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Centre for Policy on Ageing | |
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Health status of UK care home residents
— a cohort study | | Author(s) | Adam Lee Gordon, Matthew Franklin, Lucy Bradshaw |
| Journal title | Age and Ageing, vol 42, no 1, January 2014 |
| Publisher | Oxford University Press, January 2014 |
| Pages | pp 97-103 |
| Source | www.ageing.oxfordjournals.org |
| Keywords | Health [elderly] ; Health services ; Usage [services] ; Residents [care homes] ; Nursing homes ; Care homes ; Evaluation ; United Kingdom. |
| Annotation | UK care home residents are often poorly served by existing healthcare arrangements. Published descriptions of residents' health status have been limited by lack of detail and use of data derived from surveys drawn from social, rather than health, care records. This article describes the health status and healthcare resource use of UK care home residents using a 180-day longitudinal cohort study of 227 residents across 11 UK care homes, 5 nursing and 6 residential, selected to be representative for nursing/residential status and dementia registration. Barthel index (BI), Mini-Mental State Examination (MMSE), Neuropsychiatric Index (NPI), Mini-Nutritional Index (MNA), EuroQoL-5D (EQ-5D), 12-item General Health Questionnaire (GHQ-12), diagnoses and medications were recorded at baseline and BI, NPI, GHQ-12 and EQ-5D at follow-up after 180 days. National Health Service (NHS) resource use data were collected from databases of local healthcare providers. The median BI was 9 (IQR: 2.5-15.5), MMSE 13 (4-22) and number of medications 8 (5.5-10.5). The mean number of diagnoses per resident was 6.2 (SD: 4). 30% were malnourished, and 66% had evidence of behavioural disturbance. Residents had contact with the NHS on average once per month. Residents from both residential and nursing settings are dependent, cognitively impaired, have mild frequent behavioural symptoms, multimorbidity, polypharmacy and frequently use NHS resources. Effective care for such a cohort requires broad expertise from multiple disciplines delivered in a co-ordinated and managed way. (RH). |
| Accession Number | CPA-150522290 A |
| Classmark | CC: L: QLD: KX: LHB: KW: 4C: 8 |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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