RÉSUMÉ
Variables associated with successful completion of guardianship applications for elderly patients were identified. Thirteen patients for whom applications were approved were compared with 26 whose applications did not reach the court. Patients for whom the process was successful scored significantly higher on the anergia-depression subscale of the Brief Psychiatric Rating Scale and had significantly more medical conditions in the past year. A survey of next of kin revealed that the process had a much better chance of success when the unit social worker made the guardianship recommendation and when family members were given more information about the taxing and time-consuming process of obtaining guardianship.
Sujet(s)
Personne âgée fragile/psychologie , Tuteurs légaux , Capacité mentale/législation et jurisprudence , Sujet âgé , Sujet âgé de 80 ans ou plus , Démence/diagnostic , Démence/psychologie , Trouble dépressif/diagnostic , Trouble dépressif/psychologie , Femelle , Humains , Mâle , Adulte d'âge moyen , Motivation , TexasRÉSUMÉ
This article summarizes the current theories regarding the locations and functions of the three primary frontal lobe circuits. It forms the framework for structuring functional magnetic resonance imaging investigations. It can be used to assist in (a) detecting subtle lesions of the frontal circuits and (b) applying the current theories of neuropsychiatry to assess prognosis and to plan rehabilitation.
Sujet(s)
Cartographie cérébrale , Lobe frontal/physiologie , Imagerie par résonance magnétique , Réseau nerveux/physiologie , Encéphalopathies/anatomopathologie , Encéphalopathies/physiopathologie , Lobe frontal/anatomopathologie , Humains , Réseau nerveux/anatomopathologie , Troubles neurocognitifs/anatomopathologie , Troubles neurocognitifs/physiopathologie , PronosticRÉSUMÉ
Akinetic mutism is characterized by alertness with near complete absence of volitional activity. The authors report a case of episodically remitting akinetic mutism following subarachnoid hemorrhage.