Making Hospital Geriatrics Work

Hodkinson, H. M.; Jefferys, Peter

doi:10.1136/bmj.4.5839.536

Cited by 32 publications

(16 citation statements)

References 7 publications

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“…For the year 1977 at least, our department compared favorably because we were able to discharge 71 percent of our patients after a three‐month stay. Those who remained in the hospital constituted 9 percent versus 13 percent in the Northwick Park Hospital (Table 4) (2).…”

Section: The Hospital Geriatric Departmentmentioning

confidence: 99%

Modern Ideas About Organization of Services for Elderly Patients in Hospitals and Nursing Homes in the Netherlands*

Schouten

1979

J American Geriatrics Society

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Section: The Hospital Geriatric Departmentmentioning

confidence: 99%

Modern Ideas About Organization of Services for Elderly Patients in Hospitals and Nursing Homes in the Netherlands*

Schouten

1979

J American Geriatrics Society

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“…Infirmity was neither a natural nor an inevitable consequence of being old; it was accidental, the consequences of material and social neglect, the remediable consequence of age-associated health inequalities. Geriatricians were to be the new judges of who was old and who was sick, and amongst the old and sick, who was remediably and who irremediably infirm (Hodkinson & Jeffreys, 1972;McAlpine, 1979;O'Brien, Joshi, & Warren, 1973;Stout, 1979).…”

Section: Introductionmentioning

confidence: 98%

Aging without agency: Theorizing the fourth age

Gilleard

Higgs

2010

Aging & Mental Health

305

288

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This article looks at the "fourth age" as a manifestation of the fragmentation of "old age". We argue that the fourth age emerges from the institutionalization of the infirmities of old age set against the appearance of a third-age culture that negates past representations of old age. We outline the historical marginalization of old age from early modern society to the contemporary concentration of infirmity within long-term care which makes of old age an undesirable "social imaginary". As "old age" fades from the social world, we liken this to the impact of a "black hole" distorting the gravitational field surrounding it, unobservable except for its traces. Within this perspective, the fourth age can be understood by examining not the experience itself but its impact on the discourses that surround and orientate themselves to it.

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“…The geriatric waiting list, both at home and in other hospital departments, has been abolished, to good effect, for the adverse effects of such lists on patients and families are well known. 2 Early referral of patients in other hospital units, for advice or care or both, has been encouraged and is vital. In 1976 there were 302 requests for transfer of patients to the unit from other hospital departments.…”

Section: Discussionmentioning

confidence: 99%

Geriatric medicine in Hull: a comprehensive service.

Bagnall¹,

Datta²,

Knox³

et al. 1977

BMJ

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SummaryA partially age-related admission policy coupled with a "single-ward" scheme for treatment and rehabilitation was introduced by the Hull geriatric department in 1970. With rare exceptions, elderly patients needing hospital care have been admitted directly to the geriatric unit, and the proportion of the retired population admitted by the general physicians has been greatly reduced. The proportion of inpatients needing continuing care has been reduced to less than 20%, the mean length of inpatient stay has fallen to under 30 days, and separate long-stay wards are no longer needed. More than 91% of patients are admitted without preceding domiciliary assessment, and only 5-6% of admissions are transferred from other units within the area.

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Making Hospital Geriatrics Work

Cited by 32 publications

References 7 publications

Modern Ideas About Organization of Services for Elderly Patients in Hospitals and Nursing Homes in the Netherlands*

Modern Ideas About Organization of Services for Elderly Patients in Hospitals and Nursing Homes in the Netherlands*

Aging without agency: Theorizing the fourth age

Geriatric medicine in Hull: a comprehensive service.

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