Nursing Homes and the Mentally Ill Elderly
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چکیده
This is the twenty-eighth report in a monograph series authorized by the Board of Trustees of the American Psychiatric Association to give wider dissemination to the findings of the Association's many commissions, committees, and task forces that are called upon from time to time to evaluate the state of the art in a problem area of current concern to the profession, to related disciplines, and to the public. Manifestly, the findings, opinions, and conclusions of the Task Force Reports do not necessarily represent the views of the officers, trustees, or all members of the Association. Each report, however, does represent the thoughtful judgment and consensus of the task force of experts who formulated it. These reports are considered a substantive contribution to the ongoing analysis and evaluation of problems, issues, and practices in a given area of concern. Paul J. Fink, M.D. President, APA 1988-1989
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Dementia and use of psychotropic medication in non-'Elderly Mentally Infirm' nursing homes in South East England.
BACKGROUND There is concern about inappropriate use of psychotropic medication in nursing homes in the UK. Older people with advanced dementia, who might need such medication, are supposed to be admitted to specialist 'Elderly Mentally Infirm' homes. OBJECTIVES To estimate the prevalence of dementia and psychotropic medication use in UK non-Elderly Mentally Infirm homes. DESIGN a) Probabili...
متن کاملAge and Ageing 1996.25:268-272 No Way Out: The Delayed Discharge of Elderly Mentally III Acute and Assessment Patients in North and South Thames Regions
We examined the characteristics of patients occupying elderly-mentally-ill acute and assessment beds in all mental health units within North and South Thames Regions; the proportion of patients defined as no longer requiring acute care (inappropriately located); and the unmet need for alternative service provision these patients required. Of the 1510 patients surveyed, 24.4% (n = 368) were defi...
متن کاملThe changing profile of nursing home residents: 1985-1997.
• Demand for nursing home and other health-care services for the eldely will increase significantly as the baby-boomers age, presenting formidable challenges. Overview Nursing homes are an important component of health services for the elderly population. Specifically, nursing homes or skilled nursing facilities provide 24-hour nursing care to sick or disabled individuals who do not require exp...
متن کاملThe cost-effectiveness of a new disease management model for frail elderly living in homes for the elderly, design of a cluster randomized controlled clinical trial
BACKGROUND The objective of this article is to describe the design of a study to evaluate the clinical and economic effects of a Disease Management model on functional health, quality of care and quality of life of persons living in homes for the elderly. METHODS This study concerns a cluster randomized controlled clinical trial among five intervention homes and five usual care homes in the N...
متن کاملThe quality of residential and nursing-home care for people with dementia.
OBJECTIVES to determine the environmental quality of community-based residential and nursing care for people with dementia. DESIGN survey of a stratified random sample of care homes. SETTINGS forty-six registered residential and nursing homes in a single health district. MAIN OUTCOME MEASURES scales for the assessment of environments for people with dementia, including care practices, soc...
متن کاملNursing home physicians: roles and responsibilities.
In the United States, roughly 16,100 nursing homes house 1.5 million persons. Most (62%) of the homes are for-profit facilities; nearly 54% are part of regional or national chains; 31% are not-for-profit facilities; 7.7% are government-affiliated. In the last 20 years, as nursing homes have assumed responsibility for more acutely ill residents, the jobs of the Administrator, Director of Nursing...
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