Depression In The Elderly Case Study

The Elderly and Depression Late onset depression is, one of the primarily diagnoses treated by psychiatrist in the patients over sixty. Depression in the elderly is often chronic and debilitating and can adversely affect the quality of life of the patient. According to Casey (2011) In general depression in the elderly is more chronic and persistent than depression earlier in life and often runs a chronic remitting course. Depression often is associated with aging but isn’t a result of the normal process of aging , As a result patient’s are easily misdiagnosed with depression when they actually have other illness such as dementia , or Alzheimer’s, Other contributory diseases or chronic illnesses are cancer, stroke, diabetes, hip fractures

Louis. University Mental Status, or the Montreal Cognitive Assessment. (Casey, 2011). Many providers also use practice generated screening questions that prompt referrals or in-depth evaluations for depression if certain responses are given by the patient or family. As a result of studies and research psychiatrist, and medical providers know that contributory factors of depression and treatment is not as simple as once thought. A multidisciplinary approach is needed to treat this disease. Treatment options provide successful treatment for this disorder in 80 % of the patients, include selective serotonin reuptake inhibitor’s medications such as sertraline (Zoloft), Citalopram (celexa) which are considered the first line drugs of treatment. Serotonin/ norepinephrine reuptake inhibitors and medications such as mirtazapine, and bupropion also prescribed. In addition other treatment include Electroconvulsive therapy, which has a rapid response and supportive psychotherapy, cognitive behavior therapy and interpersonal

If patient is confused inquire about a sitter or aid to stat with the patient, check policy for your unit what is permitted regarding side rails or Geri chairs and follow their protocols. If possible ask if family members can stay overnight with patient when possible a familiar face is very helpful and often calms the confused patient. Re-orientate patient by calling them by their name, and remaining them of their location in hospital etc. Encourage patient to talk about their concerns or feelings. Help patients to improve how they feel about themselves and work at developing a positive self -concept. If the patient is a suicide risk inform provider immediately and stay with the patient until help