Abstract

This study attempts to search for early indicators of the need for referral to permanent institutional care of the chronically ill and disabled already receiving home nursing and/or home help. The study population covered 218 home nursing patients and home help clients. The follow-up period was 26 months. During the follow-up period 26 persons died and 12 were referred to permanent institutional care. Four groups of factors were studied in order to search for the early indicators: age, sex, health including functional status and housing conditions. Referral to permanent institutional care was found to be related to old age (75+ years) disorientation to weekday and year, inability to wash oneself and diagnosed dementia senilis.

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