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Maintaining older people's dignity
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Journal article citation:
- Community Care, 10.6.10, 2010, pp.28-29.
- Publisher:
- Reed Business Information
Drawing on their updated guidance on dignity in care for older people, the Social Care Institute for Excellence discusses the link between pain control and dignity. The eight main factors that promote dignity are listed. Pain management and its connection to dignity is then discussed in detail. A retired healthcare worker also describes what it is like to be living in constant pain.
Parkinson's disease in the older patient
- Editors:
- PLAYFER Jeremy, HINDLE John, (eds.)
- Publisher:
- Radcliffe
- Publication year:
- 2008
- Pagination:
- 410p.
- Place of publication:
- Oxford
- Edition:
- 2nd ed.
Parkinson’s Disease in the Older Patient, Second Edition has been fully revised, updated and expanded to include new treatments and entirely new chapters. This text is written by recognised specialists in the field and provides accessible, easy-to-read information. The practical approach comprehensively covers all aspects of treatment, and although it focuses on the older patient, it is also highly relevant for younger patient groups with an emphasis on multidisciplinary assessment and management. Detailed information on the aetiology and pathogenesis of the condition, drug and surgical treatments, sleep disturbances, quality of life, and carers is now included, along with the more prevalent older patient issues such as neuropsychiatric disturbances, speech and swallowing problems, balance and falls, and autonomic disturbances. The updates also include new advice on the management and services in primary care, linked to the recent NICE guidelines. With official endorsement from The Parkinson’s Disease Academy of the British Geriatrics Society, this new edition is highly recommended for general practitioners, geriatricians, neurologists and psychiatrists. Physiotherapists, occupational therapists, speech therapists, dieticians, and psychologists will also find it invaluable. It is suitable for general and specialist nurses, and will be of great use to researchers with an interest in Parkinson’s disease.
Occupational therapy with older people
- Author:
- MOUNTAIN Gail
- Publisher:
- Whurr
- Publication year:
- 2004
- Pagination:
- 330p.
- Place of publication:
- London
This book is about older people, and the contribution occupational therapy can make towards the maintenance of their health and the appropriate provision of rehabilitation and care. The aim is to help occupational therapists and those involved in the commissioning of occupational therapy services for older people to target their efforts both sensitively and effectively, and to anticipate the demands which will shape service provision in the future. The entire work is underpinned by current evidence regarding best practice and opinions voiced by older people during several research projects undertaken by the author. The first chapters examine the experience of growing older, from both societal and individual perspectives, the factors contributing towards vulnerability in older age and the provision of services to meet needs. The second part of the book concentrates upon the occupational therapy assessment and treatment processes. The final chapter considers the challenges for occupational therapy.
HIV/AIDS fifty and older: a hidden and growing population
- Author:
- LEVY-DWECK Sandra
- Journal article citation:
- Journal of Gerontological Social Work, 46(2), 2005, pp.37-50.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Contrary to common belief, HIV and AIDS are prevalent in the older adult population. Currently, between ten to fifteen percent of HIV/AIDS new cases occur in individuals fifty and older. With the aging of the baby boomer generation, and the introduction of erectile dysfunction medications, such statistics are guaranteed to increase at alarming rates. This population also faces hazardous risk factors that increase its possibility of contracting the disease. Stereotypes and lack of information continue to limit older adults from receiving the medical, educational, and psychological attention they need to avoid and to combat the virus. This article discusses the rising trends in the fifty and older population as well as some of the factors that increase the prevalence of HIV/AIDS among this population. Prevention, assessment, and treatment practices are also outlined; if instituted, these interventions may help promote a significant reduction in the rate of HIV/AIDS infection in the older adult population.
The development and evolution of geriatric assessment teams over the past 25 years: a cross-cultural comparison of the US and the UK
- Author:
- DOUGLAS Carolinda
- Journal article citation:
- Journal of Interprofessional Care, 15(3), August 2001, pp.267-280.
- Publisher:
- Taylor and Francis
Presents findings from a literature synthesis and content of the geriatric assessment team literature from the US and the UK between 1974-1999. Eighty-one geriatric assessment teams identified from the literature are analyzed (52 from the US and 29 from the UK) Geriatric assessment team characteristics are examined including team purpose, team setting, treatment link, team orientation, team composition, team size, and the client group targeted. The results show that teams in both the US and UK primarily have testing treatment effectiveness as their stated purpose, have strong treatment links, and are patient-orientated. Significant patients targeted by team. The US teams examined are more likely to operate in inpatient settings, include more disciplines and have more members on the team, and target specific subgroups of older people than those from the UK.
