Mental Health & Aging

hey guys so I did mental health and aging okay so mental health and aging in America so in the u.s. including older adults with dementia 20% of people older than the age of 55 experience mental health disorders that are no part of normal aging the most prevalent mental health problems in late life anxiety severe cognitive impairment and mood disorders are there severe cognitive impairments include the Mincha Alzheimer's disease mood disorders include but are not limited to limited to our bipolar disease and depression so according to Maryland Coalition on mental health and aging only about 10% of older adults get treatment for mental health according to the World Health Organization or who'd the most common mental and neurological disorders are dementia and depression which affects approximately five to seven percent respectively of the older adult population according to Maryland Coalition on mental health and aging older adults have the highest rate of suicide of any population with white males over the age of 80 are 6 times more likely to commit suicide than any others grateful so changes and body system according to the Maryland Coalition and mental health and aging mental health is physical health so what happens what changes there is a decrease in the number and mass of nerve cells which result in slight slowing of memory and thought process and there's also a reduction of reflexes there will be changes in sensory deficits for example the hearing and vision like those mentioned contribute to social withdrawal isolation paranoia anxiety and depression with hormonal changes you'll have they'll also be affecting your mood energy levels and behavior will also have changes in appearance or dress some confusion disorientation problems with concentration or decision-making there also be a decrease or an increase in appetite or weight change they'll be social withdrawal loss of interest and things that used to be enjoyable and memory loss especially recent or short-term memory problems so assessment so mental health assessments can be done by primary care doctor psychiatrists psychologists or by a social worker the Mental Status exam should include an assessment of client of a client's appearance motor movements speech effect and mood thought content and thought process and perception so with appearance you have demographics high genes features is there an evidence of bruises great scratches or any other noticeable pain response for motor movements or movement overly slow rapid agitated or balanced speech what is the rate volume tone of the person's speech effective move does a person seem sad agitated thought content does a person have suicidal ideation if so what is a level of risk is there a plan has there been previous attempts your thought process does a person's thought process appear to be coherent logical goal directed does a person show evidence of impaired memory and does the person show evidence of hallucination or responding to any internal stimuli such as images that are not visible by others or voices only they can hear some more things for assessment that you can look for is medical information psychiatric history functional status psychosocial history and spirituality so if medical information that includes the onset the course and duration and severity of the present problem history of past and present medical conditions medic medic Asian usage if any and pain assessment psychiatric history includes Mental Status exam screening for presence of moves psychiatric or inside anxiety some system symptoms past treatment family history any suicidal assessment and use of alcohol and other drugs with the functional status that includes one's current living situation their ability to care for themselves and risk assessment the psychosocial history includes family status history or family history friends and social support network occupational military in any educational history with spirituality that includes faith life coping skills activities and hobbies and things in life that are that give a person meaning so I decided to do my patho over depression just because mental health is it's just like a huge umbrella where there's so many things under that it's kind of hard first just to pinpoint that this one thing is a reason for all of these things so for patho depression and I chose depression so depression is a chronic mental disorder that causes changes and new dot's behavior in physical health it's common but serious that can take away a person's ability to enjoy life and cause declining capacity to undertake even assembly daily Tass so i wrote down things that can lead to depression so we'll have environmental you know logic which includes us includes the hypothalamic-pituitary-adrenal access neurogenic and genetic so environmental depression results from the environment you're situated in it can also be caused by bad or traumatic experiences rather than a chemical balance in the brain form you know logic the concept of depression is a dysfunction of the immune system so chronic stress by initiating changes in the hypothalamic-pituitary-adrenal axis in the immune system it acts as a trigger for inciting depression according to Keller and his colleagues their studies show that the HPA axis has over activity and depression which is related to cognitive performance the HPA axis is responsible for the neuro endocrine adaptation component of the stress response we have neurogenic which hypothesis suggests that depression is associated with a reduction in the birth of new neurons in the hippocampus an area of the brain important to stress regulation cognition and mood according to this hypothesis hypothesis when someone takes antidepressants the drugs do raise levels of mono means like serotonin but they also in act on processes that increase neurogenesis in the hippocampus and last genetic so family history of depression may increase the risk it's thought that depression is a complex trait meaning that there are probably many different genes that each exert small effects rather than a single gene that contributes to a disease risk okay so here I took a screenshot of the geriatric geriatric depression scale short form there is a long form that has about 30 questions but this one seems simpler and easier so the short form includes what seems to be the top questions that can that indicates a depression and older adults so if you guys do decide to take this short quiz I guess you can go ahead and pause the video or the PowerPoint let those who don't want to you can obviously just skip this so for those who did decide to take it I hope you guys paused it cuz I'm about to give you the scores or kind of like the answers so if you were to take this the answers in bold indicate depression and you would score one point for each bolded answer a score of five such as depression and a score of 10 or more indicates depression this next assessment I would like to show you guys is the generalized anxiety disorder 7 item also known as GAD 7 scale so like before you guys can stop the recording so you can take the sort assessment or you can just move on but for those who answer the questions they want to know their score scores range from 0 to 21 so if you have a score from 0 to 4 that means there's minimal ones anxiety if you score from a 5 to 9 that is mild anxiety 10 to 14 equals moderate and guiity and a score of 15 to 21 indicates severe anxiety so education so it's important for family to be aware of warning signs of mental illness and older adults such as memory issues changes and personal care social withdrawal and changes in mood social support serves major support functions including emotional support for example like sharing problems or venting your emotions informational support like advice or guidance from friends or a doctor and instrumental support by providing rise or assisting with housekeeping stuff of that nature there's also programs and services for the elderly and for caregivers such as improving mood promoting access to collaborative treatment also known as impact this is a team based program that includes psychotherapy for older adults with depression it is a long-term intervention that lasts several months or up to a year so we know that caring for someone who has a mental illness isn't always easy especially for the family caregiver role strain is real so it's important to remind the family or caregiver that there are programs that support and provide resources to them and then last would be medications so prescribed medications can provide potential benefits to patients with prescribing such medication adherence is important so the elderly oftentimes forget to take their medication so it's important to find a plan so that they're able to take their medications correctly prescribers should also explain side-effects clearly to both the patient and caregiver or family so they are aware of what to expect on this slide I decided to put down hotline numbers just in case like anyone does have anxiety or depression or a mental illness and they just need someone to talk to these numbers aren't just for the elderly it's also it's for everyone so or if you know someone you can also give them numbers not and these are my resources

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