In just over 20 years, all 78 million baby boomers will have reached their "coming of age." When this demographic milestone occurs, one in every five Americans will be at least 65 years old; millions will have comorbid and chronic conditions requiring better prepared health care providers and markedly improved services than are presently…

Reviews the present status of geriatrics in academic medicine and suggests that an understanding of academic medicine is needed in order to secure the institutionalization of geriatric medicine. Offers some predictions on the future of geriatric medicine. (JAC)

Discusses the Compression of Morbidity hypothesis, which maintains that the age of onset of significant disability may be moved upward by postponement of chronic illness. Objections to the thesis are examined, a series of qualitative and quantitative confusions are discussed, and predictions for the future offered. (Author/JAC)

The problem-oriented biomedical framework shaping health care should be replaced with a more optimistic, collaborative, humane, goal-oriented approach for geriatrics and gerontology. This perspective uses a functional, open-ended definition of health and views illness and death as essential features of life. (SK)

To successfully practice geriatrics, one must keep up-to-date with rapidly evolving knowledge, recognize heterogeneity among older people, seek answers through longitudinal studies, and accept no symptoms nor loss of function as being simply old age. Functional loss must be the focus and thus rehabilitation is essential to good geriatric care.…

Obtaining a valid informed consent from an elderly person, especially with possible senile dementia of the Alzheimer's type, first may involve solving the practical problems of effective communication. Impediments to effective communication with these individuals is discussed and suggestions for how to obviate them are given. (Author/BL)

This discussion of geriatric rehabilitation stresses the importance of holistic and permanent rehabilitation with a fluent transition from the acute phase to the rehabilitation phase under one specialist's care and in one institution. Recommendations include mixed age groups in one ward; systematic education of relatives; follow-up rehabilitation…

Efforts to prepare faculty to teach students to work with culturally diverse populations of older adults included conferences on course content and instructional methods and minifellowships in ethnogeriatrics. Most faculty reported changing course content to include knowledge gained from the training. (SK)

Interdisciplinary teams are loosely coupled (systems in which elements are weakly, infrequently, or informally linked). Applying loosely coupled systems theory to team training increases its effectiveness, because learning activities may be disjointed and learning goals may diverge. (SK)

Emphasizes need for feminization of geriatric mental health and calls attention to issues for older women. Warns that few mental health professionals are knowledgeable about gender differences in development or about late life development/aging. Notes that therapists who rely on personal experience with older persons, both positive and negative,…

This theme issue discusses maximizing the benefits and minimizing the risks of drug therapy for older people. It includes articles on psychoactive drugs, drug-related problems, medication compliance, geriatric psychopharmacotherapy, consumer guidelines, and outpatient prescriptions drug coverage as it relates to health care reform. (JOW)

Describes Rosemary Rizzo Parse's Man-Living-Health theory that was used to describe how gerontological nursing knowledge could be developed through a nursing conceptual model that includes a defined practice and research methodology. (Author/JOW)

Social and academic values emphasizing individualism, competition, and unidisciplinary thinking affect the development of interdisciplinary programs. Interdisciplinary health care teams must be concerned with interprofessional and professional-client relationships and shared team values, which should be addressed in gerontological and geriatric…

Compares training of self-directed work teams in business with the potential of interdisciplinary teams in geriatrics. Possible pitfalls in conforming to the health care culture, obtaining management commitment, and dealing with the diversity and independence of health care professionals reflect the need for deep commitment to team development.…

Many issues surrounding gerontological education need resolution: the shortage of qualified faculty members, particularly in professional schools; the role and organization of programs leading to gerontology degrees and other certification; the relationship of undergraduate and graduate programs; methods of integrating aging content into…