Search results for ‘Subject term:"mental health problems"’ Sort:
Results 1 - 10 of 20
Practical management of affective disorders in older people: a multi-professional approach
- Editors:
- CURRAN Stephen, WATTIS John P., (eds.)
- Publisher:
- Radcliffe
- Publication year:
- 2008
- Pagination:
- 272p.
- Place of publication:
- Oxford
This book looks at affective disorders from a variety of perspectives. It includes expert contributions on areas such as aetiology, diagnosis and psychological and pharmacological treatment. It also focuses on a contextual approach to the management of affective disorders in areas like primary care and geriatric medicine, as well as the specific contributions of disciplines such as nursing, social work and occupational therapy. User and carer viewpoints are also included, along with the often neglected spiritual aspects of managing these conditions. This practical approach makes it ideal for all members of the multi-disciplinary team involved in the management of affective disorders in older people.
Dementia: the cost of care for behaviourally disturbed patients living in the community
- Authors:
- KIRCHNER Vincent, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 15(11), November 2000, pp.1000-1004.
- Publisher:
- Wiley
This research sought to determine the cost of care of people with dementia and behavioural disturbances living in the community, which is currently unknown. Is it a study of 12 randomly selected subjects attending a continuing care dementia day facility for people with behavioural disturbances. The total mean direct costs to the public services was £400 per person per week. Caregiver's time costed at professional rates were £1208 per person per week. Unpaid caregivers supported by publicly funded agencies provide a less expensive service compared to specialised institutional care.
Hoarding: eccentricity or pathology: when to intervene?
- Author:
- THOMAS Norma D.
- Journal article citation:
- Journal of Gerontological Social Work, 29(1), 1998, pp.45-55.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Compulsive hoarding behaviour, exhibited in late life, can have serious implications. Geriatric care managers and practitioners in Older Adult Protective Services often grapple with issues related to ethics and ageing, including client self-determination, that are raised by hoarding actions. Involuntary intervention may be needed to insure that the older person is not in imminent danger. Case examples are used in the article to illustrate the behaviour as well as provide outcomes.
Efficacy of integrated interventions combining psychiatric care and nursing home care for nursing home residents: a review of the literature
- Authors:
- COLLET Janine, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 25(1), January 2010, pp.3-13.
- Publisher:
- Wiley
Nursing home residents needing both psychiatric and nursing home care for either somatic illness or dementia combined with psychiatric disorders or severe behavioural problems are referred to as Double Care Demanding (DCD) patients. This study examined which integrated interventions combining both psychiatric care and nursing home care in DCD nursing home residents are described in the research literature, and which effects of these integrated models are reported in the literature. Following a critical review of studies and a systematic literature search performed in a number of international databases, eight intervention trials were identified as relevant for the purposes of the review. Seven studies, 3 of which were randomised controlled trials, showed beneficial effects of a comprehensive, integrated multidisciplinary approach combining medical, psychiatric and nursing interventions on severe behavioural problems in DCD nursing home patients. The authors conclude that important elements of a successful treatment strategy for DCD nursing home patients include a thorough assessment of psychiatric, medical and environmental causes as well as programmes for teaching behavioural management skills to nurses, and that this review underlines the need for more rigorously designed studies.
Associations between behaviour disorders and health status among older adults with intellectual disability
- Authors:
- DAVIDSON P. W., et al
- Journal article citation:
- Aging and Mental Health, 7(6), November 2003, pp.424-430.
- Publisher:
- Taylor and Francis
Few studies have examined the relationship of behaviour and health status among aging persons with intellectual and developmental disabilities (I/DD). Behavioural disorders, which often are coincident with functional decline in older persons with I/DD, may be more related to medical morbidity than previously reported. This cross-sectional study examined the association between health status and behaviour disorders with increasing age in a cohort of 60,752 adults with I/DD clustered into four adult-age groupings (21-44, 45-59, 60-74, and >74). Age grouping data suggested an association between morbidity and increased likelihood of behaviour symptoms in all but the oldest age grouping. The magnitude of the association and trend varied by specific disease across age groupings compared to that found in healthy cohorts. About 25% of the adults with I/DD had psychiatric diagnoses and the frequency of such diagnoses did not decrease with age grouping. These results suggest that adverse health status may increase the likelihood of persistent behavioural disturbances in older persons with I/DD. Moreover, behavioural disorders may be sentinels for occult medical morbidity, which in turn may be responsive to intervention.
Negative symptoms in Alzheimer's disease: a confirmatory factor analysis
- Authors:
- DE JONGHE Jos F. M., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 18(8), August 2003, pp.748-753.
