Biomedical subjects
Publications and source records attributed to S Spinka.
The authors discuss the characteristic and justification of a specific geriatric regime, or geriatric departments, and give an account of their experience assembled in tests of this regime under conditions of the geriatric centre of the Third Medical Clinic, Prague, in particular with regard to the general orientation as regards hospitalization of geriatric patients.
The authors discuss individual nursing components of the specific geriatric regime. Attention is paid to problems of activation of geriatric patients, cooperation with their families, the system of controlled visits, an individual approach focused on comprehensive solution of the situation in life. Special attention is paid to rationalization of the diagnostic and therapeutic programme with an effort to reduce the administration of tranquillizers.
Geriatric patients account for some 60% of the patients who se their health community doctor who thus is also the geriatrician of the first line. According to experience from abroad (Sweden) it is assumed that general practitioners will take over the medical and social care of aged subjects. The authors describe activities associated with this role. They draw attention to the hitherto inadequate collaboration of doctors with the patients' families.