scholarly journals Old people and ECT: what difficulties are encountered in obtaining anaesthetics for the elderly?

1991 ◽  
Vol 15 (6) ◽  
pp. 324-325
Author(s):  
Susan M. Benbow
Keyword(s):  
Elderly Patients ◽  
Elderly People ◽  
Old Age ◽  
Electroconvulsive Therapy ◽  
Mentally Ill ◽  
Late Life ◽  
The Elderly ◽  
Mental Illnesses ◽  
Old People ◽  
Physical Problems

Since developing an interest in the use of electroconvulsive therapy (ECT) in late life, I have received correspondence from psychiatrists describing difficulties in obtaining anaesthetics for elderly patients who are perceived as frail or physically unwell. Nevertheless, Pippard & Ellam (1981) found in their survey of the use of ECT in 1980 that 37% of courses were given to people aged 60 years and over. I decided to survey old age psychiatrists' views on ECT, and to look at difficulties encountered in obtaining anaesthetics. Old age psychiatrists specialise in the care of mentally ill elderly people and are dealing with patients who are particularly likely to have physical problems in addition to mental illnesses. Their experience of ECT is therefore of wider relevance to all who prescribe ECT for elderly or physically ill people.

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.

An Attitudinal Assessment of Perceived Intergenerational Affinities Linking Adolescence and Old Age

1983 ◽  
Vol 6 (2) ◽  
pp. 221-231 ◽  
Author(s):  
Mary A. Luszcz
Keyword(s):  
Elderly People ◽  
Old Age ◽  
Undergraduate Students ◽  
The Elderly ◽  
Semantic Differential ◽  
Age Group ◽  
Middle Aged ◽  
Old People ◽  
Aged People ◽  
Age Related

Attitudes toward the elderly were considered in a life-span context relative to adolescents and the middle-aged. These groups were chosen based on theorized commonalities linking adolescents and the elderly in contrast to the middle-aged. Undergraduate students used a semantic differential to rate the extent to which adjectives corresponded to their conceptions of ideal, real, and typical adolescents, middle-aged, and elderly people. Four subscales of Autonomy, Instrumentality, Acceptability, and Integration were assessed. When students considered their ideal conceptions of each age group, no age-related differences were evidenced on any dimensions. Further, across age, typical individuals were considered to be less acceptable and less well-integrated than people known by students. However, autonomy and instrumentality varied with age as well as the type of individuals being rated. Typical old people as well as old people known to students were viewed to be less instrumental than adolescents. These elderly people were also viewed as less instrumental than real but not typical middle-aged people. Adolescents and the elderly alike were seen as less autonomous than real or typical middle-aged people. Results were discussed in terms of Chellam's notion of symmetry that suggests that balance, likeness, and oppositeness each characterize relations among adolescents, the middle-aged, and the elderly.

scholarly journals Old People [Abridged]

1968 ◽  
Vol 61 (9) ◽  
pp. 917-918
Author(s):  
R L Meyrick
Keyword(s):  
Elderly People ◽  
Old Age ◽  
Family Doctor ◽  
The Elderly ◽  
Old People ◽  
Vitamin Deficiencies ◽  
The Family ◽  
Reduced Activity

Dr Roger Meyrick outlines the scope of geriatrics and defines three categories of elderly people characterized by reduced activity, reduced resources and reduced independence. Dr John Agate considers the deprivations which may occur in old age such as: malnutrition, vitamin deficiencies, deprivation of minerals and water, hypothermia and psychological deprivation. The role of the family doctor in the care of the elderly is discussed by both speakers.

scholarly journals The "Cantankerous Old People" Next Door : How Old Age Is Represented in Serbian Television Commercials

2010 ◽  
Vol 5 (3) ◽  
pp. 75-97
Author(s):  
Ljubica Milosavljević
Keyword(s):  
Elderly People ◽  
Old Age ◽  
Elderly Women ◽  
Real Life ◽  
The Elderly ◽  
Television Commercials ◽  
Old People ◽  
Negative Stereotypes ◽  
The Media ◽  
The Times

