Search results for ‘Subject term:"older people"’ Sort:
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Features and challenges of personality disorders in late life
- Authors:
- ALPHEN S.P.J van, et al
- Journal article citation:
- Aging and Mental Health, 16(7), September 2012, pp.805-810.
- Publisher:
- Taylor and Francis
A personality disorder is an enduring pattern of inner experience and behaviour that deviates markedly from the expectations of the individual’s culture and leads to distress and impairment. The prevalence of personality disorder in older people is reported as lying between 2.8% and 13%. Being able to identify and accurately diagnose personality disorder in older adults has critical clinical importance both for providers and settings responsible for their care. This article discusses the expression of personality disorder in old age, the process of diagnosis and assessment, and presents treatment options available.
Revisiting baby boomers and alcohol use: emerging treatment trends
- Authors:
- BABATUNDE Oyinlola T., et al
- Journal article citation:
- Journal of Human Behavior in the Social Environment, 24(5), 2014, pp.597-611.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
With the aging of the “Baby Boom” generation, it is anticipated that there will be a greater frequency of alcohol misuse among older adults. Clinicians often overlook signs of alcohol abuse in older adults or misdiagnose these problems. The purpose of this article is to examine some of the problems with alcohol use in older adults to further create awareness of the importance of appropriate strategies to reduce incidence. We consider the severity of alcohol abuse, factors that can aggravate alcohol use, and methods of implementing treatment in this population. (Publisher abstract)
DSM-5 research: assessing the mental health needs of older adults from diverse ethnic backgrounds
- Authors:
- ROSE Alexis Lee, CHEUNG Monit
- Journal article citation:
- Journal of Ethnic and Cultural Diversity in Social Work, 21(2), April 2012, pp.144-167.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The Diagnostic and Statistical Manual of Mental Disorders (DSM) is being updated and expanded by the American Psychiatric Association, based on scientific criteria for developing comprehensive assessments and culturally appropriate interventions to meet the psychological and behavioural needs of individuals. As a clinical manual, it identifies appropriate care through diagnoses and classifications of mental and behavioural health needs. This article analyses current trends and limitations in the design of the DSM, focusing particularly on its application to older adults from diverse ethnic backgrounds. It is based on a literature review which identified 54 articles published between 2001 and 2011 discussing DSM and its applicability to assessing ethnically diverse older adults' mental health. 5 themes emerged from qualitative analysis of the material: assessment issues related to acculturation, limitations with culture elements, health disparities, evidence-based practice with dementia, and prevalence of anxiety and depression. The article discusses incorporation of additional considerations into the DSM in the light of the literature review findings.
Management of depression in older people: why this is important in primary care
- Authors:
- GRAHAM Carolyn Chew, et al
- Publisher:
- Forum for Mental Health in Primary Care
- Publication year:
- 2011
- Pagination:
- 4p.
- Place of publication:
- London
This factsheet provides an overview of the role of primary care in the management of depression in older people. It covers the prevalence of depression; diagnosis and barriers to diagnosis; management of depression in primary care; different management options, including mediation, psychological and talking therapies, psycho-social interventions; culturally sensitive interventions; prevention and mental health promotion. The factsheet has been produced by a number of different organisations.
Depression in later life
- Authors:
- MANTHORPE Jill, ILIFFE Steve
- Publisher:
- Jessica Kingsley
- Publication year:
- 2005
- Pagination:
- 160p.,bibliog.
- Place of publication:
- London
The authors take a multidisciplinary approach and employ both medical and psycho-social models of depression. The medical model is used to identify symptoms, make diagnoses and work towards optimal treatment. Psycho-social perspectives provide insight into the scale and complexity of the condition and point to its social causes. The authors identify different levels of depression through in-depth analysis and consider the condition in relation to, but distinct from, dementia, psychosis and anxiety disorders, helping professionals to make the correct diagnosis. Supporting case studies show that depression, and the physical symptoms often linked to it, are amenable to treatment. The authors provide practical guidance for health and social care practitioners and suggest numerous coping strategies.
Diagnostic disclosure in dementia: an opportunity for intervention
- Author:
- HUSBAND H.J.
- Journal article citation:
- International Journal of Geriatric Psychiatry, 15(6), June 2000, pp.544-547.
