Academic literature on the topic 'Geriatric psychiatry Evaluation'

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Journal articles on the topic "Geriatric psychiatry Evaluation"

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Demla, Kavita, Jennifer McKinley, and Jason Schillerstrom. "Geriatric Psychiatry Fellowship Website Evaluation." American Journal of Geriatric Psychiatry 26, no. 3 (March 2018): S133. http://dx.doi.org/10.1016/j.jagp.2018.01.161.

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Stolee, Paul, J. Kenneth Le Clair, and Linda Kessler. "Geriatric Psychiatry Consultation in the Community." Canadian Journal of Psychiatry 39, no. 8_suppl (October 1994): 27–33. http://dx.doi.org/10.1177/070674379403908s05.

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While increasing emphasis is being placed on geriatric psychiatry consultation and outreach services, there is considerable variation in terms of the composition and direction of these programs. Programs vary in terms of their objectives, location, target population, use of health professions and other resources and their method of consultation. The purposes of this paper are to review the characteristics of existing programs, to review the needs of the targets of consultation and to consider theoretical and methodological approaches which have been found to be useful in mental health/psychiatric consultation, in continuing medical education, and in program evaluation. On the basis of this review, future directions for effective approaches to consultative outreach in geriatric psychiatry will then be proposed.
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Weibel, M. L., J. F. Mall, P. Voirol, A. Pannatier, A. von Gunten, L. Saiah, and I. De Giorgi. "Evaluation of inappropriate prescribing in geriatric psychiatry." Le Pharmacien Hospitalier et Clinicien 49, no. 3 (September 2014): 229. http://dx.doi.org/10.1016/j.phclin.2014.04.046.

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Benedict, Ralph H. B., Marion Zucker Goldstein, Melissa Dobraski, and Judith Tannenhaus. "Neuropsychological Predictors of Adaptive Kitchen Behavior in Geriatric Psychiatry Inpatients." Journal of Geriatric Psychiatry and Neurology 10, no. 4 (December 1997): 146–53. http://dx.doi.org/10.1177/089198879701000404.

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This study examined the degree to which demographic variables, psychiatric diagnosis, depression rating, and neuropsychological test performance predict adaptive kitchen behavior in geriatric psychiatry patients and normal elderly volunteers. A mixed group of 27 participants including 8 normal volunteers and 19 geriatric psychiatry inpatients underwent psychiatric evaluation, neuropsychological testing, and a kitchen skills assessment conducted in a natural setting. Both depression and dementia were prevalent among patients. The kitchen skills assessment was abnormal in 69% of patients, compared to none of the normal volunteers. Estimated premorbid IQs, psychiatric diagnosis, and neuropsychological test scores significantly predicted the pass/fail status on the kitchen skills assessment, but there was no effect for age, education, gender, or depression. The discriminant function analysis classified 92% of cases, and the canonical correlation coefficient was .84. Of the neuropsychological tests employed in the study, two tests involving visuospatial processing and attention were retained in the discriminant function analysis. The results are consistent with previous studies that suggest that visuospatial tasks are more predictive of instrumental activities of daily living than are cognitive tasks emphasizing verbal and memory abilities. In addition, we conclude that neuropsychological test data are useful and valid for the purpose of guiding clinical judgments regarding activities of daily living in geriatric psychiatry patients.
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Sivakumar, Palanimuthu Thangaraju, Shiva Shanker Reddy Mukku, Nilamadhab Kar, Narayana Manjunatha, Vivek Haridas Phutane, Preeti Sinha, Channaveerachari Naveen Kumar, and Suresh Bada Math. "Geriatric Telepsychiatry: Promoting Access to Geriatric Mental Health Care Beyond the Physical Barriers." Indian Journal of Psychological Medicine 42, no. 5_suppl (October 2020): 41S—46S. http://dx.doi.org/10.1177/0253717620958380.

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Psychiatric illnesses are an important contributor of morbidity and mortality in older adults. There is increase in older adults with psychiatric disorders paralleling their growth in absolute numbers. This leads to challenges in mental health care and service delivery. Several barriers that exists in our community hinder older adults from receiving mental health care. Additionally, lack of adequate human resources in geriatric mental health care compounds the problem. Telemedicine, though not new in other fields of medicine, is relatively new in the practice of psychiatry in India. This is probably due to lack of clear guidelines and regulations regarding the same in India. There is a recent increase in teleconsultations in India similar to other developed countries due to ongoing COVID-19 pandemic. The recent telepsychiatry operational guidelines have made telepsychiatry a legitimate and official practice in India. Challenges specific to older adults in the form of low digital literacy, sensory issues, and cognitive impairment can be overcome by adopting telepsychiatry services in coming years. Concerns related to security and safety of telepsychiatry require further evaluation.
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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 (December 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 important outcomes of the education and evaluation in the geriatric psychiatric clinic was a decrease in number of emergency room visits of elderly, specifically those with dementia.
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Law, Marcus, Mark J. Rapoport, Dallas Seitz, Marla Davidson, Robert Madan, and Andrew Wiens. "Evaluation of a National Online Educational Program in Geriatric Psychiatry." Academic Psychiatry 40, no. 6 (June 25, 2015): 923–27. http://dx.doi.org/10.1007/s40596-015-0377-y.

