Welcome to the current issue of the Asian Journal of Research in Gerontological Nursing (AJRGN). This issue features cutting-edge research, insightful reviews, and compelling case studies that contribute to the field of gerontological nursing. We are proud to present a diverse array of articles that reflect the latest advancements in care for older adults.
Featured Articles in the Latest Issue
- Volume 2(Issue 2) JULY – DECEMBER 2025
Research Articles
Co-Creating Mental Health Solutions with Youth Experiencing Early-Stage Schizophrenia
Vol.2(2); Pages:1-9. Published on November 2025
Abstract
Dissatisfaction and unmet need is an incentive to the premature de-engagement of young adults recently diagnosed with schizophrenia. To fill this gap, in this study, service users were involved as co-designers to develop a smartphone-based solution that helps support their needs. The current paper marks the first step in a three-stage participatory design process to determine the extent of the needs of young adults with newly diagnosed schizophrenia and understand how digital tools can be designed to support those needs successfully. Methods: Using the participatory principles of design and the qualitative approach the data were gathered: 45 hours of participant observation and six semi-structured interviews with now participants in a first-episode psychosis program, located in Denmark. The participants demonstrated low health literacy and a high degree of being unsure how to deal with the diagnosis, and this fact shows an essential need to empower and provide individual attention. Six most important digital characteristics were found and this includes real-time guidance, recovery monitoring, symptom alerting, medication tracking, readily available health information, and immediate communication with medical practitioners. The adolescents and young people struggling with earlystage schizophrenia need multidimensional, adaptive tools that can help them rely on themselves and feel confident. The technology of a smartphone is a potentially beneficial platform to provide timely and personal sustainable support to improve engagement and recovery.
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A Case of Perampanel-Induced Psychosis in a Teenager with Intellectual Disability and Refractory Epilepsy
Vol.2(2); Pages:10-17. Published on November 2025
Abstract
Perampanel is a non-competitive rationale AMPA receptor antagonist and used as add-on maintenance treatment in individuals with unresponsive epilepsy, as it was demonstrated to be effective in the management of seizures. It does however have numerous benefits but increasingly it has also been associated with serious psychiatric side effects which include acute psychosis. In the described case unsettling acute-onset psychotic symptoms manifested in form of hallucinations, paranoia, and disorganized behavior happened to a 22-yearold woman with longstanding pharmacoresistant epilepsy shortly after the start of perampanel treatment. They were psychiatric in nature with the symptoms arising within two weeks after initiating the medication and disappearing fully after withdrawing the medication thereby suggesting that there is probable causal association. An indepth clinical assessment and literature review indicates that perampanel-induced psychosis is a serious issue, nevertheless this is a rare one and is more dangerous in patients with predisposing psychiatric histories. This case demonstrates that targeting prescribing of perampanel requires close psychiatric observation and personalized risk evaluation and therefore, clinicians should be cautious of the initial symptoms of the neuropsychiatric decompensation.
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Caregivers’ Perspectives on Supporting Loved Ones with Psychosis Triggered By Substance Use
Vol.2(2); Pages:18-27. Published on November 2025
Abstract
The SIPD is one of the conditions causing substantial problems to the patients and their relatives, who perform all the care duties in most cases. This paper will delve into both the emotional, psychological, and social effects of being a family caregiver to individuals with SIPD by examining their experiences. Themes of stigma, caregiver burnout, communication breakdown and difficulty in attaining mental healthcare became evident because of long-form qualitative interviews. Respondents stressed that more organized support systems are necessary, the issue of healthcare participation should be enhanced, and the level of awareness must be raised. The results reiterate how demanding SIPD care can be and support family-based comprehensive treatment planning.
