title: Depression in Older Adults in Primary Care: An Integrative Approach to Care.
abstract: Depression in older adults is a problem often encountered in primary care. While depression is evident in all populations in the primary care setting, assessment and care are more complicated in the older adult due to factors such as comorbidities, clinical presentation, adverse drug effects and drug interactions, and psychosocial factors. Due to these complications, it is essential to incorporate both conventional and alternative methods in assessment and treatment. This article aims to define depression in older adults, present the epidemiology, discuss clinical presentation and screening, and offer an integrative approach to intervention, including both pharmacological and nonpharmacological methods. Providing holistic and integrative care to older adults diagnosed with depression in the primary care setting is essential to promote healing and recovery. This article aims to provide insight for nurses, nurse practitioners, and other providers regarding the holistic and integrative care of depression in older adults in the primary care setting.
authors: University of Pennsylvania, Philadelphia lilshe10@verizon.net.
authors: Sheila
authors: S
authors: Lill
mesh_terms: D000368:Aged; D000928:Antidepressive Agents / Q000008:administration & dosage; D015897:Comorbidity; D019033:Delivery of Health Care, Integrated; D003863:Depression / Q000188:drug therapy / Q000453:epidemiology / Q000451:nursing*; D018939:Holistic Nursing / Q000379:methods; D006801:Humans; D008875:Middle Aged; D010353:Patient Education as Topic; D011320:Primary Health Care; D012017:Referral and Consultation; D014481:United States / Q000453:epidemiology
chemical_list: D000928:Antidepressive Agents
keywords: integrative; nurses (advanced practice); older adults; psychosocial/mental health