Because a variety of medical
conditions can mimic depression in old age, a minimum
workup includes basic metabolic panel, complete blood count,
thyroid function tests, and serum vitamin B12 and folate
levels. Nutritional status is important to evaluate in the depressed
elder, especially the oldest old, given the risk for frailty
and failure to thrive in depressed elders.29,30 Laboratory tests
need not be repeated if they have been performed in the past
year, or since onset of depressive symptoms, whichever is
more recent. A review of current medications is also essential
because of the long list of medications that can cause symptoms
similar to those of depressive disorder. Unless a medication
is thought to definitively contribute to significant
depressive symptoms and safer alternatives are available,discontinuation of medications for other indications may not
be a viable option in this population, which often has significant
medical comorbidity.
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Omdat 'n verskeidenheid van Mediese
toestande Kan depressie naboots in die ouetehuis, 'n Minimum
workup Sluit Basiese metaboliese paneel, volledige bloedtelling,
skildklier funksie toetse, en serum vitamien B12 en folaat
vlakke. Voedingstatus is belangrik om te evalueer in die bedrukte
Elder, veral die oudste Ou, gegewe die risiko vir Fragiliteit
en onvermoë om te floreer in depressief Elders.29,30 laboratoriumtoetse
herhaal word indien nodig nie hulle is uitgevoer in die verlede
jaar, of sedert. aanvang van depressiewe simptome, wat ook al is
meer onlangs. 'N hersiening van die huidige medikasie is ook noodsaaklik
gevolg van lang lys van medikasie wat kan veroorsaak dat die simptome
soortgelyk aan dié van depressie. Tensy 'n Medikasie
is vermoedelik finaal bydra tot betekenisvolle
depressiewe simptome en veiliger alternatiewe beskikbaar is, staking van medikasie vir Ander aanduidings Mag Nie
'n lewensvatbare opsie in die bevolking, wat dikwels het beduidende
Mediese comorbiditeit.
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