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Title: MANAGEMENT IN THE COMMUNITY

Reference number: 6950

Date: 1980c

Sponsor: Scottish Health Education Unit with the co-operation of the Lothian Health Board

Production company: Sidharta Films

Sound: sound

Colour: col

Fiction: non-fiction

Running time: 21.33 mins

Description: With increasing pressure on residential facilities, the importance of retaining elderly people in the community where possible is apparent. But this is only one reason for trying to help the elderly to remain at home. The film traces the case of an elderly lady whose family wants to have her committed. But with sympathetic management by the medical team, giving both the patient and family sufficient support, it was possible not only for her to remain at home - but for her physical and mental state to improve considerably.

The film is suitable for all levels of medical, paramedical staff, social and voluntary workers.

Accompanying documentation and notes can be consulted in the paper records of the National Library of Scotland at Kelvin Hall, ref. 11/1/494 - these are for the series of four films. See also refs.4739, 6949 and 6951 for other titles in the series.

Credits: produced by the Scottish Health Education Unit with the co-operation of the Lothian Health Board
The producers would like to thank the Patients, Relatives and Staff of the Royal Victoia Hospital, Edinburgh for their co-operation in making of this film

[produced by SHEU in conjunction with Dr RA Robinson at the Royal Victoria Hospital, Edinburgh]

Shotlist: (00:00:00:00) title still of elderly lady sitting in a chair, commentary discusses hopelessness, gvs night-time wandering, paranoia, aggressiveness, forgetfulness. Family want to see her incarcerated. (00:04:26:00) doctor helping diagnose, talking to the lady and her family (00:06:51:03) RETENTION IN THE COMMUNITY Maximum independence, remain in known environment, Quality of Life, Medical condition, Psychiatric assessment, Home situation gvs of elderly patient meeting in her home with her family, assessing in out patient clinic and decision on treatment (00:11:13:15) OPTIONS Treatment at home, Day Hospital Care, Admission to Assessment Ward, Long-stay institutional care gvs as she receives care at home with day hospital care once a week. Discussion of dementia and ways to treat it - gvs physical therapy in day care environment. Review meeting by care team and families (00:17:49:24) HOME SUPPORT Health Visitor, Community Psychiatric Nurse, District Nurse, Social Worker gvs sheltered housing, council and voluntary run homes, home helps, day centres, church groups etc and final shots of elderly lady now improving mental and physical condition (00:20:40:21) Medical, phychiatric, social assessment, Medical and phychiatric treatment, Aim for maximum independence, Co-ordination of support services. OBJECTIVE Maintain patient within the community whenever possible (00:21:17:16) ecs (00:21:33:21)