YAŞLILARDA DELİRYUM, DEMANS VE DEPRESYON; DEĞERLENDİRME VE BAKIM

Yıl 2017, Cilt: 33 Sayı: 3, 153 - 164, 29.12.2017

Neslihan Sarı , Meryem Yavuz Van Gıersbergen

Öz

Başlık: YAŞLILARDA DELİRYUM, DEMANS VE DEPRESYON; DEĞERLENDİRME VE BAKIM

Title: DELIRIUM, DEMENTIA, AND DEPRESSION IN
OLDER ADULTS: ASSESSMENT AND CARE

Özet: Yaşlı
bireylerde deliryum, demans ve depresyonun görülmesi oldukça yaygın bir
durumdur. Deliryum, demans veya depresyona sahip olmak kişinin diğer
durumlardan birisini geliştirme riskini artırabilir, var olan bir durumu
kötüleştirebilir veya diğer koşullardan birinin sonucu olabilir. Bu
hastalıkların yaşlı bireylerde erken tanılanması, değerlendirilmesi ve bakımı
deliryum, demans ve depresyonun yönetimi için önemlidir.

Bu
derleme yaşlılarda deliryum, demans ve depresyonun değerlendirilmesi ve
bakımında kanıt temelli yaklaşımları vurgulamak amacıyla yapılmıştır.

Abstract: It
is common for elderly people to have delirium, dementia and depression. Having delirium, dementia, or depression can increase a
person’s risk of developing one of the other conditions, can exacerbate an
existing condition, or can be a consequence of one of the other conditions.
Early diagnosis, evaluation and care of these diseases in elderly people is
important for the management of delirium, dementia and depression.

This
review emphasizes evidence-based approaches to the evaluation and care of
delirium, dementia and depression in the elderly.

Anahtar kelimeler:   Yaşlılık, deliryum, demans, depresyon

Keywords: Elderly, delirium, dementia, depression.

Destekleyen kurumlar: -

Kaynakça: 

Alzheimer
Society of Canada. (2015b). Other dementias. http://www.alzheimer.ca/en/About-dementia/Dementias  (Erişim
tarihi: 06.07.2017)

 American Medical Directors Association.
(2011). Depression in the long-term
care setting. Columbia.

Beğer T,
Yavuzer H. (2012) Yaşlılık ve Yaşlılık Epidemiyolojisi. Klinik Gelişim. 25:1-3.

Brodaty, H,
Arasaratnam, C. (2012). Meta-analysis of nonpharmacological interventions for
neuropsychiatric symptoms of dementia. The
American Journal of Psychiatry, 169(9), 946–953.

 Canadian Psychological Association. (2015). “Psychology works” fact sheet: Depression
amongseniors.http://www.cpa.ca/docs/File/Publications/FactSheets/PsychologyWorksFactSheet_DepressionAmongSeniors.pdf
(Erişim tarihi:
06.07.2017)

 Development Group of the Clinical Practice
Guideline on the Comprehensive Care of People with Alzheimer’s Disease and
Other Dementias. (2010). Clinical
Practice Guideline on the comprehensive care of people with Alzheimer’s disease
and other dementias. http://www.guiasalud.es/GPC/GPC_484_Alzheimer_AIAQS_comp_eng.
Pdf (Erişim tarihi:
06.07.2017)

 Dreizler,
J., Koppitz, A., Probst, S., & Mahrer-Imhof, R. (2014). Including nurses in
care models for older people with mild to moderate depression: An integrative
review. Journal of Clinical Nursing,
23(7-8), 911–926.

Enmarker,
I., Olsen, R., & Hellzen, O. (2011). Management of person with dementia
with aggressive and violent behaviour: a systematic literature review. International Journal of Older People
Nursing, 6(2), 153–162.

Flaherty,
J. H., Gonzales, J. P., & Dong, B. (2011). Antipsychotics in the treatment
of delirium in older hospitalized adults: A systematic review. Journal of the American Geriatrics Society,
59(Suppl. 2), S269–276.

Hshieh, T.
, Yue, J., Oh, E., Puelle, M., Dowal, S., Travison, T., & Inouye, S. K.
(2015). Effectiveness of multicomponent nonpharmacological delirium
interventions: A meta-analysis. JAMA
Internal Medicine, 175(4), 512–520.

Inouye, S.
K., Westendorp, R. G. J., & Saczynski, J. S. (2014). Delirium in elderly
people. The Lancet, 383(9920),
911– 922.

