Bipolar Disorders

Older Adults with Bipolar Disorder: Guidelines for Primary Care Providers By: Tracey Sherrod, MSN, RN, ANP-C, GNP-BC; Ann Quinlan-Colwell, MS, RNC, AHN-BC, FAAPM; Theresa B. Lattimore, MSN, NP-C; Mona M. Shattell, PhD, RN; and Laurie Kennedy-Malone, PhD, GNPBC Parker Sherrod, T., Quinlan-Colwell, A., Lattimore, T., Shattell, M., & Kennedy-Malone, L. (2010, May). Older adults with bipolar disorder: Guidelines for primary care providers. Journal of Gerontological Nursing, 36(5), 20-29. *** Note: Figures may be missing from this format of the document *** Note: Slack, Inc. requests that interested viewers (Scholars and Researchers) understand that these articles can be accessed for their personal and reference use. The articles should not be reproduced in large quantities for distribution in classrooms or seminars without obtaining the rights from Slack Incorporated. They provide licensed reprints for distribution purposes for an appropriate fee

Abstract: The purpose of this article is to present evidence-based guide-lines to facilitate early diagnosis and appropriate treatment of older adults with symptoms of bipolar disorder. Assessment criteria, diagnostic tools, and interventions to optimize care of older adults with bipolar disorder—with a focus on implications for primary care providers—are described. Article: The U.S. Department of Health and Human Services (1999) reported that 44 million adults, or approximately 23% of the U.S. adult population, were diagnosed with a mental illness during a 1-year time frame, with symptoms continuing beyond 1 year in approximately 7% of those diagnosed. It is estimated that the number of older adults with a psychiatric disorder will grow to 15 million by the year 2030 (American Association for Geriatric Psychiatry, 2004). With a prevalence of 5% to 20%, dementia and depression are the most common psychiatric diagnoses in adults age 65 and older (Kennedy-Malone, Fletcher, & Plank, 2004). Older adults are not as likely as...