12 A
THURSDAY. JULY 1J. 19S2
MEDFORD MAIL TRIBUNE. MEDFORD, ORECON
The Medical Roundup
ftf. litnarlliu Co
nuJUnt In Median
Mayo Clinic
Professor of Medic In
Mayo clinic
Uleiltur and Trlhuna SyndtcaU.
1962)
Emarltui
On Chooiing a Nuriing Horn
As I said in a recent col
umn, often the children of
parents who have gone into
ipm '.'Hinvaj their seco n d
f i' '"" childhood and
. ; a neme arc un
A" "M ficult to hart
f9$"r. die don't
$T v '&M know which
"k t-t jf way to turn.
it tney nave
s u f f i c 1 ent
money, they
probably will
AJvare. millK I1I31 Ul
putting their parent into some
sort of a "nursing home" or
"c o n v a 1 e s cent home" or
"chronic disease hospital."
The important point that
people should know, as my
friend, Dr. Lewis lerman oi
Chicago, was just telling me,
Is that there are different
types of these hospitals or
homes, all with different fa
cilities, and different degrees
of ability to give good serv
ice. In the best type of "chronic
hospital," as Dr. Terman
says, there will be a good
building with good equip
ment. There will be a full
time physician in charge - a
man who specializes in the
care of old people. There will
be at least one registered
nurse on every shift, and the
ratio of nurses to patients
will be high. There should be
a full - time physiotherapist,
and if the place is large
enough, there should be a
full-time laboratory tech
nician, and x-ray .facilities. -
The food should be good.
The reputation of the place
should be high; and prefer-
rot rou . . . torn runt . . . tou cutsis
GROCETERIA
SUPER FOOD MARKET
oth & Grapt Srraat, M.dtord
ably, the place should have
been running long enough so
as to become well organized.
If possible, the children of the
patient should try to find out
something of the reputation
of the place. Sometimes, the
family doctor, if they have
one, will know or can find
out.
Much Dtpandi on Kindnast
Much will depend upon the
kindness with which patients
are treated. Often, the chil
dren will have to consider the
cost of the care. Naturally,
the better the care, the higher
the cost is likely to be - but
not necessarily. Obviously,
much depends on how ill and
incapacitated the old patient
is. If he has diabetes, a bad
heart, bad arteries and a dis
turbed brain, he will require
a maximum of medical and
nursing care, and then he
should be in the best type of
medical home. If, however,
about all he needs is custodial
care, to keep him from
rambling around and getting
run over by a car, he can get
by In another type of home.
In many cases, if the chil
dren go through the institu
tion, they will sense not only
the attitude of the head doc
tor and the nurses and at
tendants, but they will see if
the place is clean and well
kept up. They will see if
there are any recreational fa
cilities, and they will see if
any effort is made to rehabili
tate patients: to get them out
of bed and perhaps out in a
garden. It is not pleasant to
think of putting a parent in a
place In which the only
thought will be to house and
feed him until he dies. It is
well if the building is fire
proof and air-conditioned.
I like Dr. Terman's thought
that a beautiful building,
alone, cannot bring a patient
a needed glass of water. Only
kind attendants will do this.
Many of the patients In nurs
ing homes have had heart
attacks or strokes, or both,
and they have diabetes, high
blood pressure, severe Parkin
son's syndrome, chronic heart
disease, perhaps an unfortu
nate result of a prostatic oper
ation, or perhaps the poor re
sults of a fractured hip oper
ation. Many of the old people
have had a scries of little
strokes which have left them
confused and forgetful and
incompetent to take care of
themselves.
One difficulty is sometimes
that, since the patient has not
been legally committed, he or
she can get up and insist on
leaving the home. Often, in
such cases, the children have
to come and do their best to
talk the parent into staying
where he or she Is.
The big thing for the chil
dren to do, as Dr. Terman
says, is to insist on finding
out whether the institution
under consideration is proper
ly equipped to take good care
of their parent's particular
illness. Obviously, a person
who needs much care because
of perhaps a bad diabetes,
should not be left in a place
where there is no resident
physician. Also, he should not
be in a place in which the
manager has never had the
sort of training that he would
need in order to do a good
Job.
Antialcoholic Campaign
Is Launched In Hungary
What causes arthritis and is
there a cure? Dr. Alvarez
answers your questions in his
booklet, "Arthritis and Rheu
matism." To obtain it, send
25 cents and a stamped, self
addressed envelope with your
request to Dr. Walter C. Al
varez, Dept. MMT, The Regis
ter and Tribune Syndicate,
Box 957, Des Monies 4, Iowa.
JFK ASKS PROBE
Washington -IUPII- President
Kennedy has asked Atty. Gen.
Robert F. Kennedy for a re
port on the jailing of Martin
Luther King Jr. and another
minister at Albany, Ga., the
White House said Wednesday.
By GARY HAMPTON
United Press International
Budapest UPD Communist
Hungary has launched some
thing like a state-directed
"Alcoholics Anonymous" in a
national drive against exces
sive drinking.
Hungarians are not hard
drinking people and there
are few drunks to be seen in
streets and bars. Authorities
apparently are concerned at a
rise in the number of crimes
committed by people who
have been drinking and of in
dustrial and traffic accidents
caused by intoxication.
The government campaign
ranges from warning all
school children against the
dangers of drink to trying to
rehabilitate chronic drinkers
in alcoholic clinics where
they can receive free medical
treatment, advice and com
panionship. Other measures Include
closing down many thousands
of low- class "drink-shops"
and purging press, radio and
television of material which
might encourage Hungarians
to drink. Instead, these media
now will promote natural
fruit drinks put on sale espe
cially for the campaign. Leg
islation will be passed to pro
tect the families of alcoholics
and stiffer penalties for
crimes and accidents involv
ing drink already have been
introduced.
Few figures are available
on the p r o b 1 e m . The Com
munist party newspaper
"Nepszabadsag," however, re
cently noted that consump
tion of rum and other spirits
was "significantly higher"
last year than in 1960, adding
that 20 per cent of all crimes
in 1960 were committed by
people under the influence of
alcohol. This figure was three
per cent higher than in 1958.
Also, Budapest police have
warned a growing number of
local moonshiners against the
risk of poisoning their clients
by distilling spirits from wood
alcohol bought on the black
market.
The government has sched
uled completion of 17 perma
nent alcohol clinics through
out Hungary by the end of
1962. Ten already are work
ing, seven in Budapest and
three in important provincial
centers.
These clinics treat less-advanced
alcoholics who attend
regularly while continuing
work, wherever possible, and
living at home. Treatment is
voluntary for the present.
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