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Related Concept Videos

Classification of Illness01:17

Classification of Illness

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The meaning of illness is individualized to each person who experiences an alteration in health. In contrast, disease is a medical term indicating a pathological change in the structure and function of the body or mind. It is a condition that has specific symptoms and boundaries.
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
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Factors Affecting Illness01:18

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When a person's physical, emotional, intellectual, social development or spiritual functioning is compromised, this deviation from a healthy normal state is called illness. Illness creates stress that in turn harms individuals. Irritation, anger, denial, hopelessness, and fear are behavioral and emotional changes an individual experiences in the phases of illness. A variety of factors influence a person's health and well-being.
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Health is a condition of the body, mind, and spirit where an individual remains free from illness. Similarly, wellness is an active state, including living a lifestyle that promotes physical, mental, and emotional health. Physical health is critical for the overall well-being and can be affected by lifestyle, activity level, diet, and behavior. The highest attainable standard of health is a fundamental and universal human right. Consider Lisa, a fifteen-year-old born with congenital...
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Relative risk (RR) is a statistical measure commonly used in epidemiology to compare the likelihood of a particular event occurring between two groups. This metric is important for evaluating the relationship between exposure to a specific risk factor and the probability of a particular outcome. It plays a crucial role in medical research, public health studies, and risk assessment. Relative risk quantifies how much more (or less) likely an event is to occur in an exposed group compared to an...
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Somatic spinal reflexes are rapid, involuntary muscular responses to external stimuli that involve the somatic musculature and the spinal cord.
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[Somatic risks in elderly people with severe psychiatric illnesses].

Daniel Kopf1, Walter Hewer2

  • 1Geriatrische Klinik, Zentrum für klinische Psychologie und Psychotherapie, Kath. Marienkrankenhaus gGmbH, Alfredstraße 9, 22087, Hamburg, Deutschland. kopf.geriatrie@marienkrankenhaus.org.

Zeitschrift Fur Gerontologie Und Geriatrie
|October 12, 2018
PubMed
Summary

Elderly individuals with severe mental illness (SMI) face reduced life expectancy due to somatic comorbidities. Improved care requires integrated geriatric and psychiatric approaches for better management and support.

Keywords:
ComorbidityGeriatric patientsLife expectancyPsychosocial nursingSevere mental illness

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Area of Science:

  • Geriatric Psychiatry
  • Internal Medicine
  • Public Health

Background:

  • Aged patients with severe mental illness (SMI) experience significant functional impairment and numerous somatic comorbidities.
  • A lack of systematic studies exists for this growing elderly population with SMI.
  • This review highlights key somatic comorbidities and their impact on medical care for older adults with SMI.

Purpose of the Study:

  • To summarize significant somatic comorbidities in aged patients with SMI.
  • To discuss the implications of these comorbidities for medical care.
  • To provide insights into managing the health of this vulnerable population.

Main Methods:

  • A selective narrative review was conducted.
  • Literature search performed using PubMed.
  • Clinical practice observations were incorporated.

Main Results:

  • Life expectancy for patients with SMI is reduced by approximately 10 years, primarily due to somatic comorbidities.
  • Major health issues include respiratory disorders, metabolic syndrome, cardiovascular complications, osteoporosis, and fractures.
  • Despite reduced life expectancy, the number of geriatric patients with SMI is increasing, necessitating specialized care.

Conclusions:

  • Somatic comorbidity significantly reduces life expectancy in patients with SMI, yet they are living longer due to improved treatments.
  • These patients require specialized diagnostic work-ups and treatment management support.
  • Collaborative care models integrating geriatric and geronto-psychiatric services are beneficial for interdisciplinary therapy.