Khan, B.
A., Zawahiri, M., Campbell, N. L., Fox, G. C., Weinstein, E. J., Nazir, A., ...
Boustani, M. A. (2012). Delirium in hospitalized patients: Implications of
current evidence on clinical practice and future avenues for research—A
systematic evidence review. Journal of
HospitalMedicine, 7(7), 580–589.

Marcantonio,
E. R. (2011). Delirium. Annals of
Internal Medicine, 154(11), ITC6 2–16.

Martinez,
F., Tobar, C., & Hill, N. (2015). Preventing delirium: Should
non-pharmacological, multicomponent interventions be used? A systematic review
and meta-analysis of the literature. Age
and Ageing, 44(2), 196–204.

 Moniz Cook,
E. D., Swift, K., James, I., Malouf, R., De Vugt, M., & Verhey, F. (2012).
Functional analysis-based interventions for challenging behaviour in dementia. Cochrane Database of Systematic Reviews,
2012(2). doi:10.1002/14651858.CD006929.pub2

National
Institute for Health and Clinical Excellence. (2010). Delirium: Diagnosis, prevention and management. London, UK:
Author.

 O’Connor, E. A., Whitlock, E. P., Gaynes, B.,
& Beil, T. L. (2009). Screening for depression in adults and older adults
in primary care: An updated systematic review. Evidence Synthesis No. 75 (AHRQ Publication No. 10-05143-EF-1).
Rockville, MA: Agency for Healthcare Research and Quality.

Orgeta, V.,
Qazi, A., Spector, A. E., & Orrell, M. (2014). Psychological treatments for
depression and anxiety in dementia and mild cognitive impairment. Cochrane Database of Systematic Reviews,
2014(1). doi:10.1002/14651858. CD009125.pub2

Regan, B.,
& Varanelli, L. (2013). Adjustment, depression, and anxiety in mild
cognitive impairment and early dementia: A systematic review of psychological
intervention studies. International
psychogeriatrics, 25(12), 1963– 1984.

Registered
Nurses’ Association of Ontario. (2010b). Screening
for delirium, dementia and depression in the older adult. Toronto.

 Registered Nurses’ Association of
Ontario-RNAO. Nursing Best Practice Guideline, Delirium, Dementia, and Depression in
Older Adults: Assessment and Care 2016. Erişim tarihi: 11.05.2017. http://rnao.ca/bpg/guidelines/assessment-and-care-older-adults-delirium-dementia-and-depression.

Trangle,
M., Gursky, J., Haight, R., Hardwig, J., Hinnenkamp, T., Kessler, D. ...
Myszkowski, M. (2016). Adult
depression in primary care. Retrieved from the Institute for Clinical
Systems Improvements website: https://www.icsi.org/_asset/
fnhdm3/Depr.pdf

Ueda, T.,
Suzukamo, Y., Sato, M., & Izumi, S.-I. (2013). Effects of music therapy on
behavioral and psychological symptoms of dementia: A systematic review and
meta-analysis. Ageing Research
Reviews, 12(2), 628–641.

WHO (1972)
Psychogeriatric, report of a WHO Scientific Group, Technical Reports Series
507, Geneva. Cited in Davise AM. Epidemiology 185; 14(1):9-21.

 WHO (1984) The uses of epidemiology in the
study of the elderly. WHO, Technical Reports Series 706, Geneva:8-9.

World
Health Organization. (2012). Dementia: A public health priority. http://www.who.int/mental_
health/publications/dementia_report_2012/en/

 

