[Rejection of Care (Nursing or Medication) in Elder Psychiatric Patients].

Psychiatr Prax 2016 Jul 9;43(5):260-4. Epub 2015 Jul 9.

Klinik für Psychiatrie, Psychotherapie und Psychosomatik, Vivantes Klinikum Hellersdorf, Berlin.

Objective: Rejecting nursing or medication is an increasing challenge for professional care in elderly people.

Methods: This explorative study was part of the Gerontopsychiatry study Berlin (Gepsy-B), an investigation of the data of all older inpatients (≥ 65 years) admitted to a psychiatric hospital within 3 years (1266 admissions).

Results: 150 cases (11.8 %) rejected care. 94 (7.4 %) refused nursing and 89 (7.0 %) medication intake. 79.3 % of them suffered from organic brain diseases, particularly from delirium superimposed on dementia (ICD-10 F05.1). Nursing was more often rejected by older and more severely cognitive impaired patients, while refusal of medication was associated with delusions.

Conclusions: Resisting nursing and refusing medication are 2 separate behavioral syndromes that may also occur together.

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Source
http://dx.doi.org/10.1055/s-0035-1552686DOI Listing
July 2016

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