ABSTRACT
It is now common for almost every general practitioner to care for many patients of advanced age. These patients are at the highest risk of developing osteoporosis of falling and sustaining fractures that threaten their independence and their lives. These patients must be managed with the same clinical rigour as any other patient irrespective of their age or their circumstances.
Subject(s)
Accidental Falls , Bone and Bones/injuries , Fractures, Spontaneous/etiology , Osteoporosis/complications , Age Factors , Aged , Australia/epidemiology , Female , Fractures, Spontaneous/epidemiology , Humans , Male , Osteoporosis/epidemiology , Risk Factors , Sex FactorsABSTRACT
There are considerable similarities and overlap in the levels of disability and dependency between those who receive home-based-long-term care and those who receive long-term care on a residential basis. These similarities are demonstrated from analysis of clients of the Western Domiciliary Care and Rehabilitation Service. When services are costed, it is shown that there is a very large discrepancy in the levels of government support that clients of home-based care agencies attract compared to residents in subsidised hostels and nursing homes. This paper discusses the need for parity of funding to care providers and recognition of the economic value of the contributions of carers. It considers principles for the development of a casemix model for home-based care analogous to the Care Aggregated Module/Standard Aggregated Module (CAM)/(SAM) model applying to nursing home care.
Subject(s)
Home Care Services/statistics & numerical data , Homes for the Aged/statistics & numerical data , Long-Term Care/standards , Aged , Australia , Dementia/nursing , Diagnosis-Related Groups/statistics & numerical data , Female , Financing, Government , Frail Elderly , Home Care Services/economics , Homes for the Aged/economics , Humans , Long-Term Care/economics , Long-Term Care/organization & administration , Male , Social JusticeSubject(s)
Geriatrics , Hospital Departments , Patient Admission/trends , Aged , Australia , Female , Humans , MaleABSTRACT
The methods used by the Rehabilitation Unit of the Repatriation General Hospital, Daw Park, to involve relatives of stroke patients in the rehabilitation process are outlined. The use of group therapy techniques for relatives is described and the issues commonly encountered are discussed. The value of the group meetings for relatives and staff is emphasized.
Subject(s)
Cerebrovascular Disorders/rehabilitation , Family , Aged , Female , Group Processes , Hospitalization , Humans , Male , Patient Care Team , Professional-Family RelationsABSTRACT
A preliminary report of the use of methylphenidate and oxprenolo in 24 apathetic physically disabled elderly people is presented. The study was not psychometrically or statistically assessed but was judged by the ability to be discharged from hospital, achieved in 50% of cases, of patients who probably would require to remain in long-stay geriatric beds for the rest of their lives.
