Hospital Discharge of the Geriatric Patient: A Team Process

Anderson, David L.

doi:10.1111/j.1532-5415.1963.tb00058.x

Cited by 3 publications

(2 citation statements)

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“…Anderson (3) developed the following rating for purposes of discharge or treatment for the geriatric patient:…”

Section: Ward Teammentioning

confidence: 99%

The Team Approach in the Rehabilitaton of Psychiatric Patients

Handy

1968

J American Geriatrics Society

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The organization and problems of a therapeutic team on a geriatric psychiatric ward are discussed. The growing recognition of mental hospitals as social systems has impressed upon the staffs the effect of the hospital itself on patients and families, quite apart from psychotherapy, drugs, occupational therapy and other specialized experiences. The mental hospital needs a profound social re-orientation. The sociotherapeutic model requires that all disciplines rally to the task and decide what social factors can really help the patients. At the medical and nursing levels, sociotherapeutic principles should be clearly formulated. This is the best way to dispense with status problems, to utilize all available resources, to provide for staff growth, and to offer the patients the best opportunity for improvement.For elderly psychiatric hospitalized patients, the rehabilitation process of adjusting to the hospital, leaving the hospital and becoming a useful member of society, presents great difficulty. A geriatric patient cannot be considered rehabilitated if he is only shifted from a hospital to a nursing home where he continues to be idle, with no interest in his environment and without any real goal. Such a patient is considered rehabilitated only if, when he leaves the hospital, the staff has fulfilled some of his emotional needs, planned a program for his personal growth and development, and helped him to strengthen his inhibited, scattered and/or undeveloped creative powers (1).Schizophrenic patients comprise almost 80 per cent of the population of some mental hospitals.' Schizophrenic patients hospitalized for long periods manifest a chronicity of symptoms that is extremely hard to reverse. These patients often are disturbed in their interpersonal relationships and are unusually seclusive or withdrawn. They also show a high degree of dependency on the hospital routine and the hospital personnel. Geriatric patients particularly lack drive, ambition and goal direction. They frequently have no hobbies or interests that can be utilized in a treatment program and show fear or even panic when release from the hospital is even considered. To motivate these patients to want to return to the community presents a difficult problem for the psychiatric team.

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“…Anderson (3) developed the following rating for purposes of discharge or treatment for the geriatric patient:…”

Section: Ward Teammentioning

confidence: 99%

The Team Approach in the Rehabilitaton of Psychiatric Patients

Handy

1968

J American Geriatrics Society

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“…Today mental hospitals have many geriatric psychiatric patients who remain in the hospital long after they have attained its maximal benefits (1–3). These patients could be happier, healthier and more productive if they could be motivated and prepared to leave the hospital (4).…”

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confidence: 99%