Nursing Quality Of Care For The Residents

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NURSING QUALITY OF CARE FOR THE RESIDENTS

Nursing Quality Of Care For The Residents

Nursing Quality of Care for the Residents

Introduction

Concern was expressed about the quality of medical care that elderly residents receive public subsidies; homes. general practitioners are responsible for providing such assistance to the residents of these homes. The number of elderly patients living in homes has increased significantly in the late 1980's and 1990's, which has increased the burden on general practitioners. Concern was expressed that the reduction in the provision of long stay NHS beds for older people has led to an increase in demand for general practitioners in this group of patients with high levels of morbidity and disability (Rochon & Gurwitz 2000). In response to these growing needs, the agreements reached at the general practice to assist in the nursing home seemed to contradict and idiosyncratic (Kavanagh & Knapp 2008).

Greater concern was expressed about drug treatment in older people. Anxiety about the risks of excessive supplies, for example, inappropriate neuroleptic drugs, accompanied by concern about the impact of these potentially lucrative underprescribing drugs.

Caring for the elderly is now a national priority, and the quality of care delivered to patients coming under increasing control by using explicit measures --- "quality" --- who want to judge the care of specific standards. No study has examined the overall quality of care for elderly patients in UK primary care, or evaluates the quality of care on the basis of agreed, explicit standards in patients living in their homes, compared with patients living at home (Benbow; Walsh & Gill 2007).

Statement of Need

We will focus on one aspect of evaluating the quality of care given to patients. We will measure the following components of poor medical care: insufficient use of beneficial drugs, poor monitoring of chronic diseases, as well as excessive use of inappropriate or unnecessary drugs. In a clinical model of care for elderly patients living in nursing homes (cases) were compared with clinical care is given to elderly people living in their own homes (control). We will not measure other important aspects of quality, such as access to health care and how well are the health to the sick, particularly in terms of continuity care. We did not consider a temporary connection between the process of care, comorbidity, and the appointment of drugs and control on the number of visits to the surgery or home visits to patients. We do not measure how recently a patient was discharged from the hospital, so that the percentage of appointment in the present study may be attributable to the hospital rather than general practitioners. Qualitative research design would be more appropriate for the study of elderly patients (and their carers') expectations of care. Older people often have multiple chronic diseases and may prefer to have less suffering and improved quality of life, rather than to treat every disease they have. Lastly, the results of this study should be replicated in a larger sample of practices, with follow up of patients, so that the results ...
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