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Respite admissions and the disabled elderly.

R B Dunn, L MacBeath, D Robertson

    Journal of the American Geriatrics Society
    |October 1, 1983
    PubMed
    Summary
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    Respite admissions and geriatric day hospital attendance helped disabled elderly patients with dementia remain in the community. This program reduced the need for immediate long-term care facility placement.

    Area of Science:

    • Gerontology
    • Geriatric Care
    • Dementia Care

    Background:

    • Elderly patients with moderate to severe dementia often require specialized care and support.
    • Family members are primary caregivers, frequently supplemented by home care services.
    • Access to respite care and day hospital services can impact long-term care needs.

    Purpose of the Study:

    • To describe the characteristics and outcomes of elderly patients utilizing a respite admission program.
    • To evaluate the effectiveness of respite care combined with day hospital attendance in maintaining community living.
    • To identify needs for expanded respite and in-home services for the elderly.

    Main Methods:

    • Retrospective descriptive study design.
    • Data collection via health record review and social worker interviews.

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  • Analysis of 28 elderly patients over a three-year period.

    • Main Results:

    • Mean patient age was 80.5 years; 79% had moderate to severe dementia.
    • Most patients lived at home with family caregivers and received home care support.
    • 93% attended a geriatric day hospital; respite admissions averaged 10.8 months.
    • Over a third remained at home post-study; half entered long-term care.

    Conclusions:

    • Respite admissions, supplemented by day hospital care, successfully maintained disabled elderly patients in the community.
    • There is an identified need for increased respite care and in-home support services.
    • Long-term care facilities could play a significant role in providing respite care.