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Biomedical subjects

R Birchall

Publications and source records attributed to R Birchall.

15 recordsLinked to original sources

What do elderly people do in hospital?

Current health-care reforms have sharpened the focus on efficiency of bed usage; one useful method of exploring this concept is to determine how patients spend their time in hospital. This small study explored how 23 elderly patients spent their time on two elderly care wards. A time-sampling, patient-focused, structured observation method was employed to observe the patients. The most commonly observed activity was eating and drinking. The findings, in keeping with previous work, suggest that therapeutic activities occupy a minimal proportion of the patient's day. Reasons for inactivity are explored and recommendations made for further research.

Activities of Daily Living↗

Renal artery stenosis--then and now.

Diagnostic approaches evolve steadily. Selective renal arteriography and determination of renal vein renins have replaced differential clearances and translumbar aortography. The hydrated intravenous pyelogram remains helpful in assessing physiologic significance and complements both aortography and renin determinations. Except for young patients, medical treatment rather than surgical management usually is preferred.

Adult↗