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Characteristics of double care demanding patients in a mental health care setting and a nursing home setting: results from the SpeCIMeN study
- Authors:
- COLLET Janine, et al
- Journal article citation:
- Aging and Mental Health, 22(1), 2018, pp.333-39.
- Publisher:
- Taylor and Francis
Background: Older patients suffering from a combination of psychiatric disorders and physical illnesses and/or dementia are called Double Care Demanding patients (DCDs). Special wards for DCDs within Dutch nursing homes (NHs) and mental health care institutions (MHCIs) offer a unique opportunity to obtain insight into the characteristics and needs of this challenging population. Methods: This observational cross-sectional study collected data from 163 DCDs admitted to either a NH or a MHCI providing specialised care for DCDs. Similarities and differences between both DCD groups are described. Results: Neuropsychiatric symptoms were highly prevalent in all DCDs but significantly more in MHCI-DCDs. Cognitive disorders were far more present in NH-DCDs, while MHCI-DCDs often suffered from multiple psychiatric disorders. The severity of comorbidities and care dependency were equally high among all DCDs. NH-DCDs expressed more satisfaction in overall quality of life. Conclusions: The institutionalised elderly DCD population is very heterogeneous. Specific care arrangements are necessary because the severity of a patient's physical illness and the level of functional impairment seem to be equally important as the patient's behavioural, psychiatric and social problems. Further research should assess the adequacy of the setting assignment and the professional skills needed to provide adequate care for elderly DCDs. (Publisher abstract)
Health care in residential homes
- Author:
- ROBERTS Anne
- Publisher:
- Age Concern
- Publication year:
- 1995
- Pagination:
- 292p.,list of orgs.,bibliog.
- Place of publication:
- London
Practical text providing clear and comprehensive information for managers and staff in residential homes about maintaining residents' health and dealing with their health problems. Includes chapters on: good health promotion; common illnesses in later life; caring for frailer residents; confusion, dementia and mental frailty; medication; what to do in an emergency; terminal illness and bereavement; and getting help from other agencies.
Survey of admissions to residential and nursing home care: final report of the 42 month follow-up
- Authors:
- BEBBINGTON Andrew, et al
- Publisher:
- Personal Social Services Research Unit (PSSRU). University of Kent at Canterbury
- Publication year:
- 2000
- Pagination:
- 96p.,tables.
- Place of publication:
- Canterbury
This report describes the findings from the final follow up of individuals included in the 1995 Personal Social Services Research Unit's "Survey of admissions to residential and nursing homes" three and a half years after admission
The health and care of older people in care homes: a comprehensive interdisciplinary approach; a report of a joint working party
- Publisher:
- Royal College of Physicians
- Publication year:
- 2000
- Pagination:
- 39p.
- Place of publication:
- London
The remit of the working party was to explore options for addressing the issues that currently prevent older people in care homes receiving the appropriate level and type of health and care services. It concludes that an integrated interdisciplinary approach is required. Key issues include the need for: a standardised interdisciplinary approach to assessment, care planning, and care delivery; development of the nurse as the lead practitioner in care homes; comprehensive systems of service delivery to engage general and specialists; and for all practitioners engaged in care home practice to have appropriate education and training and for relevant programmes of research.