36-Hour Day A Family Guide to Caring for People with Alzheimer Disease, Other Dementias, and Memory Loss in Later Life

ISBN-10: 0801885094
ISBN-13: 9780801885099
Edition: 4th 2007
List price: $17.95
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Description: Revised in 2006 for its twenty-fifth anniversary, this best-selling book is the "bible" for families caring for people with Alzheimer disease, offering comfort and support to millions worldwide. In addition to the practical and compassionate  More...

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Book details

List price: $17.95
Edition: 4th
Copyright year: 2007
Publisher: Johns Hopkins University Press
Publication date: 10/9/2006
Binding: Paperback
Pages: 368
Size: 9.00" wide x 5.00" long x 1.00" tall
Weight: 1.342
Language: English

Revised in 2006 for its twenty-fifth anniversary, this best-selling book is the "bible" for families caring for people with Alzheimer disease, offering comfort and support to millions worldwide. In addition to the practical and compassionate guidance that have made The 36-Hour Day invaluable to caregivers, the fourth edition is the only edition currently available that includes new information on medical research and the delivery of care. The new edition includes: -new information on diagnostic evaluation-resources for families and adult children who care for people with dementia-updated legal and financial information-the latest information on nursing homes and other communal living arrangements-new information on research, medications, and the biological causes and effects of dementia Also available in a large print edition Praise for The 36-Hour Day:

Nancy L. Mace, M.A., now retired, was a consultant to and a member of the board of directors of the Alzheimer's Association and an assistant in psychiatry and coordinator of the T. Rowe and Eleanor Price Teaching Service of the Department of Psychiatry and Behavioral Sciences at the Johns Hopkins University School of Medicine. She is coauthor of Teaching Dementia Care: Skill and Understanding, also published by Johns Hopkins. Peter V. Rabins, M.D., M.P.H., is a professor of psychiatry, with joint appointments in medicine, mental health, and health policy and management, co-director of the Division of Geriatric Psychiatry and Neuropsychiatry, and director of the T. Rowe and Eleanor Price Teaching Service of the Department of Psychiatry and Behavioral Sciences at the Johns Hopkins University School of Medicine.

