End-of-life care in geriatric psychiatry

Elizabeth Goy, Linda Ganzini

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Depression, anxiety and delirium are relatively common during the final stages of terminal disease, and each can profoundly impact the quality of those last days for both patient and involved family. In this article the authors review the assessment and treatment of each syndrome in the context of palliative care for older adults. Treatment of mental disorders at the end of life warrants special consideration due to the need to balance the benefits of treatment against the potential burden of the intervention, especially those that might worsen quality of life. Dementia and the complications of depression and behavioral disturbance within dementia are also discussed. Finally, caregivers of dying patients are vulnerable to stress, depression, grief, and complicated bereavement. Interventions for caregivers who are debilitated by these states are briefly summarized.

Original languageEnglish (US)
Pages (from-to)841-856
Number of pages16
JournalClinics in Geriatric Medicine
Volume19
Issue number4
DOIs
StatePublished - Nov 2003
Externally publishedYes

Fingerprint

Geriatric Psychiatry
Terminal Care
Depression
Caregivers
Dementia
Bereavement
Grief
Delirium
Palliative Care
Mental Disorders
Therapeutics
Anxiety
Quality of Life

ASJC Scopus subject areas

  • Geriatrics and Gerontology

Cite this

End-of-life care in geriatric psychiatry. / Goy, Elizabeth; Ganzini, Linda.

In: Clinics in Geriatric Medicine, Vol. 19, No. 4, 11.2003, p. 841-856.

Research output: Contribution to journalArticle

Goy, Elizabeth ; Ganzini, Linda. / End-of-life care in geriatric psychiatry. In: Clinics in Geriatric Medicine. 2003 ; Vol. 19, No. 4. pp. 841-856.
@article{82e9a79e01984b0d8cfc1989ee430107,
title = "End-of-life care in geriatric psychiatry",
abstract = "Depression, anxiety and delirium are relatively common during the final stages of terminal disease, and each can profoundly impact the quality of those last days for both patient and involved family. In this article the authors review the assessment and treatment of each syndrome in the context of palliative care for older adults. Treatment of mental disorders at the end of life warrants special consideration due to the need to balance the benefits of treatment against the potential burden of the intervention, especially those that might worsen quality of life. Dementia and the complications of depression and behavioral disturbance within dementia are also discussed. Finally, caregivers of dying patients are vulnerable to stress, depression, grief, and complicated bereavement. Interventions for caregivers who are debilitated by these states are briefly summarized.",
author = "Elizabeth Goy and Linda Ganzini",
year = "2003",
month = "11",
doi = "10.1016/S0749-0690(03)00029-6",
language = "English (US)",
volume = "19",
pages = "841--856",
journal = "Clinics in Geriatric Medicine",
issn = "0749-0690",
publisher = "W.B. Saunders Ltd",
number = "4",

}

TY - JOUR

T1 - End-of-life care in geriatric psychiatry

AU - Goy, Elizabeth

AU - Ganzini, Linda

PY - 2003/11

Y1 - 2003/11

N2 - Depression, anxiety and delirium are relatively common during the final stages of terminal disease, and each can profoundly impact the quality of those last days for both patient and involved family. In this article the authors review the assessment and treatment of each syndrome in the context of palliative care for older adults. Treatment of mental disorders at the end of life warrants special consideration due to the need to balance the benefits of treatment against the potential burden of the intervention, especially those that might worsen quality of life. Dementia and the complications of depression and behavioral disturbance within dementia are also discussed. Finally, caregivers of dying patients are vulnerable to stress, depression, grief, and complicated bereavement. Interventions for caregivers who are debilitated by these states are briefly summarized.

AB - Depression, anxiety and delirium are relatively common during the final stages of terminal disease, and each can profoundly impact the quality of those last days for both patient and involved family. In this article the authors review the assessment and treatment of each syndrome in the context of palliative care for older adults. Treatment of mental disorders at the end of life warrants special consideration due to the need to balance the benefits of treatment against the potential burden of the intervention, especially those that might worsen quality of life. Dementia and the complications of depression and behavioral disturbance within dementia are also discussed. Finally, caregivers of dying patients are vulnerable to stress, depression, grief, and complicated bereavement. Interventions for caregivers who are debilitated by these states are briefly summarized.

UR - http://www.scopus.com/inward/record.url?scp=0345707534&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0345707534&partnerID=8YFLogxK

U2 - 10.1016/S0749-0690(03)00029-6

DO - 10.1016/S0749-0690(03)00029-6

M3 - Article

VL - 19

SP - 841

EP - 856

JO - Clinics in Geriatric Medicine

JF - Clinics in Geriatric Medicine

SN - 0749-0690

IS - 4

ER -