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There is a need to balance the benefit of an older person staying in hospital against the risks of infection, disorientation and institutionalisation, as well as what Wallis calls the "withering" of their support networks at home.
In the process they have exposed institutionalisation as a worldwide human rights issue.
The paper concludes that slum upgrading sustainability at city-wide level requires active City participation and institutionalisation as opposed to a project based approach.
This research defines institutionalisation as an evolving process that produces new legitimacies, new formalised statutes, and resources that are reinterpreted and reconstructed by the actors.
An approach based on the assumption of this binary character is limited to the understanding of institutionalisation as a process that occurs in a continuum and not crystallising from one moment to another.
Lacking proper support from the State and with limited access to quality basic social services for treatment and care of their children, parents see institutionalisation as the only viable alternative.
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Institutionalisation arises as a result of the interaction and translation among different actors, human and non-human, who pursue common interests, ' ordered networks of heterogeneous materials whose resistance has been overcome' (Law 1992: 380).
The Queen Mother claimed that the news of their institutionalisation came as a surprise to her.
Outcomes were mortality, institutionalisation (defined as a new admission to a care home or a move to a new care home as a result of an increased care need), unplanned hospital readmission and decline in function (defined as a decrease of two or more points on Barthel ADL).
Cognitive function Changes in global disease severity Activities of daily living Clinical global impression Behaviour Death Mood Safety as measured by incidence and severity of adverse effects Dependency (such as institutionalisation) Acceptability of treatment as measured by withdrawal from trials Quality of life Costs.
This goes some way to meet demands from Sunnis for the "institutionalisation" of PMUs as a means to bring them under state control.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com