By Karen Bryan, Jane Maxim
This booklet makes a speciality of language and verbal exchange matters with older individuals with psychological healthiness problems. Radically revised and up to date from the authors’ prior e-book, “Communication incapacity and the Psychiatry of outdated Age”, this booklet acknowledges that language and verbal exchange isn't just the company of speech and language remedy yet is appropriate to all employees concerned with those that have psychological well-being difficulties. This booklet makes a speciality of what older individuals with psychological wellbeing and fitness problems require to keep up their independence and to reduce the consequences of degenerative ailment approaches for so long as attainable from a speech and language perspective.Relevant to all contributors of the multidisciplinary crew concerned inside of older people’s psychological well-being servicesEach bankruptcy is evidence-based and factualReflects the significant advances within the prognosis and remedy of dementias
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Additional info for Communication Disability in the Dementias
In: Miesen BML, Jones GMM (eds) Care-giving in Dementia, Research and Applications, Vol. 2. Routledge, London. Hanratty B, Lawlor DA (2000) Hearing impairment in the older population. Journal of Public Health Medicine 22: 512–517. Heine C, Browning CJ (2002) Communication and psychosocial consequences of sensory loss in older adults: overview and rehabilitation directions. Disability and Rehabilitation 24: 763–773. Hopper TL, Bayles KA, Tomoeda CK (1998) Using toys to stimulate communicative function in individuals with Alzheimer’s disease.
In the US, services for older people have lagged behind those for younger people because of the limitations of the reimbursement system (see Chapter 11 for further information on services in the USA). Services in many third world and transition countries have been almost non-existent, but in India for example the number of older people in the population is increasing very rapidly and the traditional model of family-based care is under strain as western patterns of work are adopted. There will be an urgent need to improve service provision.
1992) are two examples. In the clinical setting, the following information may be needed to assist diagnosis: • detailed history, from the patient and an informant • the person’s underlying personality traits, as results of treatment may be less obvious in a dysthymic (chronically gloomy) patient • examination of the mental state, including an assessment of cognition 28 Communication Disability in the Dementias • drug history: this provides a practical prompt for co-morbidity, and a number of drugs are associated with mood change; most commonly steroids and beta-blockers • physical examination, because of the overlap with major illness • a number of blood tests, to exclude physical disease that can present with low mood: – full blood count, as low haemoglobin with large red cells (macrocytic anaemia) may suggest vitamin B12 deﬁciency or alcoholism – bone proﬁle to check for high calcium (most often due to hyperparathyroidism, but metastatic cancer is not rare) – thyroid function (high thyroid stimulating hormone in hypothyroidism) – blood glucose – renal and liver function tests, to rule out major pathology and prior to drug treatment • ECG may be needed before treatment, and chest X ray if there is a suspicion of cancer • CT brain scan if there is concomitant dementia or neurological ﬁndings.
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