Introduction: India is going through a phase of demographic transition progressing to population aging. Poor health-related quality of life (QOL) among the elderly is often associated with physical deterioration, psychological trauma, and mental weakness. The rise in the social and health requirements of older adults has to be addressed optimally and comprehensively. Materials and Methods: A cross-sectional study was carried out on elderly individuals of urban Mangalore to determine their QOL. The multistage sampling design was used to obtain 384 elderlies aged 60 years or older. Results: The average QOL was observed among 74.3% of the elderly (mean score: 80.28–91.1). The factors such as age of the individual, gender, marital status, living status, education, occupation, socioeconomic status, interaction with people, use of mobile phones, and social media determined the QOL of the elderly (P < 0.001). Conclusion: Inclusionary measures such as participation in social clubs should be encouraged at the community level to enhance the QOL among the elderly population. Measures to improve the awareness of government schemes should be considered.
{"title":"Determinants of quality of life among the elderly population in urban areas of Mangalore, Karnataka","authors":"Shilpa Devraj, M. D'mello","doi":"10.4103/jgmh.jgmh_23_19","DOIUrl":"https://doi.org/10.4103/jgmh.jgmh_23_19","url":null,"abstract":"Introduction: India is going through a phase of demographic transition progressing to population aging. Poor health-related quality of life (QOL) among the elderly is often associated with physical deterioration, psychological trauma, and mental weakness. The rise in the social and health requirements of older adults has to be addressed optimally and comprehensively. Materials and Methods: A cross-sectional study was carried out on elderly individuals of urban Mangalore to determine their QOL. The multistage sampling design was used to obtain 384 elderlies aged 60 years or older. Results: The average QOL was observed among 74.3% of the elderly (mean score: 80.28–91.1). The factors such as age of the individual, gender, marital status, living status, education, occupation, socioeconomic status, interaction with people, use of mobile phones, and social media determined the QOL of the elderly (P < 0.001). Conclusion: Inclusionary measures such as participation in social clubs should be encouraged at the community level to enhance the QOL among the elderly population. Measures to improve the awareness of government schemes should be considered.","PeriodicalId":16009,"journal":{"name":"Journal of Geriatric Mental Health","volume":"6 1","pages":"94 - 98"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44502999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
35 Globally, more so in developing countries, the elderly population is rising. The increasing elderly population is posing its own challenges. One of the major challenges is multimorbidity. Multimorbidity is defined as “existence of multiple medical conditions in a single individual.”[1] Others have tried to define multimorbidity as an accumulation of two or more chronic diseases, whereas others have considered it to be the accumulation of three or more diseases.[2,3] In terms of chronicity, various diseases which have been included in the definition of multimorbidity include those which are considered to have permanence, are associated with disability, are associated with irreversible pathological changes in the body’s system, require long‐term supervision, observation, and care and are associated with special training needs for the patient’s rehabilitation.[2] Other authors have used the term long‐term conditions instead of chronic and defined the long‐term conditions like those, which cannot be cured but can be controlled by the use of medications or other treatments.[4] It is suggested that compared to those without multimorbidity, those with multimorbidity have a higher chance of functional decline, poorer quality of life, and more often use of health‐care services.[4] Some of the authors also suggest that there is a significant overlap between multimorbidity and frailty.[4] There are also some data to suggest that multimorbidity is associated with increased mortality.[5] Accordingly, those with multimorbidity are considered to be patients with complex healthcare needs, who have significantly higher healthcare needs, and pose a significant burden on the available health‐care services.[6]
