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Care of the Long Stay Elderly Patient (Paperback, 2nd Revised edition)
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Care of the Long Stay Elderly Patient (Paperback, 2nd Revised edition)
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Since the first edition of this book was published there have been
considerable changes in continuing care. NHS nursing homes have
been created, enthusiasts have developed new initiatives, and
attempts have been made to improve attitudes. The recent White
Paper on Community Care is likely to accelerate the transfer of
large numbers of elderly patients from long-stay hospital beds to
private-sector accommodation: a move often accompanied by much
anxiety about standards of care. Although Health Authorities visit
private nursing homes and apply the National Association of Health
Authorities' standards to them, anxieties continue. Unfortunately
for the patients who remain in hospital, many Health Authorities
seem reluctant to apply these same standards to their own long-stay
departments, since many would fail abysmally. The 1987 annual
report of the Health Advisory Service (see Chapter 3) presents a
damning indictment of the care given to old people: A recent review
of twelve consecutive HAS Reports on services for older people in
hospitals shows that long-stay wards consistently offered
environments which were unable to offer privacy, homely
surroundings, personal space and possessions or adequate furniture.
In the twelve districts there was not one comprehensive
personalised clothing service. Half of the reports commented on the
lack of effec- tive management of continence. Catering was often
provided according to the needs of the institution rather than
those of the resident patients.
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