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1

Grover, Sandeep, and Ajit Avasthi. "An approach to a geropsychiatric assessment." Journal of Geriatric Mental Health 11, no. 2 (2024): 67–77. https://doi.org/10.4103/jgmh.jgmh_28_24.

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ABSTRACT The psychiatric assessment of elderly differs from assessment of adult patients on various accounts. In this continuing medical education series, we discuss the generic aspects of psychiatric assessment of elderly. In this document we describe the SAFEST approach for psychiatric evaluation of elderly. This involves understanding the signs and symptoms [S], Additional Diagnosis- comorbid physical and psychiatric diagnosis [A], level of functioning, frailty, falls, forceful acts-abuse, forensic issues [F], collecting extra information pertaining to nutritional status, the environment in
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2

Ng, Bradley, and Martin Atkins. "Home assessment in old age psychiatry: a practical guide." Advances in Psychiatric Treatment 18, no. 6 (2012): 400–407. http://dx.doi.org/10.1192/apt.bp.110.008599.

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SummaryAn initial psychiatric assessment of elderly people at home is an important component of many old age psychiatry services. This article explores the clinical aspects of conducting such assessments and the skills required in addition to those brought to a standard psychiatric interview. Safety considerations and risk management when conducting home assessments are also discussed.
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3

Smaoui, N., I. Baati, T. Dorsaf, S. Mkaouar, I. Abida, and J. Masmoudi. "Suicide risk assessment in the elderly." European Psychiatry 41, S1 (2017): S402. http://dx.doi.org/10.1016/j.eurpsy.2017.02.474.

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ObjectivesTo assess suicide risk in elderly psychiatric outpatients and to identify potential suicide risk factors in this population.MethodsThis was a cross-sectional, descriptive and analytical study, including 50 psychiatric outpatients, aged 65 years or more and attending the Hédi Chaker University Hospital, in Sfax (Tunisia), between November and December 2015. We used a hetero questionnaire including epidemiological and clinical data and three scales: the Suicidal Risk Assessment Scale of Ducher (RSD), the Hospital Anxiety and Depression Scale (HADS) and the Mini Mental State Examination
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4

Altuwairqi, YasirA. "PSYCHIATRIC ASSESSMENT OF ELDERLY IN TAIF, SAUDI ARABIA." International Journal of Advanced Research 6, no. 4 (2018): 1301–9. http://dx.doi.org/10.21474/ijar01/6983.

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5

Eagles, J. M., J. A. G. Beattie, G. W. Blackwood, D. B. Restall, and G. W. Ashcroft. "The Mental Health of Elderly Couples I. The Effects of a Cognitively Impaired Spouse." British Journal of Psychiatry 150, no. 3 (1987): 299–303. http://dx.doi.org/10.1192/bjp.150.3.299.

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In a general practice population, 274 elderly married couples completed the Mental Status Questionnaire (MSQ), the 60-item General Health Questionnaire (GHQ) and the Leeds General Scales for the Self-assessment of Depression and Anxiety. The only relationship detected between cognitive impairment on the MSQ and psychiatric morbidity in the partner was a fairly weak negative correlation between the wives' MSQ and the Leeds Depression score of their husbands. These findings differ from those of previous studies, which have found high rates of psychiatric morbidity in the relatives of demented pa
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6

Rozenbilds, U., R. D. Goldney, P. N. Gilchrist, E. Martin, and H. Connelly. "Assessment by Relatives of Elderly Patients with Psychiatric Illness." Psychological Reports 58, no. 3 (1986): 795–801. http://dx.doi.org/10.2466/pr0.1986.58.3.795.

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Participation of relatives to provide clinical information on psychiatric patients is frequently under-utilized resulting in valuable data being bypassed. In an attempt to formalise the gathering of data from relatives we used the Geriatric Evaluation by Relatives Rating Instrument (GERRI), a 49-statement questionnaire in which the relative rates the patient's behaviour in terms of frequency of occurrence, The information obtained from relatives was then compared with that obtained from other forms of patient-assessment—the London Psychogeriatric Rating Scale completed by nursing staff, the Mi
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7

Gage, R., J. Burns, A. H. Sellers, L. Roth, and W. Mittenberg. "Approaches to memory assessment in the chronic psychiatric elderly." Applied Neuropsychology 2, no. 3 (1995): 145–49. http://dx.doi.org/10.1207/s15324826an0203&4_7.

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8

Gage, R., J. Burns, A. H. Sellers, L. Roth, and W. Mittenberg. "Approaches to memory assessment in the chronic psychiatric elderly." Applied Neuropsychology 2, no. 3-4 (1995): 145–49. http://dx.doi.org/10.1080/09084282.1995.9645352.

