Telling Needs from Wishes: A Practical and Integrated Approach to Psychiatric Care of the Elderly

1989 ◽  
pp. 189-194
Author(s):  
Adrian Grek ◽  
Kenneth Shulman
Keyword(s):  
Psychiatric Care ◽  
Integrated Approach ◽  
The Elderly

Psychogeriatric Care in the General Hospital*

1981 ◽  
Vol 26 (5) ◽  
pp. 334-336 ◽  
Author(s):  
Joel Sadavoy
Keyword(s):  
General Hospital ◽  
Psychiatric Care ◽  
Treatment Approach ◽  
The Elderly ◽  
Term Therapy ◽  
Psychiatric Ward ◽  
Short Term ◽  
General Hospitals ◽  
Organic Brain

This study examines treatment outcome in 52 psychogeriatric patients to help determine the role of the general hospital in psychiatric care of the elderly. The author reviewed the charts of all patients 65 years of age and over admitted to the psychiatric ward from 1974 to 1978. Approximately 80% of this group showed symptom remission. Treatment failures correlated closely with the presence of major organic brain syndrome. Despite an average age of 73.4 years and a high proportion of widowed patients only 10 patients needed new placements on discharge. The author discusses the reluctance of general hospitals to treat the psychogeriatric patient despite the high success rate, the merits of such an active treatment approach and the effect of short-term therapy programs on the treatment of this group.

scholarly journals A plea against over specialisation in forensic psychiatry

1992 ◽  
Vol 16 (7) ◽  
pp. 439-442 ◽  
Author(s):  
Eric F. Mendelson
Keyword(s):  
Forensic Psychiatry ◽  
Psychiatric Care ◽  
Early Stage ◽  
Integrated Approach ◽  
Integrated System ◽  
Forensic Patients ◽  
Secure Care ◽  
Regional Service ◽  
Forensic Psychiatric ◽  
Special Responsibility

The optimal system for delivering forensic psychiatric care has yet to be established. At an early stage, Gunn (1977) drew attention to the differing models of a ‘parallel’ service and an ‘integrated’ approach. Only with the integrated system do forensic patients pass to ordinary NHS facilities when they no longer require security or other specialist expertise. The debate can be extended into whether forensic services should be provided by regional units, by district services, or by a mixture of both. Indeed, the Royal College of Psychiatrists (1988) recognised that in addition to a regional service led by a fully trained forensic psychiatrist, secure care can be provided at a district level by consultants who have sufficient training to hold posts with a special responsibility. Furthermore, managers are understandably keen for as much as possible to be provided by their own district services.

scholarly journals Spatial Optimization of Residential Care Facility Configuration Based on the Integration of Modified Immune Algorithm and GIS: A Case Study of Jing’an District in Shanghai, China

2020 ◽  
Vol 17 (21) ◽  
pp. 8090 ◽  
Author(s):  
Min Cheng ◽  
Xiao Cui
Keyword(s):  
Residential Care ◽  
Care Facility ◽  
Reference Value ◽  
Integrated Approach ◽  
The Elderly ◽  
Spatial Optimization ◽  
Immune Algorithm ◽  
Residential Care Facility ◽  
The Government

As the population is aging rapidly, the irrationality of residential care facility (RCF) configuration has impacted the efficiency and quality of the aged care services so significantly that the optimization of RCF configuration is urgently required. A multi-objective spatial optimization model for the RCF configuration is developed by considering the demands of three stakeholders, including the government, the elderly, and the investor. A modified immune algorithm (MIA) is implemented to find the optimal solutions, and the geographic information system (GIS) is used to extract information on spatial relationships and visually display optimization results. Jing’an District, part of Shanghai, China, is analyzed as a case study to demonstrate the advantages of this integrated approach. The configuration rationality of existing residential care facilities (RCFs) is analyzed, and a detailed recommendation for optimization is proposed. The results indicate that the number of existing RCFs is deficient; the locations of some RCFs are unreasonable, and there is a large gap between the service supply of existing RCFs and the demands of the elderly. To fully meet the care demands of the elderly, 6 new facilities containing 1193 beds are needed to be added. In comparison with the optimization results of other algorithms, MIA is superior in terms of the calculation accuracy and convergence rate. Based on the integration of MIA and GIS, the quantity, locations, and scale of RCFs can be optimized simultaneously, effectively, and comprehensively. The optimization scheme has improved the equity and efficiency of RCF configuration, increased the profits of investors, and reduced the travel costs of the elderly. The proposed method and optimization results have reference value for policy-making and planning of RCFs as well as other public service facilities.

