The Confused Geriatric Patient*

Wolff, Kurt

doi:10.1111/j.1532-5415.1964.tb07083.x

J American Geriatrics Society

1964

DOI: 10.1111/j.1532-5415.1964.tb07083.x

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The Confused Geriatric Patient*

Kurt Wolff¹

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1970

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“…A desperate effort is made to unite remaining, intact portions of the psyche in order to resist the imposition of anxiety‐provoking factors from the immediate environment. This protects the ego from the impact of realising that the person can no longer exist without extreme dependence on others, due to failing cerebration and progressive physical incapacity (24–28). Chemopsychotherapeutic tranquillisation enables the ego to accept this impact and softens the conflict between perceptions or cognitions and emotions which arise in the geriatric patient (1–3, 6, 8–11, 19, 20, 29).…”

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The Chemopsychotherapeutics of Geriatric Sedation

Dawson-Butterworth

1970

J American Geriatrics Society

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This article indicates some of the social, emotional, organic factors involved in disturbing the balance of the geriatric psychological equilibrium and outlines the need for an appropriate rationale of treatment with modern tranquillisers and sedatives. Both the problem of individual variation to treatment and the need for delineation of contributory organic factors are emphasised. Some features of senile psychoses, delirium, and depression are considered. Reference is made to the principles of sedation and tranquillisation and a number of the more widely used agents are reviewed. Some of the more notable side e1fects are briefly outlined.Several clinical group studies involving the use of sedatives and tranquillisers were made on 143 patients from a generalhospital geriatric unit and 41 geriatric patients from a psychiatric hospital. The presence of mental illness in geriatric patients was not associated with long-term need for nocturnal sedatives but did tend to increase the duration of hospitalisation and reduce the chances of rehabilitation. It was found possible to manage all types of patients in the geriatric range without barbiturates, which are contraindicated. The need for a more flexible approach to medication in the psychiatric geriatric population is indicated. Some of the currently available ehemopsychotherapeutic agents, although useful, are of only limited value in aiding the more disturbed patients.

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The Chemopsychotherapeutics of Geriatric Sedation

Dawson-Butterworth

1970

J American Geriatrics Society

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The Confused Geriatric Patient*

Cited by 1 publication

References 9 publications

The Chemopsychotherapeutics of Geriatric Sedation

The Chemopsychotherapeutics of Geriatric Sedation

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