Görres S
Medizinisch-geriatrische Klinik, Albertinen-Haus.
Z Gerontol. 1992 Jul-Aug;25(4):263-70.
It has now become imperative to organize a differentiated system for geriatric rehabilitation in the Federal Republic of Germany. However, the increasing predominance of diagnostic and therapeutic principles suggests that the holistic vision once associated with "geriatrics" may become of secondary importance as a result of the transfer of treatment strategies from the intensive care sector. The complexity of the everyday person-environment interfaces of chronically ill elderly persons in need of nursing services stands in contrast to the way the success of rehabilitation is still understood in terms of clinical criteria. With respect to future developments, ideas for geriatric rehabilitation and, in particular, follow-up care are being developed that are defined in terms of criteria that have to be newly developed--wide-ranging rather than narrowly conceived criteria--related to rehabilitation objectives that also have to be redefined, namely quality of life, effectiveness and a broad promotion of health. An understanding of geriatric rehabilitation practice defined in this way relating to everyday situations can be expected to yield a high degree of quality assurance in view of the assumed criteria of broadly defined success.
目前，在德意志联邦共和国组织一个差异化的老年康复体系已成为当务之急。然而，诊断和治疗原则的日益主导表明，由于治疗策略从重症监护领域的转移，曾经与“老年医学”相关的整体视野可能会退居次要地位。需要护理服务的慢性病老年人日常人与环境界面的复杂性，与目前仍根据临床标准理解康复成功的方式形成对比。关于未来的发展，正在制定老年康复尤其是后续护理的理念，这些理念是根据必须新制定的标准来界定的——范围广泛而非狭隘的标准——这些标准与同样必须重新定义的康复目标相关，即生活质量、有效性和广泛的健康促进。鉴于假定的广义成功标准，以这种方式界定的与日常情况相关的老年康复实践理解有望产生高度的质量保证。
