[Care situation for hospitalized patients with cognitive disorders].


BACKGROUND:The number of patients with a cognitive disorder will increase significantly in the coming years due to demographic changes. The number of patients from this group requiring stationary treatment will inevitably increase in all medical specialties. The aim of our survey was to examine how hospitals are prepared with regard to nursing and treatment for the increasing number of patients with a cognitive disorder. Data were obtained concerning which problems in care have special significance and should play a central role in future considerations. METHODS:A total of 500 questionnaires were sent to the hospital or nursing directors in Germany. The size of hospital, special wards, targeted admission of patients with a cognitive disorder, especially problematic behaviors of these patients, and measures taken were recorded in a multiple choice manner. RESULTS:The return rate was 26 %. In larger hospitals, special wards for "dementia" (geriatrics, neurology, psychiatry or geropsychiatry) were available. The patients with reduced cognitive abilities received care in specialized wards, if available. Abnormal behaviors were highly significant at all hospitals consulted. Diverse measures were used to solve the problem. The percentages of patients receiving pharmacological treatment or measures for restraint were higher in hospitals with special "dementia" departments compared to hospitals without. CONCLUSION:The number of patients with a cognitive disorder being cared for in hospitals is significantly higher than generally assumed. The mentioned problems are difficult to solve. Concepts especially for hospitals without "dementia" specialty departments are absolutely necessary and should be further validated.


Z Gerontol Geriatr


Schütz D,Füsgen I




Has Abstract


2013-04-01 00:00:00












  • [Psychotherapy of depression in old age].

    abstract::Depression in old age is common and also dangerous due to somatic comorbidity and suicide; however, it is often not recognized and not adequately treated. Psychotherapy is almost never offered to the elderly. However, clinical experience, single-case studies and some controlled trials show effectiveness--at least to t...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章


    authors: Wächtler C

    更新日期:2013-02-01 00:00:00

  • [Recognizing pain in geriatric patients by an interdisciplinary team. Reliability of judgment and factors of influence].

    abstract::The prevalence of chronic pain increases with age. The awareness of pain in geriatric patients is more difficult than in younger people because of various reasons. The occupational groups of the geriatric team might be different in respect of discerning symptoms of pain. 126 geriatric patients were enrolled in this st...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章


    authors: Schuler M,Neuhauser T,Hauer K,Oster P,Razus D,Hacker M

    更新日期:2001-10-01 00:00:00

  • [Changes in needs for assistance and care after hip fractures in the elderly].

    abstract::For the prevention and rehabilitation of fall-related fractures, not only functional status is important. It is necessary to describe the level of help and care needed at the time the fracture happened and its changes after a certain period. Investigations of the changes in the need of help and care after a fall-relat...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 临床试验,杂志文章


    authors: Bäuerle D,Specht-Leible N,Voss E

    更新日期:2004-10-01 00:00:00

  • [Traumatic experiences in elderly Germans. Importance for mental and physical health at a population level].

    abstract:BACKGROUND:World War II (WWII) is probably the most distressing and fatal historical event in Europe's recent past. Research on mental and physical health sequelae of these traumatic experiences from WWII has only started recently. OBJECTIVES:An overview on the findings from several population-based studies investigat...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章


    authors: Glaesmer H

    更新日期:2014-04-01 00:00:00

  • [Images and discourses of ageing--annotations to the state of research].

    abstract::Up to now, images of ageing are considered unilaterally from an individualising perspective in which the cause for negative images as well as the starting point for potential change is localised in cognitive attitude patterns. In this contribution we plead for a conceptual extension of the research on images of ageing...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章,评审


    authors: Amrhein L,Backes GM

    更新日期:2007-04-01 00:00:00

  • Occurrence of chronic diseases and their impact on physical disability over the whole spectrum of aging: from 65 to over 100 years of age.

    abstract::The aging of the Italian population is an emerging public health priority. In 2025 Italy is expected to have the highest world median age with nearly half of the population over 50 years old. To avoid an unbearable burden of disease and disability on future generations, we must identify areas for intensive disease and...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章


    authors: Baggio G

    更新日期:1999-12-01 00:00:00

  • [Trail walking test for assessment of motor cognitive interference in older adults. Development and evaluation of the psychometric properties of the procedure].

    abstract:BACKGROUND:Activities of daily living (ADL), such as walking, often involve the added complexity of walking while doing other activities (i.e. dual task walking). A complex walking task may require a greater motor and mental capacity, resulting in decrements in gait performance not seen for simple walking tasks. AIM:T...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章


    authors: Schott N

    更新日期:2015-12-01 00:00:00

  • [Reminiscence and life review in advanced age].

    abstract::The first chapter gives a brief overview of dominant perspectives on reminiscence and life review in aging research since the 60s. The scepticism of most age researchers against personal history as a dominant concern of the aged in the late 60s was replaced by a more optimistic view which corresponded with a new Zeitg...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章


    authors: Coleman PG

    更新日期:1997-09-01 00:00:00

  • [Age related changes in cellular signal transduction of glucocorticoid hormones in rat brain].

