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36-Hour Day: A Family Guide to Caring for People Who Have Alzheimer Disease, Other Dementias, and Memory Loss sixth edition, large print [Mīkstie vāki]

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  • Formāts: Paperback / softback, 624 pages, height x width x depth: 235x156x40 mm, weight: 885 g, Not illustrated
  • Sērija : A Johns Hopkins Press Health Book
  • Izdošanas datums: 13-Jun-2017
  • Izdevniecība: Johns Hopkins University Press
  • ISBN-10: 1421422255
  • ISBN-13: 9781421422251
  • Mīkstie vāki
  • Cena: 29,36 €
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  • Formāts: Paperback / softback, 624 pages, height x width x depth: 235x156x40 mm, weight: 885 g, Not illustrated
  • Sērija : A Johns Hopkins Press Health Book
  • Izdošanas datums: 13-Jun-2017
  • Izdevniecība: Johns Hopkins University Press
  • ISBN-10: 1421422255
  • ISBN-13: 9781421422251

Through five editions, The 36-Hour Day has been the "bible" for families who love and care for people with Alzheimer disease. This book offers much-needed information and support to millions of people throughout the world. Whether a person has Alzheimer disease, vascular dementia, or another form of dementia, he or she will struggle with independent living and most likely face medical, behavioral, mood, and legal and financial problems. This essential resource will help family members and caregivers address all of these challenges and simultaneously cope with their own emotions and needs.

Thoroughly revised and updated, this sixth edition features easy-to-see take-away messages about every aspect of caregiving. Informed by new research into the causes of dementia and the search for therapies to prevent or cure dementia, this edition also includes new and expanded information on

• what we know about how to prevent dementia and the diseases that cause dementia;• new high-tech and low-tech devices to make life simpler and safer for people who have dementia;• behavioral and neuropsychiatric symptoms;• strategies for delaying symptoms in a person who has dementia;• changes in Medicare and other health care insurance laws;• changes in banking practices with regard to competency;• palliative care, hospice care, durable power of attorney, and guardianship;• Continuing Care at Home programs;• Parkinson’s related dementia;• dementia due to traumatic brain injury• choosing and moving a person to residential care; and• support groups for caregivers, friends, and family members

The central idea underlying the book—that much can be done to improve the lives of people with dementia and of those caring for them—remains the same. Still very much the book readers turn to, this fresh edition of The 36-Hour Day is the definitive guide for those who continue to love someone even after he or she has been changed by dementia.

Recenzijas

For a reader who wants a book about Alzheimers and caregiving, this is still the one to buy. Recommended. Choice This is for carers and families, but equally should be on the reading list for nursing and medical students. Every ward should have a copy as nursing and clinicians can learn so much from this and ensure a high standard of care for these patients. Nursing Times