{"title":"Multimorbidity in the elderly: Are we prepared for it!","authors":"S. Grover","doi":"10.4103/jgmh.jgmh_1_20","DOIUrl":"https://doi.org/10.4103/jgmh.jgmh_1_20","url":null,"abstract":"35 Globally, more so in developing countries, the elderly population is rising. The increasing elderly population is posing its own challenges. One of the major challenges is multimorbidity. Multimorbidity is defined as “existence of multiple medical conditions in a single individual.”[1] Others have tried to define multimorbidity as an accumulation of two or more chronic diseases, whereas others have considered it to be the accumulation of three or more diseases.[2,3] In terms of chronicity, various diseases which have been included in the definition of multimorbidity include those which are considered to have permanence, are associated with disability, are associated with irreversible pathological changes in the body’s system, require long‐term supervision, observation, and care and are associated with special training needs for the patient’s rehabilitation.[2] Other authors have used the term long‐term conditions instead of chronic and defined the long‐term conditions like those, which cannot be cured but can be controlled by the use of medications or other treatments.[4] It is suggested that compared to those without multimorbidity, those with multimorbidity have a higher chance of functional decline, poorer quality of life, and more often use of health‐care services.[4] Some of the authors also suggest that there is a significant overlap between multimorbidity and frailty.[4] There are also some data to suggest that multimorbidity is associated with increased mortality.[5] Accordingly, those with multimorbidity are considered to be patients with complex healthcare needs, who have significantly higher healthcare needs, and pose a significant burden on the available health‐care services.[6]","PeriodicalId":16009,"journal":{"name":"Journal of Geriatric Mental Health","volume":"6 1","pages":"35 - 37"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48794738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Context: Bipolar disorder (BD) in elderly individuals is a prevalent and disabling condition. The disorder also has an impact on the quality of life (QoL). However, very few studies have systematically examined the magnitude of QoL impairments in bipolar patients, especially in the older age group. Aims: The objective was to study the QoL and its correlation with sociodemographic factors and clinical variables in elderly BD patients. Settings and Design: A cross-sectional study was done in the psychiatry department at a tertiary hospital. Subjects and Methods: We examined QoL scores of 100 elderly (age range: 60–82 years) patients with BD on regular maintenance treatment for 1 year. Psychopathology was assessed using the Young Mania Rating Scale and Hamilton Rating Scale for Depression (HAM-D). QoL was assessed using QoL scale (World Health Organization QOL [WHO-BREF). Statistical Analysis Used: Statistical Package for the Social Sciences was used, and analysis of variables was done using unpaired t-test and Pearson correlation coefficient. Results: Female patients had significantly lower scores on physical and psychological domains in the WHO quality of life-BREF scale (P < 0.01). The unmarried/divorced/widowed population had lower QoL scores in the physical and social relationships domains (P < 0.01). Patients with lower socioeconomic status had lower QoL scores on physical and environmental domains of QoL (P < 0.05). There was significant negative correlation between the QoL and the total number of episodes (P < 0.05; R2 = 0.09) and between the QoL and duration of illness (P < 0.05; R2 = 0.05). Higher HAM-D scores were associated with poor QoL (P < 0.05; R2 = 0.07). Conclusions: This study offers insight into patterns of QoL in BD in the elderly. The study concludes that the duration of illness and the total number of episodes have a significant negative impact on QoL. Furthermore, undercurrent depressive features can be overlooked, leading to decline in the QoL.
{"title":"Quality of life in elderly bipolar disorder patients","authors":"D. Parikh, Smita N. Panse","doi":"10.4103/jgmh.jgmh_37_19","DOIUrl":"https://doi.org/10.4103/jgmh.jgmh_37_19","url":null,"abstract":"Context: Bipolar disorder (BD) in elderly individuals is a prevalent and disabling condition. The disorder also has an impact on the quality of life (QoL). However, very few studies have systematically examined the magnitude of QoL impairments in bipolar patients, especially in the older age group. Aims: The objective was to study the QoL and its correlation with sociodemographic factors and clinical variables in elderly BD patients. Settings and Design: A cross-sectional study was done in the psychiatry department at a tertiary hospital. Subjects and Methods: We examined QoL scores of 100 elderly (age range: 60–82 years) patients with BD on regular maintenance treatment for 1 year. Psychopathology was assessed using the Young Mania Rating Scale and Hamilton Rating Scale for Depression (HAM-D). QoL was assessed using QoL scale (World Health Organization QOL [WHO-BREF). Statistical Analysis Used: Statistical Package for the Social Sciences was used, and analysis of variables was done using unpaired t-test and Pearson correlation coefficient. Results: Female patients had significantly lower scores on physical and psychological domains in the WHO quality of life-BREF scale (P < 0.01). The unmarried/divorced/widowed population had