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Care giving for Alzheimer's disease : a compassionate guide for clinicians and loved ones

Author: Verna Benner Carson; Katherine Johnson Vanderhorst; Harold G Koenig
Publisher: New York, NY : Springer, 2015.
Edition/Format:   eBook : Document : EnglishView all editions and formats
Summary:
Veteran clinicians offer a unique framework for understanding the psychological origins of behaviors typical of Alzheimer's and other dementias, and for providing appropriate care for patients as they decline. Guidelines are rooted in the theory of retrogenesis in dementia--that those with the condition regress in stages toward infancy--as well as knowledge of associated brain damage. The objective is to meet  Read more...
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Genre/Form: Electronic books
Additional Physical Format: Printed edition:
Material Type: Document, Internet resource
Document Type: Internet Resource, Computer File
All Authors / Contributors: Verna Benner Carson; Katherine Johnson Vanderhorst; Harold G Koenig
ISBN: 9781493924073 1493924079 1493924060 9781493924066
OCLC Number: 905348808
Notes: Includes index.
Description: 1 online resource (xi, 120 pages) : illustrations (some color)
Contents: Foreword --
Preface --
Contents --
Chapter-1 --
Going Back to the Beginning: The Theory of Retrogenesis --
References --
Chapter-2 --
There Is No Such Thing As a "Little Dementia"! --
Challenging Behaviors: Blame the Brain! --
References --
Chapter-3 --
"If I knew My Loved One Was in Pain ..." --
Dangers of Antipsychotics in the Elderly --
Pain Assessment in Advanced Dementia Scale (PAINAD) --
PAINAD Item Definitions --
Breathing --
Negative Vocalization --
Facial Expression --
Body Language --
Consolability --
End Stage and Pain --
References --
Chapter-4 --
Alzheimer's: Strips Individuals of All Skills --
Instrumental Activities of Daily Living --
IADL and ADL --
Stage 4: Mild AD: cognitive level 8-12 years of age. --
Stage 5: Moderate AD-cognitive level on FAST scale 5-7 years of age. --
Case study: as told to us by Joan, a family caregiver in California. --
Stage 6: moderately severe AD-cognitive level on the FAST scale-4-2 years of age. --
Bathing --
Dental Care --
Dressing --
Toileting --
Walking --
Summary --
Appendix A --
References --
Chapter-5 --
Help! My Mother Is Lost and I Cannot Find Her! --
Who Is at Risk? --
Suggestions to Prevent Wandering --
Checklist of Daily Activities to Consider --
Writing the Plan --
Additional Interventions --
Night Wandering --
Developing a Neighborhood Watch --
Creating an Emergency Plan --
Summary --
References --
Chapter-6 --
Getting the Food in ... and Getting it Out --
Dehydration --
Weight Loss --
Other Causes for Diminished Appetite --
Strategies to Encourage a Healthy Appetite --
Additional Challenges --
Challenging Behaviors That Surround Eating --
Eating Environment --
Meal Preparation --
Living Alone --
Managing Incontinence --
Additional Strategies for Dealing with Incontinence --
Making the Bathroom Safe and Friendly --
Summary --
References --
Chapter-7. Sexuality and Intimacy in Those with Dementia --
Risks Associated with Sexual Activity Among Older Adults --
Additional Facts About Sexuality Among Elderly with Dementia: The Value of Touch --
Increased Sexual Interest --
Challenging Sexual Behavior --
Changes in Level of Inhibitions --
Adapting to Changes in a Partner's Behavior --
When the Caregiver or Person with Dementia Feels Frustrated --
What About Sexuality in an Assisted Living or Skilled Nursing Facility? --
Staff Reactions to Sexual Behavior --
Issues for Families --
Assessing Competency --
Determining Consent and Safety --
Guidelines --
Inappropriate Touching --
Summary --
References --
Chapter-8 --
Communication Commandments --
The Importance of Communication --
What Is Communication? --
Deterioration in Communication Skills --
Using the Ability to Read --
Effective Communication Strategies --
What to Say --
Listening --
Body Language and Physical Contact --
Specific Challenging Situations --
Summary --
References --
Chapter-9 --
Whispering Hope and Faith: Still, Small Voices for the Alzheimer's Journey --
Impact of Memory Loss --
The FAST Scale and Religious Needs --
Spiritual Needs of the Caregiver --
Summary --
References --
Chapter-10 --
What Else ...? --
Importance of Keeping Good Records --
Using Behavior Logs --
Taking Away the Car Keys --
Sundowning --
Vacations --
Air Travel --
Explaining to Grandchildren --
Holidays --
Gift Giving --
Making the Painful Decision: Placement of a Loved One --
Early-Stage Preparations --
Considering Long-Term Care --
Care at Home --
Is It Time to Move? --
Assisted Living Facilities and Nursing Homes --
Nursing Homes --
Making the Choice of Facility --
Making the Move --
Summary --
References --
Chapter-11 --
Finale: Pulling It All Together --
We Need to Think Outside of the Box!! --
Appendix --
Index.
Responsibility: Verna Benner Carson, Katherine Johnson Vanderhorst, Harold G. Koenig.

Abstract:

Veteran clinicians offer a unique framework for understanding the psychological origins of behaviors typical of Alzheimer's and other dementias, and for providing appropriate care for patients as they decline. Guidelines are rooted in the theory of retrogenesis in dementia--that those with the condition regress in stages toward infancy--as well as knowledge of associated brain damage. The objective is to meet patients where they are developmentally to best be able to address the tasks of their daily lives, from eating and toileting to preventing falls and wandering. This accessible information gives readers a platform for creating strategies that are respectful, sensitive, and tailored to individual needs, thus avoiding problems that result when care is ineffective or counterproductive. Featured in the coverage: Abilities and disabilities during the different stages of Alzheimer's disease. Strategies for keeping the patient's finances safe. Pain in those with dementia, and why it is frequently ignored. "Help! I've lost my mother and can't find her!" Sexuality and intimacy in persons with dementia. Instructive vignettes of successful caring interventions. Given the projected numbers of individuals expected to develop dementing conditions, Care Giving for Alzheimer?s Disease will find immediate interest among clinical psychologists, health psychologists, psychiatrists, social workers, and primary care physicians.

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"The primary goal is to share information about expected changes in functioning and behavior of patients with Alzheimer's disease, strategies and tools to effectively manage those changes ... . For Read more...

 
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