Behavioral Emergencies Special Considerations in the Geriatric Psychiatric Patient

被引：10

作者：

Aftab, Awais ^{[1
]}

Shah, Asim A. ^{[2
,3
,4
,5
]}

机构：

[1] Case Western Reserve Univ, Univ Hosp Cleveland Med Ctr, Dept Psychiat, 10524 Euclid Ave,8th Floor, Cleveland, OH 44106 USA

[2] Baylor Coll Med, Psychiat Residency Educ, Menninger Dept Psychiat, 1977 Butler Blvd, Houston, TX 77030 USA

[3] Baylor Coll Med, Menninger Dept Family & Community Med, 3701 Kirby Dr Suite 600, Houston, TX 77098 USA

[4] Ben Taub Hosp, Mood Disorder Res Program BT, Neuropsychiat Ctr, HHS, Room 2-125,1502 Taub Loop, Houston, TX 77030 USA

[5] Ben Taub Hosp, Community Behav Hlth Program, Psychotherapy Serv, Neuropsychiat Ctr,HHS, Room 2-125,1502 Taub Loop, Houston, TX 77030 USA

来源：

PSYCHIATRIC CLINICS OF NORTH AMERICA | 2017年 / 40卷 / 03期

关键词：

Geriatric psychiatry; Emergency psychiatry; Delirium; Dementia; Agitation; Suicide; PLACEBO-CONTROLLED TRIALS; ATYPICAL ANTIPSYCHOTIC MEDICATIONS; ALZHEIMERS-DISEASE; RISK-FACTORS; NEUROPSYCHIATRIC SYMPTOMS; PSYCHOLOGICAL SYMPTOMS; ELDERLY-PATIENTS; OLDER-ADULTS; DEMENTIA; DELIRIUM;

D O I：

10.1016/j.psc.2017.05.010

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

This article reviews psychiatric considerations and common psychiatric emergencies in the elderly. The elderly are vulnerable to medication side-effects because of pharmacokinetic changes from aging, and require lower doses and slower titration. They are a high-risk group for suicide, with more serious intent, fewer warning signs, and more lethality. Prompt diagnosis and treatment of delirium in emergency settings is essential, given association with worse outcomes when undiagnosed. Pharmacologic options with demonstrable efficacy for agitation in dementia are limited to antipsychotics, which are, however, associated with an increased risk of mortality; behavioral interventions are universally recommended as first-line measures.

引用

页码：449 / +

页数：15

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