This paper is the result of a three-month monitoring of Serbian television commercials which aimed to study the way elderly people are represented in the media. Elderly people appear in only six commercials, more often as a functional part of a series than as protagonists. Yet in spite of the small number of commercials in which they appear, it is easy to identify the stereotypes which are translated from a social paradigm into the sphere of the media. The stereotypes on which commercials are based belong for the most part to the corpus of negative stereotypes of elderly people as hopelessly behind the times, feeble, lonely, irritating, cantankerous, etc. Some positive stereotypes are also evident, but they are mostly limited to a perception of elderly people as kindly givers of useful advice. It is interesting to note that the "cantankerous people next door" are as a rule anonymous elderly people, as are those "lost in time and space", who are mostly elderly women. In contrast, those who let their careers and images be associated with a certain product, in order to pass on their great experience and knowledge, are as a rule famous persons. Just as it is possible to make a distinction between commercials depending on whether or not the products advertised are targeted at the elderly – which they rarely are – and whether elderly people appear in leading or supporting roles, in order to make viewers laugh or annoy them, so it is possible to distinguish between the "real-life principle", which involves the translation of the society’s dominant attitudes into commercials, and "commercial reality", which either makes old age invisible or "masks" it so that it is pleasant to the eye. The reason that old people are absent from television commercials or are mostly represented in a negative light is to be found in the low purchasing power of this age group, but also in the fact that advertising in Serbia developed practically overnight, and therefore has not always been able to follow foreign advertising trends, which treat the elderly as a worthy target audience for commercials.

scholarly journals Perkawinan Lansia di Kecamatan Socah Kabupaten Bangkalan Perspektif Maqasid Al-Shari’ah

AL-HUKAMA ◽  
2018 ◽  
Vol 8 (2) ◽  
pp. 483-506
Author(s):  
Roisul Umam Hamzah
Keyword(s):  
Elderly People ◽  
Old Age ◽  
Family Relationship ◽  
Field Research ◽  
The Elderly ◽  
The Family ◽  
Negative Effect ◽  
Break Up ◽  
Old Maid

This is a field research that analyzes the marriage suitability of elderly people in Socah, Bangkalan under the theory of maqasid shari'ah. The elderly marriage is officially conducted at KUA (Religious Affairs Office) of Socah for different reasons, namely: on the basis of coercion to the bride so that the family relationship does not break up, resulting in reluctance, on the basis of family compassion and encouragement. It is because the bride is an old maid and is his own niece on the basis of mutual love, avoid immorality and seek peace of life in old age. All couples can fulfill both material and non-material obligations, although not as perfect as a young couple. Some husbands do not want to have children for fear of not being able to support even though in this case the wife really wants it. Thus, the marriage of the elderly in Socah is sometimes appropriate and not in accordance with the maqasid shari'ah. The suitability in question is in terms of hifz al-din (protecting religion) and hifz al-mal (protecting wealth), while its inadequacies are in terms of hifz al-nasl (protecting offspring), because of their desires to have offspring and in terms of hifz al-nafs (protecting soul), and hifz al-'aql (protecting ratio), because of differences in descent have the negative effect on family disharmony that can interfere with the soul and mind. In this case, an intense dialogue and approach must be made to the couple to be more open and understand each other.

scholarly journals Cisplatin-induced renal toxicity in elderly people

2020 ◽  
Vol 12 ◽  
pp. 175883592092343 ◽  
Author(s):  
ZhiYu Duan ◽  
GuangYan Cai ◽  
JiJun Li ◽  
XiangMei Chen
Keyword(s):  
Elderly Patients ◽  
Elderly People ◽  
Renal Toxicity ◽  
Enzyme Inhibitor ◽  
Interstitial Fibrosis ◽  
Angiotensin Receptor Blockers ◽  
Young Patients ◽  
Kidney Injury ◽  
The Elderly ◽  
Tubular Atrophy

