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Biomedical subjects

T Arie

Publications and source records attributed to T Arie.

At least 55 records · Page 3Linked to original sources
PubMed1983

Teaching health care of the elderly in the medical course in Nottingham.

The Department of Health Care of the Elderly in the University of Nottingham consists of psychiatrists and physicians specializing in geriatrics and working side by side, both in practice and in teaching. The purpose of this approach is described as is the way in which it affects undergraduate teaching. Teaching is mainly concentrated within one month full time in the middle clinical year and this combines an apprenticeship with a planned programme of teaching and a supervised project. There is also an 'à la carte' component which allows students to select for themselves topics which have not been covered and approach staff members individually to fill the gaps.

Education, Medical, Undergraduate↗
PubMed1982

Falling rate of provision of residential care for the elderly.

The rapid increase in the number of very aged people has not been accompanied by appropriate expansion of local authority residential facilities. The rate of provision in 1976 was already acknowledged to be inadequate, but data are now presented to show that since then there has been an effective fall in the rate of provision of some 9000 places equivalent to, say, 180 old people's homes of 50 places each. The prospects for the future are even gloomier: public spending cuts and local authority priorities suggest a continuing fall in the rate of provision that can be expected to have a profound effect on the National Health Service, on the burden on families, and on the condition in which old people are obliged to remain "in the community" (where support services have likewise failed to keep pace with demographic change).

Age Factors↗
PubMed1981

Psychogeriatrics: a national survey of a new branch of psychiatry.

A national survey of "psychogeriatricians" showed that of a "core group" of 106, 39 were working full-time with the elderly, 52 more than half-time, and a further 15 were running clearly defined psychogeriatric services. Adding late responders, non-responders about whom firm information was available, and people taking up new posts, it is estimated that at the end of 1980 at least 120 consultant psychiatrists were providing special psychiatric services for the elderly. The "core" psychiatrists were working in 87 "major services," 64 singlehanded and 23 joint. More than half the respondents had started this work only in the past five years. This is thus a very new major development in the NHS and in British psychiatry. Proper training, planning, allocation of resources, and monitoring of performance, all of which are still deficient, might be facilitated by formal definition of a new sub-speciality in psychiatry; at the very least, local and national data should be routinely collected in a way that ensures adequate monitoring.

Aged↗
PubMed1981

The future for the elderly.

This tentative look into the future for the elderly covers such aspects as population statistics, the unique role of Medicine in contributing to the quality of life, the problems engendered by dementia patients and the "staff factor" involved in their care. The development of personality in the aged is stressed. Being attractive to others in the time of disability and old age is a valuable asset. There is great need for education of the public about the elderly.

Aged↗
PubMed1978

Fall in admission rate of old people to psychiatric units.

The numbers of the elderly, and particularly the very old, have been increasing and continue to increase rapidly; but admission rates of old people to psychiatric hospitals in England and Wales suddenly started to fall in 1970. They were still generally falling in 1974 (the most recent year for which figures are available). There is no evidence that the incidence of dementia has suddenly fallen, or that expansion of extramural or other non-psychiatric services is everywhere coping with the severely demented. It is probably becoming more difficult for demented people to be admitted to psychiatric hospitals that are often still overcrowded, in view of the greater scrutiny of institutional care that has become established since the Ely Report of 1969. If this is so the cost to the demented and those who care for them of the undoubted improvements in conditions in psychiatric hospitals needs to be counted.

Aged↗
PubMed1976

Psychiatric service for the elderly: how many beds?

Reported here is a cohort study of five years' bed usage in the Goodmayes Psychiatric Unit for Old People. Patients first admitted in 1970 continued to use beds, by readmission or by continuing stay, over the next four years; subsequent cohorts of admissions made correspondingly extended use of beds. Bed-usage by men appears now to have stabilized, whilst for women it is still rising. Over the first six years the bed complement was reduced by 40%, despite an increase in referrals of over 40%; this is because the Unit's style of work prevented newly admitted patients from accumulating in beds made available by deaths. It looks as if in future not only will patients who die by replaced by new female admissions but more beds will be needed for these admissions. The present bed-usage is just within the Government's recommended guidelines, and the local issues are considered in the context of national policy.

Aged↗