CONFUSING SYMPTOMS--A VIDEO FOR ELDERS & THEIR FAMILIES

晚年的身体症状并不总是反映自然过程 衰老或身体疾病的进展。因此必须 使老年人对身体体征和症状敏感， 潜在的情感问题准确及时地处理混淆 症状需要识别和有效沟通， 医生老年人的抑郁症尤其具有挑战性， 这方面：它经常被掩盖为一个躯体发作，其中大部分是 表现为合并症症状。 该SBIR的具体目标是 制作一盘指导录像带，帮助长者及其家人 发展技能，以识别某些症状的混淆性质， 以便于准确诊断的方式与医生沟通 和治疗。第一阶段的任务将包括： 视频的内容区域;（B）产生脚本;（c）审查 （d）按说明修改讲稿; (e)开发录像带的样本片段;（f）识别 （g）开发一个生产和评价系统， 第二阶段时间表。第11阶段结束时的产品将是 经过评估，教育录像带准备大规模生产， 第三阶段的分配。 拟定商业应用： 一套教育录影带，为长者及其家人提供 技能1）认识到一些身体症状的混乱性质 (e.g.,抑郁症掩盖为躯体投诉）和2）沟通 以便于准确诊断的方式， 治疗，可用于各种设置为老年人和 他们的家人。

Physical symptoms in later life do not always reflect the natural course of aging or progression of physical illness. Thus, it is important to sensitize older adults to physical signs and symptoms that indicate potential emotional problems. Accurate and timely treatment of confusing symptoms requires recognition and effective communication with physicians. Depression in older persons is particularly challenging in this regard: it is frequently masked as a somatic episode and much of it appears as comorbidity symptoms. The specific aim of this SBIR is to develop an instructional videotape to help elders and their families develop skills to recognize the confusing nature of some symptoms and to communicate with the doctor in a way that facilitates accurate diagnosis and treatment. Tasks during Phase I will include: (a) developing the content areas of the video; (b) producing a script; (c) review of the script by the Advisory Panel; (d) revision of the script as indicated; (e) developing a sample segment of videotape; (f) identifying distribution outlets; and (g) developing a production and evaluation schedule for Phase Il. The product at the end of Phase 11 will be an evaluated, educational videotape ready for mass production and distribution during Phase III. PROPOSED COMMERCIAL APPLICATION: An educational videotape to provide elders and their families with skills 1) to recognize the confusing nature of some physical symptoms (e.g., depression masked as somatic complaints) and 2) to communicate with the doctor in a way that facilitates accurate diagnosis and treatment which could be used in a variety of settings for elders and their family members.