This bundle includes the following guidelines:
- Detection of Depression in Older Adults with Dementia
- Detection of Depression in the Cognitively Intact Older Adult
- Late-Life Suicide: Secondary Prevention
- Wheelchair Biking for the Treatment of Depression
Detection of Depression in Older Adults with Dementia [HERE]
It is anticipated that the incidence and prevalence of Alzheimer disease and other forms of dementia will increase as our nation ages. It is therefore essential that depression and dementia, the two most frequent psychiatric syndromes in the older adult population, are assessed for routinely. However, depression in older adults with and without dementia often goes unrecognized and untreated. Despite expert recommendations and increased availability of a range of depression treatment options (e.g., medication, psychotherapy, combination therapy, and ECT), depression remains a significant public health problem for older adults. Detection is the first essential step to improving depression care for patients with dementia. The purpose of this evidence-based guideline is to improve the detection of depression in older adults with dementia. Written 2007; Revised 2014.
Detection of Depression in the Cognitively Intact Older Adult [HERE]
The downward spiral of disability that is associated with depression is costly to individuals and society, both financially and emotionally. Depression increases the risk of needing a higher level of care, including hospitalization among elderly home health patients and nursing home placement for community-dwelling older adults. Depression also reduces the likelihood that community-dwelling older adults who are admitted to acute care settings will recover their prehospitalization level of mobility following discharge.
The purpose of this evidence-based guideline is to improve detection of depression in medically compromised, cognitively intact, older adults. This guideline provides easy to use tools that can be used with limited training, making it ideal for a variety of healthcare workers and informal caregivers across settings. Written 1998; Revised 2005; 2014.
Late-Life Suicide: Secondary Prevention [HERE]
The vast majority of older adults feel they have productive lives, are depression free, and experience later life as a time of time fulfillment and satisfaction. However, for some older adults, later life can be a time of dissatisfaction with the past and present. Some older adults experience so much physical and emotional pain that they feel hopeless about being able to change and improve their life. Consequently, for some, late life is a period for increased risk for suicide. In fact, older adults have the highest rate of suicide adults in later life in the United States.
This evidence-based guideline provides information that will assist nurses and other healthcare providers in recognizing at-risk suicidal behavior in the elderly by presenting appropriate and effective crisis interventions. The goal of this guideline is to decrease the occurrence of suicide among elderly individuals who have contact with nurses and other healthcare providers. Written 2002; Revised 2017.
Wheelchair Biking for the Treatment of Depression [HERE]
It is estimated that the incidence of depression in older adults living in long-term care facilities can be as high as 77% and is the most common mood disorder of late life. Unrecognized, untreated or undertreated, depression has a host of consequences for older adults. It is important to recognize and aggressively treat depression as its impact goes far beyond affecting mood. The highest suicide rate of any age group is for those over the age of 65.
The purpose of this evidence-based guideline is to describe a specific recreation therapy program, wheelchair biking, for the treatment of depression in older adults, with and without cognitive impairments. The goal of this guideline is to reduce depressive mood in older adults and to provide a complementary or alternative treatment to medications. Written 2003; Revised 2010.
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