lower QoL scores in the physical and social relationships domains (P < 0.01). Patients with lower socioeconomic status had lower QoL scores on physical and environmental domains of QoL (P < 0.05). There was significant negative correlation between the QoL and the total number of episodes (P < 0.05; R2 = 0.09) and between the QoL and duration of illness (P < 0.05; R2 = 0.05). Higher HAM-D scores were associated with poor QoL (P < 0.05; R2 = 0.07). Conclusions: This study offers insight into patterns of QoL in BD in the elderly. The study concludes that the duration of illness and the total number of episodes have a significant negative impact on QoL. Furthermore, undercurrent depressive features can be overlooked, leading to decline in the QoL.","PeriodicalId":16009,"journal":{"name":"Journal of Geriatric Mental Health","volume":"6 1","pages":"88 - 93"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41662332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Chandra, N. Chakravarthula, V. Santosh, P. Mailankody, M. Mondal, D. Bhat, C. Vidhya Annapoorni, S. Narendiran, Praveen Sharma, D. Dhar, Naga Sudha Gorthi
Context: The aim is to awaken our colleagues to these reversible conditions. These are live saving if understood properly are life saving for patients. That is the purpose of this article and discussed in introduction. Aim: The aim of this study is to identify possible treatable causes in patients who present with progressive cognitive decline. These patients can be identified only by high degree of suspicion, thorough clinical examination and appropriate choosing of case-based investigations. This will be highly rewarding to the patients, their family, and to the treating physician. In this article, we are sharing our experience with the treatable dementias identified which were masquerading as degenerative. Settings and Design: Retrospective study. Subjects and Methods: Retrospective study of patients seen by the authors in the past 5 years who had all the mandatory recommended investigation done was included. Patients who qualified for pseudo-dementia and small vessel disease were not included in the analysis. Statistical Analysis Used: Basic statistical elements only were used as cases in each category are small. Results: Of 1105 patients, 92 had confirmed reversible cause. Among the treatable group immune-mediated dementia formed the largest and constituted about 45.6% followed by infections 19.5%, nutritional 15.2%, and rest were by rare conditions such as Whipple's disease, cerebrotendinious xanthamatosis, mitochondrial disorders, primary demyelination, central nervous system (CNS) lymphoma, surgical conditions such as normal pressure hydrocephalus and subdural hematoma. Conclusion: About 12.1% percentage of patients with memory complaint has a reversible cause which when detected early, the quality of life of both the patient and caregiver are significantly improved. Apart from protocol-based categorization of the patients, individualized thorough clinical examinations are mandatory to identify these patients.
{"title":"Look for the “Treatables” among dementias: It is lifesaving: An experience from a tertiary care center in India in the past 5 years","authors":"S. Chandra, N. Chakravarthula, V. Santosh, P. Mailankody, M. Mondal, D. Bhat, C. Vidhya Annapoorni, S. Narendiran, Praveen Sharma, D. Dhar, Naga Sudha Gorthi","doi":"10.4103/jgmh.jgmh_28_19","DOIUrl":"https://doi.org/10.4103/jgmh.jgmh_28_19","url":null,"abstract":"Context: The aim is to awaken our colleagues to these reversible conditions. These are live saving if understood properly are life saving for patients. That is the purpose of this article and discussed in introduction. Aim: The aim of this study is to identify possible treatable causes in patients who present with progressive cognitive decline. These patients can be identified only by high degree of suspicion, thorough clinical examination and appropriate choosing of case-based investigations. This will be highly rewarding to the patients, their family, and to the treating physician. In this article, we are sharing our experience with the treatable dementias identified which were masquerading as degenerative. Settings and Design: Retrospective study. Subjects and Methods: Retrospective study of patients seen by the authors in the past 5 years who had all the mandatory recommended investigation done was included. Patients who qualified for pseudo-dementia and small vessel disease were not included in the analysis. Statistical Analysis Used: Basic statistical elements only were used as cases in each category are small. Results: Of 1105 patients, 92 had confirmed reversible cause. Among the treatable group immune-mediated dementia formed the largest and constituted about 45.6% followed by infections 19.5%, nutritional 15.2%, and rest were by rare conditions such as Whipple's disease, cerebrotendinious xanthamatosis, mitochondrial disorders, primary demyelination, central nervous system (CNS) lymphoma, surgical conditions such as normal pressure hydrocephalus and subdural hematoma. Conclusion: About 12.1% percentage of patients with memory complaint has a reversible cause which when detected early, the quality of life of both the patient and caregiver are significantly improved. Apart from protocol-based categorization of the patients, individualized thorough clinical examinations are mandatory to identify these patients.","PeriodicalId":16009,"journal":{"name":"Journal of Geriatric Mental Health","volume":"6 1","pages":"46 - 61"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42912916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rishav Bansal, Sunny Singhal, G. Dewangan, Pramod Kumar, Sujata Satpathy, Nand Kumar, S. Dwivedi, A. Dey
