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Geriatric respite care--present practice and the potential for improvement.

C S Primrose1, W R Primrose

  • 1Department of Medicine for the Elderly, Woodend Hospital, Aberdeen.

Health Bulletin
|September 1, 1992
PubMed
Summary

Geriatric respite care serves elderly patients with high dependency needs, showing low mortality and high discharge rates. Improved information sharing and service publicity are recommended for better geriatric care delivery.

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Area of Science:

  • Geriatric Medicine
  • Healthcare Services Research

Background:

  • Geriatric respite care is crucial for supporting elderly individuals with high physical/mental dependency.
  • Previous studies have highlighted varying outcomes, necessitating a current audit of service provision.

Purpose of the Study:

  • To conduct a prospective audit of geriatric respite care admissions.
  • To evaluate patient characteristics, service utilization, and outcomes.
  • To identify areas for service improvement.

Main Methods:

  • Prospective audit of 125 consecutive geriatric respite care admissions over 20 weeks.
  • Data collection from patients, staff, and carers.
  • Classification of respite admission bed use into shared care, planned, and crisis categories.

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Main Results:

  • 87 clients admitted had a mean age of 79.6 years, with 83% exhibiting high dependency.
  • Mortality was low (<2%), and 87% of admissions were discharged home.
  • Shared care and planned respite groups showed no significant differences in patient dependency or carer profiles.
  • Crisis respite admissions frequently included patients deemed inappropriate for geriatric care, indicating service gaps.

Conclusions:

  • Geriatric respite care is effective in managing high-dependency elderly patients, with favorable outcomes.
  • Deficiencies in information sharing between families/carers and healthcare providers were noted.
  • Increased service publicity and the establishment of a carer support group are recommended.
  • The Geriatric Unit sometimes compensates for shortfalls in other healthcare services.