title: Indicators of permanent institutional care.
abstract: This study attempts to search for early indicators of the need for referral to permanent institutional care of the chronically ill and disabled already receiving home nursing and/or home help. The study population covered 218 home nursing patients and home help clients. The follow-up period was 26 months. During the follow-up period 26 persons died and 12 were referred to permanent institutional care. Four groups of factors were studied in order to search for the early indicators: age, sex, health including functional status and housing conditions. Referral to permanent institutional care was found to be related to old age (75+ years) disorientation to weekday and year, inability to wash oneself and diagnosed dementia senilis.
authors.forename: S L
authors.initials: SL
authors.lastname: Kivelä
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000367:Age Factors; D000368:Aged; D002908:Chronic Disease / Q000628:therapy*; D004185:Disability Evaluation; D006233:Persons with Disabilities; D005260:Female; D006699:Home Care Services; D006707:Homes for the Aged; D006801:Humans; D008297:Male; D008875:Middle Aged; D009735:Nursing Homes; D011379:Prognosis; D012017:Referral and Consultation; D012737:Sex Factors