Synopses & Reviews
Just as demographic studies of the human population reveal a steep increase in the number of people living to a very old age, there has been a corresponding increase in the number of people residing in nursing homes. The majority of these residents are suffering from mental or neurobehavioral illnesses and are in need of physicians qualified to deal with the scope of geriatric psychiatry.
This book presents a comprehensive survey of the present state of knowledge about psychiatric illness in the long-term care setting. Recognized experts in geriatrics and geriatric psychiatry provide practical recommendations for the evaluation and treatment of psychiatric disorders that complicate the care of nursing home residents. Among the topics covered in detail are the phenomenology, diagnosis, and therapy of depression, anxiety, agitation, sexual dysfunction, sleep disorders, substance abuse, and psychosis. Modern strategies for successful psychopharmacologic and psychotherapeutic measures are examined in detail, and special considerations related to dementia and delirium in the nursing home setting are discussed. Complementing these clinical guidelines are chapters specifically devoted to ethical and medicolegal issues, as well as the special needs of nursing home residents with mental retardation. All professionals in the geriatric mental health field, including internists, family practitioners, psychiatrists, psychiatric nurses, gerontologists, and social workers, will find this book invaluable.
Review
"The text...has a consistent format throughout most of the chapters; a clear, unobtrusive style; a complete index; and a very large and up-to-date bibliography at the end of each chapter....I would recommend to any psychiatrist attempting to help the medically ill patient."--
American Journal of Geriatric PsychiatrySynopsis
As the baby boom generation ages, the number of people requiring long-term care will grow dramatically in developed nations. A majority of them will become increasingly frail and suffer from dementia and associated neuropsychiatric symptoms.
Against this backdrop, Psychiatry in Long-Term Care, Second Edition (first published under the title Psychiatric Care in the Nursing Home) comprehensively reviews the present state of knowledge on how to identify the major psychiatric disorders affecting residents of long-term care facilities and how to intervene. Edited and written by some of the world's foremost authorities, the book provides in-depth coverage of topics such as these:
- General approaches to assessment and treatment of behavioral disturbances
- Depression
- Anxiety
- Dementia
- Sleep impairment
- Psychosis
- Substance use disorders
- Contemporary strategies for successful psychopharmacological and psychotherapeutic interventions
Complementing these chapters with clinical guidelines on specific disorders are chapters on medicolegal considerations, ethics, and education of care staff.
The new edition is an important resource for care providers from all disciplines devoted to improving the well being of people in long-term care facilities and for students and scholars of mental health and aging.
Table of Contents
1. The Nursing Home as a Psychiatric Hospital, E. Kim and B. Rovner
2. General Approaches to Behavioral Disturbances, P. Tariot
3. Psychopharmacology, A. Leibovici
4. Dementia, M. Mega and J.L. Cummings
5. Delirium, S.A. Jacobson and A.F. Leuchter
6. Mood Disorders, S. Borson and P.M. Fletcher
7. Anxiety Disorders, T. Howell
8. Schizophrenia and Other Psychotic Disorders, W.E. Reichman and P.V. Rabins
9. Sleep Disorders, D.L. Bliwise
10. Sexuality, I.P. Spector, R.C. Rosen and S.R. Leiblum
11. Mental Retardation, M.C. Howell-Raugust
12. Substance Abuse Disorders, K. Solomon and J.B. Shackson
13. Insight-Oriented and Supportive Psychotherapy, R.A. Zweig and G.A. Hinrichsen
14. Cognitive and Behavioral Therapy, D.J. Ossip-Klein and J. Karuza
15. Working with Families, M.Z. Goldstein
16. Psychiatric Consultation and Liaison, H.T. Hanchuk
17. Ethical Issues, T.M. Schaer
18. Medicolegal Issues, M.B. Kapp