Continuing Medical Education
School of Medicine, UAB
   
Course Catalog
Back to Online Courses
Online CME Courses
Depression in the Elderly


Certified for 1 AMA PRA Category 1 Credit


Co-Sponsored by the University of Alabama School of Medicine
Division of Continuing Medical Education and
The Alabama Quality Assurance Foundation

Release Date: May 5, 2006
Expiration Date: May 5, 2009

TARGET AUDIENCE:
Primary care physicians

OBJECTIVES:
Upon completion of this CME activity, clinicians should be able to:
  • Recognize the symptoms comprising major depression
  • Recognize the co-morbid conditions that occur in the setting of depression in the elderly
  • Understand how the elderly differ in the presentation of depressive symptoms
Top of Page

SOURCE:
FACULTY:

William T. O'Byrne, MD
General Internist
Albuquerque, New Mexico

Top of Page

DISCLOSURE:
Dr. O'Byrne has no commercial affiliations to disclose.
Top of Page

CME PARTICIPATION:
To participate in this program for CME credit, please review the objectives before beginning the program. Take the course, complete the case questions and evaluation before May 5, 2009 to receive CME credit. Your certificate will then be available online. This process should take approximately 60 minutes.

ACCREDITATION:

The University of Alabama School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The University of Alabama School of Medicine designates this educational activity for a maximum of 1 AMA PRA Category 1 credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

The boards of nursing in many states, including Alabama, recognize Category 1 continuing medical education courses as acceptable activities for the renewal of license to practice nursing.

Top of Page

DISCLAIMER: 
Dosages, indications, and methods of use of any drug referred to in this online course may reflect the clinical experience of the authors, clinical literature, or other clinical resources. Therefore, please see the full prescribing information before using any product mentioned.

Case 1

BT is an 80 year old male with a past medical history of COPD, CAD, and HTN. You have been following him in your primary care clinic for approximately 5 years. During this visit, you learn that BT’s wife was killed in an accident approximately 4 months ago. Since that time, BT tells you that he has had recurrent thoughts of her death, has no appetite, and tells you, “I just want to die.” You review BT’s chart and note that his COPD is well-controlled with bronchodilators and anticholinergic medication; however, he recently was prescribed a prednisone taper (20 mg starting dose) for an acute exacerbation. His hypertension is well controlled and he had been exercising daily until the time of his wife’s death.

BT’s son is present during the interview and reveals that his father has become a recluse since his wife’s death. He tells you that his father no longer bathes on a regular basis and does not eat unless he or another family member brings food and helps him with preparing it. By contrast, prior to his wife’s death, the patient was considered to be an accomplished cook, and regularly had dinner parties for friends and family.

You then perform a physical examination which reveals a 10 pound weight loss since the last visit 6 months ago, but is otherwise normal. You also administer the mini mental-state examination; the patient scores 28 out of 30.

Top of Page

Case 1, Question 1 of 8

1. What is your working diagnosis of this patient's condition?

A. Alzheimer's dementia
B. Major depression
C. Metabolic delirium
D. Normal bereavement



Refer to Friend Refer to Friend