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9

de, Jonge Peter, Juan Francisco Roy, Pedro Saz, Aragüés Guillermo Marcos, Antonio Lobo, and project ZARADEMP. "Prevalent and incident depression in community-dwelling elderly persons with diabetes mellitus: results from the ZARADEMP project." Diabetologia 49 (September 21, 2006): 2627–33. https://doi.org/10.1007/s00125-006-0442-x.

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AbstractAims/hypothesis Although several studies have reported on the association between diabetes and depression, none have used both formal psychiatric criteria and a prospective, population-based design. Therefore, it remains unclear whether diabetes is a risk factor for the development of depression. Moreover, it is not clear if this effect is influenced by other chronic diseases and functional disabilities. Methods A large (n=4,803) representative communitybased study in Spanish elderly subjects (at least 55 years of age) was conducted. The presence of major depression was assessed by mea
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10

Eastwood, M. R., S. Corbin, M. Reed, H. Nobbs, and H. B. Kedward. "Acquired Hearing Loss and Psychiatric Illness: An Estimate of Prevalence and Co-morbidity in a Geriatric Setting." British Journal of Psychiatry 147, no. 5 (1985): 552–56. http://dx.doi.org/10.1192/bjp.147.5.552.

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Hearing impairment and mental disorders are common among residents of nursing homes and homes for the aged; however, the relationship between sensory deficit and psychiatic illness has been little investigated in this population. The prevalence of hearing impairment, psychiatric illness, and co-morbidity was investigated in a sample of 102 elderly residents from consecutive admissions to a home for the aged. Examining the coincidence of these disorders showed evidence of an association between hearing loss and paraphrenia, and hearing loss and dysphoric states, but not between hearing and cogn
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11

Shafti, Saeed. "Clinical Figure and Rate of Mortality Among Chronic Schizophrenics: A Local Assessment." Clinical Medical Reviews and Reports 2, no. 02 (2020): 01–04. http://dx.doi.org/10.31579/2690-8794/013.

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Introduction: Researchers have consistently reported that people with mental disorders have elevated mortality compared with the general population. In Iran there are not systematic psychiatric case registers that could allow us to study precisely the mortality of psychiatric patients. The aim of the current study was to determine the mortality rate and clinical profile of death in a group of non-western chronic elderly schizophrenic patients. Methods: chronic geriatric subdivision of Razi Psychiatric hospital with a capacity around 220 beds (110 for each of male and female elderly patients) h
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Nepal, S., N. Sapkota, R. Kumar, B. K. Deo, and S. Mishra. "Psychiatric Disorders in Elderly Patients attending OPD of Tertiary Care Centre in Eastern region of Nepal." Journal of Psychiatrists' Association of Nepal 5, no. 1 (2017): 43–48. http://dx.doi.org/10.3126/jpan.v5i1.18331.

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Introduction: Nearly 25% of the elderly peoples have significant psychiatric symptoms. Although mental disorders are common among elderly all over the world, information on the extent and types of geriatric psychiatric disorder is limited in our settings.Objective: To find out the prevalence of different psychiatric morbidities in elderly population and to study associated demographic variables.Method: A total of 210 consecutive elderly (60 years and older) patients in psychiatric OPD were enrolled in a period of one year, after taking informed consent. Mini Mental State Examination (MMSE) was
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13

Goethals, K. "Relevant topics in Geriatric Forensic Psychiatry." European Psychiatry 65, S1 (2022): S34. http://dx.doi.org/10.1192/j.eurpsy.2022.120.

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Aging persons can become involved in the criminal justice system, more commonly as victims but also as offenders. They are a growing group of interest in forensic psychiatry, due to the ageing of the population. Moreover, they are overrepresented in long-stay facilities. Forensic psychiatrists may be asked to evaluate elderly individuals whose behaviour has become problematic to their families, caregivers, or third parties. We will focus here on problematic behaviors in eldery people, particularly disinhibition, agitation and aggression, and criminal behaviour and the incarcerated eldery. Fore
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Jagdish, Varotariya, Mishra Rahul, Rure Daisy, and Pathak Umesh. "Psychiatric Morbidities, Neurocognitive Impairment, Quality of Life, And Burden of Care in Elderly Patients: A Tertiary Care Hospital-Based Cross-Sectional Study." International Journal of Toxicological and Pharmacological Research 13, no. 1 (2023): 208–23. https://doi.org/10.5281/zenodo.11313681.