Introduction: Diabetes is a known risk factor for mental health disorders in the older population. This effect can be due to direct impact of chronic disease or indirectly due to the impact of diabetic complications. This study aims to assess the association of individual diabetic complications with depression, generalized anxiety disorder (GAD), cognitive impairment, and quality of life (QOL) in older diabetic population. Materials and Methods: A cross-sectional study was performed in Geriatric Medicine OutPatient Department from November 2014 to June 2016. One hundred and eighty diabetic patients were diagnosed using the American Diabetes Association (ADA)-2015 diagnostic criteria and were included in the study. They were assessed for the presence of diabetic complications (diabetic retinopathy, diabetic nephropathy, diabetic neuropathy, coronary artery disease , and cerebrovascular disease (CVD) as per the ADA-2015 guidelines. They were also subjected to assessment for the presence of depression, GAD, cognitive impairment, and health-related QOL by using Geriatric Depression Scale, Mini-International Neuropsychiatric Interview, Montreal Cognitive Assessment , and WHOQOL-BREF scale, respectively. The Chi-square test/Fisher's exact test and unpaired t-test were used for the statistical analysis. Results: Diabetic neuropathy and CVD in diabetes have higher risk of depression (49.3% vs. 27%; P = 0.002) and cognitive impairment (82.4% vs. 50.9%; P = 0.013), respectively, as compared to those with diabetes without such complications. Patients with diabetic nephropathy have poor environmental domain QOL (68.02 ± 15.16 vs. 72.82 ± 14.86; P = 0.040) as compared to those without diabetic nephropathy. Conclusions: Diabetic complications in old age are independently associated with increased risk of mental health disorders and impaired health-related QOL. Thus, patients with diabetic complications should be specifically assessed and managed for mental health disorders in addition to the management of metabolic abnormalities.
{"title":"Diabetic complications and poor mental health in the aging population","authors":"Rishav Bansal, Sunny Singhal, G. Dewangan, Pramod Kumar, Sujata Satpathy, Nand Kumar, S. Dwivedi, A. Dey","doi":"10.4103/jgmh.jgmh_22_19","DOIUrl":"https://doi.org/10.4103/jgmh.jgmh_22_19","url":null,"abstract":"Introduction: Diabetes is a known risk factor for mental health disorders in the older population. This effect can be due to direct impact of chronic disease or indirectly due to the impact of diabetic complications. This study aims to assess the association of individual diabetic complications with depression, generalized anxiety disorder (GAD), cognitive impairment, and quality of life (QOL) in older diabetic population. Materials and Methods: A cross-sectional study was performed in Geriatric Medicine OutPatient Department from November 2014 to June 2016. One hundred and eighty diabetic patients were diagnosed using the American Diabetes Association (ADA)-2015 diagnostic criteria and were included in the study. They were assessed for the presence of diabetic complications (diabetic retinopathy, diabetic nephropathy, diabetic neuropathy, coronary artery disease , and cerebrovascular disease (CVD) as per the ADA-2015 guidelines. They were also subjected to assessment for the presence of depression, GAD, cognitive impairment, and health-related QOL by using Geriatric Depression Scale, Mini-International Neuropsychiatric Interview, Montreal Cognitive Assessment , and WHOQOL-BREF scale, respectively. The Chi-square test/Fisher's exact test and unpaired t-test were used for the statistical analysis. Results: Diabetic neuropathy and CVD in diabetes have higher risk of depression (49.3% vs. 27%; P = 0.002) and cognitive impairment (82.4% vs. 50.9%; P = 0.013), respectively, as compared to those with diabetes without such complications. Patients with diabetic nephropathy have poor environmental domain QOL (68.02 ± 15.16 vs. 72.82 ± 14.86; P = 0.040) as compared to those without diabetic nephropathy. Conclusions: Diabetic complications in old age are independently associated with increased risk of mental health disorders and impaired health-related QOL. Thus, patients with diabetic complications should be specifically assessed and managed for mental health disorders in addition to the management of metabolic abnormalities.","PeriodicalId":16009,"journal":{"name":"Journal of Geriatric Mental Health","volume":"6 1","pages":"78 - 83"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41631451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Loneliness: Does it need attention!","authors":"S. Grover","doi":"10.4103/jgmh.jgmh_27_19","DOIUrl":"https://doi.org/10.4103/jgmh.jgmh_27_19","url":null,"abstract":"","PeriodicalId":16009,"journal":{"name":"Journal of Geriatric Mental Health","volume":"6 1","pages":"1 - 3"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70793880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
