Palliative Care and End-of-Life Issues
Fig. 6.1 Evaluation and management of those with multimorbidity [1] For older patients with multimorbidity and a new serious problem, as described above, short-, medium-, and long-term goals now may…
Hospital Medicine
Organ/system Age-related physiologic change Consequences of aging, not disease General ↑ Body fat Altered drug distribution ↓ Total body water Endocrine Impaired glucose homeostasis ↑ glucose during stress ↑ ADH,…
Preoperative Evaluation
Comprehensive Limited (one from each domain) CAGE screen for alcohol abuse Cardiac and pulmonary risk factors Frailty, 5-point phenotype assessment ADL IADL TUG Nutrition screen Hearing screen Medication review Charlson…
Psychiatric Disorders in Older Adults
© Springer International Publishing Switzerland 2017John R. Burton, Andrew G. Lee and Jane F. Potter (eds.)Geriatrics for Specialists10.1007/978-3-319-31831-8_4 4. Psychiatric Disorders in Older Adults Kelly L. Dunn1 and Robert Roca2 (1) 1601 Airport Blvd., Suite 3, Melbourne, FL 32901, USA…
Neurobiology of Older Age Bipolar Disorder
Fig. 3.1 Imaging from research has shown decrease in the volume of gray matter in patients with bipolar disorder in the right cudate, globus palidus, lateral ventricles, insula, and amygdale. White…
Epidemiology of Older Age Bipolar Disorder
An adult >age 50 with Early-onset bipolar disorder = Older age bipolar disorder Early-onset depressive disorder with new-onset mania New-onset mania in individual with no prior mood illness (in the absence…
Treatment Settings for Older Age Bipolar Disorder: Inpatient, Partial Hospitalization, Outpatient, Models of Integrated Care
© Springer International Publishing AG 2017Susan W. Lehmann and Brent P. Forester (eds.)Bipolar Disorder in Older Age Patients10.1007/978-3-319-48912-4_11 11. Treatment Settings for Older Age Bipolar Disorder: Inpatient, Partial Hospitalization, Outpatient, Models of Integrated Care Colin Depp1 …
Complementary and Integrative Therapies for Older Age Bipolar Disorder
Intervention Mechanism of action Effectiveness in bipolar disorder Adverse effects/notable interactions Omega-3 fatty acids Regulation of neurotransmission, involved in cell survival and protection against neuro-inflammation Mixed evidence for mild–moderate effect…
Psychotherapy and Psychosocial Interventions, Family Psychoeducation, and Support for Older Age Bipolar Disorder
Articles Groups RCT Total N Mean age Sample description Recruitment Attrition Bartels et al. [20], Mueser et al. [21] (same sample) HOPES versus TAU Yes 183 60.2 20 % BD, 28 %…
