Abstract
Because interest in the chronic diseases has developed only recently, publications dealing with this subject are scarce. My long experience with chronically ill patients at the Cuyahoga County Nursing Home is, therefore, worthy of presentation. When this large 160 bed, publicly operated institution was established in 1939, a favorable opportunity to observe and study chronic disease was created. Many data on this increasingly important category of diseases have been accumulated during the 13 years that I have been the medical chief at the nursing home. The present study deals with 1,219 patients, many of whom were given an autopsy, admitted to the home between February, 1939, and December, 1952. In accordance with state regulations, patients admitted to the nursing home are permanently and totally disabled and require active medical supervision and intensive nursing care. Persons with infectious diseases, tuberculosis, or psychoses are ineligible for admission. The type of disabilities found
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