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Dependency in older people recently admitted to care homes
Author(s)David Challis, Caroline Godlove Mozley, Caroline Sutcliffe
Journal titleAge and Ageing, vol 29, no 3, May 2000
Pagespp 255-260
KeywordsSelf care capacity ; Mobility ; Needs [elderly] ; Admission [care homes] ; Admission [nursing homes] ; Assessment procedures for mental patients.
Annotation308 people aged 65 and over were assessed within two weeks of admission for long-term care to one of 30 nursing or residential care homes in north-west England. Dependency was assessed using the Barthel activities of daily living index and the Crichton Royal Behaviour Rating Scale. Information was collected from the homes' records on diagnosed conditions and current medication. 50% of the cohort were in a "low dependency" band (Barthel score 13-20): 31% of those in nursing homes and 71% of those in residential homes. In nursing homes, low dependency residents were more likely to be self-funding than those with higher dependency. Of a number of broad diagnostic groupings, only a diagnosis of dementia was associated with nursing rather than residential home admission. Of 47 residents who scored 9 or less on the Mini-Mental State Examination (MMSE) (indicating severe cognitive impairment), 85% had no diagnosis of dementia. The study provides evidence of inadequate pre-admission diagnosis and assessment being communicated to nursing or care staff. (RH).
Accession NumberCPA-000824231 A
ClassmarkCA: C4: IK: KW:QKH: LHB:QKH: DA:4C

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