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Biomedical subjects

A Bowling

Publications and source records attributed to A Bowling.

108 records · Page 6Linked to original sources
PubMedDate not supplied

Accidents in elderly care: a randomised controlled trial (part 3).

This paper reports the data on accidents from a randomised controlled trial evaluating health authority-funded nursing home and long stay care of the elderly ward care in one inner London health district. Respondents randomised to NHS nursing homes experienced a higher accident rate than respondents randomised to conventional long stay hospital wards for elderly people. Respondents in the homes also experienced an earlier decline in functional and mental ability than those in hospital. These disadvantages have to be balanced against the previously published observational data from the evaluation, which clearly indicated that quality of life in the homes was superior to that in the wards. The conclusion from this study is that earlier decline in functional and mental ability and increased accident risk in the more flexible environments of the nursing homes have to be balanced against an inferior quality of life in the large traditional hospital wards; such assessments are not easy to make on behalf of other people. This final part of the report details the authors' conclusions.

Accidental Falls↗
PubMedDate not supplied

Management. Setting priorities in health: the Oregon experiment (Part 1).

Increasing emphasis on obtaining consumer opinion in relation to needs assessment and decision making has led to interest in this country about the Oregon experiment in the US. Despite controversies over the efficacy of such approaches, it seems likely that future emphasis will be placed on devising systematic means of gathering information about societal preferences for care. In two articles, Ann Bowling reviews the evidence from America and relates it to the ongoing changes in the British health service. Part 1 introduces the ideas behind the Oregon experiment and examines similar initiatives in the UK.

Community Health Services↗
PubMedDate not supplied

Management. Setting priorities in health: the Oregon experiment (Part 2).

Increasing emphasis on obtaining consumer opinion in relation to needs assessment and decision making has led to interest in this country about the Oregon experiment in the US. In spite of controversies over the efficacy of such approaches, it seems likely that future emphasis will be placed on devising systematic means of gathering information about societal preferences for care. In two articles, Ann Bowling reviews the evidence from America and relates it to the ongoing changes in the British health service. Part 2 examines the methods, results and controversies generated by the Oregon experiment.

Community Health Services↗
PubMedDate not supplied

Elderly people's use of services: a survey.

This article describes some of the findings of a longitudinal survey of three samples of older people living at home in East London and Mid Essex. It describes the service use and need for community services of the three samples at their baseline interviews, and then looks at how their patterns of use and need changed by the time of their follow-up interviews. It shows that older people are generally using services appropriately, but that there are still unmet needs. Service use was found to increase with age as health and functional ability declined. Further findings will be published shortly.

Age Factors↗
PubMedDate not supplied

Functional ability of very elderly people.

This article, which expands on the research discussed four weeks ago in Nursing Standard, describes the circumstances of very elderly people with different levels of functional ability, and how their ability's changed over a 2.5 year period. In particular, it focuses on the needs of those with poor functional ability, who were found to be more likely to have health problems, poorer emotional well-being, almost no friends in their social networks, and greater needs for help (or more help) from services such as chiropody. Few received services specific to rehabilitation and social support, although this group were more likely to receive a greater amount of help, in terms of instrumental aid, with tasks of daily living.

Activities of Daily Living↗
PubMedDate not supplied

Elderly housebound: changes over time.

This article, which completes the research discussed in recent articles in Nursing Standard (1, 2), describes the changes in the ability of very elderly frail people to go outdoors. The sample members were first interviewed in 1987 when they were aged 85 or over, and followed up in 1990. Cross-sectional analyses showed that the groups who could not get outside alone or at all in either 1987 or 1990 were more likely to be taking prescribed medication, had poorer functional ability, reported problems with eyesight and aches/pains/stiffness in muscles/joints, had poorer emotional well-being, spent most of their days 'just sitting', and wanted more help with activities of daily living. There were, however, no differences in their social network characteristics, or their use of services.

Activities of Daily Living↗
PubMedDate not supplied

Hospital and nursing home care for the elderly in an inner city health district.

This study reports process data on everyday life in an NHS hospital and two nursing homes for elderly people. The interviews revealed low expectations of respondents, although observational data confirmed the superior quality of life in the nursing homes. The responses of the elderly people, however, do illustrate the types of activity they would like to engage in to improve their quality of life.

Aged↗
PubMedDate not supplied

Accidents in elderly care: a randomised controlled trial (Part 1).

This paper reports the data on accidents from a randomised controlled trial evaluating health authority-funded nursing home and long stay care of the elderly ward care in one inner London health district. Respondents randomised to NHS nursing homes experienced a higher accident rate than respondents randomised to conventional long stay hospital wards for elderly people. Respondents in the homes also experienced an earlier decline in functional and mental ability than those in hospital. These disadvantages have to be balanced against the previously published observational data from the evaluation, which clearly indicated that quality of life in the homes was superior to that in the wards. The conclusion from this study is that earlier decline in functional and mental ability and increased accident risk in the more flexible environments of the nursing homes have to be balanced against an inferior quality of life in the large hospital long stay wards.

Accidental Falls↗
PubMedDate not supplied

Accidents in elderly care: a randomised controlled trial (Part 2).

This paper reports the data on accidents from a randomised controlled trial evaluating health authority-funded nursing home and long stay care of the elderly ward care in one inner London health district. Respondents randomised to NHS nursing homes experienced a higher accident rate than respondents randomised to conventional long stay hospital wards for elderly people. Respondents in the homes also experienced an earlier decline in functional and mental ability than those in hospital. These disadvantages have to be balanced against the previously published observational data from the evaluation, which clearly indicated that quality of life in the homes was superior to that in the wards. The conclusion from this study is that earlier decline in functional and mental ability and increased accident risk in the more flexible environments of the nursing homes have to be balanced against an inferior quality of life in the large traditional hospital wards; such assessments are not easy to make on behalf of other people. The report is divided into three parts. This week, the results of the trial are presented.

Accidental Falls↗