The first edition of this book was suggested by Tom Arie, Professor of Health Care of the Elderly at the University of Nottingham. The seven years since the first edition of this book have seen a revolution in the way that Health Services in the United Kingdom are organized. One of the original co-authors, Mike Church, has moved on through several NHS posts to independent practice in the area of management consultancy. He has been replaced by Carol Martin, a lecturer in the Psychology of Old Age in our department. In addition to the changes in the NHS there has been an explosion in the knowledge base of old age psychiatry, with several journals now devoted to the subject. A new diagnostic classificatory system (ICD10) has also been launched. In preparing this second edition, we have tried to remain true to the spirit of the first edition, whilst incorporating new knowledge and the changing context of our practice. Throughout the text we have used the terms 'patient' and 'client' interchangeably. The people we serve are the same whatever we call them! We have also, generally, but not always referred to patients in the female gender, since this reflects the fact that more women than men survive into old age. We have ordered the book so that the basic background information and skills in approaching the problems of old age are dealt with first.
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"'I can relate this work to many patients that I have cared for in A&E. I enjoyed this book, it's nicely formatted and a good read.' ACCIDENT AND EMERGENCY NURSING 'The book has many strengths. It highlights complicated interactions between psychological, biological and social constructs in explaining, for example, links between depression and physical disorder and the importance of the development of relationships with patients who have multiple needs. The book is well-supported with up-to-date literature. It is highly accessible and will inform the practise of allied professionals working with older people.' NURSING AND RESIDENTIAL CARE 'This text offers a useful review of old age psychiatry.' FAMILY PRACTICE 'This easy-to-read book is very up to date. The case history examples help to make this book a very valuable, practical and accessible reference for any health professional - from consultant to student in all fields of care - working with older people with mental health problems.' THERAPY WEEKLY"
The main focus of this new edition remains the practical assessment and management of people presenting with psychiatric symptoms in late life. The core of the book describes the common presentations of depression, confusion, somatic preoccupation, hallucinations and delusions. Case vignettes are used to illustrate the approach to clinical problems. There is special emphasis on the complex interaction of social, psychological and medical factors and the need for close multi-disciplinary teamwork. The new edition has been revised to: update the clinical approach, update patient management under new policies, provide a precise diagnostic system and structure the book in keeping with today's practice. This book should be of interest to postgraduate students in psychiatry or geriatrics; medical students; clinical psychologists; and nurses and other health professionals.
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