    abstract::Chronic or repeated stress can induce a damage of neurons, especially in hippocampus, by which the degree of damage differs in various species. Sapolski has reported that there is a correlation between hippocampal degeneration, disturbed feedback reaction, and hypersecretion of glucocorticoids. The aim of this study w...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章


    authors: Martin R,al-Scheibani AH,Martin H

    更新日期:1999-04-01 00:00:00

  • [Geriatrics on the internet].

    abstract::National and international data networks for data transfer and communication are playing an increasingly important role in science and medicine. These networks already exist on a regional, national and international scale. The biggest international network, the Internet, offers more than 300 sites referring to "aging"...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章


    authors: Hager K

    更新日期:1997-12-01 00:00:00

  • A brief update on dementia prevention.

    abstract::A large number of published overview and original articles provide evidence and declare the need for immediate, appropriate preventive lifestyle measures to prevent the development of dementia and Alzheimer's disease (AD). However, despite this, there are great difficulties in drafting effective guidelines in this fie...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章


    authors: Polidori MC,Pientka L

    更新日期:2012-01-01 00:00:00

  • [Retirement as crisis or good fortune? Results of a quantitative-qualitative longitudinal study].

    abstract::Results of a longitudinal study about the transition to retirement are presented. 329 persons were interviewed three times (quantitative study) and 20 persons conducted a semi-structured diary (qualitative study), covering in both groups a two-year period (from half a year before retirement to one and a half years aft...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章


    authors: Mayring P

    更新日期:2000-04-01 00:00:00

  • [Special care requirements of elderly and old people: as reflected in the new Council of Experts Report].

    abstract::This contribution refers to the 2009 Council of Experts Report on health system development and discusses the special care requirements of old people. This includes the geriatric phenomenon of multimorbidity, polypharmacy in old people with multiple diseases, and the need for care. The probability and complexity of mu...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章


    authors: Kuhlmey A

    更新日期:2009-12-01 00:00:00

  • [Number processing and acalculia in dementia].

    abstract::In this review, studies on number processing and calculation in demented patients are summarized. Single cases, group studies and our own examinations all show that acalculia is a frequent symptom of dementia and correlates with severity of dementia. While calculation and numeral transcoding deficits are often promine...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章,评审


    authors: Kalbe E,Kessler J

    更新日期:2002-04-01 00:00:00

  • [The impact of different reference groups for the assessment of quality of life in people suffering from dementia-determination of competence groups with HILDE].

    abstract::The HILDE project proceeds from a theoretical conception of quality of life which considers both the significance of objective living conditions claimed in the Swedish level of living approach and the significance of processes of subjective perceptions and judgements accentuated in the American quality of life approac...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章


    authors: Becker S,Kaspar R,Kruse A

    更新日期:2006-10-01 00:00:00

  • [Diabetes care and incidence of severe hypoglycemia in nursing home facilities and nursing services: The Heidelberg Diabetes Study].

    abstract:AIM:The goal of this study was to perform a structured analysis of the treatment quality and acute complications of geriatric patients with diabetes mellitus (DM) cared for by nursing services and nursing home facilities. Secondly, structural problems and potentials for improvement in the care of multimorbid older peop...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章


    authors: Bahrmann A,Wörz E,Specht-Leible N,Oster P,Bahrmann P

    更新日期:2015-04-01 00:00:00

  • [Integrated care management for older people with chronic diseases in domesticity: evidence from Cochrane reviews].

    abstract:BACKGROUND:The number of multiple chronically ill older people is increasing and multimorbidity is associated with high utilization of health services. Integrated care management is increasingly used to address this problem; however, there is a substantial lack of reliable data on its effectiveness in this target group...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章


    authors: Göhner A,Bitzer EM,Dreher E,Farin-Glattacker E,Heimbach B,Kohler K,Maun A,Metzner G,Voigt-Radloff S

    更新日期:2021-02-01 00:00:00

  • [Regional impact of German statutory pension insurance].

    abstract::The regional impact of old age pension systems has received little attention. For example, the German statutory pension insurance ("gesetzliche Rentenversicherung", GRV) was hitherto to the greatest extent discussed in the context with the situation in West and East Germany. However, the benefits of old age pension sy...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章


    authors: Fachinger U,Stegmann M

    更新日期:2012-07-01 00:00:00

  • [Assessment of balance in community dwelling older adults: reliability and validity of the German version of the Fullerton Advanced Balance Scale].

    abstract::The purpose of this study was to validate the German translation of the originally English Fullerton Advanced Balance Scale (FAB-D). The 10-item test battery is a performance-based measure that addresses the multiple dimensions of balance. The German FAB-D using a forward-backward procedure was examined by a sample of...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章


    authors: Schott N

    更新日期:2011-12-01 00:00:00

  • [Biological age in patients with progressive scleroderma].

