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  • Title: [Favorable development of ability to function in patients during admission in a geriatric unit of a psychiatric hospital].
    Author: Maas HA, Hoogmoed J, Golüke-Willemse GA, van den Berg YW.
    Journal: Ned Tijdschr Geneeskd; 1995 Dec 02; 139(48):2494-8. PubMed ID: 8532087.
    Abstract:
    OBJECTIVE: To evaluate the course of the functional ability in daily living activities, mobility and faecal and urinary continence, and the interrelationship of these features of ability in patients admitted to the geriatric unit of a psychiatric hospital (GAPZ). DESIGN: Retrospective. SETTING: Geriatric unit, Vincent van Gogh Institute of Psychiatry, Venray, the Netherlands. METHOD: Analysis of data obtained from the National Register of Clinical Gerontology from SIG Care Information in Utrecht. For all patients discharged in 1992 the level of functional ability on admission and discharge was determined and compared, using 9 variables. RESULTS: During the stay all but one of the functional status variables improved significantly: washing of upper and lower body, dressing, going to the toilet, eating, urinary (in)continence and mobility (as measured by radius of action and assistance needed). Faecal incontinence did not improve. On average women functioned more independently than men; however, the improvement in functional status was equal for both sexes. There was a hierarchical decline in the event of decreased functional ability. This hierarchical relationship was more prominent at the time of discharge than at the time of admission. CONCLUSION: On average the functional status of the patients evaluated improved during their stay in the geriatric unit of the psychiatric hospital. There appears to be a hierarchy of changes in aspects of functional condition irrespective of the underlying diseases in elderly people.
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