Biomaterial Database

[Reasons for nursing home admission of hospitalized gerontopsychiatric patients]. 1997

T Wetterling, and A Schürmann

Klinik für Psychiatrie Medizinische Universität zu Lübeck.

The financial burden of medical care and nursing of elder people has become one of the most important public health problems in Germany. The nursing of gerontopsychiatric patients mainly accounts for the high costs. In this study the reasons for nursing home placement are analyzed in a sample of 123 psychiatric inpatients primarily affected after the age of 64. Twenty-two (20.6%) cases were admitted to a nursing home after hospital discharge. The most important reasons were impairments of the self-management of the household (preparing meals etc.) and of hygiene. A declining cognitive capacity has a great impact on these impairments. The probability to be admitted to a nursing home increases with the number of impairments. Only 20.6% of all gerontopsychiatric patients fulfilled the criteria required for social support according to the new German social law of nursing-care insurance.

UI	MeSH Term	Description	Entries
D008297	Male		Males
D009735	Nursing Homes	Facilities which provide nursing supervision and limited medical care to persons who do not require hospitalization.	Homes, Nursing,Nursing Home
D010343	Patient Admission	The process of accepting patients. The concept includes patients accepted for medical and nursing care in a hospital or other health care institution.	Voluntary Admission,Admission, Patient,Admission, Voluntary,Admissions, Patient,Admissions, Voluntary,Patient Admissions,Voluntary Admissions
D003704	Dementia	An acquired organic mental disorder with loss of intellectual abilities of sufficient severity to interfere with social or occupational functioning. The dysfunction is multifaceted and involves memory, behavior, personality, judgment, attention, spatial relations, language, abstract thought, and other executive functions. The intellectual decline is usually progressive, and initially spares the level of consciousness.	Senile Paranoid Dementia,Amentia,Familial Dementia,Amentias,Dementia, Familial,Dementias,Dementias, Familial,Dementias, Senile Paranoid,Familial Dementias,Paranoid Dementia, Senile,Paranoid Dementias, Senile,Senile Paranoid Dementias
D004185	Disability Evaluation	Determination of the degree of a physical, mental, or emotional handicap. The diagnosis is applied to legal qualification for benefits and income under disability insurance and to eligibility for Social Security and workmen's compensation benefits.	Disability Evaluations,Evaluation, Disability,Evaluations, Disability
D004608	Eligibility Determination	Criteria to determine eligibility of patients for medical care programs and services.	Eligibility Certification,Certification, Eligibility,Certifications, Eligibility,Determination, Eligibility,Determinations, Eligibility,Eligibility Certifications,Eligibility Determinations
D005260	Female		Females
D005858	Germany	A country in central Europe, bordering the Baltic Sea and the North Sea, between the Netherlands and Poland, south of Denmark. The capital is Berlin.
D006707	Homes for the Aged	Geriatric long-term care facilities which provide supervision and assistance in activities of daily living with medical and nursing services when required.	Old Age Homes,Residential Aged Care Facility,Senior Housing,Home, Old Age,Homes, Old Age,Housing, Senior,Old Age Home
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man