Practice overview
Person-centered, function-informed care
Assessment often depends on longitudinal history, collateral information, medication reconciliation, cognitive and functional evaluation, and close coordination across medical and community settings.
- Care model
- Interdisciplinary, person-centered, and caregiver-inclusive
- Typical pace
- Deliberate longitudinal assessment with rapid response to acute change
- Population
- Older adults across home, outpatient, hospital, and residential settings
Common presentations
- Late-life depression, anxiety, grief, psychosis, and sleep disturbance
- Mild or major neurocognitive disorder with behavioral or psychological symptoms
- Acute confusion, fluctuating attention, agitation, falls, or functional decline
PMHNP priorities
- Distinguish delirium, neurocognitive disorder, depression, and medication or medical effects
- Assess cognition, function, safety, capacity, supports, and caregiver burden
- Use cautious prescribing, nonpharmacologic strategies, and shared goals of care
Care team
PMHNPs, geriatric psychiatrists, primary care and geriatric clinicians, neurologists, nurses, pharmacists, therapists, social workers, rehabilitation clinicians, caregivers, and community aging services.