Papildus informācija

After 35 years, still the indispensable guide for countless families and professionals caring for someone with dementia.
Foreword xix
Preface xxiii
Chapter 1 Dementia 1(18)
What Is Dementia?
8(4)
The Person Who Has Dementia
12(4)
Where Do You Go from Here?
16(3)
Chapter 2 Getting Medical Help for the Person Who Has Dementia 19(15)
The Evaluation of the Person with a Suspected Dementia
20(7)
Finding Someone to Do an Evaluation
27(1)
The Medical Treatment and Management of Dementia
28(6)
The Physician
29(1)
The Nurse
30(1)
The Social Worker
31(1)
The Geriatric Care Manager
32(1)
The Pharmacist
33(1)
Chapter 3 Characteristic Behavioral Symptoms in People Who Have Dementia 34(42)
The Brain, Behavior, and Personality: Why People Who Have Dementia Do the Things They Do
35(6)
Caregiving: Some General Suggestions
41(5)
Memory Problems
46(1)
Overreacting, or Catastrophic Reactions
47(8)
Combativeness
55(2)
Problems with Speech and Communication
57(10)
Problems the Person Who Has Dementia Experiences in Making Himself Understood
57(5)
Problems the Person Who Has Dementia Experiences in Understanding Others
62(5)
Loss of Coordination
67(4)
Loss of Sense of Time
71(2)
Symptoms That Are Better Sometimes and Worse at Other Times
73(3)
Chapter 4 Problems in Independent Living 76(26)
Mild Cognitive Impairment
76(4)
Managing the Early Stages of Dementia
78(2)
When a Person Must Give Up a Job
80(2)
When a Person Can No Longer Manage Money
82(2)
When a Person Can No Longer Drive Safely
84(6)
When a Person Can No Longer Live Alone
90(12)
When You Suspect That Someone Living Alone Is Developing Dementia
91(4)
What You Can Do
95(1)
Moving to a New Residence
96(6)
Chapter 5 Problems Arising in Daily Care 102(67)
Hazards to Watch For
102(11)
In the House
105(3)
Outdoors
108(2)
Riding in the Car
110(1)
Highways and Parking Lots
111(1)
Smoking
112(1)
Hunting
112(1)
Nutrition and Mealtimes
113(14)
Meal Preparation
114(1)
Mealtimes
115(3)
Problem Eating Behaviors
118(3)
Malnutrition
121(1)
Weight Loss
121(2)
Choking
123(2)
When to Consider Tube Feeding
125(2)
Exercise
127(4)
Recreation
131(5)
Meaningful Activity
134(2)
Personal Hygiene
136(11)
Bathing
138(4)
Locating Care Supplies
142(1)
Dressing
143(1)
Grooming
144(2)
Oral Hygiene
146(1)
Incontinence (Wetting or Soiling)
147(10)
Urinary Incontinence
148(5)
Bowel Incontinence
153(1)
Cleaning Up
154(3)
Problems with Walking and Balance; Falling
157(6)
Becoming Chairbound or Bedfast
160(2)
Wheelchairs
162(1)
Changes You Can Make at Home
163(6)
Should Environments Be Cluttered or Bare?
166(3)
Chapter 6 Medical Problems 169(39)
Pain
172(1)
Falls and Injuries
173(1)
Pressure Sores
174(1)
Dehydration
175(1)
Pneumonia
175(1)
Constipation
176(2)
Medications
178(5)
Dental Problems
183(1)
Vision Problems
184(3)
Hearing Problems
187(1)
Dizziness
188(1)
Visiting the Doctor
189(1)
If the Ill Person Must Enter the Hospital
190(3)
Seizures, Fits, or Convulsions
193(3)
Jerking Movements (Myoclonus)
196(1)
The Death of the Person Who Has Dementia
196(12)
The Cause of Death
196(1)
Dying at Home
197(1)
Hospice and Palliative Care
198(1)
Dying in the Hospital or Nursing Home
199(1)
When Should Treatment End?
200(3)
What Kind of Care Can Be Given at the End of Life?
203(5)
Chapter 7 Managing the Behavioral and Neuropsychiatric Symptoms of Dementia 208(53)
The Six R's of Behavior Management
209(3)
Concealing Memory Loss
212(2)
Wandering
214(15)
Why People Wander
215(3)
The Management of Wandering
218(11)
