The Comprehensive Periodic Assessment Form is an innovative way to document a patient's rehabilitation progress. This nonnarrative, semi-graphical form digests onto one page many sheets of progress notes. Mobility, Activities of Daily Living (ADL), mental, and medical status over time can be ascertained at a glance. Useful for the aged patient…

Describes demonstration by an interdisciplinary geriatric evaluation team that a newly described syndrome of hysterical pseudodementia in elderly patients often originates in developmental phenomena rather than in basic personality disturbances. Discusses team members' observations of clinical behavior which frequently differed from results of…

Discusses literature on the physician-elderly patient-companion triad and proposes conceptual framework and methodological approach for understanding the companion's presence during the geriatric visit. Suggests agenda for both clinical and social science research. (Author)

Presents model for interdisciplinary discharge planning team, with emphasis on functional status and improved coordination and continuity among providers. Describes design and implementation of such a program at university hospital. Explains how model resulted in more patients being discussed and served, with more emphasis on the functional…

Examines geriatric health teams, discussing four dimensions of models for professional functioning (logic of assessment, focus of efforts, locus of responsibility, and pace of action) and three dimensions of models for team functioning (focus of attention, decision-making style, and beliefs about interprofessional dependence). (Author/NB)

Discusses the trend toward affiliation of nursing homes with educational programs as clinical teaching institutions for medical, nursing, and allied health students. Reviews potential ethical and legal issues for the nursing home administrator, professional staff member, educator, and student, including informed consent, supervisory…

Suggests an innovative group structure and process for integrating health care providers and elderly consumers in community health care planning, implementation, and evaluation. The Elderly Health Advocacy Group is described and its developmental processes outlined. Further demonstration for long-range impact is suggested. (Author)

Notes that practice of geriatrics frequently involves interdisciplinary team and that behavior of team members exists on functional continuum, from adaptive to maladaptive. Sees danger of team members with maladaptive behavior, and persons colluding with this behavior, negatively influencing care. Categorizes common maladaptive behavior patterns…

Presents a model of outpatient interdisciplinary geriatric care provided at a veteran's hospital. Compares characteristics of patients served in this program with those in community-based geriatrics outpatient clinics described in the literature. (Author/ABB)

Notes that despite the frequent claims of the superiority of interdisciplinary teams over more usual care patterns, systematic studies of the effectiveness of geriatric interdisciplinary teams are rare. Illustrates the difficult conceptual and methodological problems encountered by investigators. Suggests future research directions. (Author/ABL)

Triage is unique because it includes several functions under a single health care delivery model. Clients' morale improved with their sense of control. Family support systems were enhanced. Costs were reasonable as was the reimbursement system. (JAC)

Field-tested public/private collaborative model geropsychiatric nursing home. Found planning and implementation to be difficult due to interdepartmental strain within public sector and changes in ownership and administrative policy within private sector. Considers ways to reduce barriers. (Author/NB)

Suggests geriatric foster care is among the least restrictive alternatives to institutional placement. Outlines the basic prototype principles, including broadly defined client population, maximum accessibility in referral sources, flexible use of existing local services, and uniform statewide quality guidelines. Discusses indicators of success…

Ohio's initiative in geriatric education shows that the federal government need not be the initiator in charting new directions. Diversity of medical education and practice can be an asset. The Ohio model provides a replicable means of transition and holds great promise for other states. (Author)