| Term | Definition |
|---|
| depression is marked by | severly depresed mood, feelings of hopelessness/despair, loss of interest with activities that usually provide pleasure |
| 4 MAIN VITAL REASONS WHY WE CONSDIE DEPRESSION IN THE ELDERLY!!! | Dep-is common, Dep-profound effect on funct ability, Dep-fatal RF for suicide, Dep- is trtable! |
| suicide is 2-3 times higher in the elderly or the younger population? | elderly highest rate of all age groups! |
| Symptoms | > w/i 2 weeks denies but appears depressed |
| depression symptom | somatic complaints/sleep disturbance |
| delusions/paranoia psychosis-halucinations | symp of depression |
| Risk Factors depres | Chronic pain, medication and/or psychiartric illnesses |
| Risk Fators depres | Substance misuce/abuse, previous d-episode |
| Risk Facors depres | Female or male @ 60 years of age, male > risk, new or worsening functional disability |
| hypothyroidism, stoke, COPD, MI, | causes of depression |
| medications/ alcohol/ psychological and social factors | causes of De |
| depression is often mis-diagnosed as_________ 30% of the time | senile dementia |
| how to we trt depression | mini mental, observe for sign and symptoms of new/old medications,GDS(forcogintact), psycosocial trt ECT |
| Nursing care considerations for DEPRESSION WOO!! | manage pain throughout the body, monitor and promote nutrition, elimination, sleep/rest patterns, listen actively and be their social support, suicide prevention |
| acute confusion/delerium SS | rapid onset disturbance of cognitive function, disoriented to time and place but not identity, altered level of consciousness, worsening memory! |
| 4 REASONS WHY IT IS VITAL TO RECOGNIZE DELERIUM IN ELDERLY!!! | 1) 4x more common in elderly than young 2) sign of medical illness "fever to child delerium to elderly" 3) we can trt underlying cause 4) delerium that goes unrecognized can have 6x mortality than w/o |
| TRT underlyin cause in delerium MCC | UTI, pneumonia, sepsis +medication, the quicker the trt the better outcome and more likely to return to normal cogn functioning |
| Risk factors and causes | >80, existing dementia, sensory defeicits, any ilness that dec o2 to the brain(CHF, COPD), polypharmacy, pain, infection, impaction, injury |
| trt the ______ cause and ensure ____y | underlying cause, safety |
| minimize _______tion and maintain ________y control env noise, traffic flow, temp, avoid bright lights | stimulation, stability |
| ensure p-------- needs are met: pain managment, elimination, nutrition and fluids frequently | physical |
| support p------ and f-------- | patient and family |
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