Chapter 9—Older People and the Health Care System

I.  The Patient/Physician Relationship
     1.  History
         A. Benjamin Rush
         B. I. M. Nascher
     2.  Traditional Medical Model
     3.  Problems
         A. e.g., long waits, short visits, & overemphasis on drugs
II.  Medical Assessment
     1.  Common Assumption
         A. accidents are due to old age
     2.  Drug Usage
         A. the elderly are often overmedicated
III.  Decisions to Institutionalize
     1.  Family Attitudes
     2.  Moving Trauma
     3.  Involuntary Commitment
     4.  deinstitutionalization/homelessness
IV.  Types of Care
     1.  Emergency Care
     2.  Personal Care Homes, Boarding Care
     3.  Nursing Homes

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