Introduction to the Third Edition | p. xiii |
Preface | p. xv |
Acknowledgments | p. xvii |
The Burden of Love | |
Introduction | p. 3 |
Alzheimer's Disease: What It Is and What It Is Not | p. 13 |
Changes within the Brain | p. 14 |
Characteristics of the Disease | p. 17 |
Possible Causes of Alzheimer's Disease | p. 18 |
Other Possible Causes of Alzheimer's Disease | p. 21 |
Phases of Alzheimer's Disease | p. 22 |
Diseases with Similar Symptoms | p. 26 |
Theories of Aging in the Year 2000 | p. 28 |
Diagnosing Alzheimer's Disease | p. 29 |
Factors in the Disease | p. 29 |
Is Alzheimer's a Vitamin B[subscript 12] Deficiency? | p. 30 |
Diagnostic Tests | p. 32 |
Treating the "Silent Epidemic": Research Developments | p. 39 |
Alternative Views of Alzheimer's Disease | p. 42 |
Ongoing Research | p. 42 |
New Choices in Natural Healing | p. 48 |
Preventing Alzheimer's | p. 49 |
Muscle Relaxation Benefits in Alzheimer's Patients | p. 50 |
Participating in Research | p. 50 |
Conflicting Interests in Research | p. 53 |
How Can We Prevent Brain Deterioration? | p. 54 |
An Uncharted Treatment for Alzheimer's Patients | p. 55 |
Alzheimer's Disease Is a Family Affliction | p. 55 |
Denial: Say It Isn't So | p. 57 |
Unconscious Denial | p. 60 |
Acknowledging the Problem | p. 64 |
Mutual Support Groups | p. 66 |
Anger: The Perplexing Emotion | p. 69 |
Why Does She Do Those Embarrassing Things? | p. 70 |
The Patient Isn't the Only Problem | p. 75 |
Understanding and Managing Anger | p. 76 |
Dealing with Frustration | p. 79 |
Spiritual Exercise: Dealing with Anger | p. 85 |
Depression: Longing for What Is Lost | p. 87 |
What Is Depression? | p. 88 |
Why Older People Get Depressed | p. 91 |
Sex, Intimacy, and Depression | p. 94 |
Stress Reactions in Caregivers | p. 99 |
Lifting the Depression | p. 102 |
Spiritual Exercise: Dealing with Depression | p. 106 |
Guilt: A Nagging Pain | p. 107 |
Conscious or Unconscious Guilt | p. 109 |
The Relationship between Parent and Child | p. 111 |
"Conscience Doth Make Cowards of Us All" | p. 113 |
Guilt about Loss of Control | p. 115 |
Guilt Shapes Generosity and Serves Society | p. 117 |
Conscious Guilt about Practical Considerations | p. 120 |
Spiritual Exercise: Open the Day in Your Garden of Eden | p. 122 |
Guilt over Institutionalization | p. 127 |
Spiritual Exercise: The Waterfall | p. 128 |
Fears: Present and Future | p. 129 |
Fear of Letting a Patient Hurt Himself | p. 131 |
Fear of Hurting a Patient Emotionally | p. 131 |
Fear of Being Hurt | p. 133 |
Shame Is a Special Fear | p. 134 |
When the Patient Needs More Help | p. 135 |
The Silent Question | p. 136 |
Fear of "Living Death" | p. 137 |
Preparing a Living Will | p. 139 |
Spiritual Exercise: Dealing with Fears | p. 140 |
Spiritual Exercise: For Fears of Developing Alzheimer's Disease | p. 140 |
Brief Guidelines to Recognizing and Identifying Your Feelings | p. 141 |
Understanding and Dealing with the Patient's Problems | |
The Physical Challenges of Alzheimer's Disease | p. 147 |
Dressing and Grooming | p. 148 |
Decreasing Physical Abilities Add to Mental Confusion | p. 153 |
Eating | p. 158 |
Forgetting Good Toilet Habits | p. 166 |
Exercise and Recreation for the Patient | p. 173 |
A Memory Garden: Stimulation for Alzheimer's Patients | p. 176 |
