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Prevention of Psychosocial Problems in Older Adults

By

Magda Lenartowicz

, MD, Trinity Hospice, Los Angeles

Last full review/revision Oct 2020| Content last modified Oct 2020
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Depression screening is recommended because depression is common among older adults. Several validated screening tests for depression (eg, Geriatric Depression Scale Geriatric Depression Scale (Short Form) Evaluation of older adults usually differs from a standard medical evaluation. For older patients, especially those who are very old or frail, history-taking and physical examination may have... read more , Hamilton Depression Scale, Patient Health Questionnaire-9 [PHQ-9]) can be used. Screening is relatively easy; several instruments do not require a physician for administration. For patients who feel lonely or isolated, social worker assistance to increase social contacts may prevent morbidity and postpone death. For those who are depressed, appropriate intervention with counseling or drugs is warranted.

A sense of self-worth may contribute to better health. Patients should be encouraged to remain productive, engage in leisure activities, and remain or become involved with other people. These actions can enhance self-worth. Suggesting activities that confirm a sense of social connectedness, such as obtaining a pet, contributing to household chores, or doing volunteer work, may help prevent psychosocial problems (and physical disability).

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