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Balasundaram, Bharathi, Peng Soon Yoon, Barbara Helen Rosario, Jia Wen Kam, Louisa Mei Ying Tan, and Surendra Varman. "Geriatric psychiatry liaison programme in a Singapore public hospital geriatric ward setting: descriptive and evaluation study on delirium and dementia." Proceedings of Singapore Healthcare 28, no. 4 (August 14, 2019): 266–73. http://dx.doi.org/10.1177/2010105819869031.

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Background: Comprehensive geriatric psychiatry liaison services are in early and evolving stages in Singapore. A description and evaluation of a geriatric psychiatry liaison programme in geriatric wards was undertaken describing programme activity and clinical outcomes in patients with neurocognitive disorders. Dementia training and staff upskilling are also discussed. Methods: This study included all referred patients by the geriatric team in Changi General Hospital over a one-year period from 15 June 2017 to 14 June 2018. As measures of good clinical practice, diagnosis of delirium and new diagnosis of dementia made during the inpatient admission following liaison consultation were included in the study. Patient-related outcomes that included length of stay (LOS), institutionalisation rates and in-hospital mortality were evaluated. Results: Dementia (53%), delirium (49%) and depression (28%) were the commonest diagnoses in this study. Dementia was newly diagnosed in 30% of cases. The median LOS in those with delirium was 19 days; 19% with a delirium diagnosis had new institutionalisation rates. In-hospital mortality in this study was 2%. Conclusions: The geriatric psychiatry liaison programme in geriatric wards in Changi General Hospital improved detection rates of delirium and new diagnoses of dementia. It also reports increased LOS and new institutionalisation rates in those with a diagnosis of delirium. Nursing staff education in neurocognitive disorders is enhanced. This article has outlined the importance of team-based care, joint specialist care and staff training in recognition of delirium and dementia in an acute hospital setting to improve outcomes for older patients.
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Gerritsen, J. C., P. C. Der van Ende, E. W. Wolffensperger, and R. Ch Boom. "Evaluation of a geriatric assessment unit." International Journal of Geriatric Psychiatry 10, no. 3 (March 1995): 207–17. http://dx.doi.org/10.1002/gps.930100307.

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MacDonald, Z., D. Eagles, and I. G. Stiell. "LO77: Compliance of older emergency department patients to community-based specialized geriatric services." CJEM 19, S1 (May 2017): S54—S55. http://dx.doi.org/10.1017/cem.2017.139.

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Introduction: The Geriatric Emergency Management (GEM) model has been developed to facilitate identification of older patients that are at higher risk of functional decline, repeat Emergency Department (ED) visits and future hospitalization. Those identified at risk, are referred for more in-depth evaluation and management in community-based specialized geriatric services. Our objective was to: 1) determine the compliance rate to outpatient evaluation following ED recommendation; and 2) identify barriers and facilitators to attendance. Methods: We conducted a prospective cohort study at two sites of an academic, tertiary level hospital ED between July and December 2016. We enrolled a convenience sample of ED patients, 65 years and older who were seen by a GEM nurse, referred to outpatient specialized geriatric services and consented to study participation. The GEM nurses conducted targeted geriatric assessments, identifying those who would benefit from further community management. We conducted a chart review and a structured telephone follow-up at 6 weeks. Descriptive statistics were used. Results: A total of 101 patients were prospectively enrolled, with 30.4% of eligible participants declining outpatient referral. Enrolled subjects had a mean age of 83.3 years, 58.4% female and 62.0% cognitively impaired. Reasons for referral to specialized geriatric services included: mobility (86.1%), cognition (57.4%), pain (38.6%), mood (34.7%), medication management (33.6%) and nutrition (30.7%). Outpatient referrals were to: geriatric day hospital (51.5%), geriatric outreach (22.7%), falls clinic (11.8%) and geriatric psychiatry (9.9%). Compliance with follow-up within 6 weeks was 64.4%. Barriers to attendance included: patient did not feel specialized geriatric services was needed (52.6%); admitted to hospital (10.5%); reported not called for appointment (15.8%); forgot appointment (5.3%) and transportation (5.3%). Family support with scheduling and transportation to appointments, reported by 68.6%, was the most common enabler to compliance. Conclusion: Over one third of older ED patients referred by GEM for further specialized geriatric services are non-compliant with their community-based evaluation, while one in four older ED patients decline referral to these evaluations while in the ED. Future work should focus on interventions that promote increased referral acceptance and address barriers to attendance.
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Dissertations / Theses on the topic "Geriatric psychiatry Evaluation"

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Lockett, Donna-Marie C. "Evaluation of the Royal Ottawa Hospital Geriatric Psychiatry In-Patient Unit." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk2/tape15/PQDD_0006/NQ37048.pdf.

