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Detection of Depression in the Cognitively Intact Older Adults
Detection of Depression in the Cognitively Intact Older Adults


 
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Detection of Depression in the Cognitively Intact Older Adult


The downward spiral of disability that is associated with depression is costly to individuals and society, both financially and emotionally.
Compared to nondepressed elders, older adults with depression have 47% to 51% higher total health care costs and higher costs in each cost category: Home health care, skilled nursing care, emergency room, outpatient medical, inpatient medical, physician charges, and medical equipment. 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.


Toolkit Included in Guideline:

  • 6-Item Screeners (SIS)
  • 9-Item Patient Health Questionnaire (PHQ-9)
  • 2-Item Patient Health Questionnaire (PHQ-2)
  • Detection of Depression Knowledge Assessment Test
  • Process Evaluation Monitor
  • Outcomes Monitor


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Before you proceed, please note we do not grant permission to use and/or copy any one individual tool not developed under the Barbara and Richard Csomay Center for Gerontological Excellence. For individual tool use, please contact the author/publisher of that tool.

By purchasing and downloading permissions for the Guideline and Toolkit you agree to the following terms:

  1. Guideline and Toolkit are for private, internal, non-commercial use only (unless special permissions are obtained).
  2. If the Guideline and Toolkit will be distributed online, it must be password protected and unavailable to the general public.
  3. Guideline and Toolkit cannot be modified without expressed consent from author(s) and/or publisher.
  4. You must give appropriate credit when using materials from the Guideline and Toolkit by using the citation on the Contact Information (or Contact Resource) page of the Guideline and place the following copyright notice at the bottom of the page, " ©2018 the University of Iowa, College of Nursing, Barbara and Richard Csomay Center for Gerontological Excellence. All rights reserved. Do not copy or reproduce without permission."
  5. You may not reprint and/or redistribute materials from the Guideline or Toolkit for any of your own publications. Please email Csomay-Center@uiowa.edu if you wish to obtain permission to use material from the Guideline or Toolkit in a publication.

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