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Neal Hermanowicz, Gustavo Alva, Fernando Pagan, Alberto J Espay, Amita Patel, Katya Cruz Madrid, Daniel Kremens, Jim Kenney, Sheila Arquette, Gary Tereso, Maria Lopes, Carolyn Farnum
A panel of experts drawn from neurology, psychiatry, geropsychiatry, geriatrics, and pharmacy representatives of 3 health plans convened in New York City on July 30, 2016, with the objective of sharing opinions, ideas, and information regarding the optimal management of Parkinson's disease psychosis (PDP). Three key points emerged from the discussion: (1) Because of the nature of Parkinson's disease and PDP, finding appropriate treatment can prove challenging; (2) emerging therapies may present an opportunity for effective disease management; and (3) moving forward, provider and patient education regarding PDP and available treatment options is essential for well-managed symptoms and better quality of life...
June 2017: Journal of Managed Care & Specialty Pharmacy
Gali H Weissberger, Rebecca J Melrose, Theresa A Narvaez, Dylan Harwood, Mark A Mandelkern, David L Sultzer
OBJECTIVE: This study aimed to investigate the neurobiologic correlates of two distinct clusters of agitation symptoms to identify the unique biologic substrates underlying agitated behaviors. METHODS: Eighty-eight outpatients with mild to moderate Alzheimer disease (AD) were recruited from the VA Greater Los Angeles Healthcare System Geropsychiatry Outpatient Program. A cross-sectional investigation was conducted of the relationship between cerebral glucose metabolism measured via (18)F-fluorodeoxyglucose positron emission tomography and agitated symptoms from the Neuropsychiatric Inventory (NPI) in patients with AD...
January 31, 2017: American Journal of Geriatric Psychiatry
Maria C Grosch, Myron F Weiner, Linda S Hynan, Jay Shore, C Munro Cullum
Validation of remote video teleconference (VTC)-based procedures for geropsychiatry applications is essential to ensure validity and reliability of diagnostic procedures. The current study demonstrates the similarity of scores obtained from several brief neurocognitive screening measures in an outpatient VA geropsychiatry clinic population when participants were tested in-person and via VTC. Results revealed similar mean scores and moderate to good consistency among our mixed geropsychiatric sample on brief measures of global cognition, attention, and visuospatial function...
February 28, 2015: Psychiatry Research
Alexis Lepetit, Benjamin Lavigne, Emilie Legros, Mathieu Herrmann, Déborah Sebbane
Aging of the population is a growing concern in developed countries. Therefore, geriatric psychiatry has gradually emerged from general psychiatry. Many names have been proposed to term this sub-specialty: old age psychiatry (OAP), psychogeriatrics, geropsychiatry. A working group of the French federation of psychiatric trainees (AFFEP) set up an inventory of the theoretical instruction and clinical practice of OAP during the training of psychiatrists in France. Methods. A survey of both academic teaching and practical training for OAP was carried out in the 28 local AFFEP representatives of every French medical residency district, including overseas...
September 2014: Gériatrie et Psychologie Neuropsychiatrie du Vieillissement
Shawn S Barnes, Daniel D Sewell
For almost everyone, the need for reading glasses is an inevitable part of the second half of life. Forgetting one's reading glasses at a restaurant can be a disturbing reminder of one's dependence on them. For geriatric inpatients, however, the value of reading glasses in improving quality of life and preventing delirium may be overlooked. Subsequently, the authors present a brief review of visual impairment, the relationship of visual impairment and cognition and the cost of reading glass, and the results of a survey that was conducted to determine the proportion of inpatient geriatric psychiatry inpatient units in the United States, which provide reading glasses to inpatients as well as to assess the knowledge of medical directors of these units regarding the cost and perceived value of providing reading glasses to hospitalized patients...
December 2014: American Journal of Alzheimer's Disease and Other Dementias
Jérôme Fredouille
Geropsychiatry is a branch of psychiatry which focuses on the mental disorders of elderly people. Also known as psychiatry of old age, geriatric psychiatry or psychogeriatrics, this discipline provides people of retirement age with the psychological, somatic and social care which their health requires.
