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Older people usually present with adverse drug events (ADEs) with nonspecific symptoms such as cognitive decline, recurrent falls, reduced mobility, and/or major deterioration. The aims of this study were to assess the ADEs of patients with dementia and presenting neuropsychiatric/behavioral, and psychological symptoms in dementia (BPSD) and to categorize and identify the principal factors that allow to prevent ADEs, and separately ADEs that result in falls. To that end, a one-year prospective study in a psychogeriatric ward (July 2015 to July 2016) was performed. All patients admitted to this ward were eligible for enrolment. Patients who met any of the following criteria were excluded from the study: Patients without cognitive impairment, a length of stay under 7 days, and palliative or previous psychiatric pathology. We included 65 patients (60% women, 84.9 years &plusmn, 6.7) with mild to moderate cognitive impairment, moderate to severe functional dependence, and a high prevalence of geriatric syndromes and comorbidity. A total of 87.7% were taking five or more drugs (mean 9.0 &plusmn, 3.1). ADEs were identified during the interdisciplinary meeting and the follow up by clinical record. Sixty-eight ADEs (81.5% patients) were identified, of which 73.5% were not related to falls. From these, 80% were related to drugs of the nervous system. The Naranjo algorithm determined that 90% of ADEs were probable. The severity of the ADEs was Category E in 34 patients (68%). The number of preventable ADE according to the Schumork&ndash, Thornton test was 58%. The main ADE was drowsiness/somnolence (27.7%). ADEs related to falls represented a 26.5%. The balance between effective treatment and safety is complex in these patients. A medication review in interdisciplinary teams is an essential component to optimize safety prevention.

This systematic review aims to identify and evaluate all available peer-reviewed studies, primary as well as secondary, that examine the effects of interventions using dance movement therapy (DMT) with individuals aged 60 years and older who have a psychiatric condition. A final compilation of 21 studies is presented: 12 primary studies and nine secondary studies (i.e. review articles). If DMT is not to remain at the margins of therapeutic treatments with this population, it is important that dance movement therapists and researches work more closely together in order to develop a more robust evidence base. Aquesta revisió sistemàtica té com a objectiu identificar i avaluar tots els estudis revisats per experts, primària, així com secundària, que examinen els efectes de les intervencions que utilitzen la teràpia de moviment de la dansa (DMT) amb individus de 60 anys o majors que tenen una malaltia psiquiàtrica. Es presenta un recull final de 21 estudis: 12 estudis primaris i nou estudis secundaris (és a dir, articles de revisió). Si DMT és no romandre en els marges dels tractaments terapèutics amb aquesta població, és important que els terapeutes del moviment de la dansa i investigadors que treballin més estretament amb la finalitat de desenvolupar una més robusta base de proves.

