Teaching old age psychiatry to medical undergraduates

1998 ◽  
Vol 4 (3) ◽  
pp. 183-185 ◽  
Author(s):  
Stephen Curran ◽  
Peter C. W. Bowie
Keyword(s):  
Old Age ◽  
The Elderly ◽  
Undergraduate Curriculum ◽  
Core Knowledge ◽  
Undergraduate Training ◽  
Medical Undergraduates ◽  
Old Age Psychiatry

There are many different course designs for the teaching of old age psychiatry. It may be taught in blocks or spread over the undergraduate curriculum and/or integrated with either psychiatry or medicine for the elderly. Whichever approach is used, at the end of their undergraduate training, students should have the same core knowledge, skills and attitudes.

Is There a Need for Elderly Forensic Psychiatric Services?

2005 ◽  
Vol 45 (2) ◽  
pp. 154-160 ◽  
Author(s):  
I O Nnatu ◽  
F Mahomed ◽  
A Shah
Keyword(s):  
Mental Illness ◽  
Old Age ◽  
The Elderly ◽  
Mentally Disordered Offenders ◽  
Mentally Disordered ◽  
Court Diversion ◽  
Mental Health Difficulties ◽  
Old Age Psychiatry ◽  
Forensic Psychiatric ◽  
Developed Nations

The population of the elderly in most developed nations is on the increase. Furthermore, the prevalence of mental disorder amongst elderly offenders is high. The true extent of `elderly' crime is unknown because much of it goes undetected and unreported. This leads to a failure to detect mental illness in such offenders. Court diversion schemes may improve recognition of mental illness but these schemes usually tend to deal with the more severe crimes. This may result in an overestimation of the amount of serious crime committed by the elderly and a failure to detect mental illness amongst those who commit less serious crimes. Efforts to service this hidden morbidity call for multi-agency collaboration. Improved detection and reporting of crimes is essential if mental health difficulties in the elderly are not to go unnoticed. The needs of elderly mentally-disordered offenders are complex and fall within the expertise of old age and forensic psychiatry, without being adequately met by either one. Therefore, consideration should be given to the development of a tertiary specialist forensic old-age psychiatry service.

scholarly journals The interface between old age psychiatry and the law

2002 ◽  
Vol 8 (4) ◽  
pp. 271-278 ◽  
Author(s):  
Brian Murray ◽  
Robin Jacoby
Keyword(s):  
Old Age ◽  
Psychiatric Care ◽  
Common Law ◽  
Civil Law ◽  
The Elderly ◽  
Legal Aspects ◽  
Northern Irish ◽  
Care For The Elderly ◽  
Old Age Psychiatry ◽  
The Uk

This article aims to provide a practical overview concentrating on civil legal aspects of psychiatric care for the elderly. We limit ourselves to English law (which also has jurisdiction in Wales; Scottish and Northern Irish law may be similar, but not identical). Civil law can, in turn, be divided into statute law (legislation provided by Parliament) and common law (the UK, unlike some European countries, has a strong tradition of law based on previous rulings by judges).

scholarly journals Physical illness associated with depression in the elderly in community based and hospital patients

1992 ◽  
Vol 16 (10) ◽  
pp. 612-613
Author(s):  
Stephen Dover ◽  
Christopher McWilliam
Keyword(s):  
Old Age ◽  
Psychiatric Illness ◽  
Geriatric Medicine ◽  
The Elderly ◽  
Physical Illness ◽  
Community Based ◽  
Senior Registrar ◽  
Hospital Patients ◽  
Old Age Psychiatry ◽  
Registrar Training

The co-existence of physical and psychiatric illness in so much of the elderly population poses diagnostic and therapeutic problems for psychiatrists, geriatricians and general practitioners alike, with the presence of physical illness strongly influencing and sometimes limiting the options for treatment of the psychiatric illness. Recognition of this has resulted in the Section of Old Age Psychiatry of the Royal College of Psychiatrists recommending that senior registrar training in old age psychiatry should include a one month attachment to an approved geriatric medicine unit.

scholarly journals 3. Old age psychiatry

1991 ◽  
Vol 15 (1) ◽  
pp. 15-16
Author(s):  
Dawn Black ◽  
Elspeth Guthrie ◽  
David Jolley
Keyword(s):  
Old Age ◽  
The Elderly ◽  
Old Age Psychiatry

The old age psychiatrist's role has been evocatively described as “physician to the soul of the elderly”. A more practical definition is psychiatrist to patients over the age of 65 with both functional and organic illnesses.

The Role of Electroconvulsive Therapy in the Treatment of Depressive Illness in Old Age

1989 ◽  
Vol 155 (2) ◽  
pp. 147-152 ◽  
Author(s):  
Susan M. Benbow
Keyword(s):  
Old Age ◽  
Electroconvulsive Therapy ◽  
Age Groups ◽  
The Elderly ◽  
Depressive Illness ◽  
Electrode Placement ◽  
Physical Problems ◽  
Younger Age ◽  
Old Age Psychiatry ◽  
Temporary Memory

Electroconvulsive therapy is an important treatment in the depressive states of late life, and there is general agreement about the indications for its use in old age psychiatry. Indeed, old age may be associated with a better response to ECT than that in younger age groups. The additional risk involved through physical problems in the elderly is not great when compared with that of continuing depression and of the side-effects of alternative treatments. Temporary memory disorders and confusion may occur, but are minimised if unilateral electrode placement is used. Some patients treated with unilateral ECT do not respond, but will respond to bilateral treatment. Anxiety over unwanted treatment effects, which can lead to ineffective treatment of depressive illness, must be outweighed by knowledge of the dangers of leaving depression untreated in old age.

