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Psychiatric symptom management in terminal care
1Memorial Sloan-Kettering Cancer Center, Cornell University Medical College, New York, New York, USA.
Clinics in Geriatric Medicine
|May 1, 1996
Summary
Psychiatric complications are common in terminally ill geriatric patients, impacting quality of life. Specialized medical expertise is crucial for accurate diagnosis and effective management of these conditions in end-of-life care.
Area of Science:
- Geriatric Medicine
- Psychiatry
- Palliative Care
Background:
- Geriatric patients in terminal illness often experience psychiatric complications.
- These complications significantly affect their quality of life.
- Common symptoms include anxiety, depression, and cognitive disorders, which are challenging to diagnose and treat.
Purpose of the Study:
- To highlight the importance of physician expertise in managing psychiatric complications in terminal geriatric care.
- To emphasize the complexities in diagnosing and treating these symptoms.
- To discuss the role of pharmacologic and psychotherapeutic interventions.
Main Methods:
- Review of existing knowledge on psychiatric symptom management in terminal care.
- Discussion of diagnostic and treatment challenges.
- Emphasis on the need for specialized medical knowledge.
Main Results:
- Psychiatric symptoms can stem from the disease, treatment, or psychosocial factors.
- Pharmacologic agents and psychotherapy can effectively manage symptoms.
- Specialized knowledge is vital for optimizing treatment benefits and minimizing toxicity.
Conclusions:
- Effective management of psychiatric complications in terminally ill geriatric patients requires specialized physician skills.
- Integrating current knowledge into routine clinical practice is essential for improving patient care.
- Future efforts should focus on applying accumulated knowledge to clinical settings.
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