Inquiry into Clinical Practice: Depression in Aged Care Residents

This project investigates the components that contribute to depression among elderly individuals residing in aged care settings, addressing the clinical question of identifying these factors. The research utilizes two qualitative articles, focusing on biopsychosocial factors, including mood disorders, demographics, physical health, and functional disability. The study highlights the prevalence of depression in aged care, referencing statistics from Australia, and emphasizes the importance of high-quality care. The search strategy includes keywords such as "depression," "illness," and "disability," with databases like CINANIL and Cochrane Library used to gather evidence. Limitations include the cross-sectional methodology and the geographic specificity of some studies. The findings indicate that reduced autonomy, social support, and physical health are significant factors. The project recommends improved communication among healthcare professionals and stronger connections between residents and their environment to prevent and treat depression, advocating for systematic care practices. References include studies by Davison et al. (2012) and Hsiao and Chen (2018), supporting the importance of comprehensive care approaches for this vulnerable population.

BACKGROUND:
Depression is one of the common disease in residential aged care setting. This
study aids to examine the relationship between the depression and multiple
bio-psychological factors of the aged care facilities. It is crucial to provide high
quality care to the people associated with depression. Hence, clinical
psychology determine the various presence factors as mood disorder, and a set
of scales related to
demographics, depressive symptoms, physical health, functional disability etc.
Depression to residential aged people is one of the common issues in Australia.
Thus, 45% of the people will experience a mental health condition in their
lifetime. Therefore, poster will provide the two qualitative articles to address
the same issues.
The search strategy:
The present research was based on accessing the evidence regarding the
depression. Both the taken articles are in English language only. Therefore,
the keywords to both the articles are as depression, illness, disability, longer
term care etc. Hence, CINANIL, Cochrane library, JBI database of systemic
review is used in terms address the bio-psychological factors relates with
depression in aged care residents. The main object is to find out the factors
that cause With Depression Among Elderly Residents of Care Settings.
Limitation: In present study findings are limited to the cross sectional
methodology. Hence, Davison, and et.al., (2012), Sample size of 50 aged care
resident has been taken who are diagnosed with major depressive disorder.
Under, Hsiao and Chen, (2018) this study has conducted in Taiwan so it can
be generalised around the world.
Summary:
In order to conduct the research, the total 50 articles has discovered in
which the most significant part of them was about the peer reviewed.
Hence, to carry out the research effectively the two qualitative article has
selected in terms to determine components contribute to depression among
elderly people in residential aged care setting. Therefore, it can be
interpreted that two main barrier under this that has identified in terms to
depression is about the quality of the care. As per the Davison, and et.al.,
(2012) stated that depressed older adults in residential facilities often
present with the lowered level of autonomy, self acceptance, purpose in life
and perceived personal growth. Under this, the small number of the study
also examined the role of social care in aged care setting. This study also
aids to find out that the depression most commonly found in the widows,
divorced and separated partners. Therefore, Hsiao and Chen, (2018) stated
that 24.5% of the resident was very much depressed. Therefore, the factors
as physical mobility and self accessed health status were significantly
enhanced. Thus, this articles also stated that the with the establishment of
the strong connection between the elderly care setting residents and
effective neighboured environment can aids to prevent the depression.
Furthermore, this articles also argued about the late life depression that has
linked with the number of negative outcomes relates with the poor
cognitive function and decreased quality of life.
References-
Morley, J.E. and Kraenzle, D., 1994. Causes of weight loss in a community nursing home. Journal of the American Geriatrics Society. 42(6). pp.583-585.
Prieto-Flores and et.al., 2011. Residential satisfaction, sense of belonging and loneliness among older adults living in the community and in care
facilities. Health & Place. 17(6). pp.1183-1190.
Recommendation :
 Davison, and et.al., (2012) stated that enhancement in the understanding opf the
depression among the aged care residents than traditional risk factor such as medial
illness and disability aids to prevent and treat depression in aged care setting.
 The communication between the health care professional must be avoided so that can not
create any conflict and misunderstanding.
 Hsiao and Chen, (2018) stated that with building strong connection between the elderly
care setting residents and proper neighbourhood environment aids to prevent depression.
Bottom line statement:
Effective depression care to the aged care residents must incorporate prescribed practices such as
systematisation process so that individuals can have effective quality care. Thus, staff and health
professional must have proper communication.
Depression among elderly people in residential aged
care setting.
Clinical
Question:
What are the components contribute
to depression among elderly people
in residential aged care setting?

References:
Davison, T.E., McCabe, M.P., Knight, T. and Mellor, D., 2012. Biopsychosocial factors related to depression in aged care residents.
Journal of affective disorders. 142(1-3). pp.290-296.
Hsiao, Y.C. and Chen, C.Y., 2018. Exploring Individual, Family, and Extrafamilial Factors Associated With Depression Among
Elderly Residents of Care Settings. The International Journal of Aging and Human Development. 86(3). pp.219-241.