ISSN:0885-6230    

DOI:10.1002/gps.930040302

出版商:John Wiley&Sons, Ltd.    

年代:1989

数据来源: WILEY

摘要:

AbstractThis article presents the results of a systematic review of two decades of research on nursing home populations in three major psychiatric journals. The review indicates that very little psychiatric research has been undertaken in nursing home settings. The work that has been done is more often qualitative: case studies, program reports or reviews of the research, rather than quantitative research studies. The small amount of empirical research that has been published has suffered from sampling, design, and analytic shortcomings. Until recently, there has been little funded psychiatric research in nursing home setting, reflected in a worse than average disapproval rate for NIMH grant submissions involving nursing home populations. The implications of this review are discussed and recommendations are made for advancing this area of study among mental health professionals.

ISSN:0885-6230    

DOI:10.1002/gps.930040303

出版商:John Wiley&Sons, Ltd.    

年代:1989

数据来源: WILEY

摘要:

AbstractThis article describes a six‐year experience of psychiatric consultation in Padua Geriatric Hospital (Italy). Motivation for the request for psychiatric treatment, diagnosis, recommended treatment and compliance with it by the geriatric medical staff are reported. The authors stress the radical change in the activities of the consultants since the establishment in 1986 of a new psychogeriatric unit, probably still the only such unit in formal existence in Italy. The service offered by the team thus underwent considerable innovation, leading to substantial modifications in treatment and, especially, to a reduction in the duration of hospital stay of patients admitted to the psychogeriatric uni

ISSN:0885-6230    

DOI:10.1002/gps.930040304

出版商:John Wiley&Sons, Ltd.    

年代:1989

数据来源: WILEY

摘要:

AbstractA study of 13 homes for elderly people examining the effect of the environment on demented residents looked into the complexity of the design from the residents' point of view. Two principal tools were used in this investigation: ‘route diagrams’, which describe a resident's use of the home, and a measure devised to indicate each resident's ability to find her way around the home. These are described and the relationship between them explored. From this the following tentative conclusions are drawn:(i)The variables that influence a resident's ability to find her way around differ between group and communally designed homes.(ii)It would appear that group homes provide a more favourable design, especially in the case of physically frail demented elderly people.(iii)In group homes, the level of lighting is an important aid to a demented person in finding her way around.(iv)In communal homes, residents seem most able to find their way around homes that have been adapted from older premises.(v)In both types of home, ‘meaningful decision points’ can be seen as aids to a resident finding her way

ISSN:0885-6230    

DOI:10.1002/gps.930040305

出版商:John Wiley&Sons, Ltd.    

年代:1989

数据来源: WILEY

摘要:

AbstractThe authors present the results of routine CT head scans done on 80 consecutively admitted elderly psychiatric patients. Many patients had abnormal scans but in few cases were the results of major clinical importance. Patients in whom the clinical history suggests a recent change in behaviour or personality, or whose findings on physical examination have recently altered, represent a select group for whom CT scans should be considered.

ISSN:0885-6230    

DOI:10.1002/gps.930040306

出版商:John Wiley&Sons, Ltd.    

年代:1989

数据来源: WILEY

摘要:

AbstractIn the present study 674 over‐70s, living at home, were interviewed in order to ascertain their annual prevalence of falls, their general physical state, their use of medications and their degree of neuroticism, based on standard scores. Frequent falls were related to physical state and medicine usage and anxiety and depression scores. The article shows that fallsper sehave a relationship with the mental state of elderly people but that the major part of that relationship is mediated through other variable

ISSN:0885-6230    

DOI:10.1002/gps.930040307

出版商:John Wiley&Sons, Ltd.    

年代:1989

数据来源: WILEY

摘要:

AbstractThe effects of integrity‐promoting care in a nursing home with demented patients were studied. In one ward the staff were given special training. The results showed that the treatment induced a reduction of distractability, confusion, anxiety and depressed mood, and improvement in motor performance. At the same time the cerebrospinal fluid concentrations of somatostatin increase

ISSN:0885-6230    

DOI:10.1002/gps.930040308

出版商:John Wiley&Sons, Ltd.    

年代:1989

数据来源: WILEY

摘要:

AbstractThe Kantian principle of ‘respect for persons’ has traditionally held a central place in social work theory and practice. It is argued here, however, that the language of ‘respect for persons’ falls short of giving a full account of the complex nature of social work intervention in relation to elderly persons who have dementia, and so ultimately of having practical application. An alternative framework based on the theory of consent is proposed. The aim is to put into practice the principle that all persons have the right to make decisions about their own lives no matter how disabled they may be. This involves assessing the competence of individuals to give informed consent. There is also the need to offer alternative strategies to assist persons who, because of the severity of their dementia, are not deemed competent to make a particular decision. Three options are considered: justified paternalism, consent by proxy and ‘citizen advocacy’. But a fourth option is preferred in what Paul Ramsey, in his bookThe Patient as Person: Explorations in Medical Ethics(see Faulder, 1985), has termed ‘constructive consent’, where the decision to give consent is based on the knowledge that the individual concerned would certainly have consented if competent to do so. In this way, the language of consent gives shape and content to Immanuel Kant's formulation of ‘respect for persons’, providing a theoretical and practical framework which promotes morally and professiona

ISSN:0885-6230    

DOI:10.1002/gps.930040309

出版商:John Wiley&Sons, Ltd.    

年代:1989

数据来源: WILEY

ISSN:0885-6230    

DOI:10.1002/gps.930040310

出版商:John Wiley&Sons, Ltd.    

年代:1989

数据来源: WILEY

ISSN:0885-6230    

DOI:10.1002/gps.930040311

出版商:John Wiley&Sons, Ltd.    

年代:1989

数据来源: WILEY