{"title":"[The effect of exercise programs in the elderly].","authors":"M A Wulp, P A Huijing","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>THe literature concerning the effects of different programs of physical education for the elderly on a number of medical-biological variables as well as social scientific variables is discussed. These variables are body weight and composition, mobility and motility of joints, muscle force, aerobic power, heart rate, blood pressure and ventilation on the one hand and body image (self concept of the body) and anxiety, cognitive and perceptive processes, motivation, personality variables, specific motor skills and general feeling of well being on the other hand. In addition to the discussion of some principles of training the recommendation is made that evaluative research on programs of physical education is started, in which the relationship between these variables and their effect on the ability of the elderly person to function independently are made subject of study as well.</p>","PeriodicalId":79220,"journal":{"name":"Gerontologie","volume":"12 4","pages":"202-11"},"PeriodicalIF":0.0,"publicationDate":"1981-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18321383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Point of discussion: Task and function of nursing homes. A starting point for innovation].","authors":"J Beerthuizen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>For several years there has been a discussion on the function of nursing homes, often in the form of a lot of criticism. Nursing homes in the Netherlands were developed more by the circumstances than by planned policy. In this discussion paper the NZR gives a description of how the nursing homes have to innovate their care in the future. It made a good choice in the point of reference: the man or woman who consumes the care that nursing homes produce. The paper presents many modern ideas about the quality of care, the way to organize it and the physical environment it needs. Unfortunately the paper is not consistent in the elaboration of the concept. It does not make a real choice for the future, because it tries to mix contradictory views as a geriatric hospital as well as a home for people who need continuous (nursing) care. That kind of ambivalence does not contribute to a good circuit of care-organizations in the future.</p>","PeriodicalId":79220,"journal":{"name":"Gerontologie","volume":"12 4","pages":"233-5"},"PeriodicalIF":0.0,"publicationDate":"1981-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18321388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Interpretation of changes in BOP (Evaluation Scale for Elderly Patients) in longitudinal studies of individual patients].","authors":"H F Diesfeldt","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study describes test-retest data for the BOP, a Dutch Geriatric Rating Scale which has been modeled upon the Stockton Geriatric Rating Scale. This so called BOP (Beoordelingsschaal voor Oudere Patiënten) contains 35 items pertaining to six aspects of the patient's daily behaviour on the ward: helplessness, aggressiveness, physical disability, depressive behaviour, mental disability and inactivity. These six aspects (subscales) were derived from factor analysis. Normative data, inter-rater reliability and validity have been determined for Dutch samples of elderly patients in nursing homes and psychiatric hospitals. Since 1971 the BOP is used extensively in Holland and Belgium. In this study test-retest correlation coefficients could be computed for 556 patients from four different psychogeriatric nursing homes. The correlations between test and retest over an interval of three months were for the six subscales resp.: .91, .68, .88, .59, .81 and .83. By determination of the standard error of measurement, statistical norms could be developed to estimate the significance of individual change, for example in experimental studies of single cases.</p>","PeriodicalId":79220,"journal":{"name":"Gerontologie","volume":"12 4","pages":"212-7"},"PeriodicalIF":0.0,"publicationDate":"1981-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18321384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Geriatrics and nursing home medicine].","authors":"J J Michels","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The responsibility and the duties of a geriatrician are completely different from the duties of a medical doctor in a 'nursing-home'. This term 'nursing-home' does not exactly coincide with the term 'verpleeghuis'. Primarily the geriatrician is in charge of diagnostics and therapy and works together with various consulting medical specialists and in the setting of a general hospital. Geriatrics have grown out of internal medicine, and the 'verpleeghuisgeneeskunde' finds its roots in general practice. The medical doctor of a 'nursing-home' exercises general medical practice, in particular symptomatic treatment and functional medical care with the assistance of and in co-operation with nurses and the para-medical departments. Both geriatrics and 'verpleeghuisgeneeskunde' should get their own education and acknowledgement.</p>","PeriodicalId":79220,"journal":{"name":"Gerontologie","volume":"12 4","pages":"229-32"},"PeriodicalIF":0.0,"publicationDate":"1981-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18321387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J T Schreuder, C van Proosdij, E H van Kammen-Wijnmalen
{"title":"[The specialism geriatrics and education for geriatrist].","authors":"J T Schreuder, C van Proosdij, E H van Kammen-Wijnmalen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The future education for a geriatrician in the Netherlands will have to take into account both the scientific-gerontological character (physically, mentally and socially) and the clinical character of clinical geriatrics. The education will have to take place in the geriatric department of an academic hospital. It should include geriatrics, internal medicine, neurology, and long term care of chronically ill elderly. It will be necessary to find a professor who is an expert both clinically and scientifically abroad, e.g. in Great Britain. The author argues for relatively extensive 'medium stay' departments for geriatrics in hospitals in order to provide enough possibilities for training geriatricians and a better connection between hospitals, nursing homes and homes for the aged.