Frail older person Health Dictionary

The individual with this psychiatric disorder has two or more di?erent personalities, often contrasting. The dominant personality at the time determines the behaviour and attitude of the individual, who customarily seems not to know about the other personality – or personalities. The switch from one personality to another is abrupt and the mental condition of the di?ering personalities is usually normal. It is possible that child abuse is a factor in the disorder, which is treated by psychotherapy. The classic multiple personality was the ?ctional form of Dr Jekyll and Mr Hyde.... multiple personality disorder

Impulsive, destructive behaviour that often disregards the feelings and rights of others.

People who have an antisocial personality lack a sense of guilt and cannot tolerate frustration.

They may have problems with relationships and are frequently in trouble with the law.

Behaviour therapy, and various forms of psychotherapy, may help to improve integration.

In general, the effects of this disorder decrease with age.... antisocial personality disorder

The sum of a person’s traits, habits, and experiences.

Temperament, intelligence, emotion, and motivation are important aspects.

The development of personality seems to depend on the interaction of heredity and environment.... personality

Condition in which the individual fails to learn from experience or to adapt to changes. The outcome is impaired social functioning and personal distress. There are three broad overlapping groups. One group is characterised by eccentric behaviour with paranoid or schizoid overtones. The second group shows dramatic and emotional behaviour with self-centredness and antisocial behaviour as typical components of the disorder. In the third group, anxiety and fear are the main characteristics, which are accompanied by dependency and compulsive behaviour. These disorders are not classed as illnesses but psychotherapy and behavioural therapy may help. The individuals affected are notoriously resistant to any help that is o?ered, tending to blame other people, circumstances or bad luck for their persistent diffculties. (See MENTAL ILLNESS; MULTIPLE PERSONALITY DISORDER; MUNCHAUSEN’S SYNDROME.)... personality disorder

Specially trained and licensed (when necessary) people in occupations that support and supplement the functions of health professionals. For the older population, such health personnel may include home health workers and nursing assistants. See also “auxiliary worker”.... allied health personnel

Disabled persons in the United Kingdom have a range of services and ?nancial support available to help them to lead as normal and active a life as possible. O?cially, the disabled include those with signi?cant impairment of any kind, including impairment of sight and hearing, learning diffculties, and chronic illness as well as disablement due to accidents and the like.

Social services are provided by local-authority social-services departments. They include: practical help in the home (usually through home helps or aids to daily living); assistance in taking advantage of available educational facilities; help with adaptations to the disabled person’s house; provision of meals (‘Meals on Wheels’ or luncheon centres); and help in obtaining a telephone. Many of these facilities will involve the disabled person in some expense, but full details can be obtained from the local social-services department which will, if necessary, send a social worker to discuss the matter in the disabled person’s home. Owing to lack of funds and sta?, many local-authority social-services departments are unable to provide the full range of services.

Aids to daily living There is now a wide range of aids for the disabled. Full details and addresses of local o?ces can be obtained from: Disabled Living Foundation and British Red Cross.

Aids to mobility and transport Some car manufacturers make specially equipped or adapted cars, and some have o?cial systems for discounts. Details can be obtained from local dealers. Help can also be obtained from Motability, which provides advice.... disabled persons

All persons employed or contracted to provide health services.... health personnel

A person or animal that possesses specific previous antibodies or cellular immunity as a result of previous infection or immunisation, or is so conditioned by such previous specific experience as to respond adequately with production of antibodies sufficient to prevent illness following exposure to the specific infectious agent of the disease. Immunity is relative; an ordinarily effective protection may be overwhelmed by an excessive dose of the infectious agent or an unusual portal of entry.... immune person/animal

A person who harbours an infectious agent and who has either manifest disease or inapparent infection. An infectious person is one from whom the infectious agent can be naturally acquired.... infected person

A person who has reached a certain age that varies among countries but is often associated with the age of normal retirement.... older person

Persons aged 85 years and over in a categorization of “young old” (60-74) and “old old” (75-84).... oldest old person

