摘要:

AbstractExecutive obsolescence and premature senility can be controlled to a great extent by avoiding certain factors which accelerate the aging process, i.e., lack of exercise, obesity, and the use of tobacco. Prophylactic measures include exercise such as walking, with or without jogging, to the point of tolerance; the avoidance of sedentary occupations; walking up and down stairs instead of using an elevator; the prevention of obesity or the reduction of overweight when present; and abstinence from tobacco smoking.

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1968.tb02741.x

年代:1968

数据来源: WILEY

摘要:

AbstractAn outline is given of the experience at Duke University with training young men for the manpower category of Physician Assistant. The selection of candidates, the two‐year training course and the post‐certification duties are described. Despite the stated problems and dangers, the results to date have been most encourag

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1968.tb02742.x

年代:1968

数据来源: WILEY

摘要:

AbstractThis article outlines the kinds of services that can be rendered by persons other than physicians in complementing the necessary physician's services involved in meeting the objectives for older people embodied in the Older Americans Act. Clearly, if health is to be interpreted in terms of physical, emotional and social well‐being, a team approach is imperative. Every older American is entitled to quality health‐care services, including prevention and diagnosis, no matter where he is—in his own home, a home for the aged, an extended care facility, or a hospital. The role of the physician, though paramount, must be related also to the roles of a variety of other types of personnel, both nonprofessional and professional. Knowing the importance of supportive services, the physician must determine which services are needed and must also seek the people who can provide

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1968.tb02743.x

年代:1968

数据来源: WILEY

摘要:

AbstractOne hundred and ten patients aged 65 or older were examined with the gastrocamera (color photographs) because of radiologically diagnosed or suspected disease of the upper gastrointestinal tract. The gastrocamera pictures confirmed the 31 radiologically identified ulcers in 52 per cent of the cases. Radiologically suspected gastric cancers were confirmed in all 5 cases. In the 24 patients with uncertain radiologic findings, the gastrocamera revealed 4 ulcers, 3 polyps and 2 cases of gastritis; the rest had normal stomachs. The color photographs were especially useful in the diagnosis of gastritis. The procedure, when properly performed, is well tolerated and safe for geriatric patients.

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1968.tb02744.x

年代:1968

数据来源: WILEY

摘要:

AbstractThe author reviews the historical evolution of geriatric nursing in this country from its earliest beginnings to the present, with a focus on the work being done in this area by the Geriatric Division on Nursing Practice of the American Nurses' Association—the professional organization of registered nurses. A discussion of trends in geriatric nursing and of changes in geriatric nursing practice is included. A plea is made for more cooperation between doctors and nurses in plans to improve the care of the age

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1968.tb02745.x

年代:1968

数据来源: WILEY

摘要:

AbstractThe Mental Health Institute at Independence, Iowa, as part of a progressive State mental health program, made substantial gains in treatment of the mentally ill, with a marked reduction in the average daily census even though the admission rate had increased. Because of limited funds, however, the treatment of geriatric patients did not approach the progress made in other areas of the hospital. In 1966, with the aid of a grant from the National Institute of Mental Health, the intensive treatment of geriatric patients became a reality. The staff was strengthened in all disciplines and a fully equipped physiotherapy department was added to the geriatric unit. Whereas previously all patients over 65 were admitted to psychiatric units, under the new plan these patients were admitted directly to the geriatric unit. There they received a complete medical and psychiatric review before being assigned to one of two areas within the unit. In one area were the patients who had potential for making substantial gains with intensive psychiatric treatment (group and individual therapy, ward government, remotivation techniques, occupational therapy and other activity therapies such as music, recreation, adult education and homemaking services, as well as intensive case work by experienced social workers). In the second area were the patients who were markedly regressed and organically deteriorated; even some of these showed enough improvement to be transferred to the more intensive unit. Patients unable to benefit from intensive treatment were transferred to nursing homes. Under the new regimen, the discharge rate for geriatric patients increased from 36 per cent to 59 per cent, and the discharge rate to their homes from 28 per cent to 47 per cent. The average length of stay in the hospital was markedly reduced from 112 days to 65 days.

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1968.tb02746.x

年代:1968

数据来源: WILEY

摘要:

AbstractA geriatric program should meet the varying needs of elderly people, which may range from simple financial assistance to active medical rehabilitation and long‐term nursing, care. To make a geriatric program succeed, health, welfare and social agencies must work closely together. It is important that a full range of services be available in a community so as to assure the elderly person of proper care at the proper time. Because of the high incidence of crippling chronic disease in the older age group, there is a great need for hospital facilities which are equipped and staffed adequately to provide modern rehabilitation therapies. Elderly people with severe, irreversible conditions and terminal patients need a nursing facility where therapies which lessen discomfort and boost morale are available. This is best achieved when the nursing facility is closely associated with a hospital or is a part of a hospita

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1968.tb02747.x

年代:1968

数据来源: WILEY

摘要:

AbstractNo amyloid was found in the liver of 6 normal white Pekin ducks, 72 days old, but hepatic amyloid was present in 14 of 15 ducks, 217 to 992 days old. The spleen, adrenals, heart, lungs, pancreas, intestine, oviduct, and sympathetic ganglion were also affected in some of the ducks.Fluorescence microscopic examination of histologic sections treated with thioflavin‐S is the most effective and reliable technique for the demonstration of amyloid deposits in ducks.The occurrence of amyloid in the duck is discussed in relation to the presence and location of amyloid in man and other animals, and in relation to agin

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1968.tb02748.x

年代:1968

数据来源: WILEY

摘要:

AbstractFive hundred and forty‐three patients (random sampling) were examined for skin disorders according to the following groups: A) 388 geriatric patients in a chronic disease hospital, B) 74 geriatric patients in a general hospital, and C) 81 younger patients in a general hospital. A cutaneous disorder was found in 440 of the 543 patients, and 56 per cent of these disorders were of the type requiring specialized attention. Factors which influenced the incidence of skin disease, especially in the geriatric patients, included the degree of ambulation, length of hospital stay, previous skin care, environment, emotional adjustment, medication, associated medical disorders, and past dermatological disease. The most important disorders in the geriatric patients included essential senile pruritis, epithelioma, cutaneous ulceration, pemphigoid, psoriasis, precancerous lesions, neurodermatoses, intertrigo, contact dermatitis, pyoderma and mycotic infections. The high incidence of these cutaneous diseases, especially in geriatric patients, justifies routine dermatological rounds in hospital wards as a factor in the total care of the patien

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1968.tb02749.x

年代:1968

数据来源: WILEY

摘要:

AbstractIn a 63‐year‐old Negro male, septic arthritis developed in the right knee (already the site of advanced degenerative changes) after an upper respiratory infection. The causative organism was identified as Hemophilus influenzae only after the fluid aspirated from the knee was inoculated into chocolate‐agar under CO2, four days after admission to the hospital. Re‐accumulated fluid was aspirated repeatedly from the joint. Antibiotics were administered intra‐articularly, intravenously and later orally. The patient also was treated symptomatically and with physiotherapy. He recovered satisfactorily to the point of being able to walk with crutches, and left the hospital eight weeks after

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1968.tb02750.x

年代:1968

数据来源: WILEY