Chapter 11 Flashcards
What are some specific concerns for older adults with depression?
it may appear as cognitive impairment
Concerns with diagnosing older people with anxiety?
may present or coexist with medical symptoms
concerns with schizophrenia in older adults
risk of suicide is higher among this population
Neurocognitive issues may be misdiagnosed as?
dementia
substance use disorder
older adults are often more at risk then at first thought
What disorder has higher rates among people aged 59-
major depressive disorder
What are some possible errors in diagnosing an older adult with major depressive disorder?
health care pros may not be trained in dealing with older adults. inaccurate report of symptoms. not enough time spent with patient. stigma. medical and psychological symptoms co-occur.
what are some possible causes of depression in older adults?
living alone, loss of a loved one, SES stress, illness, surgery, medications, life changes.
Five Item Geriatric depression scale possible ISSUES
Yes/ No questions. bias towards extroversion. confusing/ leading questions.
Medical factors presenting risk factors for mental health issues and why
arthritis, hip fracture, diabetes, hypertension, tooth loss, lack of vit D.
lack of ability to preform physical tasks, reduced exercise, social stigma, lack of desire to have social interaction.
Risk factors for suicide?
mental illness, marital breakdown, financial hardship, physical health issues, major loss, and lack of social support.
why are rates of anxiety disorders lower among older adults?
may be more resilient, health care pros may not recognize symptoms as anxiety, medical symptoms often coexist.
What are some characteristics of LOSS (Late-onset Stress Symptomology)?
observed in vets who were exposed to stressful situations at a young age, presents in older adulthood. similar to PTSD
Possible issues with schizophrenia in older adults?
most symptoms overlap with dementia leading to a possible misdiagnosis.
prescription drug abuse
yup, could be intentional or unintentional
issues with alcohol abuse
interaction with meds, kidneys and brain alteration, higher risk for diseases
How should mental health assessments be catered towards older patients?
account for sensory, motor and cognitive limitations. greater time should be allowed.
what are some assessment measures used with older adults? (4)
Clinical interview, Mental status exam, specific symptom measurement, functional abilities
What are some elements of a Comprehensive Geriatric Assessment?
Mental Health, with emphasis on detecting dementia and depression.
SES, availability of caregivers and quality of life assessment
Physical Health, fall risk, medication use.
Functional Status, activities of daily living, Instrumental ADL
Environmental, stairs, access, transport
how could an individual who has lost a loved one be affected by hording disorder?
strong sentimental attachment to the possessions of the loved one. may hoard animals as a sense of social connection. may want to keep the house as it was when they died