The number of times a person is bitten by a vector mosquito, normally expressed as the number of bites per person per night.... person/vector contact

Assistance with those functions and activities normally associated with body hygiene, nutrition, elimination, rest and ambulation, which enables an individual to live at home or in the community.... personal care

See “care plan”.... personal care plan

A personality disorder that falls between neurotic and psychotic levels. Mood changes are often rapid and inappropriate. Angry outbursts are common, as are impulsive, self-damaging acts such as gambling or suicide attempts.... borderline personality disorder

See multiple personality.... dual personality

A rare disorder in which a person has 2 or more distinct personalities, each of which dominates at different times. The personalities are usually very different from each other.... multiple personality

Questionnaires designed to define various personality traits or types. Tests may be designed to detect psychiatric symptoms, underlying personality traits, how outgoing or reserved a person is, and predisposition to developing neurotic illness.... personality tests

(Hassk.) D. Chatterjee.

Synonym: S. Chelonoides (Linn. f.) DC. (now S. Colais). S. tetragonum A. DC.

Family: .

Habitat: Throughout India, especially in the moist regions.

English: Trumpet Flower, Yellow Snake tree.

Ayurvedic: Paatalaa, Paatali, Paata- lai, Krishna-vrantaa, Madhu-duuti,

Kaama-duuti, Ativallabhaa, Taam- rapushpi, Kuberaakshi. Amoghaa, Kumbhipushpi, Ambuvaasini. Copper-red-flowered var., known as Taamrapushpi, is equated with S. suaveolens (Paatalaa) and the white- flowered one with S. chelenoides. (Paatalai).

Siddha/Tamil: Paadiri.

Action: The Ayurvedic Pharmacopoeia of India recommends the root of Paatalaa in lipid disorders; the stem bark in oedema and retention of urine.

The white-flowered var. purifies blood, increases appetite and is prescribed for vomiting, hiccough, thirst, oedema and inflammatory chest diseases.

The copper-red-flowered var. is prescribed in difficult breathing, vomiting, oedema, flatus and high fever.

Ethanolic extract of the plant showed hypoglycaemic and anticancer activity experimentally.

A decoction of S. personatum root is prescribed for asthma and cough; of the leaves in chronic dyspepsia. A decoction of the root and leaves is credited with antipyretic properties. The bark exhibited antibacterial and antitubercular properties.

A decoction of S. suaveolens roots is prescribed for intermittent and puerperal fevers, inflammatory affections of the chest. Extracts of the plant contain lapachol.

The leaves of S. chelonoides contain a flavone, stereolensin. The bark gave an iridoid glycoside; the root bark gave n-triacontanol and beta- sitosterol; the root heartwood gave la- pachol, dehydro-alpha-lapachone and dehydrotectol. Ceryl alcohol, palmitic, stearic and oleic acids were isolated from the root. Lapachol exhibited cy- totoxic activity.

Dosage: Stem bark (white-flowered var.)—3-6 g powder. (API, Vol. IV.) Root (red-flowered var.)—5-10 g powder. (API, Vol. III.) more effective. Crude extract is used for filaria.

The Central Drug Research Institute, Lucknow, has developed an an- tifilarial drug from the crude extract of stem. The stem bark is reported to cure filarial lymphangitis, lym- phoedema, chyluria caused by filaria- sis.

Dosage: Stem bark—1-3 g powder. (API, Vol. III.)... stereospermum personatum

A group of conditions characterized by a failure to learn from experience or to adapt appropriately to changes, resulting in distress and impairment of social functioning. Personality disorders are ways of behaving that may become especially obvious during periods of stress. They are usually first recognizable in adolescence and continue throughout life, often leading to depression or anxiety.

Specific types of personality disorders are divided into 3 groups but there is often overlap. The 1st group is characterized by eccentric behaviour. Paranoid people show suspiciousness and mistrust of others, schizoid people are cold emotionally, and schizotypal personalities have behaviour oddities similar to those of schizophrenia, but less severe.In the 2nd group, behaviour tends to be dramatic. Histrionic people are excitable and constantly crave stimulation, narcissists have an exaggerated sense of their own importance (see narcissism), and people with antisocial personality disorder fail to conform to accepted social standards of behaviour.

