Aim To examine care characteristics related to desirable care as reported by formal and informal caregivers in Dutch Psycho-geriatric nursing homes for patients with dementia. Design Qualitative exploratory study. Methods The sample consisted of four nursing homes. In each home, semi-structured interviews were conducted with a manager, a quality advisor or head nurse, a daily care superviso...

Employment of geriatric nurse practitioners (GNPs) is one strategy to improve nursing home care. The effects of GNPs on costs and profitability of nursing homes and on costs of patient medical service use outside the nursing home are examined. Employment of GNPs does not adversely affect nursing home costs or significantly affect profits. There is some evidence of cost savings in medical servic...

BACKGROUND the usefulness of geriatric evaluation and management (GEM) approaches in the care of frail elderly patients remains uncertain. We examined whether an inpatient geriatric consultation service might be beneficial in a country with a social welfare system. METHODS we conducted a randomised trial with 345 patients from five centres. Ninety additional patients from four separate centre...

BACKGROUND Physical restraints (PR) are commonly used in geriatric long-term care. Restraint-free care should be the aim of high quality nursing care. OBJECTIVES To evaluate the effectiveness of interventions to prevent and reduce the use of physical restraints in older people who require long-term nursing care (either in community nursing care or in residential care facilities). SEARCH STR...

two continuing care wards. Aging and Mental Health, 4, 66–71. Morgan, H. G. and Stanton, R. (1997). Suicide among psychiatric in-patients in a changing clinical scene: suicidal ideation as a paramount index of short term risk. British Journal of Psychiatry, 171, 561–563. Patel, V. and Hope, R. A. (1992). A rating scale for aggressive behaviour in the elderly – the RAGE. Psychological Medicine, ...

Observations are drawn from field experience to explicate the role of the medical sociologist within geriatric clinical practice—a case presentation of a sociology "with" medicine. A sociology "with" medicine is presented as promoting the institutionalization of medical sociology as a special field within, yet independent of, medicine. The aim is to promote initiatives which generate and lest s...

OBJECTIVE The authors compared the clinical treatment given older psychiatric inpatients on a geriatric psychiatry unit and a general psychiatry unit. METHOD The charts of 50 randomly selected general psychiatry inpatients over the age of 65 years and 50 inpatients from the geriatric psychiatry unit who were matched for age, gender, and primary diagnosis were reviewed. RESULTS Significantly...

During the last several years, a school of nursing in the southeastern United States has made concerted efforts to integrate geriatric content into every undergraduate course except obstetrics. Even the pediatric nursing course has infused content about grandparents, both as care providers for children and as extended family members. Faculty expertise and passion for teaching geriatric best pra...