Abstract:
OBJECTIVE:To compare the levels of satisfaction expressed by residents of nursing homes with those of patients in geriatric long-stay wards. DESIGN:A structured satisfaction questionnaire containing 37 closed and two open questions was used to elicit responses from residents of nursing homes in the former South West Thames Regional Health Authority area. This was compared with a similar survey using the same questionnaire among patients in geriatric long-stay wards surveyed in 1989. SETTING:respondents came from a sample of nursing homes chosen to be representative of both size and geographical location. Nursing homes were stratified by number of beds (1-19, 20-29, 30+) and clustered by location (to reflect the urban, semi-rural and coastal nature of the region). SUBJECTS:A random sample was drawn from each grouping (size and location) to yield a resident sample of 850 in 36 nursing homes. This figure was similar to the number of patients (808) in geriatric long-staywards surveyed in 1989. All eligible nursing home patients were assessed for physical dependency. Mental confusion was ascertained by the Abbreviated Mental Test Score (AMTS). Patients who scored three or less on the AMTS (indicative of severe confusion) or had dysphasia, profound deafness or concurrent serious illness were excluded from further study. RESULTS:377 nursing home residents were able to complete the questionnaire and their answers were compared with those of 291 long-stay geriatric patients. The responses to the five themes--relations with staff, autonomy, amenities, privacy and social environment-show some minor differences between the two groups but what is more noticeable is the similarity of their views. This is important as much social policy assumes that the more 'homely' atmosphere of the nursing home should elicit higher levels of satisfaction than the 'institutional' setting of the hospital ward. CONCLUSION:We conclude that the difference between nursing homes and hospital wards in terms of their institutionalizing capacities is not as profound as policy-makers believe.
journal_name
Age Ageingjournal_title
Age and ageingauthors
Higgs PF,MacDonald LD,MacDonald JS,Ward MCdoi
10.1093/ageing/27.2.199subject
Has Abstractpub_date
1998-03-01 00:00:00pages
199-205issue
2eissn
0002-0729issn
1468-2834journal_volume
27pub_type
杂志文章相关文献
AGE AND AGEING文献大全abstract::Delirium is a common presentation in older inpatients with COVID-19, and a risk factor for cognitive decline at discharge. The glaring gaps in the service provision in delirium care, regardless of aetiology, after a hospital admission pre-existed the pandemic, but the pandemic arguably offers an opportunity now to add...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afab014
更新日期:2021-01-22 00:00:00
abstract::From an international comparison of arm anthropometric reference norms for the elderly a new diagnostic criterion for severe wasting malnutrition was derived: corrected arm muscle area at or below 16.0 cm2 for men or 16.9 cm2 for women. Of 201 consecutive hospital admissions aged 65 years and over, 10 subjects were ma...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/14.3.149
更新日期:1985-05-01 00:00:00
abstract::Transcatheter aortic valve implantation (TAVI) is a tremendous therapeutic advance for patients with severe aortic stenosis and high-surgical risk. Since TAVI-treated patients are elderly with multiple co-existing conditions, limited life expectancy and disproportionate health-care expenditures, the aspect of the heal...
