Search results for ‘Subject term:"mental health problems"’ Sort:
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Psychopathological features in patients with Parkinson's disease and related caregivers’ burden
- Authors:
- STELLA Florindo, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 24(10), October 2009, pp.1158-1165.
- Publisher:
- Wiley
This study aimed to identify the profile of psychopathological symptoms in patients with Parkinson's disease (PD) and the impact of this condition on the carer’s burden. Fifty patients with PD were divided into groups according to the respective psychiatric diagnosis, and caregivers were divided into groups according to the mental condition of their patients. To assess the mental condition of patients and caregivers’ burden, and to correlate psychopathological features found with clinical features of PD, the Neuropsychiatric Inventory was applied. The conclusion was that patients with dementia presented more severe motor impairments and lower functionality, followed by patients with depression and those non-demented, non-depressed. Psychotic symptoms, agitation, aberrant motor behaviours and sleep disturbances were higher in the dementia group. Neuropsychiatric disturbances from both the dementia and depression groups represented a significant burden for their respective carers, which was highest for patients with dementia.
Old before their time
- Author:
- ROARTY Evlynne
- Journal article citation:
- Community Care, 29.10.98, 1998, p.8.
- Publisher:
- Reed Business Information
When dementia strikes the young, its devastating effects are often more acutely felt than when it afflicts elderly people. The author examines the added burden.
Confusional State Evaluation (CSE): an instrument for measuring severity of delirium in the elderly
- Authors:
- ROBERTSSON B., et al
- Journal article citation:
- British Journal of Psychiatry, 170, June 1997, pp.565-570.
- Publisher:
- Cambridge University Press
Presents the results of a study which aimed to construct a reliable and valid instrument for measuring delirium or confusional state in older people. Results of the study found that the CSE instrument was a useful and reliable measurement which can be used to follow the course of confusion.
Elderly patients and the Mental Health Act 1983
- Authors:
- GILMORE C., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 9(10), October 1994, pp.809-818.
- Publisher:
- Wiley
Reports a retrospective casenote review which was carried out in Southport on all patients over 65 years of age who were detained under the Mental Health Act 1983 during the first six years of its operation. There were 132 episodes of detention affecting 120 patients. 53% were for organic illness and 47% for functional illness. the organically ill were detained most commonly because the carer was no longer able to cope or, for those living alone, because of self-neglect. The functionally ill were most commonly detained in the interests of their health alone. The majority of patients with dementia were not discharged to their previous address after being detained but to residential care. Twenty-seven per cent of the whole sample died within a year of being detained, a rate higher than in the general population.
Self sufficiency in residence
- Author:
- JERVIS Margaret
- Journal article citation:
- Social Work Today, 3.5.90, 1990, pp.20-21.
- Publisher:
- British Association of Social Workers
Residents at the Lore Agnes House, in Dusseldorf, suffer from mental illness, often in addition to dementia. The home offers a form of family living.
Narrative inquiry on case studies of crisis in dementia
- Authors:
- BOSCO Alessandro, et al
- Journal article citation:
- Quality in Ageing and Older Adults, 21(3), 2020, pp.181-191.
- Publisher:
- Emerald
Purpose: This study aims to explore the coping styles that can be inferred from the discourse of dyads with dementia, and how these appear to impact on care management. Design/methodology/approach: This was a case study approach. Participants were recruited from two teams managing crisis in dementia in the UK. The authors conducted multiple qualitative interviews with people with dementia and their family carers over the course of one month. The analysis was first performed through thematic analysis. Data were further analysed through narrative inquiry to create a story line, or play in our case, for our findings. Findings: Five dyads were interviewed and a total of 16 interviews were conducted. Three dyads were husband–wife and two were daughter–mother relationships. The mean age was 67.4 years for carers and 79.8 years for people with dementia. In these cases, the carer assumed responsibility for managing the episode and was more likely to seek formal help if a pre-existing plan was in place. Otherwise, when a crisis arose, dyads preferred to avoid involving professionals. Practical implications: Psychosocial interventions should aim to identify and replace unhelpful strategies used by dyads to manage crisis episodes. Originality/value: To the best of the authors’ knowledge, this is the first study using qualitative interviews of dyads to inquire into their experience of mental health crisis. (Edited publisher abstract)
Development and preliminary testing of a framework for quantifying local service provision for people with dementia
- Authors:
- HUGHES Jane, et al
- Journal article citation:
- Quality in Ageing and Older Adults, 21(3), 2020, pp.193-202.
