Short Report: Care Delivery
People living with diabetes resident in nursing homes—assessing levels of disability and nursing needs
Article first published online: 15 JUN 2011
© 2011 The Authors. Diabetic Medicine © 2011 Diabetes UK
Volume 28, Issue 7, pages 778–780, July 2011
How to Cite
Gadsby, R., Barker, P. and Sinclair, A. (2011), People living with diabetes resident in nursing homes—assessing levels of disability and nursing needs. Diabetic Medicine, 28: 778–780. doi: 10.1111/j.1464-5491.2011.03261.x
- Issue published online: 15 JUN 2011
- Article first published online: 15 JUN 2011
- Accepted manuscript online: 8 FEB 2011 10:46AM EST
- Accepted 2 February 2011
- nursing homes;
- nursing need;
- quality of life
Diabet. Med. 28, 778–780 (2011)
Aims To describe the degree of disability and nursing need of people living with diabetes resident in nursing homes in one Primary Care Trust in the UK.
Methods A retrospective case notes review of 75 people with known diabetes who were resident in the 11 nursing homes in Coventry Teaching Primary Care Trust.
Results Very significant levels of disability and nursing need were documented in areas of continence, feeding, mobility and communication. Each individual had a mean of four co-morbidities (range 1–8), excluding diabetes. Using the definition of terminal illness based on a negative answer to the question ‘would I be surprised if my patient were to die in the next 12 months’ it is likely that the majority of individuals described in this study would be classified as being terminally ill.
Conclusion Using four practical clinical measures, this study has shown very significant levels of disability and nursing care need in this population of mainly elderly people resident in nursing homes in Coventry. In addition, it has demonstrated that a large proportion of nursing home residents with diabetes can be considered to be in the terminal phase of life, a period where many other factors interplay in how care should be delivered and what outcomes are appropriate. In fact, residents in this category may well be candidates for a considered withdrawal of treatments, but not of care.