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Intensive home nursing

An innovation in old age psychiatry

Cefn Coed Hospital, Swansea SA2 0GH

Mary M. Ellis, Consultant Psychiatrist

Garngoch Hospital, Gorseinon, Swansea SA4 2LH

Fawzea Hardwick

West Locality Offices, Phillip's Parade, Swansea SA1 4JL

^* Correspondence

This paper describes the establishment of a team of four nurses to provide a service in old age psychiatry along the lines of "Hospital At Home". Its aim was to treat and nurse patients at home who otherwise would have to be admitted to hospital. An integral part of this initiative is the use of a problem orientated approach with integrated records. The work of the team over six years is reviewed and how it has evolved to provide a rapid response to difficult and fraught situations.