Active and wealthy Brazilian older adults: identity and consumption motivations

2019 ◽  
Vol 36 (5) ◽  
pp. 633-642 ◽  
Author(s):  
Andre Fregolente ◽  
Irene Junqueira ◽  
Priscilla Yung Medeiros
Keyword(s):  
Older Adults ◽  
Identity Construction ◽  
Social Contact ◽  
Integrated Approach ◽  
The Elderly ◽  
Marketing Strategies ◽  
Structured Interviews ◽  
Content Type ◽  
Building Relationships ◽  
Older Consumers

Purpose This paper aims to explore the relationship between identity construction and consumption motivation of the socially active and wealthy Brazilian older adults, applying a new approach that focuses on important circumstances and life events retrieved through storytelling. Design/methodology/approach Using in-depth semi-structured interviews with socially active and wealthy older Brazilian consumers, this study adopts “Noting, Collecting and Thinking about Things” (NCT) and two-cycle coding methods to explore the qualitative data. Findings The results indicate the need to explore identity construction and consumption motivation in an integrated matter. Life circumstances and events help explain older consumers’ identities and its impact on main consumption motivations, which include self-expression, a need for social contact and relationships, attachment, detachment, nostalgia, knowledge appreciation and technology affinity, among others. An integrated approach allows for the identification of new consumption motivations. Practical implications The main consumption motivations identified in this study help delineate some new marketing strategies targeted to older consumers, such as taking into account the importance of building relationships with older customers, adopting family references to promote products and services, taking into account the value older customers place on technology usage and being connected with current matters and treating the elderly as a heterogeneous group, among others. Originality/value This paper focuses on an attractive and yet unexplored segment of older consumers in the literature, contextualizing their identity and consumption motivations in an integrated fashion, rather than studying these concepts in isolation. New marketing strategies targeted to the older consumers are identified.

scholarly journals The interface between old age psychiatry and the law

2002 ◽  
Vol 8 (4) ◽  
pp. 271-278 ◽  
Author(s):  
Brian Murray ◽  
Robin Jacoby
Keyword(s):  
Old Age ◽  
Psychiatric Care ◽  
Common Law ◽  
Civil Law ◽  
The Elderly ◽  
Legal Aspects ◽  
Northern Irish ◽  
Care For The Elderly ◽  
Old Age Psychiatry ◽  
The Uk

This article aims to provide a practical overview concentrating on civil legal aspects of psychiatric care for the elderly. We limit ourselves to English law (which also has jurisdiction in Wales; Scottish and Northern Irish law may be similar, but not identical). Civil law can, in turn, be divided into statute law (legislation provided by Parliament) and common law (the UK, unlike some European countries, has a strong tradition of law based on previous rulings by judges).

scholarly journals The problem of aging of the population as one of the most important challenges for social policy and public health.

2019 ◽  
Vol 13 (1) ◽  
pp. 8-13
Author(s):  
Andrei Shpakou ◽  
Aliaksandr Shpakau ◽  
Aleh Kuzniatsou
Keyword(s):  
Public Health ◽  
Social Policy ◽  
Population Aging ◽  
Family Doctor ◽  
Integrated Approach ◽  
The Elderly ◽  
Emergency Rooms ◽  
Care For The Elderly ◽  
Background Population ◽  
High Level

Background: Population aging is one of the most important social policy and public health challenges for the state. Increased proportions of older people is accompanied with increased negative attitudes manifested toward them, as represented by ageism, the discrimination against the elderly, contributing to their exclusion from public life. Aim of the study: To study the prevalence and characteristics of ageism manifestations in healthcare institutions in the city of Grodno (Belarus) and to consider measures to minimize it. Material and methods: 250 random urban respondents from Grodno age 60 or more not undergoing treated in healthcare institutions were anonymously questioned. Data analysis was performed using different statistical methods. Results: The majority of respondents rated geriatric, social and medical care in the country as functioning at a high level. The share of elderly people who felt age discrimination was 70 (28.0%) and was independent from the gender and age of the respondents. Clinical departments were mentioned by 24 (34.3%) of respondents as places where manifestations of ageism were seen, particularly in emergency rooms – 14 (20.0%) and family doctor offices– 17 (24.3%). In 35 (50%) of cases, the family doctor explained the symptoms of the disease by the onset of old age, which can be regarded as a manifestation of ageism. Conclusions: Training in the field of geriatrics is very important for medical professionals. Failure to take measures to ensure a holistic (integrated) approach in the treatment and care of elderly must be considered discriminatory. Particular measures should be taken to develop all types of care for the elderly, increasing the level of patient satisfaction with medical services and reducing the frequency of gerontological ageism manifestations.