33 Sir, Lewy body dementia is the most common degenerative form of dementia, next to Alzheimer’s disease.[1] Patients with Lewy body dementia often experience psychotic symptoms such as delusions and hallucinations. In Lewy body dementia, hallucinations are the most common psychotic symptoms.[2] Evidence suggest the association of visual hallucinations, misidentifications, and delusions with dysfunctions of parieto‐occipital cortex, limbic–paralimbic cortex, and frontal lobe, respectively.[3] A recent systematic review and meta‐analysis on pharmacological treatments of Lewy body dementia highlights about the inadequacy of high‐level evidence‐based pharmacological interventions.[4] Donepezil and rivastigmine can improve cognitive and psychiatric symptoms in Lewy body dementia. Antipsychotic agents that may be of some use for the management of psychotic symptoms in Lewy body dementia are – quetiapine, clozapine, olanzapine, and risperidone.[4] High neuroleptic sensitivity is a challenge which limits the use of antipsychotic agents to treat psychotic symptoms associated with Lewy body dementia. We present here a case (after obtaining informed consent) of Lewy body dementia, who reported worsening of visual hallucinations with aripiprazole.
{"title":"Aripiprazole worsening visual hallucination in a patient with lewy body dementia","authors":"Sujita Kumar Kar, Suyash Dwivedi","doi":"10.4103/jgmh.jgmh_31_18","DOIUrl":"https://doi.org/10.4103/jgmh.jgmh_31_18","url":null,"abstract":"33 Sir, Lewy body dementia is the most common degenerative form of dementia, next to Alzheimer’s disease.[1] Patients with Lewy body dementia often experience psychotic symptoms such as delusions and hallucinations. In Lewy body dementia, hallucinations are the most common psychotic symptoms.[2] Evidence suggest the association of visual hallucinations, misidentifications, and delusions with dysfunctions of parieto‐occipital cortex, limbic–paralimbic cortex, and frontal lobe, respectively.[3] A recent systematic review and meta‐analysis on pharmacological treatments of Lewy body dementia highlights about the inadequacy of high‐level evidence‐based pharmacological interventions.[4] Donepezil and rivastigmine can improve cognitive and psychiatric symptoms in Lewy body dementia. Antipsychotic agents that may be of some use for the management of psychotic symptoms in Lewy body dementia are – quetiapine, clozapine, olanzapine, and risperidone.[4] High neuroleptic sensitivity is a challenge which limits the use of antipsychotic agents to treat psychotic symptoms associated with Lewy body dementia. We present here a case (after obtaining informed consent) of Lewy body dementia, who reported worsening of visual hallucinations with aripiprazole.","PeriodicalId":16009,"journal":{"name":"Journal of Geriatric Mental Health","volume":"6 1","pages":"33 - 34"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70793997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The population of elderly has been increasing globally with a more rapid increase in the developing countries like India. The increase in life expectancy has contributed to the increase in elderly population, particularly the older old (above 80 years’ age). Unlike some of the developed countries, the change in demography in developing countries has started even before the adequate improvement in the health‐care system to manage the challenges in health care of elderly. The burden due to noncommunicable diseases (NCD) is high in elderly as they have a high prevalence of comorbid general medical and mental health problems. The health system in India is less prepared for the management of NCD in elderly that requires an approach of chronic care. The facilities for the treatment of mental health problems even in young adults in India are not adequate, and Mental Health Care Act, 2017 highlights this issue, and there is a need for prompt action to improve this situation. Elderly being a vulnerable population have more risk factors and also have more barriers in access to treatment. The National Programme For Health Care of the Elderly launched few years back to promote active and healthy aging in elderly has not yet been implemented actively. Therefore, there is an urgent need for policies and geriatric mental health services to focus toward this neglected population.
