TAILIEUCHUNG - Management of Bipolar Disease in the Elderly

It is clear that most retirement communities have some level of disaster plans that tend to be based on two driving forces. The first force driving the creation of plans is as a response to regulations or laws that exist in their area or state. These tend to be drills rather than the more valuable exercises that bring all of the involved parties together to discuss interactions during a disaster response. The second driving force is what history suggests to be the most likely disaster. Although important and valuable in creation of disaster plans, this approach neglects the changing natural. | Management of Bipolar Disease in the Elderly M. Cornelia Cremens MD Director of Inpatient Geriatric Consultation Division of Medicine and Psychiatry Massachusetts General Hospital Sunday August 3 2008 9 00 -9 50 am Concerns of Older Adults Quality of life Mental and physical health fundamental to a more meaningful life Many more issues in late life How to avoid - early treatment prevention Increasing numbers struggling with mental health issues Good news Most seniors enjoy good mental health Psychiatric illness is not part of normal aging NIMH 1 5 diagnosed with mental illness Growing population mentally ill 65 20 million in 1970 7 million 65 predicted 70 million in 2030 15 million Mental Health Issues in Aging Most common psychiatric disorders in late-life Anxiety includes phobias and OCD Cognitive impairment and delirium Alzheimer s disease Mood disorders depression and bipolar Range of severity from problematic-severe Suicide highest in this age group Older Adults Avoid Psychiatrists Mental health services underutilized Stigma Denial Lack of services access outreach Poor coordination of services and follow-up Psychiatric Evaluation of Older Adults Psychiatric assessment Rule out pre-morbid psychiatric illness Rule out co-morbid medical illness Functional Assessment ADLs mobility dressing hygiene feeding and toileting IADLs independent living shopping cooking telephone housekeeping light medications finances transportation Evaluation Complete history Psychiatric medical .

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