Psychiatric Consultation in Long-Term Care: A Guide for Health Care Professionals

Overview

Studies show that residents of nursing homes and assisted living facilities are at a substantial risk of having psychiatric disorders. This practical volume provides much-needed clinical guidance for the prevention and appropriate treatment of mental illness in long-term care settings.

Abhilash K. Desai and George T. Grossberg offer a basic framework for a humanistic, team-based approach to meeting the needs of elder persons with mental disorders in long-term care facilities. ...

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Psychiatric Consultation in Long-Term Care

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Overview

Studies show that residents of nursing homes and assisted living facilities are at a substantial risk of having psychiatric disorders. This practical volume provides much-needed clinical guidance for the prevention and appropriate treatment of mental illness in long-term care settings.

Abhilash K. Desai and George T. Grossberg offer a basic framework for a humanistic, team-based approach to meeting the needs of elder persons with mental disorders in long-term care facilities. Early chapters cover the demographics of residents, the epidemiology of their psychiatric symptoms, and the assessment process. Subsequent chapters focus on major disorders, including dementia, delirium, depression, psychosis, and anxiety. The authors discuss end-of-life issues and treatments and offer suggestions for improving care. Throughout, they highlight the importance of the relationship between staff and residents.

Emphasizing creative engagement and hands-on care and featuring clinical vignettes and practical tips, this optimistic volume reinforces the potential for nursing homes and assisted living facilities to be communities where residents thrive.

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Editorial Reviews

Journal of the American Medical Directors Association

This is an excellent, highly readable book covering the myriad of psychiatric disorders seen in nursing home residents. Although dementia and depression are the most common, delirium, anxiety, psychotic disorders, aggressive behavior, and screaming are also extremely common. This book addresses each of these and provides a clear approach to diagnosis and treatment.

Inc. Book News

This book is useful for professionals but it is also a wonderful guide for families searching for a good place for Grandma and wondering what they can do to keep her content there.

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Product Details

  • ISBN-13: 9780801893865
  • Publisher: Johns Hopkins University Press
  • Publication date: 8/17/2010
  • Pages: 488
  • Sales rank: 938,387
  • Product dimensions: 6.30 (w) x 9.00 (h) x 1.40 (d)

Meet the Author

Abhilash K. Desai, M.D., FAPA, is an associate professor of geriatric psychiatry and the director of the Center for Healthy Brain Aging at the Saint Louis University School of Medicine. George T. Grossberg, M.D., is the Samuel W. Fordyce Professor and director of the Division of Geriatric Psychiatry at the Saint Louis University School of Medicine. His recent books include Alzheimer's: The Latest Assessment and Treatment Strategies and Comprehensive Textbook of Geriatric Psychiatry, third edition.

Johns Hopkins University Press

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Table of Contents

Preface vii

1 Introduction and Epidemiology 1

2 The Assessment Process 16

3 Dementia 50

4 Delirium 106

5 Mood Disorders 123

6 Psychotic Disorders 163

7 Anxiety Disorders and Sleep Disorders 189

8 Personality Disorders, Somatoform Disorders, Substance Use Disorders, and Other Psychiatric Disorders 218

9 Psychiatric Aspects of Nutritional Disorders, Frailty, and Failure to Thrive 228

10 Abuse and Neglect, Ethical Dilemmas, and Medicolegal Issues 252

11 Palliative and End-of-Life Care 267

12 Pharmacological Interventions 296

13 Psychosocial and Environmental Interventions 349

14 An Ideal Long-Term Care Home 402

Abbreviations 421

Resources 425

References 431

Index 463

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