Knight P V, Knight M H
Care For The Elderly Unit, Cowglen Hospital, Glasgow.
Health Bull (Edinb). 1995 Mar;53(2):115-9.
1,376 elderly patients in 16 separate geriatric medical continuing care facilities, in greater Glasgow, including an NHS funded partnership nursing home, were surveyed over a six month period. This provided a snapshot of physical and mental dependency, specialist medical and nursing requirements and suitability of placement. The survey confirmed an extremely dependent population, with 82% scoring eight or less on a modified Barthel scale (maximum score 20) and 79% thought to require ongoing consultant supervision. Not all of the latter group were in the most dependent category. Forty one per cent of patients received specialised pressure relieving equipment and 30% had had a major adverse medical event in the six months prior to survey. Eighty-eight per cent of cases had had formal consultant review in the previous month. Currently there is a small group of patients resident within NHS continuing care facilities who might be cared for elsewhere. There is a larger group who need specialised care, they are characterised by a need for specialised nursing skills, regular medical review and consultant supervision.
在大格拉斯哥地区的16家独立老年医学持续护理机构中，包括一家由英国国家医疗服务体系（NHS）资助的合作养老院，对1376名老年患者进行了为期6个月的调查。此次调查提供了有关身体和精神依赖、专科医疗和护理需求以及安置适宜性的概况。调查证实这是一个极度依赖他人的群体，82%的患者在改良巴氏量表（满分20分）上得分在8分及以下，79%的患者被认为需要持续的顾问监督。后一组患者并非都处于最依赖他人的类别。41%的患者接受了专门的减压设备，30%的患者在调查前6个月内发生过重大不良医疗事件。88%的病例在上个月接受过正式的顾问审查。目前，在NHS持续护理机构中有一小部分患者可能在其他地方得到照料。还有一大部分患者需要专科护理，他们的特点是需要专业的护理技能、定期的医学评估和顾问监督。
