ABSTRACT
In delirium, there is an acute change of consciousness with fluctuations in attention, cognition and perception. Delirium can be provoked by medical conditions, or the use or withdrawal of drugs. Risk factors include older age and cognitive impairment. Delirium is associated with many complications, represents a significant emotional burden for the patient and caretakers, increases length of stay in the hospital, and causes higher health care costs. Non-pharmacological measurements can sometimes prevent delirium, and are essential for its treatment with proven effectiveness. Antipsychotics should be administered only as an exception, not as a rule. Antipsychotics may be of use when the patient puts himself or others in danger, or when he suffers substantially from hallucinations.
Subject(s)
Delirium/psychology , Geriatric Psychiatry/methods , Aged , Antipsychotic Agents/therapeutic use , Cognitive Dysfunction/psychology , Delirium/drug therapy , Delirium/etiology , Female , Geriatric Psychiatry/education , Humans , Male , Risk FactorsSubject(s)
Aging , Coronavirus Infections , Geriatric Psychiatry , Pandemics , Pneumonia, Viral , Social Isolation/psychology , Aged , Ageism/prevention & control , Ageism/trends , Aging/physiology , Aging/psychology , Betacoronavirus , COVID-19 , Communicable Disease Control/methods , Coronavirus Infections/epidemiology , Coronavirus Infections/psychology , Geriatric Psychiatry/methods , Geriatric Psychiatry/trends , Humans , Mental Health , Pneumonia, Viral/epidemiology , Pneumonia, Viral/psychology , Resilience, Psychological , SARS-CoV-2Subject(s)
Ageism , Aging , Coronavirus Infections , Geriatric Psychiatry , Health Services Needs and Demand/trends , Health Services for the Aged , Mental Health Services , Pandemics , Pneumonia, Viral , Social Isolation/psychology , Aged , Ageism/prevention & control , Ageism/psychology , Ageism/trends , Aging/physiology , Aging/psychology , Betacoronavirus , COVID-19 , Communicable Disease Control/methods , Coronavirus Infections/epidemiology , Coronavirus Infections/psychology , Geriatric Psychiatry/methods , Geriatric Psychiatry/trends , Health Services for the Aged/organization & administration , Health Services for the Aged/supply & distribution , Healthcare Disparities , Humans , Mental Health/trends , Mental Health Services/organization & administration , Mental Health Services/trends , Nigeria/epidemiology , Pneumonia, Viral/epidemiology , Pneumonia, Viral/psychology , SARS-CoV-2Subject(s)
Aging , Air Pollution, Indoor , Coronavirus Infections , Geriatric Psychiatry , Health Services for the Aged , Pandemics , Pneumonia, Viral , Preventive Health Services , Aged , Aging/physiology , Aging/psychology , Air Pollution, Indoor/adverse effects , Air Pollution, Indoor/prevention & control , Betacoronavirus , COVID-19 , Communicable Disease Control/methods , Coronavirus Infections/epidemiology , Coronavirus Infections/psychology , Geriatric Psychiatry/methods , Geriatric Psychiatry/trends , Global Health , Humans , Mental Health/trends , Pneumonia, Viral/epidemiology , Pneumonia, Viral/psychology , Preventive Health Services/methods , Preventive Health Services/trends , Psychosocial Support Systems , SARS-CoV-2 , Social Isolation , Vulnerable PopulationsSubject(s)
Aging , Coronavirus Infections , Geriatric Psychiatry , Homes for the Aged , Long-Term Care , Mental Health Services , Pandemics , Pneumonia, Viral , Aged , Aging/physiology , Aging/psychology , Betacoronavirus , COVID-19 , Communicable Disease Control/methods , Coronavirus Infections/epidemiology , Coronavirus Infections/prevention & control , Coronavirus Infections/psychology , Disease Transmission, Infectious/prevention & control , Geriatric Psychiatry/methods , Geriatric Psychiatry/trends , Health Personnel/psychology , Homes for the Aged/organization & administration , Homes for the Aged/trends , Humans , Interpersonal Relations , Long-Term Care/methods , Long-Term Care/psychology , Long-Term Care/trends , Mental Health/trends , Mental Health Services/organization & administration , Mental Health Services/trends , Needs Assessment , Pandemics/prevention & control , Pneumonia, Viral/epidemiology , Pneumonia, Viral/prevention & control , Pneumonia, Viral/psychology , Risk Factors , SARS-CoV-2 , Social Isolation/psychologySubject(s)
