0
February 11, 1983, Vol 249, No. 6 >
ARTICLE | February 11, 1983

Good Health Care for the Aged FREE

David C. Kennie, MB, ChB, MRCP
[+] Author Affiliations

Reprint requests to Forth Valley Health Board, Stirling District, Royal Infirmary, Stirling FK8 2AU, Scotland (Dr Kennie).


JAMA. 1983;249(6):770-773. doi:10.1001/jama.1983.03330300054034
Text Size: A A A
Published online
Article
References

Despite the recent upsurge of interest in geriatrics, relatively little guidance has been given on what constitutes good health care for the aged. Ten basic principles for good health care are outlined. They include emphasis on the restoration of functional ability; the building and maintenance of a support system; a broadened approach to health assessment; the application of specific medical knowledge and skills; cautious medical intervention; true advocacy for the patient; the acceptance of the legitimacy of death; increased community orientation; the allowance of sufficient time for recovery; and continuity of care. These principles should serve as the basis for educational, research, and service programs for the aged.

(JAMA 1983;249:770-773)

REFERENCES

1 +
Shanas E:  Health status of older people: Cross national implications . Am J Public Health 1974;;64:261-264.
2 +
Shanas E, Townsend B, Wedderburn D, et al:  The psychology of health , in Newgarten BL (ed): Middle Age and Aging . Chicago, University of Chicago Press, 1968;.
3 +
The Public Health Aspects of the Aging of the Population . Copenhagen, World Health Organization, 1959;.
4 +
Kay DWK, Bergmann K, Foster EM, et al:  Mental illness and hospital usage in the elderly: A random sample followed-up . Compr Psychiatry 1970;;11:26-35.
5 +
Akhtar AJ, Broe A, Combie A, et al:  Disability and dependence in the elderly at home . Age Aging 1973;;2:102-110.
6 +
Moore JT:  Functional disability of geriatric patients in a family medicine program: Implications for patient care, education and research . J Fam Pract 1978;;7:1159-1166.
7 +
Warshaw GA, Moore JT, Friedman SW, et al:  Functional disability in the hospitalized elderly . JAMA 1982;;248:847-850.
8 +
Shands AR Jr:  The attitude of the physician towards rehabilitation . J Bone Joint Surg Am 1955;;37:371-373.
9 +
Wilkes E:  Community care . Physiotherapy 1975;;61:365.
10 +
Feldman DJ, Lee PR, Unterecker J, et al:  A comparison of functionally oriented medical care and formal rehabilitation in the management of patients with hemiplegia due to cerebrovascular disease . J Chronic Dis 1962;;15:207-310.
11 +
Home Care for Persons 55 and Over, US July 1966-June 1968 , Vital and Health Statistics series 10 No. (73) , Dept of Health, Education, and Welfare publication HSM 72-1-620. National Center for Health Statistics, 1972;.
12 +
Kand RL, Kane RA:  Care of the aged: Old problems in need of new solutions . Science 1978;;200:913-919.
13 +
Fengler AP, Goodrich N:  Wives of elderly disabled men: The hidden patients . Gerontologist 1979;;19:175-183.
14 +
Sanford JRA:  Tolerance of debility in elderly dependants by supporters at home: Its significance for hospital practice . Br Med J 1975;;3:471-473.
15 +
Zarit SH, Reever KE, Bach-Petersen J:  Relatives of the impaired elderly: Correlates of feelings of burden . Gerontologist 1980;;20:649-655.
16 +
Hurwitz N:  Predisposing factors in adverse reactions to drugs . Br Med J 1969;;1:536-539.
17 +
Shock NW:  Systems integration , in Finch CE, Hayflick L (eds): Handbook of the Biology of Aging . New York, Van Nostrand Reinhold Co, 1977;.
18 +
Hardison JE:  To be complete . N Engl J Med 1979;;300:193-194.
19 +
Seegall D:  The principle of minimal interference in the management of the elderly . J Chronic Dis 1964;;17:299-300.
20 +
Svane O: Assessment of Needs of Care for the Elderly . Copenhagen, The National Institute of Social Research, 1971;.
21 +
Amundsen DW:  The physician's obligation to prolong life: A medical duty without classical roots . Hastings Cent Rep , 1978;, pp 23-30.
22 +
Isaacs B, Gunn J, McKechan A, et al:  The concept of pre-death . Lancet 1971;;1:1115-1118.
23 +
Reichel W:  Complications in the care of 500 elderly hospitalized patients . J Am Geriatr Soc 1965;;13:973-981.
24 +
Barton R: Institutional Neuroses . Bristol, England, John Wright & Sons Ltd, 1976;.
25 +
Lieberman MA:  Institutionalization of the aged: Effects on behaviour . J Gerontol 1969;; 24:330-340.
26 +
Bell WG:  Community care for the elderly: An alternative to institutionalization . Gerontologist 1973;;1:352.
27 +
Entering a Nursing Home: Costly Implications for Medicaid and the Elderly , report PAD-80-12. US General Accounting Office, (November) 1979;.
28 +
Commission on Law, Social Action and Urban Affairs:  The last resort . Presented at the New York American Jewish Congress, New York , 1974;.

