Williams M E
Program on Aging, School of Medicine, University of North Carolina, Chapel Hill.
Geriatrics. 1990 Jan;45(1):47-9.
Providing effective, high-quality care in the nursing home is an important medical responsibility. Physicians must have knowledge of the nursing home environment, medical problems common in nursing home patients, and basic aspects of care required in the elderly. While the medical director of a nursing home must set and maintain the standard of care, attending physicians need to understand the clinically relevant differences between young and old people, be skilled in geriatric assessment, prescribe medications knowledgeably and with restraint, respond promptly to changes in the patient's status, and carefully document medical observations and care plans.
在养老院提供有效、高质量的护理是一项重要的医疗职责。医生必须了解养老院的环境、养老院患者常见的医疗问题以及老年人所需护理的基本方面。虽然养老院的医疗主任必须设定并维持护理标准，但主治医生需要了解年轻人和老年人在临床上的相关差异，熟练掌握老年评估，合理且谨慎地开药，对患者状况的变化迅速做出反应，并仔细记录医疗观察结果和护理计划。
