scholarly journals An Infusion Model for Including Content on Elders with Chronic Illness in the Curriculum

10.18060/105 ◽  
2000 ◽  
Vol 1 (1) ◽  
pp. 93-105 ◽  
Author(s):  
Sherry M. Cummings ◽  
Nancy P. Knopf
Keyword(s):  
Older Adults ◽  
Mental Illness ◽  
Chronic Illness ◽  
General Population ◽  
Service Delivery ◽  
Older People ◽  
Chronic Mental Illness ◽  
Care Provision

Older people with chronic mental illness (CMI) are experiencing longer life expectancies that parallel those of the general population. Due to their experience of having CMI, these older adults present unique issues that affect service delivery and care provision. Content on this population is often omitted in the curriculum, which leaves students unprepared to practice with these clients. This article proposes an infusion model that can be used in baccalaureate or graduate foundation courses to increase exposure to elders with CMI.

Abuse of people with dementia

2009 ◽  
Vol 19 (1) ◽  
pp. 35-43 ◽  
Author(s):  
Amber Selwood ◽  
Claudia Cooper
Keyword(s):  
Older Adults ◽  
General Population ◽  
Older People ◽  
Memory Impairment ◽  
Social Care ◽  
Care Recipient ◽  
People With Dementia ◽  
Health And Social Care ◽  
Vulnerable People ◽  
With Memory

SummaryPeople with dementia are particularly vulnerable to abuse. It is inherently difficult to study as it is a hidden offence, perpetrated against vulnerable people with memory impairment, by those on whom they depend. In the general population, 6% of older people have experienced abuse in the last month and this rises to approximately 25% in vulnerable populations such as people with dementia. We know that various factors in the carer and the care recipient can predispose to a higher rate of abuse and this knowledge can be harnessed to try and improve prevention. There are also valid and reliable scales available to help detect abuse in vulnerable older adults. All health and social care professionals have a responsibility to act on any suspicion or evidence of significant abuse or neglect in order to ensure that appropriate management is taken.

scholarly journals Counseling of Patients with Severe Psychiatric Conditions and Referral to Smoking Cessations Programs

2021 ◽  
Vol 2 (3) ◽  
pp. 164-166
Author(s):  
Mariwan Husni ◽  
Mazin Burhan ◽  
Mohamed Mazin
Keyword(s):  
Mental Illness ◽  
Smoking Cessation ◽  
General Population ◽  
Smoking Status ◽  
Psychiatric Rehabilitation ◽  
Smoking Cessation Program ◽  
Chronic Mental Illness ◽  
Quit Smoking ◽  
Number Of Patients ◽  
Clinical Records

Background: Cigarette smoking and Nicotine dependence are highly prevalent in patients with severe and chronic mental illness. Psychiatric patients consume more cigarettes than general population. Smokers with chronic mental illness can quit smoking with appropriate intervention by smoking cessations programs. These patients can benefit from pharmacotherapy, but consideration should be given for possible interaction with patients’ psychiatric medications. Tobacco use and dependence need to be formally documents on electronic medical records and be offered a referral to smoking cessations programs. Method: All patients in a community rehabilitation service ward in Northwest London were interviewed to identify the type, quantity, and duration of their tobacco. Their electronic clinical records were reviewed to confirm their age, ICD 10 Primary Diagnosis, ICD10 Tobacco dependence diagnosis, medications they take, record of ECG tests and presence of cardiopulmonary problems. Then their records were checked if they were given advice regarding their smoking habit, desire to quit smoking and agreement to be referred to a smoking cessation program. Results and Discussion: Half of the total number of patients in the community psychiatric rehabilitation were cigarette smokers. Majority of the smokers had history of polysubstance abuse. Recording of current smoking status were not regularly update. Patients who had recorded status of being a smoker were all referred to a smoking cessation program and majority had counseling by the healthcare professionals in their unit. Attending the smoking cessation program in those patients have as good outcomes as general population. Conclusions: A substantial number of patients in psychiatric rehabilitation units smoke cigarettes. If their smoking status is accurately documented, they would be referred to a formal smoking cessation program.

Common geriatric emergencies

2017 ◽  
pp. 1081-1086
Author(s):  
Simon Conroy ◽  
Rosa McNamara
Keyword(s):  
Older Adults ◽  
Emergency Department ◽  
Emergency Medicine ◽  
General Population ◽  
Older People ◽  
Discharge Planning ◽  
Population Ageing ◽  
Younger Adults ◽  
Current Trends ◽  
Geriatric Emergency Medicine

Older adults make up an increasing share of emergency department (ED) users, as the proportion of those aged 65 years and older increases in the general population. Older adults often have physical, physiological, psychological, and social considerations which demand a different approach to evaluation, management, and discharge planning compared to most younger adults using the ED. Older people are also more likely to have accumulated morbidity throughout their life course. Thus, a focus on geriatric emergency medicine has become an increasingly important as clinicians adapt to meet the challenges of population ageing. Here we outline the current trends in ED usage by older adults and give an overview of how care of older people is structured in emergency medicine.

scholarly journals A comparison of the dental status and treatment needs of older adults with and without chronic mental illness in Sevilla, Spain

2013 ◽  
pp. e71-e75 ◽  
Author(s):  
E. Velasco-Ortega ◽  
JJ. Segura-Egea ◽  
S. Cordoba-Arenas ◽  
A. Jimenez-Guerra ◽  
L. Monsalve-Guil ◽  
...  
Keyword(s):  
Older Adults ◽  
Mental Illness ◽  
Dental Status ◽  
Chronic Mental Illness ◽  
Treatment Needs

Discharging Older Adults with a Severe and Chronic Mental Illness in the Community

