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21 Cards in this Set
- Front
- Back
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Dementia definition
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"MA6": Memory impairment, plus one of: apraxia, aphasia, agnosia, abstraction and other executive functioning. Plus: absence of clouding of consciousness, ability to function is impaired.
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What percentage of AD patients receive care at home?
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50%
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What percentage of caregivers are depressed?
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50%
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"Rule of halves"
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Half of people with AD may have a comorbid illness; in half of those, treatment can impact dementia.
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Which antidepressants should be avoided in elderly patients due to drug-drug interactions?
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Paroxetine and Fluoxetine
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Which are the most commonly used antipsychotic drugs?
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Risperidone, Quedapine
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Anticonvulsants for use in AD patients
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Valproic acid
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Depression is found in what percentage of AD patients?
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25%
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What is the initial treatment strategy for people with dementia?
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Behavioral approaches
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What percentage of the elderly have clinically significant depression?
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8-16%
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What percentage of medically ill persons suffer from clinical depression?
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25%
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Early vs. late onset depression
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Early: more personality abnormalities, greater family history of psychiatric illness. Late: more cognitive impairment, more dementia at time of onset
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What's the best treatment for psychotic depression?
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ECT
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What percentage of people with first-time depression will have a recurrence?
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50%
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What percentage of elderly report significant anxiety symptoms?
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25%
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What is the lifetime risk of psychosis?
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25%
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What is the prevalence of psychosis among elderly in the community?
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3-4%
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What is the most common cause of psychosis in older adults?
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AD
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Differences between late and early onset schizophrenia
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Late onset: more delusions and hallucinations, more sensory impairment, higher frequency among women. Early onset: more thought disorders and affective blunting, males have a slightly higher propensity.
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What are the most common DSM diagnoses among the elderly?
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Anxiety disorders and dementia
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What are the most common symptoms among the elderly?
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Sleep problems, anxiety symptoms, depressive symptoms
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