January 2014: Soins. Psychiatrie
D Schütz, I Füsgen
BACKGROUND: The number of patients with a cognitive disorder will increase significantly in the coming years due to demographic changes. The number of patients from this group requiring stationary treatment will inevitably increase in all medical specialties. The aim of our survey was to examine how hospitals are prepared with regard to nursing and treatment for the increasing number of patients with a cognitive disorder. Data were obtained concerning which problems in care have special significance and should play a central role in future considerations...
April 2013: Zeitschrift Für Gerontologie und Geriatrie
A V Rao, T Madhavan
A brief review of literature on Late Paraphrenia is offered. An analysis was made on 15 cases of late paraphrenia with reference to its frequency, sex distribution, hallucinations, delusions and sensory impairment. Late Paraphrenia formed 4% of all Geropsychiatry cases. All the cases had hallucinations (100%) while 14 had delusions (93%). An associated auditory and/or visual defect was noticed in 13 of the cases (87%).Follow up findings revealed a sustained remission for 4 to 5 years with drugs in 12 patients (75%) and one patient died from cerebral stroke...
October 1981: Indian Journal of Psychiatry
Susan K Schultz
No abstract text is available yet for this article.
March 2011: American Journal of Geriatric Psychiatry
Yogeshwar V Kalkonde, Gineth P Pinto-Patarroyo, Tatiana Goldman, Adriana M Strutt, Michele K York, Mark E Kunik, Paul E Schulz
BACKGROUND: Professional organizations have recommended guidelines for the optimal investigation and management of dementia. It is unknown whether physicians from different subspecialties investigate and treat dementia in the same manner or according to these guidelines. METHODS: We screened 1,401 charts of patients who were seen in neurology, mental health, geropsychiatry and geriatrics clinics. The charts of 410 patients who were diagnosed with dementia were reviewed in detail to determine how they were evaluated and managed...
2010: Dementia and Geriatric Cognitive Disorders
Inn Sook Ahn, Ji-Hae Kim, Seonwoo Kim, Jae Won Chung, Hyeran Kim, Hyo Shin Kang, Doh Kwan Kim
OBJECTIVE: THIS STUDY WAS CONDUCTED TO EXAMINE THE FOLLOWING: whether patients with mild cognitive impairment (MCI) show impairments in instrumental activities of daily living (IADL) as compared to controls; to identify the functional sub-domains of instrumental activities of daily living (IADL) that are affected in MCI and, finally, to identify the Seoul-Instrumental Activities of Daily Living (S-IADL) scale cut-off score that best differentiated between MCI and controls. METHODS: This study was carried out at the geropsychiatry clinic, university hospital...
September 2009: Psychiatry Investigation
Meredith Flood, Kathleen C Buckwalter
Growing numbers of older adults means there will be an increase in the incidence of mental health problems in this population.Therefore, it is essential for nurses, many of whom will provide care for older adults, to be cognizant of current recommended practice related to the most common mental health diagnoses in older adults.These include depression, anxiety, dementia, substance abuse/dependence, and delirium. The purpose of this two-part series is to provide an overview of these diagnoses, as well as recommended assessment strategies and nursing interventions for nurses who provide care to older adults but who may lack specialized training in geropsychiatry...
February 2009: Journal of Gerontological Nursing
Kirsten M Wilkins, Brian C Lund, Jimmie D McAdams, William R Yates
This study examined the clinical use of routine administration of the Hopkins Competency Assessment Test on an inpatient geropsychiatry unit. The purpose was to determine whether the Hopkins Competency Assessment Test results influenced the psychiatrist's capacity assessment or confidence in that determination. The test was administered to all patients admitted voluntarily during an 18-week period. The attending psychiatrist determined treatment consent capacity and rated confidence in that determination, before and after review of the test results...
February 2009: American Journal of Alzheimer's Disease and Other Dementias
Virginia T Chan, Benjamin K P Woo, Daniel D Sewell, E Clark Allen, Shahrokh Golshan, Valerie Rice, Arpi Minassian, John W Daly
BACKGROUND: Suboptimal prescribing in older psychiatric patients causes iatrogenic morbidity. The objectives of this study were to compare the prevalence of suboptimal prescribing before and after admission to a geropsychiatry inpatient unit and to evaluate a possible correlation between optimal medication use and functional improvement in patients with dementia. METHODS: The study sample comprised 118 consecutively admitted patients to a 14-bed university hospital-based geropsychiatry inpatient unit over a period of 20 months who met the DSM-IVTR criteria for an Axis I psychiatric illness and co-morbid dementia...