scholarly journals Ethical dilemmas in old age psychiatry

1994 ◽  
Vol 18 (9) ◽  
pp. 541-544 ◽  
Author(s):  
Catherine Oppenheimer ◽  
Gwen Adshead ◽  
Jeanette Smith
Keyword(s):  
Old Age ◽  
Ethical Dilemmas ◽  
The Elderly ◽  
Health Needs ◽  
Financial Responsibility ◽  
Financial Interests ◽  
Old Age Psychiatry

Patients and their relatives sometimes make what to others appear to be unfortunate decisions. In this paper the ethical dilemmas raised by such decisions in the context of old age psychiatry are examined. The case also raises questions about financial responsibility for the care of the elderly and suggests that the health needs of patients can no longer be separated from their financial interests.

Topical issues in old age psychiatry

2005 ◽  
Vol 22 (3) ◽  
pp. 103-106 ◽  
Author(s):  
Sharon Foley ◽  
Aideen Freyne
Keyword(s):  
Old Age ◽  
Geriatric Medicine ◽  
Medical Science ◽  
The Elderly ◽  
Demographic Shift ◽  
Republic Of Ireland ◽  
Demographic Projections ◽  
Old Age Psychiatry ◽  
Ultimate Outcome ◽  
The Republic

AbstractWith advancements in medical science over past decades, our aging population has increased substantially. Census studies in 2001 showed that 429,100 of the population of the Republic of Ireland were aged 65yrs and older, making up 11.2% of the overall population. While the overall population of the Republic is expected to remain stable over the next ten years, the demographic projections for the elderly population is for significant growth: numbers of over 65yrs are expected to increase by nearly 108,000 people between 1996 - 2011, comprising over 14.1% of the overall population. In particular, our communities will contain a much higher proportion of octogenarians and nonagenarians: at present 21% of our over 65's are 80 yrs or older; by 2011, it is projected that this number will increase to 25%. In tandem, the prevalence of dementia will increase.In 2000, it was estimated that 31,000 people suffered with dementia in the Republic of Ireland, and this figure is expected to increase by 5000 cases per year between 2001-2011. The ultimate outcome of this demographic shift, will be higher demands on medical services for older people, especially geriatric medicine and old age psychiatry. This paper will focus on two particular aspects of management which will increasingly impact on the work of old age psychiatrists – medicolegal issues and management issues in dementia.

Old age psychiatry

2019 ◽  
pp. 541-564
Author(s):  
David Semple ◽  
Roger Smyth
Keyword(s):  
Old Age ◽  
Elder Abuse ◽  
The Elderly ◽  
Power Of Attorney ◽  
Advanced Directives ◽  
Psychiatric Illnesses ◽  
Age Related ◽  
Old Age Psychiatry ◽  
Ageing Patient ◽  
The Brain

This chapter covers old age psychiatry, including both psychiatric illnesses in older people and specific aspects of illness with regard to the elderly, from neuroses and psychoses to mood disorders. New disorders owing to specific old age-related issues, such as bereavement, isolation, and the changing physiology of the brain, are covered, as well as pre-existing illnesses in the ageing patient. The increasing recognition of elder abuse is defined, and responses outlined. End of life considerations, such as power of attorney and advanced directives, are included.

Psychiatry of the elderly

2012 ◽  
pp. 485-506
Author(s):  
Philip Cowen ◽  
Paul Harrison ◽  
Tom Burns
Keyword(s):  
Psychiatric Disorder ◽  
Old Age ◽  
Clinical Features ◽  
The Elderly ◽  
Management Plan ◽  
Social Needs ◽  
Clinical Complexity ◽  
Old Age Psychiatry

When considering psychiatric disorder in the elderly, the clinician must be able to collect and integrate information from a variety of sources, and produce a management plan which takes account of physical and social needs, as well as psychological ones. This plan is likely to involve the cooperation of several professionals. It is in this clinical complexity that much of the challenge and fascination of old age psychiatry lies. Chapter 18 deals with the psychiatry of old age, with two important exceptions, both of which were covered in Chapter 13: delirium, and the clinical features, aetiology, and investigation of dementia.

Suicide-related bereavement and psychiatric morbidity in the elderly

2004 ◽  
Vol 21 (1) ◽  
pp. 22-24 ◽  
Author(s):  
Ciaran S Clarke ◽  
Margo Wrigley
Keyword(s):  
Old Age ◽  
Causes Of Death ◽  
Psychiatric Morbidity ◽  
Adult Child ◽  
The Elderly ◽  
Elderly Parents ◽  
National Population ◽  
Old Age Psychiatry ◽  
Clinical Profiles ◽  
Complicated Bereavement

AbstractObjectives: We sought to determine whether elderly bereaved patients attending an old-age psychiatry service were more likely to have been bereaved through suicide than through other causes.Methods: We studied the demographic and clinical profiles of all patients attending an old-age psychiatry service who had experienced the death of an adult child. We compared the causes of the deaths of their children with the most recent figures for the national population.Results: Deaths from suicide among the children of the bereaved elderly were commoner than for the age-matched national population.Conclusions: Suicide is more likely than other causes of death to lead to psychiatric morbidity in elderly parents. The needs of elderly survivors should be considered in formulating national strategies for suicide prevention. Further studies are needed on risk factors for complicated bereavement in the elderly.

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