/10.1093/ageing/aft054
    • Wou F, Gladman JRF, Bradshaw L, Franklin M, Edmans J. & Conroy SP. The predictive properties of frailty-rating scales in the acute medical unit. Age & Ageing, 1-6, 2013. http://dx.doi.org/10.1093/ageing/aft055
    • Conroy S, Dowsing T, Reid J, Hsu R. Understanding readmissions: An in-depth review of 50 patients readmitted back to an acute hospital within 30 days. Eur Geriatr Med 2012. http://dx.doi.org/10.1016/j.eurger.2012.02.007
    • Baker R, Bankart MJ, Rashid A, Banerjee J, Conroy S, Habiba M, et al. Characteristics of general practices associated with emergency-department attendance rates: a cross-sectional study. BMJ Quality & Safety 2011. http://dx.doi.org/10.1093/pubmed/fds024
    • Bankart MJ, Baker R, Rashid A, Habiba M, Banerjee J, Hsu R, et al. Characteristics of general practices associated with emergency admission rates to hospital: a cross-sectional study. Emerg Med J 2011.
    • Edmans J, Conroy S, Harwood R, Lewis S, Elliott RA, Logan P, Bradshaw L, Franklin M, Gladman J. Evaluation of comprehensive geriatric assessment compared with standard care, for older people scoring positive on a risk screening tool (’Identification of Seniors At Risk’), who are discharged within 72 hours of attending an acute medical unit with a medical crisis. Trials 2011, 12:200. Available at: http://www.trialsjournal.com/content/pdf/1745-6215-12-200.pdf
    • Conroy SP, Stevens T, Parker SG, Gladman JRF A systematic review of comprehensive geriatric assessment to improve outcomes for frail older people being rapidly discharged from acute hospital: 'interface geriatrics'. Age and Ageing 2011; http://dx.doi.org/10.1093/ageing/afr060
    • Conroy S, Ferguson C, Banerjee J. Interface geriatrics: an evidence based solution for frail older people with medical crises. British Journal of Hospital Medicine 2010;71(2):98-101.
    • Robinson L, Conroy S, Banerjee J. Interface geriatrics: New models of care for frail older people. RCGP News 2010(January 2010):7
    • Conroy S. Emergency room geriatric assessment - urgent, important or both?[comment]. Age Ageing 2008;37(6):612-3.

Care Homes  

  • Gordon A, 2015. What is the case for care home medicine? The geriatrician's perspective Journal of the Royal College of Physicians of Edinburgh. 45(2), 148-53 http://dx.doi.org/10.4997/JRCPE.2015.213

  • Gordon AL, Franklin M, Bradshaw L, Logan PA, Elliott RA, Gladman JRF. Health Status of UK Care Home  Residents - A Cohort Study. Age Ageing 2013. http://dx.doi.org/10.1093/ageing/aft077
  • Robbins IJ, Gordon AL, Dyas JV, Logan PA, Gladman JRF. Explaining the barriers to and tensions in delivering effective health care in UK care homes: a qualitative study. BMJ Open 2013;3:e003178 http://dx.doi.org/10.1136/bmjopen-2013-003178.
  • Gordon AL, Logan PA, Jones RG, Forrester-Paton C, Mamo JP, Gladman JRF. A systematic mapping review of Randomized Controlled Trials (RCTs) in care homes BMC Geriatrics2012, 12:31 (25 June 2012) http://dx.doi.org/10.1186/1471-2318-12-31
  • Ewan V, Gordon A. Non-respiratory infections – specific considerations in care homes. Reviews in Clinical Gerontology, volume 21, issue 01, pp. 78-90 http://dx.doi.org/10.1017/S0959259810000328
  • Gordon A and Ewan V. Pneumonia and influenza: specific considerations in care homes. Reviews in Clinical Gerontology, 20,(01): 69-80 http://dx.doi.org/10.1017/S0959259810000043
  • Gordon AL. & Gladman JRF. Sleep in Care Homes. Reviews in Clinical Gerontology 2010; 20 (4): 309-316
  • Donald I, Gladman J, Conroy C, Vernon M, Kendrick E and Burns E Care home medicine in the UK - in from the cold. [Commentary] Age Ageing 2009: 37 (6), 618-20. PMID: 18829687
  • Conroy S, Van Der Cammen T, Schols J, Van Balen R, Peteroff P, Luxton T. Medical services for older people in nursing homes--comparing services in England and the Netherlands. Journal of Nutrition, Health & Aging 2009;13(6):559-63 

General

 

  • Gladman J, Harwood R, Conroy S, Logan P, Elliott R, Jones R, et al. Medical Crises in Older People: cohort study of older people attending acute medical units, developmental work and randomised controlled trial of a specialist geriatric medical intervention for high-risk older people; cohort study of older people with mental health problems admitted to hospital, developmental work and randomised controlled trial of a specialist medical and mental health unit for general hospital patients with delirium and dementia; and cohort study of residents of care homes and interview study of health-care provision to residents of care homes. Programme Grants Appl Res 2015;3(4)

 

 

Medical Crises in Older People

Division of Rehabilitation and Ageing
B Floor Medical School, QMC
Nottingham, NG7 2UH

telephone: +44 (0) 115 823 0239
fax: +44 (0) 115 823 0231
email: john.gladman@nottingham.ac.uk