9780471379676

Alzheimer's : A Caregivers Guide and Sourcebook

by
  • ISBN13:

    9780471379676

  • ISBN10:

    0471379670

  • Edition: 3rd
  • Format: Paperback
  • Copyright: 2001-08-03
  • Publisher: Wiley

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Summary

The landmark bestselling guide--now updated with the latest essential informationThe third edition of this critically acclaimed guide leads you through the realities of caring for a loved one struggling with Alzheimer's. The author, a nationally recognized authority, details the latest developments in treatment and care options and offers helpful, hopeful advice for getting through difficult challenges. Now fully revised and updated, this edition includes new chapters designed to help caregivers cope with stress and depression and offers information on the latest breakthrough research developments and treatments. Alzheimer's speaks directly to your vital concerns, including: the symptoms and traits of Alzheimer's, what to expect at each progressive stage, and how to respond to behavior problems the full range of treatments and support services available, including tips on how to locate and finance them ways to understand your feelings and the impact of grief new information on managing caregiver stress and chronic depression in sufferers the latest therapies and medical research With its sensitive and in-depth examination, Alzheimer's shows how to make the care you give more rewarding and effective and how to make the life of anyone caught in the grip of Alzheimer's more loving and comfortable."Valuable information for families, friends, and caregivers. . . a concisely written, essential resource."-Booklist

Author Biography

HOWARD GRUETZNER, M.E., is the Director of the Heart of Texas Region Mental Health Mental Retardation Center——Elder Services. He is also the founder of the Alzheimer’s Family Support Group in the region. He conducts seminars on dementia and other geriatric mental health problems.

