Barolin G S
Wien Med Wochenschr. 1987 Feb 15;137(2-3):35-8.
Geriatrics and rehabilitation show a wide overlapping. On the one hand, the approach has to be of a specialized nature, while, on the other hand, both spheres can be dealt with in an interdisciplinary context only without strict boundaries between medical and non-medical fields. Our phrase "via neuro-rehabilitation towards a social neurology" complies with the increase in the geriatric clientele and emphasizes the social necessity of long-term care for the patients inabled by geriatric disorder. Important instruments in this respect are the training of relatives and the follow-up rehabilitation service, the latter having been established in Vorarlberg as the first of its kind within the German-speaking countries. The specific geriatric aspect of medication have to be known and applied. Special reference is given to the goal-directed use of antidepressants in the amelioration of what we got to call "concomitant depression", one of the main causative factors in the so-called "rehabilitation hospitalism". Goal-Directed psychotherapy in advanced age has been systematically administered and evaluated in our institution. It can be regarded as an essential psychohygienic measure. Worth mentioning are furthermore several other psychohygienic provisions, such as rational and systematic preparation for retirement with appropriate legal measures in order to prevent an artificial restriction of reasonable activity in advanced age.
老年医学与康复学有很大的重叠性。一方面，治疗方法必须具有专业性，而另一方面，这两个领域只有在跨学科背景下才能得到处理，医学和非医学领域之间没有严格界限。我们的表述“通过神经康复走向社会神经学”符合老年患者数量的增加，并强调了对因老年疾病而丧失能力的患者进行长期护理的社会必要性。这方面的重要手段包括对亲属的培训和后续康复服务，后者在福拉尔贝格州是德语国家中首个建立的此类服务。必须了解并应用药物治疗中特定的老年医学方面。特别提到的是，在改善我们称之为“伴发抑郁症”（所谓“康复住院综合征”的主要致病因素之一）方面，有针对性地使用抗抑郁药。在我们机构中，已对高龄患者进行了系统的定向心理治疗并进行了评估。它可被视为一项基本的心理卫生措施。此外，还有其他一些值得一提的心理卫生措施，例如通过适当的法律措施对退休进行合理而系统的准备，以防止在高龄时人为限制合理活动。
