Characteristics of elderly people admitted to hospital, Part III homes, and sheltered housing.

Abstract

Approximately 100 consecutive admissions in Southampton to sheltered housing, to Part III homes, and to long-stay geriatric hospital beds in 1975 and 1976 were selected and data were collected by interview with patients and staff. There was a total of 299 admissions in the final sample. The sheltered housing group were younger and more often married than those admitted to Part III homes, who were more often married but only slightly younger than the new geriatric patients. The three groups were separated on dependency measures with almost no overlap between the sheltered housing and the other groups, but a little more evidence of overlap and interchange between Part III and hospital admissions. The patients in hospital whose dependency scores were more typical of Part III residents were almost all special cases and this was found to be true of other apparently misplaced individuals. Most of the sheltered housing admissions were suffering from heart, chest, and musculoskeletal complaints, while new Part III residents had more psychiatric disturbance; cerebrovascular and psychiatric problems occurred most often in the hospital group. The three groups of admissions form distinct categories and it is arguable that this is a concomitant of underprovision. This also shows that there is no great measure of misplacement on the basis of the current norm, although the suitability of this norm in sheltered housing is open to question.

The Barthel Index and ADL Evaluation in Stroke Rehabilitation in Australia, Japan, the UK and the USA

“…The BI discriminates elderly people admitted to hospitalandthetypeof housingdesirable(Legh-Smithetal., 1986). The overall distinctness of three resident groups, that is, sheltered housing, "Part 111 homes" and long stay genatric and psychogeriatric bedsis strongly marked (Alexander & Eldon, 1979). Burden of care in nursing homes has been measured in terms of the number of hours of assistance required using the Barthel scores (Alexander & Eldon, 1979;Granger et al, 1988;.…”

“…The overall distinctness of three resident groups, that is, sheltered housing, "Part 111 homes" and long stay genatric and psychogeriatric bedsis strongly marked (Alexander & Eldon, 1979). Burden of care in nursing homes has been measured in terms of the number of hours of assistance required using the Barthel scores (Alexander & Eldon, 1979;Granger et al, 1988;. The Resident Classification Instrument (DCSH, 1989) scores and the equivalent Barthel scores for the dependency needs of elderly patients are presented in Table 2 to facilitate interpretation by health workers involved in the placement of patients in nursing homes or extended care facilities.…”

Barthel ADL Index: a comparison of administration methods

“…It has been highly correlated with the Katz ADL, the Kenny self care evaluation, and the PULSES profile of independence in life functioning. [8][9][10][11][12][13][14][15][16][17] The Barthel Index has also been shown to be sensitive to clinical interventions, 18,19 and it is a clinically useful scale that is easy to administer.…”

Factors affecting dietary intake and nutritional status of tenants in sheltered housing

“…type of accommodation [Alexander & Eldon, 1979). When this was reviewed in a companion paper, it emerged that many tenants had reduced weighttdemi-span ratios, and that a high proportion had low intakes of energy and of pyridoxine and vitamin D (Caughey et al, 1994).…”