Why are people in nursing homes depressed?

Health on the decline Poor health causes mobility problems and pain. In turn, pain and mobility problems reduce residents' quality of life and cause symptoms of depression and anxiety. Depression is the second most common psychiatric illness among older people. Up to 30% of nursing home residents have mild or severe depression.

While depressive disorders in old age can be improved and even cured with appropriate therapy, they often go unnoticed by nursing home residents and go untreated. This highlights a surprising deficit in medical care and could result not only in a lower quality of life among those affected, but also in physical malfunction, premature mortality and increased hospitalization rates. There are several reasons for this. People who live in residential care facilities for the elderly often have complex care needs, making it difficult to identify depression, as emotional symptoms are confused with those of other conditions.

Older people are also less likely than younger people to recognize their own symptoms, often attributing them to normal aging. The results of an RCT on the effectiveness of the Dutch program “Act in Case of Depression” (AiD) represent one of the few records of a program for the treatment of depression in non-demented residents of nursing homes. Depression is one of the most common psychiatric disorders among older adults, and depressed nursing home residents are at a particularly high risk of diminishing quality of life. In conclusion, depression was common among nursing home residents, especially those living in high-altitude regions.

Depression is a widespread psychiatric disorder in nursing homes; it has a negative impact on quality of life and affects more than a fifth of nursing home residents. Evidence of fidelity to the treatment of BE-ACTIV, a behavioral intervention for depression in nursing homes. Case managers are nurses who have been selected by the management of the respective nursing homes and who have been trained for this role before the intervention begins. Comparison of sleep disorders among nursing home residents in high and low altitude areas.

The recruitment of participants and the implementation of the intervention will be carried out in 10 outpatient centers for the elderly with a total of more than 1,250 care places. In general, 10 nursing homes (about 1,250 care places) are included, which are randomly allocated to three groups of groups. In Germany, in addition to the structural obstacles typical of a fragmented and decentralized health system, the proper treatment of depression in nursing home residents is complicated by certain legal conditions and guidelines. Second, since only one public nursing home at low altitude (Guangzhou) and three public nursing homes in high-altitude regions (Qinghai) were included, the findings could not be generalized to those living in other settings.

The objectives are to establish this basic intervention as part of the daily nursing routine and to encourage everyday colleagues and other nurses to use it once the intervention is finished. Of a total of 657 nursing home residents invited to participate in the study, 632 (425 in low-altitude regions and 207 in high-altitude regions) met the study criteria and completed the evaluations during the study period, yielding a participation rate of 96.2%. One of these obstacles is the high threshold for licensed psychotherapists to provide and bill psychotherapeutic treatments in nursing homes. The complex support and care requirements of depressed older adults in nursing homes demand the development and implementation of innovative clinical and organizational models that can ensure the early identification of the disorder and high-quality multidisciplinary services to treat it.

While depressive illnesses in old age can be easily treated, they often go unnoticed and are not treated in nursing home residents. .