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Health and welfare of older people in care homes
 — improvements will depend more on reform of the whole system rather than on commissioners and champions
Author(s)Marion E T McMurdo, Miles D Witham
Journal titleBritish Medical Journal, vol 334 no 7600, 5 May 2007
Pagespp 913-914
Sourcehttp://www.bmj.com
KeywordsCare homes ; Management [care] ; Malnutrition ; Feeding capacity.
AnnotationThere is a need for change in care homes' culture of care to reflect the central position of older people themselves, since no amount of further regulations or standard setting is likely to change attitudes and prejudices. To introduce their argument, the authors draw attention to recent campaigns by Age Concern England (ACE): "Hungry to be heard" highlighting the problems of malnutrition in hospital; and "Behind closed doors" which campaigned for people to be able to use the toilet in private in all care settings. The authors suggest that a change in culture can be brought about by stopping blaming individual practitioners and care homes, and by making access to good quality medical care readily available. Older people, too, should become more politically organised - as is the case with the American Association of Retired Persons (AARP) - and demand that care home staff are better trained and paid. (RH).
Accession NumberCPA-070511206 A
ClassmarkKW: QA: CSM: CA4 *

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