Skip to main content

Institutional and Non-institutional Long-Term Care

  • Chapter
  • First Online:
Learning Geriatric Medicine

Part of the book series: Practical Issues in Geriatrics ((PIG))

  • 4500 Accesses

Abstract

Good long-term care is shaped by good management of long-term conditions, effective implementation of comprehensive geriatric assessment, person- and relationship-centred care and holistic models of health and well-being. Person-centred care is defined as giving patients voice, choice and control over management decisions. This is more difficult in more dependent patients. Long-term care is different in different countries because of social and policy-based considerations that will change over time. Regardless of international differences, the need for long-term care is shaped by similar care requirements between countries. Common nursing home-defining diagnoses are stroke and dementia and common syndromes are faecal incontinence and nocturnal agitation.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Institutional subscriptions

References

  • Eaton S, Roberts S, Turner B. Delivering person centred care in long term conditions. BMJ. 2015;350:h181.

    Article  PubMed  Google Scholar 

  • Nolan M, Davies S, Brown J. Transitions in care homes: towards relationship-centred care using the ‘Senses Framework’. Qual Ageing Older Adults. 2006;7:5–14.

    Article  Google Scholar 

  • Sanford AM, Orrell M, Tolson D, et al. An international definition for ‘nursing home’. JAMDA. 2015;16(3):181–4.

    PubMed  Google Scholar 

  • The Health Foundation. Person-centred care made simple. 2014. http://www.health.org.uk/sites/health/files/PersonCentredCareMadeSimple.pdf. Accessed 3 Mar 2017.

  • Welsh TJ, Gordon AL, Gladman JR. Comprehensive geriatric assessment - a guide for the non-specialist. Int J Clin Pract. 2013;68(3):290–3.

    Article  PubMed  Google Scholar 

  • World Health Organization. International classification of functioning, disability and health. Geneva: WHO; 2001.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Adam Gordon .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Gordon, A. (2018). Institutional and Non-institutional Long-Term Care. In: Roller-Wirnsberger, R., Singler, K., Polidori, M. (eds) Learning Geriatric Medicine. Practical Issues in Geriatrics. Springer, Cham. https://doi.org/10.1007/978-3-319-61997-2_32

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-61997-2_32

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-61996-5

  • Online ISBN: 978-3-319-61997-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics