Hébert R
Can Fam Physician. 1984 Nov;30:2331-7.
The author reviews two syndromes which affect the elderly in a general hospital: “dumping” and “blocked beds”. The term “dumping” is often misused for the aged becoming increasingly dependent and who require assessment, treatment and active rehabilitation. “Blocked beds” not only result from insufficient home care resources, but also from inadequate services offered by the hospital to senior citizens. The proposed solutions are the implementation of geriatric assessment units where global and multidisciplary care are best suited to meet the specific needs of the elderly. The multidisciplanary team also works as a consultant, especially in the emergency room, to assess and take care of the aged who are at risk, and whose cases are wrongly labelled as “dumping”.
“倾卸”和“床位阻塞”。“倾卸”一词常被错误地用于指老年人变得越来越依赖他人,需要评估、治疗和积极康复的情况。“床位阻塞”不仅是由于家庭护理资源不足,还因为医院为老年人提供的服务不足。建议的解决方案是设立老年评估单元,在那里全面的多学科护理最适合满足老年人的特殊需求。多学科团队还作为顾问开展工作,尤其是在急诊室,以评估和照顾那些处于风险中且病例被错误地贴上“倾卸”标签的老年人。