{"title":"Mental health policy for elderly","authors":"","doi":"10.4103/jgmh.jgmh_26_19","DOIUrl":"https://doi.org/10.4103/jgmh.jgmh_26_19","url":null,"abstract":"The population of elderly has been increasing globally with a more rapid increase in the developing countries like India. The increase in life expectancy has contributed to the increase in elderly population, particularly the older old (above 80 years’ age). Unlike some of the developed countries, the change in demography in developing countries has started even before the adequate improvement in the health‐care system to manage the challenges in health care of elderly. The burden due to noncommunicable diseases (NCD) is high in elderly as they have a high prevalence of comorbid general medical and mental health problems. The health system in India is less prepared for the management of NCD in elderly that requires an approach of chronic care. The facilities for the treatment of mental health problems even in young adults in India are not adequate, and Mental Health Care Act, 2017 highlights this issue, and there is a need for prompt action to improve this situation. Elderly being a vulnerable population have more risk factors and also have more barriers in access to treatment. The National Programme For Health Care of the Elderly launched few years back to promote active and healthy aging in elderly has not yet been implemented actively. Therefore, there is an urgent need for policies and geriatric mental health services to focus toward this neglected population.","PeriodicalId":16009,"journal":{"name":"Journal of Geriatric Mental Health","volume":"193 1","pages":"4 - 6"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70794196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Prognostic implications of late-onset primary tic disorder in an elderly male: A case report","authors":"Suyash Dwivedi, Sujita Kumar Kar","doi":"10.4103/JGMH.JGMH_19_19","DOIUrl":"https://doi.org/10.4103/JGMH.JGMH_19_19","url":null,"abstract":"","PeriodicalId":16009,"journal":{"name":"Journal of Geriatric Mental Health","volume":"6 1","pages":"31 - 32"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70794298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Shah, S. Karia, Heena Merchant, N. Shah, A. Sousa
Skin reactions have been reported with various antipsychotic drugs in scientific literature. It is important that clinicians be watchful of skin reactions in the elderly with antipsychotic medication, which can be an uncommon occurrence. It has been documented that the elderly are more prone to skin reactions with various forms of medication. We herewith report a case of skin reaction with risperidone in an elderly female patient.
{"title":"Risperidone-induced skin rash in an elderly female","authors":"M. Shah, S. Karia, Heena Merchant, N. Shah, A. Sousa","doi":"10.4103/JGMH.JGMH_7_19","DOIUrl":"https://doi.org/10.4103/JGMH.JGMH_7_19","url":null,"abstract":"Skin reactions have been reported with various antipsychotic drugs in scientific literature. It is important that clinicians be watchful of skin reactions in the elderly with antipsychotic medication, which can be an uncommon occurrence. It has been documented that the elderly are more prone to skin reactions with various forms of medication. We herewith report a case of skin reaction with risperidone in an elderly female patient.","PeriodicalId":16009,"journal":{"name":"Journal of Geriatric Mental Health","volume":"6 1","pages":"28 - 30"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70794334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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