OBJECTIVE: to investigate dependency and health status of a cohort of older @entity1 admitted for long term nursing or residential care and to compare these findings with assessments conducted by social services departments prior to placement. DESIGN: retrospective cohort study. SETTING: residential, nursing and dual registered homes within Nottingham Health Authority boundaries. SUBJECTS: 205 residents placed over 3 months. MAIN OUTCOME MEASURES: levels of disability, @entity73 and behavioural disturbance identified by assessment before and after admission. RESULTS: @entity73 and @entity717 were significantly higher in nursing homes, although a third of residents in residential care had substantial @entity717 . In nursing homes, a quarter of residents had low dependency needs but these had greater @entity73 than those in residential homes with the same level of dependency. Most residents had some degree of behavioural disturbance (particularly in nursing homes) and more severe disturbance was associated with greater @entity73 and more depressed mood, but not @entity717 . A moderate level of agreement was found between preadmission and follow-up assessments of health status. CONCLUSIONS: a case-mix which includes higher dependency residents in residential homes and lower dependency residents in nursing homes is likely to reflect changes in the health status of residents following placement but also suggests that a range of placement criteria were used together, rather than individual indicators of need. Although pre-placement measures of disability and dependency were supported by follow-up assessments, it is essential that the needs of residents in long-term care are adequately monitored and managed, in particular those in residential care with higher dependency needs.

Health status and assessed need for a cohort of older XXXX admitted to nursing and residential homes.

@entity1 :: ('9606', 'Species') :: ['people'] @entity73 :: ('MESH:D003072', 'Disease') :: ['cognitive impairment'] @entity717 :: ('MESH:D009069', 'Disease') :: ['physical disability']
@entity1 :: (9606,Species) :: ['people']
