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Marion Zucker GoldsteinA comprehensive manual for the psychiatrist and other physicians who render their professional expertise to the ever increasing numbers of American nursing home residents. The manual includes state-of-the-art biopsychosocial practice models interwoven with profound understanding of current legislative mandates for health assessments, treatments, documentations, and communications with regional Medicare carriers. There is guidance here for the appropriate use of type, dose, and durations of medications commonly used by psychiatrist with suitable modifications for an elderly patient population with at times multiple comorbidities. The guidance for the use of ever changing complexities of mandated coding systems, by type, site, and time rendered is invaluable as is the alternative of hourly contractual arrangements with a nursing home. This manual will facilitate the work of all our colleagues who make a professional commitment to contribute to improve the quality of late life of patients who can no longer live independently in the community.
(M.D., Associate Professor, Department of Psychiatry, SUNY at Buffalo School of Medicine and Biomedical Sciences, Buffalo, New York)