journal_title:Age and ageing
pub_type: 杂志文章,评审
doi:10.1093/ageing/afs110
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND:Hypertension is a risk factor for both cardiovascular and cerebrovascular disease, with an increasing incidence with advancing patient age. Exercise interventions have the potential to reduce blood pressure in older adults, however, rates of exercise uptake and adherence are low, with 'lack of time' a common...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afaa211
更新日期:2020-10-17 00:00:00
abstract::The aim of this study was to evaluate the type and frequency of falls presenting to an inner city casualty department, and to identify modifiable risk factors in these patients. A prospective descriptive study evaluated those over 65 years presenting to an inner city casualty department with falls. Over a 4-week recru...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/25.5.362
更新日期:1996-09-01 00:00:00
abstract:Background/Objective:studies on the association of dementia with specific body composition (BC) components are scarce. Our aim was to investigate associations of BC measures with different levels of cognitive function in late-life. Methods:we studied 5,169 participants (mean age 76 years, 42.9% men) in the AGES-Reykja...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afw219
更新日期:2017-03-01 00:00:00
abstract::At present, frailty is defined variably. Some consensus on a definition is likely to emerge, but the basis for a successful definition needs to be explored. Here, a classic approach to validation is proposed: a successful definition of frailty should be multifactorial but must also manage the many factors in a way tha...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afi146
更新日期:2005-09-01 00:00:00
abstract::Ejection fraction was measured directly by a radionuclide method, and indirectly from systolic time intervals, in elderly patients in atrial fibrillation. Both methods show that the ejection fraction averages approximately 55% at mean ventricular rates of 50-70 beats/min and falls to 20% or below as mean rate increase...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/10.4.231
更新日期:1981-11-01 00:00:00
abstract:BACKGROUND:hip fractures result in a significant burden to the patient, their caregivers and the health care system. Patients with Alzheimer's disease (AD) have a higher incidence of hip fracture compared with other older people without AD, although it is not clear if AD is an independent risk factor for hip fracture. ...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afq146
更新日期:2011-01-01 00:00:00
abstract:INTRODUCTION:Age limits for diagnostics and treatments have been largely removed and replaced by an active diagnostic and treatment practice among the oldest old and has led to concerns about potential overtreatment during the last years of life. METHODS:Use of prescription medication in the last years of life was ass...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afaa064
更新日期:2020-10-23 00:00:00
abstract::Care home medicine has been an under-researched area, but over the last decade there has been a substantial growth in publications. Most of these have focused on the 'geriatric giants' of falls, incontinence and mental health issues (especially dementia, behavioural disturbance and depression) as well as other key top...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/aft186
更新日期:2014-01-01 00:00:00
abstract:OBJECTIVE:(i) to describe the general practitioner utilisation of health assessments, management plans, coordination of team care arrangements and medication review item numbers within 6 months of an aged care eligibility assessment for home care packages (HCP) and (ii) investigate the impact of health assessments on t...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afaa091
更新日期:2021-01-08 00:00:00
abstract::In one experiment, four groups of six-week-old-male PVG rats were, respectively, given tap water ('control group'), 0.00125M, 0.0025M, and 0.005M lathyrogen (aminoacetonitrile hydrochloride: AAN) solutions ad libitum for a period of 20 weeks. In a second experiment, 12-week-old male rats were similarly treated. It was...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/5.3.155
更新日期:1976-08-01 00:00:00
abstract:BACKGROUND AND OBJECTIVE:previously, a randomised controlled exercise intervention study (RCT) showed that combined resistance and balance-jumping training (COMB) improved physical functioning and bone strength. The purpose of this follow-up study was to assess whether this exercise intervention had long-lasting effect...
journal_title:Age and ageing
pub_type: 杂志文章,随机对照试验
doi:10.1093/ageing/afv064
更新日期:2015-09-01 00:00:00
abstract:BACKGROUND:the World Health Organization estimates that more than one billion of the world's population are disabled. Disability is associated with increasing age and poverty, yet there are few reliable data regarding disability among the elderly in low-income countries. The aim of this study was to accurately document...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afs054
更新日期:2012-07-01 00:00:00
abstract:OBJECTIVE:to evaluate the effectiveness of a multifactorial intervention on incidence of falls in psychogeriatric nursing home patients. DESIGN:cluster-randomised controlled 12-month trial. SETTING:psychogeriatric wards in 12 nursing homes in The Netherlands. PARTICIPANTS:psychogeriatric nursing home patients (n = 5...
