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Intermittent care for old patients--when should it be offered?

H Berthold1, S Landahl, A Svanborg

  • 1Department of Geriatric and Long-Term Care Medicine, University of Göteborg, Sweden.

Comprehensive Gerontology. Section B, Behavioural, Social, and Applied Sciences
|December 1, 1988
PubMed
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Intermittent nursing home care may help elderly avoid permanent institutionalization. However, only 9% of patients interviewed showed interest, with suitability varying by care setting.

Area of Science:

  • Geriatric Care
  • Healthcare Management
  • Social Welfare

Background:

  • Assessing elderly individuals' needs is crucial for effective long-term care planning.
  • Preventing or delaying permanent institutionalization can improve quality of life for seniors.
  • Understanding patient preferences for care models is essential for healthcare system efficiency.

Purpose of the Study:

  • To evaluate the feasibility and patient interest in intermittent nursing home care.
  • To identify factors influencing the adoption of intermittent care among the elderly.
  • To explore strategies for avoiding or postponing permanent institutional care for geriatric patients.

Main Methods:

  • Inventory of 229 elderly individuals across various care settings (out-patient, in-patient, community, social welfare).

Related Experiment Videos

  • Assessment of patients' physical health, mental health, and social conditions.
  • Interviews with patients and relatives to gauge interest and suitability for intermittent care.

    • Main Results:

    • Intermittent nursing home care was deemed appropriate for 35% (81/229) of patients.
    • Only 9% (21/229) of patients, primarily out-patients, expressed positive interest.
    • In-patients were often too ill; community care patients were hesitant due to lack of preparation for rehabilitation.

    Conclusions:

    • While appropriate for many, patient interest in intermittent nursing home care is limited.
    • Day hospital and geriatric care waiting list patients showed the most suitability and interest.
    • Tailored approaches and better preparation for rehabilitation are needed to increase adoption of intermittent care models.