Treating stroke requires attention not only to patients’ physical needs, but to their psychiatric needs as well. Unfortunately, there has been a considerable lack of literature that tackles this important facet of recovery. The Psychiatry of Stroke fills this void through a comprehensive examination that explores the mental and physical issues faced by stroke patients and offers up-to-date treatment options. Based on extensive clinical experience, the text offers practical advice for improving the treatment of stroke by increasing the attention paid to its mental aspects. Detailed and definitive, this unique text demonstrates how mental impairment sets limits to stroke treatment and rehabilitation and shows how to evaluate and treat these impairments. Accessible to a wide range of readers, this new edition presents detailed reviews of classical papers as well as more basic outlines that provide a general overview. Regardless of familiarity, readers will find comprehensive and authoritative guidance for improving treatment. Some of the topics covered include: background and causation risk factors and diagnosis of stroke localization of mental functions neuropsychopharmachology psychiatric syndromes apathy and failure to rehabilitate depression, anxiety, and dementia sex anger and violence outcome and effects the process of recovery family treatment team legal issues, money, and ethics and much more! The Psychiatry of Stroke also includes a wealth of informative tables and diagrams as well as a full glossary of terms. Extensively referenced, this important text also provides useful appendices that look at resources for caregivers and the anatomy and historical significance of stroke. Physicians and mental health professionals who treat stroke patients; staff of stroke units and rehabilitation hospitals and centers; fellows in geriatric psychiatry, geriatrics, and stroke programs; gerontology students and educators; and families of the victims of stroke or vascular dementia will find this book an invaluable day-to-day resource.
In one handy book, Psychiatry in the Nursing Home, every conceivable topic relating to the care of mentally ill or mentally retarded patients in nursing homes is covered. Due to the Omnibus Reconciliation Act of 1987 (OBRA), which mandates that all states screen out psychiatric patients needing active treatment who may attempt admittance into nursing homes, many professionals’expertise is relied upon as the screenings have now begun to take effect. As nursing home patients have multiple physical and mental problems and those caring for them come from many different educational backgrounds, it becomes of utmost importance that all nursing home workers and administrators familiarize themselves with the gamut of illnesses and patients requiring treatment. This thorough book fits the needs of professionals working with nursing home clients. The seven major sections of the book provide a structure to examine a number of topics important to both newcomers in nursing home work and experienced professionals in the field. Nursing home development is surveyed, as are the people working in and inhabiting nursing homes; specific psychiatric entities are discussed, as are common behavioral problems prevalent in nursing homes but not corresponding to a specific mental illness; the medical/psychiatric interface characteristic of nursing homes is explored. Helpful tips on how to deal with red-tape forms and policy are provided in a section centered on legal and administrative aspects of nursing homes. A unique view of American nursing homes as contrasted with British nursing homes provides insightful treatment options for aging mental patients as does the view of the future of nursing homes, and the continuing need to make health care for the aged mentally ill as effective as possible. BACKCOVER COPY Here is the first full account of psychiatry in nursing homes. Dr. D. Peter Birkett provides a comprehensive survey of the available literature on the topic, as well as practical advice on the everyday problems that challenge medical staffs, mental health professionals, gerontology students, and administrators of geriatric services. Indispensable for making decisions about which patients can be managed in nursing homes, in justifying psychotropic medications, and in formulating plans of care for behavioral disturbance, Psychiatry in the Nursing Home covers the broad range of topics related to the care of mentally ill and mentally retarded patients in nursing homes. Among the timely and often controversial issues explored in the book are: the importance of pre-admission screening the impact of the Omnibus Reconciliation Act of 1987 (OBRA) the difficult family the use of physical restraints violence in the nursing home legal competence
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