Search results for ‘Subject term:"older people"’ Sort:
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Improving the detection of correctable low vision in older people
- Authors:
- EVANS Bruce, JESSA Zahra
- Publisher:
- Thomas Pocklington Trust
- Publication year:
- 2008
- Pagination:
- 15p.
- Place of publication:
- London
What is the optimum test battery for visual screening of older people and what sensitivity and specificity does this have for detecting correctable visual impairment? The study is mainly quantitative. A battery of computerised visual screening tests will be compared with a full eye examination, in two blind studies. The first study will be used to refine the test battery and to develop a flip chart rapid vision screener. The sensitivity and specificity of the refined computerised screener and flip chart rapid screener will be evaluated in a second study. The main target conditions are uncorrected refractive error and cataract, since these are readily correctable. The sensitivity and specificity of the screening tools for detecting these problems will be calculated. The value of different screening venues will also be investigated.
Alcohol use disorders in elderly people: redefining an age old problem in old age
- Authors:
- O'CONNELL Henry, et al
- Journal article citation:
- British Medical Journal, 20.9.03, 2003, pp.664-667.
- Publisher:
- British Medical Association
Looks at alcohol misuse in older people; reasons for underdetection and misdiagnosis; the health effects and treatment of alcohol misuse in older people.
Alzheimer's Disease: diagnosis and new treatments
- Author:
- THOMPSON June
- Journal article citation:
- Community Practitioner, 72(2), February 1999, pp.28-29.
- Publisher:
- Community Practitioners' and Health Visitors' Association
The chance of contracting dementia roughly doubles every five years beyond the age of 65. Yet despite its high prevalence, a cure for the most common form of dementia, Alzheimer's Disease, remains elusive. Considers the characteristics of Alzheimer's Disease and the new drug treatments which offer some hope to sufferers.
The effects of multiple dedication in the elderly
- Authors:
- RAJAEI-DEHKORDI Ziba, McPHERSON Gail
- Journal article citation:
- Nursing Times, 2.7.97, 1997, pp.56-58.
- Publisher:
- Nursing Times
This article is the first of two looking at medication-related problems in the elderly. The processes through which drugs are handled by the body are briefly described and common problems associated with medication and the elderly are discussed. A case study is presented to illustrate some of these issues.
The abuse of elderly people: considerations for practice
- Author:
- PENHALE Bridget
- Journal article citation:
- British Journal of Social Work, 23(2), April 1993, pp.95-112.
- Publisher:
- Oxford University Press
Despite concern about abuse of elderly people by their carers over the past ten years, problem remain in the identification and treatment of both those who are abused and their abusers. Considers some of the barriers to identification of abuse, looks at the similarities and differences between the abuse of elderly people and other forms of family violence, and discusses the implications of these for social work practice.
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.
Elderly people with alcohol-related problems: where do they go?
- Author:
- MULINGA John Dickson
- Journal article citation:
- International Journal of Geriatric Psychiatry, 14(7), July 1999, pp.564-566.
- Publisher:
- Wiley
The aim of this study was to investigate the clinical presentation and rehabilitation of elderly people with alcohol-related disorders by studying the case notes of all patients with final diagnoses of alcohol dependence and alcohol abuse admitted to a hospital.
Clinical application of operationalized criteria for Depression of Alzheimer's Disease
- Authors:
- ROSENBERG Paul B., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 20(2), February 2005, pp.119-127.
- Publisher:
- Wiley
Depression of Alzheimer's Disease (dAD) is a common complication of Alzheimer's disease and is increasingly recognized as a syndrome with a clinical presentation differing from major depression. Criteria for the diagnosis of dAD have been proposed previously. This paper presents these criteria in operationalized format designed to be accessible for clinical use. Four cases are discussed that demonstrate the use of these criteria and illustrate important differences between dAD and major depression. The dAD criteria are broader than DSM-IV criteria for Major Depressive Episode and incorporate caregiver input. Given the differences between dAD and major depression diagnoses, it is important to assess the efficacy of treatments for dAD. Depression in Alzheimer's Disease-2 (DIADS-2) is a controlled trial of dAD treatments that will also assess the validity of these criteria.
Rural practitioners' experiences in dementia diagnosis and treatment
- Author:
- TEEL C. S.
- Journal article citation:
- Aging and Mental Health, 8(5), September 2004, pp.422-429.
- Publisher:
- Taylor and Francis
When diagnosis of dementia occurs earlier in the disease process, more time is available for treatment aimed at maintaining patient function and delaying decline, and for family education about the disease and its management. Primary care providers often, however, face challenges in making timely diagnoses. Nineteen practitioners in mostly rural areas of a mid-western state were interviewed about their experiences in diagnosis and treatment, to develop a more comprehensive understanding of barriers encountered by providers in non-metropolitan areas. Participants estimated that the time from symptom onset to diagnosis ranged from several months to one year, largely dependant upon family recognition. Limitations in access to consultants and limited or non-existent community support and education resources were major impediments to diagnosis and treatment, respectively. Like their colleagues in more urban communities, denial among family members, or families who were absent or uncooperative, created additional challenges for providers in making and communicating diagnoses and in supporting home-based or institutional care. Conversely, supportive and motivated families played a central role in positive patient care experiences. Participants agreed that support and education services were important for family caregivers, but generally had few resources to offer families, which constrained their ability to provide optimal care. Identifying challenges faced by rural practitioners is essential to planning appropriate interventions for consultative support and educational outreach.
No effects of a combination of caregivers support group and memory training/music therapy in dementia patients from a memory clinic population
- Authors:
- BERGER Gabriele, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 19(3), March 2004, pp.223-231.
- Publisher:
- Wiley
The aim was to evaluate the impact of a combination of caregiver support group and memory training/music therapy in dementia patients on behavioural and psychological symptoms (BPSD) and caregiver burden compared to a control group. Eighteen patient-carer-dyads in the treatment group and 18 patient-carer-dyads as controls were studied in the setting of a memory clinic of a psychiatric university hospital over a period of 2 years. Controls were matched for age, gender, diagnosis, dementia severity, living arrangement and medication. The interventions were conducted once per week for 1 hour run by a clinical psychogeriatric team. Outcome measures were patients' cognitive and functional status as well as BPSD and caregivers subjective burden and depression measured by validated scales. Data were obtained 6, 12 and 24 months after baseline. There were no significant differences between the intervention and control group neither after 6, 12 nor after 24 months treatment. The lack of a positive impact in alleviating caregiver burden or BPSD after intensive psychological interventions may result from extensive care in the routine clinical management including individual counselling for patients and families. The effect of treatment as usual needs to be taken into account when comparing an intervention and control group, as well as the dosage of the intervention.