General issues of organization of geriatric care

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The basis of organization of medical aid to the population of elderly and senile age following principles: 1) geriatric care should be part of the General system of treatment-and-prophylactic measures; 2) it must be affordable, as persons of older age groups constitute a large part among the working population; 3) medical care should be as close to the population older that can be achieved through the improvement and development of out-patient service and the organization of geriatric surgeries, Advisory and geriatric medical-social centres; 4) a General practitioner should become a major figure in the process doing geriatric patients and skillfully to define tactics of treatment; 5) the whole complex of therapeutic measures should be directed not only to treatment of the pathological process, but at maximum promotion of mobility of patients and self-service ability, "on employment reactivation"; 6) determination of specific organizational forms and volume of medical care for older people should be differentiated taking into account age peculiarities of settlement, the state of health of patients, and other factors.
The further development of care of the elderly and senile age should follow the path of increasing the improvement of health care and clear understanding of geriatric services. With this purpose first of all it is necessary to improve the skills of health workers in gerontology and geriatrics in higher and secondary medical institutions, institutes of advanced training of doctors, etc.
The leading role in maintenance of the population of elderly and senile age belongs to the therapists. They account for half of all visits to such patients (53.3%)With the age of the volume of medical care increases. Thus, if in the 60-64 year visits to General practitioners accounted for 43.5% of all visits, aged 80 years or over is 63,4%. Medical assistance at home have predominantly therapists (N. A. Vinogradov, 3. He Revutska, 1972).
Thus, the question about the improvement of medical assistance to persons of elderly and senile age is associated with improved quality of therapeutic care, and therefore qualified therapists in the field of geriatrics and gerontology. Should be provided for the organization of offices in the major hospitals for long-term treatment with complex rehabilitation therapy. These offices can be bases for training of medical staff and Advisory geriatric centers. At the same time to improve medical and social care of elderly patients, it is advisable to organize city geriatric classrooms as organizational-methodical and Advisory centres and the Advisory geriatric techniques for clinics. Of great importance is also strengthening ties and expansion of contacts in the activities of community health and social care management medical care in nursing homes.
Both the first and second stages of development, it is important widely conduct of sanitary-educational work among the population on the issues of the struggle for an active longevity, about the role of the family and society. Implementation of all doctors principles of geriatric deontology is very important, as there are specific features in the relationship between health professionals and geriatric patients between health professionals and the relatives of such patients.
The second stage of development geriatric care provides for the organization of the system of medical institutions and measures on maintenance of older people.
Help geriatric patients and different kinds of social services, from the point of view geologicheskih and psycho-hygienic views, must be organized to extend to persons of elderly and senile age the opportunity to stay at home. Life in familiar surroundings, in constant communication with family and friends is, at a certain stage one of the main factors supporting an old man in the interest of the outside world and eliminates the feeling of isolation.