Foreword
Preface
Acknowledgments
Dementia
What Is Dementia?
The Person with Dementia
Where Do You Go from Here?
Getting Medical Help for the Person with Dementia
The Evaluation of the Person with a Suspected Dementia
Finding Someone to Do an Evaluation
The Medical Treatment and Management of Dementia
The Physician
The Nurse
The Social Worker
The Geriatric Care Manager
The Pharmacist
Characteristic Behavioral Symptoms of Dementia
The Brain, Behavior, and Personality: Why People with Dementia Do the Things They Do
Caregiving: Some General Suggestions
Memory Problems
Overreacting, or Catastrophic Reactions
Combativeness
Problems with Speech and Communication
Problems the Person with Dementia Has in Making Himself Understood
Problems the Person with Dementia Has in Understanding Others
Loss of Coordination
Loss of Sense of Time
Symptoms That Are Better Sometimes and Worse at Other Times
Problems in Independent Living
Mild Cognitive Impairment
When a Person Must Give Up a Job
When a Person Can No Longer Manage Money
When a Person Can No Longer Drive Safely
When a Person Can No Longer Live Alone
When You Suspect That Someone Living Alone Is Getting Confused
What You Can Do
Moving to a New Residence
Problems Arising in Daily Care
Hazards to Watch For
In the House
Outdoors
In the Car
Highways and Parking Lots
Smoking
Hunting
Nutrition and Mealtimes
Meal Preparation
Mealtimes
Problem Eating Behaviors
Malnutrition
Weight Loss
Choking
When to Consider Tube Feeding
Exercise
Recreation
Meaningful Activity
Personal Hygiene
Bathing
Locating Care Supplies
Dressing
Grooming
Oral Hygiene
Incontinence (Wetting or Soiling)
Urinary Incontinence
Bowel Incontinence
Cleaning Up
Problems with Walking and Balance; Falling
Becoming Chairbound or Bedbound
Wheelchairs
Changes You Can Make at Home
Should Environments Be Cluttered or Bare?
Medical Problems
Pain
Falls and Injuries
Pressure Sores
Dehydration
Pneumonia
Constipation
Medications
Dental Problems
Vision Problems
Hearing Problems
Dizziness
Visiting the Doctor
If the Ill Person Must Enter the Hospital
Seizures, Fits, or Convulsions
Jerking Movements (Myoclonus)
The Death of the Person with Dementia
The Cause of Death
Dying at Home
Hospice
Dying in the Hospital or Nursing Home
When Should Treatment End?
What Kind of Care Can Be Given at the End of Life?
Behavioral Symptoms of Dementia
The Six R's of Behavior Management
Concealing Memory Loss
Wandering
Reasons That People Wander
The Management of Wandering
Sleep Disturbances and Night Wandering
Worsening in the Evening ("Sundowning")
Losing, Hoarding, or Hiding Things
Rummaging in Drawers and Closets
Inappropriate Sexual Behavior
Repeating the Question
Repetitious Actions
Distractibility
Clinging or Persistently Following You Around
Complaints and Insults
Taking Things
Forgetting Telephone Calls
Demands
Stubbornness and Uncooperativeness
When the Person with Dementia Insults the Sitter
Using Medication to Manage Behavior
Symptoms That Appear as Changes in Mood
Depression
Complaints about Health
Suicide
Alcohol or Drug Abuse
Apathy and Listlessness
Remembering Feelings
Anger and Irritability
Anxiety, Nervousness, and Restlessness
False Ideas, Suspiciousness, Paranoia, and Hallucinations
Misinterpretation
Failure to Recognize People or Things (Agnosia)
"You Are Not My Husband"
"My Mother Is Coming for Me"
Suspiciousness
Hiding Things
Delusions and Hallucinations
Having Nothing to Do
Special Arrangements If You Become Ill
In the Event of Your Death
Getting Outside Help
Help from Friends and Neighbors
Finding Information and Services
Kinds of Services
Having Someone Come into Your Home
Adult Day Care
Short-Stay Residential Care
Planning in Advance for Home Care or Day Care
When the Person with Dementia Rejects the Care
Your Own Feelings about Getting Respite for Yourself
Locating Resources
Paying for Care
Should Respite Programs Mix People Who Have Different Problems?
Determining the Quality of Services
Research and Demonstration Programs
You and the Person with Dementia as Parts of a Family
Changes in Roles
Understanding Family Conflicts
Division of Responsibility
Your Marriage
Coping with Role Changes and Family Conflict
A Family Conference
When You Live out of Town
When You Are Not the Primary Caregiver, What Can You Do to Help?
Caregiving and Your Job
Your Children
Teenagers
How Caring for a Person with Dementia Affects You
Emotional Reactions
Anger
Embarrassment
Helplessness
Guilt
Laughter, Love, and Joy
Grief
Depression
Isolation and Feeling Alone
Worry
Being Hopeful and Being Realistic
Mistreating the Person with Dementia
Physical Reactions
Fatigue
Illness
Sexuality
If Your Spouse Is Impaired
If Your Impaired Parent Lives with You
The Future
You as a Spouse Alone
When the Person You Have Cared for Dies
Caring for Yourself
Take Time Out
Give Yourself a Present
Friends
Avoid Isolation
Find Additional Help If You Need It
Recognize the Warning Signs
Counseling
Joining with Other Families: The Alzheimer's Association
Support Groups
Excuses
Advocacy
For Children and Teenagers
Financial and Legal Issues
Your Financial Assessment
Potential Expenses
Potential Resources
Where to Look for the Forgetful Person's Resources
Legal Matters
Nursing Homes and Other Living Arrangements
Types of Living Arrangements
Moving with the Person with Dementia
Finding a Nursing Home or Other Residential Care Setting
Paying for Care
Guidelines for Selecting a Nursing Home or Other Residential Care Facility
Moving to a Nursing Home or Other Residential Care Facility
Adjusting to a New Life
Visiting
Your Own Adjustment
When Problems Occur in the Nursing Home or Other Residential Care Facility
Sexual Issues in Nursing Homes or Other Care Facilities
Brain Disorders and the Causes of Dementia
Dementia
Dementia Associated with Alcohol Abuse
Alzheimer Disease
Vascular (Multi-Infarct) Dementia
Lewy Body Dementia
The Frontotemporal Dementias, Including Pick Disease
Depression
Binswanger Disease
HIV-AIDS
Other Brain Disorders
Delirium
Senility, Chronic Organic Brain Syndrome, Acute or Reversible Organic Brain Syndromes
TIA
Localized Brain Injuries
Head Injuries (Head Trauma)
Anoxia or Hypoxia
Mild Cognitive Impairment
Research in Dementia
Understanding Research
Bogus Cures
Research in Vascular (Multi-Infarct) Dementia and Stroke
Research in Alzheimer Disease
Structural Changes in the Brain
Brain Cells
Neurotransmitters
Abnormal Proteins
Nerve Growth Factors
Transplants of Brain Tissue
Drug Studies
Metals
Prions
Immunological Defects
Head Trauma
Epidemiology
Down Syndrome
Old Age
Heredity
Gender
Promising Clinical and Research Tools
Keeping Active
The Effect of Acute Illness on Dementia
Research into the Delivery of Services
Protective Factors
Using the Internet
Organizations
Index

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