Sleep Disturbances and Night Wandering
229(5)
Worsening in the Evening ("Sundowning")
234(2)
Losing, Hoarding, or Hiding Things
236(2)
Rummaging in Drawers and Closets
238(1)
Inappropriate Sexual Behavior
238(4)
Repeating the Question
242(1)
Repetitious Actions
243(1)
Distractibility
244(1)
Clinging or Persistently Following You Around ("Shadowing")
245(2)
Complaints and Insults
247(4)
Taking Things
251(1)
Forgetting Telephone Calls
252(1)
Demands
253(3)
Stubbornness and Uncooperativeness
256(1)
When the Person Who Has Dementia Insults the Sitter
257(2)
Using Medication to Manage Behavior
259(2)
Chapter 8 Symptoms Associated with Mood Change and Suspiciousness 261(27)
Depression
261(2)
Complaints about Health
263(1)
Suicide
264(1)
Alcohol or Drug Abuse
264(1)
Apathy and Listlessness
265(1)
Remembering Feelings
266(1)
Anger and Irritability
267(3)
Anxiety, Nervousness, and Restlessness
270(3)
False Ideas, Suspiciousness, Paranoia, and Hallucinations
273(13)
Misinterpretation
274(2)
Failure to Recognize People or Things (Agnosia)
276(1)
"You Are Not My Husband"
277(1)
"My Mother Is Coming for Me"
277(1)
Suspiciousness
278(5)
Hiding Things
283(1)
Delusions and Hallucinations
284(2)
Having Nothing to Do
286(2)
Chapter 9 Special Arrangements If You Become Ill 288(6)
In the Event of Your Death
291(3)
Chapter 10 Getting Outside Help 294(31)
Help from Friends and Neighbors
295(1)
Finding Information and Services
296(3)
Kinds of Services
299(7)
Having Someone Come into Your Home
301(1)
Adult Day Care
302(3)
Short-Stay Residential Care
305(1)
Planning in Advance for Home Care, Day Care, and Respite Care
306(1)
When the Person Who Has Dementia Rejects the Care
307(4)
Your Own Feelings about Getting Respite for Yourself
311(3)
Locating Resources
314(3)
Paying for Care
317(4)
Should Respite Programs Mix People Who Have Different Problems?
321(1)
Determining the Quality of Services
322(2)
Research and Demonstration Programs
324(1)
Chapter 11 You and the Person Who Has Dementia 325(34)
Changes in Roles
328(7)
Understanding Family Conflicts
335(4)
Division of Responsibility
336(3)
Your Marriage
339(1)
Coping with Role Changes and Family Conflict
340(7)
A Family Conference
342(5)
When You Live Out of Town
347(1)
When You Are Not the Primary Caregiver, What Can You Do to Help?
348(3)
Caregiving and Your Job
351(1)
Your Children
352(7)
Teenagers
356(3)
Chapter 12 How Caring for a Person Who Has Dementia Affects You 359(36)
Emotional Reactions
359(22)
Anger
361(5)
Embarrassment
366(2)
Helplessness
368(1)
Guilt
369(4)
Laughter, Love, and Joy
373(1)
Grief
374(3)
Depression
377(1)
Isolation and Feeling Alone
378(1)
Worry
379(1)
Being Hopeful and Being Realistic
379(2)
Mistreating the Person Who Has Dementia
381(2)
Physical Reactions
383(2)
Fatigue
383(1)
Illness
384(1)
Sexuality
385(4)
If Your Spouse Has Dementia
385(3)
If Your Impaired Parent Lives with You
388(1)
The Future
389(4)
You as a Spouse Alone
391(2)
When the Person You Have Cared for Dies
393(2)
Chapter 13 Caring for Yourself 395(21)
Take Time Out
396(5)
Give Yourself a Present
398(1)
Friends
399(1)
Avoid Isolation
399(2)
Find Additional Help If You Need It
401(7)
Recognize the Warning Signs
402(3)
Counseling
405(3)
Joining with Other Families: The Alzheimer's Association
408(5)
Support Groups
410(1)
Excuses
411(2)
Advocacy
413(3)
Chapter 14 For Children and Teenagers 416(6)
Chapter 15 Financial and Legal Issues 422(23)
Your Financial Assessment
422(12)
Potential Expenses
423(2)
Potential Resources
