Health of the Nation Outcome Scales for Elderly People (HoNOS 65+)

1999 ◽  
Vol 174 (5) ◽  
pp. 424-427 ◽  
Author(s):  
Alistair Burns ◽  
Anne Beevor ◽  
Paul Lelliott ◽  
John Wing ◽  
Andrew Blakey ◽  
...  
Keyword(s):  
Mental Health ◽  
Older People ◽  
Elderly People ◽  
Mental Health Problems ◽  
Health Problems ◽  
Functional Abilities ◽  
Validity And Reliability ◽  
Psychiatric Symptomatology ◽  
Cognitive Problems ◽  
Specific Scale

BackgroundHealth of the Nation Outcome Scales (HoNOS) have been developed to measure outcomes in people with mental health problems.AimsThe particular physical and cognitive problems affecting older people requires a specific scale for their measurement. We describe the development of such a scale, named HoNOS 65+.MethodPilot, validity and reliability studies were carried out on an amended scale. Validity was assessed by comparison with existing scales reflecting depression, cognitive function, psychiatric symptomatology, activities of daily living and functional abilities. Reliability was measured in two centres.ResultsHoNOS 65+ was successfully amended to include specific aspects of mental health problems in older people including the phenomenology of depression, delusions occurring in the presence of dementia, incontinence and agitation/restlessness. HoNOS 65+ was able to discriminate between people suffering from organic and functional illnesses. Correlations with other scales indicated reasonable validity. Reliability was satisfactory.ConclusionsAversion of HoNOS 65+ is presented (see pp. 435–438, this issue) which is appropriate for use in elderly people with mental health problems.

scholarly journals Association of Dietary Practices with Mental Health Problems among Geriatrics

2020 ◽  
pp. 12-16
Author(s):  
Maria Aslam ◽  
Farwa Murtaza ◽  
Sana Murtaza ◽  
Natasha Azhar ◽  
Nasir Abbas ◽  
...  
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Older People ◽  
Elderly People ◽  
Mental Health Problems ◽  
Daily Basis ◽  
Health Problems ◽  
P Value ◽  
Food Groups ◽  
Dietary Practices

Abstract:Identification of elderly people dietary practices is the first step towards encouraging healthy diet in them. Proper diet, special care and supplementation are very necessary for effective physical or mental survival of older people with the age of 60-95 years.Objective:To find out the association of dietary practices with mental health problems among geriatrics. Methods:A Cross-sectional Study was operated to assess the dietary practices through pretested Questionnaire (MNA) on the basis of 24 hours’ recall method among Older Adults. The study duration was 4 months and the technique was Non probability convenient sampling.The sample size was 290 older people out of which 48% were males and 52% were females aged between 60-95 years residing in different Old Age Homes of Lahore. The data were analyzed with SPSS version 21.0. The qualitative variables were reported using percentages and frequencies. Chi-square test was applied and p-value less than 0.05 was considered significant.Results:The results revealed that out of 290 respondents; 81(30%) of them were skipping breakfast, 133 (46%) were skipping lunch, 31(11%) were skipping dinner. There were 115(40%) geriatrics which were suffering from depression, 101(35%) were suffering from dementia, 29(10%) were suffering from Insomnia, 45(15%) had Dizziness/Irritability. Only 35(12%) older adults who were taking Supplements. On daily basis, 198(68%) of elderly people were incorporating Chapatti/rice into their diet as the best source of energy, 61(21%) respondents were preferring Milk/yogurt, 22(8%) of older people were consuming fruit juices and salad, 8(3%) of older people were those whose daily food was Soup/porridge. Conclusions:The study concluded that most of the older adults were skipping their meals on daily basis and were suffering from depression, dementia, Insomnia, Dizziness/Irritability. They were less focusing on supplements. The elderly people were mostly consuming Chapatti/rice on daily basis from all of the food groups, they were observed in stressful situations during the meal, when most of the people had reduced their food, there were some who stopped eating. In both males and females, a trend of sweet and salty cravings was mostly seen.

