Multiple pathology, a common phenomenon among elderly, fosters the practice of multiple drug therapy, which is particularly hazardous for this age grouping. The total drug exposure of two typical elderly persons, one institutionalized and one living at home, were analyzed. Potentially harmful drug interactions were discerned in both cases. (Author)

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)

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)

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…

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 presentation is made of the techniques used in four community-based support groups for elderly persons experiencing moderate stress as a result of the aging process. Results indicated that the majority of clients experienced decreased anxiety, became more effective in problem solving, and began to make use of community resources. (Author)

The Physician Assistant (PA) is a new health-care professional who is trained to function as a "physician extender." The author's experience with 71 PA students and graduate PA's at the Jewish Institute for Geriatric Care is described. (Author)

Evaluated medical services for elderly members in Social Health Maintenance Organization (SHMO) demonstrations. SHMOs generally failed to offer special geriatric medical services to frail elderly, and coordination of SHMO medical services with special long-term care and case management services offered by SHMOs was limited. (Author/NB)

Purpose: We describe the development of a 24-hr curriculum for nonclinical direct care workers in elder care that features active-learning strategies and consumer-directed approaches. Design and Methods: Our curricular design was based on adult education theory and a survey of 70% of the community's service providers. Training was completed by 88…

Purpose: This study aims to develop ah in-depth understanding of the issues important to primary care physicians in providing care to cognitively impaired elders. Design and Methods: In-depth interviews were conducted with 20 primary care physicians. Text coded as "cognitive impairment" was retrieved and analyzed by use of grounded theory analysis…

The Sheltered Care Environment Scale (SCES) measures the social environment of sheltered care settings, as perceived by residents and staff. This instrument was developed and tested in a sample of 40 facilities representing the breadth and variety of currently existing congregate housing for the elderly. (Author)

Multidisciplinary team identified hysterical behavior, rather than depression, as one form of pseudodementia in many cases of cognitive impairment observed in geriatric patients. Seven cases required thorough medical and neuropsychological assessment and careful functional analysis of patients' behavior patterns to determine the adaptive utility…

Projects utilization history of a synthetic cohort of nursing home admissions in 1976 by normalizing length of stay (LOS) specific discharge rates derived from life tables to an estimated 1.1 million persons. Results focus on the LOS distribution, discharge status, and total days of nursing home care used. (Author/JAC)

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)

Describes LINC (Living Independently through Neighborhood Cooperation), which formed intergenerational helping networks in which the elderly served as donors as well as service recipients. The project's evaluation indicated that frail older persons received services, acted as volunteers, developed friendships, and increased life satisfaction. (JAC)