Elizabeth Teale's research while affiliated with Bradford Institute for Health Research and other places

... Previous research has characterised hospitalisation as a traumatic event [e.g., 21,22], even resembling interrogation [23], and has recorded that patient-reported hospital experiences are potentially associated with patient outcomes [22,[24][25][26][27]. In fact, regardless of stress, hospitalisation may be damaging for patients (particularly older adults), being a likely risk factor for cognitive decline [28,29], functional decline [30][31][32], decompensated frailty [33], and new iatrogenic disability [34,35]. Therefore, taken together, there is an immediate need for us to improve our understanding of in-hospital stress, and its effects on in-hospital and post-hospital patient outcomes. ...

... Before starting any pharmacological treatment aimed at these disorders, it is necessary to identify and remove the possible causes and triggers of behavioral disorders. Especially in terminally ill patients, there may be physical causes, such as pain, infections, urinary retention, and constipation, which the patient may express with behavioral disturbances, but which instead require an etiological and non-symptomatic treatment [71][72][73]. In advanced-stage dementia, particular attention must be paid to the effects of the environment when staying in new spaces or spaces not recognized by the subject. ...

... Some studies have shown that more than 83% of these patients are bedridden and only 4% are permitted to stand or walk, which increases the risk of delirium and hinders its resolution once it is established (Covinsky et al., 2003;Brummel et al., 2014;Zisberg et al., 2015;Martínez-Velilla et al., 2016). Multicomponent interventions such as the Hospital Elder Life Program (HELP) have been shown to reduce delirium incidence in the acute care setting by 43%, by acting on modifiable risk factors such as dehydration, pain, sensory impairment, malnutrition, and immobility, compared to usual care (Hshieh et al., 2018;Wang et al., 2020;Burton et al., 2021). ...

... The HELP programme is currently being evaluated in the UK as part of a Prevention of Delirium programme in eight hospitals on geriatric and orthopaedic wards (Young 2009). General medical inpatients aged 65 years and older admitted to an acute medical healthcare setting. ...

... Similar trends have been observed elsewhere. For example, a review of community hospitals in high-income countries describes their role at 'the boundary of primary care, acute hospital care and nursing home care' and as providing 'the full spectrum of service provision from preventative and primary care, to inpatient surgical or medical care' (Winpenny et al., 2016). ...

... Our AKTIVER manual provided explicit parameters for each module. The authors (J.S., C.B., and C.T.) constructed AKTIVER using evidence (Care of Confused Hospitalized Older Persons, 26 Hospital Elderly Life Program, 27 and others 10 ), inspiration from other programs, [28][29][30][31][32][33] and their clinical experience 25 (Table 1). [34][35][36][37][38][39][40][41][42][43] At each site, more than 70% of hospital staff completed a 90-minute basic lesson in delirium detection, management, ...

... More specific and efficient tasks can be chosen for preintervention assessments as they take less time. According to recent guidelines, identification of subjects at risk (Hempenius et al., 2015;Siddiqi et al., 2016) can be helpful for choosing patients for prophylaxis, surveillance, and interventions in connection with surgeries (Baron et al., 2015;Aldecoa et al., 2017;Berger et al., 2018;Burton et al., 2019;Hughes et al., 2020). Hence, the aim of this study was to investigate the association between deficits in specific cognitive domains and reported delirium symptoms in a long-term observation over 8 years. ...

... The digital transformation that has taken place in cardiology has helped to provide a continuum of care in cardiovascular health. Incorporating telemedicine into outpatient settings with a particular focus on risk factor management and implementing rehabilitation activities within the patient's home demonstrated improved patient adherence with outcomes similar to in-person visits [71][72][73]. In addition, remote cardiac care proved to be convenient for both patients and physicians, offering essential advantages such as reduced travel and waiting times, avoidance of unnecessary transfers, reduced costs, less crowding of physicians and patients at hospital centres and flexible schedules (24/7), A. Jordan-Rios et al. ...

... The management of mobility issues in older adults can be challenging due to various factors, including patient-related barriers (e.g., multiple comorbidities) or health care provider-related barriers (e.g., lack of knowledge/training on geriatric syndromes and their clinical management, and limited patient consultation time) (Loganathan et al., 2015;Rastogi and Meek, 2013), leading to unmet health care needs. Older adults, particularly those with frailty, face high burden of pain, but pain management is often sub-optimal, which may worsen mobility and the ability to perform daily activities or participate in social activities (Brown et al., 2019). Among participants with mobility limitations, they expressed that those limitations did not only affect their physical function, but also social and psychological aspects of functioning. ...

... The data reported herein were collected as part of the Community Ageing Research 75 + (CARE75 +) study [16]. The CARE75 + is a longitudinal cohort study conducted in community-dwelling older people living in England aged ≥ 75 years. ...