With a rapidly ageing population like Singapore, the need for nursing homes will increase.
Admission to a nursing home may be for medical and/or social reasons.
We carried out case studies with the Care Liaison Service (CLS) of the Ministry of Health to determine reasons why the elderly applied for nursing home admission, and whether it was possible to prevent an admission.
During the 6-month study period, 331 applications were received, of which 280 (84.6%) were >=60 years.
There was an equal distribution of male (50.4%) and female (49.6%) applicants.
Applicants were predominantly Chinese (86.0%), followed by Indians (8.0%), Malays and other races (3.0% each).
Most of the applicants were semi-ambulant (50.0%), fully ambulant (31.4%) and non-ambulant (18.6%). The most common medical problems of the applicants were neurological (eg, stroke, normal pressure hydrocephalus, epilepsy), heart diseases (eg. hypertension, ischaemic heart disease, heart failure), orthopaedic conditions (eg. osteoarthritis, fractures neck of femur and other fractures), and psychiatric problems (eg. dementia, depression and history of schizophrenia/paranoid psychosis).
Fifty-seven applicants (20.4%) were selected for intervention.
They were'non-psychiatric'patients whose caregivers were willing but unable to look after them.
About half (28,49.1%) of these applicants required nursing home care. (...)
Mots-clés Pascal : Long séjour, Centre, Personne âgée, Homme, Admission hôpital, Indication, Prévention, Singapour, Asie
Mots-clés Pascal anglais : Long stay, Center, Elderly, Human, Hospital admission, Indication, Prevention, Singapore, Asia
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0045355
Code Inist : 002B30A03B. Création : 31/05/1999.