Recurrent Admissions to Psychiatric Emergency Service: What are the Needs of the Elderly in This Area Differing from Young People and What Can be Done? A Retrospective Comparative Study
Journal Title: Journal of Academic Research in Medicine - Year 2020, Vol 10, Issue 1
Abstract
Objective: Recurrent admissions to psychiatric emergency services (PES) are a multidimensional clinical situation. In this situation, elderly people have different properties and needs compared to younger people. The aim of the present study was to determine the characteristics and needs of the elderly people with recurrent admissions to PES in terms of sociodemographic, clinical characteristics and clinical approach, according to the different features of the youth, and to draw attention to what can be done. Methods: The files of the patients aged 18 years and over, who had two or more admissions to our hospital’s PES between January 2011 and January 2012, were examined by random method (one in 23 patients). A total of 324 patients were included in this retrospective comparative study. The patients were divided into two groups as those aged 65 years and older (elderly group, n=167) and those aged 18-65 years (young group, n=157) and compared as per the findings obtained. Results: As per the young people, the elderly often applied to the PES with family members; the rate of physical disease was higher; more physical examinations and consultations were requested during the evaluation of the elderly; visual hallucination, memory impairment, and verbal violence were found to be higher in the symptom profiles. The most common diagnoses of the elderly were determined to be psychosis, behavioral and psychological symptoms related to dementia, bipolar mood disorder, depression and anxiety disorder, and the hospitalization was found to be lower in the elderly. Conclusion: Elderly patients differ from young people in terms of physical disease comorbidity, physical examination, consultation request, symptom profile, diagnosis and treatment plan. The evaluation of the elderly patient will provide a multidisciplinary approach, the formation of professional teams in the field should be the main purpose. In this way, recurrent admissions of elderly people to PES can be prevented.
Authors and Affiliations
Derya İpekçioğlu, Özlem Çetinkaya, Münevver Hacıoğlu Yıldırım, Gökşen Yüksel Yalçın, Mehmet Cem İlnem, Ejder Akgün Yıldırım, Nesrin Karamustafalıoğlu
Keywords
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- EP ID EP684377
- DOI 10.4274/jarem.galenos.2019.2853
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