41% of emergency hospitalizations in retirement homes "could be avoided"



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More than four inpatient hospitalizations in out of ten health facilities could be avoided, experts said.

NHS researchers found that 41% of emergency admissions involved potentially preventable conditions, such as lung infections, pressure ulcers, and urinary tract infections that can be treated in the community, or resulting from poor care. or negligence.

The NHS in England is trying to reduce the pressure on hospitals by reducing emergency admissions, but also indicates that older people would prefer not to be hospitalized, with extended stays resulting in a loss of muscle mbad and l? independence.

A new briefing from the Improvement Analysis Unit, a joint initiative of the NHS England and the Health Foundation, revealed that if people were better cared for in the community, they would need less visits to the hospital.

The researchers found that one in 12 emergency hospital patients was destined for a person living in a nursing home, about 192,000 per year. This represents 7.9% of emergency admissions.

Emergency care attendance in nursing homes is 269,000 per year, or 6.5 per cent of all careers for people aged 65 and over.

It is estimated that about 340,000 seniors in England live in nursing homes or nursing homes, including one in seven people over the age of 85.

Across England, six development groups work with the NHS, local authorities that provide social services, charities, caregivers, and families to improve the health of residents of homes. care and reduce the number of admissions to the hospital.

Thanks to their work, residents of Wakefield, West Yorkshire, recorded a 27% decrease in the number of potentially preventable emergency admissions, while in Rushcliffe, Nottinghamshire, there was a 29% decrease EI interventions.

Adam Steventon, director of data badysis at the Health Foundation, said, "Emergency admissions to the hospital can expose residents of nursing homes to stress, loss of life," 39, autonomy, the risk of infection and rapid deterioration of the muscles.

"About 70% of nursing home residents have dementia and so can find the hospital environment even more stressful and disorienting.

"Reducing the number of preventable emergency entries and the number of emergency department visits is good for residents and will help reduce the pressure on the NHS."

The evaluation found that increased NHS support, recruitment of staff such as dietitians, and improved nursing home staff skills all had an impact.

But Mr Steventon also said that urgent reform and investment in social services were needed.

Nationally, emergency hospitalizations are about 22% higher for people in care facilities (provided by non-medical staff) than for those living in retirement homes, where care is provided by nursing staff.

There is also about 32% more D & A badistance among people living in retirement homes compared to those in retirement homes.

Sally Copley, Director of Policy and Campaigns at the Alzheimer Society, said, "It is not surprising to hear that more and more people with dementia are hospitalized in crisis.

"Last year, the cost of 70,000 preventable admissions of people with dementia in the NHS was estimated at £ 400m.

"The crisis in social services leaves the NHS facing greater financial difficulties, hospital beds and people unable to leave their care because of lack of help to return home.

"The human cost for people with dementia can no longer be discounted.

"New Prime Minister Boris Johnson must respond to our calls for an immediate investment in an NHS Dementia Fund to provide the population with the vital financial support it needs while addressing reform." long-term."

Professor Alistair Burns, National Clinical Director for Dementia and Mental Health of the Elderly at NHS England, said: "People want to know that their mother or grandfather is properly cared for and that he or she helps to live well with the best quality of life possible. so that.

"That's why we're asking for extra support for nursing homes as part of the long-term plan to reduce the number of unnecessary medications and strengthen the links between general practitioners and nursing homes."

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