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Advance Nursing Practice 2018
J u n e 2 1 - 2 2 , 2 0 1 8
P a r i s , F r a n c e
Page 40
Journal of Nursing and Health Studies
ISSN 2574-2825
6 t h I n t e r n a t i o n a l C o n f e r e n c e o n
Advance Nursing Practice
Introduction: Psychotic depression in older adults is a severe and invalidating
disorder. In a residential acute psychiatric setting older patients with psychotic
depressionoftendonot drink, eat andaredehydratedandunderfed.The treatment
consists of a combination of (tricyclic) antidepressants and an antipsychotic or
electroconvulsive therapy. The monitoring of vital parameters and side effects of
medication is important and intensive. Furthermore, psychiatric nurses can play
an important role in conducting semi-structured interviews to rate the severity of
psychotic depression in older adults.
Purposes: The purpose of our study is to identify important nursing goals in
the treatment of psychotic depression in older adults, to establish the clinical
validity of rating of psychiatric nurses in relation to independent rating of a
senior psychiatrist and psychologist.
Methods: A qualitative analysis of electronic patients’ records. A clinical
validation of the psychotic depression assessment scale (PDAS).
Results: The analysis yielded important features for psychiatric nurses on four
core domains We included 62 older adults (mean age 74.2) and conducted semi-
structured interviews based on the psychotic depression assessment scale
(PDAS) at admission and every 3 weeks during admission. The PDAS showed
to be unidimensional with a Loevinger coefficient of 0.46, clinically valid with a
good to optimal correlation of the PDAS with the CGI-S (0.76) and the MADRS
(0.79) and responsive with a significant difference (p<0.001) between baseline
and endpoint scores in this sample of severely ill patients. The results will be
presented in detail.
Conclusion: Trained psychiatric nurses can play an important role in informing
clinical practice on the severity of psychotic depression.
Biography
Tom Vermeulen is a Master in Nursing Science and Researcher
(PhD) at the University Psychiatric Hospital of Duffel, Belgium.
He is Head of the admission ward for old age psychiatry, a ward
specialised in the treatment of severe and psychotic depression
in older adults. He translated the Psychotic Depression
Assessment Scale and validated it for Dutch and in older adults.
His main scientific focus is Cognition in Psychotic Depression
and the Potential Association with Emerging Dementia,
especially Vascular Dementia. His research at this moment is
A Longitudinal Study on Psychotic Depression and Cognition
that follows patients on cognition and depression severity for
18months. Heworks as an Advanced Practice Nurse in the field
of Old Age Psychiatry.
The role of psychiatric nurses in managing psychotic
depression in older adults
Tom Vermeulen
University Psychiatric Hospital Duffel – SINAPS, Belgium
Tom Vermeulen, J Nurs Health Stud 2018, Volume: 3
DOI: 10.21767/2574-2825-C3-008