Clinical Case Studies in Long-Term Care Psychiatry Navigating Common Mental Health Challenges in Geriatric Care
Book contents
- Clinical Case Studies in Long-Term Care Psychiatry
- Clinical Case Studies in Long-Term Care Psychiatry
- Copyright page
- Contents
- Preface
- Section 1 Neurocognitive Disorders
- Case 2 “I Think I Hit My Head”
- Case 3 “It’s like She’s a Different Person”
- Case 4 “I Am Tired All the Time”
- Case 5 “I Am Okay”
- Case 6 “Leave Me Alone”
- Case 7 “I Am Fine”
- Case 8 “Those Children Are Cute”
- Case 9 “Those Terrible Men Have Left”
- Case 10 “I Saw the Heavenly Gates”
- Case 11 “Leave Me Alone”
- Section 2 Mood Disorders
- Case 13 “My Mom Looks Like a Zombie!”
- Case 14 “My Soul Is in England”
- Case 15 “I Feel Terrible”
- Case 16 “I Don’t Care”
- Case 17 “I Feel Very Lonely”
- Case 18 “I Don’t Feel Right”
- Case 19 “I Am Feeling Great”
- Case 20 “I Am Staying Here Illegally”
- Section 3 Psychotic Disorders
- Case 22 “He Just Won’t Get Up”
- Case 23 “My Body Is Being Taken over by a Fungus!”
- Case 24 “This Is Humiliating”
- Case 25 “I Want to Go Home”
- Case 26 “I Am a Worrier”
- Case 27 “Get out of My House”
- Section 4 Anxiety and Related Disorders
- Case 29 “My Vision Has Been Worsening in the Last Two Weeks”
- Case 30 “I Am Not Addicted to Valium”
- Case 31 “Of Course, I Worry about Him”
- Case 32 “Bombs Are Falling! Run, Run!”
- Section 5 Substance Abuse Disorders
- Section 6 Personality Disorders
- Case 35 “I Cannot Wait to Get out of This Miserable Place”
- Section 7 Miscellaneous Neuropsychiatric Disorders Affecting Patients in Long-Term Care
- Case 37 “Everyone Is Just So Good to Me!”
- Case 38 “Why Do They Say I Have Dementia?”
- Case 39 “I Hate That Guy … I Can’t Get Any Sleep!”
- Case 40 “Just One Kiss”
- Case 41 “I Don’t Feel Well”
- Case 42 “I Like Food”
- Case 43 “I Like the Way She Laughs”
- Case 44 “This Is So Hard”
- Index
- References
Case 14 - “My Soul Is in England”
Treatment of Depression and Anxiety at End of Life
Published online by Cambridge University Press: 31 October 2024
Book contents
- Clinical Case Studies in Long-Term Care Psychiatry
- Clinical Case Studies in Long-Term Care Psychiatry
- Copyright page
- Contents
- Preface
- Section 1 Neurocognitive Disorders
- Case 2 “I Think I Hit My Head”
- Case 3 “It’s like She’s a Different Person”
- Case 4 “I Am Tired All the Time”
- Case 5 “I Am Okay”
- Case 6 “Leave Me Alone”
- Case 7 “I Am Fine”
- Case 8 “Those Children Are Cute”
- Case 9 “Those Terrible Men Have Left”
- Case 10 “I Saw the Heavenly Gates”
- Case 11 “Leave Me Alone”
- Section 2 Mood Disorders
- Case 13 “My Mom Looks Like a Zombie!”
- Case 14 “My Soul Is in England”
- Case 15 “I Feel Terrible”
- Case 16 “I Don’t Care”
- Case 17 “I Feel Very Lonely”
- Case 18 “I Don’t Feel Right”
- Case 19 “I Am Feeling Great”
- Case 20 “I Am Staying Here Illegally”
- Section 3 Psychotic Disorders
- Case 22 “He Just Won’t Get Up”
- Case 23 “My Body Is Being Taken over by a Fungus!”
