A good experiential training program in geriatrics provides students with the opportunity to apply their knowledge in the basic pharmaceutical disciplines; develop management and communication skills; formulate corrective and preventive strategies; and learn rational, safe, and effective drug use among the elderly. (MLW)

Indirect self-destructive behavior (ISDB) is associated with direct suicide potential, dissatisfaction with the treatment program and with life in general, confused reasoning and judgment, poor prognosis for discharge, the absence of religious commitment, and significant losses in the patient's life. ISDB is an alternative form of suicide. (Author)

Workshops in caring were designed to expose attitudes, biases, and concerns of a nursing home staff toward aging, illness, and death. Touches on techniques and materials for encouraging participants to focus on and share feelings. What inhibits or facilitates a caring relationship was the prime focus of both sessions. (Author)

Professionals and paraprofessionals working in long term care facilities for institutionalized older people come from various educational backgrounds. To investigate the learning needs of long term care employees in gerontology, and to determine the validity of the Foundations for Gerontological Education Project as it relates to long term care…

This paper describes a new model for teaching nursing homes, which places a strong emphasis on teamwork by combining the resources of a comprehensive retirement community and three universities to train faculty, students, and staff, and to generate research basic to geriatric care. The four organizations involved in the project (Southwestern Ohio…

Debates the effect of relocation on elderly patients in a critique of an earlier study and a rebuttal by the original author. Questions whether patient mortality is related to the stress of moving or a simple function of age, health status, or choice. Additional evidence on relocation effects is needed. (JAC)

To develop alternatives to institutionalization, more emphasis needs to be placed on supports permitting care within the family unit. Presents an example of one family that deinstitutionalized an older confused family member. (Author)

An 11-year study was undertaken of 1,135 discharged geriatric patients from rehabilitation service in a skilled nursing home. Of the patients aged 62-99, 693 were discharged to independent living. The high rate of return to independent living was made possible through a health team approach including intensive therapy treatment and social work…

A combined program of Reality Orientation, Activities of Daily Living, and Recreational Activities, together with environmental stimulation, was applied on an individualized basis to 21 elderly patients suffering from both psychological disorders and long-term physical illness. The motivation to participate in the available activities increased…

This booklet presents a complete transcript of the hearings on medicine and aging of the Senate Committee on Aging. Testimony from a number of experts in gerontology is presented. A wide range of topics is dealt with, including social attitudes toward aging, current medical training and practices, and the need for research about the aging process.…

Describes the National Institute on Aging Teaching Nursing Home (TNH) Program, devised to bring to long-term care research and training activities similar to those in teaching hospitals and thus develop an interface between research and practice. Conflicting goals, orientations, organizations, value systems, and practices are discussed. (JAC)

Examines the relationship between ownership type and care offered in 424 old age institutions (OAIs). Analysis revealed that the nonprofit sector allocates more money for direct patient care and as higher staff-patient ratios than proprietary institutions. The results are discussed in relation to previous research. (JAC)

High quality care and teaching in a nursing home require organization of an active medical staff that enhances and does not distract from a physician's commitment to his practice in the office and hospital. The medical residency program at the Jewish Home for the Elderly of Fairfield, Connecticut, is described. (MLW)

Addressed a need for enlargement of music when retirement home residents were deprived of a self-fulfillment opportunity from choir activities due to failing eyesight. A photographic process yielded the needed feasible large reproductions. Innovative application of this technique affords wide-ranging potential for positive benefit beyond music…