February 2009: International Psychogeriatrics
Günter Klug, Gerhard Hermann, Brigitte Fuchs-Nieder
The number of older geropsychiatric patients is increasing dramatically. "The Big Three -- Dementia, Depression, Delusion" are challenging our care system. Today 80 % of those affected live at home, with 5-8 % receiving care in facilities. There is very little between. What is lacking: cross-facility co-ordination, co-operation, systems of reference with overall responsibility, ease of access, particularly of clarification and consulting services, mobility of psychical support, massive support for relatives, and specialised, graduated services for various areas of life and needs...
February 2006: Wiener Medizinische Wochenschrift
Philip A Rozario, Nancy L Morrow-Howell, Enola K Proctor
Using the SF-12 to measure physical and mental functioning, the authors examine the intra-individual changes in health-related quality of life (HRQOL) 6 months post-discharge for depressed older adults. In addition, they examine three sets of predictors that might influence these changes. The sample of depressed older adults was recruited from an inpatient geropsychiatry unit. Although their physical and mental health scores on the SF-12 were lower than comparable norms, the sample showed an average increase in their mental functioning but a decrease in the physical functioning over the 6 months...
May 2006: Quality of Life Research
Karen Blank, Laurel Hixon, Cindy Gruman, Julie Robison, Gene Hickey, Harold I Schwartz
Despite efforts to decrease lengths of acute psychiatric hospital stays, some geriatric inpatients continue to have extended stays. This research examined factors related to length of stay (LOS), including legal and administrative factors not traditionally included in prior studies. The charts of 384 patients, representing all 464 discharges from an inpatient geropsychiatric unit over a one-year period, were evaluated retrospectively and analyzed using logistic regression and logarithmic transformation. The LOS of over 12% of the inpatients was 26 days or more (average LOS 14...
2005: Psychiatric Quarterly
Tammy Maria Scott, Katherine L Tucker, Afsan Bhadelia, Batia Benjamin, Samuel Patz, Rafeeque Bhadelia, Elizabeth Liebson, Lori Lyn Price, John Griffith, Irwin Rosenberg, Marshal F Folstein
OBJECTIVE: There is a growing literature on the relationship between low serum B-vitamins, elevated homocysteine, and cognitive impairment; however, few studies have examined radiological markers of associated neuropathology in geropsychiatry inpatients. The authors examined the relationship of homocysteine, folate, and vitamin B12 with magnetic resonance imaging (MRI) markers of neuropathology. METHODS: In this archival study, authors reviewed the MRIs and medical records of 34 inpatients in a geriatric psychiatry unit...
November 2004: American Journal of Geriatric Psychiatry
Philip A Rozario, Nancy Morrow-Howell, Enola Proctor
BACKGROUND: An accurate accounting of service use is necessary to understand use patterns and outcomes. Yet such an accounting remains challenging, in part because of the reliability and validity of the collection method and sources. OBJECTIVES: This study describes 2 methods of data collection: self-report and the retrieval of provider records. We report on the effort, yield, and challenges of retrieving records. Then, we compare the congruency and completeness of 2 methods: self-report and provider records...
October 2004: Medical Care
Mark B Detweiler, Kye Y Kim, Jill Bass
The increasing use of percutaneous endoscopic gastrostomy (PEG) in cognitively compromised elderly presents complex treatment-related and ethical questions. Approximately half of all dementia patients will be unable to feed themselves within eight years of their diagnosis. Moreover, 85 percent of dementia patients have demonstrated refusal to eat. Geropsychiatry is often employed to evaluate these cognitively impaired patients either prior to or following PEG tube placement. This manuscript presents three cases to illustrate the most commonly encountered general dementia presentations: the ability to communicate with decisional capacity, the ability to communicate without decisional capacity, and severe verbal aphasia without decisional capacity...
January 2004: American Journal of Alzheimer's Disease and Other Dementias
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