Options for modifying behavioural problems in old age


Authors: H. Matějovská Kubešová
Authors‘ workplace: Klinika interní, geriatrie a praktického lékařství LF MU a FN Brno
Published in: Čes Ger Rev 2009; 7(3-4): 131-137

Overview

The author presents an overview of behavioural disturbances that might occur in older age, their causes, factors increasing probability of their occurrence and options for their management. Links are explored between behavioural disturbances and depression, dementia, external factors and various primary disorders. Some less expected associations, such as a link between thyreopathies and behavioural disturbances, circumstances accompanying subdural hematoma etc., are emphasised. Special attention is paid to delirant states and approaches to their short- as well as long‑term therapeutic management. An overview of options for the use of the atypical neuroleptic tiapride is presented. Finally, the paper discusses the various aspects of alcohol dependence among seniors and problems carers encounter when caring for older patients with behavioural problems.

Keywords:
behavioural disturbances – depression – dementia – delirium – post‑operative states in seniors – carer – burnout syndrome


Sources

1. Mobbs Ch. Biology of ageing. Merck manual of geriatrics. http://www.merck.com/pubs/mm_geriatrics/sec1/ch1.htm.

2. Cohen GD. Aging and mental Health. Merck manual fo geriatrics. http://www.merck.com/pubs/mm_geriatrics/sec4/ch32.htm

3. Barrett AE, Robbins C. The Multiple Sources of Women‘s Aging Anxiety and Their Relationship With Psychological Distress. Journal of Aging and Health 2008; 20 (1): 32–65.

4. Kim J. Examining Physical Impairment and Depressive Symptomatology. Journal of Aging and Health 2008; 20(6): 671–693.

5. Hoschl C. Psychiatrie pro praktické lékaře. H&H Jinočany 1996: 301–308.

6. Topinková E. Geriatrie pro praxi. Praha: Galén 2005.

7. Ladin K. Risk of Late-Life Depression Across 10 European Union Countries: Deconstructing the Education Effect. Journal of Aging and Health 2008; 20(6): 653–670.

8. Sheikh JL, Yesavage JA. Geriatric Depression scale: recent evidence and development of a shorter version. Clin Gerontol 1986; 5: 165–172.

9. Laňková J. Depression screening in general practice – The Screendep study. Abstracts 18th Wonca World Konference. Singapore 2007; 7: 304.

10. Wetherell JL, Petkus AJ, McChesney K et al. Older adults are less accurate than younger adults at identifying symptoms of anxiety and depression. J Nerv Ment Dis 2009; 197(8): 623–626.

11. Kornstein SG, Li D, Mao Y et al. Escitalopram versus SNRI antidepressants in the acute treatment of major depressive disorder: integrative analysis of four double‑blind, randomized clinical trials. Neurology 2009; 73(4): 294–301.

12. McCallum M, Piper WE, O’Kelly J. Predicting patient benefit from a group-oriented, evening treatment program. Int J Group Psychother 1997; 47(3): 291–314.

13. Bountziouka V, Polychronopoulos E, Zeimbekis A et al. Long‑Term Fish Intake Is Associated With Less Severe Depressive Symptoms Among Elderly Men and Women. Journal of Aging and Health 2009; 21(6): 864–880.

14. Mendez MF, Perryman KM, Miller BL et al. Behavioral differences between frontotemporal dementia and Alzheimer disease: a comparison on the BEHAVE-AD scale. Int Psychogariatr 1998; 10(2): 155–162.

15. Beers MH. Behavior disorders in dementia. http://www.merck.com/pubs/mm_geriatrics/sec5/ch41.htm.

16. Kalvach Z, Zadák Z, Jirák R et al. Geriatrie a gerontologie. Praha: Grada Publishing 2004.

17. Topinková E. Jak správně a včas diagnostikovat demenci. Praha: UCB Pharma s.r.o. 1999.

18. AISLP – 0048577 TIAPRIDAL 68/171/85–C 2008.

19. Saxena S, Lawley D. Delirium in the elderly: a clinical review. Postgrad Med J 2009; 85(1006): 405–413.

20. Beck C, Heacock P, Walls RC et al. Improving dressing behavior in cognitively impared nursing home residents. Nurs Res 1997; 46(3): 126–33.

21. Perron BE, Zeber JE, Kilbourne AM et al. A brief measure of perceived clinician support by patients with bipolar spectrum disorders. J Nerv Ment Dis 2009; 197(8): 574–579.

22. Knight S, Edwards V. In the Company of Wolves. The Physical, Social, and Psychological Benefits of Dog Ownership. Journal of Aging and Health 2008; 20 (4): 437–455.

23. Kubešová H. Úskalí infekčních komplikací ve vyšším věku. Čes Ger Rev 2008; 6(1): 6–13.

24. Bo M, Martini B, Ruatta C et al. Geriatric ward hospitalization reduced incidence delirium among older medical inpatients. Psychosomatics 2009; 50(4): 309–316.

25. Jones S, Kafetz K. A prospective study of chronic subdural haematoma in elderly patients. Age Ageing 1999; 28(6): 519–521.

26. Holten KB, Itticheria AS. Delirium and acute problematic behavior in LTC patients: what‘s the best approach? Am J Med Genet B Neuropsychiatr Genet 2009.

27. Espino DV, Jules-Bradley AC, Johnston CL. Diagnostic approach to the confused elderly patient. Am Fam Physician 1998; 57(6): 1358–1366.

28. Pisani MA, Kong SY, Kasl SV et al. Days of Delirium are Associated with 1‑year Mortality in an Older Intensive Care Unit Population. J Fam Pract 2009; 58(9): E1.

29. Adams W. Substance abuse and dependence. http://www.merck.com/pubs/mm_geriatrics/sec4/ch37.htm.

30. Chen LY, Hardy CL. Alcohol Consumption and Health Status in Older Adults. A Longitudinal Analysis Journal of Aging and Health 2009; 21 (6), 824–847.

31. Pringle KE, Keller DA, Ahern FM el al. The Role of Medication Use and Health on the Decision to Quit Drinking Among Older Adults Journal of Aging and Health 2006; 18 (6): 837–851.

32. Burton LC, Newsom JT, Schulz R et al. Preventive health behaviors among spousal caregivers. Prev med 1997; 26 (2): 162–169.

33. Abrahamson K, Suitor JJ, Pillemer K. Conflict Between Nursing Home Staff and Residents’ Families Journal of Aging and Health 2009; 21(6): 895–912.

34. Erb T, Sluga M, Hampl KF et al. Longitudinal study of the mental health of caregivers carin for elderly patients with dementia, effect of institutional placement on mental health. Psychiatry Clin Neurosci 1997; 42 (1): 289–293.

Labels
Geriatrics General practitioner for adults
Login
Forgotten password

Don‘t have an account?  Create new account

Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account