Palliative care in chronic psycho-geriatrics: A case-study

Journal/Book: Patient Educ Couns. 2000; 41: Customer Relations Manager Bay 15, Shannon Industrial Estate CO, Clare, Ireland. Elsevier Sci Ireland Ltd. 107-113.

Abstract: In this case-study the relevance of psyche-social interventions for providing palliative care in the terminal phase of life of psyche-geriatric patients with functional-psychiatric co-pathology is described. The know-how, interventions and facilities such as available in a reactivation unit in a 'psychiarric-skilled' Dutch nursing home, were highly relevant to tune palliative care to the needs and abilities of the patient. The application of the four main-dimensions of the method of Dynamic System Analysis (particularly Cognitive functions, Psychological functions, Social context and Biology) can stimulate professionals to use an integral perspective both to the psyche-social needs of terminal psyche-geriatric patients and their relatives and to the biological aspects. To establish the value of the DSA method for providing palliative care to psyche-geriatric patients with functional-psychiatric co-pathology scientific research is recommended to determine the prognostic profile of patients who benefit most from an actual palliative care program.

Note: Article Bakker TJEM, DrieMaasStede, Psychiat Skilled Nursing Home, Schiedam, NETHERLANDS

Keyword(s): psycho-geriatrics; functional-psychiatric co-pathology; palliative care; dynamic system analysis; intervention; ALZHEIMERS-DISEASE; HEALTH; PERSONALITY; PREVALENCE; DEPRESSION; MANAGEMENT; DEMENTIA

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