Op-074 Inability To Lead An Independent Life And Depression Among Geriatric Patients In A General Practice

Ramanayake R. (Pallewela)
Introduction: With normal ageing there is a decline in function at cellular, tissue and organ level in general. Decline in function may affect activities of daily living (ADL) leading to dependence. Study was carried out to see the relationship between inability to lead an independent life and depression.
Methodology: Descriptive cross sectional study was carried out in a general practice and all the geriatric patients who consulted the general practitioner during a period of 2 months were recruited for the study. Their ability to lead an independent life was determined by assessing ADL using a structured questionnaire. Presence or absence of depression was determined using DSM 4 criteria.
Results: 127 geriatric patients consulted during the study period. Not a single ADL was impaired in 44% of the patients while others had problems with ADLs in the following manner: walking 53%, Bathing 23%, Eating 14%, toileting 7.6%, dressing 4.3%. Three or more activities were impaired in 12% of the study sample. Fifty seven percent of the patients having 3 or more ADL impairment were found to have depression.
Conclusion: Statistically significant relationship was found between inability to lead an independent life and depression. General practitioners should look out for depression when geriatric patients have impairment of ADL and consider ADL when they are found to have depression.
Inability to lead an independent life and depression among geriatric patients in a general practice