Yoga as an intervention for older peoples mental health: a literature review

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Georgia Belam
Keyword(s):  
Mental Health ◽  
Literature Review ◽  
Older People ◽  
Elderly People ◽  
Mental Health Problems ◽  
Health Problems ◽  
Physical And Mental Health ◽  
Future Directions ◽  
Content Type ◽  
Research Show

Purpose Yoga practice has become increasingly popular around the world for the benefits it can bring for physical and mental health. However, little research has been done regarding the use of yoga as a therapy for elderly people with mental health problems. This literature review will therefore attempt to answer the questions: what research has been done to look into the use of yoga as therapy for elderly people with a diagnosis of mental health problems, what does this research show and what future directions may this work take in the future. Design/methodology/approach The review describes four research studies that have been done looking at the use of yoga as an intervention in older people with diagnosed mental health problems and one upcoming larger study. Findings Therefore, it is shown that the research in this area is so far still in its infancy, but that yoga has potential to be a useful potential treatment for older people with mental health problems. Originality/value As with all research into treatments for mental health problems, involvement of patients and their carers will be vital to ensure that the direction of the research is one that will be valuable, and that the traditions of yoga that have been of so much benefit to so many can be used to help a group of people who are often vulnerable and who sometimes do not receive all the treatment that they deserve.

Professional Ethics and Parents as Consumers: How well are we Doing?

1995 ◽  
Vol 76 (7) ◽  
pp. 408-420 ◽  
Author(s):  
Harriette C. Johnson ◽  
David E. Cournoyer ◽  
Betsy M. Bond
Keyword(s):  
Mental Health ◽  
Informed Consent ◽  
Professional Ethics ◽  
Mental Health Problems ◽  
Codes Of Ethics ◽  
Health Problems ◽  
Self Determination ◽  
Professional Codes ◽  
Professional Codes Of Ethics ◽  
Cognitive Problems

Concerns of parents of children with emotional, behavioral, and cognitive problems with respect to the behavior and attitudes they encounter from professionals coincide with concerns professionals have about their own behavior as set forth in professional codes of ethics. Thirty-four experts on professional ethics evaluated items on a behavioral questionnaire. Parents then used the questionnaire to rate professionals who had worked with the mental health problems of their children. Problem areas identified included informed consent, parent self-determination, and respect and compassion for parents.

scholarly journals 9.L. Workshop: Mental health of older people

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
◽  
Keyword(s):  
Mental Health ◽  
Nursing Homes ◽  
Older People ◽  
Older Persons ◽  
Mental Health Problems ◽  
The United States ◽  
Health Problems ◽  
European Countries ◽  
Health And Wellbeing ◽  
The Impact

Abstract The world's population is aging rapidly. Globally, the population of older people will nearly double in the next 30 years, from 12% to 22%. Unfortunately, many elderly people are often vulnerable to the development of mental health problems. Besides the development of mental disorders (such as depression) or neurological disorders (such as cognitive impairment), they often experience several health ailments and loss of functionality, which negatively impacts their mental health and wellbeing. The WHO points out that mental health problems among this group of people are under-identified by healthcare professionals and by older people and their relatives themselves, and that stigma surrounding these conditions makes people often reluctant to seek help. Therefore, more scientific research and debate is needed on mental health of older persons, especially from a public health perspective. By bringing together researchers on this domain from different countries and background, this workshop aims to contribute to the scientific insight in this topic and finally to the improvement of the mental health and wellbeing of this growing group of people. In this workshop, research findings on the prevalence of (undetected) mental health problems and the impact of organizational, social and physical conditions on these problems, among older persons, both institutionalized and not, will be presented and discussed by five researchers from different European countries. Dr. Sunwoo Lee (Czech Republic) will talk about the demographic, psychosocial, and health-related risk factors for suicidal ideation among older adults in 12 European countries. Dr. Patricia De Vriendt (Belgium) will give a presentation on the unnoticed mild cognitive problems in nursing homes in Flanders. Dr. Henriette van der Roest (the Netherlands) will show the relationship between organizational adaptions in Dutch nursing homes and cognitive improvement and quality of life among older persons with dementia. Dr. Jutta Lindert (Germany) will focus on the impact of social stress and strain on the episodic memory and executive functioning of the “Midlife in the United States (MIDUS) cohort. And finally Dr. Mauro Carta (Italy) will illustrate the positive effect of moderate physical activity on cognitive functioning and general wellbeing of older people. Key messages Mental health problems among the growing group of older people are prevalent and of different kind. More scientific insight is needed on the prevalence and determinants of these problems, in order to provide timely and adequate support and prevention.

