| Dependency in older people recently admitted to care homes. | |
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MedLine Citation:
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PMID: 10855909 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: to investigate dependency and general health status of a cohort of older people admitted to residential or nursing homes for long-term care. METHOD: we assessed 308 people aged over 65 years within 2 weeks of admission for long-term care to one of 30 nursing or residential homes in north-west England. Dependency was assessed using the Barthel activities of daily living index and the Crichton Royal Behaviour Rating Scale. We collected information from the homes' records on diagnosed conditions and current medication. RESULTS: 50% of the cohort were in a 'low dependency' band (Barthel score 13 - 20): 31% of those in nursing homes and 71% of those in residential homes. In nursing homes, low-dependency residents were more likely to be self-funding than those with higher dependency. Of a number of broad diagnostic groupings, only a diagnosis of dementia was associated with nursing- rather than residential-home admission. Of 47 residents who scored 9 or less on the Mini-Mental State Examination (indicating severe cognitive impairment), 85% had no diagnosis of dementia, neurological disorder or other psychiatric disorder. DISCUSSION: the high proportion of new admissions of subjects with low dependency needs raises questions about the effective targeting of resources and about management of the boundary between home-based and institutional care. The existence of an important group of self-funded, low-dependency new admissions to nursing homes suggests a need to provide better assessment and placement services for those who are financially independent of local authorities. Many new admissions had conditions which might benefit from rehabilitation but there were almost no therapy staff in the studied homes. In some cases where severe cognitive impairment was evident, there was no evidence that the result of any formal pre-admission psychiatric evaluation had been communicated to nursing or care staff. |
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Authors:
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D Challis; C G Mozley; C Sutcliffe; H Bagley; L Price; A Burns; P Huxley; L Cordingley |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Age and ageing Volume: 29 ISSN: 0002-0729 ISO Abbreviation: Age Ageing Publication Date: 2000 May |
Date Detail:
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Created Date: 2000-10-20 Completed Date: 2000-10-20 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0375655 Medline TA: Age Ageing Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 255-60 Citation Subset: IM |
Affiliation:
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Personal Social Services Research Unit, University of Manchester, UK. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Aging / psychology* Cohort Studies Dependency (Psychology)* Female Health Care Costs Health Services for the Aged / economics Homes for the Aged* / economics Humans Male Nursing Homes* / economics Psychiatric Status Rating Scales Residence Characteristics |
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