Aging , Cognition Disorders/therapy , Coronavirus Infections , Geriatric Psychiatry , Health Services for the Aged , Pandemics , Pneumonia, Viral , Telemedicine/organization & administration , Aged , Aging/physiology , Aging/psychology , Betacoronavirus , COVID-19 , Communicable Disease Control/methods , Continuity of Patient Care/trends , Coronavirus Infections/epidemiology , Coronavirus Infections/psychology , Geriatric Psychiatry/methods , Geriatric Psychiatry/standards , Geriatric Psychiatry/trends , Health Services for the Aged/supply & distribution , Health Services for the Aged/trends , Humans , Internet Access , Mental Health/trends , Pneumonia, Viral/epidemiology , Pneumonia, Viral/psychology , Quality of Health Care , SARS-CoV-2 , Vulnerable PopulationsSubject(s)
Aging , Coronavirus Infections , Geriatric Psychiatry , Global Health , Health Services for the Aged , Homes for the Aged , Pandemics , Pneumonia, Viral , Aged , Aging/physiology , Aging/psychology , Betacoronavirus , COVID-19 , Communicable Disease Control/methods , Coronavirus Infections/epidemiology , Coronavirus Infections/psychology , Geriatric Psychiatry/methods , Geriatric Psychiatry/trends , Global Health/statistics & numerical data , Global Health/trends , Humans , Mental Health/trends , Pneumonia, Viral/epidemiology , Pneumonia, Viral/psychology , SARS-CoV-2 , Vulnerable PopulationsSubject(s)
Ageism , Aging , Coronavirus Infections , Geriatric Psychiatry , Health Services for the Aged , Mental Health Services , Pandemics , Pneumonia, Viral , Social Isolation/psychology , Aged , Ageism/prevention & control , Ageism/psychology , Ageism/trends , Aging/physiology , Aging/psychology , Betacoronavirus , COVID-19 , Communicable Disease Control/methods , Coronavirus Infections/epidemiology , Coronavirus Infections/psychology , Geriatric Psychiatry/methods , Geriatric Psychiatry/trends , Health Services for the Aged/organization & administration , Health Services for the Aged/supply & distribution , Humans , Mental Health/trends , Mental Health Services/organization & administration , Mental Health Services/trends , Needs Assessment , Pneumonia, Viral/epidemiology , Pneumonia, Viral/psychology , SARS-CoV-2 , Sweden/epidemiology , Vulnerable Populations/psychologySubject(s)
Aging , Communicable Disease Control , Coronavirus Infections , Geriatric Psychiatry , Health Services for the Aged , Mental Health Services , Pandemics , Pneumonia, Viral , Aged , Aging/physiology , Aging/psychology , Betacoronavirus , COVID-19 , Communicable Disease Control/methods , Communicable Disease Control/organization & administration , Coronavirus Infections/epidemiology , Coronavirus Infections/psychology , Geriatric Psychiatry/methods , Geriatric Psychiatry/trends , Health Services for the Aged/organization & administration , Health Services for the Aged/trends , Humans , India/epidemiology , Mental Health/trends , Mental Health Services/organization & administration , Mental Health Services/trends , Pneumonia, Viral/epidemiology , Pneumonia, Viral/psychology , SARS-CoV-2 , Vulnerable Populations/psychologySubject(s)
Aging , Communicable Disease Control , Coronavirus Infections , Geriatric Psychiatry , Health Services for the Aged , Mental Health Services , Pandemics , Pneumonia, Viral , Aged , Aging/physiology , Aging/psychology , Betacoronavirus , COVID-19 , Communicable Disease Control/methods , Communicable Disease Control/organization & administration , Coronavirus Infections/epidemiology , Coronavirus Infections/psychology , Geriatric Psychiatry/methods , Geriatric Psychiatry/trends , Health Services for the Aged/organization & administration , Health Services for the Aged/trends , Humans , Mental Health/trends , Mental Health Services/organization & administration , Mental Health Services/trends , Pneumonia, Viral/epidemiology , Pneumonia, Viral/psychology , SARS-CoV-2 , Social Isolation/psychology , Taiwan/epidemiology , Vulnerable Populations/psychologySubject(s)
Aging , Coronavirus Infections , Geriatric Psychiatry , Health Services for the Aged , Mental Health Services , Needs Assessment , Pandemics , Pneumonia, Viral , Aged , Aging/physiology , Aging/psychology , Betacoronavirus , COVID-19 , Communicable Disease Control/methods , Coronavirus Infections/epidemiology , Coronavirus Infections/psychology , Cultural Diversity , Geriatric Psychiatry/methods , Geriatric Psychiatry/trends , Health Services for the Aged/organization & administration , Health Services for the Aged/supply & distribution , Homes for the Aged/statistics & numerical data , Humans , Mental Health/trends , Mental Health Services/organization & administration , Mental Health Services/trends , Pneumonia, Viral/epidemiology , Pneumonia, Viral/psychology , SARS-CoV-2 , Social Isolation/psychology , Spain/epidemiology , Vulnerable Populations/psychologySubject(s)
