Mental Illness and Comorbidities, Aspects of Initial Evaluation

M. Sottomayor, M. Pestana, M. G. Reis, José Manuel Santos
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Abstract

Mental Illness is a public problem in western societies. Recent reports say that the most frequent conditions of psychiatric hospitalization are related to elderly, over 65 years old, diagnosed with dementia, other organic disorders and depression. And we are seeing increasingly in episodes of urgency, consumption of psychoactive drugs, which can foster the emergence of other comorbidities. The aim of this study was to characterize from a socio-demographic, clinical and functional point of view, older people who staged an emergency episode in a psychiatric hospital. This is a cross-sectional, descriptive and correlational study. The sample consisted of 99 elderly people involved in a psychiatric emergency episode in the biennium 2013/2014 and data were collected from the initial evaluation form (IE). Results: People with dementia have more associated diseases than others with other mental Illnesses. Some are at higher risk for potential episodes of falls and loss of functionality and associated factors. Conclusion. More cognitive and functional impairment, evidenced in the functional dependency cycle. The quality of care in later age, requires a multidimensional and interdisciplinary approach. Initial assessment must be complete and holistic in order to give the best care.
精神疾病和合并症,初步评估的各个方面
精神疾病在西方社会是一个公共问题。最近的报告说,最常见的精神病住院情况与65岁以上的老年人有关,他们被诊断患有痴呆症、其他器质性疾病和抑郁症。我们越来越多地看到,在紧急情况下,精神活性药物的消费可能会促进其他合并症的出现。本研究的目的是从社会人口学、临床和功能的角度来描述在精神病院出现紧急情况的老年人的特征。这是一项横断面、描述性和相关性研究。样本包括2013/2014两年期参与一次精神紧急事件的99名老年人,数据收集自初步评估表(IE)。结果:痴呆症患者比其他精神疾病患者有更多的相关疾病。有些人有较高的潜在跌倒和功能丧失及相关因素的风险。结论。更多的认知和功能障碍,在功能依赖循环中得到证明。提高老年护理质量需要采取多层面和跨学科的方法。初步评估必须是完整和全面的,以便给予最好的照顾。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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