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BACKGROUND This study examines the use of advance directives, limitations of treatment, and medical interventions during the terminal hospitalization of the old-old. Study periods before and after the implementation of the Patient Self-Determination Act of 1990 were chosen to determine if there has been a change in terminal care. METHODS Chart review was(More)
BACKGROUND Use of neuroleptic medication by the general population of acute care hospitals and in geriatric populations in long-term care has been described. This study examines the use of neuroleptics in acutely ill medical/surgical geriatric patients. METHODS Chart review was performed for geriatric patients prescribed a neuroleptic drug during a(More)
Attitudes held by geriatric patients, their families, and hospital staff are frequent obstacles to successful rehabilitation following acute illness. These attitudes interfere with patients' motivation for increasing physical independence and result in patients' becoming stranded at a more dependent level of function. Three distinct attitudes frequently(More)
  • K A Hesse
  • 1975
A review of the literature concerning patients who have received permanently implanted cardiac pacemakers indicates that a substantial number of these patients experience difficulties in adjusting to their medical condition. Common feelings among these patients are anxiety and depression. It is suggested that difficulties often arise from the patient's(More)
Geriatric patients often appear unmotivated for rehabilitation, and "poor motivation" is frequently the reason given for excluding them from rehabilitation programs. However, these patients may actually be impeded by specific obstacles to the development of motivation. Appropriate intervention may enable them to make better use of rehabilitation(More)
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