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Centre for Policy on Ageing | |
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Observing the process of care
— a stroke unit, elderly care unit and general medical ward compared | | Author(s) | Pandora Pound, Caroline Sabin, Shah Ebrahim |
| Journal title | Age and Ageing, vol 28, no 5, September 1999 |
| Pages | pp 433-440 |
| Keywords | Stroke ; Rehabilitation ; Geriatric units ; Medical wards ; Medical care ; Comparison. |
| Annotation | Patients on stroke units have better outcomes, but it is not known why. The authors compared the process of care on a stroke unit, an elderly care unit, and a general medical ward by non-participant observation of 12 patients in each. Stroke unit patients spent more time out of bed and out of their bay or room, and had more opportunities for independence than patients on the medical ward. There were more observed attempts on the the stroke unit than on the general medical ward to interact with drowsy, cognitively- or speech-impaired patients. Stroke unit patients spent more time with visitors. Most of these aspects of care were also found on the elderly care unit, where patients also spent more time asleep or "disengaged", more time interacting with nurses, and were given appropriate help more often than those elsewhere. Stroke unit patients received less eye contact, were ignored and treated in a dehumanising way more frequently, and had more negative interactions or activities than those elsewhere; the benefits of such actions are not explained. Thus, some aspects of the process of care have been identified, which may help explain the improved outcomes on stroke units. (RH). |
| Accession Number | CPA-991021209 A |
| Classmark | CQA: LM: LDB: LD4: LK: 48 |
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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