Care of the Long-Stay Elderly Patient

  • Michael J. Denham

Table of contents

  1. Front Matter
    Pages i-xii
  2. Preventing Institutionalization: Policy Issues

    1. Front Matter
      Pages 1-1
    2. Michael J. Denham
      Pages 3-11
    3. Michael J. Denham
      Pages 29-42
  3. General and Specific Aspects of Care

    1. Front Matter
      Pages 43-43
    2. T. Dartington, Michael J. Denham
      Pages 69-84
    3. P. Hibbs
      Pages 85-108
    4. P. J. Brereton
      Pages 109-125
    5. M. Clarke-Williams
      Pages 126-148
    6. M. Meikle, S. Holley
      Pages 149-160
    7. S. Poulden
      Pages 183-196
    8. D. M. Langley, G. E. Langley
      Pages 197-216
  4. Improving Quality of Life: Case-Studies

    1. Front Matter
      Pages 263-263
    2. E. Sonia Glossop
      Pages 265-274
    3. H. McGregor
      Pages 275-282
    4. R. Sander
      Pages 299-310
  5. Back Matter
    Pages 311-320

About this book


Since the first edition of this book was published there have been considerable changes in continuing care. NHS nursing homes have been created, enthusiasts have developed new initiatives, and attempts have been made to improve attitudes. The recent White Paper on Community Care is likely to accelerate the transfer of large numbers of elderly patients from long-stay hospital beds to private-sector accommodation: a move often accompanied by much anxiety about standards of care. Although Health Authorities visit private nursing homes and apply the National Association of Health Authorities' standards to them, anxieties continue. Unfortunately for the patients who remain in hospital, many Health Authorities seem reluctant to apply these same standards to their own long-stay departments, since many would fail abysmally. The 1987 annual report of the Health Advisory Service (see Chapter 3) presents a damning indictment of the care given to old people: A recent review of twelve consecutive HAS Reports on services for older people in hospitals shows that long-stay wards consistently offered environments which were unable to offer privacy, homely surroundings, personal space and possessions or adequate furniture. In the twelve districts there was not one comprehensive personalised clothing service. Half of the reports commented on the lack of effec­ tive management of continence. Catering was often provided according to the needs of the institution rather than those of the resident patients.


assessment communication management nursing nutrition occupational therapy physiotherapy quality of life

Editors and affiliations

  • Michael J. Denham
    • 1
  1. 1.Northwick Park HospitalUK

Bibliographic information

  • DOI
  • Copyright Information Springer Science+Business Media New York 1991
  • Publisher Name Springer, Boston, MA
  • eBook Packages Springer Book Archive
  • Print ISBN 978-0-412-34770-2
  • Online ISBN 978-1-4899-3380-5
  • Buy this book on publisher's site
Industry Sectors
Health & Hospitals