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© 1998 Oxford University Press

other

An inpatient bed for acute nursing home admissions

STUART G. HUTCHINSON, J. TARRANT and MARTIN P SEVERS1

Portsmouth Healthcare NHS Trust, Portsmouth and South East Hampshire Health Authority, Queen Alexandra Hospital Cosham, Portsmouth PO6 3LY, UK
1School of Postgraduate Medicine, University of Portsmouth St Michael's Building, White Swan Road, Portsmouth POI 2DT, UK

S. Hutchinson: Fax (+44) 1705 200381

Background: some older patients are admitted directly to nursing homes without a comprehensive assessment.

Objective: to determine whether a hospital assessment bed might provide better assessment, treatment and a more appropriate placement for selected older people.

Setting: a single bed in an elderly care unit of a district general hospital.

Subjects: older people who general practitioners thought needed nursing home care but whose social workers felt might benefit from inpatient assessment.

Main outcome measures: type of treatment needed (acute care, rehabilitation, palliation, long-term care) and placement (home, nursing home, residential home or hospital).

Results: of 34 patients assessed, 22 (65%) needed further clinical assessment or care and 26 (75%) left hospital for places other than nursing homes.

Conclusions: inpatient assessment is a successful way of assessing the needs of some older people who would otherwise have been admitted directly from their homes to nursing homes.

Keywords: acute nursing home admissions, assessment

Received March 19, 1997;
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