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Books on the topic "Geriatric psychiatry Evaluation"

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Bergener, Manfred. Evaluating psychogeriatric treatment. New York: Springer Pub. Co., 1989.

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Birkett, D. Peter. Psychiatry in the nursing home: Assessment, evaluation and intervention. New York: Haworth Press, 1991.

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Psychiatry in the nursing home: Assessment, evaluation, and intervention. New York: Haworth Press, 1991.

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Gutman, Gloria M. Psychogeriatric client identification project: Phase 1-final report. Vancouver, B.C: Simon Fraser University, 1995.

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Zank, Susanne. Evaluation von Effekten gerontopsychiatrischer und geriatrischer Tagesstätten auf ihre Besucher(innen) und deren Angehörigen. Stuttgart: Kohlhammer, 2001.

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Diane, Gibson, ed. Evaluation and treatment of the psychogeriatric patient. New York: Haworth Press, 1990.

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Brandt, Jason. TICS, telephone interview for cognitive status: Professional manual. Lutz, FL: Psychological Assessment Resources, 2003.

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Ethnic minority elderly: A task force report of the American Psychiatric Association. Washington, DC: American Psychiatric Association, 1994.

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Holzer, Jacob, Robert Kohn, James Ellison, and Patricia Recupero, eds. Geriatric Forensic Psychiatry. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199374656.001.0001.

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Geriatric Forensic Psychiatry: Principles and Practice is one of the first texts to provide a comprehensive review of important topics in the intersection of geriatric psychiatry, medicine, clinical neuroscience, forensic psychiatry, and law. It will speak to a broad audience among varied fields, including clinical and forensic psychiatry and mental health professionals, geriatricians and internists, attorneys and courts, regulators, and other professionals working with the older population. Topics addressed in this text, applied to the geriatric population, include clinical forensic evaluation, regulations and laws, civil commitment, different forms of capacity, guardianship, patient rights, medical-legal issues related to treatment, long term care and telemedicine, risk management, patient safety and error reduction, elder driving, sociopathy and aggression, offenders and the adjudication process, criminal evaluations, corrections, ethics, culture, cognitive impairment, substance abuse, trauma, older professionals, high risk behavior, and forensic mental health training and research. Understanding the relationship between clinical issues, laws and regulations, and managing risk and improving safety, will help to serve the growing older population.
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Glick, Ronald, Marie Anne Gebara, and Eric Lenze. Integrative Geriatric Psychiatry. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190466268.003.0019.

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Psychiatric disorders, most prominently anxiety disorders and depression, are common among older adults and are associated with significant morbidity and impact on quality of life. Standard approaches, including pharmacotherapy and psychotherapy, are helpful for many patients, but treatment resistance and incomplete response are common. Complementary and integrative approaches have the potential to augment the response to traditional treatments. This chapter provides a background on the evaluation and management of these disorders. Treatment considerations focus on mind–body and biological approaches, with the latter including the informed use of nutritional supplements and two whole-systems approaches.
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Book chapters on the topic "Geriatric psychiatry Evaluation"

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Wertheimer, Jean. "Evaluation of Effectiveness of a Psycho-Geriatric Sector Organization." In Child and Adolescent Psychiatry, Mental Retardation, and Geriatric Psychiatry, 437–41. Boston, MA: Springer US, 1985. http://dx.doi.org/10.1007/978-1-4615-9367-6_70.

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Bell, Michael, and Richard Ellison. "Issues in the Psychiatric-Legal Evaluation of the Black Elderly." In Geriatric Psychiatry and the Law, 327–33. Boston, MA: Springer US, 1987. http://dx.doi.org/10.1007/978-1-4613-1853-8_20.

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Travin, Sheldon, and Hilda Brewer-Gizzarelli. "Special Considerations in the Psychiatric-Legal Evaluation of the Hispanic Elderly." In Geriatric Psychiatry and the Law, 335–55. Boston, MA: Springer US, 1987. http://dx.doi.org/10.1007/978-1-4613-1853-8_21.

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Levenson, Alvin J., and Suha A. Beller. "Evaluation of the Geriatric Patient." In Handbook of Psychiatric Diagnostic Procedures, 231–36. Dordrecht: Springer Netherlands, 1985. http://dx.doi.org/10.1007/978-94-011-6728-4_12.