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<strong>Background:</strong>&nbsp;The elderly population suffers from disability and functional impairment due to the increasing age and changing social circumstances. Besides physical illnesses, psychiatric morbidities are frequently encountered among elderly individuals. Functional dependency for the activities of daily living is common among elderly people. All these collectively hamper quality of life in elderly patients and increases the burden of caregivers as well. With this background, the present study was carried out to explore the psychiatric morbidities, quality of life and caregiv
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15

Eagles, J. M., A. Craig, F. Rawlinson, D. B. Restall, J. A. G. Beattie, and J. A. O. Besson. "The Psychological Well-being of Supporters of the Demented Elderly." British Journal of Psychiatry 150, no. 3 (1987): 293–98. http://dx.doi.org/10.1192/bjp.150.3.293.

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Interviews were conducted with the co-resident supporters of 79 elderly subjects. Forty of these elderly subjects had been diagnosed as being demented (20 mildly, 12 moderately and eight severely) following psychiatric assessment. The supporters were screened for psychological well-being with the 60-item General Health Questionnaire (GHQ) and the Relatives' Stress Scale (RSS). Supporters of demented relatives showed significantly raised levels of stress on the RSS, but no increase in psychiatric morbidity on the GHQ, when compared with the supporters of non-demented relatives. The implications
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16

Vine, Ruth G., and Allan B. Steingart. "Personality Disorder in the Elderly Depressed." Canadian Journal of Psychiatry 39, no. 7 (1994): 392–98. http://dx.doi.org/10.1177/070674379403900702.

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The objectives of this study were to examine the association of personality disorder with outcome of depression in older patients (age ≥ 60) treated in a psychiatric day hospital for depression and to compare the clinical diagnosis of personality disorder at admission with the results of a semi-structured interview at follow-up. Sixty-four patients were followed up for a mean interval of 30 (13–49) months after admission to the psychiatric day hospital and the semi-structured interview, Social Support Scale, Life Events Inventory, Hamilton Depression Rating Scale and Mini-Mental State Examinat
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17

Cooper, Sally-Ann. "Behaviour disorders in adults with learning disabilities: Effect of age and differentiation from other psychiatric disorders." Irish Journal of Psychological Medicine 15, no. 1 (1998): 13–18. http://dx.doi.org/10.1017/s0790966700004614.

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AbstractObjective: To clarify the effect of age on behaviour disorders in adults with learning disabilities, and the differentiation of behaviour disorders from other psychiatric disorders.Method: Detailed assessments, measuring maladaptive behaviours, psychiatric disorders and demographic factors were completed on 93.7% of all people with learning disabilities aged 65 years and over, living in Leicestershire, UK (n = 134), and also a random sample of adults with learning disabilities aged 20-64 years (n = 73). Behaviour disorders were distinguished from other psychiatric disorders. Descriptiv
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18

Jason, Justin Shawn, and Aruna Yadiyal. "IJCM_109A: Psychiatric Morbidity And Cognitive Functioning In The Institutionalized Elderly In Old Age Homes: A Cross-Sectional Study." Indian Journal of Community Medicine 49, Suppl 1 (2024): S32. http://dx.doi.org/10.4103/ijcm.ijcm_abstract109.

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Background: The elderly is at a higher risk of developing certain psychiatric illnesses and deterioration of their cognitive functioning by virtue of the multidimensional phenomenon of ageing and other psychosocial factors, and this risk has found to only be higher in the institutionalized elderly. Studies in this regard, assessing the mental health of those residing in old age homes in India are lacking. Objective: To evaluate the psychiatric morbidities and cognitive functioning in the elderly who have been institutionalized in old age homes. Methodology: This study is a cross-sectional stud
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19

Pryce, I. G., R. D. Griffiths, R. M. Gentry, et al. "The Nature and Severity of Disabilities in Long-Stay Psychiatric In-patients in South Glamorgan." British Journal of Psychiatry 158, no. 6 (1991): 817–21. http://dx.doi.org/10.1192/bjp.158.6.817.

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Long-stay psychiatric in-patients in South Glamorgan were reviewed using the MRC Needs for Care assessment. The majority were middle aged or elderly and were severely disabled, with problems encompassing symptoms/behavioural difficulties, social skills, and physical health. In most, long-standing psychiatric illness was compounded by physical illness and cognitive deficits as age advanced, producing care needs that were greater than existing community services could meet.
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20

Borges, A. F., and V. Domingues. "Integration of Geriatric Psychiatry and Geriatrics: Enhancing Mental Health Assessment in the Elderly." European Psychiatry 67, S1 (2024): S634. http://dx.doi.org/10.1192/j.eurpsy.2024.1313.

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IntroductionThe ageing population presents complex clinical challenges, particularly in the realm of mental health among the elderly. The intersection of geriatric psychiatry and geriatrics plays a critical role in providing a holistic and comprehensive approach to addressing psychiatric issues in older adults. This abstract explores the integration of these two disciplines and their significance in elderly mental health care.ObjectivesThis study aims to underscore the benefits of collaboration between geriatric psychiatry and geriatrics while highlighting areas of intersection. These areas in
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21

Benbow, Susan M., and Alison Marriott. "Family therapy with elderly people." Advances in Psychiatric Treatment 3, no. 3 (1997): 138–45. http://dx.doi.org/10.1192/apt.3.3.138.

