Levenkron S, Semo H, Fleissig Y
Division of Geriatric Medicine, Chaim Sheba Medical Center, Tel Hashomer.
Harefuah. 1994 Nov 15;127(10):372-5, 432, 431.
A geriatric facility in a general hospital is a relatively new service, not clearly defined and varying in character from hospital to hospital. A geriatric rehabilitation department was opened at this hospital in 1973 and has treated more than 1,500 patients. It was originally set up to relieve pressure on the general and surgical wards. It admitted elderly patients who required additional treatment or who could not be discharged due to inability to function independently without a suitable support framework. The department has since focused increasingly on rehabilitation of elderly patients following CVA or fracture of the hip, with increasing emphasis on physiotherapy. At the same time, a geriatric facility system of work was consolidated, whose features are a multidisciplinary team, a thorough study of the patient from many aspects, and search for medical, nursing and rehabilitation solutions best suited to the patient's particular needs. Problems encountered in those admitted have recently changed, and patient turnover is now more rapid and duration of hospitalization has shortened. The department had been transformed from a long-stay ward treating chronic illness to one giving intensive treatment following an acute crisis.
综合医院中的老年病科是一项相对较新的服务，其定义尚不明确，且各医院的性质也有所不同。该医院于1973年开设了老年康复科，已治疗了1500多名患者。它最初设立的目的是缓解综合病房和外科病房的压力。收治那些需要额外治疗或因缺乏合适的支持框架而无法独立生活从而无法出院的老年患者。此后，该科室越来越专注于中风或髋部骨折后老年患者的康复治疗，对物理治疗的重视程度也日益增加。与此同时，巩固了老年病科的工作体系，其特点是多学科团队、从多个方面对患者进行全面研究，并寻找最适合患者特殊需求的医疗、护理和康复解决方案。目前，收治患者所遇到的问题已发生变化，患者周转更快，住院时间缩短。该科室已从治疗慢性病的长期病房转变为在急性危机后提供强化治疗的科室。
