Ellis P F, Frank A O
Northwick Park Hospital, Harrow, Middlesex.
Br J Gen Pract. 1990 Sep;40(338):383-5.
This case report describes eight years practical experience of community support for a quadriplegic woman with progressive multiple sclerosis. Key factors in avoiding institutional care were the close collaboration between general practitioner, hospital consultant and social services, and the recognition by the doctors that the social dimension was the dominant requirement for support. Other important points were the identification of one key worker from the many professionals involved, and the use of separate NHS and social service funds to employ care attendants. This funding allowed community nurses to utilize their professional skills while the care attendants solved the problems of dependency. The mechanisms of community support for the individual are discussed in the light of proposed changes in the organization of care for the disabled.
本病例报告描述了对一名患有进行性多发性硬化症的四肢瘫痪女性进行社区支持的八年实践经验。避免机构护理的关键因素包括全科医生、医院顾问和社会服务部门之间的密切合作，以及医生认识到社会层面是支持的主要需求。其他要点包括从众多参与的专业人员中确定一名关键工作者，以及使用国民保健制度（NHS）和社会服务部门的单独资金雇佣护理人员。这笔资金使社区护士能够发挥其专业技能，同时护理人员解决了依赖问题。根据对残疾人护理组织的提议变革，讨论了对个人的社区支持机制。