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Those who work with older adults will inevitably find themselves working with families. Indeed assessment of an older person is often difficult if members of their family and social network are not involved. Referrals to social and psychiatric services are often precipitated by family changes. Ratna &amp; Davis (1984) described 142 consecutive referrals to a community old age psychiatry service and found retirement, family conflict, departure of or illness of a carer, or bereavement precipitated 60% of referrals. Thus, work with older adults will often necessitate work with families, although
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Faye, Abhijeet, Rahul Tadke, Sushil Gawande, Sudhir Bhave, Vivek Kirpekar, and Anirban Chatterjee. "Assessment of alexithymia and cognition in elderly patients with depression." Journal of Geriatric Mental Health 9, no. 2 (2022): 100–108. http://dx.doi.org/10.4103/jgmh.jgmh_41_22.

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Objectives: Depression is the most common psychiatric illness in the elderly. Alexithymia and cognitive impairment can be independently associated with depression and old age. This study aims to assess the alexithymia and cognitive dysfunction in geriatric patients with depression. Materials and Methods: A cross-sectional study was conducted on 100 participants of &gt;60 years with depression. Participants were assessed using semi-structured pro forma, Geriatric Depression Scale (GDS), Hamilton Depression Rating Scale (HDRS), Toronto Alexithymia Scale-20 (TAS-20) having 3 subscales – “difficul
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O'Neill, Conor, Henry O'Connell, and Brian A. Lawlor. "Psychiatric consultation to elderly medical inpatients in a general hospital." Irish Journal of Psychological Medicine 20, no. 3 (2003): 80–83. http://dx.doi.org/10.1017/s0790966700007746.

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AbstractObjectives: To determine the reasons for referral of elderly medical inpatients for psychiatric consultation and the appropriateness of such referrals. To determine whether the provision of a consultation service is associated with increases in referral rates over time.Method: One hundred consecutive referrals seen over an 18-week period were included in the study and data on reason for referral, ICD-10 diagnosis and recommended interventions gathered prospectively. Rates of referral were calculated and compared with a similar study performed in the same location five years previously.
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Treloar, Adrian. "Improving methods of assessment in a community mental health team." Psychiatric Bulletin 20, no. 1 (1996): 30–32. http://dx.doi.org/10.1192/pb.20.1.30.

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Changing methods of recording psychiatric histories by a community mental health team for the elderly was associated with a dramatic improvement in the quality of recording of clinical Information and of communication with general practitioners. Comparison is made with published studies of case note audit with feedback. It is suggested that restructuring the way we work may be more effective than simple review of case notes with feedback.
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Pradhan, Nirmala, Baikuntha Raj Adhikari, Sami Lama, Sharmila Shrestha, and Rambha Sigdel. "Prevalence of Mild-Cognitive-Impairment and Depression among Elderly Clients in Selected Wards of Baraha Municipality: A Cross-Sectional Study." Journal of BP Koirala Institute of Health Sciences 3, no. 1 (2020): 57–65. http://dx.doi.org/10.3126/jbpkihs.v3i1.30322.

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Introduction: Mild-Cognitive-Impairment (MCI) is an intermediate state between normal cognitive ageing and dementia. Identification of MCI is thought to be crucial to early intervention.&#x0D; Objectives: To assess Mild-Cognitive-Impairment and Depression among elderly clients and to find out the associations between Mild-Cognitive-Impairment and Depression and socio-demographic variables.&#x0D; Methods: A descriptive, cross-sectional study design was adopted. A total of 115 elderly clients who fulfilled the selection criteria were enrolled using purposive sampling technique. Montreal Cognitiv
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Bülow, Per, Pia H. Bülow, and Deborah Finkel. "DIFFERENCES AND SIMILARITIES OF ELDERLY PERSONS IN SWEDEN WITH A DIAGNOSIS OF PSYCHOSIS OR NON-PSYCHOSIS (SMI)." Innovation in Aging 6, Supplement_1 (2022): 794. http://dx.doi.org/10.1093/geroni/igac059.2867.

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Abstract Psychiatric care in Sweden is jointly organized by psychiatric practice and municipal social services. To determine who is entitled to support from the municipalities, the concept of “psychiatric disability” was created in connection with psychiatric reform in 1995. Psychiatric disability is a poorly identified concept and in Sweden, a person has severe mental illness (SMI) if they have difficulties in carrying out activities in crucial areas of life, these difficulties are caused by a mental disorder, and they are prolonged. Internationally, SMI is often synonymous with psychosis, bu
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Carr, A. C., R. T. Woods, and B. J. Moore. "Developing a Microcomputer Based Automated Testing System for use with Psychogeriatric Patients." Bulletin of the Royal College of Psychiatrists 10, no. 11 (1986): 309–12. http://dx.doi.org/10.1192/pb.10.11.309.

