Depression in Older Adults over 65

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Depression in Older Adults over 65 by Mind Map: Depression in Older Adults over 65

1. patient safety

1.1. Duty of Care

1.2. Early detection and prevention

1.3. Support services

1.3.1. Help at home

1.3.2. personal alert victoria

1.3.3. beyond blue

1.3.4. lifeline

2. Support Services

2.1. Local Community Centres

2.1.1. Health and Wellbeing Programs YMCA Living Longer Living Stronger

2.1.2. Social events Victorian Seniors Festival October 2019

2.1.3. Inter-generational Programs

2.1.4. Skills Based Classes Art & Craft Music & Dance Gardening Men's Shed

2.2. Buddy Programs

2.2.1. Red Cross

2.2.2. Dementia Australia

2.3. Help at Home

2.3.1. ADLs Cooking Cleaning Personal Care Shopping Paying bills

2.4. Pet Therapy

2.4.1. The Delta Society

2.4.2. Dogs Victoria Therapy Dogs

2.4.3. Real Animals Pets and People

2.5. Transport

2.5.1. Multi Purpose Taxi Program

2.5.2. Seniors Myki

2.6. Crisis Support

2.6.1. Lifeline

2.6.2. Beyond Blue

2.6.3. Suicide Call Back Service

2.6.4. Open Arms (Veterans and Families Counselling)

2.7. Drug & Alcohol

2.7.1. Older Wiser Lifestyle (OWL) Program

2.8. Housing

2.8.1. Residential Aged Care

2.8.2. APMH nursing homes and hostels

2.9. Community Visitors (CVS)

2.10. Personal Alert Victoria (PAV)

2.11. Support for Carers Program

3. Key issues

3.1. Symptoms

3.1.1. arthritis pain

3.1.2. headaches

3.1.3. loss of energy

3.1.4. misdiagnosed ageing dementia dilusion

3.2. Causes

3.2.1. Isolation & loneliness accessibility social circle family ties

3.2.2. Physical ill health disability medications

3.2.3. Loss in old age symbolic real loss

4. Standards and Legislation

4.1. Standards of Care

4.1.1. 1. Dignity and choice links to all standards consumer centred care Dignity and respect consumer choice right to make decisions that effect their life decision making support

4.1.2. 2. On going assessment and planning with consumers consumer needs obtain care and services healthcare team

4.1.3. 3. Personal care and clinical care safety and care optimise health and well-being services and assistant provided to consumer with depression

4.1.4. 4. Services and supports for daily living optimise health and well-being safe and effective services therapy services

4.1.5. 7. Human resources organisation provides skilled and qualified workforce safe receptful manage

4.1.6. 8. Organisational governance organisations held responsible safe and quality of care governing body

4.2. Legislation

4.2.1. State and Territory mental health, guardianship and administration, during power of attorney and medical directive/advanced care planning legislation Advanced Care Planning planning for future health and personal care

4.2.2. Aged Care Charter of Rights consumer rights

4.2.3. Aged Care Act 1997 funding regulation quality of care rights of consumers

4.2.4. Mental Health Act 2014 assessment treatment

4.2.5. Aged Care quality Standards, 2018

5. Risk Management

5.1. Assessment

5.1.1. Physical Integumentary

5.1.2. Mental Family history of mental illness Mini mental exam Complete mental health examination Scale to assess risk of suicide (SARS)

5.2. Prevention

5.2.1. Detecting triggers to avoid

5.2.2. Set up with helpline / allied health professionals

5.2.3. Engage clients in health promoting activities

5.3. Education

5.3.1. Early onset of symptoms

5.3.2. Family and friends

5.3.3. Clinical Risk management education

5.4. Healthcare

5.4.1. GP

5.4.2. Psychologist

5.4.3. Ocupational therapist Protect against risks of fall Keeping patient active & social within community

5.4.4. Community support Support groups Activity groups to stay social

5.4.5. Online Beyond Blue Black Dog Institute

5.4.6. At Home Mood GYM Mental Health Carers Australia Suicide call back service

6. Client & Carer

6.1. risk factors to the older adult

6.1.1. denial

6.1.2. lack of support

6.2. role of carers

6.2.1. facilitators accessability risk prevention

6.2.2. barriers relationship dynamics dignity finances

7. Healthcare Team

7.1. General Health

7.1.1. Nurse Nurse Practitioner (NP) Care Management Education Advocacy Registered Nurse (RN) Community Nurse (RDNS) Enrolled Nurse (EN)

7.1.2. General Practitioner (GP) Central Role Education Medication Referrals Mental Health Care Plan Specialists Pathology

7.1.3. Pharmicist Medication Education

7.1.4. Personal Care Attendant (PCA) Personal Care Housekeeping Support in the community

7.2. Mental Health

7.2.1. Psychologist Assessment Diagnosis Treatment Psychotherapy Counselling

7.2.2. Psychiatrist Assessment Diagnosis Treatment Psychotherapy Counselling Medication

7.2.3. Counsellor Education Communication

7.2.4. Social Worker Assessment Counselling Mediation Advocacy Case Management

7.3. Physical Health

7.3.1. Occupational Therapist Falls Prevention Safety & Accessibility Equipment Function & Mobility Maintenance of Independence Adaptive Strategies Education Age Related Changes

7.3.2. Physiotherapist Physical Assessment Diagnosis Treatment and management of: Musculoskeletal injuries Cardiothoracic problems Neurological problems Lifestyle Modification Prescribe aids and appliances Prescribe exercise for clients & carers

7.3.3. Exercise Physiologist Physical Assessment Clinical Exercise Interventions Restore optimal physical function Exercise Prescription Prevent and/or manage injury Lifestyle Modification Education Support

7.3.4. Dietitian Medical Nutrition Therapy Manage medical condition(s) and symptoms via diet Assess health and nutritional needs Food Service Management Menu assessment and planning Compliance monitoring of therapeutic diets Community and Public Health Nutrition Preventive health programs Food security programs Education for groups Supermarket tours and cooking classes Meal Preparation & Assistance

7.3.5. Allied Health Assistant Supervised assistant role