Barolin G S
Ludwig-Boltzmann-Institut für Neuro-Rehabilitation und -Prophylaxe, Landes-Nervenkrankenhauses Valduna.
Wien Med Wochenschr. 1993;143(9):215-9.
Within human culture the attitude towards the aged has been very different up to now, ranking from ritual slaughter to worshipping of the wise old persons. Ambivalence persists till now. We have introduced the terminus "rehabilitation of the old" to indicate a principal which is adequate in the medical sense as it is adequate to humanity. Our slogan runs: nursing alone (meaning isolated care for vegetative necessities) is inhuman in old people. Rehabilitative view points and activities must come into the care for the aged on all levels there are: from readaptation to profession, "over independence and being socially adequate" up to the resting last possibility of having fun. Rehabilitation of the old can only succeed if there is an integrative set up which means (again as a slogan): We want rehabilitation of old to invade all hospitals and all human groupements instead of bringing the old out of these groupings and separate them in senior ghettos. This must go hand in hand with specialization and scientific identification of geriatrics and rehabilitation; specially neuro-rehabilitation and rehabilitation of the old, which are in close connex. Quite a number of administrative barriers have to be removed, new possibilities must be created. There must be a complete new viewing of the matter and new goals in medical education, as well pregraduate as postgraduate. A new generation of doctors can find here a big good chance. However, it can only be successful in close collaboration with a progressive politic administration.
在人类文化中,直至如今,对老年人的态度一直大相径庭,从仪式性杀戮到对睿智老者的崇拜都有。矛盾心理一直持续到现在。我们引入了“老年康复”这一术语,以表明一种在医学意义上恰当且符合人性的理念。我们的口号是:仅靠护理(即对维持生命所需的孤立照料)对老年人来说是不人道的。康复观点和活动必须融入各个层面的老年护理中,包括从重新适应职业、“超越独立并融入社会”,直至最后的享受乐趣的休养可能性。只有建立一种综合体系,老年康复才能成功,这意味着(再次作为口号):我们希望老年康复能渗透到所有医院和所有人类群体中,而不是把老年人从这些群体中拉出来,将他们隔离在老年聚居区。这必须与老年医学和康复的专业化及科学识别携手并进,特别是神经康复和老年康复,它们紧密相连。必须消除许多行政障碍,创造新的可能性。在医学教育方面,无论是本科还是研究生阶段,都必须对这一问题有全新的认识并设定新的目标。新一代医生能在这里找到绝佳的机会。然而,只有与进步的政治管理部门密切合作,这才会取得成功。