Psychiatric consequences of brain disease in the elderly a focus on management ; [based on proceedings of a Symposium Entitled Psychiatric Consequences of Brain Disease in the Elderly: A Focus on Management, held May 29, 1987, in Toronto, Ontario, Canada

Alzheimer's disease, stroke and Parkinson's disease are the most prevalent brain diseases in the elderly. The psychiatric and behavioural consequences of these and other brain disorders contribute greatly to the decline in function of these patients, often leading to greater suffering and a decreased quality of life, placement in institutions and increased stress on the family and other caregivers. The authors in this book discuss the psychiatric consequences of brain disease in the elderly with a particular focus on the management of these disorders. We have tried to keep the content of this book clinically relevant throughout by using a series of case examples and by emphasizing the various treatment strategies and forms of management available to the health care professional. In attempting to understand these disorders, it is important to place equal emphasis on biological, psychological and social factors. Because of the complexity and chronicity of these conditions, multidisciplinary intervention is crucial. We believe that this book will be helpful to all those working with the elderly, whether in the community or in the institution. This includes physicians, nurses, social workers, occupational therapists, psychologists and all those working with this patient population. Front Matter....Pages i-xi Neuropsychiatric Syndromes in the Elderly: An Overview....Pages 1-49 Investigation of Neuropsychiatric Disorders....Pages 51-58 Neuropsychiatric Syndromes in the Elderly: Pharmacologic Management....Pages 59-84 Psychodynamic Perspectives in the Clinical Approach to Brain Disease in the Elderly....Pages 85-99 Psychotherapy and the Cognitively Impaired Elderly....Pages 101-135 Helping the Family....Pages 137-146 Management of Disruptive Behaviours in the Cognitively Impaired Elderly: Integrating Neuropsychological and Behavioural Approaches....Pages 147-162 Issues of Care in Long-Term Settings....Pages 163-187 Telling Needs from Wishes: A Practical and Integrated Approach to Psychiatric Care of the Elderly....Pages 189-194 Back Matter....Pages 195-211 Edited By David K. Conn, Adrian Grek, And Joel Sadavoy. Based On A Symposium Held May 29, 1987 In Toronto, Ont., Canada. Includes Bibliographies And Index.