Impact of clinical pharmacist’s interventions on pharmacotherapy management in elderly patients on polypharmacy with mental health problems including quality of life: A prospective non-randomized study

AbstractMental health problems (MHPs) are very common in the elderly and can have an important influence on their quality of life (QoL). There is almost no data on the impact of clinical pharmacists’ (CPs) interventions on the QoL including elderly patients and MHPs. The main aim of this study was to determinate the impact of (CP’s) interventions on the QoL and quality of pharmacotherapy. A prospective non-randomized pre-post study was designed which included residents of a nursing home aged 65 age or more with at least one MHP. Each patient also filled out the EQ-5D questionnaire. The medical review MR included drug-related problems (DRPs) and potentially drug-drug interactions (pDDIs), as well as potentially inappropriate medications (PIMs). After 2 months, the participants were interviewed again. The mean number of medications before the intervention was 12,2 ± 3,1 per patient and decreased to 10,3 ± 3,0 medications per patient (p < 0,05) (n = 24). The total number of PIMs and pDDIs was also reduced and QoL was also significantly higher (p < 0,05). A collaborative care approach with a CP led to a decrease of DRPs, pDDIs, PIMs, the total number of medications and to an improvement in the patients’ QoL.

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Role of the psychiatric clinical pharmacist on quality of life in elderly patients with mental health problems

European Neuropsychopharmacology ◽

10.1016/j.euroneuro.2018.11.378 ◽

2019 ◽

Vol 29 ◽

pp. S235

Author(s):

M. Stuhec ◽

N. Bratović

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Elderly Patients ◽

Clinical Pharmacist ◽

Mental Health Problems ◽

Health Problems

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Approaches to Measuring Quality of Life and their Relevance to Mental Health

Australian & New Zealand Journal of Psychiatry ◽

10.3109/00048679609065039 ◽

1996 ◽

Vol 30 (6) ◽

pp. 731-740 ◽

Cited By ~ 13

Author(s):

Terry Stedman

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Mental Health Problems ◽

The Elderly ◽

Related Quality ◽

Health Related ◽

Sociological Approaches ◽

General Populations ◽

The Impact

Objectives: This paper describes the ‘sociological’ and ‘health-related’ approaches to the measurement of quality of life and aims to describe their major findings, shortcomings and potential uses with mental health problems. Method: The literature is selectively reviewed to illustrate the major developments and conclusions. Results: Despite the lack of an accepted definition of quality of life, sociological approaches have repeatedly shown in general populations, the mentally ill and the elderly that subjective assessments are more influential in determining expressions of happiness, wellbeing and life satisfaction than are the objective circumstances of a person's life. This supports the use of subjective judgements as the basis for quality-of-life determinations. Conclusions: The quality-of-life approaches can help to answer a broad range of questions of interest to psychiatry. Health-related quality-of-life approaches are potentially useful methods of demonstrating the impact of mental illness and the benefit of interventions. Further work is required to determine whether the commonly used measures are sensitive to change.

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Role of the psychiatric clinical pharmacist on quality of life in elderly patients with mental health problems

10.26226/morressier.5b681761b56e9b005965c789 ◽

2018 ◽

Author(s):

Matej Stuhec

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Elderly Patients ◽

Clinical Pharmacist ◽

Mental Health Problems ◽

Health Problems

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Malnutrition in elderly: relationship with depression, loneliness and quality of life

European Journal of Public Health ◽

10.1093/eurpub/ckab120.093 ◽

2021 ◽

Vol 31 (Supplement_2) ◽

Author(s):

Paula Simões ◽

Ana Paula Amaral ◽

Clara Rocha

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Rapid Growth ◽

Elderly Population ◽

Mental Health Problems ◽

Mini Nutritional Assessment ◽

The Elderly ◽

Health Problems ◽

High Prevalence

Abstract Background Depression and loneliness can lead to malnutrition in the elderly, while the greater the satisfaction with food, the lower the levels of depression and isolation, improving the quality of life. Analyze the relationship between malnutrition and mental health of the elderly. The rapid growth of the elderly population and, at the same time, the increase in mental health problems, such as depression, which has a high prevalence in the elderly population, demand attention to the quality of life of the elderly. The rapid growth of the elderly population and, at the same time, the increase in mental health problems, such as depression, which has a high prevalence in the elderly population, demand attention to the quality of life of the elderly. Methods Geriatric Depression Scale, Lubben Social Network Scale, WHOQOL-OLD and Mini Nutritional Assessment. 33 elderly, mean age 82.67 years (SD = 8.49). Results There is a significant negative correlation (r = -0.542; P = 0.001) between the values of EDGT and MNA, the higher the values of EDGT (more depressed), the lower those of MNA (more malnourished). Adequate nutritional status is related to better ERSLT and QoL values, however the results are not significant. Conclusions There is a significant relationship between malnutrition and an increase in depressive symptoms and, although the results are not significant, an adequate state of nutrition can be related to less sense of loneliness and better quality of life. Nutritional education interventions are justified to improve mental health and quality of life in aging.