Table of Contents

Preface vii
Acknowledgments xi
Special Acknowledgment xv
Part I The Caregiver Experience 1(236)
What Is Alzheimer's Disease?
3(8)
A Case History
3(2)
Early Detection and Treatment
5(1)
Causes of Disease-Multiple Factors
6(2)
The Statistics
8(3)
Symptoms and Phases of Alzheimer's Disease
11(22)
Symptoms of Alzheimer's Disease
11(12)
Phases of Alzheimer's Disease
23(1)
Early Confusional Phase
24(1)
Late Confusional Phase
25(1)
Early Dementia
26(2)
Middle Dementia
28(3)
Late Dementia
31(2)
Depression and the Person with Alzheimer's Disease
33(26)
Risk Factors for Depression
35(1)
Signs and Symptoms of Depression
36(3)
Depressive Symptoms and Disorders
39(7)
Causes of Depression with Alzheimer's Disease
46(2)
Treatment for Depression
48(6)
Grief and Coping
54(5)
Possible Causes of Alzheimer's Disease
59(15)
What Does Not Cause Alzheimer's
59(1)
The Genetic Theory
60(3)
The Viral Theory
63(1)
The Immune System Theory
64(1)
The Aluminum Theory
65(1)
Psychosocial Factors and Dementia
65(9)
Six Common Myths About Alzheimer's
74(8)
Alzheimer's Symptoms Are a Normal Sign of Old Age
74(1)
Senility Is the Usual Cause of Problems in Old Age
75(2)
Nothing Can Be Done for the Person with Alzheimer's
77(1)
Alzheimer's Is Strictly a Mental Illness
77(1)
Only the Family Should Care for the Person with Alzheimer's
78(1)
All Relatives of People with Alzheimer's Are Likely to Inherit the Disease
79(3)
Coping: A Step-by-Step Guide to the Caregiver's Experience
82(10)
A Hypothetical Case History
82(1)
Noticing Initial Symptoms
83(1)
Confirming Suspicions
84(1)
Seeking Information
85(1)
Taking Action
85(1)
Weighing Findings
86(1)
Identifying Resources
86(1)
Planning Care
87(1)
Managing Caregiver Stress
88(4)
From Family Care to Alzheimer's Care: Preparing for Caregiving
92(22)
Differences in Alzheimer's Caregiving and Traditional Family Care
98(2)
Coping with Problems Common to Chronic Disease
100(11)
Motivations for Helping
111(3)
Understanding Behavioral Changes
114(20)
Early Threats to Who We Are
115(1)
The Impact of Losses on Relating
115(1)
Attempts to Understand Behavior
116(1)
Revising Your Expectations
117(2)
Questioning Old Beliefs About Behavior
119(5)
Emotions and Alzheimer's Behavior
124(2)
Emotional and Behavioral Communication
126(2)
Behavior and Stress
128(1)
Catastrophic Reactions
129(2)
Excess Disability
131(1)
Summary
131(3)
Stages of Family Adjustment
134(9)
Accepting the Disease
134(3)
Denial
137(2)
Overinvolvement
139(1)
Anger
140(1)
Guilt
141(1)
Acceptance
142(1)
Family Responses to Care
143(17)
Need for Family Support
143(1)
Compatible vs. Conflictual Families
144(3)
New Views of Parent
147(1)
Cohesive vs. Fragmented Families
147(1)
Productive vs. Nonproductive Families
147(1)
Fragile vs. Stable Families
148(1)
Family Roles and Rules
149(2)
Family Roles During Crisis
151(3)
Caregivers and Caregiving
154(6)
Values, Beliefs, and the Caregiver Experience
160(4)
Expectations Influence Our Feelings and Reactions
160(4)
How to Respond Positively to Alzheimer's Behaviors
164(19)
Depression and the Alzheimer's Caregiver
183(17)
How Common Is Caregiver Depression?
184(1)
Reasons We Fail to Recognize Depression
185(1)
Depressive Disorders
186(3)
Generalized Anxiety Disorder
189(1)
Risk Factors for Caregiver Depression
190(10)
Coping with Ongoing Caregiver Stress
200(24)
Learning to Analyze and Manage Change
200(2)
Stressors, Stress, and Coping
202(3)
Responding to Thoughts and Stressors
205(2)
Stress and Self-Talk
207(1)
Irrational Beliefs Cause Stress
208(3)
Coping Model
211(3)
Different Types of Stress
214(1)
Manifestations of Stress
215(1)
Coping Examples
216(1)
Coping Approaches for Different Stressors
217(5)
Twelve Steps for Caregivers
222(2)
Exploring Community Resources
224(13)
Drawing upon Community Resources Reduces Strain on the Caregiver
224(3)
Community Resources for Alzheimer's Care
227(2)
Considerations for Nursing Home Care
229(5)
Final Resource Considerations
234(3)
Part II Research and Treatment 237(54)
Abnormal Changes in the Brain
239(25)
Physical Changes in the Brain
240(1)
Anatomy of the Brain
241(1)
Neurofibrillary Tangles
242(5)
Senile or Neuritic Plaques
247(3)
Granulovacuolar Degeneration
250(2)
Hirano Bodies
252(1)
Congophilic Angiopathy
253(1)
Chemical Changes in the Brain
254(1)
More About Brain Anatomy
254(3)
The Cholinergic System
257(2)
The Serotonergic System
259(1)
The Noradrenergic System
260(1)
Somatostatin
261(1)
The Glutaminergic System
261(1)
Treating Neurotransmitter Deficiencies
262(1)
Summary
263(1)
Treatment Possibilities
264(19)
Role of Drugs in Alzheimer's Treatment
264(2)
Should You Participate in Drug Research Study?
266(1)
Inconsistencies in Drug Studies
266(2)
Cholinergic Agents
268(2)
Available Cholinesterase Inhibitors
270(3)
Cholinergic Receptor Agonists
273(1)
Naloxone and Naltrexone
274(1)
Vasodilators and Nootropic Agents
274(1)
Neuropeptides
275(1)
Psychostimulants
276(1)
Glutaminergic Agents
276(1)
Combination Drug Studies
277(1)
Estrogen, Anti-Inflammatory Agents, and Antioxidants
278(2)
Statins
280(1)
Neuronal Transplants
281(2)
Psychiatric Medications and Dementia
283(8)
Side Effects
285(1)
Major Tranquilizers (Neuroleptics or Antipsychotics)
286(1)
Minor Tranquilizers
287(1)
Antidepressants
288(2)
Summary
290(1)
An Afterword 291(2)
Appendix A: Worksheets 293(16)
Appendix B: Self-Help Groups and Organizations That Can Help 309(6)
Appendix C: Internet and World Wide Web Resources 315(2)
Bibliography 317(8)
Index 325

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