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Initial adjustment to a long-term care institution: medical and behavioral aspects.

Initial adjustment to a long-term care institution: medical and behavioral aspects. Research Abstract Details 

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  • Initial adjustment to a long-term care institution: medical and behavioral aspects. Abstract Text:

    One hundred elderly persons consecutively admitted to the Jewish Home and Hospital for Aged were studied during the first month after admission. Medical changes (chiefly cardiovascular) and behavioral changes were analyzed independently and then correlated. Four subgroups were found: 1) smooth adjustment and no significant medical changes (33 subjects); 2) smooth adjustment with significant medical changes (17 subjects); 3) severe adjustment problems but no significant medical changes (31 subjects); and 4) severe adjustment problems with significant medical changes (19 subjects). The aged persons most likely to have initial adjustment difficulties usually had poor capacity for interpersonal relationships, were socially isolated, were either single or divorced, had a dependent personality, had severe chronic brain syndrome, had a negative or ambivalent attitude toward admission, and often had been referred for psychiatric evaluation before admission. Major patterns of reaction were anxiety, aggressiveness and depression. Significant medical changes were more likely to develop in those with previous poor health who manifested an advanced state of confusion and depressive trends. Depression was related to concomitant medical changes rather than to the previous health status; it exacerbated the reaction to medical illness, which resulted in a decline in the level of functioning. In 58 per cent of the 50 patients with initial adjustment difficulties, a satisfactory level of adaptation was reached during the first six months after admission.

    Initial adjustment to a long-term care institution: medical and behavioral aspects. Publishing Authors By Initials

    For similar mental disorders: personality disorders research abstracts see: mental disorders: personality disorders research

    PUBMED ID PMID:

    MEDLINE DATE:

    Initial adjustment to a long-term care institution: medical and behavioral aspects. Journal Published:

    PUBLICATION TYPE: Journal Article

    Journal: Journal of the American Geriatrics Society

    VOLUME: 24

    Page Numbers: 65-71

    Journal Abbreviation: J Am Geriatr Soc

    ISSN: 0002-8614

    DAY: 10

    MONTH: Feb

    YEAR: 1976

    Initial adjustment to a long-term care institution: medical and behavioral aspects. Information

    Number of References:

    LANGUAGE: eng

    NlmUniqueID: 7503062

    Initial adjustment to a long-term care institution: medical and behavioral aspects. Keywords Mesh Terms:

    KEYWORDS: Personality Disorders

    MESH TERMS: epidemiology

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    Country: UNITED STATES

    UNITED STATES Research PublicationUNITED STATES Research Publication

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    MEDLINETA: J Am Geriatr Soc

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