Hard times: GPs are increasingly reluctant to treat older people in long-term care homes. Is this the thin end of the wedge

Article Abstract:

GPs are concerned about the workload and remuneration linked with care of frail and ill older people. Some GPs are relucantant to take on care-home residents, and some practices, with mainly young patients, do not feel fully competent in managing old age illnesses. GPs must offer annual health checks to patients 75 and over, but many doubt the value of this, although most nurses see it as an opportunity for preventive care. Respite services are often not high on many purchasing lists and rehabilitation varies in form and availability throughout the country.

Frail elderly

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Activity among patients in continuing care

Article Abstract:

Nurses who are not specifically trained to practice active therapy do not view themselves as the right people to initiate stimulating conversation or to provide meaningful activity for elderly patients. Conversations between nursing staff and patients tend to be short and of limited quality. Elderly patients who are on short or long stays in continuing care wards should be provided with every opportunity to engage in stimulating activity, be it physical or mental, since this is known be beneficial to the patient.

Surveys, Geriatric nursing, Holistic medicine

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