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Among the most frustrating challenges for any health care professional are treating and alleviating the distress of an agitated patient with dementia -- especially compelling in the midst of today's unprecedented population explosion among adults over age 65. For the first time ever, people age 85 and older represent the fastest-growing segment of our population.
As we find ways to meet this challenge, we are also transforming how we think about aging. Instead of the pejorative term "senility," which implies that simply to be old is to be infirm, we refer to the ABCs of geriatric psychiatry: disturbances in (A)ffect, (B)ehavior, and (C)ognition, which are not normal at any age.
This compact volume addresses (B)ehavior. This remarkable monograph offers practical direction on assessing and managing agitation in patients with dementia. It identifies and diagnoses the multiple types of agitation in dementia patients. It also explains how to look for and treat the underlying medical etiologies, and recommends treatment and management techniques -- everything from epidemiology and neurochemistry to behavior assessment scales, medications, psychotherapy, and bright light therapy. Furthermore, this encouraging work shows that successful outcomes -- with response rates as high as 70% -- can be achieved with a systemic approach, involving both patient and caregiver, that includes cognitive, behavioral, psychodynamic, and reminiscence therapies.
This book will appeal to a wide audience of geriatric psychiatrists, primary care physicians and internists, general practitioners, nurses, social workers, psychologists, pharmacists, and mental health care workers and practitioners.
American Psychiatric Publishing
The text is detailed and reflects wide experience. The style is clear, concise and readable. All the authors have unity of style and content.... They have elegantly described different models and conceptual frameworks for the cause of problem behavior.
Introduction to the clinical practice series. Introduction. Agitation in the elderly: Definitional and theoretical conceptualizations. Epidemiology of agitation. Neurochemistry of agitation. Use of behavioral assessment scales for evaluating agitation in dementia. Differential diagnosis of agitation in dementia: Psychiatric conditions: delirium, depression, psychosis, and anxiety. Clinical assessment and management of agitation in residential settings. Nursing care adaptations, behavioral interventions, environmental changes, and sensory enhancement: conceptual, process, and outcome issues. Psychotherapeutic interventions. Bright light therapy. Serotonergic agents. Mood stabilizers. Neuroleptics. Beta-Blockers, benzodiazepines, and other miscellaneous agents. Electroconvulsive therapy. Hormone Therapies. Legal and ethical issues. Index
American Psychiatric Publishing
Overview
Among the most frustrating challenges for any health care professional are treating and alleviating the distress of an agitated patient with dementia -- especially compelling in the midst of today's unprecedented population explosion among adults over age 65. For the first time ever, people age 85 and older represent the fastest-growing segment of our population.
As we find ways to meet this challenge, we are also transforming how we think about aging. Instead of the pejorative ...