scholarly journals Sweden

2006 ◽  
Vol 3 (1) ◽  
pp. 9-12 ◽  
Author(s):  
Helena Silfverhielm ◽  
Claes Göran Stefansson
Keyword(s):  
Western Europe ◽  
Psychiatric Care ◽  
The Elderly ◽  
Living Standards ◽  
Chronic Mental Illness ◽  
High Productivity ◽  
The Public ◽  
Parliamentary Government ◽  
Good Living

With an area of 450 000 km2, Sweden is one of the largest countries in Western Europe. It is 1500 km from north to south. It has nearly 9 million inhabitants (20 per km2). It is a constitutional, hereditary monarchy with a parliamentary government. Sweden is highly dependent on international trade to maintain its high productivity and good living standards. Many public services are provided by Sweden's 289 municipalities and 21 county councils. Municipal responsibilities include schools, child care and care of the elderly, as well as social support for people with a chronic mental illness. The county councils are mainly responsible for healthcare, including psychiatric care, and public transport at the regional level. Sweden is characterised by an even distribution of incomes and wealth. This is partly a result of the comparatively large role of the public sector.

An Integrated Approach (Social and Health) in the Elderly With Diabetes

2022 ◽  
pp. 134-142
Author(s):  
Ana Quintela ◽  
Ana Veiga
Keyword(s):  
Health Literacy ◽  
Interpersonal Communication ◽  
Health Sector ◽  
Integrated Approach ◽  
The Elderly ◽  
Focus Of Attention ◽  
Human Relations ◽  
Holistic View ◽  
The Social ◽  
Inclusive Logic

The research in question arises from the need to elaborate a work of reflection capable of contributing to one of the intervention responses with the focus of attention, integrated care in various areas of society (social and health), sensitivity to the older people, between health and the social sector, based on assertive interpersonal communication, clear and positive, which function in a holistic view of the older person, as a game of balance. This chapter aims to offer and promote some clues about the importance of the social sector's communion with the health sector in an integrated and inclusive logic for citizens. The model, Assertividade Clareza e Positivity, being an increase in health literacy, was the motto for the methodology of the chapter, in a perspective of communication facilitating the field of human relations. The results point to a better understanding and analysis of a strategy, focused on the integrated approach in the elderly with diabetes.

Intentional poisoning among elderly people—residents of a large urban agglomeration in Poland

2016 ◽  
Vol 35 (12) ◽  
pp. 1328-1336 ◽  
Author(s):  
Anna Piekarska-Wijatkowska ◽  
Katarzyna Kobza-Sindlewska ◽  
Anna Rogaczewska ◽  
Radosław Zajdel ◽  
Anna Krakowiak
Keyword(s):  
Elderly People ◽  
Medical Records ◽  
Psychiatric Care ◽  
The Elderly ◽  
Toxic Agent ◽  
Common Cause ◽  
Family Doctors ◽  
Care For The Elderly ◽  
Significant Health

Poisoning is considered a significant health problem among elderly people in Poland. This report refers to patients treated for poisonings at the Toxicology Unit, Lodz, Poland, during the period 2008–2012. The data to be analyzed were obtained from medical records of elderly people. A group of 1167 patients aged 60+ was selected. The number of intentional poisonings in the group of patients was 417, which accounted for 35.7% of all poisonings among the elderly people. Patients attempting intentional poisonings included 301 (72.2%) women and 116 (27.8%) men. The most common cause of intentional poisonings were drugs—96.6% ( n = 403). Benzodiazepines (46.9%) dominated among the intentional poisoning by drugs. During the analyzed 5 years, 80.3% ( n = 335) were suicidal poisonings and 19.7% ( n = 82) were demonstrative poisonings. Cardiovascular disease, which was diagnosed among 53.5% of the patients, was the most common physical illness. In conclusion, drugs are the most frequent type of the toxic agent responsible for poisoning cases among the elderly people. In this situation, the role of family doctors is very important: they should prescribe medicines in amounts not greater than absolutely necessary and maybe more often recommend psychiatric care for the elderly patients.

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