Examined use of Geriatric Consultation Team in acute care hospital among 185 older veterans. Intervention patients were more likely than controls to have recommendations concerning discharge planning and long-term care. Groups had similar discharge placements. Preadmission location, functional status, mental status, occurrence of hospital-acquired…

Evaluated hopelessness, depression, and self-esteem among depressed elderly people (N=78) and developed a Geriatric Hopelessness Scale (GHS). As predicted, elderly subjects who scored high on the GHS showed significantly higher depression and lower self-esteem scores. (JAC)

Administered two scales for the evaluation of depression to two groups of medical inpatients: adults (N=201) and geriatric subjects (N=178). Results confirmed a high presence of depressive symptoms among patients with medical problems, particularly among geriatric subjects. Factors most predictive of depressive symptoms are identified. (JAC)

Interviewed 140 elderly medical patients and found that the measured 22 percent prevalence of mental impairment was not reflected in the patients' utilization of mental health services or in their presenting complaints to their physicians. Subsequent interviews with their physicians revealed inadequate recognition, diagnosis, and treatment of…

A Finnish nursing home's team development process included brainstorming on the characteristics of good teams, profiling of team members' nursing skills, analysis of tasks, and identification of ways to improve work quality and information flow to residents. Team building required clarification of work structures, determination of the…

Survey responses from departments of recreation and leisure studies (2000, n=66; 1991, n=81; 1981, n=97) indicated that 61% currently offer gerontology credentials, a slight decline since 1990. Combined undergraduate/graduate courses have increased; separate gerontology options are rare. Despite predictions of population aging, there has been…

Responses from 159 of 837 health and mental health professionals in Alaska showed the following: (1) 54% said community services for the aging were inadequate; (2) 55% felt health professionals' knowledge of aging was insufficient; and (3) 91.8% needed further training in aging and geriatrics, especially regarding mental health and Alzheimer's…

Evaluated 24 hospital-based case management services. Found that case management could take variety of forms, ranging from postacute medical management service to planning community-based care for potential long-term care users. Future research should concentrate on documenting costs and outcomes of various models of case management in acute care…

The Ohio Valley Appalachia Regional Geriatric Education Center tested a proficiency assessment tool with 779 previous workshop participants (27 percent responded). The instrument successfully identified 10 of 27 predictors of attendance at a geriatrics workshop. (SK)

Outcomes of focus groups and telephone interviews of 403 gerontology providers identified training needs, logistics of delivery, and preferred delivery methods. Results were used to develop a framework for a multilevel curriculum to address the needs of three levels of trainees. (SK)

Three focus groups of service agency representatives, state administrators, and rural service providers in Georgia identified their needs for geriatrics training, and barriers to accessing training. Results underscored the need for coordinated continuing-education planning. (SK)

Third-year medical students (n=67) conducted structured functional assessments of elderly patients and completed diagnostic/therapeutic plans. Students averaged seven problems and four recommendations per patient. Significant increases in their knowledge of and comfort with comprehensive geriatric assessment were found. (Contains 25 references.)…

Describes a brief nine-item interview, designed for use by practitioners. Based upon results from field-testing with 65 ambulatory geriatric patients, the instrument can be used as an aid to assess health and treatment perceptions in clinical settings. Responses to specific items may also suggest broader areas for follow-up discussion. (JAC)

Surveyed discharge planners at 49 acute care hospitals to ascertain problems they perceived in placing elderly patients. Selected hospital characteristics and placement practices and the ways in which they are associated with hospital back-up (sometimes called administratively necessary days) and delays in placement were analyzed. (Author/JAC)

A survey of the 60 American dental schools was conducted to determine the extent of existing and planned programs in geriatric dentistry. All respondents indicated that they either conduct a gerontology program or plan to conduct one in the future; various educational approaches were reported. (MLW)