when a physician would write a prescription, the abbreviation “SIG” would be written which
was to mean directions. The
"E" CAPS was to remind the prescriber
nergy” capsules for depression (antidepressants).
Hence: SIG: E. CAPS
There, aren’t you glad you know that??
("SIG-E-CAPS") mnemonic explanation: this mnemonic can help you remember the vegetative signs that can be involved in depression.
|S leep changes: increase during day or decreased sleep at night|
|I nterest (loss): of interest in activities that used to interest them|
|G uilt (worthless): depressed elderly tend to devalue themselves|
|E nergy (lack): common presenting symptom (fatigue)|
|C ognition/C oncentration: reduced cognition &/or difficulty concentrating|
|A ppetite (wt. loss); usually declined, occasionally increased|
|P sychomotor: agitation (anxiety) or retardations (lethargic)|
|S uicide/death preocp.|
about the ELDERLY and depression.
DEPRESSED, ELDERLY ARE:
directly complain of depressed mood*
worthlessness, rather than guilt
psychomotor retardation or agitation
Age > 65 = 13% of pop. but commit 25% of suicides.
Risk factors for suicide: (living alone, male, alcoholism, comorbid physical illnesses)