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Related Experiment Videos

Indicators of permanent institutional care.

S L Kivelä

    Scandinavian Journal of Primary Health Care
    |February 1, 1985
    PubMed
    Summary

    This study identified early indicators for institutional care referral in chronically ill patients. Old age, disorientation, and inability to self-care predict the need for long-term care.

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    Area of Science:

    • Gerontology and Geriatric Care
    • Health Services Research
    • Chronic Illness Management

    Background:

    • The increasing demand for long-term care services for chronically ill and disabled individuals necessitates proactive identification of those at high risk for institutionalization.
    • Current home care services aim to support independent living, but predicting transitions to permanent care remains a challenge for healthcare providers and families.

    Purpose of the Study:

    • To identify early indicators predicting the need for referral to permanent institutional care among chronically ill and disabled individuals receiving home-based support.
    • To inform timely interventions and resource allocation for patients requiring a higher level of care.

    Main Methods:

    • A prospective cohort study involving 218 patients receiving home nursing and/or home help services.
    • A 26-month follow-up period to track mortality and referrals to permanent institutional care.
    • Analysis of factors including age, sex, health status, functional abilities, and housing conditions as potential predictors.

    Main Results:

    • Referral to permanent institutional care was significantly associated with advanced age (75+ years).
    • Key indicators identified include disorientation to time (weekday and year), impaired ability to perform personal hygiene (washing oneself), and a diagnosis of dementia senilis.
    • A total of 12 individuals were referred to institutional care during the study period.

    Conclusions:

    • Old age, cognitive impairment (disorientation, dementia senilis), and severe functional decline (inability to wash oneself) are critical early indicators for institutional care needs.
    • These findings can guide healthcare professionals in assessing patients receiving home care and facilitate proactive planning for long-term care transitions.
    • Early identification allows for better patient and family support, optimizing care trajectories and resource utilization.

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