Community psychiatric nursing and depression in elderly people

J Adv Nurs. 1992 Jan;17(1):34-42. doi: 10.1111/j.1365-2648.1992.tb01816.x.

Abstract

This paper invites community psychiatric nurses (CPNs) working with the elderly to examine their involvement with elderly people who are depressed. It does this by examining a selection of the more recent literature on the topic of depression in the elderly and discusses how this might inform and guide the CPN in his/her practice with this client group. Areas from within the literature which are examined in this paper are: the prevalence of depression in the elderly; problems of underdetection and undertreatment; classification; screening instruments; social factors in causation; prognosis following treatment; and psychological therapy. The literature is shown to have much to offer in aspects of CPN role such as: assessment and planning of care, including psychological therapy; liaison with, and education of, other professionals; screening; and primary prevention. The nursing literature of this CPN specialism, where it relates to depression, is also examined. Although developments in psychiatric services specifically for the elderly were mainly as a response to the illnesses causing dementia, this paper emphasizes that depression is the more common disorder in the elderly. It is suggested therefore that a CPN service should ensure that it is significantly orientated to the needs of this client group.

Publication types

  • Review

MeSH terms

  • Aged
  • Community Health Nursing / organization & administration*
  • Community Health Nursing / standards
  • Community Health Nursing / trends
  • Counseling
  • Depressive Disorder / epidemiology
  • Depressive Disorder / nursing*
  • Depressive Disorder / prevention & control
  • Health Services for the Aged / organization & administration*
  • Health Services for the Aged / standards
  • Health Services for the Aged / trends
  • Humans
  • Mass Screening
  • Prevalence
  • Prognosis
  • Psychiatric Nursing / organization & administration*
  • Psychiatric Nursing / standards
  • Psychiatric Nursing / trends