El objetivo general de este trabajo es conocer la incidencia de caídas de la población psiquiátrica ingresada en nuestro hospital para disminuir el número de caídas y analizar todas las posibles causas de caídas: bien por factores del paciente psiquiátrico y/o por factores ambientales de la unidad de psiquiatría, para poder implantar medidas de acción de mejora al respecto, aumentando la calidad del servicio de psiquiatría y la calidad de vida de los pacientes psico-geriátricos que usan los servicios de hospitalización psiquiátrica. Material y método: Se trata de un estudio descriptivo prospectivo relacionado con las caídas que se produjeron en una Unidad de Psiquiatría durante julio 2012 a Diciembre 2014 en un hospital de la Comunidad de Madrid. La población es 1164 pacientes que ingresaron en dicho hospital y en la citada unidad. Se incluyen pacientes de 18 o más años que presentaron al menos una caída durante su estancia hospitalaria, con un total de 84 casos de caídas, 36 de ellas en menores de 65 años y 48 caídas en mayores o igual a 65 años (población psicogeriátrica), presentando mayor incidencia en el género femenino, 67. El instrumento usado para la recogida de datos y de información es la hoja de registro de caídas implantada en el hospital para la notificación de casos de caídas y la observación, rellenado por la enfermera responsable del paciente en el momento de la caída. Dicha hoja registro incluye: circunstancia de la caída, factores de riesgo del paciente, factores de riesgo ambientales (hospitalarios) y consecuencias de la caída entre otros. Resultados: Las caídas se producen fundamentalmente en la habitación (56), seguido del cuarto de baño (13), mientras deambulan (37) y al levantarse (20). Los fármacos más usados son los antipsicóticos típicos y atípicos (44,39). El motivo de ingreso más frecuente es depresión (28), y el diagnóstico al alta, trastorno depresivo (23). En cuanto a los factores hospitalarios implicados en las caídas son: la falta de asideros en Wc (72), los suelos no antideslizantes (60), timbre de llamada no accesible (52), dispositivos de ayuda no accesibles (41), calzado inadecuado (29), y los obstáculos (6).Conclusión: Las caídas son un importante problema de salud para pacientes psiquiátricos y para las instituciones sanitarias. La vigilancia de los posibles factores implicados durante el ingreso debe ser continua. Es necesario profundizar en los factores hospitalarios implicados en la posibilidad de caídas; ya que muchos de ellos pueden prevenirse aumentando así la calidad de vida de los pacientes y mejorando la calidad institucional y asistencial al paciente psiquiátrico

Todo profesional sanitario ha experimentado en algún momento de su práctica clínica inseguridad o hasta incapacidad para tratar con determinados pacientes por su idiosincrasia o singularidad. Los adultos mayores con patología depresiva son sin duda parte de estos pacientes, cuyo manejo debe ser delicado y muy meditado. El propósito de este proyecto es profundizar y determinar el enfoque comunicacional más apropiado para el abordaje del paciente geriátrico con patología depresiva. El diseño del estudio es experimental de tipo ensayo clínico aleatorizado, descriptivo, prospectivo y con simple ciego. Los sujetos deberán ser mayores de 65 años diagnosticados de depresión mayor y residentes en una institución geriátrica. La intervención tendrá una duración de 6 meses.

Submitted by Guilherme Lemeszenski (guilherme@nead.unesp.br) on 2013-08-22T18:44:05Z No. of bitstreams: 1 S1807-59322011000400015.pdf: 151882 bytes, checksum: 17f74ae7d657ad99b07626c2716d1d0e (MD5) Made available in DSpace on 2013-08-22T18:44:05Z (GMT). No. of bitstreams: 1 S1807-59322011000400015.pdf: 151882 bytes, checksum: 17f74ae7d657ad99b07626c2716d1d0e (MD5) Previous issue date: 2011-01-01 Made available in DSpace on 2013-09-30T19:32:05Z (GMT). No. of bitstreams: 2 S1807-59322011000400015.pdf: 151882 bytes, checksum: 17f74ae7d657ad99b07626c2716d1d0e (MD5) S1807-59322011000400015.pdf.txt: 37264 bytes, checksum: b59bca067b9e6413794e8754e1f33d86 (MD5) Previous issue date: 2011-01-01 Submitted by Vitor Silverio Rodrigues (vitorsrodrigues@reitoria.unesp.br) on 2014-05-20T13:58:18Z No. of bitstreams: 2 S1807-59322011000400015.pdf: 151882 bytes, checksum: 17f74ae7d657ad99b07626c2716d1d0e (MD5) S1807-59322011000400015.pdf.txt: 37264 bytes, checksum: b59bca067b9e6413794e8754e1f33d86 (MD5) Made available in DSpace on 2014-05-20T13:58:18Z (GMT). No. of bitstreams: 2 S1807-59322011000400015.pdf: 151882 bytes, checksum: 17f74ae7d657ad99b07626c2716d1d0e (MD5) S1807-59322011000400015.pdf.txt: 37264 bytes, checksum: b59bca067b9e6413794e8754e1f33d86 (MD5) Previous issue date: 2011-01-01 INTRODUCTION: A significant benefit from physical activity has recently been described in some patients who suffer from neurodegenerative diseases. OBJECTIVE: To assess the effects of physical activity on neuropsychiatric disturbances in demented patients and on the mental burden of their caregivers. METHODS: Assisted by a public geriatric psychiatry clinical unit, we studied 59 patients with dementia. Patients were divided into three groups according to their diagnosis and level of physical activity. Data were assessed through a semi-structured interview. Patients were evaluated with the Neuropsychiatric Inventory, the Mini-Sleep Questionnaire and the Baecke Questionnaire. The data were statistically analyzed using the Mann-Whitney U test and linear regression, with the level of significance set at 5%. RESULTS: Patients with Alzheimer's or vascular dementia who engaged in physical activity had fewer neuropsychiatric symptoms than those who did not. When compared to the control group, the caregivers of patients with vascular dementia who engaged in physical activity had a reduced burden. CONCLUSION: The regular practice of physical activity seems to contribute to a reduction in neuropsychiatric symptoms in dementia patients and to attenuate the burden of the caregivers of those patients. Universidade Federal de Mato Grosso do Sul Health and Biological Sciences Center Faculdades Dracena Department of Physical Education Universidade Estadual Paulista Universidade Estadual de Campinas Medical Sciences Faculty Universidade Estadual Paulista

