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Biomedical subjects

T F Williams

Publications and source records attributed to T F Williams.

At least 73 records · Page 4Linked to original sources
PubMed1978

Spectrum of severity and control of diabetes mellitus in skilled nursing facilities.

A descriptive and quality assessment study was made of 359 elderly patients with a diagnosis of diabetes mellitus in 39 Skilled Nursing Facilities (SNF) in upstate New York. The diagnostic prevalence of diabetes was about 12 percent--similar to that in a National Health Survey of nursing homes, but higher than that reported for the non-institutional elderly. Greater frequency and severity were observed among the females, but the median age for all the diabetic patients was about the same as that for the general SNF population. Several of the other disorders believed to be associated with diabetes were found to be of greater frequency in the SNF diabetic group, but some were not; also, inadequate control of diabetes was associated with some, but not all of these disorders. The severity of diabetes in this elderly SNF population with adult-onset diabetes was usually mild, with a low frequency of complications and of poor control. Problems arose with respect to the ascertainment and recording of diagnostic and control data, most often related to the responsibilities of the attending physicians. There were also problems of uncertainty as to the cause-and-effect relationship between thecontrol of blood glucose levels and treatment outcomes. The establishment of criteria and standards for medical care evaluation studies is discussed.

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PubMed1976

8. Staffing problems in long-term care.

The deficiencies in services of the wide range of health personnel involved in long-term care are well known. Physician involvement at all stages of the long-term care process is necessary as well as that of trained nurses, medical specialists, therapists, dentists, pharmacists, and others, and a team approach is essential to evaluate patient needs and to determine staffing requirements to meet them. Basic to the improvement in the education of health care personnel and the staffing of all types of long-term care services are 1) the development and regular recording of information on the needs for health services of chronically ill and aged patients, emphasixing functional status and the nature of disabilities requiring assistance; 2) comprehensive medical-nursing-social evaluation of patients to determine appropriate placement and treatment; and 3) methods of classifying patient data to establish staffing requirements.

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