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Interner Bereich Raumbelegung
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Medical Focus Areas

In geriatrics at the Diakoniekrankenhaus, the focus lies in the diagnosis and treatment of acute diseases and the improvement of symptoms of chronic diseases as well as rehabilitation in the early phases, usually in conjunction with acute treatment. In geriatric rehabilitation the focus lies in functional improvements and everyday competence.

Multimorbidity
Geriatric patients often suffer from several diseases at the same time. This is referred to by physicians as multimorbidity. It includes internal, neurological, urological and psychiatric diseases as well as diseases of the locomotor system and pain disorders.

Tendency to fall
The main risks for falling are a decline in physical strength and balance problems. Therefore strength and balance training are the most effective treatment to prevent individuals from falling. Apart from treating the effects of a fall, we develop treatment strategies for preventing further falls.

Acute and Chronic Pain
We admit all patients with chronic pain for whom a satisfactory degree of pain reduction was not achieved despite prior out-patient treatments.

Dementia
Clarification of possible dementia and treatment options incl. explanatory counseling for relatives is also conducted in our clinic, if not possible on an outpatient basis. Furthermore, we treat individuals who have acute internal, neurological, trauma surgical and geriatric problems in addition to dementia.

Acute Stroke
Treatments are conducted in close cooperation with the department for neurology. By means of a geriatric approach, the detection and treatment of functional problems (early rehabilitation) are also considered. After acute treatment, we organize further treatment for you on your behalf (e.g. geriatric rehabilitation).

Integration of Rehabilitative Procedures
At the Diakoniekrankenhaus a significant feature of acute geriatrics is the integration of rehabilitative procedures during the treatment of acute diseases, in order to maintain or improve functions. A standardized geriatric assessment is conducted in at least four areas (mobility, ability for self-help, cognition, emotion) by a geriatric team at the start of the treatment and before discharge in at least two areas (independence, mobility). Activating therapeutic care is provided by specially trained nursing staff. We also provide physiotherapy/physical therapy, occupational therapy, speech therapy/faciooral therapy and psychology/neuropsychology.

Dealing with Confused Individuals
Unfortunately a lot of elderly individuals react to acute diseases but also changes of environment and people with a more or less distinctive phase of confusion (delir). We have adopted a new approach. The essential elements are:

  • Keeping the hospital stay as short as possible or preventing it altogether
  • Involving relatives (familiar persons) in the hospital treatment
  • Keeping changes of staff to a minimum (very difficult these days)
  • Staff training on how to deal with confused individuals
  • Only conducting treatments which are absolutely necessary
  • Providing support and guidance for self-activity
© Diakonissen Speyer-Mannheim