In view of the differentiality and multidimensionality of ageing, particularly with regard to geriatric rehabilitation, a take a look at psycho-social and in addition the environmental context is indispensable. Above all there are psychological and social parts that disguise the bodily penalties of acute incidents and that result in a discount within the high quality of life.
Yet it’s a widespread opinion that enlargement and the extent of well being care, in geriatry and in rehabilitation, are these days oriented towards what’s seen to be medically obligatory and economically possible. Increasing mechanization, rationalization, standardization, and economizing are unambiguous indicators.
All the opposite psychological and social wants are issues rating a lot decrease within the well being provision coverage in addition to in geriatric rehabilitation, and are nonetheless far behind the medical and financial necessities set by skilled therapists, the well being provision coverage and the query of who pays for the advantages.
However, in consideration of the out there information of gerontology, rehabilitation in addition to well being and nursing sciences and–above all–for humanitarian causes a psycho-social foundation for geriatric rehabilitation appears to be indispensable.
Biological gerontology and geriatry. Some issues
After having described the scenario of the aged generally and extra particularly on the Geriatric Hospital which is a a part of the Geriatric establishments of Geneva, the authors remind of the idea concerning the built-in drugs of Prof. J. -P. Junod, their head doctor:
“The contribution of psychiatry to the whole area of geriatry assumes a necessary and irreplaceable character. This main contribution goals to transform it into a actually built-in department of drugs.
“Integrated drugs consists in a therapeutic remedy utilized by a multidisciplinary employees and aimed on the affected person generally. Geriatry requires a international method of the case taking in consideration the nice many medical, psychological, household or social components which allow to determine a prognosis in addition to a therapeutic programme.
This built-in drugs can also be utilized in cooperation with and for the good thing about the attending employees, who finds private {and professional} reward inside the mixture of following three components: training, remedy and analysis, which in flip establishment, the geriatry in addition to for the gerontology generally.
OBJECTIVETo assess the efficacy of utilizing a bandage contact lens (BCL) for three months for recurrent corneal erosions (RCE) to facilitate epithelial
adhesion.METHODSRetrospective research of sufferers offered to the Casey Eye Institute (Portland, OR) with RCE after failing at the least 6 weeks of medical lubrication remedy. Subjects have been handled with an extended-wear BCL for three months after which adopted for about 1 yr. The important final result measure was recurrence of RCE. Best-corrected visible acuity was measured earlier than and after BCL remedy.
RESULTSFrom the 12 sufferers studied, 9 (75%) had no recurrence of RCE after roughly 1 yr of follow-up. Three topics had subjective complaints of recurrent erosion in the course of the follow-up interval with 1 of those three topics having goal findings of a recurrent erosion.CONCLUSIONSThree-month BCL remedy is a protected and efficient medical remedy with a comparatively low recurrence fee of RCE.