- Publisher:
- Wiley
Reports on a study to find out from people with dementia what they were worried about in relation to their diagnosis, and how they changed their behaviour in relation to these worries. Found the commonest worries related to fear of others finding out, fears of social embarrassment, long term dependency needs and not being listened to. Commonest effects were social withdrawal and hypervigilance for evidence of cognitive failures.
Design of ISD-1: an instrument for social diagnosis in care homes for older persons
- Authors:
- CURY Silvia Patricia, ASTRAY Andres Arias, GOMEZ Jose Luis Palacios
- Journal article citation:
- European Journal of Social Work, 22(3), 2019, pp.511-525.
- Publisher:
- Taylor and Francis
This article describes the design process and main features of an instrument developed for use in the specialist area of intervention in care homes for older persons. The essential aim of ISD-1 (instrument for social diagnosis) is to permit the correct formulation of social diagnoses and to standardise and define the professional language used by social workers. Its content has been organised into 4 dimensions of social diagnosis, divided into 15 sub-dimensions containing 83 diagnostic categories. This work was performed in Spain, in the 24 care homes of the Madrid Social Care Agency of the Community of Madrid, involving the participation of the 40 social workers practising in these centres. ISD-1 is an easily understood and used tool, of potential use for social workers practising in care homes for older persons and capable of being adapted for use in other institutional environments, as well as being capable of adaptation and translation for its application in other countries. (Edited publisher abstract)
Dementia and cognitive decline: a review of the evidence
- Authors:
- RAY Sujata, DAVIDSON Susan
- Publisher:
- Age UK
- Publication year:
- 2014
- Pagination:
- 38
- Place of publication:
- London
A summary of what is generally accepted and can be trusted on cognitive decline and dementia. This paper clarifies key terms and concepts, filtering out unreliable evidence. It provides an update on the best and most recent brain research and includes information on how the brain changes over time, how it can age healthily and how it is affected by disease. The report focuses on the types of dementia, test and diagnosis of dementia, prevalence, causes, risk and protective factors, and interventions for cognitive decline and dementia. It suggests that five modifiable lifestyle factors are linked with a lower risk of dementia. These are: physical exercise; a Mediterranean diet; not smoking; drinking alcohol in moderation; and preventing and treating diabetes, high blood pressure and obesity. (Edited publisher abstract)
The diagnosis gap
- Author:
- STOKES Graham
- Journal article citation:
- Journal of Dementia Care, 20(3), May 2012, pp.18-20.
- Publisher:
- Hawker
An objective of the National Dementia Strategy (NDS) for England (2009) is the provision of good quality early diagnosis and early intervention services for all on a nationwide basis. It is expected that all people with suspected dementia will have access to a pathway of care that delivers a rapid and competent specialist assessment that results in an accurate sensitively communicated diagnosis with the appropriate treatment, care and support provided as needed thereafter. Yet, 3 years after the publication of the NDS, under-diagnosis remains the prevailing norm, with an average diagnosis rate in England of around 42%. This article considers the reasons for this low diagnostic rate. These reasons are: the myth that becoming ‘absent minded’ is a normal part of ageing; the stigma attached to dementia; the isolation of many older people; the existence of co-morbidities; and the belief that a diagnosis of dementia may harm the patient. For those patients who are diagnosed, management of care may be disjointed and ineffective, and even, for many with early diagnosis, completely non-existent. The article argues that a failure to deal with these problems leads to costly repeat emergency hospital admissions and premature entry to care homes, as well as being responsible for the unacceptable suffering of patients and their families.
Dementia in older adults with intellectual disabilities: a report on the state of science on dementia in older adults with intellectual disabilities by the IASSID Special Interest Research Group on Ageing and Intellectual Disabilities
- Authors:
- STRYDOM Andre, et al
- Publisher:
- International Association for the Scientific Study of Intellectual Disabilities
- Publication year:
- 2009
- Pagination:
- 49p., bibliog.
- Place of publication:
- Canterbury
This systematic review summarises current knowledge on dementia in older people with learning disabilities. The review included papers published from 1997 to 2008. Findings are discussed in the areas of: epidemiology; presentation and symptoms; screening, assessment and diagnosis; non-pharmacological and pharmacological interventions and issues for carers.