Related Experiment Videos
Implementing evidence-based guidelines for managing depression in elderly patients: a Norwegian perspective
E Aakhus1, S A Flottorp, A D Oxman
1Research Centre for Old Age Psychiatry, Innlandet Hospital Trust, 2312 Ottestad, Norway. eivind.aakhus@gmail.com
Epidemiology and Psychiatric Sciences
|July 17, 2012
Summary
This study addresses depression in the elderly, a common issue in primary care. It aims to identify barriers and enablers for implementing evidence-based guidelines to improve geriatric mental health management.
Area of Science:
- Geriatric Psychiatry
- Implementation Science
- Primary Health Care Research
Background:
- Depression is prevalent in the elderly, presenting unique challenges due to age-related changes.
- Most older adults with depression receive care in primary health settings.
- Existing evidence-based guidelines for geriatric depression management show limited but improved success over standard care.
Purpose of the Study:
- To identify determinants (barriers and enablers) influencing the implementation of depression management guidelines in Norwegian primary care for the elderly.
- To compare methods for identifying these determinants.
- To compare methods for matching implementation strategies to identified determinants.
Main Methods:
- The study is part of the multinational 'Tailored Implementation for Chronic Diseases' (TICD) project.
- It involves identifying determinants of guideline implementation using various methods in Norwegian primary care.
- Implementation interventions will be matched to determinants using different methods, followed by evaluation in a randomized trial.
Main Results:
- This section is not applicable as the study is in progress and results are not yet available.
Conclusions:
- Identifying and addressing specific barriers and enablers is crucial for effective implementation of geriatric depression guidelines.
- Tailored implementation strategies are expected to improve the management of depression in the elderly within primary care settings.
Related Concept Videos
01:15Drug Dosing: Geriatric Patients
Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
01:23Antidepressant Drugs: MAOIs and Other Agents
Atypical antidepressants, including bupropion (Wellbutrin), mirtazapine (Remeron), nefazodone (Serzone), trazodone (Desyrel), and vilazodone (Viibryd), offer unique mechanisms of action. Bupropion weakly inhibits dopamine and norepinephrine reuptake, aiding depression treatment and smoking cessation, with a low risk of sexual dysfunction. Mirtazapine enhances serotonin and norepinephrine neurotransmission, leading to sedation, increased appetite, and weight gain. As a result, it helps treat...
01:27Pharmacodynamics in Geriatric Patients: Effects of Age
Age-related pharmacokinetic changes are extensively documented, but understanding age-related pharmacodynamic alterations is relatively limited. This knowledge gap can be partly attributed to the complexity of developing appropriate measures of drug responses compared to bioanalytical methods for determining drug concentrations.Most information regarding age-related differences in human pharmacodynamics originates from cross-sectional studies. However, these studies assume that observed mean...
01:18Depression: Overview
Depression is a prevalent mental illness marked by persistent sadness and lack of interest in previously enjoyable activities. It can take several forms, including major depression, persistent depressive disorder, and bipolar I and II disorders. Symptoms range from emotional changes like chronic worry to physical changes like sleep disturbances and suicidal thoughts. From a neurobiological perspective, depression is believed to be triggered by abnormalities in the brain's prefrontal cortex,...
01:23Hypertension V: Nursing Management
The nursing management of hypertension involves accurately assessing symptoms, making a comprehensive nursing diagnosis, collaborating with patients to set goals, and implementing targeted interventions to mitigate the condition's impact and improve patient well-being.Comprehensive AssessmentThe initial step in nursing care for hypertension involves a thorough patient assessment. It includes evaluating symptoms such as headaches, dizziness, blurred vision, and previous hypertension episodes.
01:11Guidelines for Writing Outcome
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care evaluation by...
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care evaluation by...