examination by the gynecologist in the nurses' station of her residence, a place that was familiar to her.
Another client was initially very resistant to any medical examination. She would jump off the table and run away, or scream and strike out. Although we have not yet met our goal of her completing an examination with a gynecologist, there have been great improvements in her cooperation with a variety of medical procedures, such as blood drawing, eye examinations, ear irrigations, and more.
We have seen varying degrees of improvement in cooperation take place with all the participants in the program. The clients have grown to look forward to their weekly sessions, and their general response to medical examinations and procedures has been less fearful and more productive.
EASING THE TRANSITION OF HOSPITALIZATION
Sharon B. Roth
People who are mentally retarded and old share many of the same health impairments and chronic health problems with other adults who are old. Overall slowing of physiologic processes is an expected change of aging and puts all adults who are old at risk for development of both acute and chronic disease, thereby necessitating more frequent hospitalizations. The transition of hospitalization for people with mental retardation can be eased so that optimal care can be delivered and results obtained with minimal disturbance to the client and his support system.
For many people, the thought of being hospitalized is frightening. It is quite disturbing to be placed in a foreign setting with a multitude