International journal of geriatric psychiatry
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Int J Geriatr Psychiatry · Oct 2012
Multicenter StudyNijmegen observer-rated depression scale for detection of depression in nursing home residents.
This study aims to test the accuracy of the Nijmegen observer-rated depression (NORD) scale, a new short scale for screening of depression in nursing home (NH) residents with and without dementia. ⋯ The 5-item NORD scale showed acceptable accuracy comparable with those of more extensive scales in other studies. It is easy and quick to administer and can be used for screening of depression in NH residents with or without dementia.
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We aim to explore how health surrogates of patients with dementia proceed in decision making, which considerations are decisive, and whether family surrogates and professional guardians decide differently. ⋯ Both the process and outcome of surrogate decision making depend heavily on whether the surrogate is a relative or not. These findings have implications for the physician-surrogate relationship and legal frameworks regarding surrogacy.
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Int J Geriatr Psychiatry · Sep 2012
Letter Randomized Controlled TrialRivastigmine in the treatment of postoperative delirium: a pilot clinical trial.
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Int J Geriatr Psychiatry · Sep 2012
Randomized Controlled TrialMemantine for late-life depression and apathy after a disabling medical event: a 12-week, double-blind placebo-controlled pilot study.
Preclinical data suggests that memantine, a noncompetitive glutamate N-methyl- D-aspartate-receptor blocker used for the treatment of moderate to severe Alzheimer's disease, could reduce depressive and amotivated behavior occurring in the context of psychosocial stress. Therefore, we examined whether memantine could reduce depressive symptoms and amotivation manifesting in older adults after a disabling medical event, thereby improving their functional recovery. ⋯ Memantine was not associated with superior affective or functional outcome compared with placebo in medically rehabilitating older adults with depressive and apathy symptoms.