Geriatric Mental Health Care A Treatment Guide for Health Professionals

ISBN-10: 1572307455
ISBN-13: 9781572307452
Edition: 2002
Authors: Gary J. Kennedy
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Description: Kennedy sets forth a clear framework for understanding the interplay of medical, psychological, and social factors in frequently encountered problems among older adults.

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Book details

List price: $42.00
Copyright year: 2002
Publisher: Guilford Publications
Publication date: 11/2/2001
Binding: Paperback
Pages: 347
Size: 6.00" wide x 9.00" long x 1.00" tall
Weight: 1.100
Language: English

Kennedy sets forth a clear framework for understanding the interplay of medical, psychological, and social factors in frequently encountered problems among older adults.

Introduction to the Geriatric Imperative
Core Concepts from Sociology and Clinical Sciences
The New Psychopharmacology: Burdens and Benefits
Attributes of Successful Geriatric Practice
References
Depression and Anxiety
Assessment
Symptom Identification, Screening for the Disorders
Geriatric Syndromes, Depression, and Anxiety
Comorbidity of Mental and Physical Disorders
Anxiety Disorders
Suicide
Comprehensive Treatment of Depression and Anxiety Disorders
References
The Dementias
Dementia Defined
Epidemiology
Genetic and Other Risk Factors
Diagnostic Criteria and Procedures
Differential Diagnosis
Cognitive Assessment
Assessment of Functional Impairment
General Treatment Considerations
Medications to Palliate Cognitive Impairment
Environmental Modifications
Management of Behavioral and Psychological Signs and Symptoms
Specific Problem Behaviors and Symptoms
Medications to Lessen Behavioral and Psychological Disturbances
Caregiver Burden and Dysfunctional Family Dynamics
Practitioner as De Facto Guardian and Other Medical--Legal Issues
Management of Financial Resources
Preparations for End-of-Life Care
Summary
References
Psychosis and Mania
Achieving and Sustaining the Alliance
The Schizophrenias
Delusional Disorder
Mania
Antipsychotics and the Avoidance of Movement Disorders
Electroconvulsive Therapy for Mania or Psychosis
Summary
References
Sleep Disturbances
Assessment
Treatment
Summary
References
Personality, Somatoform, and Pain Disorders
Personality Disorders
Somatoform and Pain Disorders
References
Individual Psychotherapies for Older Adults
Arguments for Psychotherapy in Late Life
Assessment for Psychotherapy
Brief Psychodynamic versus Supportive Therapy
General Principles of Cognitive-Behavioral Therapy
Interpersonal Therapy for Late-Life Depression
Life Review or Reminiscence Therapy
Problem-Solving Therapy
Treatment of Caregiver Burden and Depression
Bereavement Therapy
Summary
References
Adapting Principles of Marital, Group, and Family Therapy to the Needs of Older Patients
Marriage or Couple Therapy with Older Adults
Models
Group Therapy with Older Adults: General Considerations
Family Work
Work with Ethnic Elders, Emigres, and Religious Minorities
Preparing for Genetic Counseling
Summary
References
Sexuality
Myths about Sex and Aging
Realities
The Genesis of Late-Life Sexual Dysfunction
Evaluation
Management of Sexual Dysfunction
Sex in the Nursing Home
Summary
Suggested Reading for Patients
References
Elder Abuse, Neglect, and Self-Injurious Behaviors
Definitions
Problem with Reports of Elder Mistreatment
Detection
Intervention
Summary
Appendix
References
Alcohol and Substance Abuse
Prevalence of Alcohol Problems among Older Adults
Prevalence of Nonalcohol Substance Abuse in Late Life
Pharmacodynamics of Alcohol in the Aged
Uncertain Diagnostic Criteria
Symptom Presentation of Alcohol Abuse in Old Age
Detection and Screening
Assessment
Treatment
Presentation of a Case
Summary
Books for Patients and Families
References
Recognition and Reduction of Suicide Risk
Trends in the Prevalence of Late-Life Suicide
Gender, Race, and Social Factors
Historical and Generational Effects
Methods of Death
Physical Illness
Excesses of Modern Medicine
Attitudes of Older Adults Regarding Suicide
The Neurobiology of Suicidality
Mental Disorders and Suicide
Personality and Neuropsychology
The Clinical Assessment of Suicidal Thought and Behavior
Management of Acute Suicidal Risk
Management of Chronic Suicidal Risk
When Prevention Fails
Public Policy and Prevention
Summary
References
Mental Health Consultation in the General Hospital, Home, or Nursing Facility
Patterns of Mental Health Consultation
Models and Methods
Mental Health Care in Nursing Homes
Consultation to Certified Home Health Agencies: How to Make a House Call
Summary
References
Legal and Ethical Issues
Modern History of the Doctor--Patient Relationship
Autonomy, Abandonment, and the Sanctity of Life
Assessment of Decision Making: Competence or Capacity?
Other Bioethical Issues of Concern
Medical Futility: Who Decides, Who Defines?
Physician-Assisted Suicide
How to Conduct a Bioethics Consultation
Summary
Appendix
References
Advice on Exercise and Nutrition
Nutrition and Exercise as Primary and Secondary Prevention
Dietary Intervention
Gaining Weight
Treatment of Overweight and Obesity
Constipation
Healthy Exercise for Seniors
Summary
Books on Exercise and Nutrition for the General Reader
References
Index

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