Mood and cognition Flashcards
Management of mild depression
Increase social contact
Exercise
CBT
Management of mod - severe depression
Refer
CBT
Exercise and social contact
1st line pharmacological is SSRI
What formal screening for depression is available
Geriatric depression score
Symptoms of depression
Chronic low mood Lack of enjoyment Low energy Poor sleep Reduced appetite and weight loss Psychomotor retardation Rumination Negative view of future Poor concentration
Risk factors for depression in the elderly
Poor social contact Poor contact with family Chronic illness Bereavement Disability
What assessments of cognition exist
Montreal cognition assessment
Mini mental state assessment
When should you refer to memory clinic
> 6 months history of cognitive decline
Ruled out infection, thyroid dysfunction and anaemia
What is covered in memory clinic appointment
Look at imaging of head (CT or MRI) History Collateral history Screen for depression Memory test
Who are patients referred to after dementia diagnosis
Alzheimer’s society - educate relatives about condition
Adult support worker - assess need for increased support at home, risk assess home environment
Community mental health team if challenging behaviour
How to assess pain in cognitive impairment
Abbey pain scale
What is deprivation of liberty
Removal of patients liberty who lacks capacity if in their best interest
Must be in least restrictive way possible
Examples:
- giving medication against someone’s will
- staff controlling patients mobility
