REVIEW PAPER
Healthcare management of elderly patients with complex needs in an Accident and Emergency (A&E) department, minor treatment area
 
More details
Hide details
1
Senior Lecturer, Division of Physiology, Faculty of Health, Birmingham City University, 704 Baker Building, Franchise Street, Perry Barr, Birmingham B42 2SU, UK
2
Principal Lecturer, Division of Heath Policy & Public Health, Department of Community Health and Social Work, Faculty of Health, 713 Baker Building, Birmingham B42 2SU, UK
CORRESPONDING AUTHOR
Ross Cooper   

Division of Physiology, Faculty of Health, Birmingham City University, 704 Baker Building, Franchise Street, Perry Barr, Birmingham B42 2SU, UK.
 
J Pre Clin Clin Res. 2008;2(2):102–105
KEYWORDS
ABSTRACT
The current paper proposes a unique and novel model for the development of clinical leadership in practice in order to achieve continuous improvements in healthcare delivery. This model will enable the leader to be innovative and move from being a traditionalist by focusing on operational issues to becoming a champion of change. Using a unique and novel 9-C paradigm shift we propose the inter-twined aspects of important clinical leadership in practice of elderly patients. We suggest a personalised view of medicine that promotes for patients individualised solutions based on whole-systems thinking. A theme of clinical coordination that inspires patients’ confidence, sets and maintains high standards of care, ensures consistency of care, resolves clinical issues, communicates with multidisciplinary teams, establishes a role model for the team, ensures delivery of safe and effective care, monitors quality of care and responds to patients concerns and acts upon them. Perhaps an innovative approach to personalised patient care would also include the use of ‘smart’ rooms to facilitate the alleviation of stress and be connected via robot technology that suggests scenes, music or activities for patients waiting to be seen.
 
REFERENCES (27)
1.
Department of Health: Our NHS Our Future: NHS Next Stage Review – Interim Report (Darzi Review). Crown, COI for the Department of Health, DH Publications Orderline, London 2007.
 
2.
Carlisle D: Future NHS. NHS 60. The heat is on. Health Serv J 2008, 3, 28-31.
 
3.
Cooper RG, Mohabeersingh C: Lean thinking for medical practices., JPCCR, 2(1), 1-10.
 
4.
Cooper RG, Mohabeersingh C: Lean thinking strategy in surgical assessment units in English hospitals. JPCCR 2008 (in press).
 
5.
Ben-Tovim DI, Bassham JE, Bolch D, Martin MA, Dougherty M, Szwarcbord M: Lean thinking across a hospital: redesigning care at the Flinders Medical Centre. Australian Health Rev 2007, 31(1), 10-15.
 
6.
McHugh GA, Silman AJ, Luker KA: Quality of care for people with osteoarthritis: a qualitative study. J Clin Nurs 2007, 16(78), 168-176.
 
7.
Hills R, Kitchen S: Satisfaction with outpatient physiotherapy: focus groups to explore the views of patients with acute and chronic musculoskeletal conditions. Physiother Theory Prac 2007, 23(1), 1-20.
 
8.
Kelley K, Abraham C: Health promotion for people aged over 65 years in hospitals: nurses’ perceptions about their role. J Clin Nurs 2007, 16(3), 569-579.
 
9.
Lawrence RM, Head J, Christodoulou G, et al: Clinicians’ attitudes to spirituality in old age psychiatry. Int Psychogeriatr 2007, 19(5), 962- 973.
 
10.
Gordon K, Smith F, Dhillon S: Eff ective chronic disease management: patients’ perspectives on medication-related problems. Patient Educ Couns 2007, 65(3), 407-415.
 
11.
Clothier J: Can Lean Thinking Save our Healthcare Systems? Central Arkansas Veterans Healthcare System, Little Rocks, Arkansas. Available at: http://www.articlesbase.com/he... our-healthcare-system-88766.html.
 
12.
Calman F, White L, Beckingham E, Deehan C: When would you like to be treated? – A short survey of radiotherapy outpatients. Clin Oncology 2008, 20(2), 184-190.
 
13.
Barrett A, Latham D, Levermore J: Defi ning the unique role of the specialist district nurse practitioner. Brit J Comm Nurs 2007, 12(10), 442-448.
 
14.
Henry L: Institutionalized disadvantage: older Ghanaian nurses’ and midwives’ refl ections on carer progression and stagnation in the NHS. J Clin Nurs 2007, 16(12), 2196-2203.
 
15.
Lean Thinking Networks. 2008. Accessed on: 21st October 2008. Available at: http://leanthinkingnetwork.com.... Accessed on: 21 October 2008.
 
16.
Flinchbaugh J, Carlino A: Lean Leadership Lessons. Training Mag 2007, Dec. 13, 1-3.
 
17.
Douglas CH, Douglas MR: Patient-friendly hospital environment: exploring the patients’ perspective. Health Expect 2004, 7(1), 61-73.
 
18.
Steadman J, Donaldson N, Kalra L: A randomized controlled trial of an enhanced balance training program to improve mobility and reduce falls in elderly patients. J Amer Geriatrics Soc 2003, 51(6), 847-852.
 
19.
Waldron N: Funding decisions in chronically sick individuals. Brit J Nurs 2006, 15(5), 286-291.
 
20.
Scott-Cawiezell J, Vogelsmeier A: Nursing home safety: a review of the literature. Annu Rev Nurs Res 2006, 24, 179-215.
 
21.
Robinson T: Responses to homeopathic treatment in National Health Service general practice. Homeopathy 2006, 95(1), 9-14.
 
22.
Sharples FM, van Haselen R, Fisher P: NHS patients’ perspective on complementary medicine: a survey. Complement Ther Med 2003, 11(4), 243-248.
 
23.
Berry D, Courtenay M, Bersellini E: Attitudes towards, and information needs in relation to supplementary nurse prescribing in the UK: an empirical study. J Clin Nurs 2006, 15(1), 22-28.
 
24.
Devitt N, Murphy J: A survey of the information management and technology training needs of doctors in an acute NHS trust in the United Kingdom. Health Info Lib J 2004, 21(3), 164-172.
 
25.
ALAlami U, Cooper RG, Jackson C, Hu B, Ejtehadi H, Ashford R: A preliminary study and proposed methodology: Utilisation of pervasive computing (NeXus-4) and questionnaires to determine selected physiological and psychological parameters in participants working at a Higher Education Institute in the UK. Proc 3rd Int Conf Per Comp App (ICPCA08), Vol. 2, October 6-8, Alexandria, Egypt 2008, 768-771.
 
26.
Cooper RG, ALAlami U, Jackson C, Stevens K, Jutla J, Khan S, Ashford R. Proposed study – a trial and indicative health status determination of participants working in institutions of higher learning in Birmingham and the West Midlands using the Nexus-4 physiological monitoring system. Proc 2nd Int Conf Per Comp Appl (ICPCA07), July 26-27, 2007, UCE Birmingham, UK, 2007, 251-255.
 
27.
Cooper RG, Al-Muhtadi J, Ashford R. Smart Spaces with Real-Time Physiological Measurements and Mitigation of Stress. Proc 3rd Int Conf Per Comp Appl (ICPCA08), Vol. 1, October 6-8, 2008, Alexandria, Egypt 2008, 3-8.
 
eISSN:1898-7516
ISSN:1898-2395