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Table 4 Detailed assessment: referrals to other health professionals/agencies

From: The MRC trial of assessment and management of older people in the community: objectives, design and interventions [ISRCTN23494848]

Referral to

Problem

Referral criteria

Audiology

Hearing impairment

Fail whispered voice test and no wax

Ophthalmologist

Vision impairment

VA <6/18 in either eye not corrected by pinhole

Memory Clinic /CPN

Moderate to severe cognitive impairment

Mini Mental state < 17 or < 12 if language section could not be completed

Continence advisor/community nurse

Urinary incontinence

more than once a week and MSU not infected.

Community nurse

Leg/foot ulcers/ bed sores

Present on nurse examination

Chiropodist

Foot problems

Corns, bunions, ingrowing or long toe nails or other treatable foot problem on examination

Social services

Self-care

No help available for difficulties with dressing, cooking hot meal, carrying out light housework, washing and shopping

 

Social isolation

Lack of close confident or someone to call on for help

 

Financial problems

Difficulty in making end meet Difficulty in paying bills

 

Housing problems

Difficulty in keeping home warm No indoor toilet