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Impact of the COVID-19 pandemic on quality of life and mental health in children and adolescents in Germany

European Child & Adolescent Psychiatry ◽

10.1007/s00787-021-01726-5 ◽

2021 ◽

Author(s):

Ulrike Ravens-Sieberer ◽

Anne Kaman ◽

Michael Erhart ◽

Janine Devine ◽

Robert Schlack ◽

...

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Children And Adolescents ◽

Low Socioeconomic Status ◽

Online Survey ◽

Mental Health Problems ◽

Health Impact ◽

Health Problems ◽

The Impact

AbstractThe COVID-19 pandemic has caused unprecedented changes in the lives of 1.6 billion children and adolescents. First non-representative studies from China, India, Brazil, the US, Spain, Italy, and Germany pointed to a negative mental health impact. The current study is the first nationwide representative study to investigate the impact of the COVID-19 pandemic on health-related quality of life (HRQoL) and mental health of children and adolescents in Germany from the perspective of children themselves. A representative online survey was conducted among n = 1586 families with 7- to 17-year-old children and adolescents between May 26 and June 10. The survey included internationally established and validated instruments for measuring HRQoL (KIDSCREEN-10), mental health problems (SDQ), anxiety (SCARED), and depression (CES-DC). Results were compared with data from the nationwide, longitudinal, representative BELLA cohort study (n = 1556) conducted in Germany before the pandemic. Two-thirds of the children and adolescents reported being highly burdened by the COVID-19 pandemic. They experienced significantly lower HRQoL (40.2% vs. 15.3%), more mental health problems (17.8% vs. 9.9%) and higher anxiety levels (24.1% vs. 14.9%) than before the pandemic. Children with low socioeconomic status, migration background and limited living space were affected significantly more. Health promotion and prevention strategies need to be implemented to maintain children’s and adolescents’ mental health, improve their HRQoL, and mitigate the burden caused by COVID-19, particularly for children who are most at risk.

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Promoting the Quality of Life of Elderly during the COVID-19 Pandemic

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18136813 ◽

2021 ◽

Vol 18 (13) ◽

pp. 6813

Author(s):

Chia-Jung Lee ◽

Yen Hsu

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Learning Experience ◽

The Elderly ◽

Learning Approach ◽

Learning Center ◽

Learning Centers ◽

Technology Learning ◽

The Impact

This study explored the technology learning model of the elderly in a senior learning center under the impact of the COVID-19 pandemic. Many senior learning centers were closed during the pandemic, and many of them adopted the mode of online education. However, problems such as decreased motivation and a lack of peer interaction still exist. To solve these problems, this study used the easy-to-implement calligraphy AR approach and E-book approach to conduct a quasi-experiment on the elderly of a calligraphy course offered by a senior learning center. The results show a higher learning motivation among the elderly who use calligraphy AR. The learning effectiveness and technology acceptance of the elderly in the E-book learning group were higher than those in the calligraphy AR group. The elderly mentioned that the E-book learning approach is more user-friendly. In general, in the face of the COVID-19 pandemic affecting the suspension of classes in senior centers, education through the development of technology has stimulated the growth of education in advanced learning centers. Through this kind of scientific and technological learning method, it will bring a whole new experience to the elderly. It can improve the stress relief methods, mental health, and quality of life of the elderly during the COVID-19 emergency shutdown, and provide a novel calligraphy technique learning experience for the elderly. Therefore, we believe that the calligraphy AR learning approach and the calligraphy E-book learning approach are practical and may promote quality of life and mental health of the elderly during the emergency closures due to COVID-19, providing elderly attendees with a novel calligraphy technology learning experience.

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Quality of Life in Persons with Intellectual Disabilities and Mental Health Problems: An Explorative Study

The Scientific World JOURNAL ◽

10.1155/2013/491918 ◽

2013 ◽

Vol 2013 ◽

pp. 1-8 ◽

Cited By ~ 21

Author(s):

Filip Morisse ◽

Eleonore Vandemaele ◽

Claudia Claes ◽

Lien Claes ◽

Stijn Vandevelde

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Social Inclusion ◽

Mental Health Problems ◽

Health Problems ◽

Positive Outcomes ◽

Support Strategies ◽

Professional Network ◽

Universal Properties

The field of intellectual disability (ID) is strongly influenced by the Quality of Life paradigm (QOL). We aimed at investigating whether or not the QOL paradigm also applies to clients with ID and cooccurring mental health problems. This paper aims at stimulating a debate on this topic, by investigating whether or not QOL domains are universal. Focus groups with natural and professional network members were organized to gather qualitative data, in order to answer two questions: (1) Are the QOL dimensions conceptualized in the model of Schalock et al. applicable for persons with ID and mental health problems? (2) What are indicators relating to the above-mentioned dimensions in relation to persons with ID and mental health problems? The results offer some proof for the assumption that the QOL construct seems to have universal properties. With regard to the second question, the study revealed that the natural and professional network members are challenged to look for the most appropriate support strategies, taking specific indicators of QOL into account. When aspects of empowerment and regulation are used in an integrated manner, the application of the QOL paradigm could lead to positive outcomes concerning self-determination, interdependence, social inclusion, and emotional development.

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