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Related Experiment Videos

The bedfast.

J Rowe1, J P Milnes, S N Hill

  • 1Department of Geriatric Medicine, Selly Oak Hospital, Birmingham, Great Britain.

International Disability Studies
|January 1, 1987
PubMed
Summary
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Geriatric beds are often occupied by immobile patients, many admitted from other facilities. Reducing the number of long-term bedfast inpatients requires changes in unit policy, not just clinical practice improvements.

Area of Science:

  • Geriatric Medicine
  • Healthcare Management
  • Patient Care

Background:

  • Geriatric beds are frequently occupied by immobile patients.
  • A significant number of these patients are admitted from other healthcare settings or residential care facilities.
  • Immobility is a primary characteristic of patients occupying geriatric beds.

Purpose of the Study:

  • To analyze the characteristics of bedfast patients in geriatric care.
  • To identify factors contributing to prolonged bedfast status in geriatric inpatients.
  • To evaluate the effectiveness of unit policy versus clinical practice in managing bedfast patients.

Main Methods:

  • Retrospective analysis of geriatric inpatient admissions.
  • Categorization of patient mobility status upon admission and during stay.

Related Experiment Videos

  • Tracking of patient discharge destinations and length of stay.

    • Main Results:

    • Most geriatric bedfast patients were immobile upon admission.
    • A substantial proportion of admissions originated from other hospital departments or residential care.
    • While a minority become long-term bedfast, they consume a disproportionate amount of resources.
    • More patients are discharged home than remain in hospital or transfer elsewhere.

    Conclusions:

    • Reducing the number of bedfast inpatients in geriatric units is more achievable through modifications in unit policy.
    • Improvements in clinical practice alone may have a limited impact on reducing the bedfast inpatient population.
    • Strategic changes in healthcare unit policies are crucial for efficient resource allocation in geriatric care.