Search

Objective: To determine the number of older people with acquired dual sensory impairment (DSI) in The Netherlands., Design: Combination of studies in the general population and in relevant subpopulations., Method: Eight databases derived from recent studies on older persons with vision and hearing data on Dutch subjects aged 55 years or over were selected for further analysis. The measurement methods included self-reports, clinical measurements and observations. The prevalences of DSI were calculated for the general population, the non-institutionalised population, and subgroups such as older people in nursing homes and homes for the elderly. The calculated prevalences were extrapolated to the overall Dutch population., Results: For the non-institutionalised population of 55 years and older, the prevalences of acquired DSI in two different data sets were 0.4% (95% CI: 0.2-0.6) and 0.6% (95% CI: 0.3-0.8), respectively. Among the inhabitants of homes for the elderly these percentages were 5.4% (95% CI: 0.9-9.9) and 5.5% (95% CI: 3.8-7.2), and in nursing homes they were 12.7% (95% CI: 9.7-15.7) and 16.7% (95% CI: 14.6-18.8). Acquired DSI was most common in persons 85 years of age and older. It was estimated that the number of people aged 55 years and over with acquired DSI in The Netherlands is 30,000 to 35,000., Conclusion: DSI is particularly a problem of the oldest old. An integrated approach to the visual and hearing problems of these subjects is essential.

Objective: To determine the characteristics of patients during stay in nursing homes, and at the moment of discharge or death., Design: Cross-sectional study., Method: Data were collected concerning September 30th 1991 using the National Nursing Home Registration System SIVIS, in which over 80% of the nursing homes participate. There were 45,471 patients (23,395 somatic and 22,076 psychogeriatric patients)., Results: Frequent morbidity consisted of stroke, neurological disorders, locomotor disorders and dementia. There was a high degree of disability regarding the activities of daily life and mobility. The average length of stay for somatic patients was just over one year, that for psychogeriatric patients almost two and a half years. After rehabilitation, one-third of the patients could be discharged to their homes or to a home for the aged. (Most of the remaining patients eventually died in the nursing home.), Conclusion: Residing nursing home patients are mainly characterised by chronic disorders. Consequently, disabilities and handicaps occur in many areas, such as self-care, mobility and psychological functioning. For a number of patients the distinction between somatic or psychogeriatric nursing becomes irrelevant. For all categories of patients the utilisation of care resources is increasing.

Introduction: Some 35,000 new patients are admitted yearly to 'verpleeghuizen' or Dutch nursing homes. This paper describes some characteristics of these patients., Method: Data were collected using the national Nursing Home Registration System SIVIS of the Dutch centre for health care information. The response rate to the registration by the nursing homes is over 80%., Results: Newly admitted nursing home patients are characterised by a (very) high age (over 50% of the patients are 80 years and over), a distribution of twice as many women as men and a morbidity pattern of chronic somatic and psychogeriatric, as well as orthopaedic disorders., Conclusion: Among elderly patients the nursing home patients constitute of a heterogeneous purpose of admission and morbidity pattern. Nursing home care focuses on rehabilitation, long-term care and terminal care.