Care for community‐dwelling frail older people: a practice nurse perspective

Abstract

A trusting relationship should be given high priority in the care for community-dwelling frail older people. To improve the care programmes, screening and selection procedures need adjustments. Practice nurses should receive more support in dealing with older people with psychosocial problems.

Stakeholders’ views and experiences of care and interventions for addressing frailty and pre-frailty: A meta-synthesis of qualitative evidence

“…This theme was informed by nine studies [33,36,39,45,49,50,61,63,68] and includes examples of experiences and opinions which challenge or support the notion that frailty development is malleable. While health professionals showed confidence in prevention and management of frailty, they also acknowledged the difficulty of having the right tools to identify people who might benefit, and when intervention would be more useful.…”

“…According to healthcare professionals, frailty was conceived as something which could be prevented through appropriate screening to detect pre-frailty, communication and timely pro-active interventions [33,49]. However, there was concern that current screening tools are inadequate and do not always target the right people: “I don’t think people who are really frail fill in the form .…”

“…However, there was concern that current screening tools are inadequate and do not always target the right people: “I don’t think people who are really frail fill in the form . It’s a big weakness” [33]. Nonetheless, there was mixed response to interventions.…”

“…One recommendation for provision of family-centred care was to implement home visits that could foster the development of a partnership between care providers, caregivers and older adults, giving patients the opportunity to discuss their needs in a way that a home visit is more than just a health check or assessment, and focuses on what is needed to enable independence [33,71]. …”

The nurse–patient relationship as a story of health enhancement in community care: A meta‐ethnography

“…Findings indicate that when patients have an opportunity to tell their stories, nurses can appreciate the patients’ unique experiences and understand how best to work with them (Bindels et al., ; Tyrrell et al., ; Van Hecke et al., ). Entering the patient's world includes nurses becoming better equipped to understand the patient's perspective, which is highly valued by patients and ensures that they are treated as individuals (Luker et al., ; Paavilainen & Åstedt‐Kurki, ).…”