The Psychological Toll of Memory Loss | p. 179 |
Verbal Communication with Your Memory-Impaired Relative | p. 181 |
Sexual Communication | p. 187 |
Problems with Perception and Reality | p. 188 |
A Sense of Time Vanishes | p. 189 |
Clinging Behavior | p. 191 |
Quality, Not Quantity, Counts! | p. 193 |
Depression and Memory Impairment | p. 201 |
Therapy for the Alzheimer's Patient | p. 208 |
Support Groups and Help for Alzheimer's Patients | p. 210 |
Everyday Life with the Alzheimer's Patient | p. 215 |
Household Bywords: Safety and Structure | p. 217 |
The Consequences of Forgetfulness | p. 225 |
Sleeplessness and Night Wandering | p. 232 |
Caregivers' Strategies for Self-Defense | p. 235 |
The Nursing Home Dilemma | p. 237 |
Decision-Making | p. 239 |
Evaluating Patients for Nursing Home Care | p. 248 |
Shopping for a Good Nursing Home | p. 248 |
Nursing Home Care Costs | p. 254 |
Medicare and Medicaid Explained | p. 256 |
Family Financial Considerations | p. 264 |
Legal Matters | p. 265 |
Relocating the Impaired Person | p. 267 |
The Patient's Adjustment | p. 268 |
The Caregiver's Adjustment | p. 270 |
The Step-by-Step Approach to Appropriate Patient Care in Nursing Homes | p. 273 |
Other Alternatives to Your Home or a Nursing Home | p. 275 |
Visiting | p. 278 |
Death and Bereavement | p. 281 |
Putting a Patient's Affairs in Order | p. 281 |
Anticipatory Grief | p. 283 |
Grieving | p. 284 |
Survivor Guilt | p. 287 |
Spiritual Exercise: Change of Heart | p. 287 |
Autopsy | p. 288 |
Critical Issues for Professionals with Aging Patients | p. 288 |
Take Care of Yourself | |
Safeguard Your Health | p. 293 |
A Nutritious Diet | p. 294 |
Regular Checkups | p. 300 |
Illness Emergency Plans | p. 301 |
Take Antioxidants | p. 303 |
Estrogen Enhances Memory | p. 304 |
Use Medication with Care and Respect | p. 304 |
Drug-Related Short-Term Memory "To Sleep--Perchance to Dream" | p. 306 |
Exercises for a Healthy Body | p. 309 |
The Benefits of Exercise | p. 310 |
Exercise Stimulates Blood Flow to the Brain | p. 310 |
Walking | p. 311 |
Strenuous Activity | p. 312 |
Tension-Relieving Exercises for Indoors | p. 312 |
Exercises for a Healthy Mind | p. 317 |
Remembering Is Not a Simple Process | p. 319 |
Keeping Memory "In Shape" | p. 319 |
Can Foods and Supplements Improve Memory? | p. 323 |
Overhauling the Aging Brain | p. 325 |
How Is Memory Stored? | p. 326 |
Become Your Own Nurturer | p. 326 |
Spiritual Exercise: Speak Your Mind | p. 329 |
Continue to Learn throughout Life | p. 331 |
Maintain Your Spiritual Beliefs | p. 333 |
Use the Power of Your Imagination | p. 334 |
Help for Troubled Caregivers | p. 337 |
Becoming a Parent to Your Parent | p. 339 |
How Families Can Resolve Issues | p. 345 |
Self-Help Support Groups | p. 348 |
Choosing Psychotherapy for the Caregiver | p. 350 |
Individual and Group Psychotherapy | p. 352 |
How Some Caregivers Reshape Their Lives | p. 359 |
Epilogue | p. 363 |
Resources | p. 365 |
Resident's Bill of Rights | p. 368 |
Living Wills | p. 370 |
Memory Tests | p. 372 |
Pilot Project for Research | p. 374 |
Notes | p. 377 |
Selected References | p. 381 |
Index | p. 385 |
About the Author | p. 398 |
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