medine and surgery notes

Apr 24th, 2015
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GERIATRIC PSYCHIATRYGERIATRIC-Mean the medical treament orhealing of aged-Branch of medicine concerned with prevention, diagnosis,and treament of physical andpsychological disorder in the elderlyPSYCHIATRIC ASSESSMENT OF ELDERLYPsychiatric history and mental status assessmentof the elderly follow the format that appliesto young adult.But because of high prevelence of cognitivedisorder in elderly patient independenthistory should be obtained from a familymember or caretakerMENTAL DISORDER OF THE ELDERLYDEMENTIA(COGNITIVE DISORDER)DEPRESSION(RISK OF SUICIDE)PHOBIA(ANXIETY DISORDER)ALCOHOL USERISK FACTORSL OSS OF SOCIAL ROLELOSS OF AUTONOMYDEATH OF SPOUSE/FRIENDSDECLINING HEALTHINCREASED ISOLATIONFINANCIAL CONSTRAINS(Retirement benefits arebelow survival level and such benefits take timeto come) DECREASED COGNITIVE FUNCTIONINGDEMENTIAA syndrome characterised by multiple impairment in cognitive functions,withoutimpairment in consiousness.The cognitive function that are affected includeGeneral intelligenceLearning and memorySocial abilitieslanguageProblem solvingOrientationPerceptionAttention and concentrationJudgementNB Patient persolity is also affectedAlso has behavioral disturbances which include;Agitation,restlessness,wandering,rage,violence,,impulsiveness,sleep disturbance.social and sexual disinhibitionEPIDEMIOLOGY Deme

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