Document Detail

Problems of care in a private nursing home.
MedLine Citation:
PMID:  2400857     Owner:  NLM     Status:  MEDLINE    
To assess problems of care in a private nursing home an observational study was carried out over two months, during which a research nurse worked as a member of the staff in a home caring for 25 patients aged 62-90. During the second month a consultant physician visited the home weekly to hold case conferences and assess each patient's functional ability and drug regimen. Various problems in medical, nursing, and bureaucratic matters were identified--for example, staff failed to understand the appropriate response to various medical symptoms; no clear policy existed for managing pressure sores; and one patient's anticoagulant state could not be assessed when industrial action meant that transport to take him to hospital was not available--and several changes in drug treatments were recommended. The problems that were identified were mainly due to poor communication between the home and general practitioners and hospitals and to the lack of guidance policy on common issues that arise in long term care. Such a policy could be produced by health authority staff, general practitioners, and representatives of nursing homes.
J Pearson; L Challis; C E Bowman
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  BMJ (Clinical research ed.)     Volume:  301     ISSN:  0959-8138     ISO Abbreviation:  BMJ     Publication Date:    1990 Aug 18-25
Date Detail:
Created Date:  1990-10-24     Completed Date:  1990-10-24     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  8900488     Medline TA:  BMJ     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  371-2     Citation Subset:  AIM; IM    
School of Humanities and Social Sciences, University of Bath.
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MeSH Terms
Aged, 80 and over
Homes for the Aged / standards*
Middle Aged
Nursing Care / standards
Nursing Homes / standards*
Private Practice
Quality of Health Care*

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