A comparison of self-reported function assessed before and after depression treatment among depressed geriatric inpatients
- Authors:
- CASTEN Robin, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 15(9), September 2000, pp.813-818.
- Publisher:
- Wiley
The purpose of this study was to determine whether self-perceptions of function among depressed, geriatric psychiatry inpatients improved as their depression resolved. Self-perceptions of function improved over time, while caregivers' perceptions remained stable, suggesting that patients' perceptions of function is in part influenced by their depression. Further, correlations between patient and caregiver perceptions of function were higher at 3 months post discharge (when patients were not depressed) than they were at admission. The implication is that self-perceptions of function are more accurate when not depressed.
Factors predicting the relapse of depression in old age
- Authors:
- KIVELA Sirkka-Liisa, VIRAMO Petteri, PAHKULA Kimmo
- Journal article citation:
- International Journal of Geriatric Psychiatry, 15(2), February 2000, pp.112-119.
- Publisher:
- Wiley
Studies in mixed-aged populations show differences between the predictors of a relapse and those of a long term course of depression, supporting the hypothesis about similar differences among the aged. The aim of this study was to identify the factors predicting or related to a relapse of depression among the Finnish elderly having recovered from depression during treatment. The logistic regression model showed major depression and psychomotor retardation to be independent predictors. Relapses were not related to stressors in life or psychical illnesses occurring the follow up. Major depressive elderly patients have a high risk for relapses without the occurrence of the stressors or the physical illnesses. Concludes that in clinical practice, major depressive elderly patients should be followed up in order to detect and treat potential relapses as soon as possible.
Acute confusion
- Author:
- MARR James
- Journal article citation:
- Nursing Times, 26.5.92, 1992, pp.31-32.
- Publisher:
- Nursing Times
Describes signs and treatment of acute confusion and nurses' role in the assessment and management of patients.
Substance abuse and co-occurring psychiatric disorders in older adults: a clinical case and review of the relevant literature
- Authors:
- SALMON Joanna Marie, FORESTER Brent
- Journal article citation:
- Journal of Dual Diagnosis, 8(1), January 2012, pp.74-84.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Substance misuse is predicted to become an increasing problem in the older adult population in the United States. This article uses a brief clinical case study to illustrate the issues and to introduce a review of the literature related to substance use and psychiatric illness in older adults. The review looks at prevalence of substance use disorders, psychiatric illness and co-occurrence in older adults, drug interactions and sensitivity and tolerance to alcohol and drugs, neurobiological consequences and cognitive impairment, including alcoholism, depression and brain changes, identification and assessment, and treatment of co-occurring disorders in older people. The article notes the unique challenges relating to treatment of older adults with co-occurring disorders. The authors suggest that further research into the older adult population with substance use disorders and co-occurring illness is required.
Homicide by an older adult offender: assessment, formulation and treatment
- Author:
- ARSUFFI Lara
- Journal article citation:
- British Journal of Forensic Practice, 12(3), August 2010, pp.45-53.
- Publisher:
- Emerald
Senior individuals are far more commonly considered the vulnerable victims of aggression rather than the perpetrators of violence, but a small minority of older adults do commit crimes. Older homicide perpetrators differ from younger perpetrators in several ways, and the psychological factors tend to be more obscure. These homicides may feature a lack of apparent warning signs, extreme violence, subsequent suicide, and bizarre characteristics such as accompanying bondage. This paper describes the case of a male older adult who battered his wife to death and presented with amnesia about the attack. It describes the neuropsychological, risk and personality assessment procedures adopted to assess functioning, evaluate risk of re-offending and formulate about the offence. It proposes formulations for the offence and illustrates the treatment provided to ameliorate distress and enhance memories of what had taken place. Finally it highlights areas for future research and service development. With a growing older adult population, the need for specialist assessment and risk management of older adults who offend is likely to increase. Risk-assessment tools have generally been normed with younger populations and might therefore be used inappropriately with older offenders.