Search results for ‘Subject term:"older people"’ Sort:
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Twist and gout
- Authors:
- BEYNON Caryl, BARON Lloyd
- Journal article citation:
- Druglink, 24(6), November 2009, pp.16-17.
- Publisher:
- Drugscope
- Place of publication:
- London
There are a growing population of older drug users in contact with drug treatment services. This article looks at the challenges facing the treatment sector.
Reading around...reality orientation
- Author:
- WOODS Bob
- Journal article citation:
- Journal of Dementia Care, 2(2), March 1994, pp.24-25.
- Publisher:
- Hawker
Looks at the history and development of reality orientation (RO) in dementia care.
Older adults in methadone maintenance treatment: a literature review
- Author:
- DOUKAS Nick
- Journal article citation:
- Journal of Social Work Practice in the Addictions, 11(3), July 2011, pp.230-244.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Approximately 10% of patients engaged in a methadone programme across the world are 50 years of age or over, and older people present challenges to clinics that prescribe methadone because of their unique biopsychosocial needs. This article reviews the research literature on methadone maintenance treatment or opioid replacement therapy, focusing on studies conducted with adults aged 50 or older who have been prescribed methadone. It describes the methods used and discusses the research identified, covering mortality and causes of death, medical and mental health issues, illegal drug use, social supports, barriers to treatment, and gender differences. It also discusses gaps in the research and makes recommendations for future studies. The article notes that there are a significant number of older adults in methadone maintenance treatment, but that there is limited research available, with few qualitative studies conducted so far.
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.
Sex in the middle ages
- Author:
- GULLARD Anne
- Journal article citation:
- Community Care, 31.7.08, 2008, pp.24-25.
- Publisher:
- Reed Business Information
Instances of sexually transmitted infections in over-45s are increasing. Discusses what is causing the trend and what can be done to ensure people receive the treatment they need.
The effects of at-risk drinking on the treatment of late life major depression a pilot study to establish effects
- Author:
- OSLIN David W.
- Journal article citation:
- Journal of Dual Diagnosis, 2(3), 2006, pp.47-56.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Depression is one of the leading causes of morbidity and mortality worldwide. Comorbidity with alcohol dependence is a significant cause of poor response to treatment for depression and prolonged disability. However, epidemiological evidence demonstrates that at-risk alcohol use (drinking more than one drink/day and not meeting criteria for alcohol dependence) is more common than alcohol dependence among patients with major depression and that this is especially true in mid and late life. In this American study patients with a depressive disorder were enrolled in one of two clinical trials and received standard depression care. Outcomes were compared amongst those patients who drank at or above recommended drinking limits to those who were non-drinkers. Patients from both studies who consumed alcohol at levels considered “at-risk” have had lower rates of remission from standard depression care. While these results were not statistically significant, they provide a framework for conceptualizing a more definitive trial. Conclusion: These data suggest that at-risk drinking may reduce the effectiveness of standard depression care. Therefore, assessment of alcohol use and intervention at lower levels of drinking may be of value in increasing the impact of depression care. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Residual symptoms in older patients treated for major depression
- Authors:
- HYBELS Celia F., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 20(12), December 2005, pp.1196-1202.
- Publisher:
- Wiley
The purpose of this study was to identify residual symptoms in a sample of older adults treated for major depression and compare individual symptoms present at baseline with those at three months by remission status. The sample was comprised of 229 patients with DSM-IV major depression who were participants in the NIMH Mental Health Clinical Research Center at Duke University in the United States. Symptoms were measured using the Montgomery-Asberg Depression Rating Scale (MADRS). At three months, 86 patients (37.6%) had remitted, or had a MADRS score less than or equal to 9. In the remitted group, the most frequently reported symptoms at three months were inner tension and lassitude. Among nonremitters, the most frequently reported symptoms were reported and apparent sadness, as well as lassitude and inner tension. In the sample as a whole, the symptoms most likely to be present at baseline but not three months were pessimistic and suicidal thoughts, while the most frequently reported emergent symptoms were reduced appetite and inner tension. Patients were much more likely to no longer have a particular symptom than to acquire a new symptom. Overall, the symptoms present at three months were not severe in either group. In older adults treated for major depression, residual symptoms at three months may include emergent symptoms as well as persistent symptoms, and are likely to include symptoms of anxiety as well as sadness. These findings have clinical implications for the treatment of late-life depression.
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.
Views of elderly patients on cardiopulmonary resuscitation before and after treatment for depression
- Authors:
- EGGAR Richard, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 17(2), February 2002, pp.170-174.
- Publisher:
- Wiley
Investigates elderly patients decision to accept cardiopulmonary resuscitation (CPR) before and after treatment for depression. The subjects were 50 consecutively admitted day and in-patients with depression. Changes in the acceptability of CPR between baseline and end of treatment for depression together with patient characteristics were measured and compared. The study demonstrates that depressed elderly people frequently decline CPR but accept after recovery from depression. The presence of depression should be specifically considered if an elderly person unexpectedly declines CPR.
Sundowning: is it a syndrome
- Author:
- -
- Journal article citation:
- Journal of Dementia Care, 8(6), November 2000, pp.33-36.
- Publisher:
- Hawker
'Sundowning' or Sundown Syndrome' a -commonly observed tendency for people with dementia to become more confused and agitated around late afternoon to nightfall - has been widely discussed, but with little consensus as to whether it really is a syndrome. Reviews the literature.