- Case 24 “This Is Humiliating”
- Case 25 “I Want to Go Home”
- Case 26 “I Am a Worrier”
- Case 27 “Get out of My House”
- Section 4 Anxiety and Related Disorders
- Case 29 “My Vision Has Been Worsening in the Last Two Weeks”
- Case 30 “I Am Not Addicted to Valium”
- Case 31 “Of Course, I Worry about Him”
- Case 32 “Bombs Are Falling! Run, Run!”
- Section 5 Substance Abuse Disorders
- Section 6 Personality Disorders
- Case 35 “I Cannot Wait to Get out of This Miserable Place”
- Section 7 Miscellaneous Neuropsychiatric Disorders Affecting Patients in Long-Term Care
- Case 37 “Everyone Is Just So Good to Me!”
- Case 38 “Why Do They Say I Have Dementia?”
- Case 39 “I Hate That Guy … I Can’t Get Any Sleep!”
- Case 40 “Just One Kiss”
- Case 41 “I Don’t Feel Well”
- Case 42 “I Like Food”
- Case 43 “I Like the Way She Laughs”
- Case 44 “This Is So Hard”
- Index
- References
Summary
The primary care provider is often the first clinician to recognize the high burden of life-prolonging treatment for a resident who has limited life expectancy and high medical and neurocognitive comorbidity. Palliative care refers to specialized medical care provided to individuals with serious illnesses or conditions that are not curable. The goal of palliative care is to improve the quality of life for patients by alleviating symptoms, managing pain, and addressing the physical, emotional, social, and spiritual needs associated with their condition. Clinical depression is relatively common at the end of life. The prevalence of major depressive disorder at the end of life for cancer patients is estimated to be between 5-20%. Choose psychotropic medications that have a quicker response time when possible. Examples include stimulants for depressive symptoms and benzodiazepines for anxiety. SSRI’s, SNRI’s, and other more commonly prescribed medications for depression and anxiety may take up to four to six weeks for clinical response.
- Type
- Chapter
- Information
- Clinical Case Studies in Long-Term Care PsychiatryNavigating Common Mental Health Challenges in Geriatric Care, pp. 68 - 72Publisher: Cambridge University PressPrint publication year: 2024
References
References
Rosenstein, D. L. (2011). Depression and end-of-life care for patients with cancer. Dialogues in Clinical Neuroscience, 13 (1), 101–108. https://doi.org/10.31887/DCNS.2011.13.1/drosensteinCrossRefGoogle ScholarPubMed
Further Reading
Almeida, S. S., Zizzi, F. B., Cattaneo, A., Comandini, A., Dato, G. D., Lubrano, E., Pellicano, C., Spallone, V., Tongiani, S., & Torta, R. (2019). Management and treatment of patients with major depressive disorder and chronic diseases: A multidisciplinary approach. Frontiers in Psychology, 11. https://doi.org/10.3389/fpsyg.2020.542444Google Scholar
Desai, A., & Grossberg, G. (2017). Psychiatric Consultation in Long-Term Care (A Guide for Healthcare Professionals). (Cambridge University Press.) Kindle Edition. p. 118.CrossRefGoogle Scholar
Khouzam, H. R. (2016). Psychopharmacology of chronic pain: A focus on antidepressants and atypical antipsychotics. Postgraduate Medicine, 128 (3), 323–330.CrossRefGoogle ScholarPubMed
Smith, H. R. (2015). Depression in cancer patients: Pathogenesis, implications and treatment. Oncology letters, 9 (4), 1509–1514.CrossRefGoogle ScholarPubMed
Walker, J., Hansen, C. H., Martin, P., Sawhney, A., Thekkumpurath, P., Beale, C., & Sharpe, M. (2013). Prevalence of depression in adults with cancer: A systematic review. Annals of oncology, 24 (4), 895–900.CrossRefGoogle ScholarPubMed
Yang, X., Wu, X., Gao, M., Wang, W., Quan, L., & Zhou, X. (2020). Heterogeneous patterns of posttraumatic stress symptoms and depression in cancer patients. Journal of Affective Disorders, 273, 203–209.CrossRefGoogle ScholarPubMed