Home assessment in old age psychiatry: a practical guide

2012 ◽  
Vol 18 (6) ◽  
pp. 400-407 ◽  
Author(s):  
Bradley Ng ◽  
Martin Atkins

SummaryAn initial psychiatric assessment of elderly people at home is an important component of many old age psychiatry services. This article explores the clinical aspects of conducting such assessments and the skills required in addition to those brought to a standard psychiatric interview. Safety considerations and risk management when conducting home assessments are also discussed.

Author(s):  
Dening et

The majority of chapters in this book demonstrate clinical aspects of various aspects of old age psychiatry. These accounts tend to focus only on the viewpoints of the healthcare professionals involved in the investigation, diagnosis, and management of the condition. This chapter is different, and provides a first-person account of an anonymous author and his experience of having episodes of depression. The author describes the course of the condition at various times in his life and the various ways in which it has affected him at various stages. This chapter also describes his experiences of treatment and contact with professionals.


1997 ◽  
Vol 21 (1) ◽  
pp. 23-25 ◽  
Author(s):  
D. D. R. Williams ◽  
Mary M. Ellis ◽  
Fawzea Hardwick

This paper describes the establishment of a team of four nurses to provide a service in old age psychiatry along the lines of “Hospital At Home”. Its aim was to treat and nurse patients at home who otherwise would have to be admitted to hospital. An integral part of this initiative is the use of a problem orientated approach with integrated records. The work of the team over six years is reviewed and how it has evolved to provide a rapid response to difficult and fraught situations.


2002 ◽  
Vol 8 (1) ◽  
pp. 49-58 ◽  
Author(s):  
Walter Pierre Bouman ◽  
Gill Pinner

Antipsychotic drugs are among the most widely prescribed psychotropic medications for elderly people, particularly for the 5–8% of patients who are in institutions. The antipsychotics are indicated for treating psychotic disorders, including schizophrenia, delusional disorder, psychotic symptoms in mood disorders and for a number of organic psychoses.


2017 ◽  
Vol 41 (2) ◽  
pp. 71-75 ◽  
Author(s):  
Simon Thacker ◽  
Mike Skelton ◽  
Rowan Harwood

SummaryIntegrating mental and physical healthcare is difficult to achieve because of professional and organisational barriers. Psychiatrists recognise the problems resulting from fragmentation of services and want continuity of care for patients, but commissioning and service structures perpetuate these problems. One way forward may be to follow the syndromic model employed by geriatricians as a means of avoiding over-emphasis on diagnosis above the pragmatics of implementing multi-component, coordinated care. Commissioners need to be made aware of the overlap and complementarity of skills possessed by old age psychiatry and geriatric medicine to create joint services for people vulnerable to dementia and delirium. A re-forged alliance between the two specialties will be necessary to turn integrated care for frail, elderly people from rhetoric into reality.


1997 ◽  
Vol 7 (2) ◽  
pp. 171-176 ◽  
Author(s):  
Anthea Tinker

Despite the growing recognition of the importance of housing for the health and well-being of elderly people there has been less research on the topic than on health or personal social services. Moreover, until recently, what research there was tended to concentrate on specialized, rather than mainstream, forms of housing. This review looks at research on the meaning of home; the kind of housing elderly people live in; tenure; specialized and nonspecialized housing; some issues to do with an assessment of needs; and at links between services. The very important related topic of moving in old age is not covered because this was the focus of a recent review in this journal. However, it is relevant to note that research shows that many people move into specialized housing against their will and wish that they could have remained at home. This review also excludes consideration of other related topics such as household composition, affordability, the contribution of technology such as alarms and ‘smart’ houses, and problems of specific groups, such as those who are homeless.


2002 ◽  
Vol 8 (1) ◽  
pp. 59-65 ◽  
Author(s):  
Barbora Richardson ◽  
Martin Orrell

“For people to be successfully supported at home, a comprehensive assessment is an essential first step.” (Audit Commission, 2000: p. 43.)Home visits by old age psychiatrists remain popular with elderly patients, their carers and general practitioners (GPs). Home assessments by various disciplines working with older people have been endorsed as a sign of good practice by the Audit Commission (2000) in their recent national report on mental health services for older people: “Assessment at home is often better as people are most likely to behave and communicate in their normal way in familiar surroundings. Staff can also build a more accurate picture of people's needs and learn the views of their carers. Professionals can observe whether there is adequate food in the house, whether people can make themselves a hot drink, and whether there are any likely risks from poor hygiene or fire hazards.” (Audit Commission, 2000: p. 43.)


Author(s):  
Triana Rosalina Noor ◽  
Isna Nurul Inayati

Islamic education is important to be given through the cultivation of religious values from prenatal to old age. This is because in old age, it is a time when man has a developmental duty to draw closer to God. Not all elderly people spend their old time together with their families at home, but there are elderly people who have to spend the rest of their life in a griya werdha. The social services provided in griya werdha are not only physical, but also spiritual. The research method used is the study of literature, namely conducting the process of studying books, theories that exist to be related to the topic of religious soul development in the elderly. The results of this study show that through Islamic religious education, the elderly will be helped to be able to heed the feelings of helplessness and waste felt through activities that increase the spirituality that exists. This means that even in the elderly stage, the elderly can still perform their functions and roles appropriately based on their status in the situation and conditions they face.


1990 ◽  
Vol 7 (2) ◽  
pp. 135-137 ◽  
Author(s):  
Margo M. Wrigley ◽  
Miriam A. Gannon

AbstractIn Ireland, the demographic pressure of greater numbers of elderly people surviving longer with an attendant increase in the prevalence of dementia and depression compounded by the running down of old mental hospitals and the closure of smaller general hospitals has provoked debate on the need for Old Age Psychiatry (Psychogeriatric) Services.The first Old Age Psychiatry service in the Republic of Ireland started in North Dublin in January 1989. Detailed information on all referrals (173) assessed in the first six months of operation was collected and is presented. The findings are discussed in the context of the stated government policy of caring for the elderly within the community setting.


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