London's Pulse: Medical Officer of Health reports 1848-1972

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West Ham 1957

[Report of the Medical Officer of Health for West Ham]

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Example 2. Mr. X.
Mr.X is an elderly man living with a relative younger than himself. He is suffering
from a rare disease which prevents him working any longer. The relative appeared to resent
this, and as their home conditions were bad, their lives together were not very happy. Mr. X.
was seen at his home, where the relative appeared very aggresive and resentful. It was
obvious that any occupational therapy done at home would be of little value, so it was
arranged for the patient to attend the Group class twice weekly.
There he made friends with the others and made some very nice lampshades and baskets.
He also talks about his home difficulties, relieves his feelings and has improved a great deal
mentally.
During June, the number of patients on the register continued to increase steadily.
During this month, a visit was paid to Langthorne Hospital, and it was arranged with the
Medical Superintendent that patients upon their discharge if in need of domiciliary occupational
therapy, should be referred by the Hospital's Occupational Therapist for this service, and
since that time this arrangement has been carried out successfully.
The benefit from the new larger accommodation was evident as more stock could be
carried, thus preventing frequent ordering and long delays in supplying patients. There was
still the difficulty, however, of patients requiring individual supplies e.g. oil paints
which are not required very frequently and therefore not carried in stock.
In July, August and September many patients went away for their holidays, which
relieved visiting a little, although there was still a good demand by patients for work.
During October, November and December all patients on the register were preparing
for Christmas and therefore needed a great deal of attention as some wished to learn a new
craft as relatives had requested they should make an article for them for Christmas. Thus
stock went down and time was indeed precious as teaching a patient a new craft means frequent
visiting, daily at first and then every other day until they are proficient.
Toy-making, leatherwork, basketry, weaving and knitting were the most popular kinds
of work as the articles are finished quickly and make acceptable Christmas gifts.
STATISTICS

For the period from 1st January to 31st December 1957

Patients TotalTuberculousChronic sickOther illnesses
January5134107
June68411413
December86551615