Assessment and management of pathological and problem gambling among older adults.
The incidence of gambling among older adults has risen significantly over the last decade. Pathological and problem gambling disorders among older adults have devastating consequences including stress, alcohol abuse, loss of income and assets, treatment nonadherence, malnutrition, safety risks related to associated alcohol usage and financial losses, and increased psychiatric problems such as depression. This article reviews the theoretical frameworks and literature concerning gambling incidence, prevalence, behavior, diagnostic tools and interventional strategies for older adults, as well as nursing assessment, care planning, and management of gambling disorders.
Yale New Haven Hospital, Connecticut, USA.
Sherry
S
Lucke
Meredith
M
Wallace
D000368:Aged / Q000523:psychology; D017281:Cost of Illness; D039721:Diagnostic and Statistical Manual of Mental Disorders; D007174:Disruptive, Impulse Control, and Conduct Disorders / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology / Q000628:therapy*; D005715:Gambling / Q000523:psychology; D015577:Geriatric Assessment; D005851:Geriatric Nursing / Q000458:organization & administration; D006801:Humans; D015994:Incidence; D020407:Internet; D024802:Nurse's Role; D009730:Nursing Assessment; D009733:Nursing Diagnosis; D010347:Patient Care Planning; D010353:Patient Education as Topic; D015995:Prevalence; D011582:Psychological Theory; D012307:Risk Factors; D012944:Social Support; D014481:United States / Q000453:epidemiology