    abstract::In 25 patients (10 male, 15 female) with systemic sclerosis aged between 28 and 79 years the biological age was determined. Alterations in the sense of "premature aging" were observed in the mean and developed stronger in male patients. They have to be counted in a greater part on the real process of disease. Compared...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章


    authors: Sauer I,Ries W,Mittag M,Haustein UF

    更新日期:1996-05-01 00:00:00

  • Increased splanchnic arterial vascular resistance in oldest old patients - possible relevance for postprandial hypotension.

    abstract:OBJECTIVES:The aim of this study was to evaluate possible age-related changes in mesenteric artery and portal venous blood flow dynamics in relation to systemic haemodynamics in order to delineate putative haemodynamic changes relevant for postprandial hypotension in the elderly. Studies were performed over a wide age-...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章


    authors: Wicklein S,Mühlberg W,Richter B,Sieber CC

    更新日期:2007-02-01 00:00:00

  • [Characteristics of hospitalized geriatric patients--a comparison of two cohorts using the screening of the Arbeitsgemeinschaft Geriatrisches Basisassessment (AGAST)].

    abstract::The geriatric screening according to AGAST (Arbeitsgruppe Geriatrisches Basisassessment) contains functional and diagnosis related items, and risk indicators of prognostic relevance, particularly in hospitalized patients. In a retrospective, cohort study, we compared the screening results in 250 consecutive patients o...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章


    authors: von Renteln-Kruse W,Ebert D

    更新日期:2003-06-01 00:00:00

  • [Mobile geriatric rehabilitation in nursing homes, in short-term care facilities and private homes : Setting-specific analysis of nationwide treatment documentation (Part 2)].

    abstract:BACKGROUND:Mobile geriatric rehabilitation can be provided in the setting of nursing homes, short-term care (STC) facilities and exclusively in private homes. OBJECTIVE:This study analyzed the common features and differences of mobile rehabilitation interventions in various settings. MATERIAL AND METHODS:Stratified b...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章


    authors: Pippel K,Meinck M,Lübke N

    更新日期:2017-06-01 00:00:00

  • [The Geriatric Minimum Data Set (Gemidas) of the Federal Association of Clinical Geriatric Facilities e. V. as an instrument for quality assurance in inpatient geriatrics].

    abstract:BACKGROUND:Geriatric medicine in Germany is faced with an increasing demand for continuous documentation and evaluation of its effectiveness and efficiency. Hence, the Federal Association (FA) of Clinical Geriatric Departments (Bundesarbeitsgemeinschaft der Klinisch-Geriatrischen Einrichtungen e.V.) has funded a workin...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章


    authors: Borchelt M,Vogel W,Steinhagen-Thiessen E

    更新日期:1999-02-01 00:00:00

  • [Aging, activity and longevity].

    abstract::From its origin to its death the human organism is submitted to functional, material, and morphological changes that are perceptible. These changes permit classifying an individual as young, adult, old, active or infirm. But this estimation is not always correct. Some appear younger, some older than expected from thei...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章,评审


    authors: Martin P

    更新日期:2000-01-01 00:00:00

  • ["Retirement at age 58"--improvement or deterioration of living status?].

    abstract::The BRD social security system contains numerous regulations concerning the smoothness of regulating social security benefits between unemployment benefit to pension benefit. Raising the retirement age for unemployed will lead to long-term unemployment or to a decreasing pension payment in the case of early retirement...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章


    authors: Behrend C

    更新日期:1996-09-01 00:00:00

  • [Tacrine: progress in treatment of Alzheimer's disease?].

    abstract::The cholinesterase inhibitor tacrine exerts a marked therapeutic effect only at a dose which is not tolerated by many patients because of the gastrointestinal side effects and hepatotoxicity of the drug. In patients who tolerate a high dose of tacrine the mean increase in cognitive abilities is roughly equivalent to t...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章,评审


    authors: Kurz A,Marquard R,Mösch D

    更新日期:1995-05-01 00:00:00

  • Expected and preferred retirement age in Germany.

    abstract:BACKGROUND:Over the last 10 years the German pension system has undergone several reforms including the abandonment of early retirement policies and an increase in the statutory retirement age. Consequently, the average retirement age has increased and future retiree cohorts have adjusted the retirement expectations an...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章


    authors: Hess M

    更新日期:2018-01-01 00:00:00

  • [Gerontologic studies in South Africa--a report].

    abstract::The paper reviews the present state of gerontological research in South Africa and provides examples of relevant studies. So far, most of the research has focused on socioeconomic conditions, e.g, financial status, living arrangements, and intergeneration family relations. During recent years another topic has gained ...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章,评审


    authors: Sagner A

    更新日期:1998-02-01 00:00:00

  • [Analysis of how elderly internet users react to unexpected situations].

    abstract:BACKGROUND:Although internet usage among older adults is steadily increasing, there is still a digital divide between generations. Younger internet users seem to be more open towards new media. Recent studies showed the negative influence of computer anxiety on internet usage. It is not known how older adults deal with...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章


    authors: Haesner M,Steinert A,O'Sullivan JL,Steinhagen-Thiessen E

    更新日期:2015-12-01 00:00:00