Psychiatry in the Nursing Home / Edition 2

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Get the vital clinical information you need with this comprehensive handbook!

In the decade since the first edition of this book, dramatic changes have taken place in the field of geriatric psychiatry. Psychiatry in the Nursing Home, Second Edition, presents timely information on the newest trends in law, culture, and medications, while still offering essential advice on the fundamental concerns of caring for elderly patients with mental illnesses.

The new edition of this essential handbook presents up-to-date information on psychiatric issues involving nursing home patients. Featuring helpful case histories and diagnostic criteria, Psychiatry in the Nursing Home, Second Edition, helps you effectively treat such difficult problems as noisy patients, sexual acting out, and incontinence. In addition, it offers help with such administrative concerns as financial issues, absent or warring families, and staffing problems.

Psychiatry in the Nursing Home, Second Edition, presents incisive discussions of the changes in the field since the publication of the first edition, including:

  • the effects of the new Prospective Payment System
  • the use of newly released psychotropic medications
  • the altered nomenclature of the DSM-IV
  • the rise in assisted-living facilities
  • the rapid development of the specialty of geriatric psychiatry
With its comprehensive scope and practical advice, Psychiatry in the Nursing Home, Second Edition, is a must-have for nursing-home administrators and staff. Policymakers, mental health professionals, and geriatricians will be fascinated by the book’s wider considerations of the problems of housing and caring for the mentally ill and its provocative suggestions for future policy.
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Editorial Reviews

William Reichel
Deep understanding of the subject—great wisdom and practicality. Global and comprehensive, yet simple. . . . Should be introductory reading for doctors and nurses, psychiatrists and geriatrics.
Doody's Review Service
Reviewer: Daniel Loiterstein, MD (Rush University Medical Center)
Description: Geriatric psychiatry has evolved into a complex subspecialty. Practitioners must have knowledge and expertise that traverses not only psychiatry, but also public policy, law, and culture. This book undertakes the daunting task of explaining the care of the elderly in nursing homes.
Purpose: The objective is to provide both a comprehensive overview of nursing homes and a clinical handbook with practical use. These broad objectives are clearly met. The impact and nuances of a new law may be discussed in one chapter, while specifics of psychopharmacologic treatment are covered in the next.
Audience: Just as the backgrounds of people working with nursing home patients are broad, so is the audience for the book. Although physicians may find the material on psychotropic medication basic, they may find other sections very informative. The same may be said for administrators, social workers, or nurses. Dr. Birkett has been in the field of geriatric psychiatry since its beginning. Not only is he a credible academic, but he also remains an active clinician.
Features: The book is cleverly divided into four main sections: the places, the people, the problems, and the future. Not only does Dr. Birkett quote pertinent facts and studies, he also draws on his years of experience to provide useful and relevant anecdotal material. Perhaps the most interesting portion of the book is the final sections. The author provides his own proposals for fixing problems described in the previous chapters. The main shortcoming is also a stated objective. For many professionals in psychiatry the clinical material may be a review.
Assessment: This book is a valuable review of geriatric psychiatry in the nursing home. With the aging of the population, the relevance of the topic expands continually. The second edition provides a needed update about a dynamic topic.

3 Stars from Doody
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Product Details

  • ISBN-13: 9780789012197
  • Publisher: Taylor & Francis
  • Publication date: 1/28/2001
  • Edition description: 2ND
  • Edition number: 2
  • Pages: 276
  • Product dimensions: 5.90 (w) x 8.20 (h) x 0.80 (d)

Table of Contents

Introduction 1
Pt. I The Places
Ch. 1 The History of Nursing Homes 5
Ch. 2 Paper, Paper, Paper 11
Ch. 3 The New Asylums? 17
Ch. 4 What Is a Nursing Home? 25
Ch. 5 How the Homes Are Paid 33
Ch. 6 Anger at the Nursing Home 39
Pt. II The People
Ch. 7 The Families 47
Ch. 8 The Staff 53
Ch. 9 The Patients 69
Pt. III The Problems
Ch. 10 Psychotropic Drugs 83
Ch. 11 Memory Loss and Confusion 93
Ch. 12 Delusions and Hallucinations 111
Ch. 13 Sadness and Depression 119
Ch. 14 Anxiety and Sleeplessness 129
Ch. 15 Wandering, Falls, Physical Restraints, and Loss of Mobility 139
Ch. 16 Violence 155
Ch. 17 Nonviolent Antisocial Behaviors 169
Ch. 18 The Medical Interface 191
Ch. 19 Neurological Disorders 199
Ch. 20 Death and Dying 207
Pt. IV The Future
Ch. 21 What Is Wrong? 215
Ch. 22 A Modest Proposal 221
References 225
Index 249
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