|
1. |
OPEN‐HEART SURGERY IN PATIENTS OVER SIXTY YEARS OF AGE* |
|
Journal of the American Geriatrics Society,
Volume 17,
Issue 9,
1969,
Page 817-821
L. Thompson Bowles,
Grady L. Hallman,
Denton A. Cooley,
Preview
|
PDF (397KB)
|
|
摘要:
AbstractDuring an eight‐year period 54 patients over 60 years of age underwent open‐heart operations. All these patients were in the New York Heart Association's classifications III or IV.The most common lesions requiring operation were ventricular aneurysm and aortic stenosis. The over‐all hospital mortality rate was 20 per cent. Five patients died after discharge from the hospital, mainly because of ischemic heart disease. Advanced coronary artery disease also was a factor in 4 of the 11 hospital deaths.The mortality rate in elderly patients compares favorably with that in younger patients having similar lesions.It is concluded that advanced age should not be a deterrent to surgical therapy for patients with heart disease if the operation otherwise is indi
ISSN:0002-8614
DOI:10.1111/j.1532-5415.1969.tb02359.x
年代:1969
数据来源: WILEY
|
2. |
OLDER PATIENTS IN UNITED STATES PUBLIC MENTAL HOSPITALS: A NATIONAL SURVEY OF ADMINISTRATIVE OPINIONS |
|
Journal of the American Geriatrics Society,
Volume 17,
Issue 9,
1969,
Page 822-843
Daniel M. Wilner,
Elizabeth Hefferin,
Preview
|
PDF (2085KB)
|
|
摘要:
AbstractA survey of the psychiatric literature reveals that a number of confusions and conflicts exist among psychiatrists and other professional personnel with regard to the efficacious management of elderly mentally ill patients. This study was an attempt to throw some light on the subject by obtaining from 50 state official mental hygiene agencies and the administrators of 269 public mental hospitals their estimates of the dimensions of the geriatric psychiatric problem in their respective states, and of the prevailing therapeutic climate for the mentally ill aged in their hospitals. This was done by means of a two‐section questionnaire. Responses were received from 48 agencies and 216 hospitals, but only those from 43 agencies and 178 hospitals were in usable form. The following is a summary of the findings:There was substantial agreement between official mental hygiene agencies and hospital administrators with respect to the size of the geriatric populations in public mental hospitals in the various states. When there was a disagreement, it could be attributed to factors such as inadequacy of official or state records and/or poor communication between official agencies and their system hospitals.Perhaps as a consequence of being closer to the actual care of patients, hospital administrators tended to be less optimistic than mental hygiene agencies about the number of unnecessary admissions, the possible benefits of therapy, and the conceivable hospital discharge rates for patients in the older age groups.Regarding the therapeutic climate, only two items elicited nearly unanimous responses among the mental hygiene agencies and within their states: 1) the importance of adequate diagnosis in the management of older patients, and 2) the undesirability of long‐term therapy programs for them. All other “climate” items elicited a wide divergence of opinions. For example, respondents in both groups were about evenly divided concerning their views about rehabilitation potential, and the cooperativeness in therapeutic activities among geriatric patients.Based upon the survey of comments from both respondent groups, it is concluded that:Currently there is emphasis upon rehabilitation programs for older mental patients in some state hospitals (probably a minority), with gratifying results.Both old and new concepts of mental illness and its therapeutic management in elderly patients may exist side by side within the same hospital system, leading to inconsistencies and inefficiencies in the total state rehabilitation program.There is great variability in the existence and the expected usefulness of community facilities and resources across the country. When the state hospitals have assumed the mantle of leadership, guidance and support of community facilities, a large number of aged patients have been successfully discharged and adequately cared for.Hospital emphasis upon and official agency support of geriatric screening programs have resulted not only in a reduction in the number of admissions to state mental hospitals through more proper placement in nursing homes and other community facilities, but also in the return of many adequately functioning elderly patients to their own communit
ISSN:0002-8614
DOI:10.1111/j.1532-5415.1969.tb02360.x
年代:1969
数据来源: WILEY
|
3. |
PARTICIPANTS |
|
Journal of the American Geriatrics Society,
Volume 17,
Issue 9,
1969,
Page 844-845
Preview
|
PDF (75KB)
|
|
ISSN:0002-8614
DOI:10.1111/j.1532-5415.1969.tb02361.x
年代:1969
数据来源: WILEY
|
4. |
INTRODUCTION |
|
Journal of the American Geriatrics Society,
Volume 17,
Issue 9,
1969,
Page 846-847
Augustus Gibson,
Preview
|
PDF (183KB)
|
|
ISSN:0002-8614
DOI:10.1111/j.1532-5415.1969.tb02362.x
年代:1969
数据来源: WILEY
|
5. |
THE FRUITS OF MATURITY |
|
Journal of the American Geriatrics Society,
Volume 17,
Issue 9,
1969,
Page 848-854
Edwin Newman,
Preview
|
PDF (695KB)
|
|
ISSN:0002-8614
DOI:10.1111/j.1532-5415.1969.tb02363.x
年代:1969
数据来源: WILEY
|
6. |
THE EMOTIONAL PROBLEMS OF MEN IN THE MATURE YEARS AND BEYOND* |
|
Journal of the American Geriatrics Society,
Volume 17,
Issue 9,
1969,
Page 855-860
Leon Yochelson,
Preview
|
PDF (679KB)
|
|
ISSN:0002-8614
DOI:10.1111/j.1532-5415.1969.tb02364.x
年代:1969
数据来源: WILEY
|
7. |
THE ROLE OF SEX HORMONES IN PROBLEMS OF THE MATURE YEARS AND BEYOND |
|
Journal of the American Geriatrics Society,
Volume 17,
Issue 9,
1969,
Page 861-873
Jack Geller,
Preview
|
PDF (1012KB)
|
|
ISSN:0002-8614
DOI:10.1111/j.1532-5415.1969.tb02365.x
年代:1969
数据来源: WILEY
|
8. |
IMPOTENCE—A DEFENSE MECHANISM |
|
Journal of the American Geriatrics Society,
Volume 17,
Issue 9,
1969,
Page 874-879
Richard C. Proctor,
Preview
|
PDF (575KB)
|
|
ISSN:0002-8614
DOI:10.1111/j.1532-5415.1969.tb02366.x
年代:1969
数据来源: WILEY
|
9. |
STRESSES OF THE MIDDLE‐AGED MALE |
|
Journal of the American Geriatrics Society,
Volume 17,
Issue 9,
1969,
Page 880-886
Gene L. Usdin,
Preview
|
PDF (684KB)
|
|
ISSN:0002-8614
DOI:10.1111/j.1532-5415.1969.tb02367.x
年代:1969
数据来源: WILEY
|
10. |
THE MODERN CHALLENGE OF THREESCORE AND TEN* |
|
Journal of the American Geriatrics Society,
Volume 17,
Issue 9,
1969,
Page 887-893
Ewald W. Busse,
Preview
|
PDF (694KB)
|
|
ISSN:0002-8614
DOI:10.1111/j.1532-5415.1969.tb02368.x
年代:1969
数据来源: WILEY
|
|