Dimensions of Depression in the Dynamics of Recovery of Elderly Patients with Post-Traumatic Sequelae
DOI:
https://doi.org/10.18662/rrem/17.1/950Keywords:
elderly, post-traumatic recovery, holistic approach to the patient, depressionAbstract
Background: Any physical trauma, regardless of the chronological age reference, involves the restructuring of psychological functionality, both cognitively and emotionally. The older the age at which physical injuries with post-traumatic sequelae occur, the more the context of mental life is affected in a manner that leads to the development of post-traumatic stress disorder. One of the premises of this research is that the integrated physical and psychological approach of the patient in post-traumatic recovery for elderly patients allows the improvement of their attitude toward the traumatic situation, implicitly activating the patient and reducing the depressive factor, in addition to increasing their awareness of their own body in the recovery process. Results: The experimental group consisted of 35 subjects, who scored a total of 376 points in the initial phase and 178 points in the final phase, resulting in a difference of 198 points between the two phases of testing. The control group also consisted of 35 subjects, who scored 339 points in the initial phase and 298 points in the final phase, with a difference of 41 points between the two phases. Conclusions: Given this, collaboration among doctors, physical therapists, and psychologists becomes essential in the physical recovery process for elderly patients. Reconnecting the individual with their inner self, encouraging voluntary engagement, and identifying personal strengths and past achievements can provide realistic new frames of reference.
References
Ababei, R. I., Ababei, C. P., Cotîrlet, A. A., & Miron, M. I. (2019). Study regarding the use of hypocaloric-hypolipidemic and hypoglucidic diet and physical exercise to decrease body mass in adults over 50 years old. Scientific Study & Research. Chemistry & Chemical Engineering, Biotechnology, Food Industry, 20(4), 627-638. https://pubs.ub.ro/dwnl.php?id=CSCC6201904V04S01A0011
Alexander, B. H, Rivara, F. P, Wolf, M. E. (1992). The cost and frequency of hospitalization for fall-related injuries in older adults. American Journal of Public Health. 82 (7), 1020–1023. https://ajph.aphapublications.org/doi/pdf/10.2105/AJPH.82.7.1020
Anthony, W. A. (1993). Recovery from mental illness: The guiding vision of the mental health service system in the 1990s. Psychosocial Rehabilitation Journal, 16(4), 11–23. https://doi.org/10.1037/h0095655
Barak, Y., Neehoff, S., & Glue, P. (2020). Ageing badly: indicators of old-age structure in Australia and New Zealand. Journal of Primary Health Care, 12(3), 272–276. https://doi.org/10.1071/HC19095
Bisson, J., & Andrew, M. (2005). Psychological treatment of post-traumatic stress disorder (PTSD). The Cochrane database of systematic reviews, 18(2), CD003388. https://doi.org/10.1002/14651858.CD003388.pub2
Blaszczynski, A., Gordon, K., Silove, D., Sloane, D., Hillman, K., & Panasetis, P. (1998). Psychiatric morbidity following motor vehicle accidents: a review of methodological issues. Comprehensive psychiatry, 39(3), 111–121. https://doi.org/10.1016/s0010-440x(98)90069-4
Cuijpers, P., Driessen, E., Hollon, S. D., van Oppen, P., Barth, J., & Andersson, G. (2012). The efficacy of non-directive supportive therapy for adult depression: a meta-analysis. Clinical psychology review, 32(4), 280-291. https://doi.org/10.1016/j.cpr.2012.01.003
Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975). "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. Journal of psychiatric research, 12(3), 189–198. https://doi.org/10.1016/0022-3956(75)90026-6
Gerasch, A., Faber, D., Küntzer, J., Niermann, P., Kohlbacher, O., Lenhof, H. P., & Kaufmann, M. (2014). BiNA: a visual analytics tool for biological network data. PloS one, 9(2), e87397. https://doi.org/10.1371/journal.pone.0087397