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Microcomputers are increasingly being used in psychiatry for a variety of purposes. When used in computer-patient ‘interviews’ they have generally proved acceptable—indeed popular—with psychiatric patients. Automated psychological assessment is one form of computer-patient interview that is attracting much interest. Some of the early applications were with elderly patients. Kendrick has expressed doubts regarding this application with the current generation of elderly people, suggesting that their relative unfamiliarity with computers and video games might cause difficulties.
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Grassi, Luigi, Rosangela Caruso, Ronch Chiara Da, et al. "Quality of life, level of functioning, and its relationship with mental and physical disorders in the elderly: results from the MentDis_ICF65+ study." Health and Quality of Life Outcomes 18, no. 1 (2020): 61. https://doi.org/10.1186/s12955-020-01310-6.

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<strong>Background: </strong>An ageing population worldwide needs to investigate quality of life (QoL) and level of functioning (LoF) in the elderly and its associated variables. We aimed to study the relationship between Quality of Life (QoL) and Level of Functioning (LoF) in an elderly population in Europe.<strong>Method: </strong>As part of the Ment_Dis65+ European Project, 3142 community-dwelling adults aged 65–84 years in six countries were assessed by using the adaptation for the elderly of the Composite International Diagnostic Interview (CIDI65+) to provide psychiatric diagnosis accord
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TOMA, Sebastian Ionut, Barabas BARNA, Daniel TABIAN, Calin SCRIPCARU, Marius Alexandru MOGA, and Diana BULGARU-ILIESCU. "Homicidal Act Commited by an Elderly Person with Sexual Dysfunction - Case Report." BRAIN. Broad Research in Artificial Intelligence and Neuroscience 11, no. 3 Sup.1 (2020): 08–19. https://doi.org/10.18662/brain/11.3Sup1/117.

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Sexual dysfunctions (SDs) are highly prevalent with aging.Studies reported an interactive correlation between psychiatric morbidityand SD. Also, SDs have significant influence on patients` self-esteem,body image, interpersonal relationships, and physical health in general.The aim of the present research is to present an intimate partner homicidecase and to discuss a possible correlation between SDs of elderly patientsand their inclination towards aggressive behavior from intimate partnerviolence (IPV).A forensic psychiatric assessment was performed on a married malepatient, aged 61. He was dia
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Das, Kavita, Kevin Murray, Rick Driscoll, and S. Rao Nimmagadda. "Assessment of healthcare and placement needs in an older forensic psychiatric population in comparison to a younger forensic psychiatric population." International Psychogeriatrics 24, no. 7 (2012): 1188–90. http://dx.doi.org/10.1017/s1041610212000130.

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The healthcare provision for the elderly with a history of offending is under-researched and suffers from a lack of adequate services. Although the number of offences committed by older patients is low, research suggests they are more likely to re-offend, and have significant legal and psychiatric histories (Tomar et al., 2005). Older offenders also have complex medical problems such as neurological disease, including dementia, heart disease, stroke, and hypertension (Lewis et al., 2006).
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Passos, Joaquim, Aníbal Fonte, Cláudia Camila Dias, and Lia Fernandes. "The needs of older people with mental health problems in a Portuguese psychiatric setting." International Psychogeriatrics 29, no. 5 (2017): 845–53. http://dx.doi.org/10.1017/s1041610217000072.

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ABSTRACTBackground:This study aims to identify met and unmet needs, according to the patient, the carer and the staff, and their relationship with socio-demographic and clinical characteristics in elderly people with mental health problems.Methods:A sample of 306 elderly patients ≥65 years, of both sexes, diagnosed with mental illness (ICD-10 criteria), was recruited from inpatient/outpatient settings in a Department of Psychiatry and Mental Health, in northern Portugal. Patients were assessed with the Camberwell Assessment of Need for the Elderly/CANE.Results:The majority of diagnoses were de
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Abdul-Hamid, Walid K., Kelly Lewis-Cole, Frank Holloway, and Marisa Silverman. "Older people with enduring mental illness: a needs assessment tool." Psychiatric Bulletin 33, no. 3 (2009): 91–95. http://dx.doi.org/10.1192/pb.bp.107.017392.