</p>","PeriodicalId":79220,"journal":{"name":"Gerontologie","volume":"12 4","pages":"224-9"},"PeriodicalIF":0.0,"publicationDate":"1981-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18321386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Democratization of homes for the aged].","authors":"L Turksma","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Dutch Central Advisory Committee on Homes for the Aged has now published a commentary on government propositions regarding democratization in these homes. The Committee, while in general agreeing with those propositions, regrets the delay since 1976, and pleads for a more gradual perspective for the influence of the inmates. The independence of inmates' boards should be better implemented. The progress of democratization should be closely followed by evaluative research and experimented with. The present writer indicates a lack of socio-psychological approaches in the commentary.</p>","PeriodicalId":79220,"journal":{"name":"Gerontologie","volume":"12 4","pages":"237-40"},"PeriodicalIF":0.0,"publicationDate":"1981-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18321390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Characteristics of evaluating nursing home residents in the Netherlands; a rating instrument].","authors":"P H van Drunen, A P van Montfort","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article describes the way in which an instrument has been developed to measure the need for help of patients in the nursing homes of the Netherlands. The instrument is an important variable in the so-called Basic Research into the cost structure of the Dutch nursing homes (in Dutch BKV). The need for help is expressed as an index ('help-index') per patient. The index is based on the strong hierarchical relations between a number of patient-variables: washing, clothing, feeding, toileting, transferring (in and out of bed, walking, standing, wheelchair-activities), continence (urine and/or faeces) and contact function (speech). The 'help-indices' of the individual patients of a specific nursing home can be summarized in the average 'help-index' of that nursing home. The averages of the individual nursing homes differ to a great extent. The average 'help-index' per nursing home is considered to be of great importance as an independent variable with respect to staff per 100 beds and costs (total or per patient day) in the nursing homes. The latter is the subject of further research.</p>","PeriodicalId":79220,"journal":{"name":"Gerontologie","volume":"12 3","pages":"148-57"},"PeriodicalIF":0.0,"publicationDate":"1981-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18289204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[The evaluation of courses in boarding schools for the preparation of older employees for retirement. An evaluation study].","authors":"B van der Zee","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In this study we have asked the opinion of ex-students, aspirant-students and non-students and their partners, about the pre-retirement-courses as given at boarding-schools, for five successive days. At the same time we have tried to find hints for possible effects of those courses. Some findings of these study in regard to these courses are discussed: how did one hear about it, what made people decide to go or not, what did one expect from it, what did one learn, how does one think about the educational activities. A little more than half of the ex-students who have been interviewed, gave a positive evaluation of the course. By far the most, the most important learning experience they mentioned was the meeting of perfect strangers from different social settings. We did not find any indications for possible effects on the areas of life that came up for discussion during the course. Several recommendations are done with regard to the plan and content of the course. We plead for a preparation for retirement, which is adjusted to the individual. Educational activities might play a part, but this does not apply to everyone.</p>","PeriodicalId":79220,"journal":{"name":"Gerontologie","volume":"12 3","pages":"158-63"},"PeriodicalIF":0.0,"publicationDate":"1981-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18289205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[10 years of BOP Rating Scale for the Elderly].","authors":"H F Diesfeldt","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79220,"journal":{"name":"Gerontologie","volume":"12 3","pages":"139-47"},"PeriodicalIF":0.0,"publicationDate":"1981-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18289203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
W J Goedhard, J Hellemans, E H van Kammen-Wijnmalen, J M Munnichs, T A Vis
{"title":"[Advice on scientific research on the aged person].","authors":"W J Goedhard, J Hellemans, E H van Kammen-Wijnmalen, J M Munnichs, T A Vis","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A few years ago, the Ministry of Culture, Recreation and Social Welfare inaugurated a Planning group to establish a scientific program for research on ageing. This contribution gives comment on this advice just published. In general the program will only be used to a certain extent. The planning group advises to inaugurate another steering committee, that should control the research itself and its evaluation. The commentators hope that this steering committee will be enabled to apply the program in a fairly independent way. Why: because the advice lacks a strong structure. It is clear that the gerontological field is such a vast area, that it is impossible to do research on all topics. Therefore, we need some more clear alternatives to choose between. The commentators stress three different alternatives: 1. the fundamental research in bio-medical as well as in behavioural sciences; 2. the major practical problems of ageing people and their support; 3. accent on development of methods and measures. The comment emphasizes also the conditions for research-education at university level and the stimulation of grants for developing new research projects. In addition, some remarks are made about the composition of the planning group. Unfortunately, in that group the medical practitioner and the psychologist were missing.</p>","PeriodicalId":79220,"journal":{"name":"Gerontologie","volume":"12 2","pages":"63-9"},"PeriodicalIF":0.0,"publicationDate":"1981-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18264647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}