This is a practical book, aimed at providing training and guidance for staff members in long-term care facilities. The goal is to help staff understand and solve the wide range of psychiatric and behavioral problems which are encountered on a day-to-day basis. Numerous clinical illustrations are presented. This material is invaluable for all team members: nurses, physicians, social workers, psychologists and occupational therapists. It is especially helpful for frontline health aids who work most closely with the residents, and for supervisors and administrators. As a result, it also serves as a useful tool for teaching students. The emphasis is on training all members of the staff to provide the highest quality of care, in the most cost-effective and productive manner. The authors have worked together for many years at the Baycrest Centre for Geriatric Care, a large university affiliated, multilevel geriatric center, which has an international reputation for its excellence in the care of the elderly.
Written in a plain and jargon-free manner, this practical book will help all members of staff in long-term care facilities, including psychiatrists, nurses, nursing aides or auxiliaries, physicians, social workers, psychologists, and occupational therapists, understand and solve the wide range of psychiatric and behavioral problems which are encountered on a day-to-day basis. In addition, it is a useful resource for teaching students and for continuing education, and also for supervisors and administrators. Numerous clinical illustrations are included, as well as Family Information Sheets, which are a practical tool for education of residents' families and for facilitating communication. The emphasis throughout the book is on training all members of the staff to provide the highest quality of care, in the most cost-effective and productive manner. This popular book has been expanded and fully updated in this edition by the team of authors -- psychiatrists, nurses, a psychologist, and a social worker, who have worked together for many years. It also includes entirely new chapters on planning mental health educational programs and optimizing the use of psychotropic medication.
Dementia represents a major public health challenge for the world with over 100 million people likely to be affected by 2050. A large body of professionals is active in diagnosing, treating, and caring for people with dementia, and research is expanding. Many of these specialists find it hard to keep up to date in all aspects of dementia. This book helps solve that problem. The new edition has been updated and revised to reflect recent advances in this fast-moving field.
Long-Term Care Medicine: A Pocket Guide lessens the uncertainty involved in caring for patients in a long-term care facility. This practical pocket guide is divided into four sections: Introduction, Common Clinical Conditions, Psychosocial Aspects, and Special Issues in Long-Term Care. The chapters address all the varied components of the LTC system as well as how to take care of the patients and residents living within it. The contributors to this easy-to-read guide are passionate about LTC and many have worked within the American Medical Directors Association to create and disseminate a knowledge base for practitioners. Long-Term Care Medicine: A Pocket Guide is an invaluable resource for clinicians, practitioners, and educators who are seeking to optimize the care and living experience of residents in LTC by providing resident-centered care as well as resident choice, well-being, dignity, and an improved quality of life.
Winner of the BMA 2011 book awards: psychiatry category Winner of the Australian Journal of Ageing book of the year award This definitive work on dementia and related disorders has been fully updated and revised to reflect recent advances in this fast-moving field. The incidence of dementia continues to rise as the population of the world ages, and the condition represents one of the most significant challenges facing societies and health professionals in the next half-century. In this, the most comprehensive single volume work available on the subject, the editors have met this challenge by assembling a team of the world's leading experts on all aspects of the condition, from history, epidemiology and social aspects to the latest neurobiological research and advanced therapeutic strategies.
Multi-disciplinary in its approach, this book details key psychiatric conditions, their assessment and management in line with modern developments, including the latest developments in healthcare policy. It has been thoroughly revised to incorporate the National Institute for Health and Clinical Excellence (NICE) Guidance. Case studies are used throughout to aid comprehension and illustrate the realities of working in this area. Now in its Fifth Edition, Practical Psychiatry of Old Age is ideal as a clinical primer for those in training, or as a day-to-day reference for healthcare professionals working with older people.
The shifting demographic toward a "graying" population -- coupled with today's reality of managed care -- makes the need for high-quality, cost-effective psychiatric services within the nursing care setting more urgent than ever. As we increase the number of our years, it is also imperative that we enhance the quality of those years. The product of the American Psychiatric Association's (APA's) Council on Aging and its Committee on Long-Term Care and of the Elderly, the Manual of Nursing Home Practice for Psychiatrists stands out because it focuses on the "how" -- not the "why" -- of nursing home care. Of exceptional importance is its detailed discussion of the Minimum Data Set (MDS), a structured assessment required by both Medicare and Medicaid for all residents of skilled nursing facilities. Divided into six sections, this "how to" volume contains practical information readers can use right away, from getting reimbursed by insurance companies to handling nursing facility politics: Clinical -- History; evaluation and management of psychiatric problems in long-term care patients; an overview of the MDS; sexuality within the nursing home care setting Regulatory -- Introduction to the Nursing Home Reform Act of 1987 (part of OBRA-87) and its implications for psychiatric care; details about the Resident Assessment Instrument (RAI), which includes the MDS, the Resident Assessment Protocols (RAPs), and Utilization Guides specified in the State Operations Manual (SOP) Financial -- Documentation, reimbursement, and coding; what to look for when contracting with nursing homes Legal and ethical -- The dehumanizing effect of diagnostic labels and the ethical issues inherent in regulating daily schedules (e.g., bed, meal, and bath times); nursing home placement; competence and decision-making ability; comfort care for end-stage dementia; coping with Alzheimer's disease; and the role of caregivers Summary and Future Perspectives -- A detailed vision about how psychiatrists can improve the diagnosis and treatment of nursing home patients Appendixes and bibliography -- Staffing recommendations and assessment instruments Edited by a distinguished authority and former chair of the APA's Committee on Long-Term Care and Treatment of the Elderly, this comprehensive volume will appeal to a wide audience of professionals: from general psychiatrists, nurse practitioners, and clinical nurse specialists, to primary care physicians and residents.
The responsibility of providing mental health evaluations and treatment to nursing home patients is increasingly falling on the shoulders of social services and nursing staff. Psychosocial Intervention in Long-Term Care provides the advanced techniques you, as a caregiver, need for assessing and intervening with psychosocial and behavioral problems in LTC. Targeted to students and staff who are familiar with the basic needs and problems of LTC residents, this book also describes effective ways of documenting assessments and interventions to help you integrate results into the medical record and prepare for state surveys. Psychosocial Intervention in Long-Term Care presents you with information about common mental disorders in LTC, basic counseling techniques, and the three major types of psychiatric medication. You’ll also read about legal issues in the psychosocial arena and learn how to avoid burnout while working in LTC. Best of all, this book shows you how to: use the Geriatric Depression Scale and the Mini Mental Status Exam to screen for depression and dementia design thorough behavioral assessments through use of a tracking grid use results of assessments to set up effective behavioral interventions intervene with specific psychosocial problems, such as aggression document the results of assessments develop effective Resident Assessment Inventories prepare for state surveys and develop plans of correction in response to surveysWhether you’re a graduate student or new practitioner in social work, nursing, or health care administration, you’ll appreciate this book’s practical, hands-on approach to problem solving and its focus on the biopsychosocial model. Only through a thorough assessment of residents’physical, psychological, and social needs can we design effective intervention and provide the care they deserve.
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.
Describes in detail the main psychiatric conditions encountered in old age and their management with useful brief case histories to illustrate the practical realities of working in this area. This book also offers a comprehensive approach to the assessment and management of psychiatric disorders in old age.