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Aims and MethodThere is a lack of tools to assess the needs of older people with enduring mental illness who have ‘graduated’ from adult mental health services and little is known about this population. the Elderly Psychiatric Needs Schedule (EPNS) was developed and applied to older people with enduring mental illness in contact with the old age and general adult components of an inner-city mental health service.ResultsThe EPNS proved reliable (mean agreement 96%, mean Kappa κ=0.90). the mean number of needs identified was 7.6, of which 4.3 were unmet and 3.3 were met.Clinical ImplicationsThe
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Pavarini, Sofia Cristina Iost, Allan Gustavo Brigola, Bruna Moretti Luchesi, et al. "On the use of the P300 as a tool for cognitive processing assessment in healthy aging: A review." Dementia & Neuropsychologia 12, no. 1 (2018): 1–11. http://dx.doi.org/10.1590/1980-57642018dn12-010001.

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ABSTRACT Changes in patterns of performance for the cognitive functions of memory, processing speed, and focused attention are expected in old age. Objective: The main goal of this systematic review was to analyze the use of ERP in healthy elderly in studies evaluating the P300 components. Methods: A systematic review was carried out based on recommendations for nursing research on the databases LILACS, PsycINFO, PubMed, SCOPUS and Web of Science. Results: 26 studies involving 940 healthy elderly were identified, most of which sought to identify and determine the influence of age on the P300.
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Sluchevskaya, S., and J. Hirdes. "P02-262 Age group differences in psychiatric hospital settings in ontario: Evidence based on the interrai mental health (MH)." European Psychiatry 26, S2 (2011): 858. http://dx.doi.org/10.1016/s0924-9338(11)72563-9.

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Although the clinical characteristics of persons in mental health settings are likely to vary in relation to a number of different, age is often considered to be one of the primary factors associated with the strengths, preferences and needs of psychiatric patients. The present study employs data from the mandated use of the interRAI Mental Health (MH) assessment instruments as part of normal clinical practice in Ontario psychiatric hospitals/units. The interRAI MH is a comprehensive assessment tool designed to support care plan development and outcome measurement at the person level, as well
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Abrams, Robert C., Blanca Boné, M. Cary Reid, et al. "Psychiatric Assessment and Screening for the Elderly in Primary Care: Design, Implementation, and Preliminary Results." Journal of Geriatrics 2015 (March 29, 2015): 1–9. http://dx.doi.org/10.1155/2015/792043.

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Introduction. We describe the design and implementation of a psychiatric collaborative care model in a university-based geriatric primary care practice. Initial results of screening for anxiety and depression are reported. Methods and Materials. Screens for anxiety and depression were administered to practice patients. A mental health team, consisting of a psychiatrist, mental health nurse practitioner, and social worker, identified patients who on review of screening and chart data warranted evaluation or treatment. Referrals for mental health interventions were directed to members of the men
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Howard, Robert, and Martin Orrell. "Sentence writing in the cognitive assessment of the elderly." Psychiatric Bulletin 16, no. 4 (1992): 208–9. http://dx.doi.org/10.1192/pb.16.4.208.

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Testing the ability to write a simple sentence has long formed part of the clinical assessment of the cognitive state in the elderly, and has even been incorporated into standard brief cognitive tests (Folstein et al, 1975). Writing a sentence tests a number of faculties including language skills and praxis. As part of a comparative study of four tests of cognitive function—the Felix Post Unit (Institute of Psychiatry, 1987), Mini Mental State Examination (Folstein et al, 1975), Abbreviated Mental Test (Qureshi &amp; Hodkinson, 1974) and Medical Research Council (MRC, 1987) – sentences written
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Antony, Jery, Anisha Nakulan, and Shiny John. "A cross sectional study on the association between new onset of psychiatric symptoms with severity of cognitive impairment in elderly patients." International Journal of Research in Medical Sciences 7, no. 7 (2019): 2681. http://dx.doi.org/10.18203/2320-6012.ijrms20192580.

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Background: Neuropsychiatric impairments play significant roles throughout the course of cognitive decline mainly in older adults with dementia or mild cognitive impairment (MCI). This study was aimed to find the association between psychiatric comorbidities and severity of cognitive impairment in elder patients presented with new onset of Psychiatric Symptoms.Methods: A cross sectional study was done among elder subjects (≥60 years of age) presented with new onset of psychiatric symptoms during one year period. Mini International neuropsychiatric interview and Montreal Cognitive Assessment sc
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Jenkins, Melissa A., Cynthia Cimino, Paul F. Malloy, et al. "Neuropsychiatric Factors in the Illusion of Visitors among Geriatric Patients: A Case Series." Journal of Geriatric Psychiatry and Neurology 10, no. 2 (1997): 79–87. http://dx.doi.org/10.1177/089198879701000208.

