Professor Arthur Norman Exton-Smith CBE MA MD FRCP (1920–90): distinguished Geriatrician and Gerontologist

Denham, M. J.

doi:10.1258/jmb.2008.008003

Cited by 3 publications

(2 citation statements)

References 19 publications

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“…Indeed, one of the authors of the original scale (Exton-Smith) broadened the scope of his inpatient practice to conduct home visits. 26,27 We do not expect that this exact tool will be widely used. It does not have the predictive validity to identify with complete accuracy those who will die.…”

Section: Discussionmentioning

confidence: 99%

Validity of an early risk score for older adults

John

Montgomery²

2014

J R Coll Physicians Edinb

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Objectives: To determine if a risk score developed in hospitalised older adults in the UK in 1962 is correlated with other measures of health and if this risk score predicts death or institutionalisation in community-living older adults. Methods: A total of 1,735 older adults residing in the community in 1991 were followed over five years We replicated the original risk index, a composite score of cognitive status, disability and continence. Other measures included age, gender, education, self-rated health (SRH), life satisfaction (LS) and frailty. Death and nursing home (NH) admission were determined five years later. Results: The risk score was strongly associated with frailty, SRH and LS. The index predicted mortality and NH use: The adjusted odds ratio (95% confidence interval) from multinomial logistic regression models was 0.74 (0.69, 0.79) for death and 0.74 (0.67, 0.83) for NH. Conclusions: A risk score devised to measure inpatient rehabilitation also predicts outcomes in community-dwelling older adults. Cognition and function predict a variety of adverse outcomes in a variety of settings in different historic eras.keywordS comprehensive geriatric assessment, disability, frailty, institutionalisation, mortality, risk index, risk score declaraTion of inTereSTS No conflict of interest declared.

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Section: Discussionmentioning

confidence: 99%

Validity of an early risk score for older adults

John

Montgomery²

2014

J R Coll Physicians Edinb

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“…Alice Sheridan, Warren's Almoner, considered Cosin was ‘an awkward cuss’ and was not in the main stream of geriatric medicine like Lord Amulree and Professor Exton-Smith. 51–53 She thought that Warren placed most emphasis on hospital management of the sick elderly and did not develop strong community support services although she appreciated the value of home nursing. This contrasts with Dr Eric Brooke who managed a geriatric service at Carshalton in Surrey with very few hospital beds and had of necessity to develop neighbourhood services, including home helps, meals on wheels, district nurses, laundry services and occupational therapists.…”

Section: Achievementsmentioning

confidence: 99%

Dr Marjory Warren CBE MRCS LRCP (1897–1960): the Mother of British Geriatric Medicine

Denham

2011

J Med Biogr

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Dr Marjory Warren was a remarkable, formidable physician who reversed the neglect of chronic sick patients and brought their treatment into the modern era. She advocated the creation of the specialty of geriatric medicine with units based in district general hospitals, and that medical students and nurses should be taught about the diseases of old age. She treated the whole patient, applied advances in medicine and therapeutics, devised new techniques and equipment to assist disabled elderly stroke and amputee patients, and made great improvements in the ward environment. She emphasized the importance of the patient's social background, and electrified both staff and patients with her drive and enthusiasm. Many patients were treated successfully and discharged. Bed requirements were reduced and vacated wards allocated for other uses. She wrote extensively and lectured across the world to national and international approbation.

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Doreen Norton OBE, MSc, SRN, FRCN (1922–2007): Pioneer who revolutionised pressure sore management and geriatric nursing to international acclaim

Denham

2016

J Med Biogr

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Doreen Norton was a delightful, widely respected nurse who devoted her life to improving the care of elderly people. She researched the neglected problem of pressure sores, revolutionised their nursing care, and thus achieved international fame. Her Pressure Sore Scale was established as a management tool and is still used today. She was a key member of the design team that produced the 'King's Fund Bed', researched equipment required on geriatric wards, assessed all geriatric long stay units in Scotland and established research as a valuable nursing tool within her profession and health authorities. She lectured extensively and her publications attracted worldwide acclamation. After her retirement, she was subsequently appointed to the world's first Chair of Gerontological Nursing in Cleveland, Ohio.

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Professor Arthur Norman Exton-Smith CBE MA MD FRCP (1920–90): distinguished Geriatrician and Gerontologist

Cited by 3 publications

References 19 publications

Validity of an early risk score for older adults

Validity of an early risk score for older adults

Dr Marjory Warren CBE MRCS LRCP (1897–1960): the Mother of British Geriatric Medicine

Doreen Norton OBE, MSc, SRN, FRCN (1922–2007): Pioneer who revolutionised pressure sore management and geriatric nursing to international acclaim

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