Old Age Psychiatry Flashcards
1
Q
Common conditions in hospital old age?
A
Depression
Delirium
Dementia
Incidence increases with length of stay
2
Q
ABCD of dementia?
A
Activities of daily living
Behavioural and psychiatric symptoms
Cognitive impairment
Decline
3
Q
Dementia or delirium or depression?
A
Acute or insidious?
Fluctuations?
Disorientation?
4
Q
Drug treatment of dementia?
A
Acetylcholinesterase inhibitors for mild to moderate Memantine for moderate to severe Antipsychotics Antidepressants Anxiolytics Hypnotics Anticonvulsants
5
Q
Acetylcholinesterase inhibitors?
A
Rivastigmine, donepezil
6
Q
Acetylcholinesterase inhibitor benefits?
A
Improve cognitive function
Improve non cognitive symptoms
Do not stop disease progression
7
Q
Acetylcholinesterase inhibitor drawbacks?
A
Side effects (nausea, vomiting, fatigue, cramps, headaches)
Syncope
Breathing problems
8
Q
Abnormal grief?
A
Persisted past 2 months Guilt Worthlessness Psychomotor symptoms Psychosis
9
Q
Suicide rates in the elderly?
A
Males more than females
Same as under 25s
Self harm rare