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The ‘illusion of visitors' is a common phenomenon among geriatric patients presenting for psychiatric or neurologic evaluation and treatment. Although these illusory beliefs are etiologically diverse, patients may commonly have visual impairment and functional and/or structural disruption of frontal and right-hemisphere-mediated cognitive functioning. This article outlines eight cases of illusory beliefs among elderly patients, presenting psychiatric, neurologic, neuroimaging, and neuropsychological findings among these patients. Commonalities and differences among these cases are discussed, a
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39

Kohen, D., G. Mathew, and L. Fernando. "Survey of psychotropic medication: usage in a large mental handicap hospital." Psychiatric Bulletin 17, no. 3 (1993): 137–39. http://dx.doi.org/10.1192/pb.17.3.137.

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The populations in the large mental handicap hospitals are known to be diverse, ranging from elderly non-psychiatric residential groups to acutely psychotic and behaviourally disturbed patients. At present demographic variables, medical and psychiatric characteristics of populations in these hospitals are changing in parallel with implementation of community care and resettlement programmes. In resettlement programmes, discharge priorities have been given to the easy to manage and less dependent residents while new challenging behavioural units and admission assessment wards are being opened t
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40

Crippa, Anelise, Irenio Gomes, and Newton Terra. "Avaliação da capacidade de decisão de idosos diagnosticados com depressão maior." Scientia Medica 27, no. 3 (2017): 26558. http://dx.doi.org/10.15448/1980-6108.2017.3.26558.

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*** Assessment of the decision-making capacity of elderly individuals diagnosed with major depression ***AIMS: To verify if there are changes in the decision-making capacity of elderly patients with major depression.METHODS: This is a prospective cohort study with an initial cross-sectional analysis conducted between January 2014 and September 2015. Treatment-naïve elderly patients from the Cerebral Aging Outpatient Clinic at PUCRS São Lucas Hospital, in Porto Alegre, Brazil, all diagnosed with major depressive disorder, were selected. The control group was composed of elderly individuals from
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41

Fatheddine, M., F. Elfahiri, Z. Ennaciri, I. Adali, and F. Manoudi. "Prescribing Habits for Elderly Patients in a Sample of Psychiatry Residents at Ibn Nafis Psychiatric Hospital: A Descriptive Study." SAS Journal of Medicine 10, no. 05 (2024): 442–44. http://dx.doi.org/10.36347/sasjm.2024.v10i05.033.

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As the elderly population increases the domain of geriatric psychiatry is developing. Senior patients have unique clinical presentations and coexisting medical conditions necessitating a thorough assessment and treatment plan. We aimed to investigate how residents at the Ibn Nafis University Psychiatric Center in Marrakech (Morocco) prescribe psychotropic drugs to elderly patients. We also explored the recommendations offered by research for the treatment of psychiatric disorders in this citizenry. A cross-sectional descriptive design was employed. Seventeen psychiatry residents at the Ibn Naf
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42

Mainprize, E., and G. Rodin. "Geriatrie Referrals to a Psychiatric Consultation-Liaison Service." Canadian Journal of Psychiatry 32, no. 1 (1987): 5–9. http://dx.doi.org/10.1177/070674378703200103.

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Geriatric patients constitute a significant proportion of referrals to a psychiatric consultation-liaison service, accounting for 29% of referrals in the present study. Organic mental disorders, the most common psychiatric diagnosis, were identified in 51% of geriatric referrals. The next most common psychiatric conditions were affective disorders and adjustment disorders, each of which were diagnosed in 17% of geriatric referrals. Transfers to in-patient psychiatry were unusual and the most common recommendations were for psychotropic medications, further medical investigations, and for psych
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43

Levy, Michael T. "Psychiatric Assessment of Elderly Patients in the Home: A Survey of 176 Cases." Journal of the American Geriatrics Society 33, no. 1 (1985): 9–12. http://dx.doi.org/10.1111/j.1532-5415.1985.tb02852.x.

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44

Tadros, George, Rafik A. Salama, Paul Kingston, et al. "Impact of an integrated rapid response psychiatric liaison team on quality improvement and cost savings: the Birmingham RAID model." Psychiatrist 37, no. 1 (2013): 4–10. http://dx.doi.org/10.1192/pb.bp.111.037366.

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Aims and methodTo evaluate whether the implementation of the Rapid Assessment, Interface and Discharge (RAID) integrated model improves access to psychiatric assessment and reduces cost of health service provision in an acute hospital. Length of hospital stay was calculated using a case-by-case matched control design. Readmission rates were calculated and survival analysis was used to measure endurance in the community following discharge.ResultsIn an acute hospital with 600 beds, the total savings in bed days through reducing length of stay and readmissions was 43–64 beds per day. The elderly
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Кирилочев, О. О. "ASSESSMENT OF DRUG THERAPY IN PSYCHIATRIC ELDERLY PATIENTS BASED ON THE AGS BEERS CRITERIA." Успехи геронтологии, no. 2 (June 10, 2020): 325–30. http://dx.doi.org/10.34922/ae.2020.33.2.015.