journal_title:Age and ageing
pub_type: 杂志文章,随机对照试验
doi:10.1093/ageing/afn297
更新日期:2009-03-01 00:00:00
abstract::Previous studies have suggested that up to a fifth of people over the age of 80 years may suffer severe dementia-like illnesses. This total population survey of over a thousand people over the age of 75 suggests that the prevalence of marked cognitive impairment is much less than expected. However, differences in the ...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/15.5.278
更新日期:1986-09-01 00:00:00
abstract:BACKGROUND:the empirical Dignity Model has profoundly influenced the provision of palliative care for older terminally ill patients in the West, as it provides practical guidance and intervention strategies for promoting dignity and reducing distress at the end-of-life. OBJECTIVE:to examine the concept of 'living and ...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/aft003
更新日期:2013-07-01 00:00:00
abstract:Background:there is limited data comparing conditions and health service use across care settings in centenarians. To improve health service delivery in centenarians, the aim of this study was to compare the proportion of centenarians who have chronic conditions, take medication and use health care services across diff...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afx008
更新日期:2017-11-01 00:00:00
abstract:INTRODUCTION:national reports have highlighted deficiencies in care provided to older surgical patients and suggested a role for innovative, collaborative, inter-specialty models of care. The extent of geriatrician-led perioperative services in the UK (excluding orthogeriatric services) has not previously been describe...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afu084
更新日期:2014-09-01 00:00:00
abstract::The difficulties of 24-hour urine collection are well recognized, especially for elderly people for whom a means of estimating protein excretion from a single casual unit sample would be preferable. We compared measurement of total urinary protein estimated by the protein/creatinine ratio with 24-h urine collection an...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/22.6.443
更新日期:1993-11-01 00:00:00
abstract::High rates of mortality are an abiding feature of homes for the elderly. Almost a fifth (19.2%) of a cohort of 6947 residents died in the 12 months following initial assessment. Survival rates vary widely, however, for different groups within the residential population. Using data from a longitudinal study of 175 home...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/12.3.240
更新日期:1983-08-01 00:00:00
abstract:BACKGROUND AND PURPOSE:The very old are expected to become a growing part of the stroke population in the industrialised part of the world. The aims of this study were to evaluate clinical characteristics of patients aged 85 years or more at stroke onset and to investigate very old age as an independent predictor of sh...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afh052
更新日期:2004-03-01 00:00:00
abstract:BACKGROUND:Visuo-spatial neglect (VSN) after stroke is associated with a poor prognosis for rehabilitation. The co-existence of a visual field deficit (VFD) with VSN may be associated with impaired visuo-spatial functioning and thereby poor functional outcome. OBJECTIVE:To determine whether the presence of a VFD (i) e...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/28.3.257
更新日期:1999-05-01 00:00:00
abstract:BACKGROUND:fall-risk assessment with fall-prevention intervention referral for at-risk groups to avoid falls could be cost-effective from a care-payer perspective. AIMS:to model the cost-effectiveness of a fall-risk assessment (QTUG compared to TUG) with referral to one of four fall-prevention interventions (Otago, Fa...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afz125
更新日期:2019-12-01 00:00:00
abstract:BACKGROUND:epidemiological studies of Alzheimer's disease and aluminium intake have focused on aluminium in drinking water. There have been no studies investigating the relation between the disease and the consumption of foods containing large amounts of aluminium additives. OBJECTIVES:to conduct a pilot study to dete...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/28.2.205
更新日期:1999-03-01 00:00:00
abstract::One hundred and seventy residents of 11 Leicester City Council homes for the elderly, with a total of 515 beds, were studied during a 30-week period from September 1988 to March 1989 to determine the use of influenza vaccine, the levels of influenza antibody, the incidence of influenza, and the protection afforded by ...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/21.3.182
更新日期:1992-05-01 00:00:00
abstract:Background:orthostatic hypotension (OH) is a common disabling condition associated with increased morbidity and mortality. Much of the evidence available is derived from younger populations with chronic neurological disease leading to uncertainty for the diagnosis and management of older people. Objective:to provide a...
journal_title:Age and ageing
pub_type: 杂志文章,评审
doi:10.1093/ageing/afw211
更新日期:2017-03-01 00:00:00
abstract:Background:general practitioners (GPs) have identified the management of behavioural and psychological symptoms of dementia (BPSD) as a particularly challenging aspect of dementia care. However, there is a paucity of research on why GPs find BPSD challenging and how this influences the care they offer to their patients...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afx175
更新日期:2018-03-01 00:00:00
abstract:BACKGROUND:geriatrics encompasses diverse medical, social and ethical challenges requiring a multidimensional, interdisciplinary approach. Recent reports have highlighted failings in the care of older people. It is therefore vital that trainees in geriatrics are afforded opportunities to develop skills in managing this...
journal_title:Age and ageing
pub_type: 杂志文章,多中心研究
doi:10.1093/ageing/afv049
更新日期:2015-07-01 00:00:00