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Biomedical subjects

P B Robben

Publications and source records attributed to P B Robben.

5 recordsLinked to original sources
PubMed1999

[The development of dual specialization: the clinical geriatrician and the nursing home practitioner, 1945-1990].

Why are there in the Netherlands two geriatric disciplines and how have the professions of clinical geriatricians and nursing home practitioners been developed? Only written sources have been used for the research: articles, annual reports, archives of scientific associations and umbrella organisations. For the elderly chronic patients increasingly less space was available in hospitals after 1945. These patients obstructed circulation in this institution, which focused more on treatment rather than nursing. Although everyone acknowledged the need for more medical attention for this old age group, there was a lot of opposition against the development of special geriatric units in hospitals. Other specialists agreed that they could effectively treat the elderly patient and felt no need for a geriatrician. Contrary to the geriatric units in hospitals, the development of nursing homes flourished. In these facilities, the nursing home medicine evolved and, as opposed to geriatrics in hospitals, less resistance was encountered. The system of registration of medical specialists made it impossible to recognise only one geriatrician, since they worked in both hospitals as well as in nursing homes. The professional development of nursing home practitioners and clinical geriatricians was delayed partly as a result of the general hesitation of the KNMG in acknowledging new medical disciplines and as a result of internal domain discussions.

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PubMed1998

[Older chronic patients and their care provisions in the first half of the twentieth century].

Contrary to popular beliefs the Dutch nursing home came into existence not after, but long before 1945. The special care units for the old chronic patient (developed between 1900 and 1950) were a response to the problematic status of these patients in the workhouses and general hospitals. In both institutions, they occupied 'the wrong bed'. The workhouses were subject to a lot of criticism because the provided housing for the complete range of elderly persons. This criticism triggered a growing need for specialized and separated housing facilities for the able and disabled elderly. In general hospitals the elderly patients occupied beds needed for other patients, while the care was too expensive. This problem increased because of the ageing of the hospital population. The latter was caused by the age-related increase of both the admission ratio and the average length of stay. In reaction to these problems, inside and outside the existing facilities, special care units with emphasis on nursing, were developed for the elderly chronic patient. Thus, during the first half of this century this provided the foundation of the future nursing homes, which developed so successfully after 1950.

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PubMed1991

[Self-neglect in the elderly--the homeless and the Diogenes syndrome].

In the health service we sometimes have to deal with patients, who have neglected themselves seriously. It is necessary to know the complex psychological and social background of self-neglect in diagnosing and treating these patients. Psychiatric disorders occur frequently. Self-neglect can cause severe bodily damage. Two situations, characterized by self-neglect, are discussed: the homeless and the Diogenes-syndrome or house-filthiness. These patients may deny their bad health and resist treatment.

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