Despite a low level of popular advocacy for older people, specialist medical and psychiatric services for older people have developed rapidly in Ireland, and geriatric medicine has become the largest medical specialty in hospital practice. Official policy has incorporated significant recognition of the special needs of older people, but implementation of these policies has been variable and ina...

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Casualties from the Western Front during the First World War were often evacuated to base hospitals on the northern coast of France for more advanced and specialist care. These temporary base hospitals frequently had more than 1,000 beds and were typically staffed by older, more senior doctors than were present nearer the front line. The 13th Stationary Hospital opened in October 1914 on the Bo...

The number of bed closures in mental health is on the rise, creating additional pressure on services, including acute mental health services. An efficient way of working is required in order to streamline the acute care pathway and decrease unnecessary delays to length of stay, ensuring all individuals can be offered an inpatient bed when in crisis. The Complex Recovery Assessment and Consultat...

It is important to identify in advance patients who will achieve the greatest functional gains from rehabilitation therapy, as specialist rehabilitation resources are still scarce in Japan. The purpose of this study was to determine whether functional score at admission influences the functional change (functional score at discharge minus functional score at admission) after inpatient rehabilit...

Background: Quality in health care has traditionally been determined based on clinical or health outcomes. However, these factors may not be the only aspects of health care that are important to patients. Within rehabilitation factors related to the process of care, the way in which rehabilitation services are delivered, may also be important to patients when defining quality of care. Objective...

OBJECTIVES Part A: To pilot the use of a register to identify and monitor patients with complex needs arising from long-term neurological conditions. Part B: To determine the extent to which patients' needs for health and social services are met following discharge to the community after inpatient rehabilitation; to identify which factors predict unmet needs and to explore the relationship betw...

introduction: the aim of this case report was to investigate the relationship between sleep disorders and audio vestibular symptoms.   case report: a case of undiagnosed sleep disorder, presenting as a temporary auditory processing difficulty, is presented. the disorder was initially treated as sudden deafness with dizziness. a 23-year-old male patient complained of acute hearing disturbance de...