Comparison of the needs of the elderly patients in care-rehabilitation centers in Wroclaw and in Hamburg

• Authors: Justyna Mazurek , Joanna Rymaszewska , Jurgen Lurbiecki
• Languages of publication: EN

Abstracts

EN

Introduction: The central issue of geriatrics amounts to determining the hierarchy of problems (whether health related or other) of people at old age. The healthcare offered to elderly people should be oriented at the possibly broadest approach to their needsAim: The main goal of the research is developing knowledge about the areas of elderly people’s needs on the basis of a sample consisted of patients from two rehabilitation centers, situated in Poland (PL:Wroclaw) and in Germany (DE:Hamburg) respectively.Material and methods: The sample consists of 80 patients of the age 60+, divided into two groups, 40 patients in each. For the research method/technique the interview is chosen and the questionnaire CANE serves as the main research tool. Other tools used are: GDS, MMSE, Barthel Index and Socio-demographical and Clinical questionnaires.Results: Before the patients’ admission to the center the average estimate for their overall needs was: PL 4.33 (SD=3.52), DE 5.12 (SD=3.26), out of which met needs were estimated as: PL 3.35 (SD=1.03), DE 4.47 (SD=2.99), whereas unmet as: PL 0.97 (SD=1.33), DE 0.65 (SD=1.03) respectively. After the patients’ admission to the center the average estimate for overall needs increased both for PL: 8.93 (SD=2.08) and for DE: 6.53 (SD=2.54), out of which met needs amounted to: PL, 7.55 (SD=1.50) and DE, 5.95 (SD=2.37) respectively, whereas not unmet ones to: PL, 1.38 (SD=1.44) and DE, 0.57 (SD=0.96).Conclusions: The patterns of needs /met and unmet/ of the elderly patients from two researched centers were similar before the patients’ admission to the clinics, but after the admission differences were observed between the two groups. Much from the needs both met (e.g. looking after the home, physical health) and unmet (e.g. psychological distress), mentioned before the admission to the clinic remained in the area of needs also after the admission. That observation is valid both for PL group as for DE one.

• Publisher: De Gruyter Open
• Journal: Advances in Rehabilitation
• Year: 2012
• Volume: 26
• Issue: 2
• Pages: 15-21

Dates

published

1 - 06 - 2012

online

31 - 08 - 2013

Contributors

author

Justyna Mazurek

• Katedra Fizjoterapii w Medycynie Zachowawczej i Zabiegowej, Akademia Wychowania Fizycznego we Wrocławiu

author

Joanna Rymaszewska

• Katedra i Klinika Psychiatrii, Akademia Medyczna we Wrocławiu

author

Jurgen Lurbiecki

• Physikalisches Therapiezentrum Dorsten, Niemcy

References

• 1. Barolin GS. Geriatric Rehabilitation - The New Challenge for Social Medicine and Science. Int J Rehabil Res 1996; 19: 201-218.[PubMed][Crossref]
• 2. Darejczyk J, Grodzicki T, Jakrzewska-Sawińska A, Jóźwiak A, Klich A, Wieczorowska-Tobis K. Standardy świadczenia usług medycznych w specjalności geriatria. Gerontol Pol 2005; 13: 67-83.
• 3. Hołub G. Etyczna problematyka chorób przewlekłych. Medycyna Praktyczna 2007; 3: 7-15.
• 4. Mazurek J. Fizjoterapia holistyczna, czyli psycho-fizjo-terapia. Część I: Człowiek w filozofii bytu, czyli od monizmu, przez dualizm, do pluralizmu. Fizjoterapia 2009; 17(2): 74-79.
• 5. Bień B. Lekarz Rodzinny „geriatrą pierwszej linii”. Pol Med Rodz 2002; 4: 171-176.
• 6. Platt D, Schuster HP. Fortschreitende Entwicklungen in der Altersmedizin. Internist 2002; 43(8): 929.[Crossref]
• 7. Renteln-Kruse W von. Epidemiologische Aspekte der Morbiditaet im Alter. Gerontol Geriatr 2001; 34(1): 10-15.[Crossref]
• 8. Raspe H, Ekkernkamp, Matthis C, Mittag O, Raspe O. Bedarf an rehabilitativen Leistungen. Theorie und Empirie. Rehabilitation 2005; 44(6): 325-334.[Crossref]
• 9. Bij AK von der, Laurant MGH, Wensing M. Effectiveness of physical activity interwention for older adults. Am J Prev Med 2002; 22: 120-133.
• 10. Phelan M, Dunn G, Holloway F, Hyward P, Loftus L, McCrone P, Slade M, Strathdee G, Thornicroft G, Wykes T. The Camberwell Assessment of Need: the validity and reliability of an instrument to assess the needs of people with severe mental illness. Brit J Psychiatr 1995; 167: 589-595.
• 11. Martin CR, Metcalfe MS, Tweed AE. A psychometric evaluation of the Hospital Anxiety and Depression Scale In patients diagnosed with end-stage renal desease. Br J Clin Psychol 2004; 43(1): 51-64.[Crossref]
• 12. Rymaszewska J, Kłak R, Synak A. Camberwell Assessment of Need for the Elderly (CANE) - badanie polskiej wersji narzędzia. Psychoteriatr Pol 2008; 5(2): 105-113.
• 13. Reynolds T, Abas M, Hoe J, Leese M, Orrell M, Thornicroft G, Woods B. Camberwell Assessment of Need for the Elderly (CANE). Development, validity and reliability. Br J Psychiatry 2000; 176: 444-452.
• 14. Orrell M, Hancock G. CANE: Camberwell Assessment of Need rof the Elderly. A needs assessment for older mental health service users. London: Gaskell Publications; 2004.
• 15. Ashaye OA, Livingston G, Orrell M. Does standardized needs assessment improve the outcome of psychiatric day hospital care for older people? A randomized controlled trial. Aging Ment Health 2003; 7(3): 195-199.[PubMed][Crossref]
• 16. Orrell M, Hancock G, Hoe J, Woods B. A cluster randomized controlled trial to reduce the unmet needs of people with dementia living in residential care. Int J Geriatr Psychiatry 2007; 22: 1127-1134.[PubMed][Crossref]
• 17. Fahy MA, Livingston GA. The needs and mental health of older people in 24-hour care residential placements. Aging Ment Helath 2001; 5(3): 253-257.[Crossref]
• 18. Greaves S, Bhat M, Miranda-Castillo C, Orrell M, Quazi A, Regan C. The unmet needs of referrals to old age psychiatry liaison services. Psychogeriatr Pol 2006; 3(4): 175-182.
• 19. Walters K, Iliffe S, Orrell M, See Tai S. Assessing needs from patient, carer and professional perspectives: the Camberwell Assessment of Need for Elderly people in primary care. Age Ageing 2000; 29: 505-510.[Crossref]
• 20. Dech H, Machleidt W. Relevance and applicability of the CANE in the German health care system. In: Orrell M., Hancock G, editors. CANE: Camberwell Assessment of Need for the Elderly. London: Gaskell; 2004. pp. 29-34.

Identifiers

DOI

10.2478/rehab-2013-0033