Aging , Behavioral Symptoms , Coronavirus Infections , Frontotemporal Dementia , Geriatric Psychiatry , Pandemics , Pneumonia, Viral , Social Isolation/psychology , Aged , Aging/physiology , Aging/psychology , Behavioral Symptoms/diagnosis , Behavioral Symptoms/etiology , Betacoronavirus , COVID-19 , Caregivers/education , Caregivers/psychology , Communicable Disease Control/methods , Coronavirus Infections/epidemiology , Coronavirus Infections/prevention & control , Coronavirus Infections/psychology , Frontotemporal Dementia/diagnosis , Frontotemporal Dementia/epidemiology , Frontotemporal Dementia/psychology , Geriatric Psychiatry/methods , Geriatric Psychiatry/trends , Health Knowledge, Attitudes, Practice , Humans , Japan/epidemiology , Mental Health/trends , Needs Assessment , Pandemics/prevention & control , Pneumonia, Viral/epidemiology , Pneumonia, Viral/prevention & control , Pneumonia, Viral/psychology , Psychosocial Support Systems , Risk Factors , SARS-CoV-2ABSTRACT
The COVID-19 pandemic has changed everyday life tremendously in a short period of time. After a brief timeline of the Dutch situation and our management strategy to adapt geriatric mental health care, we present a case-series to illustrate the specific challenges for geriatric psychiatrists.
Subject(s)
Betacoronavirus , Coronavirus Infections/psychology , Geriatric Psychiatry/methods , Mental Disorders/therapy , Patient Care/methods , Pneumonia, Viral/psychology , Aged , Aged, 80 and over , COVID-19 , Coronavirus Infections/complications , Female , Humans , Male , Mental Disorders/complications , Netherlands , Pandemics , Pneumonia, Viral/complications , SARS-CoV-2 , Telemedicine/methodsSubject(s)
Aging , Coronavirus Infections , Depression , Geriatric Psychiatry , Mental Disorders , Pandemics , Pneumonia, Viral , Social Isolation/psychology , Suicide Prevention , Suicide , Aged , Aging/physiology , Aging/psychology , Betacoronavirus , COVID-19 , Communicable Disease Control/methods , Coronavirus Infections/epidemiology , Coronavirus Infections/psychology , Depression/mortality , Depression/psychology , Fear/psychology , Geriatric Psychiatry/methods , Geriatric Psychiatry/trends , Humans , Independent Living/psychology , India/epidemiology , Loneliness/psychology , Mental Disorders/epidemiology , Mental Disorders/psychology , Mental Health/trends , Needs Assessment , Pneumonia, Viral/epidemiology , Pneumonia, Viral/psychology , Risk Factors , SARS-CoV-2 , Suicide/psychologySubject(s)
Aging , Communicable Disease Control/methods , Coronavirus Infections , Geriatric Psychiatry/methods , Health Services for the Aged , Mental Health , Pandemics , Pneumonia, Viral , Aged , Aging/physiology , Aging/psychology , Betacoronavirus/pathogenicity , COVID-19 , Coronavirus Infections/epidemiology , Coronavirus Infections/physiopathology , Coronavirus Infections/prevention & control , Coronavirus Infections/psychology , Health Services for the Aged/organization & administration , Health Services for the Aged/trends , Humans , Organizational Innovation , Pandemics/prevention & control , Pneumonia, Viral/epidemiology , Pneumonia, Viral/physiopathology , Pneumonia, Viral/prevention & control , Pneumonia, Viral/psychology , Risk Factors , SARS-CoV-2Subject(s)
Aging , Geriatric Psychiatry/methods , Mental Health , Racism , Violence , Aging/ethnology , Aging/psychology , Health Services for the Aged/standards , Humans , Mental Health/ethics , Mental Health/ethnology , Mental Health/standards , Mental Health Services/standards , Racism/prevention & control , Racism/psychology , Societies, Medical/standards , United States/epidemiology , Violence/ethnology , Violence/prevention & control , Violence/psychologyABSTRACT
The COVID-19 pandemic has required a rapid evolution of services to maintain routine care in Ireland. Services which had been previously slow to adapt technology in their practices are suddenly integrating various telehealth measures to continue routine practice where possible. In this article, we discuss the challenges we face in rapidly implementing telehealth in a rural Psychiatry of Old Age service in the North-West of Ireland.