Docsity
Docsity

Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity


Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan


Guidelines and tips
Guidelines and tips

Geriatric Psychiatry, Slides of Molecular biology

power point on geriatric psych

Typology: Slides

2018/2019

Uploaded on 06/19/2023

melissa-nursing
melissa-nursing 🇺🇸

11 documents

1 / 20

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
GERIATRIC
PSYCHIATRY
BY: WESTERN UNIVERSITY OF HEALTH SCIENCES.
pf3
pf4
pf5
pf8
pf9
pfa
pfd
pfe
pff
pf12
pf13
pf14

Partial preview of the text

Download Geriatric Psychiatry and more Slides Molecular biology in PDF only on Docsity!

GERIATRIC

PSYCHIATRY

BY: WESTERN UNIVERSITY OF HEALTH SCIENCES.

GERIATRIC

PSYCHIATRY

What is Geriatric?

  • (^) Physical, mental and social aspects
  • (^) Mental disorders in general
  • (^) Different disorders in the elderly
  • (^) Psychiatric therapies in the elderly

GETTING OLDER VS. LIVING LONGER

  • (^) Mental changes
    • (^) Personality
      • (^) amplification of character traits
    • (^) Cognition, memory
      • (^) mental slowing
      • (^) transformed memory structure
      • (^) summerised experiences
    • (^) Emotional changes
      • (^) Emotional maturity

GETTING OLDER VS. LIVING LONGER

  • (^) Social changes
    • (^) Retirement (financial difficulties)
    • Decrease in social status
    • (^) Facing somatic and mental disfunctioning
    • (^) Somatic diseases
    • (^) Grief (loss of spouse, brothers or sisters, friends)
    • (^) Social isolation
    • Moving to nursing/residential home

MENTAL DISORDERS IN THE ELDERLY

  • (^) Dementia
    • (^) Other „organic mental disorders”
  • (^) Affective disorders (depression)
  • (^) Delirium
  • (^) Delusional disorders (psychosis)
  • Anxiety disorders
  • (^) Substance abuse disorders
  • (^) Psychiatric patients getting old (previved self vs. actual self).

DEMENTIA - SYNDROMATOLOGY

  • (^) Chronic course (10% above 65 y/o, 16-25% above 85 y/o)
  • (^) Multiple cognitive deficits including memory impairment (intelligence, learning, language, orientation, perception, attention, judgement, problem solving, social functioning)
  • (^) No impairment of consciousness
  • (^) Behavioural and psychological symptoms of dementia (BPSD)
  • (^) Progressive - static
  • Reversible (15%) - irreversible

DEMENTIA -ETIOLOGY

  • (^) Alzheimers disease (60-70%)
  • (^) Vascular dementia (10-20%)
  • (^) Neurodegenerative disorders
  • (^) (Pick, Lewy body dis, Parkinson, Huntington, etc.)
  • (^) Drugs and toxins
  • Intracranial masses
  • (^) Anoxia
  • (^) Trauma
  • (^) Infections (JCD, HIV, etc)
  • (^) Nutrition
  • (^) Metabolic
  • (^) Pseudodementia

AFFECTIVE DISORDERS (DEPRESSION)

  • (^) Major depression prevalence: 10-16% (hospital, residential homes)
  • (^) Minor depression: 47-53 %
  • (^) Dysthymic disorder
  • (^) Suicide in elderly
    • (^) 2-3x average over 65
    • (^) Major depression in 80%

DELUSIONAL DISORDERS (PSYCHOSES)

  • (^) Late onset schizophrenia (over 40 y)
  • (^) Very late onset schizophreniform disorder (over 60 y)
  • (^) Other delusional disorders
  • (^) Organic delusional disorder
  • (^) Delusional symptoms of dementia (BPSD)
  • (^) Multiple etiology, multiple syndromatology (schizophreniform, persecutory, hallucinosis, coenaesthesias, etc.)

Psychosocial factors Causes of delusional disorder in the elderly Personality „Endogenous” origin Organic (CNS) background Sensory impairment Other biological factors

PSYCHIATRIC DISORDERS CONTINUED

  • (^) Schizophrenia / bipolar disorder
  • (^) Personality disorder
  • (^) Neurotic disorders
    • (^) anxiety, somatoform, etc.
  • (^) Changes in clinical picture, therapeutical response, etc.
  • (^) Bio-psycho-social changes
  • (^) Multidimensional approach

SUBSTANCE ABUSE IN THE ELDERLY

  • (^) Alcohol/medication abuse
  • (^) Common comorbidity
    • (^) Somatic
    • (^) Psychiatric (anxiety, depression, etc.)

PHARMACOTHERAPY

  • (^) Aspects of pharmacotherapy
    • (^) Mental status, neurological/somatic status
    • (^) Social status (affordability of treatment).
    • Etiology
  • (^) Special aspects
    • Polimorbidity
    • (^) Pharmacokinetics (interactions)
    • (^) Dosage (low & Slow)
    • (^) BEERS Criteria
    • (^) Side effects (cognitive, other)

RESOURCES

  • (^) https://geriatricscareonline.org/
  • (^) https://www.aagponline.org/