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Biomedical subjects

R I Feinbloom

Publications and source records attributed to R I Feinbloom.

6 recordsLinked to original sources

Primary family contacts and emotional health in the institutionalized elderly.

Research among nondemented elderly living independently in the community suggests that increased social support is associated with improved emotional and physical health. Relatively little research has examined associations between social supports and health among the institutionalized elderly. A sample of 70 nondemented, elderly nursing-home patients was studied to determine associations between qualitative and quantitative aspects of patients' relationships with their primary family contact and measures of emotional well-being, including depression, hopelessness, and life satisfaction. Significant correlations between quality of relationships and all domains of emotional well-being were found. None of the correlations between frequency of interaction and measures of emotional health were significant. A hierarchical regression analysis demonstrated that the correlation between quality of relationships and depression and life satisfaction was independent of functional status, mental status, age, type of relation, and frequency of visits. These results are consistent with studies of the noninstitutionalized elderly.

Aged

Feasibility and efficacy of verbal consents.

Refusal rates for participation in geriatric research have been surprisingly high. This may be due in part to inherent difficulties with a written consent procedure. A simple, easily administered, standardized verbal consent procedure (VCP) for the institutionalized elderly was developed to address this problem. Of 114 patients eligible for enrollment in a study evaluating outcomes of group psychotherapy, 100 gave verbal consent. When written consent was requested, 60 signed immediately; 35, only after substantial coaxing. Five patients refused to sign a consent form, although verbally agreeing to participate. It is estimated that the number of study participants would have been reduced by 40% had written consent been required. The findings raise ethical and logistical issues pertaining to a verbal consent procedure.

Behavioral Research

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Protecting assets during catastrophic illness through financial planning: the physician's role.

Patients requiring long-term institutional care face major financial dislocations that affect their families as well. While the issue of who should pay for long-term care, society or the individual, is still unsolved and controversial, lawyers specializing in welfare law can assist individuals in obtaining public entitlements and preserving private assets. Public awareness of such planning services is uneven. Physicians can make an important contribution to the welfare of their patients who are at risk by informing them of such services and of the problems they seek to address.

Catastrophic Illness