Resolving therapeutic scarcity for institutional geriatric patients with low-tech therapy.

Critical review of geriatric psychotherapy finds few existing resources and predicts steadily increasing scarcity. Without changes, resources will soon be hopelessly inadequate. One solution is to shift supportive therapy to low-tech techniques suitable for random settings and paraprofessionals, thu...

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Publicado en:Topics in Geriatric Rehabilitation Vol. 15; no. 1; pp. 84 - 101
Autor principal: Armentrout DP
Formato: research tables/charts Journal Article
Publicado: Lippincott Williams & Wilkins Sep99
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Lippincott Williams & Wilkins
      place: Baltimore, Maryland
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        atl: Resolving therapeutic scarcity for institutional geriatric patients with low-tech therapy.
      aug:
        au: Armentrout DP
        affil: Department of Education and Human Services, National University -- San Jose Campus, San Jose, California
      sug:
        subj:
          Psychotherapy In Old Age
          Nursing Home Residents Psychosocial Factors
          Geriatric Psychiatry
          Treatment Outcomes
          Long Term Care
          Health Services Accessibility
          Outcomes Research
          Guided Imagery
          Life History Review
          Reality Therapy
          Psychotherapy, Group
          Audiorecording
          Scales
          Self Assessment
          Geriatric Assessment
          Neuropsychological Tests
          One-Tailed Test
          T-Tests
          Analysis of Variance
          P-Value
          Descriptive Statistics
          Aged
          Aged, 80 and Over
          Inpatients
          Human
          Aged: 65+ years
          Aged, 80 & over
      ab: Critical review of geriatric psychotherapy finds few existing resources and predicts steadily increasing scarcity. Without changes, resources will soon be hopelessly inadequate. One solution is to shift supportive therapy to low-tech techniques suitable for random settings and paraprofessionals, thus freeing skilled therapists and facilities. Meeting these criteria, 10 weeks of treatments combining reminiscence, reorientation, reality therapy, focused imagery, and group discussion was administered by audiotape to geriatric care home residents in small groups. Treated mean weekly self-ratings significantly increased for categories of Health, Mental, Fun, Appetite, and Future, as did objective scores for Number Cancellation, Paper Form Board, and Sticks Construction. Control subjects declined in objective performance and differed little in pre- and post-self-ratings. The results demonstrate an effective low-tech therapy suitable for paraprofessionals in ad hoc settings. This can facilitate reallocation of skilled therapists' time among care facilities, thereby assisting resolution of the presently serious shortage of this scarce geriatric resource. Copyright (c) 1999 by Aspen Publishers, Inc.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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