Inpatient geriatric assistance

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The issues of long-term care and the structure of stationary institutions for the study of the contingent of patients require further in-depth development. The majority of experts tend to believe that the isolation of the patients of elderly and senile age from younger, requiring long-term treatment, inappropriate, i.e. organization of special departments and hospitals only for old men is not justified. The necessity of organization of hospitals for long-term treatment of patients recognized by specialists from many countries and is caused not only by a large number of elderly patients suffering from several chronic diseases, but also economic considerations - more efficient use of beds in General hospitals and lower cost per bed-day. The objectives of this hospital are aftercare of patients after an acute disease, complex treatment of chronic, long-term diseases, active rehabilitation therapy, restoring health, or activation of patients and the return of self-service ability.
Hospitals for the chronically ill, or, as it is called today, for long-term treatment may be specialized (for suffered a heart attack, patients with impaired functions of the musculoskeletal system, with the effects of stroke and violations functions of the nervous system). Often, in such institutions there are several offices in different fields. In hospitals for long-term treatment of patients lot of attention in the complex of therapeutic measures on all types of rehabilitation therapy, including vocational rehabilitation. Special working conditions in them dictate the need to reduce the load average and especially nurses. It is important to provide special equipment houses and auxiliary buildings, halls for workshops, exercise room and terrace. Cubature of the chambers should be great. For critically ill need about 15% of the area in single rooms; the remaining area is occupied by two - and three-bedded rooms. The corridors and doors must be wide, available for the movement of patients in wheelchairs. In all premises must be equipped with a special alarm system. Hospital for treatment of patients with chronic diseases should be consultative and organizational-methodical centers, bases of doctors training for the institutions of this profile. Such a patient should be designed for 300-400 places are located separately on the territory of the hospital. Some authors propose to open in such hospitals, day care centres for follow-up care of patients.
In many countries of the hospital for the chronically ill and boarding houses have much in common in relation to States, organization of services, treatment and rehabilitation therapy.
In some countries of Western Europe, particularly in England, the Netherlands, Belgium, geriatric hospitals often blend nursing homes and hospitals for the chronically ill; States their match in a geriatric hospital. In France, to this category refers hospital is a hospice for the elderly, the disabled, the chronically and terminally ill.