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

1 +
Shanas E:  Health status of older people: Cross national implications . Am J Public Health 1974;;64:261-264.
2 +
Shanas E, Townsend B, Wedderburn D, et al:  The psychology of health , in Newgarten BL (ed): Middle Age and Aging . Chicago, University of Chicago Press, 1968;.
3 +
The Public Health Aspects of the Aging of the Population . Copenhagen, World Health Organization, 1959;.
4 +
Kay DWK, Bergmann K, Foster EM, et al:  Mental illness and hospital usage in the elderly: A random sample followed-up . Compr Psychiatry 1970;;11:26-35.
5 +
Akhtar AJ, Broe A, Combie A, et al:  Disability and dependence in the elderly at home . Age Aging 1973;;2:102-110.
6 +
Moore JT:  Functional disability of geriatric patients in a family medicine program: Implications for patient care, education and research . J Fam Pract 1978;;7:1159-1166.
7 +
Warshaw GA, Moore JT, Friedman SW, et al:  Functional disability in the hospitalized elderly . JAMA 1982;;248:847-850.
8 +
Shands AR Jr:  The attitude of the physician towards rehabilitation . J Bone Joint Surg Am 1955;;37:371-373.
9 +
Wilkes E:  Community care . Physiotherapy 1975;;61:365.
10 +
Feldman DJ, Lee PR, Unterecker J, et al:  A comparison of functionally oriented medical care and formal rehabilitation in the management of patients with hemiplegia due to cerebrovascular disease . J Chronic Dis 1962;;15:207-310.
11 +
Home Care for Persons 55 and Over, US July 1966-June 1968 , Vital and Health Statistics series 10 No. (73) , Dept of Health, Education, and Welfare publication HSM 72-1-620. National Center for Health Statistics, 1972;.
12 +
Kand RL, Kane RA:  Care of the aged: Old problems in need of new solutions . Science 1978;;200:913-919.
13 +
Fengler AP, Goodrich N:  Wives of elderly disabled men: The hidden patients . Gerontologist 1979;;19:175-183.
14 +
Sanford JRA:  Tolerance of debility in elderly dependants by supporters at home: Its significance for hospital practice . Br Med J 1975;;3:471-473.
15 +
Zarit SH, Reever KE, Bach-Petersen J:  Relatives of the impaired elderly: Correlates of feelings of burden . Gerontologist 1980;;20:649-655.
16 +
Hurwitz N:  Predisposing factors in adverse reactions to drugs . Br Med J 1969;;1:536-539.
17 +
Shock NW:  Systems integration , in Finch CE, Hayflick L (eds): Handbook of the Biology of Aging . New York, Van Nostrand Reinhold Co, 1977;.
18 +
Hardison JE:  To be complete . N Engl J Med 1979;;300:193-194.
19 +
Seegall D:  The principle of minimal interference in the management of the elderly . J Chronic Dis 1964;;17:299-300.
20 +
Svane O: Assessment of Needs of Care for the Elderly . Copenhagen, The National Institute of Social Research, 1971;.
21 +
Amundsen DW:  The physician's obligation to prolong life: A medical duty without classical roots . Hastings Cent Rep , 1978;, pp 23-30.
22 +
Isaacs B, Gunn J, McKechan A, et al:  The concept of pre-death . Lancet 1971;;1:1115-1118.
23 +
Reichel W:  Complications in the care of 500 elderly hospitalized patients . J Am Geriatr Soc 1965;;13:973-981.
24 +
Barton R: Institutional Neuroses . Bristol, England, John Wright & Sons Ltd, 1976;.
25 +
Lieberman MA:  Institutionalization of the aged: Effects on behaviour . J Gerontol 1969;; 24:330-340.
26 +
Bell WG:  Community care for the elderly: An alternative to institutionalization . Gerontologist 1973;;1:352.
27 +
Entering a Nursing Home: Costly Implications for Medicaid and the Elderly , report PAD-80-12. US General Accounting Office, (November) 1979;.
28 +
Commission on Law, Social Action and Urban Affairs:  The last resort . Presented at the New York American Jewish Congress, New York , 1974;.

Letters

Submit a Letter
CME Course for:


You need to register in order to view this quiz.


To understand the clinical management of acute heart failure syndromes.
Accreditation Information The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
To view and print your certificate and access a summary of your CME courses go to My CME.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Compression-Only CPR: Pushing the Science Forward
Cone
AAM 2010;304:1493-1495.
All you need to read in the other general journals
BMJ 2010;341:c5893-c1494.
Submit a Response

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.

© 2012 American Medical Association. All Rights Reserved.
Powered bySilverchair Information Systems