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Minor depression, which is more common than major depression in elderly patients, may follow a major depressive episode. It also can be a reaction to routine stressors in older populations. 15–50% of patients with minor depression develop major depression within two years. [68]
ICER also uses the Equal Value of Life Years Gained (evLYG) to determine if treatment adds years to the patient’s life. [ 6 ] ICER's affordability calculations adjust for drugs targeting prevalent diseases and/or those presenting a significant clinical benefit by setting the threshold at double the available funds divided by the expected ...
One recent study estimated that more than 20% of older patients in the USA took at least one medication which could negatively impact another condition. [7] This is referred to as therapeutic competition. Effective chronic care requires an information platform to track patients' status and ensure appropriate treatments are given. [8]
Inclusion of a behavioral health professional in the treatment of depression in primary care improves outcomes, patient and physician satisfaction, and costs less than usual care. [26] The PCBH model prioritizes the usage of treatment algorithms based on scientific guidelines that include pharmacological and psychotherapeutic interventions. [27]
Malnutrition and poor nutritional status is an area of concern, affecting 12% to 50% of hospitalized elderly patients and 23% to 50% of institutionalized elderly patients living in long-term care facilities such as assisted living communities and skilled nursing facilities. [20]
It is an independent risk factor for dementia, cognitive decline, social withdrawal, anxiety, depression, and physical decline, especially in older adults. Both T2DM and hearing loss independently increase dementia risk. Among patients with diabetes, age, nephropathy, and neuropathy [5] were associated with hearing loss. [citation needed]
Positively assessed patients are triaged to optimal interventions, while their clinical contacts and referrals are tracked by the health institution to ensure treatment is received. [19] These targeted referrals are made towards optimal evidence-based treatments based on the patient's specific psychosocial symptoms and individual factors, with ...
The risk factors [110] for treatment resistant depression are: the duration of the episode of depression, severity of the episode, if bipolar, lack of improvement in symptoms within the first couple of treatment weeks, anxious or avoidant and borderline comorbidity and old age. Treatment resistant depression is best handled with a combination ...