Psychiatry in the Nursing Home

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.

Autorentext

D. Peter Birkett

Inhalt

Contents Introduction Part I. The Places Chapter 1. The History of Nursing Homes Omnibus Reconciliation Act of 1987 Chapter 2. Paper, Paper, Paper Care Plans Acronyms Chapter 3. The New Asylums&#63; The Homeless and the Jailed Deinstitutionalization and Transinstitutionalization Chapter 4. What Is a Nursing Home&#63; Skilled Nursing Facilities and Intermediate Care Facilities Board and Care Facilities Section 8 Housing Home Care Agencies Assisted Living Mixed Level Retirement Communities Chapter 5. Who Pays for What&#63; Medicaid and Medicare The ?Spend-Down? Long-Term Care Insurance Resource Utilization Groups Balanced Budget Amendment and Prospective Payment System Health Maintenance Organizations The Balloon Chapter 6. Anger at the Nursing Home Complaints Nursing Home Expos&#0233;s Litigation Against Nursing Homes Measuring Quality of Care Part II. The People Chapter 7. The Families The Absent Family Disputes Between Family Members The Difficult Family Chapter 8. The Staff Owners and Administrators Nurse Assistants The Nurses The Doctors Other Mental Health Professionals Chapter 9. The Patients Age Sex Socioeconomic Status Psychiatric and Medical Conditions Measuring Need for Care The Informal Network of Care The Road to the Nursing Home Part III. The Problems Chapter 10. Psychotropic Drugs Surveys Backlash The Impact of OBRA'87 Antipsychotics Drugs for Mania Anti-Anxiety and Hypnotic Drugs Recommendations Chapter 11. Memory Loss and Confusion The Terminology of Dementia How Many of the Elderly are Demented&#63; Measuring Memory Loss and Confusion Treatment of Dementia Head Injury Mental Retardation Chapter 12. Delusions and Hallucinations Delusions in Depression and Mania Schizophrenia in the Nursing Home Late Paraphrenia Phantom Boarders Release Hallucinations Management of Delusions and Hallucinations Chapter 13. Sadness and Depression Depression in Old Age Depression in the Nursing Home Depression and Dementia Incidence of Depression in Nursing Homes Rating Scales Treatment of Depression in the Nursing Home Antidepressant Medications The ?New? Antidepressants Suicide Chapter 14. Anxiety and Sleeplessness Hysteria and Hypochondriasis Panic Attacks and Agoraphobia Agitation versus Anxiety Psychotherapy Sleep Disorders Anti-Anxiety Medications and Sleeping Pills Chapter 15. Wandering, Falls, Restraints, and Loss of Mobility Wandering Falls Physical Restraints Loss of Mobility Chapter 16. Violence Risk Factors Classification Management Medications Chapter 17. Nonviolent Antisocial Behaviors Agitation Demanding and Difficult Patients Noisemaking Drooling and Smearing Hoarding and Rituals Incontinence of Urine and Feces Sex Chapter 18. The Medical Interface Medicalization of Care Pain Bedsores AIDS Nutrition Chapter 19. Neurological Disorders Communication Impairment Stroke Head Injury Seizures Parkinson's Disease and Parkinsonism Chapter 20. Death and Dying Patient Self-Determination Act Dementia and DNR Hospice Care Hospitalization of Nursing Home Patients Part IV. The Future Chapter 21. What Is Wrong&#63; Research The View from Abroad Chapter 22. A Modest Proposal Is Home Care the Answer&#63; Calling a Spade a Spade Medicaid Should Be for the Poor The Cheapest Gift is Money Envoi References Index Reference Notes Included</