Survey

Please indicate your profession:

Please indicate your profession: Consultant Pharmacist

VA Pharmacist

Director of Nursing

Nurse

Other (please specify)

Please rate your level of agreement with the following:

	Strongly Agree 6	5	4	3	2	Strongly Disagree 1
When assessing an older patient for depression, it is most helpful to interview family members separately	When assessing an older patient for depression, it is most helpful to interview family members separately Strongly Agree 6	When assessing an older patient for depression, it is most helpful to interview family members separately 5	When assessing an older patient for depression, it is most helpful to interview family members separately 4	When assessing an older patient for depression, it is most helpful to interview family members separately 3	When assessing an older patient for depression, it is most helpful to interview family members separately 2	When assessing an older patient for depression, it is most helpful to interview family members separately Strongly Disagree 1
A clinician should try to determine whether an older patient has depression, anxiety, or both, since this diagnosis will influence the treatment	A clinician should try to determine whether an older patient has depression, anxiety, or both, since this diagnosis will influence the treatment Strongly Agree 6	A clinician should try to determine whether an older patient has depression, anxiety, or both, since this diagnosis will influence the treatment 5	A clinician should try to determine whether an older patient has depression, anxiety, or both, since this diagnosis will influence the treatment 4	A clinician should try to determine whether an older patient has depression, anxiety, or both, since this diagnosis will influence the treatment 3	A clinician should try to determine whether an older patient has depression, anxiety, or both, since this diagnosis will influence the treatment 2	A clinician should try to determine whether an older patient has depression, anxiety, or both, since this diagnosis will influence the treatment Strongly Disagree 1
Older patients should be titrated to no more than 1/2 the usual effective dose of the appropriate medicaiton	Older patients should be titrated to no more than 1/2 the usual effective dose of the appropriate medicaiton Strongly Agree 6	Older patients should be titrated to no more than 1/2 the usual effective dose of the appropriate medicaiton 5	Older patients should be titrated to no more than 1/2 the usual effective dose of the appropriate medicaiton 4	Older patients should be titrated to no more than 1/2 the usual effective dose of the appropriate medicaiton 3	Older patients should be titrated to no more than 1/2 the usual effective dose of the appropriate medicaiton 2	Older patients should be titrated to no more than 1/2 the usual effective dose of the appropriate medicaiton Strongly Disagree 1

Please respond to the following case:

Ms. A, a frail 87 yo patient, underwent outpatient cataract surgery 2 weeks ago and returned to her LTC facility. Following the surgery, she was diagnosed with retinopathy, and she was told that her condition will not likely respond to treatment. She has been described by the LTC staff as having "lost interest" in life.

Please indicate your level of agreement or disagreement with the following statements with regard to this patient:

	Strongly Agree 6	5	4	3	2	Strongly Disagree 1
The time elapsed since the onset of her mood change is not long enough to warrant treatment for depression	The time elapsed since the onset of her mood change is not long enough to warrant treatment for depression Strongly Agree 6	The time elapsed since the onset of her mood change is not long enough to warrant treatment for depression 5	The time elapsed since the onset of her mood change is not long enough to warrant treatment for depression 4	The time elapsed since the onset of her mood change is not long enough to warrant treatment for depression 3	The time elapsed since the onset of her mood change is not long enough to warrant treatment for depression 2	The time elapsed since the onset of her mood change is not long enough to warrant treatment for depression Strongly Disagree 1
A change in mood would be exprected in a patient with a recent diagnosis of retinopathy, and no immediate treatment is necessary	A change in mood would be exprected in a patient with a recent diagnosis of retinopathy, and no immediate treatment is necessary Strongly Agree 6	A change in mood would be exprected in a patient with a recent diagnosis of retinopathy, and no immediate treatment is necessary 5	A change in mood would be exprected in a patient with a recent diagnosis of retinopathy, and no immediate treatment is necessary 4	A change in mood would be exprected in a patient with a recent diagnosis of retinopathy, and no immediate treatment is necessary 3	A change in mood would be exprected in a patient with a recent diagnosis of retinopathy, and no immediate treatment is necessary 2	A change in mood would be exprected in a patient with a recent diagnosis of retinopathy, and no immediate treatment is necessary Strongly Disagree 1
Ms. A should be started on a low dose antidepressant	Ms. A should be started on a low dose antidepressant Strongly Agree 6	Ms. A should be started on a low dose antidepressant 5	Ms. A should be started on a low dose antidepressant 4	Ms. A should be started on a low dose antidepressant 3	Ms. A should be started on a low dose antidepressant 2	Ms. A should be started on a low dose antidepressant Strongly Disagree 1

Thank you for completing the survey. Once you click "done" your results will be submitted and you will be taken to the post-test and evaluation.