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click here to go to the Contents page of The Merck Manual of Geriatrics
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Section 1. Basics of Geriatric Care
Chapter 5. Prevention of Disease and Disability
Topics:    Introduction | Prevention of Disease | Prevention of Frailty | Prevention of Accidents | Prevention of Iatrogenic Complications | Prevention of Psychosocial Problems

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Prevention of Psychosocial Problems

Depression screening is recommended because depression is common among the elderly. Screening is relatively easy; several instruments do not require a physician for administration. For patients who feel lonely or isolated, social worker assistance to increase social contacts may prevent morbidity and postpone death. For those who are depressed, appropriate intervention with counseling or drugs is warranted.

A sense of self-worth may contribute to better health. Remaining productive, engaging in leisure activities, and feeling needed by someone enhance self-worth. Obtaining a pet, contributing to household chores, or doing volunteer work or other activities that confirm a sense of social connectedness may help prevent psychosocial problems (and physical disability).

This topic was last updated July 2005.

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