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