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Biomedical subjects

S I Finkel

Publications and source records attributed to S I Finkel.

At least 37 records · Page 2Linked to original sources
PubMed1993

A brief agitation rating scale (BARS) for nursing home elderly.

OBJECTIVE: To determine the effectiveness of a brief agitation rating scale (BARS) derived from the Cohen-Mansfield Agitation Inventory (CMAI). DESIGN: Test of reliability and validity of a new test. SETTING: The Lieberman Geriatric Health Centre, a skilled nursing facility. PARTICIPANTS: Forty members of the Lieberman Geriatric Health Centre nursing staff, 232 residents, and a sample of 40 randomly selected residents. MEASUREMENTS: Observational agitation ratings by registered nurses and certified nurses' assistants; item to total correlations for the CMAI on each of the three shifts; Pearson correlations between the 10-item BARS and the BEHAVE-AD and the BSSAD scales. RESULTS: Internal consistency reliability for the BARS was .74 (for the day shift), .82 (evening shift), and .80 (night shift), compared with .86, .91, and .87 for the full CMAI. Each of the 232 residents' scores on the BARS was correlated with a total score from the CMAI separately on each shift. Correlations were of .95, .94, and .95. Thus, across all shifts, the BARS accounted for approximately 90 percent of the variance of the total score of the CMAI. Concurrent validity of the BARS was supported by significant correlation with BEHAVE-AD and BSSD. CONCLUSIONS: The BARS represents a brief and effective mechanism to assess the presence and severity of physically aggressive, physically non-aggressive, and verbally agitated behaviors in elderly nursing home residents.

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PubMed1992

Aging and mental health: primary care of the healthy older adult. A roundtable discussion: Part I.

Dementia, depression, alcoholism, and suicide are some of the most important mental health issues for the aging population. Among the factors that affect the physician's ability to evaluate and manage these disorders are drug-induced side effects, the ability and willingness of patients to communicate their feelings, the level of caregiver cooperation, and limitations imposed by federal regulations and reimbursement policies. In this first of three installments of a panel discussion, experts in geriatrics and geropsychiatry discuss healthy aging, age-related memory and sensory loss, changes in mentation postanesthesia, sexuality in the elderly, and side effects of common psychoactive medications.

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PubMed1992

Aging and mental health: diagnosis of dementia and depression.

In this second segment of a panel discussion on aging and mental health, panelists focus on the primary care evaluation and management of the patient with dementia, including differential diagnosis of depression. Other topics of discussion include the roles of psychiatric referral and psychotherapy in patient management, suicide prevention, and alcoholism in elderly patients.

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PubMed1988

Subdiaphragmatic bronchogenic cyst with gastric communication.

Upper gastrointestinal series and computed tomography of the abdomen in an elderly women demonstrated a large multiloculated mass in the left subphrenic space that communicated with the fundus. The resected specimen showed histopathological features of bronchopulmonary foregut malformation.

Bronchogenic Cyst↗
PubMed1983

Mental health services for the elderly: current policies & future directions.

The changing demography of this country shows an ever increasing percentage of elderly Americans within the population. Changing public policies will tend to shift the health and mental health care of the elderly more toward the private sector. However, work with the elderly mentally ill has many rewards in the professional, intellectual, and personal spheres. Currently, according to 1982 data, a number of NAPPH member hospitals have services in place to face the coming challenge that will accompany the "greying of America." These, however, will be insufficient. We must use our creative resources to develop more effective approaches to the psychiatric problems of later life.

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PubMed1981

Trauma and the pyoderma gangrenosum of inflammatory bowel disease.

In five patients with inflammatory bowel disease (three with ulcerative colitis, two with Crohn's disease), pyoderma gangrenosum developed on a lower extremity at the site of trauma. In these subjects, the pyoderma was not clearly correlated with disease activity.

Adult↗
PubMed1980

Psychiatric consultation in a community agency serving the elderly.

Although elderly people have a higher incidence of mental disorders than other age groups, few programs have been developed to meet their mental health needs. The author describes the work of, and his role as consultant to, the Council for Jewish Elderly in Chicago, which provides comprehensive services and care for the elderly focused on prevention of psychiatric illness. As consultant to the program, the author made clinical evaluations of selected clients, worked with individual physicians and agencies to coordinate psychiatric services, conducted educational activities for agency staff, provided consultation to the agency administration, and participated in the evaluation of services.

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PubMed1978

Geriatric psychiatry training for the general psychiatric resident.

Although there is a real need in variety of settings for psychiatrists trained in working with older people, a large proportion of psychiatric residency programs do not offer the opportunity for clinical experience with this age group. The author stresses the need to include this subject in the curriculum of residency training programs. He describes the features of one program that offers comprehensive training in this area.

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