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Br J Gen Pract. 1991 January; 41(342): 13–15.
PMCID: PMC1371477

Assessment of elderly people in general practice. 2. Functional abilities and medical problems.

Abstract

A random sample of 239 patients aged 75 years and over registered with general practitioners in north and north west London was selected for home assessment to determine the functional abilities and medical problems of this group of patients. Nearly one in five of the patients were incontinent of urine (18.4%), although this was on a daily basis for only 4.1%. Around one in 20 patients were incontinent of faeces (5.9%), yet only one patient had laundry service support. Unassisted mobility outdoors was reported as possible by 81.2% of the patients. Fourteen different types of aids were present in the participants' homes, the commonest being walking sticks, bath aids and stair rails. Only a small proportion of aids seemed to be currently unused. The major functional problems were bathing, housework, shopping, washing and ironing, and cooking main meals, but the level of demand for extra help was low. One in five patients had a hearing aid (19.8%) but for only 30% of these patients was it in continuous use. Polypharmacy was common, with 29.7% of patients taking three or more prescribed medicines. The workload implications of this approach to anticipatory care of elderly people are considerable. In an average practice of 2000 patients with 130 patients aged 75 years and over the primary care team would need over 150 hours of face-to-face contact per year with these patients to fulfil the new contractual obligation and the yield of new information leading to effective medical or social intervention is limited.(ABSTRACT TRUNCATED AT 250 WORDS)

Full text

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Iliffe S, Haines A, Gallivan S, Booroff A, Goldenberg E, Morgan P. Assessment of elderly people in general practice. 1. Social circumstances and mental state. Br J Gen Pract. 1991 Jan;41(342):9–12. [PMC free article] [PubMed]
  • Penn ND, Belfield PW, Muscie-Taylor BH, Mulley GP. Old and unwashed: bathing problems in the over 70s. BMJ. 1989 Apr 29;298(6681):1158–1159. [PMC free article] [PubMed]
  • George J, Binns VE, Clayden AD, Mulley GP. Aids and adaptations for the elderly at home: underprovided, underused, and undermaintained. Br Med J (Clin Res Ed) 1988 May 14;296(6633):1365–1366. [PMC free article] [PubMed]
  • Freedman GR, Charlewood JE, Dodds PA. Screening the aged in general practice. J R Coll Gen Pract. 1978 Jul;28(192):421–425. [PMC free article] [PubMed]
  • Grundy E. Community care for the elderly 1976-84. Br Med J (Clin Res Ed) 1987 Mar 7;294(6572):626–629. [PMC free article] [PubMed]
  • Thomas TM, Plymat KR, Blannin J, Meade TW. Prevalence of urinary incontinence. Br Med J. 1980 Nov 8;281(6250):1243–1245. [PMC free article] [PubMed]
  • Murphy E. Serious gaps in response to Griffiths. BMJ. 1989 Jul 22;299(6693):217–218. [PMC free article] [PubMed]
  • Williamson J, Chopin JM. Adverse reactions to prescribed drugs in the elderly: a multicentre investigation. Age Ageing. 1980 May;9(2):73–80. [PubMed]
  • Ives TJ, Bentz EJ, Gwyther RE. Drug-related admissions to a family medicine inpatient service. Arch Intern Med. 1987 Jun;147(6):1117–1120. [PubMed]
  • Austin R, Parish P. Prescriptions written by ancillary staff. J R Coll Gen Pract. 1976;26 (Suppl 1):44–49. [PMC free article] [PubMed]
  • Williams EI. Characteristics of patients aged over 75 not seen during one year in general practice. Br Med J (Clin Res Ed) 1984 Jan 14;288(6411):119–121. [PMC free article] [PubMed]

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