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Husser, J., and E. U. Kranshoff. "Tentative Approaches to Evaluating Psychogeriatric Day Hospital Treatment." In Child and Adolescent Psychiatry, Mental Retardation, and Geriatric Psychiatry, 479–85. Boston, MA: Springer US, 1985. http://dx.doi.org/10.1007/978-1-4615-9367-6_77.

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Pietrzak, Monika, Jeremy Colley, and Bipin Subedi. "Capacity to Stand Trial Evaluations for Geriatric Defendants." In Psychiatric Ethics in Late-Life Patients, 203–17. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-15172-0_13.

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Miller, Mark D., and LalithKumar K. Solai. "Evaluation and Management of Cognitive Disorders and Dementia Part I: The Basic Evaluation." In Geriatric Psychiatry, 121–41. Oxford University Press, 2013. http://dx.doi.org/10.1093/med/9780199765782.003.0006.

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Miller, Mark D., and LalithKumar K. Solai. "Evaluation and Management of Cognitive Disorders and Dementia Part II: Symptom-Based Differential Diagnosis." In Geriatric Psychiatry, 145–75. Oxford University Press, 2013. http://dx.doi.org/10.1093/med/9780199765782.003.0007.

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Reinhardt, Michael, Muniza A. Majoka, and Marco Christian Michael. "Suspicious neighbors." In Geriatric Psychiatry, edited by Marc E. Agronin and Ipsit V. Vahia, 233–40. Oxford University Press, 2022. http://dx.doi.org/10.1093/med/9780197521670.003.0025.

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Delusional disorder in older adults is a diagnosis of exclusion, necessitating comprehensive evaluation before a diagnosis can be made. It is characterized by the presence of a fixed and circumscribed delusion but in contrast to schizophrenia, there are no other psychotic symptoms. It is often accompanied by cognitive deficits in working memory and attention, with increased risk for progressive cognitive decline. Patients with delusional disorder suffer from increased rates of major depression, placing them at increased risk for suicide. While data are limited, the best available evidence suggests that patients benefit from combined treatment strategies that include an atypical antipsychotic and cognitive–behavioral therapy.
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Popeo, Dennis M., and Didier Murilloparra. "Evaluating the Geriatric Patient." In A Case-Based Approach to Emergency Psychiatry, 90–95. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780190250843.003.0008.

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Conference papers on the topic "Geriatric psychiatry Evaluation"

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Martinelli, Jose, Jessica Ivanovs, and Marcos Martinelli. "GERIATRIC EVALUATION IN 27 CASES OF MUSICAL HALLUCINATION." In XIII Meeting of Researchers on Alzheimer's Disease and Related Disorders. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1980-5764.rpda073.

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Background: Musical hallucination (AM) is a type of complex auditory hallucination described as hearing musical tones, rhythms, harmonies, and melodies without the corresponding external auditory stimulus. This type of hallucination is relatively rare and is seen less often than other types of hallucination. Such hallucinations can be continuous or intermittent and are usually accompanied by a clear and critical awareness on the part of the patient. AM are found mainly in elderly women with progressive hearing loss, usually due to ear diseases or lesions. They also occur in neurological disorders, neuropsychological disorders (eg dementia) and psychiatric disorders, especially depression. Objective: To evaluate clinical and neuropsychological issues of the elderly with Musical Hallucinations Methods: Twenty-seven outpatient patients clinic of Geriatrics and Gerontology at FMJ from January 2010 to October 2019 were selected Results: Of the 27 patients, 20 were women. The average age was 83.47 years. The most prevalent diseases were systemic arterial hypertension, osteoporosis, diabetes mellitus, hypothyroidism, osteoporosis, chronic obstructive pulmonary disease and dementia syndrome. With the exception of one patient, all had hearing loss. The songs were the most varied from Gregorian chant to lullaby. Many had this picture for months and continuously (day and night). 40% of them had no insight into AM. We emphasize that all these patients sought medical care with the main complaint of musical hallucination. Conclusion: In general, AM has an uninterrupted, fragmentary and repetitive character. They are involuntary, intrusive and have an apparent exteriority. They differ from the simple mental image of auditory sensation in that they appear to come from outside the individual as if they actually hear an external device playing music. Currently, it is estimated that about 2% of elderly people with hearing loss also have AM. The neuropsychological basis of AM is not fully established. The phenomenological study, especially the perception of complex sequences and consistency with previous auditory experience strongly suggest the involvement of central auditory processing mechanisms. Normal musical auditory processing involves several interrelated brain levels and subsystems. While the recognition of elementary sounds is done in the primary auditory cortex, the recognition of musical characteristics such as notes, melody and metric rhythm occur in a secondary and tertiary association center, which in turn, are greatly influenced by regions linked to memory and emotion.
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