Despite available prevention and treatment measures, such as hydration, diuresis, magnesium supplementation, and amifostine, renal toxicity is still one of the major dose-limiting side effects of cisplatin. The aim of this review is to discuss the issue of cisplatin-induced nephrotoxicity in the elderly. Compared with young patients, the incidences of cisplatin-induced nephrotoxicity and acute kidney injury (AKI) in elderly patients are significantly increased, and survival time may be decreased. Following cisplatin treatment of elderly patients, tubulointerstitial injuries will be significantly aggravated based on their original age, both for acute injuries due to cell necrosis and exfoliation and chronic injuries due to interstitial fibrosis, tubular atrophy, and dilatation. The high incidence of cisplatin-induced nephrotoxicity in elderly patients may be associated with renal hypoperfusion; increased comorbidities, such as chronic kidney disease (CKD), cardiovascular disease, and diabetes mellitus; increased use of combined drugs [especially non-steroidal anti-inflammatory drugs, angiotensin-converting enzyme inhibitor and angiotensin receptor blockers (ACEI/ARB), and antibiotics]; decreased clearance of cisplatin; and high plasma ultrafilterable cisplatin. Considering hemodynamic stability and water balance, short duration and low volume hydration may be more suitable for treating elderly people. With the increasing popularity of low-dose daily/weekly regimens, we do not recommend routine diuretic treatment for elderly patients. We recommend using a less nephrotoxic platinum if large doses of cisplatin (100mg/m2) are needed.

Treatment of psychoses in the elderly

1996 ◽  
Vol 2 (3) ◽  
pp. 133-139
Author(s):  
A. Phanjoo
Keyword(s):  
Old Age ◽  
Psychotic Disorders ◽  
De Novo ◽  
Late Onset ◽  
Late Life ◽  
The Elderly ◽  
Functional Psychoses ◽  
First Time ◽  
Paranoid Psychosis

Psychotic disorders in the elderly can be divided into three types: disorders that have started in earlier life and persist into old age; disorders that start de novo after the age of 60, and psychoses associated with brain disease, including the dementias. The classification of psychoses in late life has provoked controversy for nearly a century. The debate concerns whether schizophrenia can present at any stage of life or whether functional psychoses, arising for the first time in late life, represent different illnesses. The nomenclature of such disorders consists of numerous terms including late onset schizophrenia, late paraphrenia, paranoid psychosis of late life and schizophreniform psychosis. This plethora of terms has made research difficult to interpret.

Relations between attachment styles, ageism and quality of life in late life

2010 ◽  
Vol 22 (8) ◽  
pp. 1353-1361 ◽  
Author(s):  
Ehud Bodner ◽  
Sara Cohen-Fridel
Keyword(s):  
Quality Of Life ◽  
Elderly People ◽  
Attachment Style ◽  
Attachment Styles ◽  
Late Life ◽  
The Elderly ◽  
Human Beings ◽  
Secure Attachment ◽  
Sf 36

ABSTRACTBackground: This study is the first to explore the relations between attachment styles, ageism, and quality of life (QoL) among elderly people. The attachment theory describes how human beings relate to each other, according to their attachment style. Previous studies have examined the connection between attachment styles and prejudice toward distinctive social groups and minorities. Ageism as a form of prejudice is a way of relating negatively to people because they are old. QoL among the elderly was found to be associated with negative age-perceptions. It was therefore hypothesized that QoL, attachments styles, and demographic characteristics can explain ageism among the elderly.Methods: Four questionnaires were administered: Fraboni Scale of Ageism (FSA), which comprises four scales (separation, affective, stereotype, and intergeneration); Experiences in Close Relationships Scale, which measures four attachment styles (secure, dismissive, fearful, and preoccupied); SF-36 health status inventory (eight scales); and sociodemographic questions. Ninety-four elderly men and women aged 64–85 years living in the community completed the questionnaires.Results: MANCOVAS indicated that securely attached individuals score higher on separation than fearfully attached individuals, and that securely and dismissively attached individuals score higher than fearful and preoccupied individuals on seven QoL scales. Multiple regression analyses showed that attachment styles, age, gender, and some QoL scales contribute to the explained variance of ageism.Conclusions: Secure attachment in late life seems to be related to less ageism and a better QoL. The enhancement of a secure attachment base in elderly people may assist in moderating ageism and improving older people's QoL.

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