Guze, S. B. (1995). Diagnostic and statistical manual of mental disorders, (DSM-IV). American Journal of Psychiatry, 152(8), 1228-1228.https://doi.org/10.1176/ajp.152.8.1228
Haagsma, J., Polinder, S., Toet, H., Panneman, M., Havelaar, A., Bonsel, G. (2011). Beyond the neglect of psychological consequences: post-traumatic stress disorder increases the non-fatal burden of injury by more than 50%. Injury Prevention 17(1), 21–26. https://doi.org/10.1136/ip.2010.026419
Hadjistavropoulos, T., Delbaere, K., Fitzgerald, T. D. (2011). Reconceptualizing the role of fear of falling and balance confidence in fall risk. Journal of Aging and Health, 23(1), 3–23. https://doi.org/10.1177/0898264310378039
Jørstad, E. C., Hauer, K., Becker, C., Lamb, S. E., & ProFaNE Group. (2005). Measuring the psychological outcomes of falling: a systematic review. Journal of the American geriatrics society, 53(3), 501-510.https://doi.org/10.1111/j.1532-5415.2005.53172.x
Khatiban, M., Shirani, F., Oshvandi, K., Soltanian, A. R., & Ebrahimian, R. (2018). Orem’s self-care model with trauma patients: a quasi-experimental study. Nursing science quarterly, 31(3), 272-278.https://doi.org/10.1177/0894318418774876
Kleiven, S. (2020). Hip fracture risk functions for older adult/adults men and women in sideways falls. Journal of Biomechaniics. 105. https://doi.org/10.1016/j.jbiomech.2020.109771
Lach, H. W. (2005). Incidence and risk factors for developing fear of falling in older adults. Public Health Nursing 22(1), 45–52. https://doi.org/10.1111/j.0737-1209.2005.22107.x
Lazarus, R. S., Folkman, S. (1984). Stress, appraisal, and coping. Springer
Ledford, L. (1997). Research-based protocol: prevention of falls. Iowa City: University of Iowa Gerontological Nursing Intervention Research Center.
Mittal, D., Torres, R., Abashidze, A., & Jimerson, N. (2001). Worsening of post-traumatic stress disorder symptoms with cognitive decline: case series. Journal of geriatric psychiatry and neurology, 14(1), 17–20. https://doi.org/10.1177/089198870101400105
O'donnell, M. L., Bryant, R. A., Creamer, M., & Carty, J. (2008). Mental health following traumatic injury: toward a health system model of early psychological intervention. Clinical psychology review, 28(3), 387-406. https://doi.org/10.1016/j.cpr.2007.07.008
Quinn, T. J., Langhorne, P., & Stott, D. J. (2011). Barthel index for stroke trials: development, properties, and application. Stroke, 42(4), 1146–1151. https://doi.org/10.1161/STROKEAHA.110.598540
Qureshi, S. U., Long, M. E., Bradshaw, M. R., Pyne, J. M., Magruder, K. M., Kimbrell, T., Hudson, T. J., Jawaid, A., Schulz, P. E., & Kunik, M. E. (2011). Does PTSD impair cognition beyond the effect of trauma?. The Journal of neuropsychiatry and clinical neurosciences, 23(1), 16–28. https://doi.org/10.1176/jnp.23.1.jnp16
Sterling, D. A., O’connor, J. A., & Bonadies, J. (2001). Geriatric falls: injury severity is high and disproportionate to mechanism. Journal of Trauma and Acute Care Surgery, 50(1), 116-119. https://journals.lww.com/jtrauma/abstract/2001/01000/geriatric_falls__injury_severity_is_high_and.21.aspx
Teshler, L, Hobson, S. (2005). Fear of falling: a qualitative study among community-dwelling older adults. Physical & Occupational Therapy In Geriatrics, 23(4), 37–53. https://doi.org/10.1080/J148v23n04_03
Tinetti, M. E. (1986). Performance-oriented assessment of mobility problems in elderly patients. Journal of the American Geriatrics Society, 34(2), 119–126. https://doi.org/10.1111/j.1532-5415.1986.tb05480.x
Twamley, E. W., Allard, C. B., Thorp, S. R., Norman, S.B., Hami-Cissell, S., HughesBerardi, K., et al. (2009). Cognitive impairment and functioning in PTSD related to intimate partner violence. Journal of the International Neuropsychological Society, 15, 879–887. http://dx.doi.org/10.1017/S135561770999049X
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