| The 3 D's of Geriatric Psychiatry: Depression, Delirium, and Dementia. | |
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MedLine Citation:
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PMID: 21840820 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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A Caucasian female octogenarian with multiple medical problems was admitted to the inpatient geriatric psychiatry unit with intermittent altered mental status and decline in memory. She had been hospitalized four times in the previous three months. She was admitted on more than 10 medications and received more than 20 different medications in this time period. It was determined that she had delirium concurrent with dementia and/or depression. During her hospital stay a urinary tract infection (UTI) was treated, her anticholinergic medications were minimized, and her digoxin dose was adjusted. As her mental status cleared, a workup was completed to differentiate between dementia and depression. She was initially treated with memantine, but as time progressed it became more evident she was experiencing depression and a "pseudodementia," which was treated with sertraline. Her Mini-Mental State Examination returned to 29/30 (her score previously was 26/29). This case demonstrates the complexity of treating an elder individual and the importance of differentiating among delirium, depression, and dementia. The pharmacy team played an active role in medication reconciliation. Additionally, they worked with the medical team to minimize her potentially harmful medications and optimize the treatment of her UTI and depression. |
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Authors:
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Sheetal Dharia; Kailen Verilla; Ericka L Breden |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Consultant pharmacist : the journal of the American Society of Consultant Pharmacists Volume: 26 ISSN: 0888-5109 ISO Abbreviation: Consult Pharm Publication Date: 2011 Aug |
Date Detail:
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Created Date: 2011-08-15 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9013983 Medline TA: Consult Pharm Country: United States |
Other Details:
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Languages: eng Pagination: 566-78 Citation Subset: IM |
Affiliation:
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University of South Florida College of Pharmacy, Tampa, Florida. |
Export Citation:
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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