Depression Module
Objectives
Resources
Interactive Case Study
History of Presenting Complaint
Medical History
Medication History
Social History
Patient Interview
Interview - Function
Physical Assessment
Cognitive Assessment
Features of depression
Mrs Wood’s MMSE result
MMSE
Clock Drawing Test
Mrs Wood’s Geriatric Depression Scale result
GDS
S1
S2
S3
S4
S5
S6
S7
S8
S9
Investigations
Mrs Wood's Blood Test Results
Mrs Wood's CT Scan
FBC
Vitamin B12
U&E
LFT
Glucose
TFT
Lipids
Dementia or Depression?
Mrs Wood's Diagnosis
Diagnosis
DSM-IV
Ans
Clinical
Atyp
Psych
Dysthym
Mixed
BAD
Predisposing and Precipitating Factors for Depression in Older People
Communicating Diagnosis
Treating Depression
1. Drug Therapy
SSRI's
SNRI's
Tetracyclic
TCA's
Others
Ans
2. Psychological Therapy
3. Electroconvulsive Therapy
Treatment Plan
Physical Activity and Depression
Multi-disciplinary Care
PT
SW
Family Care
Care Plan
Care Plan table
Case Summary
Depression Post-module Test
Question One
Which of the following features is more consistent with depression than with dementia?
(1 points)
Poor concentration
Poor effort during questioning
Poor self-care
Poor short-term memory
Question Two
Which of the following statements regarding the psychopharmacologic treatment of older adult patients is most accurate?
(1 points)
Fewer side effects are reported
Higher doses are used
Lower blood levels are needed
More drug interactions are seen
Question Three
Which of the following is NOT commonly associated with worsening the symptoms of depression?
(1 points)
Arthritis medications
Heart medications
Antihistamines
Hormone replacement
Question Four
Which of the following is NOT included in the DSM-IV diagnostic criteria for depression?
(1 points)
Insomnia/Hypersomnia
Inability to perform ADL's
Fatigue
Excessive guilt
Question Five
Which of the following would NOT commonly be included among initial investigations for depression? (1 points)
Thyroid Function Tests
Vitamin B12
Creatinine Kinase
Liver Function Tests
Question Six
Which of the following is true regarding the Geriatric Depression Scale? (1 points)
A score of eight or more suggests depression
A score of ten or more necessitates anti-depressants
A score of five or more suggests depression
Any score above three necessitates referral to a psychologist
Question Seven
Which of the following features is NOT indicative of depression?
(1 points)
Symptoms worse in the morning
Selective memory impairment
Altered psychomotor behaviour
Normal attention span