When To Institutionalize the Elderly

Kleh, Jack

doi:10.1080/21548331.1977.11707082

Cited by 13 publications

(7 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our findings support those of others (1, 3, 5, 10) that many persons who are otherwise destined for long‐term placement in institutions can be returned to community living through use of a careful assessment process. Such a process usually involves use of an interdisciplinary team specially skilled in assessing medical needs, functional disabilities and psychosocial problems, and in matching them to available community resources.…”

Section: Discussionsupporting

confidence: 88%

“…As largely descriptive papers in the current literature indicate, these geriatric units seem to have beneficial effects on such outcomes as placement location, diagnostic accuracy, and appropriateness of therapy (3)(4)(5)(6)(7)(8)(9)(10). Though none of the investigators used experimental designs, all emphasize the usefulness of their respective geriatric units and the role of interdisciplinary geriatric assessment.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Improved Care for Patients on a New Geriatric Evaluation Unit*

Rubenstein

Abrass

Kane

1981

J American Geriatrics Society

View full text Add to dashboard Cite

An analysis is presented of a geriatric evaluation unit (GEU) established at the Sepulveda VA Medical Center in 1979 to provide comprehensive interdisciplinary assessment and treatment of geriatric inpatients. The data on 74 patients admitted during the first year show that major improvements can occur in several outcome areas. Placement location was improved over expectations in 48.4 percent of patients, thus permitting a higher level of independence with a lower level of care requirements. Functional status (Katz ADL scale) improved in two-thirds of the patients who could have shown improvement. An average of almost four new treatable disorders not noted by previous physicians were diagnosed per patient. The mean daily number of prescribed drugs was reduced by 32 percent per patient, and the total number of drug doses by 43 percent. Though limited by the unique aspects of the vA situation and by lack of a control group, the findings lend support to the efficacy and value of the GEU concept. (A randomized controlled study is in progress.)

show abstract

Section: Discussionsupporting

confidence: 88%

mentioning

confidence: 99%

Improved Care for Patients on a New Geriatric Evaluation Unit*

Rubenstein

Abrass

Kane

1981

J American Geriatrics Society

View full text Add to dashboard Cite

show abstract

“…Such inappropriate use is undesirable on several counts: It is wasteful of scarce resources; it can create further disability by leading to premature labeling of a patient as irremedially ill; and institutional environments are themselves hazardous to the aged 7 , 9 . There is substantial and growing evidence that assessment can lead to improved appropriateness of placement 2 , 4 , 5 , 11–14 . Finally, most assessment programs are designed to obtain accurate data for documentation of patient improvement over time as well as for program evaluation.…”

Section: Purposes Of Assessmentmentioning

confidence: 99%

“…7, 9 There is substantial and growing evidence that assessment can lead to improved appropriateness of placement. 2,495, [11][12][13][14] Finally, most assessment programs are designed to obtain accurate data for documentation of patient improvement over time as well as for program evaluation. Assessment, using any of several validated quantitative instruments, can serve both purposes.…”

mentioning

confidence: 99%

The Clinical Effectiveness of Multidimensional Geriatric Assessment

Rubenstein

1983

J American Geriatrics Society

View full text Add to dashboard Cite

“…Comprehensive, simple assessment is man datory for the appropriate placement of such patients and for geriatric services planning [Rubinstein, 1983;Williams et al, 1973;Sloane, 1980;Kleh, 1977], The present study reports the value of a simple, comprehensive prognostic index for the assessment of hospi talized geriatric patients.…”

mentioning

confidence: 99%

A Simple Prognostic Index for Hospitalized Geriatric Patients

Flugelman¹,

David²,

Harats³

et al. 1986

Gerontology

View full text Add to dashboard Cite

A simple prognostic index for hospitalized geriatric patients is reported herein. Seven parameters including: mobility, sphincter control, mental competence, feeding ability, presence of pressure sores, medical condition and family state were recorded in 70 patients. The sum of the scores of all parameters constituted the prognostic index. At the end of 3 months the patients were divided into two groups: 18 patients who were discharged (group 1) and 52 patients who were still hospitalized (35 cases) or had died (17 cases) (group 2). The mean index for group 1 was 14.9 ± 3.2 (mean ± SD), while that for group 2 was 23.5 ± 4.3 (p < 0.00001). Eighty-three percent of the patients in group 1 and only 8% of those in group 2 had scored lower than 17. Thus, the score of 17 or more had a prognostic sensitivity of 92% and a specificity of 83%. The predictive value of indices of 17 or more was 94%. The index described offers therefore a simple and relatively accurate tool for the assessment of the prognosis of elderly patients.

show abstract

When To Institutionalize the Elderly

Abstract: Comprehensive evaluation and follow-up of the chronically ill aged patient may show that he can stay at home with support from family and community services. Guidelines are given for choosing a nursing home when necessary.

Cited by 13 publications

References 4 publications

Improved Care for Patients on a New Geriatric Evaluation Unit*

Improved Care for Patients on a New Geriatric Evaluation Unit*

The Clinical Effectiveness of Multidimensional Geriatric Assessment

A Simple Prognostic Index for Hospitalized Geriatric Patients

Contact Info

Product

Resources

About