Most older adults adapt successfully to the multiple developmental and social changes and late life depression that are common in late life. For those who experience distress or develop psychological symptoms, Cognitive-behavioral therapy offers an ideal treatment modality. The emphasis in cognitive-behavioral therapy on the acquisition of coping skills provides older adults with concrete strategies for dealing with areas of problematic adjustment. (more…)
Abuse of drugs and alcohol is not uncommon among the elderly. The high rate of prescribed medication use, increased physiologic ...
Cognitive-behavioral interventions approaches to managing the distress associated with physical/somatic complaints problems sho ...
Depression is the most common mental health problem in the elderly. While the incidence in community-dwelling older adults is n ...
Cognitive-Behavioral Interventions Research documenting the efficacy of Cognitive-Behavioral Interventions in treating the psyc ...
Multiple losses are common as people age, including deaths of spouse, family, and friends. A less obvious form of loss involves ...
Abuse of drugs and alcohol is not uncommon among the elderly. The high rate of prescribed medication use, increased physiological sensitivity to drug effects, and the danger of interaction effects of multiple medications and/or alcohol place older adults at high risk for deliberate or accidental misuse of drugs or alcohol. In addition, some older adults turn to alcohol to help cope with stressful life events, thus increasing the risk of addiction or toxic interactions. (more…)
Cognitive-behavioral interventions approaches to managing the distress associated with physical/somatic complaints problems sho ...
Cognitive-Behavioral Interventions Research documenting the efficacy of Cognitive-Behavioral Interventions in treating the psyc ...
Research indicates that anxiety symptoms are more prevalent in elderly people than in any other age group, occurring at about t ...
Most older adults adapt successfully to the multiple developmental and social changes and late life depression that are common ...
Alcohol abuse can be defined as individuals drink more than normal quantity but on regular basis. This habits causes poor healt ...
Depression is the most common mental health problem in the elderly. While the incidence in community-dwelling older adults is no higher than in the general population, the risk increases significantly with medical illness or institutionalization. Depression is probably the best researched of the psychiatric disorders in the elderly, with epidemiological evidence indicating that older adults have the highest suicide rate of any age group (one-fourth of all suicides are carried out by persons age 60 or older by taking sleeping pills suicide). (more…)
Research indicates that anxiety symptoms are more prevalent in elderly people than in any other age group, occurring at about t ...
Abuse of drugs and alcohol is not uncommon among the elderly. The high rate of prescribed medication use, increased physiologic ...
Most older adults adapt successfully to the multiple developmental and social changes and late life depression that are common ...
It is estimated that about 6 million Americans over 65 suffer from depression in late life. The sad reality is that 10% are loo ...
Cognitive-Behavioral Interventions Research documenting the efficacy of Cognitive-Behavioral Interventions in treating the psyc ...
Cognitive-Behavioral Interventions Research documenting the efficacy of Cognitive-Behavioral Interventions in treating the psychological problems of older adults is encouraging. Cognitive-Behavioral Interventions has been shown to reduce symptoms of depression, anxiety, and somatic complaints (e.g., chronic pain elderly, insomnia) in multiple controlled studies. However, research also has indicated that there may be multiple variables to consider in determining whether Cognitive-Behavioral Interventions is the best approach to use with a specific patient and a specific problem. For example, differential effectiveness of Cognitive-Behavioral Interventions compared to other forms of psychotherapy is less certain. (more…)
Cognitive-behavioral interventions approaches to managing the distress associated with physical/somatic complaints problems sho ...
Abuse of drugs and alcohol is not uncommon among the elderly. The high rate of prescribed medication use, increased physiologic ...
Research indicates that anxiety symptoms are more prevalent in elderly people than in any other age group, occurring at about t ...
Depression is the most common mental health problem in the elderly. While the incidence in community-dwelling older adults is n ...
Most older adults adapt successfully to the multiple developmental and social changes and late life depression that are common ...
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The proportion of elderly at any age without any chronic conditions is small, and disease can trigger a cascade of events resulting in functional deficits and disability. An increase in the number of activities with which an elder has difficulty increases linearly with comorbidity, that is, coexistent medical conditions that further complicate not only the genesis of a functional deficit but also its treatment. For example, rehabilitation for a stroke for an individual who also has painful, degenerative changes in the foot and a low tolerance for stressful activity secondary to angina with exertion would present a particular rehabilitation challenge. Yet, this example encapsulates geriatric rehabilitation specialist’s emphasis on care and function, not cure and disease. (more…)
The overarching goal of physical therapy rehabilitation is to return the individual to as close to the premorbid level of funct ...
There are numerous basic Activities of Daily Living instruments that seek to quantify basic physical functions and obtain a numeric ...
Beneficiaries of the Medicare program have three rehabilitation-related benefits established by federal statute: physical thera ...
Most older adults adapt successfully to the multiple developmental and social changes and late life depression that are common ...
There are a number of issues that must be considered in geriatric pain assessment. The major issues that merit attention are pr ...