2002 ◽  
Vol 69 (2) ◽  
pp. 71-83 ◽  
Author(s):  
Nadine Larivière ◽  
Isabelle Gélinas ◽  
Barbara Mazer ◽  
Beverlea Tallant ◽  
Isabelle Paquette
Keyword(s):  
Older Adults ◽  
Mental Illness ◽  
Chronic Mental Illness

Regarding ‘National Health and Hospital Reform Commission final report and patient-centred suggestions for reform’ by T. Jowsey, L. Yen, R. Wells and S. Leeder

2012 ◽  
Vol 18 (1) ◽  
pp. 2 ◽  
Author(s):  
Brett Murphy
Keyword(s):  
Mental Illness ◽  
Chronic Illness ◽  
National Health ◽  
Service Providers ◽  
Professional Experience ◽  
Chronic Illness Care ◽  
Chronic Mental Illness ◽  
Final Report ◽  
Hospital Reform ◽  
Primary Health

The recently published article by Jowsey et al. (2011, Australian Journal of Primary Health 17, 162–168) highlighted key inclusions and omissions from the National Health and Hospital Reform Commission final report with respect to patient-centred care for people with chronic illness. However, the author proposes that this study could have further addressed dimensions of equity and patient-centred practice by including participants with chronic mental illness. The author suggests that interventions to improve chronic illness care typically remain disease specific, which fails to address the realities that face consumers or service providers. References to the literature and professional experience are provided to support the inclusion of mental illness within discussion, services and policy concerning chronic illness.

Schizophrenia

2020 ◽  
pp. 6513-6516
Author(s):  
Stephen M. Lawrie
Keyword(s):  
Mental Illness ◽  
Differential Diagnosis ◽  
General Population ◽  
Cerebrovascular Disease ◽  
Clinical Features ◽  
Diagnostic Tests ◽  
High Rate ◽  
Chronic Mental Illness ◽  
High Morbidity ◽  
Organic Brain

Schizophrenia is typically a severe chronic mental illness with a high morbidity and increased mortality. It has a complex aetiology including a substantial genetic component. Its clinical features include characteristic delusions and hallucinations. There are no diagnostic tests. The differential diagnosis is from manic states, organic brain disorders, and substance misuse. Whilst the management is complex, antipsychotic drugs are effective in reducing symptoms. The overall prognosis is poor; many patients live restricted lives and there is a high rate of suicide. However, some patients return to normal functioning. Importantly for physicians, people with schizophrenia die on average 10 years earlier than the general population, mainly because of cardiac and cerebrovascular disease, which is often inadequately treated.

scholarly journals A qualitative exploration of the experiences of community dwelling older adults with sensory impairment/s receiving polypharmacy on their pharmaceutical care journey

2019 ◽  
Vol 48 (6) ◽  
pp. 895-902 ◽  
Author(s):  
Annetta Smith ◽  
Leah Macaden ◽  
Thilo Kroll ◽  
Nour Alhusein ◽  
Andrea Taylor ◽  
...  
Keyword(s):  
Older Adults ◽  
Older People ◽  
Pharmaceutical Care ◽  
Developed Countries ◽  
Community Dwelling ◽  
Health Board ◽  
Sensory Impairment ◽  
Care Provision ◽  
Community Dwelling Older People ◽  
Community Dwelling Older Adults

AbstractBackgroundMost developed countries have increasing numbers of community dwelling older people with both multi-morbidity and sensory impairment that includes visual, hearing or dual impairment. Older people with sensory impairment are more likely to have chronic health conditions and to be in receipt of polypharmacy (>4 medicines). It is important to understand their experience of pharmaceutical care provision to facilitate a safe, appropriate and person centred approach.Aimthis study explored the pharmaceutical care experiences and perspectives of older people with sensory impairment receiving polypharmacy.Design and settingexploratory qualitative study with semi-structured telephone or face-to-face interviews with community dwelling older adults with sensory impairment receiving polypharmacy in Scotland in 2016.Methodsin total, 23 interviews were conducted with older people from seven of the 14 Scottish Health Board areas.Subjectsover half the participants (n = 12) had dual sensory impairment, six had visual impairment and five had hearing impairment.Resultsthree overarching themes were identified reflecting different stages of participants’ pharmaceutical care journey: ordering and collection of prescriptions; medicine storage; and administration. At each stage of their journey, participants identified barriers and facilitators associated with their pharmaceutical care.Conclusionsthis is the first comprehensive, in-depth exploration of the pharmaceutical care journey needs of older people with sensory impairment. As the number of community dwelling older people with sensory impairment and polypharmacy increases there is a requirement to identify challenges experienced by this population and offer solutions for safe and effective pharmaceutical care provision.

Informal care of older adults with chronic life-limiting illness in Africa: An integrative review

2020 ◽  
pp. 002087281990116
Author(s):  
Barbara Adonteng-Kissi ◽  
Wendy Moyle ◽  
Laurie Grealish
Keyword(s):  
Older Adults ◽  
Chronic Illness ◽  
Older People ◽  
Informal Care ◽  
Integrative Review ◽  
Illness Management ◽  
Social Policies ◽  
Burden Of Care ◽  
Chronic Illness Management ◽  
The Church

Informal care is recognised as a significant resource in the care of older adults living with a chronic life-limiting illness. This review aims to assess the existing literature on how informal care can support older people living with chronic life-limiting illness in Africa. An integrative review framework was used. Three themes emerged to focus on chronic illness management as a social and clinical matter; cultural obligations contingent on the availability of people and resources; and burden of care relieved by connection with the church. Social policies should be structured to support caregivers and older adults to strengthen the ties between community social organisations and their families.

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