Even with under reporting, approximately 5% of elder women are likely abused to the point where they seek medical attention at least annually. These women are often well-known in their communities, so when they come into the emergency room with some story of malady, they know everyone will want to about what happened. In some cases, the trend is becoming more supportive, though. As educational programs transend economic barriers; more rural women are believed to have access to community services that are less than judgemental. They may have to travel to the next community, but there are still services that will, at the very least, intercede and find them a safer environment. This research concludes, based on qualitative and literature analysis, that it is even more difficult for rural women to get into the system. The women who go to their local clinics or Regional Medical Centers are seriously enough hurt that medical attention was required, nnot donated. and, because of their pyschologically vulnerable state, they are also more at risk for HIV infection middle aged urban women (Sormanti & Shibusawa, 2008).
Most of the studies under review point out that there are a number of disconnects in rural areas regarding agencies that will work with the elderly on issues such as this. Research shows that older people actually respond quite well to traditional practice intervention; but that is not always possible in a robust way within rural America. There are, however, resources that may be provided for older people, regardless of demographic or psychographic issues, that will at least help elders get some care (Roberts, 2007).
Finally, we must not forget the thousands of elder rural Americans who, while not necessarily part of a drastic physical abuse situation, are, in fact, part of a psychological depressive issue and, because of finances, stigma from rural communities and health professionals, and fear of exclusion, do not get the care they need. Depression is often difficult to diagnose, and the health care industry contributes to the overlooking of depression in the elderly because of the overwhelming desire to keep costs down. The factors of depression are open for interpretation, which results in different doctors looking for different things. In addition to that, elderly people may not exhibit the traditional symptoms of depression. Aged individuals may have symptoms of depression that go unnoticed due the fact that those symptoms are being attributed to a different ailment. In addition, there appear to be a few fundamental differences between depression in the young and old. Elderly people tend to have more ideational symptoms, which are related to thoughts, ideas, and guilt. Elderly depressed individuals are also more likely to have psychotic depressive and melancholic symptoms such as anorexia and weight loss. Finally, older people tend to have more anxiety present in their depression than younger patients. For the elderly, as with other population groups, depression is far more common than initially thought. Depression is an illness just like any other one, and it should be treated as soon as possible. Depression is diagnosed when a person has the depression symptoms for over two weeks. The two main ways two treat it are; drug therapy, which antidepressant medication is given, and psychotherapy, where psychotherapist use different types of therapy, including cognitive behavior, and others to treat depression (Bergeron & Gray, 2003). Both antidepressants and psychotherapy are about equally effective in treating mild, moderate and even severe depression. The treatments are given to people depending on what the person want to take or what the doctor suggests. Antidepressants and psychotherapy both have their advantages and disadvantages, and the people that suffer from depression select what is best for them (Zalaquett & Stens, 2006).
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