Get the vital clinical information you need with this comprehensive handbook! In the decade since the first edition of this book, dramatic changes have taken place in the field of geriatric psychiatry. Psychiatry in the Nursing Home, Second Edition, presents timely information on the newest trends in law, culture, and medications, while still offering essential advice on the fundamental concerns of caring for elderly patients with mental illnesses. The new edition of this essential handbook presents up-to-date information on psychiatric issues involving nursing home patients. Featuring helpful case histories and diagnostic criteria, Psychiatry in the Nursing Home, Second Edition, helps you effectively treat such difficult problems as noisy patients, sexual acting out, and incontinence. In addition, it offers help with such administrative concerns as financial issues, absent or warring families, and staffing problems. Psychiatry in the Nursing Home, Second Edition, presents incisive discussions of the changes in the field since the publication of the first edition, including: the effects of the new Prospective Payment System the use of newly released psychotropic medications the altered nomenclature of the DSM-IV the rise in assisted-living facilities the rapid development of the specialty of geriatric psychiatry With its comprehensive scope and practical advice, Psychiatry in the Nursing Home, Second Edition, is a must-have for nursing-home administrators and staff. Policymakers, mental health professionals, and geriatricians will be fascinated by the book’s wider considerations of the problems of housing and caring for the mentally ill and its provocative suggestions for future policy.

The shifting demographic toward a "graying" population -- coupled with today's reality of managed care -- makes the need for high-quality, cost-effective psychiatric services within the nursing care setting more urgent than ever. As we increase the number of our years, it is also imperative that we enhance the quality of those years. The product of the American Psychiatric Association's (APA's) Council on Aging and its Committee on Long-Term Care and of the Elderly, the Manual of Nursing Home Practice for Psychiatrists stands out because it focuses on the "how" -- not the "why" -- of nursing home care. Of exceptional importance is its detailed discussion of the Minimum Data Set (MDS), a structured assessment required by both Medicare and Medicaid for all residents of skilled nursing facilities. Divided into six sections, this "how to" volume contains practical information readers can use right away, from getting reimbursed by insurance companies to handling nursing facility politics: Clinical -- History; evaluation and management of psychiatric problems in long-term care patients; an overview of the MDS; sexuality within the nursing home care setting Regulatory -- Introduction to the Nursing Home Reform Act of 1987 (part of OBRA-87) and its implications for psychiatric care; details about the Resident Assessment Instrument (RAI), which includes the MDS, the Resident Assessment Protocols (RAPs), and Utilization Guides specified in the State Operations Manual (SOP) Financial -- Documentation, reimbursement, and coding; what to look for when contracting with nursing homes Legal and ethical -- The dehumanizing effect of diagnostic labels and the ethical issues inherent in regulating daily schedules (e.g., bed, meal, and bath times); nursing home placement; competence and decision-making ability; comfort care for end-stage dementia; coping with Alzheimer's disease; and the role of caregivers Summary and Future Perspectives -- A detailed vision about how psychiatrists can improve the diagnosis and treatment of nursing home patients Appendixes and bibliography -- Staffing recommendations and assessment instruments Edited by a distinguished authority and former chair of the APA's Committee on Long-Term Care and Treatment of the Elderly, this comprehensive volume will appeal to a wide audience of professionals: from general psychiatrists, nurse practitioners, and clinical nurse specialists, to primary care physicians and residents.

In one handy book, Psychiatry in the Nursing Home, every conceivable topic relating to the care of mentally ill or mentally retarded patients in nursing homes is covered. Due to the Omnibus Reconciliation Act of 1987 (OBRA), which mandates that all states screen out psychiatric patients needing active treatment who may attempt admittance into nursing homes, many professionals’expertise is relied upon as the screenings have now begun to take effect. As nursing home patients have multiple physical and mental problems and those caring for them come from many different educational backgrounds, it becomes of utmost importance that all nursing home workers and administrators familiarize themselves with the gamut of illnesses and patients requiring treatment. This thorough book fits the needs of professionals working with nursing home clients. The seven major sections of the book provide a structure to examine a number of topics important to both newcomers in nursing home work and experienced professionals in the field. Nursing home development is surveyed, as are the people working in and inhabiting nursing homes; specific psychiatric entities are discussed, as are common behavioral problems prevalent in nursing homes but not corresponding to a specific mental illness; the medical/psychiatric interface characteristic of nursing homes is explored. Helpful tips on how to deal with red-tape forms and policy are provided in a section centered on legal and administrative aspects of nursing homes. A unique view of American nursing homes as contrasted with British nursing homes provides insightful treatment options for aging mental patients as does the view of the future of nursing homes, and the continuing need to make health care for the aged mentally ill as effective as possible. BACKCOVER COPY Here is the first full account of psychiatry in nursing homes. Dr. D. Peter Birkett provides a comprehensive survey of the available literature on the topic, as well as practical advice on the everyday problems that challenge medical staffs, mental health professionals, gerontology students, and administrators of geriatric services. Indispensable for making decisions about which patients can be managed in nursing homes, in justifying psychotropic medications, and in formulating plans of care for behavioral disturbance, Psychiatry in the Nursing Home covers the broad range of topics related to the care of mentally ill and mentally retarded patients in nursing homes. Among the timely and often controversial issues explored in the book are: the importance of pre-admission screening the impact of the Omnibus Reconciliation Act of 1987 (OBRA) the difficult family the use of physical restraints violence in the nursing home legal competence

A revised resource for those involved in every stage of neuropsychiatric disorders in long-term care populations.

Geropsychiatric and Mental Health Nursing, Second Edition addresses the knowledge and skills necessary in the assessment and nursing care of older adults experiencing common late life mental health and psychiatric problems. This text features experts in gerontological nursing and geropsychiatric fields and provides essential information for advanced practice and professional nurses, as well as graduate and undergraduate nursing students.The Second Edition has been completely revised and updated to include crucial areas like assessment, diagnosis, psychopharmacology, and behavioral management strategies in nursing care of older adults. New to this edition are case studies in each chapter in addition to discussion questions. This new edition also presents the work of the Geropsychiatric Nursing Collaborative (GPNC) in its entirety. The focus of the GPNC is to improve the education of nurses who care for elders suffering from depression, dementia, and other mental health disorders. The collaborative effort enhances extant competencies for all levels of nursing education, focusing on older adults with mental health/illness concerns. Shared in the Appendix are the competency statements developed for basic, graduate, post-graduate, and continuing education nursing programs.