The Care Home Handbook

About the Editors Graham Mulley is Emeritus Professor of Elderly Medicine at the University of Leeds, UK, past President of the British Geriatrics Society and Scientifi c Advisor to the International Longevity Centre (UK). Clive Bowman is Honorary Visiting Professor at the School of Health Sciences, City University London, UK. Michal Boyd practices as a Gerontology Nurse Practitioner in Auckland, New Zealand, and is a Senior Lecturer for the School of Nursing and Freemasons Department of Geriatric Medicine at the University of Auckland. Sarah Stowe is a Locum Consultant Physician at Airedale NHS Foundation Trust, Keighley, UK.

Forewords x Preface xii List of Contributors xiii Review Panel xvii List of Abbreviations xviii Section A: The Resident s Journey 1 1 Admissions and Discharges 3 2 Life in a Care Home 21 Section B: Values, Standards, Ethics and Probity 45 3 Respect and Dignity 47 4 Rights and Legal Considerations 58 Section C: Core Nursing and Personal Care Skills 73 5 Feeding and Nutrition, Hygiene, and Promotion of Continence 75 Section D: Common Clinical Conditions 101 6 Mobility and Falls 103 7 Vision, Hearing and Foot Care 123 8 Major Medical Problems 133 9 Medical Emergencies 155 Section E: Mental Health Problems 191 10 Dementia, Delirium and Depression 193 Section F: Medicines Management 209 11 The Management of Medications 211 Section G: Infection Prevention and Control 233 12 Infection Prevention 235 13 Managing Specific Infections 257 Section H: Procedures and Observations 279 14 Specialised Procedures 281 15 Clinical Measurement and Observations 295 Section I: The End of Life 317 16 Dying and Death 319 Section J: Contacting Other Professionals 339 17 Referrals and Template Letters to Colleagues 341 Section K: What if 375 18 Dealing with Challenging Problems 377 Appendix 1: Rating Scales 391 Appendix 2: When to Request Urgent Medical Help 431 Graham Mulley Index 435