Care of those with cognitive deficits. Even a decade ago, articles on aging and those with cognitive deficits attracted relatively little attention. Now, educators, health care professionals and researchers alike consider the aged and maintenance of their autonomy to be priorities. Yet in spite of the good intentions of these groups, there will be no significant changes in care of the elderly and those with cognitive deficits without the cooperation and commitment of health care administrators, say these authors. As such, they raise questions about the way health institutions and more precisely care services and units are administered. The article also examines how history affects the organization of care--in particular, daily care. It is written in administrative terminology.