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Showing posts with the label Geriatrics

Depressive Pseudodementia

Depressive Pseudodementia Introduction: Depressive pseudodementia is a condition that has been described as having cognitive impairment, memory loss, and other symptoms that mimic those of dementia, but are caused by depression instead of a degenerative brain disease. In this article, we will explore the current understanding of depressive pseudodementia, including its diagnosis, symptoms, and treatment. Diagnosis: Depressive pseudodementia is not a recognized diagnosis in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which is the standard diagnostic manual for mental health conditions. However, some experts believe that it is a useful concept for understanding the relationship between depression and cognitive impairment (1). To be diagnosed with depressive pseudodementia, a patient must have symptoms that resemble those of dementia, but the symptoms must be caused by depression rather than a degenerative brain disease (2). Symptoms: The symptoms of depressive pseu...

Human Resources, Psychometric and Treatment Facilities you need to make the Forensic Evaluations

Human Resources, Psychometric and Treatment Facilities you need to make the Forensic Evaluations Scenario The local authorities have requested you to provide forensic psychiatry support for prison services in your area. What are the various human resources, psychometric, and treatment facilities that you would require to make the forensic evaluations? Human Resources Forensic psychiatrist Forensic psychologist Occupational therapist Social worker Trained nurses Psychometric Tools Historical clinical risk management-20  Violence risk appraisal guide Psychopathy checklist Revised Sexual violence risk 20 Stalking assessment and management Spousal assault risk assessment guide General Scales PANNS HAMD IPDE HADS CAGE/AUDIT COWS Coloured progressive matrices  Treatment Facilities Seclusion rooms Electroconvulsive therapy rooms

Establishing a Geriatric (old-age) Clinic; Medications and their Principles, Psychometric Tools, and Intake Performa

Establishing a Geriatric (old-age) Clinic; Medications and their Principles, Psychometric Tools, and Intake Performa Scenario: In view of increasing needs for elderly population requiring psychiatric help, your medical superintendent asked you to develop a senior citizens' clinic in your hospital.  Enlist and classify all medicines that you will need.  State the principles on which you base your choices. Enlist 8 psychometric tests/scales you will need? Which information do you think you will consider while developing an intake proforma? Principles Of Prescribing Medications in the Elderly Avoid drugs with long-half-lives (increased already in this population because of reduced renal and liver function, increased volume of distribution and relatively higher body fat content) Avoid drugs that worsen cognitive function, keeping in mind the rates of dementia in this population. Keep in mind the risk of fall and over sedation with central depressants and the propensity to side eff...

Mechanism of Dementia in Downs Syndrome

Which of the following is responsible for dementia seen in adults with Down’s syndrome? A. Loss of genetic material in chromosome 21 B. Extra genetic material in chromosome 21 C. Genetic material lost from chromosome 14 D. Loss of genetic material corresponding to presenilin -1 E. Loss of genetic material corresponding to Apoe4 Ok extra genetic material is the correct answer. The gene that codes for b amyloid is located on chromosome 21. Since down syndrome is due to trisomy 21 so there is increased amount of genetic material that production of its product proteins. Product protein of the APP gene located on chromosome 21 is beta amyloid that is central to the aetiology of alzheimers