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Целью исследования явился анализ частоты назначений потенциально не рекомендованных лекарственных препаратов (ПНЛП) лицам пожилого возраста, находящимся на лечении в условиях психиатрического стационара. Данная работа проведена с помощью инструмента по борьбе с полипрагмазией - критериев Бирса, созданного под эгидой Американской гериатрической ассоциации. Исследование свидетельствует о высокой частоте применения ПНЛП следующих фармакологических групп: бензодиазепиновые производные, нестероидные противовоспалительные препараты (длительный приём), а также лекарственные средства с выраженным анти
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Jablonski, Michael R., Raymond Lorenz, James Li, and Bryan M. Dechairo. "Economic Outcomes Following Combinatorial Pharmacogenomic Testing for Elderly Psychiatric Patients." Journal of Geriatric Psychiatry and Neurology 33, no. 6 (2019): 324–32. http://dx.doi.org/10.1177/0891988719892341.

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Objective: We compared economic outcomes when elderly patients with neuropsychiatric disorders received psychotropic medications guided by a combinatorial pharmacogenomic (PGx) test. Methods: This is a subanalysis of a 1-year prospective assessment of medication cost for patients with neuropsychiatric disorders receiving combinatorial PGx testing. Pharmacy claims were used to compare per member per year (PMPY) medication cost for patients ≥65 and &lt;65 years old when medications were congruent or incongruent with the PGx test. Polypharmacy was also assessed. Results: Congruent prescribing was
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Sorocco, Kristen. "Education of Caregivers and Veterans to Improve the Care of the Geriatric Psychiatric Patient." Innovation in Aging 5, Supplement_1 (2021): 494. http://dx.doi.org/10.1093/geroni/igab046.1906.

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Abstract The geriatric psychiatry outpatient clinic provides assessment of the elderly Veteran with mental illness and behavioral and psychological symptoms of dementia. I will describe strategies developed and implemented in this setting to provide education to the caregiver (family) to improve early identification of delirium, depression and cognitive impairment. This education proved to reduce the number of pharmacological treatment and increase the use of nonpharmacological interventions based on "what matters to the patient" and following the BEERS criteria guidelines. One of the most imp
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Wang, Yefei, Yongchao Yin, Zhiqiang Wei, Nan Zhou, and Xinyu Yao. "A retrospective study on the relationship between delirium and long-term cognitive function in elderly women following cervical cancer surgery." Medicine 104, no. 21 (2025): e42120. https://doi.org/10.1097/md.0000000000042120.

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This study aimed to investigate the relationship between postoperative delirium and long-term cognitive function in elderly women undergoing cervical cancer surgery, providing insights into the long-term effects of postoperative cognitive alterations. A retrospective analysis was conducted on 120 elderly women (≥60 years) who underwent cervical cancer surgery over the past decade. Patients were categorized into a postoperative delirium group (n = 45) and a non-delirium group (n = 75) based on Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition criteria, with initial screening
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49

Ancill, R. J., G. D. Embury, G. W. Macewan, and J. S. Kennedy. "The Use and Misuse of Psychotropic Prescribing for Elderly Psychiatric Patients." Canadian Journal of Psychiatry 33, no. 7 (1988): 585–89. http://dx.doi.org/10.1177/070674378803300702.

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The presenting problems and pre-admission diagnoses of 100 consecutive admissions to a geriatric psychiatry inpatient assessment unit were assessed in a retrospective survey and the use of psychotropic medication examined. Although post-admission diagnoses showed a high proportion of depressive illness amongst the patients, depression was infrequently diagnosed prior to admission and antidepressants infrequently used. The majority of these elderly patients were referred with a diagnosis of dementia and ‘behaviour problems’. These were treated prior to admission with neuroleptics or benzodiazep
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Moriguti, Julio Cesar, Eny Kiyomi Uemura Moriguti, Eduardo Ferriolli, João de Castilho Cação, Nelson Iucif Junior, and Julio Sergio Marchini. "Involuntary weight loss in elderly individuals: assessment and treatment." Sao Paulo Medical Journal 119, no. 2 (2001): 72–77. http://dx.doi.org/10.1590/s1516-31802001000200007.

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CONTEXT: The loss of body weight and fat late in life is associated with premature death and increased risk of disability, even after excluding elderly subjects who have a preexisting disease. Although it is important to recognize that periods of substantially positive or negative energy balance and body weight fluctuation occur as a normal part of life, weight losses greater than 5% over 6 months should be investigated. We can divide the major causes of weight loss in the elderly into 4 categories: social, psychiatric, due to medical conditions, and age-related. The clinical evaluation should
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