Brooks R, Ritch A, Lismore J, Barford A
Manor Hospital, Walsall.
Health Trends. 1990;22(2):67-70.
A medical and social assessment was performed on 132 emergency admissions into Local Authority residential care. The main reasons for admission included withdrawal of an informal carer, disturbed behaviour and a physical disaster. Medical conditions were commonly found, and chronic brain failure was present in over half of all admissions. The incidence of severely disturbed behaviour was found in a small proportion of clients, with psychiatric disability predominating in just under half of those assessed. Both medical and social services were slow to respond to the need for appropriate placement, with fifty per cent of admissions occupying the emergency bed after four weeks. A medical assessment at the time of admission would have led to a more appropriate course of action, although in many cases this would have meant admission to hospital.
对132名入住地方当局养老院的紧急入院患者进行了医学和社会评估。入院的主要原因包括非正式护理人员的撤离、行为紊乱和身体灾难。普遍发现有医疗状况，超过一半的入院患者存在慢性脑功能衰竭。在一小部分患者中发现了严重行为紊乱的情况，在接受评估的患者中，精神残疾占比略低于一半。医疗和社会服务部门对提供适当安置需求的反应都很迟缓，50%的入院患者在四周后仍占用急诊床位。入院时进行医学评估本可导致采取更合适的行动方案，尽管在许多情况下这意味着要住院治疗。
