There is considerable debate about who should provide long-term institutional care for the elderly. We describe and compare care in three private nursing homes, 12 long-term geriatric and 10 psychogeriatric hospital wards which service a Scottish city using measures of patient dependency, patient m
Delivering ‘positive care’ in nursing homes
✍ Scribed by Andrew Sixsmith; Carol Hawley; John Stilwell; John Copeland
- Publisher
- John Wiley and Sons
- Year
- 1993
- Tongue
- English
- Weight
- 492 KB
- Volume
- 8
- Category
- Article
- ISSN
- 0885-6230
No coin nor oath required. For personal study only.
✦ Synopsis
Abstract
This article describes a study of staff activity in six nursing homes for the elderly mentally ill. Three homes formed a Department of Health Special Medical Development (SMD), were highly resourced in terms of staff, and aimed to provide a good care environment and a high quality of life for the residents. The other three homes were included for comparison. The extra resources available within the SMD homes were largely used for routine care, such as resident hygiene, rather than 'positive', life ‐ enhancing care, such as social interaction and group activities. The failure to deliver positive care in line with increases in staff numbers cannot easily be explained. However, the indication is that it is not a result of substituting untrained for trained staff, but is rather related to the way staff resources are deployed.
📜 SIMILAR VOLUMES
Snowdon and colleagues' study of behavioural problems in Sydney nursing homes highlights the severity of such problems (Journal 11, 535±541). The discrepancy between reports of behavioural problems presented by senior nurses and primary care nurses in one 100-bedded nursing home was surprising. Our
The prevalence of significant behavioural disturbance in 46 Sydney nursing homes was examined. All 2445 residents were rated on a brief screening questionnaire by senior nurses, who decided that 704 (29%) displayed at least one problem behaviour for much of the time. Primary care nurses (PCNs) then
## Abstract ## Background Nursing home residents needing both psychiatric care and nursing home care for either somatic illness or dementia combined with psychiatric disorders or severe behavioural problems are referred to as Double Care Demanding patients, or DCD patients. Integrated models of ca