Download Free Medical Geriatric Psychiatry-Old age Psychiatry PowerPoint Presentation

Geriatric Psychiatry-Old age Psychiatry PowerPoint Presentation

DOWNLOAD MEDICAL POWERPOINT PRESENTATION

About This Presentation

Description : Check out this medical PowerPoint presentation titled "Geriatric psychiatry - Old age psychiatry" by Zoltán Hidasi MD. Know why Geriatric psychiatry and and its physical, mental and social aspects. Know about mental disorders in general.

Tags : Geriatric psychiatry, mental disorders

Published on : Mar 15, 2023 | Views : 1668 | Downloads : 2

Shareable Url :

Embed Code :

Comment

Transcript

Slide 1-

Geriatric psychiatry“Old age” psychiatry Zoltán Hidasi MD
Slide 2-

Geriatric psychiatry What is „Geriatric”? Physical, mental and social aspects Mental disorders in general Different disorders in the elderly Psychiatric therapies in the elderly
Slide 3-

„Old age”?
Slide 4-

Gladys Burrill 92 y Honolulu Marathon 2010. Fauja Singh 100 y Toronto Marathon 2011 (Guinness record)
Slide 5-

Getting older v. living longer Physical changes – somatic diseases Musculosceletal Cardiovascular Metabolic Endocrin Gastrointestinal Sensory deficits Brain (vascular, degenerative, etc.)
Slide 6-

Getting older v. living longer Mental changes Personality amplification of character traits Cognition, memory mental slowing transformed memory structure summerised experiences Emotional changes Emotional maturity
Slide 7-

Getting older v. living longer Social changes Retirement (financial difficulties) Decrease in social status Facing somatic and mental disfunctioning Somatic diseases Grief (loss of spouse, brothers or sisters, friends) Social isolation Moving to nursing/residential home
Slide 8-

Mental disorders in elderly?Questions 65+ ?? Prevalence? 10-25% DSM? ICD? Child – adult –geriatric psychiatry? Geriatry – psychiatry –internal medicine? Organic – old age – neuro-psychiatry? GP?
Slide 9-

Mental disorders in general Biological, psychological, social factors (bio-psycho-social model) Internal medical, neurological, psychiatric aspects Multidimensonal approach Polimorbidity! Syndromatology (atypical) – etiology Cross-sectional –long term course
Slide 10-

Mental disorders in the elderly Dementia Other „organic mental disorders” Affective disorders (depression) Delirium Delusional disorders (psychosis) Anxiety disorders Substance abuse disorders Psychiatric patients getting old
Slide 11-

Dementia - Syndromatology Chronic course (10% above 65 y, 16-25% above 85 y) Multiple cognitive deficits incl. memory impairment (intelligence, learning, language, orientation, perception, attention, judgement, problem solving, social functioning) No impairment of consciousness Behavioural and psychological symptoms of dementia (BPSD) Progressive - static Reversible (15%) - irreversible
Slide 12-

Dementia - Classification Severity Mild cognitive impairment (MCI) Mild dementia Moderate dementia Severe dementia Localization Cortical Subcortical Etiology
Slide 13-

Dementia -Etiology Alzheimers disease (60-70%) Vascular dementia (10-20%) Neurodegenerative disorders (Pick, Lewy body dis, Parkinson, Huntington, etc.) Drugs and toxins Intracranial masses Anoxia Trauma Infections (JCD, HIV, etc) Nutrition Metabolic Pseudodementia
Slide 14-

Affective disorders (depression) Major depression prevalence: 10-16% (hospital, residential homes) Minor depression: 47-53 % Suicide in elderly 2-3 x average over 65 Major depression in 80%
Slide 15-

Suicidal attempts in 5 years age groups in Hungary, 2002 (Hungarostudy: Kopp et al) Suicidal attempts
Slide 16-

Depression in old age Dysthymic disorder, subthreshold depression Atypical syndromatology Cognitive symptoms (attention, concentration, memory problems) - pseudodementia Somatic complaints –somatoform symptoms (e.g. pain), hypochondriasis negativism, inactivity, loss of energy, fatigue, insomnia psychomotor agitation (or retardation), irritability, anxiety Psychotic symptoms, paranoid symptoms Comorbid somatic disorders Increased suicidal risk
Slide 17-

Delusional disorders (psychoses) Late onset schizophrenia (over 40 y) Very late onset schizophreniform disorder (over 60 y) Other delusional disorders Organic delusional disorder Delusional symptoms of dementia (BPSD) Multiple etiology, multiple syndromatology (schizophreniform, persecutory, hallucinosis, coenaesthesias, etc.)
Slide 18-

Psychosocial factors Personality „Endogenous” origin Organic (CNS) background Sensory impairment Other biological factors Delusional disorder in elderly
Slide 19-

Anxiety disorders High prevalence Atypical symptoms Somatoform/behavioural symptoms Psychosocial stressors Comorbidity somatic psychiatric
Slide 20-

Substance abuse Alcohol/medication abuse Common comorbidity somatic psychiatric (anxiety, depression, etc.)
Slide 21-

Psychiatric patients getting old Schizophrenia / bipolar disorder Personality disorder Neurotic disorders anxiety, somatoform, etc. Changes in clinical picture, therapeutical response, etc. Bio-psycho-social changes Multidimensional approach
Slide 22-

Psychiatric therapies in the elderly Pharamcotherapy Other biological therapies (ECT) Psychotherapies –social therapies Improving cognitive functioning Rehabilitation Treating primary or associated mood-anxiety disorder
Slide 23-

Pharmacotherapy Aspects of pharmacotherapy Mental status, neurological/somatic status Social status Etiology Special aspects Polimorbidity Pharmacokinetics (interactions) Dosage (low) Side effects (cognitive, other)
Slide 24-

ppt slide no 24 content not found