The older person with anxiety

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Chapter 23 THE OLDER PERSON WITH ANXIETY INTRODUCTION Anxiety is a universal and normal human experience. It has survival value when it leads an individual to avoid danger. Anxiety is…

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Outcome evaluation

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Chapter 36 OUTCOME EVALUATION INTRODUCTION The demonstration of quality of care requires evaluation from a number of aspects. Outcome measurement can occur at a variety of levels (government, service and…

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The older person with suicidal thoughts

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Chapter 21 THE OLDER PERSON WITH SUICIDAL THOUGHTS INTRODUCTION Some of the highest rates for suicide are found among older people, particularly men. Yet despite this fact, older people are…

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Rating scales

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Chapter 35 RATING SCALES INTRODUCTION Throughout this book there have been references to rating scales used to assist with assessment and to monitor and evaluate treatment. The purpose of this…

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Palliative and end-of-life care

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Chapter 34 PALLIATIVE AND END-OF-LIFE CARE INTRODUCTION Among all the medical advances and increased capability to cure in the last few decades, healthcare lost its way in relation to the…

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Driving

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Chapter 33 DRIVING INTRODUCTION There is much debate about older drivers. On the one hand are safety concerns for the older person and the wider public, while on the other…

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Legal and ethical issues

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Chapter 32 LEGAL AND ETHICAL ISSUES INTRODUCTION The first part of this chapter deals with the legal and ethical issues that commonly confront mental health workers dealing with older people….

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Psychosocial and spiritual assessment

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Chapter 17 PSYCHOSOCIAL AND SPIRITUAL ASSESSMENT INTRODUCTION Psychosocial and spiritual assessments are addressed separately, but they can be interrelated in situations where active engagement and participation in spiritual experiences with…

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Pharmacological treatment

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Chapter 30 PHARMACOLOGICAL TREATMENT INTRODUCTION The introduction of effective psychotropic medications in the 1950s transformed the lives of many people with mental health problems, including many older people who would…

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Electroconvulsive therapy and other physical treatments

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Chapter 31 ELECTROCONVULSIVE THERAPY AND OTHER PHYSICAL TREATMENTS INTRODUCTION This chapter covers the use of electroconvulsive therapy (ECT) and other physical treatments for older people with mental health problems. While…

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