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Psychotic Manifestations Triggered by Severe Hyperglycemia in a Female with Type 1 Diabetes: A Clinical Case Insight
Vol.2(2); Pages:28-34. Published on November 2025
Abstract
Metabolic disorders can lead to psychosis which is rarely reported as a neuropsychiatric complication of controlled diabetes. This case study presents a 23-year-old female with known Type 1 Diabetes Mellitus (T1DM) having developed acute psychotic symptoms on the background of severe hyperglycemia in the absence of diabetic ketoacidosis. She displayed persecutory delusions, visual hallucinations and disorganized behavior, which improved within few minutes of aggressive insulin therapy and fluid replacement. No previous mental history was mentioned. Laboratory and neuroimaging results excluded structural, infectious or toxic causes. It is also shown in this case how hyperglycemia may cause neuropsychiatric symptoms, and there needs to be additional consideration of metabolic causes to the differential diagnosis of acute psychosis. It is essential to early identify and correct metabolic imbalance to reverse the psychiatric symptoms and prevent the misdiagnosis and unnecessarily long-term antipsychotic therapy. Another issue brought to attention in the case is the necessity of intensive glycemic control and multidisciplinary approach to care in young patients with diabetes whose case is complicated by neuropsychiatric alterations.
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Re-evaluating the Biomedical Model of Psychosis: A Kuhnian Perspective on Paradigm Shift
Vol.2(2); Pages:35-43. Published on November 2025
Abstract
The given paper discusses the existing crisis in the biological paradigm of psychosis in the light of the theory of scientific revolutions formulated by Thomas Kuhn. Even though the neurochemical, genetic, and structural brain abnormalities have been explored over several decades, the biomedical model has failed to produce reliably clinically transformative data on psychosis causation and treatment. Indicators of these states of stagnation are associated with the symptoms of a Kuhnian paradigm in distress: they include increasing anomalies, conceptual disaggregation, and opposition to alternative models. Based on the historical as well as modern critiques, the paper states that the field of psychosis is heading towards scientific revolution where the psychosocial, phenomenological, and integrative perspectives might provide a more coherent picture. According to the analysis, dominant assumptions in psychiatry should be critically re-examined and be more open to interdisciplinary paradigms better explaining the context of lived experience and social circumstances.
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Epsom Salts and Hot Water Are Compared for Their Ability to Alleviate Joint Pain in Elderly Individuals in Coimbatore
Vol.2(2); Pages:44-53. Published on October 2025
Abstract
Degenerative joint diseases like osteoarthritis often affect older adults, leading to joint pain as the cushioning tissue wears down. These conditions develop gradually, causing pain, stiffness, and swelling. Epsom salt, rich in magnesium sulfate, can ease pain and aid detoxification, promoting healing. Many elderly individuals suffer from knee pain, impacting their quality of life. Epsom salt is affordable, easy to find, and provides various health benefits. Aim: A comparison of the effectiveness of Epsom salt and plain hot water in relieving joint pain among geriatric patients at a selected hospital, Coimbatore.Methodology: The purpose of the study was to compare between Epsom salts and plain application of the impact of hot water on the reduction of joint pain in geriatric patients of a selected hospital in Coimbatore. The conceptual framework employed in the research was Widenbach’s Helping Art Clinical Nursing Theory, Modified (1964). Sixty respondents were chosen by means of simple random sampling. Demographic and clinical information was collected on the first day by interview, and the baseline level of joint pain had been determined using the Numerical Rating Pain Scale in both groups.The application of Epsom salt was administered to the first experimental group, twice daily, and 10 minutes per day during the 5 days, whereas the second experimental group was treated with plain application of hot water. On the 5th day, the same the Numerical Rating Pain Scale was also used to re-assess both groups pain levels as compared to the pain occurring at the joints. Result: The standard deviation and the mean of the pain scores were 1.9 +0.8 in the experimental group 1 and 5 +0.9 in the experimental group 2 in the post-test. An independent t-test value was 14.36 (p < 0.001), That cannot be regarded statistically significant difference at a p of p = 0.005 level. Conclusion: Joint pain influences the quality of life and functioning to a great extent, and it is most appropriate to discuss the strategies of pain management and enhanced mobility. The results of this research show that the application of Epsom salt proved to be an effective pain reliever of the joints among geriatric patients. This study has underscored the possibility of using Epsom salt which is a nonpharmacological intervention implies that nurses and community health workers can employ this therapy to aid in reducing joint pain.
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