Tijdschrift voor gerontologie en geriatrie
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Tijdschr Gerontol Geriatr · Oct 1993
Review[The role of general or regional anesthesia in the etiology of cognitive disorders in elderly subjects. Literature review].
In the eighties and nineties, eighteen papers were published concerning the influence of general or regional anaesthesia on mental function of elderly patients. In both groups mental changes can be found in the immediate post-operative period, but not on the long term. Analysis of these studies shows a relation between postoperative mental changes and, for example, high doses of drugs, a low preoperative level of mental performance or other factors, associated with personality and environment of the patient.
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Tijdschr Gerontol Geriatr · Jun 1992
[The course of nursing home admission. A follow-up study in chronic and rehabilitation patients].
This article describes the course of the nursing home stays of 157 newly admitted patients (55 years and older) using the Behaviour Rating Scale for Elderly Patients ('Beoordelingsschaal Oudere Patiënten'). The follow-up period lasted maximally one year. Differences in the course in relation to the objective of the admission (rehabilitation versus continuous support) and possible factors which impeded or advanced the discharge of the rehabilitation patients, were investigated. ⋯ The outcome of rehabilitation appeared to be related to the extent of behavioural problems, to the level of disability, and to the medical condition on admission. The least disabled and the 'medically least complex' patients could usually be discharged with an improved level of functioning, which seemed to justify the nursing home stay. The absence of other services impeded discharge in a few cases.(ABSTRACT TRUNCATED AT 250 WORDS)