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Home care for depression in dementia
1.
Recognition & treatment
of depression in elderly What is the power of nurses and nursing assistants? Karel G. Brühl, MD
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Dementia patients:
most live at Home, 1 of 6 in Nursing Home I. Dutch perspective
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Patient contacts 2007
I. Geriant Foundation
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Casemanagers had over
15.000 contacts in 2007 I.
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400.000 nurses in
NL 8 Nurses: 1 doctor I.
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Prevalence depression elderly
living in the community: 15 % II. Beekman et al, Br J Psychiat. 1999
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prevalence in
elderly depending on long term care: 30% II . recognition Alexopoulos, Lancet 2005
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About 50% of
depressions, in elderly who seek help, are recognized II . recognition Hoogendijk, VUmc 2006
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Symptoms of depressive
episode: Not simple II . recognition
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Irritability also symptom
of depression in dementia? not in DSM-IV depressive episode II . recognition
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2007 pub med:
over 400 studies on elderly depression and nurses II . recognition
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= about 50%
of depressions in elderly who seek help are recognized II. review
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4 High Quality
studies: How well do Nurses and NAs recognize depression? II. review 65% Rovner 78% Falck 44% Teresi 45% Brown recognition study
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Small talk improves
quality of life nursing home residents NIVEL, Beek et al, 2008 III. Treatment
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Exercise helps against
depression enough studies show evidence for that “ Appropriate Exercise” III. treatment
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Help with exercise
works too III. Treatment
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Duo bike: a
combination of interventions
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