Gerritsen J C, de Rijk H P
Tijdschr Gerontol Geriatr. 1987 Jun;18(3):193-202.
In addition to the general and the psychiatric hospital, the nursing home may also be an appropriate location for clinical assessment of geriatric clients. A condition, then, is that the nursing home co-operates with the general hospital and primary care provisions. Moreover, involvement of the ambulatory mental health care for the elderly is necessary to guarantee continuity between intra- and extramural care. The results of clinical assessment in 'De Ielânen', a nursing home in Sneek, confirm that assessment in the nursing home is feasible. It was possible to diagnose geriatric clients with diffuse and complicated disorders. Treatment could be based on this diagnosis. Data concerning discharge and follow-up show that clients can often remain at home after discharge from the nursing home, even when (severe) disorders were found. Therefore, it seems justified to extend clinical assessment of geriatric clients to the nursing home.
除了综合医院和精神病院外，养老院也可能是对老年患者进行临床评估的合适场所。前提条件是养老院要与综合医院及初级保健机构合作。此外，老年门诊心理健康护理的参与对于确保机构内和机构外护理之间的连续性是必要的。斯内克一家名为“De Ielânen”的养老院的临床评估结果证实，在养老院进行评估是可行的。有可能诊断出患有弥漫性和复杂性疾病的老年患者。治疗可以基于这一诊断。有关出院和随访的数据表明，即使发现（严重）疾病，患者在从养老院出院后通常仍可居家。因此，将老年患者的临床评估扩展到养老院似乎是合理的。
