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Domiciliary phlebotomy for elderly people with mental illness

  • Malcolm Darley (a1), Catherine Siller (a2) and David Anderson (a3)
Abstract
Aims and Method

This paper reports the evaluation of a pilot domiciliary phlebotomy service provided by an old age psychiatry service to enhance the management of patients in their own homes. Clinical and demographic data were collected and the costs of phlebotomy home visits compared with those of ambulance transport.

Results

Of 511 phlebotomy visits made to 307 patients, only 8% were unsuccessful. A subgroup analysis indicated that 70% of patients would have been unable to leave home unaccompanied to attend for venepuncture. The cost of the phlebotomist's travel was comparable with the estimated cost of providing ambulance transport for patients who would have required it.

Clinical Implications

Domiciliary phlebotomy can be a viable method of performing blood investigations in an old age psychiatry service to support home assessment.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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Benbow, S. M. (1990) The community clinic: its advantages and disadvantages. International Journal of Geriatric Psychiatry, 5, 119121.
McKenna, D. & Niles, S. A. (1995) Venepuncture: an adjunct to home care services for older adults. Geriatric Nursing, 16, 208212.
World Health Organization (1992) The ICD–10 Classification of Mental and Behavioural Disorders. Geneva: WHO.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Domiciliary phlebotomy for elderly people with mental illness

  • Malcolm Darley (a1), Catherine Siller (a2) and David Anderson (a3)
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