摘要:

ABSTRACT:The main organs in a series of 39 nonagenarians were weighed at autopsy. The weights varied widely from subject to subject. Compared with average weights in younger subjects, the brains, livers, spleens, kidneys and lungs weighed less than usual in the majority of nonagenarians examined. However, the hearts often were heavier than normal and many of them were hypertrophied.

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1978.tb05383.x

出版商:Blackwell Publishing Ltd    

年代:1978

数据来源: WILEY

摘要:

ABSTRACT:The urogenital and digestive systems in 23 centenarians (7 males and 16 females) were examined pathologically. In the urogenital system, macroscopic scar formation, chronic pyelonephritis and arterio‐ and arteriolosclerosis of the kidney usually were pronounced. Six instances of prostatic glandular hyperplasia were demonstrated, and three of these were associated with well‐differentiated adenocarcinoma. The testis, ovary and uterus usually showed a strong tendency toward atrophic changes. In the digestive system, senile atrophy of the liver and formation of colonic diverticula were noted. In this series of aged subjects, malignant lesions of the gastrointestinal tract were rare. It is also noteworthy that the unsuspected lesion of massive gastrointestinal hemorrhage associated with the various observed disorders might have been the cause of death in some of these centenari

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1978.tb05384.x

出版商:Blackwell Publishing Ltd    

年代:1978

数据来源: WILEY

摘要:

ABSTRACT:A procedure is described for teaching elderly persons the use of relaxation as a coping skill. The procedure, called Stress Management Training, seeks to provide the client with: 1) a cognitive understanding of stress and relaxation, 2) the ability to relax by controlling muscle tension and sympathetic‐nervous‐system activity, and 3) the ability to extend the relaxation skill to real‐life stress situations. A case report demonstrates the process, which is an educational model rather than a medical model. The role of the psychotherapist as an educator and the potential usefulness of the social learning theory as a basis for conceptualizing mental health problems are disc

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1978.tb05385.x

出版商:Blackwell Publishing Ltd    

年代:1978

数据来源: WILEY

摘要:

ABSTRACT:Determination of the impact of programs designed to enhance the functional independence of geriatric residents requires prior specification of goals in terms that clearly indicate the desired outcomes. The Geriatric Resident Goals Scale (GRGS) is a listing of specific goals developed to provide a systematic means of assessing resident status and program effectiveness. For male residents in a VA Nursing Home Care Unit, the obtained internal consistency reliability coefficient was .97 (N = 198), and the reliability coefficient reflecting a combination of test‐retest and interrater consistency was .95 (N = 22). For a group of 178 residents, the GRGS was predictive of level of independence ratings (r = .82) and mental status (r = .71). The data showed the GRGS to be a highly reliable and valid means of assessing the functioning of geriatric residents, lending support to an assessment process based on a listing of specific goals. The GRGS can be viewed as a general procedure that is adaptable to a range of geriatric settings and program

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1978.tb05386.x

出版商:Blackwell Publishing Ltd    

年代:1978

数据来源: WILEY

摘要:

ABSTRACT:Athough the elderly have a higher incidence of mental illness than other groups, their need for psychiatric services is not being met adequately. This situation could be improved by providing psychiatrists with a broader education in aging and more extensive supervised experience in treating mentally ill old people at an early stage of their training. The Bronx‐Lebanon Hospital established a program for this purpose in cooperation with the Daughters of Jacob Geriatric Center. Second‐year residents in psychiatry are given regular assignments, under supervision, in this multiservice nursing home. They become knowledgeable about the aging process, gain a better understanding of the effect of physical, emotional and social factors on mental health in late life, and acquire a special competence and greater interest in treating the mentally ill aging. The success of the program suggests its value as a means of encouraging psychiatrists to take a more active and responsible role toward the ag

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1978.tb05387.x

出版商:Blackwell Publishing Ltd    

年代:1978

数据来源: WILEY

摘要:

ABSTRACT:Primary cancer of the liver is a rare disease, especially in countries with temperate climates. It is reported to be found in only 0.3 percent of all autopsies in these countries. An exact diagnosis is not always easy, especially in the elderly. In three aged patients, cytologic examination of material obtained from the liver by aspiration after puncture with a thin needle, indicated the diagnosis. Cytologic examination of aspirated liver tissue, although it can never be a substitute for biopsy, may be very useful not only in diagnosis but in monitoring the treatment of obstructive jaundice in elderly patients.

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1978.tb05388.x

出版商:Blackwell Publishing Ltd    

年代:1978

数据来源: WILEY

摘要:

ABSTRACT:The continued growth of the number of aged persons potentially requiring psychotherapeutic service should be met with a concomitant increase in relevant theory and research. An attribution theory approach to individual psychotherapy with the aged is suggested insofar as it: 1) is explicitly responsive to the possible negative consequences of the old person's diminished use of social consensus to validate the interpretation of behavioral events, 2) is relatively concrete in terms of implementation, and 3) may be used on a short‐term basi

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1978.tb05389.x

出版商:Blackwell Publishing Ltd    

年代:1978

数据来源: WILEY

摘要:

ABSTRACT:Sixteen elderly patients with occult cardiac arrhythmias presented with signs of neurologic dysfunction that often had led to traumatic falls. Holter electrocardiographic monitoring was a valuable tool in defining the arrhythmia for which specific treatment was successful.

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1978.tb05390.x

出版商:Blackwell Publishing Ltd    

年代:1978

数据来源: WILEY

摘要:

ABSTRACT:The reports on 72 of 190 accidents occurring among 189 nursing home residents during a 3‐month period were drawn at random and reviewed. The majority of the accidents were falls, either major or minor. Personal data on the residents included age, sex, mental status, number of diseases, and number of drugs administered. Data on environmental factors included the time of day and location of the accident, and the concomitant nursing staff patterns. Women of advanced age were more likely to be involved in a major fall, whereas younger men were more likely to be involved in a minor one. Alert, wheelchair‐bound elderly patients were at the highest risk, whereas those who used assistive devices were at the lowest risk. Falls were directly related to the number of diseases present and the use of drugs. Most accidents occurred at the bedside during the evenings and nights, with the greatest frequency during the changes in nursing shifts or when the patient was either rising or retir

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1978.tb05391.x

出版商:Blackwell Publishing Ltd    

年代:1978

数据来源: WILEY

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1978.tb05392.x

出版商:Blackwell Publishing Ltd    

年代:1978

数据来源: WILEY