Aging begins before we are born, is a lifelong process and continues throughout life. Throughout the life course, differing life experiences influence our capabilities and well-being in our later years. The functional capacity of our biological systems increases during the first years of life, reaches its peak in early adult-hood and naturally declines thereafter. Throughout most countries (but not all), persons experience a long childhood and a long old age. These two lengthy developmental spans have provided great utility. Throughout history, it has enabled older persons to educate the younger and pass on values to them. (more…)
Social cognitions involve thoughts about others and thoughts about the self in relationship to others. When we consider cognitive a ...
The population of man aged over 65 will exceed the number of children under 5 years old in 2040, for the first time in history, ...
Aging is not only about old age. This is an ongoing process which will define the stages of biological, psychological and socia ...
The term education describes the process of acquiring abilities, skills, experiences, and knowledge systems as well as the resu ...
There are differences on what exactly contribute to quality of life on a personal level from person to person. Although many ol ...
Compulsive hoarding disorder consists of three components: acquiring a large number of possessions, storing of items and not discarding unused objects, and keeping or storing them in such a way that it interferes with daily living, with possible severe neglect of living space. This behavior was first described in 1975 in a sample of 30 individuals, all of whom were elderly and demonstrated extreme neglect of their home, appearance, and health, and was termed Diogenes syndrome. (more…)
Only about 5–12% of people attending specialty Obsessive Compulsive Disorders OCD clinics are 60 years or older. However, OCD i ...
Obsessive-compulsive disorder (OCD) is a common neuropsychiatric condition that is frequently unrecognized and untreated, resul ...
Because there are no placebo-controlled treatment studies of Obsessive Compulsive Disorders in elderly, Obsessive Compulsive Di ...
Research indicates that anxiety symptoms are more prevalent in elderly people than in any other age group, occurring at about t ...
Cognitive-Behavioral Interventions Research documenting the efficacy of Cognitive-Behavioral Interventions in treating the psyc ...
Obsessive-compulsive disorder (OCD) is a common neuropsychiatric condition that is frequently unrecognized and untreated, resulting in significant personal suffering and functional impairment. This article reviews the current state of knowledge of OCD epidemiology, clinical features and natural history, differential Obsessive-compulsive disorder diagnosis, and Obsessive Compulsive Disorders treatment options, focusing on how Obsessive Compulsive affects elderly. (more…)
Only about 5–12% of people attending specialty Obsessive Compulsive Disorders OCD clinics are 60 years or older. However, OCD i ...
Because there are no placebo-controlled treatment studies of Obsessive Compulsive Disorders in elderly, Obsessive Compulsive Di ...
Compulsive hoarding disorder consists of three components: acquiring a large number of possessions, storing of items and not di ...
Research indicates that anxiety symptoms are more prevalent in elderly people than in any other age group, occurring at about t ...
Cognitive-Behavioral Interventions Research documenting the efficacy of Cognitive-Behavioral Interventions in treating the psyc ...
Cardiac Resynchronization Therapy improves functional capacity and quality of life in patients with persistent class III and IV heart failure despite optimal medical therapy, and there is also evidence that Cardiac Resynchronization Therapy may reverse structural remodeling in selected patients. Although individual trials of Cardiac Resynchronization Therapy were underpowered to assess survival, a meta-analysis of outcomes from four randomized trials involving more than 800 patients found that Cardiac Resynchronization Therapy reduces mortality from heart failure. (more…)
Results from several recently completed trials have important implications for the primary prevention of Sudden Cardiac Death Preve ...
Supraventricular Tachyarrhythmia The principles of drug and non-drug management of supraventricular tachyarrhythmia (SVT) are si ...
Pacemaker therapy is indicated in patients with symptomatic bradycardia (syncope, presyncope, dyspnea, and exercise intolerance) co ...
Atrial Fibrillation affects approximately 2.3 million people in the United States and is the most common rhythm disorder among U.S. ...
There are intrinsic changes in the cardiac pacemaker cells and the cardiac conduction system associated with aging, which increase ...
Pacemaker therapy is indicated in patients with symptomatic bradycardia (syncope, presyncope, dyspnea, and exercise intolerance) correlated to sinus node dysfunction (pauses, persistent bradycardia, or chronotropic incompetence). In elderly patients, sinus node dysfunction is often associated with atrial tachyarrhythmias, including AF. Because of the frequent association of sinus node dysfunction with AF, VVI and VVIR pacing were once considered the preferred pacing modes. Recent studies suggest that atrial-based pacing in patients with sinus node dysfunction is beneficial for preventing progression of AF. (more…)
Aging is associated with progressive fibrosis of the sinoatrial node and AV conduction system, resulting in bradycardia, which may ...
Neurocardiogenic Vasovagal syncope is more common in younger patients but also should be considered in elderly patients with unexpl ...
Carotid sinus hypersensitivity ( more than 3-second pause or a decrease in systolic blood pressure = 50 mm Hg during carotid sinus ...
Cardiac Resynchronization Therapy improves functional capacity and quality of life in patients with persistent class III and IV hea ...
Supraventricular Tachyarrhythmia The principles of drug and non-drug management of supraventricular tachyarrhythmia (SVT) are si ...