- Publisher:
- Wiley
Negative symptoms are a prominent clinical feature of Alzheimer's disease and they are related to memory impairment but not to mood disturbances. Methods employed in this research included Nurses' Behavioural observation scale for psychogeriatric inpatients (GIP). Global clinical ratings of severity of dementia and depression based on the Cambridge Examination for Mental Disorders of the Elderly-Dutch version (CAMDEX-N). A unidimensional model of dementia fitted the data poorly. Multidimensional models produced better results. In two- and three-factor models negative symptoms were separated from cognitive impairment and mood disturbances. The more severe the memory impairment, the more socially withdrawn patients were. In this sense negative symptoms may have been secondary to cognitive decline. However, no association was found between negative symptoms and mood disturbances.
Depression in vascular dementia
- Authors:
- NAARDING Paul, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 18(4), April 2003, pp.325-330.
- Publisher:
- Wiley
The purpose of this article was study the presence of different dimensions of depression in subjects with vascular dementia. Cognitive and affective symptoms were assessed in 78 stroke patients and a principal component analysis was performed on these symptoms. Also, a discriminant analysis was carried out to establish the contribution of different symptoms on the diagnosis depressive disorder and dementia. Principal component analysis revealed three distinct sub-syndromes: one with predominantly mood symptoms, one with essentially psychomotor symptoms, and one with vegetative symptoms; mood, psychomotor and vegetative symptoms were all independently and strongly related to a diagnosis of major depressive disorder according to DSM-III-R criteria; the psychomotor factor was also firmly associated with dementia; and discriminant analysis gave further support for our conclusion that some of the depressive features, in particular the psychomotor factor, are at least partly related to the organic brain damage from stroke. The results indicate that different dimensions of depression could be discerned in a group of stroke patients and that the symptom profile of depression in these patients can be affected by the presence of dementia.
Effects of emotion-oriented care on elderly people with cognitive impairment and behavioral problems
- Authors:
- SCHRIJNEMAEKERS Vernon, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 17(10), October 2002, pp.926-937.
- Publisher:
- Wiley
This article investigates the effects of emotion-oriented care on the behavior of elderly people with cognitive impairment and behavioral problems. 16 Homes for the aged with structured day care units were randomly allocated to an intervention or control group. 151 Residents with cognitive impairment and behavioral problems were included in the study. The eight intervention homes received a training program with regard to emotion-oriented care. In the eight control homes usual care was continued. Measurements were performed at baseline and after 3, 6 and 12 months of follow-up (assessment by caregivers and relatives). The primary outcome measure was the change in behaviour of the residents. The article concludes that there is insufficient evidence yet to justify the implementation of emotion-oriented care on a large scale.
Caregiver burden in mobile and non-mobile demented patients: a comparative study
- Authors:
- MIYAMOTO Yuki, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 17(8), August 2002, pp.765-773.
- Publisher:
- Wiley
The purpose of this article is to identify the impact of behavior disturbances on subjective burden of caregivers in demented patients attending day care services. It was found that the caregivers of the mobile demented patients reported greater caregiver burden compared to those of the non-mobile demented patients. The frequency of behavior disturbance was significantly higher in the mobile patients than the non-mobile patients. For the mobile patient caregivers, wandering, interfering, aggression and repetition were the predictors of caregiver burden. For the non-mobile patient caregivers, repeating same questions and/or clinging was the only predictor of caregiver burden. The caregivers of the mobile demented patients reported higher burden due to the patients' behavior disturbance compared to those of the non-mobile patients. These findings indicate a need for further development of interventions to prevent behavior disturbances that are especially burdensome for caregivers.
The meaning of acute confusional state from the perspective of elderly patients
- Authors:
- ANDERSSON Edith M., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 17(7), July 2002, pp.652-663.
- Publisher:
- Wiley
The meaning of the patients' lived experiences of being and having been confused was interpreted as Being trapped in incomprehensible experiences and a turmoil of past and present and here and there, comprising the themes trying to get a grip on the experience of the confusion, encountering past, present and the realm of the imagination as reality during the period of confusion and confronting the idea of having been confused. Contradictory to earlier research the patients remembered and could tell in great detail about their Acute Confusional State. While confused, the confusional state means that impressions of all kinds invade the mind of the person and are experienced as reality, making him/her a victim of these impressions rather than the one who controls what comes into his/her mind. While in the middle of these experiences the person simultaneously senses that the impressions are unreal, thus indicating that he/she is in some sort of borderland between understanding and not understanding. The things that come into the mind of the person can either be frightening or neutral or enjoyable scenarios that seem to be mainly familiar but can also be unknown. These scenarios seem to be a mixture of past and present, of events and people while they seem to float from location to location. The findings indicates that what takes place during the Acute Confusional State is not nonsense but probably a mix of the patient's life history, their present situation and above all a form of communication concerning their emotional state and inner experiences in this new situation