Agitation in patients with dementia : a practical guide to diagnosis and management / edited by Donald P. Hay ... [and others].

Format:

Book

Contributor:

Hay, Donald P.

Series:

Clinical practice (Unnumbered)

Clinical practice

Language:

English

Subjects (All):

Dementia--Complications.

Dementia.

Agitation (Psychology).

Dementia--complications.

Psychomotor Agitation--etiology.

Medical Subjects:

Dementia--complications.

Psychomotor Agitation--etiology.

Physical Description:

xvii, 250 pages : illustrations ; 23 cm.

Edition:

First edition.

Place of Publication:

Washington, DC : American Psychiatric Pub., [2003]

Summary:

Among the most frustrating challenges for any health care professional are treating and alleviating the distress of an agitated patient with dementia -- especially compelling in the midst of today's unprecedented population explosion among adults over age 65. For the first time ever, people age 85 and older represent the fastest-growing segment of our population.

As we find ways to meet this challenge, we are also transforming how we think about aging. Instead of the pejorative term "senility," which implies that simply to be old is to be infirm, we refer to the ABCs of geriatric psychiatry: disturbances in (A)ffect, (B)ehavior, and (C)ognition, which are not normal at any age.

This compact volume addresses (B)ehavior. Here, recognized experts from around the world synthesize this growing body of literature into a single concise volume for everyday use by busy clinicians. Its 16 chapters cover identifying and diagnosing the multiple types of agitation in dementia patients, looking for and treating the underlying medical etiologies, and recommending treatment and management techniques -- everything from epidemiology and neurochemistry to behavior assessment scales, medications, psychotherapy, and bright light therapy. Furthermore, this encouraging work shows that successful outcomes -- with response rates as high as 70% -- can be achieved with a systemic approach, involving both patient and caregiver, that includes cognitive, behavioral, psychodynamic, and reminiscence therapies.

Appealing to a wide audience of geriatric psychiatrists, primary care physicians and internists, general practitioners, nurses, social workers, psychologists, pharmacists, and mental health care workers and practitioners in hospitals, nursing homes, and clinics, this remarkable monograph offers practical direction on assessing and managing agitation in patients with dementia.

Contents:

1 Agitation in the Elderly: Definitional and Theoretical Conceptualizations / Jiska Cohen-Mansfield, Ph.D. 1

2 Epidemiology of Agitation / Karin Barkin, M.D., Jacobo E. Mintzer, M.D. 23

3 Neurochemistry of Agitation / Anton Porsteinsson, M.D., Rebekah Loy, Ph.D., Pierre N. Tariot, M.D. 35

4 Use of Behavioral Assessment Scales for Evaluating Agitation in Dementia / Daryl L. Bohac, Ph.D., Dennis P. McNeilly, Psy.D., David G. Folks, M.D. 53

5 Differential Diagnosis of Agitation in Dementia: Delirium, Depression, Psychosis, and Anxiety / Joy Webster, M.D., M.P.H., George T. Grossberg, M.D. 67

6 Clinical Assessment and Management of Agitation in Residential Settings / Susan Eller, M.A., R.N., Linda Griffin, R.N.C., Christine Mote, M.S.N., R.N.C.S. 81

7 Nursing Care Adaptations, Behavioral Interventions, Environmental Changes, and Sensory Enhancement: Conceptual, Process, and Outcome Issues / Perla Werner, Ph.D. 91

8 Psychotherapeutic Interventions / Leeanne Lott, M.S.W., L.C.S.W., David T. Klein, Psy.D. 103

9 Bright Light Therapy / Andrew Satlin, M.D., David Harper, Ph.D., Yvette Rheaume, R.N., Ladislav Volicer, M.D., Ph.D. 119

10 Serotonergic Agents / Kari L. Franson, Pharm.D., Deanna Chesley, Pharm.D., John S. Kennedy, M.D., F.R.C.P.C. 135

11 Mood Stabilizers / Steven P. Wengel, M.D., David G. Folks, M.D. 149

12 Antipsychotic Agents / David G. Folks, M.D. 167

13 Beta-Blockers, Benzodiazepines, and Other Miscellaneous Agents / Kari L. Franson, Pharm.D., Deanna Chesley, Pharm.D., John S. Kennedy, M.D., F.R.C.P.C. 187

14 Electroconvulsive Therapy / Elizabeth Cookson, M.D., Donald P. Hay, M.D. 197

15 Hormone Therapies / Mercedes M. Rodriguez, M.D. 209

16 Legal and Ethical Issues / Barbara J. Gilchrist, J.D., Ph.D. 221.

Notes:

Includes bibliographical references and index.

ISBN:

0880488433

OCLC:

47838988