Primary care management of older people with mental health problems

2013 ◽  
Author(s):  
Louise Robinson ◽  
Carolyn Chew-Graham
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Older People ◽  
Care Management ◽  
Mental Health Problems ◽  
Age Groups ◽  
Real Life ◽  
Health Problems ◽  
Care Systems ◽  
Primary Care Management

This chapter discusses the presentation and primary care management of the commonest mental health problems in older people; these include delirium, delusions, depression and anxiety, and dementia. Primary care is on the front line in dealing with older people who have mental health problems, supporting their families to care for them and managing people with complex co-morbidities in addition to mental health issues. Older people consult their GP almost twice as often as other age groups and up to 40% may have a mental health problem. Cases drawn from the authors’ real-life practice are presented firstly to represent clinical presentations and management within primary care and secondly to demonstrate how primary care links with secondary care and the wider services. The management of patients is discussed largely within reference to UK primary care systems and policy, but the international readership should find parallels within their own healthcare systems.

scholarly journals Sporting memories & the social inclusion of older people experiencing mental health problems

2015 ◽  
Vol 19 (4) ◽  
pp. 202-211 ◽  
Author(s):  
Michael Clark ◽  
Charlie Murphy ◽  
Tony Jameson-Allen ◽  
Chris Wilkins
Keyword(s):  
Mental Health ◽  
Older People ◽  
Case Studies ◽  
Social Inclusion ◽  
Mental Health Problems ◽  
Well Being ◽  
Health Problems ◽  
Community Settings ◽  
Content Type ◽  
Mental Well Being

Purpose – Social exclusion and isolation of older people and their mental health are likely to be more significant, interlinked issues for society as countries experience an ageing demographic profile. The authors urgently need to identify effective ways of addressing these challenges that can be easily mobilised to meet diverse needs in different settings. The purpose of this paper is to explore the impact of sporting memories (SM) work as one approach to help meet this need. This SM work entails the use of sports-based reminiscence to engage with older people experiencing mental health problems. To date this has especially focused on people living with dementia in institutional and in community settings. Design/methodology/approach – The paper sets out the SM idea and discusses lessons learnt from case studies of its application to meet the inclusion and mental health needs of different older people in institutional and community settings. Findings – The evidence from the application of SM work to date is that it is an effective and flexible means of engaging people to improve their social inclusion and mental well-being. It can be readily deployed in various care and community settings. Research limitations/implications – The evidence to date is of case studies of the use of SM work, and, although these are now extensive case studies, further research is needed on the costs and impacts of SM work. Practical implications – SM work is a flexible and readily adoptable intervention to engage older people and help improve their social inclusion and mental well-being. Social implications – SM work can be an important part of meeting some of the challenges society faces with an ageing population profile. Originality/value – This is the first paper to set out the SM work.

Early detection of mental health problems in older people

2002 ◽  
Vol 11 (18) ◽  
pp. 1198-1203 ◽  
Author(s):  
Jayne Sayers ◽  
Sue Watts ◽  
Gita Bhutani
Keyword(s):  
Mental Health ◽  
Early Detection ◽  
Older People ◽  
Mental Health Problems ◽  
Health Problems
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