Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Geriatrics > Ger 5 Depression > Flashcards

Ger 5 Depression Flashcards

1
Q

What is major depression according to the diagnostic and statistical manual of mental disorders?

A

5 or more symptoms during same 2 week interval

  • Depressed mood
  • Loss of interest or pleasure in previously pleasurable activities
  • ONE OF THESE 2 MUST BE PRESENT
  • Significant weight loss or weight gain
  • Insomnia or hypersomnia
  • Psychomotor agitation or retardation
  • Fatigue
  • Feelings of worthlessness or inappropriate guilt
  • Impaired concentration
  • Recurrent thoughts of death
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the existing symptoms of depression viewed as?

A

Significantly impairing QOL and performance of ADLs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is symptoms are required for the diagnosis of dysthymia?

A

2 or more of the following:

  • Poor appetite or overeating
  • Insomnia or hypersomnia
  • Fatigue
  • Low self-esteem
  • Impaired concentration
  • Feelings of hopelessness
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the other requirement for a diagnosis of dysthymia?

A

-Experience depressed mood for most of the day, more days than not, across an interval of at least 2 years, and not be asymptomatic for longer than 2 months during the 2 year course of illness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is double depression?

A

A diagnosis of dysthymia and major depression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the risk factors for depression?

A
  1. Living environment
  2. Comorbidity (multiple medical conditions)
  3. Chronic Disease
  4. Factors associated with chronic disease
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What % of elderly people are depressed that live at home?

A

13.5%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What % of elderly people are depressed that live in nursing homes?

A

20.3%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What % of nursing home residents admitted from home were depressed?

A

34.3%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What % of nursing home residents admitted from the hospital were depressed?

A

19.7%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What % of nursing home community patients had dysthymia?

A

1.7%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What % of patients living in their home had dysthymia?

A

17.9%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the general trend with living environment and depression?

A

Those living at home (generally alone) have a higher incidence of depression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

The study presented regarding chronic disease and depressive disorder symptoms included what chronic conditions?

A

Asthma, COPD, gastric problems, arthritis, and heart failure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What % range of individuals had chronic disease and depressive disorder symptoms?

A

13.7% - 24.2%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What % of individuals had depressive disorder symptoms and NO chronic disease?

A

7.5%

17
Q

What was the conclusion of the study regarding the relationship between chronic disease and depressive disorders?

A

The chronic diseases frequently reported by older adults (55+) may increase the likelihood of depressive disorder

18
Q

What are risk factors for chronic disease associated with depressive disorders?

A
  • Smoking
  • Obesity
  • Impoverished
  • Received a diagnosis of diabetes, heart disease, or stroke
  • Decline in physical activity over a 3-year interval
19
Q

What is a big risk factor for depression in geriatrics?

A

COMORBIDITY

20
Q

Are patients who are depressed more likel to report a substantial improvement in self-rated health?

A

NO…Patients who are depressed are less likely to report a substantial improvement in self-rated health and more likely to report a substantial decline

21
Q

What is depression associated with in regards to ADLs?

A

Disability in the cognitive and physical activities of daily living

22
Q

What is the relationship between long-term symptoms of depressive disorder and health among older residents of communities?

A

INVERSE

23
Q

Is diagnosis of depression an independent risk factor for mortality among patients with acute coronary syndromes?

A

YES

24
Q

Is depression an independent risk factor for mortality in general?

A

YES

25
Q

By 2020, where will depression be ranked in its contribution to the global burden of disease as measured by disability-adjusted life years?

A

Second to heart disease

26
Q

What is a depressive disorder?

A

Syndromes characterized by the impairment of mood regulation

27
Q

What are the 2 most common depressive disorders?

A
  1. Major depression

2. Dysthymia

28
Q

What is dysthymia?

A

A disorder characterized by chronic low mood

29
Q

What are depressive disorders also characterized by, specific to geriatrics?

A

Impairment in cognition (pseudodementia) and by psychomotor agitation or retardation

30
Q

Is the prevalence of major depression generally lower among older adults than among young adults?

A

YES

  • Older adults: 0.9%
  • 45-64: 2.3%
  • 30-44: 3.9%
31
Q

Are suicide rates higher in older or young adults?

A

OLDER

32
Q

Have the rates of major depression increased over the past decade?

A

Yes… markedly

33
Q

Is depression an expected part of aging?

A

NOPE

34
Q

What is another effect of SSRIs that might be applicable in a geriatric population?

A

SSRIs are though to inhibit platelet activity, which may protect the heart independent of its use as an antidepressant

Geriatrics (15 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions