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Who needs psychogeriatric continuing care?
Author(s) -
Lam Dominic,
Sewell Matthew,
Bell Gary,
Katona Cornelius
Publication year - 1989
Publication title -
international journal of geriatric psychiatry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.28
H-Index - 129
eISSN - 1099-1166
pISSN - 0885-6230
DOI - 10.1002/gps.930040209
Subject(s) - dementia , continuing care , aggression , medicine , gerontology , psychiatry , institutionalisation , residential care , general hospital , psychology , family medicine , nursing , disease , pathology
A survey of the degree of mental impairment, physical disability and behavioural problems was undertaken in residents in psychogeriatric continuing care beds at Friern Hospital (n=96) and Islington Local Authority old people's homes (OPHs) (n = 104). High levels of dependency were identified, particularly in those subjects with a clinical diagnosis of dementia, who constituted 80% of the hospital sample and 43% in OPHs. Precipitants of admission differed between the hospital and OPH groups (incontinence, aggression and wandering vs poor self‐care and living alone), both for the total sample and for those subjects with a clinical diagnosis of dementia. Subjects with dementia in the two settings, however, showed similarly high levels of dependency and behavioural problems. The implications of these findings for planned local reprovision of continuing psychogeriatric care and for the future development of local authority residential care are discussed.