Patients placed from hospital to nursing or residential homes or to home under the intensive domiciliary care scheme were compared before and after the introduction of 'assessment and care management' on the 1st April 1993. In geriatric medical wards there was a 69% increase in the average length of stay for patients assessed and care managed and a 52% increase in the length of stay for self-fu...

Comparison was made between patients admitted from a nursing home and all other patients admitted to a geriatric medical unit in 1990 and 1993. The number of nursing home patient admissions rose from 26 in 1990 to 106 in 1993. Nursing home patients were frailer both physically and mentally with a dementia rate of 78% (in those who survived, 1993) and a mortality rate of 19.8% (1993), compared w...

BACKGROUND Ambulatory geriatric rehabilitation (AGR) is a community based outpatient intervention which aims to improve physical function, maintain independent living of geriatric patients, avoiding hospitalisation and institutionalisation. It should therefore reduce health care costs. The objective of our study is to evaluate the effectiveness of AGR for frail elderly patients insured by the s...

If you are like most nursing students, the average age of your patients is 65 and older. In fact, this population is the largest group of people seeking care in every type of health care setting. Older adults make up 46% of all hospital days, 80% of homecare visits, and represent 90% of long-term care residents (NCHS, 2004). Older adults are exploding on the health care scene as the fastest gro...

Nursing care of geriatric patients is highly individualized, specific and challenging. It doesn’t consist merely of satisfying of the needs. However, it lies especially in communication, patience, getting confident, listening skills, the education of not only the patients themselves but also their relatives, which is considered to be very difficult in this work for many nurses.

Practicing psychiatry by remote access (telepsychiatry) is not a new development. Two-way interactive television has been used on an experimental basis since 1959 in Nebraska, and it has spread to other states as well. Its acceptance and efficacy was evaluated in several studies. In a study using questionnaires, patients’ evaluations of the interview was the same in control and experimental gro...

OBJECTIVES To compare the effectiveness of acute geriatric unit care, based on all or part of the Acute Care for Elders (ACE) model and introduced in the acute phase of illness or injury, with that of usual care. DESIGN Systematic review and meta-analysis of 13 randomized controlled and quasi-experimental trials with parallel comparison groups retrieved from multiple sources. SETTING Acute ...