Görres S, Meier-Baumgartner H P
Medizinisch-Geriatrische Klinik, Albertinen-Haus, Hamburg.
Z Gerontol. 1988 Nov-Dec;21(6):346-51.
Although we have extensive knowledge about rehabilitative treatment procedures in geriatrics, we lack an emphasis on geriatric rehabilitation in our institutions of public health. And we lack objective methods to illustrate the performance profile. Documentation and internal clinical evaluation that show results of patient rehabilitation programs may alleviate this deficiency. These will illustrate what may be expected from rehabilitation efforts. The example of one medical and geriatric clinic shows how documentation and research are applicable in clinical practice and how they are beneficial in daily life. The evaluation and changing of treatment methods, the training of staff, the cooperation of patients' relatives, and after-care institutions are all necessary elements. Steps should be taken for internal clinical evaluations and continual follow-ups that demonstrate the rehabilitation process in clinical and after-care situations.
尽管我们对老年病康复治疗程序有广泛的了解,但在我们的公共卫生机构中,对老年康复缺乏重视。而且我们缺乏客观的方法来说明其表现概况。记录患者康复计划结果的文档和内部临床评估可能会缓解这一不足。这些将说明康复努力可能带来的效果。一家医学和老年诊所的例子展示了文档和研究如何应用于临床实践以及它们如何在日常生活中发挥作用。治疗方法的评估与调整、工作人员的培训、患者亲属的合作以及后续护理机构都是必要的要素。应该采取措施进行内部临床评估和持续随访,以展示临床和后续护理中的康复过程。