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Treatment Goals in Geropsychiatry †
Author(s) -
Gagliano Louis,
Gianturco Daniel,
Ramm Dietolf
Publication year - 1975
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/j.1532-5415.1975.tb00931.x
Subject(s) - medicine , preference , plan (archaeology) , scheme (mathematics) , medical record , statistics , surgery , mathematical analysis , mathematics , archaeology , history
Each geriatric patient has observable problems which can generate treatment goals implemented by a treatment plan. Extensive record keeping would be required to document this tripartite scheme. In practice, either problem‐oriented or goal‐oriented records are used. Problem records tend to drift toward a goal concept, since problems are usually stated in only sufficient detail to serve as a guide to treatment. The results of a problem‐oriented format are described for 143 state hospital patients whose mean age was 74 years. The most common number of problems was 5 per patient. Physical problems were the most frequent (N = 456), followed by behavioral (N = 203), thought‐related (N = 156), administrative (N = 99), affective (N = 69), and attitudinal (N=10). The authors’ experience with both systems leaves them with a preference for the problem‐oriented system with geriatric patients since physical problems are so numerous.