摘要:

SynopsisDespite the importance of the non‐government sector as a major provider of social care for the elderly, its planning and administrative sphere remains relatively uncharted. Planners and administrators from nine Queensland non‐government organisations shared perceptions of their planning environment. While government resources and program guidelines influence their work, they claim their autonomy is not eroded. Governments could facilitate their work by generating needs data, establishing joint planning structures and ensuring territorial justice. The authors argue that if governments presume non‐government organisations are simply vehicles for the implementation of government plans, their potential as response systems for elderly people will not be rea

ISSN:0726-4240    

DOI:10.1111/j.1741-6612.1985.tb01131.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

Despite its past anonymity, senile dementia of the Alzheimer type is a disease with a major impact on our ageing society. It affects a considerable percentage of old and very old people (some 20% of people over the age of eighty), causing distress and discomfort for the sufferers and the carers; it causes close to 50% of all nursing home admissions and costs the nation probably more than $2 billion annually; it is, with cardiovascular diseases and cancer, a leading cause of death.One of the particular difficulties with senile dementia of the Alzheimer type (SDAT) is that the diagnosis only can be confirmed in the post‐mortem — during life the diagnosis can only be made with a limited degree of certainty by following established inclusion and exclusion criteria (Glen and Christie 1979); that is, by ruling out other known causes of dementia in a patient with a dementia syndrome it is concluded that it must be senile dementia of the Alzheimer type.One other interesting aspect is that in SDAT, a disease which I compared before with cancer and cardio‐vascular disease, a defeatist attitude amongst the medical profession is frequently noticed. Had the same attitude been adopted in the past towards cancer and cardio‐vascular disease, progress in diagnosis and treatment of these diseases would never have happened.I am suggesting that it is possible to adopt a less defeatist and more positive attitude towards SDAT and this then stimulates the development of working strategies and working hypotheses. A working hypothesis can never claim to be a final solution to the problem, it is merely a frame of thought that directs step by step research working towards piecemeal solution of the problem.SummaryA working hypothesis is presented, describing SDAT as a multi‐factorial condition, in which genetic factors, toxic factors and nutritional factors are interacting and may play an accelerating role in the development of SDAT.Depression, frequently co‐existing with SDAT, contributes to symptomatology and can be considered as playing an accelerating role.A tremendous amount of research has to be done.A working strategy at present could be:1. Increase research.2. Maintenance of a good nutritional status in the individual patient is mandatory. Nutritional research deserves high priority, based on early indications that secondary changes in nutritional condition may accelerate the process.3. More attention should be given, before the verdict of “Alzheimer” is pronounced, to the possibility that toxic factors have been contributing to the condition. Extra attention should be given to careful prescription of medication.4. Prevention, early recognition and vigorous treatment of depression seems to be a most important factor.The importance of psycho‐social stimulation should be recognised. The influence of the depression‐like state on the blood‐brain barrier function and on nutritional status of the brain should have high priori

ISSN:0726-4240    

DOI:10.1111/j.1741-6612.1985.tb01132.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

AbstractThis paper suggests a model for the analysis and planning of aged care services from 3 preventive health perspective. The model considers the aged person's needs, factors affecting how these needs will be met, service provisionl and the consequences to the aged individual and society of this provision. Use of this model to analyse present services points to the need for an ‘Office of the Aged’ at Commonwealth government level to take responsibility for need determination, goal setting, organisation and evaluation of servi

ISSN:0726-4240    

DOI:10.1111/j.1741-6612.1985.tb01133.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

This article describes the establishment of a small residents' group at the Perry Park Nursing Home, the purpose of which was to provide the residents with the opportunity for some say in matters affecting their lives and environment. The article discusses the major issues that became evident as the group developed, how these were dealt with and what was learned from them. The authors believe that their findings will be useful for others who plan to establish similar groups.

ISSN:0726-4240    

DOI:10.1111/j.1741-6612.1985.tb01134.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

ISSN:0726-4240    

DOI:10.1111/j.1741-6612.1985.tb01135.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

ISSN:0726-4240    

DOI:10.1111/j.1741-6612.1985.tb01136.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

In this article, the generic term dementia will be used dementia due to Alzheimer's disease, to multi‐infarct demen, cerebral infarction, and to other dementias of rarer types. A. the term usually also encompasses potentially reversible dem, as. the focus in this article is on the non‐reversible dementias. For stylistic and space reasons. “dementia” will be used as short‐hand for what should properly be referred to as “the

ISSN:0726-4240    

DOI:10.1111/j.1741-6612.1985.tb01137.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

Book reviewed in this article:THE CHRONICALLY LIMITED ELDERLY: THE CASE FOR A NATIONAL POLICY FOR IN‐HOME AND SUPPORTIVE COMMUNITY‐BASED SERVICES 1983: Howard A. Palley, PhD&Julianne S. Oktay, PhDSHELTERED HOUSING FOR THE ELDERLY: POLICY, PRACTICE AND THE CONSUMER: by Alan Butler, Christine Oldman and John GreveMUTUAL AID OR WELFARE STATE —AUSTALIA'S FRIENDLY SOCIETIES: David Green and Lawrence CromwellPROGRESS IN REHABILITATION PARAPLEGIA; 1984: Rudy Capildeo and Audrey Maxwell (eds)THE OTHER SIDE OF SURGERY, 1984: Janet

ISSN:0726-4240    

DOI:10.1111/j.1741-6612.1985.tb01138.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY