Psychiatry in the Nursing Home 2nd edition by Peter Birkett 9781135187477 1135187479

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ISBN 10: 1135187479
ISBN 13: 9781135187477 
Author: D. Peter Birkett

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.

Psychiatry in the Nursing Home 2nd Table of contents:

Part I: The Places

1. Chapter 1. The History of Nursing Homes
   Omnibus Reconciliation Act of 1987

2. Chapter 2. Paper, Paper, Paper
   Care Plans
   Acronyms

3. Chapter 3. The New Asylums?
   The Homeless and the Jailed
   Deinstitutionalization and Transinstitutionalization

4. Chapter 4. What Is a Nursing Home?
   Skilled Nursing Facilities and Intermediate Care Facilities
   Board and Care Facilities
   Section 8 Housing
   Home Care Agencies
   Assisted Living
   Mixed-Level Retirement Communities

5. Chapter 5. How the Homes Are Paid
   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

6. Chapter 6. Anger at the Nursing Home
   Complaints
   Nursing Home Exposés
   Litigation Against Nursing Homes
   Measuring Quality Of Care

Part II: The People

7. Chapter 7. The Families
   The Absent Family
   Disputes Among Family Members
   The Difficult Family

8. Chapter 8. The Staff
   Owners and Administrators
   Nurse Assistants
   The Nurses
   The Doctors
   Other Mental Health Professionals

9. 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

10. Chapter 10. Psychotropic Drugs
    Surveys
    Backlash
    The Impact of Obra ’87
    Antipsychotics
    Drugs for Mania
    Antianxiety and Hypnotic Drugs
    Recommendations

11. Chapter 11. Memory Loss and Confusion
    The Terminology of Dementia
    How Many of the Elderly are Demented?
    Measuring Memory Loss and Confusion
    Treatment of Dementia
    Head Injury
    Mental Retardation

12. 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

13. 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

14. Chapter 14. Anxiety and Sleeplessness
    Hysteria and Hypochondriasis
    Panic Attacks and Agoraphobia
    Agitation Versus Anxiety
    Psychotherapy
    Sleep Disorders
    Antianxiety Medications and Sleeping Pills

15. Chapter 15. Wandering, Falls, Physical Restraints, and Loss of Mobility
    Wandering
    Falls
    Physical Restraints
    Loss of Mobility

16. Chapter 16. Violence
    Risk Factors
    Classification
    Management
    Medications

17. Chapter 17. Nonviolent Antisocial Behaviors
    Agitation
    Demanding and Difficult Patients
    Noisemaking
    Drooling and Smearing
    Hoarding and Rituals
    Incontinence of Urine and Feces
    Sex

18. Chapter 18. The Medical Interface
    Medicalization of Care
    Pain
    Bedsores
    Aids
    Nutrition

19. Chapter 19. Neurological Disorders
    Communication Impairment
    Stroke
    Head Injury
    Seizures
    Parkinson’s Disease and Parkinsonism

20. Chapter 20. Death and Dying
    Patient Self-Determination Act
    Dementia and DNR
    Hospice Care
    Hospitalization of Nursing Home Patients

Part IV: The Future

21. Chapter 21. What Is Wrong?
    Research
    The View from Abroad

22. Chapter 22. A Modest Proposal
    Is Home Care the Answer?
    Calling a Spade a Spade
    Medicaid Should be for the Poor
    The Cheapest Gift is Money

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