A Organização Mundial da Saúde (OMS) e a Seção de Psiquiatria da Pessoa Idosa da Associação Mundial de Psiquiatria (AMP), em colaboração com um grupo interdisciplinar de representantes das principais associações internacionais e organizações não-governamentais implicadas na saúde mental das pessoas idosas, publicaram três declarações técnicas de consenso sobre a psiquiatria da pessoa idosa (1), a organização dos cuidados em psiquiatria da pessoa idosa (2) e o ensino da psiquiatria da pessoa idosa (3). O Dia Mundial da Saúde 2001, cujo tema foi "Não à exclusão, sim aos cuidados", deu origem a uma nova reunião de consenso sobre o tema da estigmatização e discriminação das pessoas idosas com transtornos mentais. Essa nova reunião foi realizada em Lausanne nos dias 8 e 9 de outubro de 2001 e produziu uma declaração técnica de consenso. O texto inicial foi publicado pela OMS e AMP em inglês. Este artigo apresenta a versão em português desse documento. This technical consensus statement is jointly produced by the Old Age Psychiatry section of the World Psychiatric Association and the World Health Organization, with the collaboration of several NGOs and the participation of experts from different regions. It is intended to be a tool for (i) promoting debate at all levels on the stigmatization of older people with mental disorders; (ii) outlining the nature, causes and consequences of this stigmatization; and (iii) promoting and suggesting policies, programs and actions to combat this stigmatization.

This current study has as finality identify the necessities of adolescents with mental disorders, in the mental health approach, materializing the formulation of more effective actions that can orient the practice of services designated to this population. To reach this purpose, an exploratory research was made, to discuss and link the theorical reference with the "ideal tipes", built hypothetically through the experiences of the team that realized this work. The study of necessities allowed the identification of the actors that must be involved in the answers to the health problems presented, subsiding the analysis and planning the prevent actions and attention in mental health, suggesting alternatives in the field of institutions and health politics area. O presente estudo tem como finalidade identificar as necessidades dos adolescentes com transtorno mental, objetivando a formulação de ações mais efetivas que possam orientar a prática dos serviços destinados a esta população. Para tanto, realizou uma pesquisa exploratória que buscou discutir e relacionar o referencial teórico com os "perfis ideais", construídos hipoteticamente a partir das experiências do grupo que realizou este trabalho. O estudo das necessidades possibilitou identificar os atores que devem estar envolvidos na resposta aos problemas de saúde apresentados, subsidiar a análise e planejamento das ações de prevenção e atenção em saúde mental, sugerindo alternativas no campo da instituição e das políticas de saúde.

En: Gerontología Educativa. Barcelona : Ariel, 2001. p. 123-151 ISBN. 84-3442-6455