People in the 3rd group show anxiety and fear. Dependent personalities lack the self-confidence to function independently (see dependence). Those with compulsive personalities are rigid in their habits (see obsessive–compulsive disorder), and passive-aggressive people resist demands from others.

Treatment is usually counselling, psychotherapy, and behaviour therapy.... personality disorders

Inability to relate socially to other people. People with this trait, which is apparent from childhood, are often described as “loners” and have few, if any, friends. They are eccentric, seem to lack concern for others, and are apparently detached from normal day-to-day activities.... schizoid personality disorder

A common term for multiple personality.

It is also used, incorrectly, to describe schizophrenia.... split personality

a type of *personality disorder characterized by excessive emotionality and attention-seeking, self-dramatization, inappropriately seductive behaviour, and an excessive need for approval. It affects more women than men. Classified as a specific personality disorder in DSM-IV-TR, in DSM-5 it is treated as a subtype of *narcissistic personality disorder.

HIV (human immunodeficiency virus) a *retrovirus responsible for *AIDS. There are two varieties, HIV-1 and HIV-2; the latter is most common in Africa. See also HTLV.... histrionic personality disorder

(PIP) a tax-free benefit replacing (from April 2013) *disability living allowance (DLA) for people aged 16–64 (DLA is still paid to children). It has two components – a daily living component (including help with washing, dressing, using the toilet, preparing and eating food, and taking medicines) and a mobility component (for help with walking).... personal independence payment

(in Britain) an Act providing for the identification and care of those suffering from a chronic or degenerative disease for which there is no cure and which can be only partially alleviated by treatment. Such people are usually distinguished from the elderly who may also suffer from chronic diseases. It is the responsibility of local authorities to identify those with such problems and to ensure that services are available to meet their needs. Identification can be difficult because of the lack of a clear and agreed definition of what constitutes a disability of such severity as to warrant inclusion in such a register.... chronic sick and disabled persons act 1970

a *personality disorder characterized by a tendency to act impulsively without consideration of the consequences, unpredictable and capricious mood, a tendency towards outbursts of emotion, inability to control behavioural explosions, quarrelsome behaviour, and conflict with others. There is an impulsive type, with particular emphasis on impulsivity and quarrelsome behaviour, especially when criticized; and a borderline type, with an emphasis on disturbance and uncertainty about self-image (including sexual preference), liability to become involved in intense and unstable relationships, excessive efforts to avoid abandonment, recurrent threats or acts of self-harm, and chronic feelings of emptiness. Treatments include cognitive analytical therapy (see cognitive therapy), *antipsychotic medication, and occasionally *SSRIs and *lithium. In DSM-5 the disorder is called borderline personality disorder.... emotionally unstable personality disorder

an approach to health care that focuses on the needs of the individual care user, rather than providing a standardized response to their condition. The patient is encouraged to take an active role in discussing a health-care plan that reflects their own needs, circumstances, and values.... person-centred care

n. a philosophical concept designed to determine which individuals have human rights and responsibilities. Personhood may be distinguished by possession of defining characteristics, such as consciousness and rationality, or in terms of relationships with others. Philosophers disagree on whether all humans are, or all nonhuman animals are not, persons, especially when debating the ethics of abortion, euthanasia, and human uses of animals. In law, corporations can be regarded as having personhood, when identifying their rights and responsibilities.... personhood

a personality characterized by solitariness, emotional coldness to others, inability to experience pleasure, lack of response to praise and criticism, withdrawal into a fantasy world, excessive introspection, and eccentricity of behaviour. See personality disorder.... schizoid personality

a personality disorder characterized by cold aloof feelings, eccentricities of behaviour, odd ways of thinking and talking, and occasional short periods of intense illusions, hallucinations, or delusion-like ideas.... schizotypal personality disorder

see battery.... trespass against the person