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Psychiatry in the Nursing Home, Second Edition, discusses the full range of your concerns, including new government regulations, noisy or incontinent patients, financial issues, absent or warring families, sexual acting out, and staffing problems. In addition, it presents up-to-date information on the most effective psychotropic medications and the altered nomenclature of the DSM-IV.
To view an excerpt online, find the book in our QuickSearch catalog at www.HaworthPress.com.
List of contents
Contents
* Introduction
* Part I. The Places
* Chapter 1. The History of Nursing Homes
* Omnibus Reconciliation Act of 1987
* Chapter 2. Paper, Paper, Paper
* Care Plans
* Acronyms
* Chapter 3. The New Asylums?
* The Homeless and the Jailed
* Deinstitutionalization and Transinstitutionalization
* Chapter 4. What Is a Nursing Home?
* Skilled Nursing Facilities and Intermediate Care Facilities
* Board and Care Facilities
* Section 8 Housing
* Home Care Agencies
* Assisted Living
* Mixed Level Retirement Communities
* Chapter 5. Who Pays for What?
* Medicaid and Medicare
* The "Spend-Down"
* Long-Term Care Insurance
* Resource Utilization Groups
* Balanced Budget Amendment and Prospective Payment System
* Health Maintenance Organizations
* The Balloon
* Chapter 6. Anger at the Nursing Home
* Complaints
* Nursing Home Exposés
* Litigation Against Nursing Homes
* Measuring Quality of Care
* Part II. The People
* Chapter 7. The Families
* The Absent Family
* Disputes Between Family Members
* The Difficult Family
* Chapter 8. The Staff
* Owners and Administrators
* Nurse Assistants
* The Nurses
* The Doctors
* Other Mental Health Professionals
* Chapter 9. The Patients
* Age
* Sex
* Socioeconomic Status
* Psychiatric and Medical Conditions
* Measuring Need for Care
* The Informal Network of Care
* The Road to the Nursing Home
* Part III. The Problems
* Chapter 10. Psychotropic Drugs
* Surveys
* Backlash
* The Impact of OBRA'87
* Antipsychotics
* Drugs for Mania
* Anti-Anxiety and Hypnotic Drugs
* Recommendations
* Chapter 11. Memory Loss and Confusion
* The Terminology of Dementia
* How Many of the Elderly are Demented?
* Measuring Memory Loss and Confusion
* Treatment of Dementia
* Head Injury
* Mental Retardation
* Chapter 12. Delusions and Hallucinations
* Delusions in Depression and Mania
* Schizophrenia in the Nursing Home
* Late Paraphrenia
* Phantom Boarders
* Release Hallucinations
* Management of Delusions and Hallucinations
* Chapter 13. Sadness and Depression
* Depression in Old Age
* Depression in the Nursing Home
* Depression and Dementia
* Incidence of Depression in Nursing Homes
* Rating Scales
* Treatment of Depression in the Nursing Home
* Antidepressant Medications
* The "New" Antidepressants
* Suicide
* Chapter 14. Anxiety and Sleeplessness
* Hysteria and Hypochondriasis
* Panic Attacks and Agoraphobia
* Agitation versus Anxiety
* Psychotherapy
* Sleep Disorders
* Anti-Anxiety Medications and Sleeping Pills
* Chapter 15. Wandering, Falls, Restraints, and Loss of Mobility
* Wandering
* Falls
* Physical Restraints
* Loss of Mobility
* Chapter 16. Violence
* Risk Factors
* Classification
* Management
* Medications
* Chapter 17. Nonviolent Antisocial Behaviors
* Agitation
* Demanding and Difficult Patients
* Noisemaking
* Drooling and Smearing
* Hoarding and Rituals
* Incontinence of Urine and Feces
* Sex
* Chapter 18. The Medical Interface
* Medicalization of Care
* Pain
* Bedsores
* AIDS
* Nutrition
* Chapter 19. Neurological Disorders
* Communication Impairment
* Stroke
* Head Injury
* Seizures
* Parkinson's Disease and Parkinsonism
* Chapter 20. Death and Dying
* Patient Self-Determination Act
* Dementia and DNR
* Hospice Care
* Hospitalization of Nursing Home Patients
* Part IV. The Future
* Chapter 21. What Is Wrong?
* Research
* The View from Abroad
* Chapter 22. A Modest Proposal
* Is Home Care the Answer?
* Calling a Spade a Spade
* Medicaid Should Be for the Poor
* The Cheapest Gift is Money
* Envoi
* References
* Index
* Reference Notes Included
About the author
D. Peter Birkett