- Publisher:
- Emerald
Purpose: It was hypothesised that there were variations in health and social care services available for older people with dementia and their carers, and that measurement of this between localities was possible. The purpose of this paper is to present a framework for examining this. Design/methodology/approach: Using a case study approach, data from national surveys of local authorities providing social care and National Health Services Trusts providing old age mental health services conducted in 2014/2015 in England were used. From these, indicators of variation in services for people with dementia and their carers in different geographical areas were created. Measurement of the presence/absence of each service permitted the creation of a service mix score for each area. Findings: The framework comprised 16 attributes each with indicators describing the characteristics of the organisations providing the services; the skill mix of community mental health teams for older people; and the health care and social care services available in localities. Variation was evident, confirmed by quartile analysis and exemplars, suggesting that older people with dementia and their carers in different localities are likely to experience differences in the range of provision available, particularly social care services. Originality/value: The case study approach used achieved its objectives, and the resultant framework has potential for generalisability and utility, given acceptable ecological validity and discriminant validity in identifying variations in service mix. It could be used in both research and practice. (Edited publisher abstract)
Prevalence, presentation and prognosis of delirium in older people in the population, at home and in long term care: a review
- Authors:
- DE LANGE E., VERHAAK P.F.M., VAN DER MEER K.
- Journal article citation:
- International Journal of Geriatric Psychiatry, 28(2), 2013, pp.127-134.
- Publisher:
- Wiley
Although delirium is relatively common in hospitals, especially in intensive, post-operative and palliative care, its prevalence in the general population is only about 1-2%. The aim of this systematic review was to provide an overview, with the GP in mind, of prevalence, symptoms, risk factors and prognosis of delirium in primary care and institutionalised long-term care. The evidence confirms that the prevalence of delirium among the elderly aged 65+ years is 1–2%. It rises with age, reaching about 10% among a “general” population aged 85+ years. In populations with higher proportions of demented elders prevalence can be 22%. In long-term care, it ranges between 1.4% and 70%, depending on diagnostic criteria and on the prevalence of dementia. Age and cognitive decline are significant risk factors for delirium in all groups. In terms of prognosis, most studies agree that older people who previously experienced delirium have a higher risk of dementia and a higher mortality rate. Population and long-term care studies confirm this tendency. The authors conclude that although delirium in a non-selected population aged over 65 years is uncommon, prevalence rises quickly in selected older groups. They emphasise the need for primary care doctors to be aware of a relatively high risk of delirium among the elderly in long-term care, those over 85 years and those with dementia.
Spousal relationships in which one partner has early cognitive problems
- Author:
- PRAKKE Helena M.
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 11(2), March 2012, pp.199-215.
- Publisher:
- Sage
This literature review was undertaken to provide an overview of research on the lived experiences of elderly spousal dyads, in which one partner has early cognitive problems. Nineteen core studies were identified. It appears that couples first experience forgetfulness as something normal for old age. However, if symptoms become too great, the dyad will go and search for meaning. Through medical assessment the affected spouse will be diagnosed as either non-demented or demented. Both situations are experienced as hard and worrisome. Even if diagnosed with non-dementia, the dyad remains confused about what is going on and how to anticipate the future. In spite of the enormous impact of early cognitive problems on the relationship, both partners still seem able to contribute to the quality of it and have few reciprocity issues. How couples differ and what this means for the experience of early cognitive problems remains largely unexplored. No prospective research was found about spousal couples living with cognitive problems before assessment and diagnosis. Studies that looked at this period generally did so retrospectively and paid little attention to the individuality of the relationship.
Parkinson's and associated mental health issues
- Author:
- HEISTRS Daiga
- Journal article citation:
- Nursing and Residential Care, 13(5), May 2011, pp.248-250.
- Publisher:
- MA Healthcare Ltd.
- Place of publication:
- London
The impact of Parkinson's disease on an individual mental health is discussed. The article looks at anxiety, depression, hallucinations, dementia and communication problems.