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Depression Geriatric Population

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Major depression is a chief health concern in the geriatric population, with up to 20% of this population experiencing some form of depression (Frank, 2014, as cited in Harrigan & Lyons, 2015). The issue of depression in the older adult population is especially complex as causes and outcomes are inter-related and interactive; nurses must consider many variables when assessing and carrying out care for these individuals. Untreated depression can have significant consequences such as poor pain control, poor recovery from illness or surgery, cognitive deficits, increased risk for falls, impaired ability to carry out ADLs leading to a loss of independence, worsening physical health problems, substance use, social isolation, and suicide (Harrigan …show more content…
Diagnosis of depression in the geriatric population has been steadily increasing in the last several years, indicating that there have been improvements in assessing and recognizing symptoms of depression within the healthcare community (Gaboda et al., 2011). However, depression still remains a significant issue that may be overlooked or misdiagnosed due to other confounding variables, such as physical illness, cognitive decline, and underreporting of symptoms (Ellison, Kyomen, & Harper, …show more content…
In many cases of depression in older adults, the onset occurs after the age of 60 (Ellison et al., 2012). Various risk factors have been identified in the development of late-life depression: being unmarried, living alone, social isolation, lower socioeconomic status, stressors such as loss of a spouse, family history, prior depressive episodes, physical illness, cognitive deficits, and being in the role of caregiver (Ellison et al., 2012). Another complexity when identifying depression in the older adult population is the fact that the manifestation of symptoms is often different than in the younger population. Older adults are more likely to present with somatization, which is when mood symptoms are interpreted and expressed as physical complaints (Harrigan & Lyons, 2015). The reported symptoms often include sleep difficulties, loss of appetite, and pain (Touhy, 2012, as cited in Harrigan & Lyons, 2015). The geriatric population may also be more likely to present with irritability or withdrawal rather than sadness which is generally thought to be the typical presentation of an individual with depression (Ellison et al., 2012). Due to these factors, misdiagnosis or under-diagnosis can occur, leading to a lack of or ineffective

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