By Margaret Norris (auth.), Erlene Rosowsky, Joseph M. Casciani, Merla Arnold (eds.)
Geropsychology and long-term Care
A Practitioner’s Guide
Edited by means of Erlene Rosowsky, Boston, MA, Joseph M. Casciani, San Diego, CA, and Merla Arnold, Huntington Station, NY
Among the becoming inhabitants dwelling in nursing houses and assisted-living groups, emotional and behavioral difficulties are often undiagnosed and unaddressed. elevated curiosity in those elders’ caliber of existence has introduced geropsychology to the fore as an incredible uniqueness, as evinced via Psychologists in long term Care (PLTC). This association has been instrumental in setting up criteria for acceptable, respectful, and moral care, and constructing schooling and coaching assets for pros. Geropsychology and long-term Care is simply this kind of source, aimed toward practitioners in any respect degrees of expertise, despite theoretical orientation. The individuals, all specialists affiliated with PLTC, provide assurance that's up to date, without problems available, and eminently necessary, even if the reader wishes info on bedrock talents, multidisciplinary remedy, privateness concerns, or the way in which amenities are run.
Among the themes covered:
- Common mental problems in long term care, and their prevalence.
- Federal coverage concerns affecting care delivery.
- Funding and referral approaches in nursing homes.
- Assessment instruments generic with elders in long term care.
- Treatment plans and approach, together with the mixing of psychiatric drugs into therapy.
- Types of LTC services, their education, and their roles in multidisciplinary care.
- Outcomes size and Medicare documentation.
Geropsychology and long-term Care serves numerous reasons: a meticulous advent for the hot (or new-to-the-specialty) clinician, a pragmatic replace for the professional specialist, a worthy educating handbook for the instructor, a serious adjunct for the trainee.
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Extra info for Geropsychology and Long Term Care: A Practitioner's Guide
Of equal importance is the question of the conditions under which the behavior does not occur. The assessment methods become more circumscribed and direct, relying principally upon report by others and direct observation. Consider the Unique Presentation of Axis I Disorders Among Older Adults. Older adults may be less likely to report depressed mood or emotional problems. In contrast to younger adults, the presentation of depression among older adults is more likely to include irritability, worry, somatic complaints, cognitive impairment, deterioration of self-care, social withdrawal, and paranoia (Sable, Dunn, & Zisook, 2002).
A variety of variables are associated more highly with suicidal behaviors in older adults, including male (especially White) sex, recent loss of spouse, living alone, chronic or terminal illness or chronic pain, lower education and income, substance use, presence of mental illness, and history of suicide attempt, among others. There are many assessment measures clinicians can use to measure suicidal ideation or behaviors (see Brown, 1999, for a review). However, only three have been developed specifically for older adults.
This instrument has good reliability and validity, but further normative data are needed for use with older adults. Overall, the psychometric data available for the COGNISTAT are less consistently positive than for the DRS or MMSE (Ruchinskas & Curyto). , 1994) is a mental status screening instrument developed for use with geriatric populations and found to be a reliable, cross-cultural measure of cognitive impairment. ). 3 Assessment 35 The Short Portable Mental Status Questionnaire (SPMSQ; Pfeiffer, 1975) was designed for the geriatric population.