425(9)
Where to Look for the Forgetful Person's Resources
434(4)
Legal Matters
438(7)
Chapter 16 Long-Term Care Arrangements 445(54)
Types of Living Arrangements
448(8)
Moving with the Person Who Has Dementia
456(1)
Nursing Homes
457(8)
Finding a Long-Term Care Setting outside the Home
465(16)
Paying for Care
468(3)
Guidelines for Selecting a Long-Term Care Facility
471(10)
Moving a Person to a Residential Care Facility
481(3)
Adjusting to a New Life
484(8)
Visiting
485(5)
Your Own Adjustment
490(2)
When Problems Occur in the Nursing Home or Other Residential Care Facility
492(3)
Sexual Issues in Nursing Homes or Other Care Facilities
495(4)
Chapter 17 Preventing and Delaying Cognitive Decline 499(12)
Usual Age-Associated Changes
499(2)
Recalling Words and Speed of Mental Performance
500(1)
Risk Factors Identify Potential Targets and Possible Approaches for Decreasing the Risk of Dementia
501(8)
Cardiovascular Factors
501(1)
Physical Exercise
502(1)
Social and Intellectual Activity
503(1)
Diet
504(2)
Education
506(1)
Diabetes
506(1)
Depression
506(1)
Toxins
507(1)
Head Injury
508(1)
Age
508(1)
Genetics
509(1)
Medications
509(1)
Summary
509(2)
Chapter 18 Brain Disorders and the Causes of Dementia 511(22)
Mild Cognitive Impairment
512(1)
Dementia
513(16)
Alcohol Use Disorder Associated Dementia
515(1)
Alzheimer Disease
515(3)
Amnestic (Korsakoff) Syndrome
518(1)
Cortico-basal Ganglionic Degeneration
518(1)
Depression
519(1)
The Frontotemporal Dementias
520(1)
HIV-AIDS
521(2)
Lewy Body Dementia
523(1)
Parkinson Disease Associated Dementia
524(1)
Primary Progressive Aphasia
525(1)
Progressive Supranuclear Palsy
525(1)
Traumatic Brain Injury (TBI or Head Trauma)
526(1)
Vascular Dementia
527(1)
Young or Early Onset Dementia
528(1)
Other Brain Disorders
529(4)
Delirium
529(2)
Stroke and Other Localized Brain Injury
531(1)
Transient Ischemic Attack
532(1)
Chapter 19 Research in Dementia 533(32)
Understanding Research
534(4)
Bogus Cures
537(1)
Research in Vascular Dementia and Stroke
538(1)
Research in Alzheimer Disease
539(11)
Structural Changes in the Brain
539(1)
Brain Cells
539(1)
Neuroplasticity
540(1)
Neurotransmitters
541(1)
Abnormal Proteins
542(1)
Abnormal Proteins within Brain Cells
543(1)
Infection
544(1)
Nerve Growth Factors
544(1)
Transplants of Brain Tissue
545(1)
Metals
546(1)
Prions
546(1)
Immunological Defects
547(1)
Head Trauma
548(1)
Drug Studies
548(2)
Epidemiology
550(1)
Down Syndrome
551(1)
Old Age
551(1)
Heredity
552(4)
Gender
556(1)
Neuropsychological Testing
556(1)
Brain Imaging
557(2)
Keeping Active
559(1)
The Effect of Acute Illness on Dementia
560(1)
Research into the Delivery of Services
561(1)
Protective Factors
562(1)
One Disease or Many?
563(2)
Index 565
Nancy L. Mace, MA, is retired. She was a consultant to and member of the board of directors of the Alzheimer's Association and an assistant in psychiatry and coordinator of the T. Rowe and Eleanor Price Teaching Service of the Department of Psychiatry and Behavioral Sciences of the Johns Hopkins University School of Medicine. Peter V. Rabins, MD, MPH, is a professor of the practice in the Erickson School of Aging Management Services at the University of Maryland, Baltimore County. He was the founding director of the geriatric psychiatry program and the first holder of the Richman Family Professorship of Alzheimer Disease and Related Disorders in the Department of Psychiatry and Behavioral Sciences of the Johns Hopkins University School of Medicine.