Anahtar Kelimeler

Yaşlılık, deliryum, demans, depresyon

Kaynakça

• Alzheimer Society of Canada. (2015b). Other dementias. http://www.alzheimer.ca/en/About-dementia/Dementias (Erişim tarihi: 06.07.2017)
• American Medical Directors Association. (2011). Depression in the long-term care setting. Columbia.
• Beğer T, Yavuzer H. (2012) Yaşlılık ve Yaşlılık Epidemiyolojisi. Klinik Gelişim. 25:1-3.
• Brodaty, H, Arasaratnam, C. (2012). Meta-analysis of nonpharmacological interventions for neuropsychiatric symptoms of dementia. The American Journal of Psychiatry, 169(9), 946–953.
• Canadian Psychological Association. (2015). “Psychology works” fact sheet: Depression amongseniors.http://www.cpa.ca/docs/File/Publications/FactSheets/PsychologyWorksFactSheet_DepressionAmongSeniors.pdf (Erişim tarihi: 06.07.2017)
• Development Group of the Clinical Practice Guideline on the Comprehensive Care of People with Alzheimer’s Disease and Other Dementias. (2010). Clinical Practice Guideline on the comprehensive care of people with Alzheimer’s disease and other dementias. http://www.guiasalud.es/GPC/GPC_484_Alzheimer_AIAQS_comp_eng. Pdf (Erişim tarihi: 06.07.2017)
• Dreizler, J., Koppitz, A., Probst, S., & Mahrer-Imhof, R. (2014). Including nurses in care models for older people with mild to moderate depression: An integrative review. Journal of Clinical Nursing, 23(7-8), 911–926.
• Enmarker, I., Olsen, R., & Hellzen, O. (2011). Management of person with dementia with aggressive and violent behaviour: a systematic literature review. International Journal of Older People Nursing, 6(2), 153–162.
• Flaherty, J. H., Gonzales, J. P., & Dong, B. (2011). Antipsychotics in the treatment of delirium in older hospitalized adults: A systematic review. Journal of the American Geriatrics Society, 59(Suppl. 2), S269–276.
• Hshieh, T. , Yue, J., Oh, E., Puelle, M., Dowal, S., Travison, T., & Inouye, S. K. (2015). Effectiveness of multicomponent nonpharmacological delirium interventions: A meta-analysis. JAMA Internal Medicine, 175(4), 512–520.
• Inouye, S. K., Westendorp, R. G. J., & Saczynski, J. S. (2014). Delirium in elderly people. The Lancet, 383(9920), 911– 922.
• Khan, B. A., Zawahiri, M., Campbell, N. L., Fox, G. C., Weinstein, E. J., Nazir, A., ... Boustani, M. A. (2012). Delirium in hospitalized patients: Implications of current evidence on clinical practice and future avenues for research—A systematic evidence review. Journal of HospitalMedicine, 7(7), 580–589.
• Marcantonio, E. R. (2011). Delirium. Annals of Internal Medicine, 154(11), ITC6 2–16.
• Martinez, F., Tobar, C., & Hill, N. (2015). Preventing delirium: Should non-pharmacological, multicomponent interventions be used? A systematic review and meta-analysis of the literature. Age and Ageing, 44(2), 196–204.
• Moniz Cook, E. D., Swift, K., James, I., Malouf, R., De Vugt, M., & Verhey, F. (2012). Functional analysis-based interventions for challenging behaviour in dementia. Cochrane Database of Systematic Reviews, 2012(2). doi:10.1002/14651858.CD006929.pub2
• National Institute for Health and Clinical Excellence. (2010). Delirium: Diagnosis, prevention and management. London, UK: Author.
• O’Connor, E. A., Whitlock, E. P., Gaynes, B., & Beil, T. L. (2009). Screening for depression in adults and older adults in primary care: An updated systematic review. Evidence Synthesis No. 75 (AHRQ Publication No. 10-05143-EF-1). Rockville, MA: Agency for Healthcare Research and Quality.
• Orgeta, V., Qazi, A., Spector, A. E., & Orrell, M. (2014). Psychological treatments for depression and anxiety in dementia and mild cognitive impairment. Cochrane Database of Systematic Reviews, 2014(1). doi:10.1002/14651858. CD009125.pub2
• Regan, B., & Varanelli, L. (2013). Adjustment, depression, and anxiety in mild cognitive impairment and early dementia: A systematic review of psychological intervention studies. International psychogeriatrics, 25(12), 1963– 1984.
• Registered Nurses’ Association of Ontario. (2010b). Screening for delirium, dementia and depression in the older adult. Toronto.
• Registered Nurses’ Association of Ontario-RNAO. Nursing Best Practice Guideline, Delirium, Dementia, and Depression in Older Adults: Assessment and Care 2016. Erişim tarihi: 11.05.2017. http://rnao.ca/bpg/guidelines/assessment-and-care-older-adults-delirium-dementia-and-depression.
• Trangle, M., Gursky, J., Haight, R., Hardwig, J., Hinnenkamp, T., Kessler, D. ... Myszkowski, M. (2016). Adult depression in primary care. Retrieved from the Institute for Clinical Systems Improvements website: https://www.icsi.org/_asset/ fnhdm3/Depr.pdf
• Ueda, T., Suzukamo, Y., Sato, M., & Izumi, S.-I. (2013). Effects of music therapy on behavioral and psychological symptoms of dementia: A systematic review and meta-analysis. Ageing Research Reviews, 12(2), 628–641.
• WHO (1972) Psychogeriatric, report of a WHO Scientific Group, Technical Reports Series 507, Geneva. Cited in Davise AM. Epidemiology 185; 14(1):9-21.
• WHO (1984) The uses of epidemiology in the study of the elderly. WHO, Technical Reports Series 706, Geneva:8-9.
• World Health Organization. (2012). Dementia: A public health priority. http://www.who.int/mental_ health/publications/dementia_report_2012/en/