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5 Tips to Reduce Holiday Depression
5 Tips to Reduce Holiday Depression While war and poor economic conditions begin to affect people all over the world, more and more people suffer with depression. The more we focus on news events and the business climate, the more we are depressed....
Dealing With Depression
Depression or “depressive reactions” is a mood response that is often brought on by the stresses and strains in our lives. For some, it can be triggered by a serious loss, a difficult relationship, financial problems or any overwhelmingly stressful...
Dealing With Regular and Non-Regular Depression
Dealing with depression is something that many people will experience at least once in their lifetime. And for other people depression is a common occurrence for which they always need to take medication prescribed by a doctor. There are...
How Your Pet Can Help Fight Depression
Those who suffer from clinical depression know the empty feeling of being alone at home. Even when people are around, they can still feel lonely or unvalued. Even people who aren't clinically depressed but who experience occasional down times may...
Mood Disorders And Depression
Mood Disorders And Depression By Jeannie Crabtree We all suffer with bad moods from time to time. But if you are someone who is in a bad mood or depressed much of the time, take heart. There are natural remedies to help with balancing your...
 
Depression in Long Term Care Heart Patients Often Goes Untreated

Depression in Long Term Care Heart Patients Often Goes Untreated

By
Dr. Mike Shery

Cardiologists, other doctors and long term care
staff might be missing the big picture as one survey suggests
that only a third of heart disease patients with serious
symptoms of depression or anxiety get any treatment.
The findings are significant because psychological problems have
been linked to poorer health and higher death rates in heart
disease patients. Unfortunately, long term care residents and
other heart patients just aren't being screened because
physicians are just focused on the heart disease and don’t think
about other factors that could contribute to the condition.

We know that heart attack survivors suffer from psychological
distress twice as much as the general population and, with
congestive heart failure patients, who are often residing in
nursing homes, the figure is twice that…Staggering!
However, only about one third of heart disease patients who report the
symptoms are ever treated by a mental-health provider. This is
appalling because research suggests that psychological problems
often contribute to the onset of heart disease and worsen its
progression.

It's not entirely clear how psychological distress
and heart disease are connected. However, there is some
speculation that psychological symptoms may contribute to blood
clots or make the heart beat less efficiently.
Since the overwhelming amount of long term care residents are women, it’s
important for staff to note that women with mild and moderate
depression are 50 percent more likely to have heart attacks than
are other women.
It’s also crucial to note that depression and
anxiety are frequent responses to traumatic events, such as


the
life-threatening and chronically debilitating illnesses, which
are often seen in long term care settings. The seriousness of
these symptoms is usually proportional to their duration and
depth and the degree to which they compromise the resident’s
life quality and/or participation in the treatment process.

Triggers for referral for a psychological evaluation include
symptoms that have continued for more than two weeks or
significantly impair functioning, life quality or participation
in prescribed treatment programs.
The role of heart doctors in
detecting psychological problems in their patients who are long
term care residents is a big problem. They often don't have
time because of the new emphasis on quick turnaround and high
productivity. That places the onus squarely on the long term
care staff who see the resident every day.

One remedial protocol to identify the residents who really need help might be
for nurses and other staff members to help screen residents
before they meet with their cardiologists. Neglecting
identification and treatment of psychological symptoms in
residents with heart disease is very unfortunate because doctors
now have effective tools to treat psychological problems, which
might lead to a lessening of both the psychological distress and
cardiac dysfunction.

Copyright 2005, M. Shery http://www.nursinghomes.md/

About the Author

Dr. Michael Shery is the founder of Long Term Care Specialists in Psychology, a mental health firm specializing in consulting to the long term care industry. Its
website, www.NursingHomes.MD provides state-of-the-art mental health treatment, facility staffing and career information to long term care professionals.
_____________________________________________________________

 

Welcome to Depression.com
Facts about depression, including how to manage it and how to live with this medical condition.
www.depression.com
 
NIMH: Depression
Such a disabling episode of depression may occur only once but more ... Depression can also affect the physical health in men differently from women. ...
www.nimh.nih.gov
 
NIMH: Depression
National Institute of Mental Health presents a comprehensive series of articles on symptoms and management. Includes booklets of personal accounts and ...
www.nimh.nih.gov
 
Clinical depression - Wikipedia, the free encyclopedia
Clinical depression (also called major depressive disorder) is a state of intense ... By definition the symptoms are not as severe as with Major Depression, ...
en.wikipedia.org
 
Great Depression - Wikipedia, the free encyclopedia
The Great Depression was an economic downturn which started in 1929 (although its ... The Great Depression ended at different times in different countries; ...
en.wikipedia.org
 
Dr. Ivan's Depression Central
This site is Internet's central clearinghouse for information on all types of depressive disorders and on the most effective treatments for individuals ...
www.psycom.net
 
Depression Screening Test
Answer a few simple questions to determine if you are experiencing depressive symptoms. Provides a referral list and information on depression.
www.med.nyu.edu
 
MedlinePlus: Depression
From the National Institutes of Health; Depression (National Institute of Mental Health) ... Select services and providers for Depression in your area. ...
www.nlm.nih.gov
 
Welcome to depression-screening.org
Most people with depression, however, do not seek the professional help they ... The depression-screening.org web site is sponsored by the National Mental ...
www.depression-screening.org
 
iFred - International Foundation for Research and Education on ...
"This book can help those directly and indirectly touched by depression. ... iFred Brings New Hope to Depression with Thousands of Sunflowers ...
www.ifred.org
 
Depression information and treatment
Information about depression, depression treatment, and facts about depression.
www.psychologyinfo.com
 
Depression
Depression is a strong mood involving sadness, discouragement, despair, or hopelessness that lasts for weeks, months, or even longer.
www.kidshealth.org
 
Depression Alliance web site with information about depression ...
Information about the symptoms and treatment of depression from Depression Alliance, a UK charity for people with clinical depression and anxiety.
www.depressionalliance.org
 
WebMD Depression Health Center - Learn the symptoms of depression ...
Articles, links, and resources for sufferers of depression.
www.webmd.com
 
Depression - Information and Support
THE starting place for exploring Depression. Support forums, links, articles and more.
depression.about.com
 
beyondblue: the national depression initiative
Australian organisation provides information about depression to consumers, carers and health professionals.
www.beyondblue.org.au
 
Using EFT for Depression, Teen Depression & Clinical Depression
EFT's results for all forms of depression are often astonishing. In most cases the depressed feelings vanish or are materially reduced within a few minutes ...
www.emofree.com
 
Depression
The website for Depression. ... Please note that Depression is comprised of backfile volumes. Volume 4, Issue 2 (1996). Articles in this Issue: ...
www3.interscience.wiley.com
 
Depression - MayoClinic.com
Depression is more than just a bout of the blues. Fortunately, treatments are available.
www.mayoclinic.com
 
Mental Help Net - Depression (Unipolar)
Depression is one of the most common and most serious mental health ... Fortunately, there are many highly effective treatments for depression today that ...
mentalhelp.net
 
 

 
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