Because of the complexity in assessing elders for depressive symptoms, we recommend that nurses use a differentiated approach as an adjunct to clinical judgment and other assessment strategies.
Based on our research and clinical experience, we advocate the joint use of the Hamilton Rating Scale for Depression and the Dementia Mood Assessment Scale, and propose a two-tiered assessment process.
The first differentiation in this process is made by means of a cut-off score to determine whether or not depressive symptoms exist.
If depressive symptoms are present, a second system of differentiation may be employed to identify discrete symptom factors.
Application of this differentiated approach will enable the nurse to better understand and design interventions for each elder's specific presentation of depressive symptoms.
Mots-clés Pascal : Etat dépressif, Etablissement troisième âge, Communauté, Diagnostic and Statistical Manual IV, Symptomatologie, Exploration clinique, Conduite à tenir, Diagnostic différentiel, Etude cas, Nursing, Système nerveux pathologie, Encéphale pathologie, Technique, Organisation santé
Mots-clés Pascal anglais : Depression, Homes for the aged, Community, Diagnostic and Statistical Manual IV, Symptomatology, Clinical investigation, Clinical management, Differential diagnostic, Case study, Nursing, Nervous system diseases, Cerebral disorder, Technique, Public health organization
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0013034
Code Inist : 002B18E. Création : 31/05/1999.