Complementary and Alternative Approaches

According to a recent national survey, 50 or more of patients who report severe depression have used complementary and alternative therapies in an attempt to alleviate symptoms (Kessler et al. 2001). These approaches include cognitive techniques such as relaxation and biofeedback, oral medications such as herbal medicine and homeopathy, physical treatments such as massage and chiropractic, and other approaches such as spiritual healing and dietary modification. Most persons using these...

What Is Aging

A useful definition of aging was proposed by Birren and Zarit (1985) Biological aging, senescing, is the process of change in the organism, which over time lowers the probability of survival and reduces the physiological capacity for self-regulation, repair and adaptation to environmental demands (p. 9). Modern gerontologists distinguish primary aging, which is postulated to re flect an intrinsic, presumably genetically preprogrammed limit on cellular longevity, from secondary aging, which is...

First Line Agents Selective Serotonin Reuptake Inhibitors

SSRIs have been studied in elderly depressed patients and have been shown to be effective and generally well tolerated and to have few side effects (New-house 1996). Some side effects, such as mild anorexia, nausea, gastrointestinal upset, jitteriness, and headache, typically diminish within the first few days to weeks of initiation of therapy others, such as sexual dysfunction (including inhibited desire, delayed ejaculation, and anorgasmia) and later-onset weight gain, may not diminish at...

Info

Problem-solving therapy, for geriatric depression, 128 Problem Solving Treatment in Primary Care (PST-PC), 131 abilities, 23, 27 Professional approaches, for effective work with elderly patients, 16 Prognosis, for elderly patients with delirium, 264 Progressive nonfluent aphasia, 231 Propentofylline, and vascular dementia, 247-248 Propoxyphene, 328 Propranolol, 78 Prospective memory, 30 Protective factors for Alzheimer's disease, 192-195 for suicidality, 107 Proxy directives, 350-351...

Resources for Dementia Caregivers

Alzheimer's Association (800) 272-3900, http www.alz.org American Association of Retired Persons (AARP) http www.aarp.org (information about the Family and Medical Leave Act) Kaplan M, Hoffman S (eds) Behaviors in Dementia Best Practices for Successful Management. Baltimore, MD, Health Professions Press, 1998 Mace NL, Rabins PV (eds) The 36-Hour Day, 3rd Edition. Baltimore, MD, Johns Hopkins University Press, 1999 National Institutes of Health Clinical Trials http www.clinicaltrials.gov...