Biomedical subjects

R Liston

Publications and source records attributed to R Liston.

22 records · Page 2Linked to original sources

PubMedDate not supplied

Use of an age related admission policy in establishing a new department of medicine for the elderly.

Possible admission policies when initiating new Departments of Medicine for the Elderly are discussed. We report the results of a new acute unit where an age related policy was used in an area with no prior contact with the speciality. Six hundred and fifty-one acute medical admissions aged 80 years and over were treated in the unit's first year. Average age was 84.6 years with an average stay of 8.6 days. 54% were discharged directly home with a further 17% going home after rehabilitation. Only 12% eventually needed continuing nursing care. 9.4% of the patients died. We conclude that Medicine for the Elderly is highly effective if allowed access to patients from the point of admission rather than on a take-over basis. It is suggested that an age-related policy is appropriate when setting up new departments unless there is a clear indication for an alternative policy.

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PubMedDate not supplied

General practitioner views of a new specialist Department of Medicine for the Elderly.

The reactions of General Practitioners (GPs) in an area served by a new Department of Medicine for the Elderly (Geriatric Medicine) are described. 89% of GPs thought the new service had brought significant benefits to their patients, The department operated an over 80 admission policy for acute medical admissions. After two years in operation 59% of doctors felt this should be lowered with 4% suggesting it should be raised. Rehabilitation and respite admissions were other features of the new service that had approval ratings of over 70% by the doctors surveyed. It is suggested that a Department of Medicine for the Elderly with a policy of rapid assessment and high turnover is appreciated by GPs. While local circumstances will often dictate policy it is suggested that an age-related admission procedure will minimise difficulty for patient and referring practitioner alike.

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PubMedDate not supplied

Stress in informal carers of hospitalised elderly patients.

The aim of this study was to assess psychological well-being in carers of elderly hospitalised patients and to identify factors predicting those at risk. There are over six million informal carers in the UK. An objective measure of carers' mental health was obtained using the General Health Questionnaire and a subjective assessment (from the carer's point of view) of how caring affected their own everyday lives was also made. Of the 93 carers interviewed, 42 (45%) showed objective evidence of significant psychiatric disturbance. When questioned about their caring roles, 32% felt their health was affected by caring and 46% their social lives; 63% subjectively reported stress and 47% depression; 15% changed their employment patterns. Patients and carers received few statutory social services: 26% home care, 11% district nursing input, 8% meals on wheels and 5% either day centre or day hospital attendance. Cohabitation made it more likely that the carer's mental health would show some impairment. The informal carers' high stress levels and interference with their daily lives have implications for future care planning for the elderly.

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PubMedDate not supplied

Elderly patients' satisfaction with hospital care.

OBJECTIVES: The aim of this study was to assess patient satisfaction with the geriatric services of a district general hospital and to examine whether there was a difference in satisfaction between patients in hospital and those who had been recently discharged. METHODS: A structured and validated patient satisfaction questionnaire was administered before discharge to hospitalised patients with a mental test score of 8 or more. It was also administered to a group of patients in the community who had been discharged from hospital not more than 72 hours earlier. The questionnaire was designed to assess seven separate areas, and contained 51 statements with which patients were asked to agree or disagree. Statistical analysis was by the Mann-Whitney U test and p < 0.05 was taken as significant. A total of 134 elderly patients (> 72 years) were surveyed over a four-month period. RESULTS: Satisfaction with the hospital geriatric service was high in both groups of patients. However, patient satisfaction differed between the two groups in three areas: interpersonal aspects; access, availability and convenience of the health services; and financial aspects.

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