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11 Cards in this Set
- Front
- Back
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Know the role of the psychiatrist in treating disorders in the elderly
Know the psychosocial risk factors for mental disorders in the elderly Know the differences between substance abuse in the elderly and those under age 40 Know the signs and symptoms of elderly abuse |
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THE MOST COMMON GERIATRIC ISSUES
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DEPRESSION
COGNITIVE IMPAIRMENTS ANXIETY MULTIPLE DRUGS AND SIDE EFFECTS LATE ONSET PSYCHIATRIC ILLNESS LOSS OF INDEPENDENCE DEATH OF A SPOUSE SLEEP PROBLEMS SUBSTANCE ABUSE GUILT AND ANGER OF FAMILY MEMBERS CHRONIC ILLNESS |
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Psychosocial risk factors for mental disorders:
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Loss of social roles
Loss of autonomy Death of friends and relatives Declining health Increased isolation Financial constraints Decreased cognitive functioning |
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What psycological illness?
Present in about 15% Age is not necessarily a risk factor but being widowed and having a chronic medical illness is. |
DEPRESSION
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Most common signs and symptoms of geriatric depresion Include:
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Reduced energy and concentration,
Sleep problems, Decreased appetite Weight loss Somatic complaints Depressed mood with cognitive impairments (pseudodementia) |
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Cognitive impairment in depressed
geriatric patients is referred to as the Dementia Syndrome of depression or ___________. These patients are less likely to confabulate and will simply answer “ I don’t know” to a question when uncertain. |
Pseudodementia
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The sudden onset of delirium in an elderly
hospital patient is commonly ______ withdrawal. |
alcohol
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What is the single most
Important factor associated with the Increased prevalence of sleep disorders in the elderly |
Advanced age
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Do not want to give medications which will
increase incidence or severity of : Anticholinergic symptoms Orthostatic Hypotension Sedation Memory Problems Insomnia |
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typical psychostimulants for depressed elderly pts
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Adderall, Ritalin (methylphenidate),
Cylert(pemoline), Dexedrine and Provigil(modafanil). |
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when treating with BZDs, beware of what property of the drug
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Have to be aware of half life as they
can easily accumulate |
