Pub Date : 2004-09-01DOI: 10.1177/153331750401900501
C. Rowland
{"title":"Medication and nonmedication strategies","authors":"C. Rowland","doi":"10.1177/153331750401900501","DOIUrl":"https://doi.org/10.1177/153331750401900501","url":null,"abstract":"","PeriodicalId":93865,"journal":{"name":"American journal of Alzheimer's disease and other dementias","volume":"104 1","pages":"NP - NP"},"PeriodicalIF":0.0,"publicationDate":"2004-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75980797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2004-07-01DOI: 10.1177/153331750401900414
M. Parker
{"title":"Book Review: Reflections on Caring for an Aging Parent","authors":"M. Parker","doi":"10.1177/153331750401900414","DOIUrl":"https://doi.org/10.1177/153331750401900414","url":null,"abstract":"","PeriodicalId":93865,"journal":{"name":"American journal of Alzheimer's disease and other dementias","volume":"1 1","pages":"255 - 255"},"PeriodicalIF":0.0,"publicationDate":"2004-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79920729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2004-07-01DOI: 10.1177/153331750401900401
C. Rowland
{"title":"Medications, genetics, and loss","authors":"C. Rowland","doi":"10.1177/153331750401900401","DOIUrl":"https://doi.org/10.1177/153331750401900401","url":null,"abstract":"","PeriodicalId":93865,"journal":{"name":"American journal of Alzheimer's disease and other dementias","volume":"55 1","pages":"NP - NP"},"PeriodicalIF":0.0,"publicationDate":"2004-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91156263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2004-07-01DOI: 10.1177/153331750401900415
D. Kuhn
This slender book is exactly what it advertises: a daughter’s guide to coping with the problems of caring for an aging parent. In this case, Lightbody uses unsent letters, journal entries, and highly personal reflections to talk about the long process of caring for her elderly mother with multiple disabilities. The book is intended to examine the impact of this kind of complex caregiving on the person, the family, and the community at large. This is an extremely personal book in which the author freely shares her complicated feelings of joy, anger, disappointment, apathy, sympathy, loss of hope, anger, and love during her caregiving career. The book is written in two parts. Part 1 is written in the form of a personal diary and deals with how Lightbody coped with the role reversal of becoming a “parent” to her own mother. Part 2, the central section, is a collection of unmailed letters to her mother that focus on such topics as her mother’s hearing problems, her blindness, her physical disabilities, her dementia, and her hallucinations. Each of these sections ends with a bulleted list describing ways of dealing with the various issues described. The letters also discuss ways of dealing with difficult people, address the specific financial and legal issues that arise, acknowledge the fact that there simply are no answers to some questions, and describe the many creative ways that Lightbody’s mother provoked guilt in her daughter. In the afterword, Lightbody points out that she wants her book to end on a hopeful, upbeat note. This is difficult, however, in that most of the letters and journal entries were written when the author was experiencing particularly tough spots in the relationship with her mother. A particularly useful feature of this book is the “Notes” section, listing the source of the quotes used throughout the book, and an “Index of Letter Topics,” which allows readers to zero in on a particular area of interest. Audrey Brown Lightbody is now retired in Claremont, California, from a lifetime of ecumenical and administrative ministries at both the local and national levels. Appropriate audiences for this book are clergy, nurses, and social workers seeking to work with elders and their families. Readers should be forewarned that this is not a research or fact-based book, but rather an intensely personal reflection on the frustrations of trying to care for someone in mental and physical decline. The book is well-written, but the content can make for difficult reading at times.
这本薄薄的书正如它所宣传的那样:一本女儿应对照顾年迈父母问题的指南。在这种情况下，Lightbody使用未发送的信件，日记条目和高度个人的反思来谈论照顾她患有多重残疾的年迈母亲的漫长过程。这本书旨在研究这种复杂的护理对个人，家庭和整个社区的影响。这是一本非常私人的书，作者在书中自由地分享了她在护理生涯中喜悦、愤怒、失望、冷漠、同情、失去希望、愤怒和爱的复杂感受。这本书分为两部分。第一部分是以个人日记的形式写的，讲述了Lightbody如何应对角色转换，成为自己母亲的“父母”。第二部分是中心部分，是她写给母亲的未邮寄信件的集合，这些信件集中在她母亲的听力问题、失明、身体残疾、痴呆和幻觉等主题上。每个部分都以一个项目符号列表结束，该列表描述了处理所描述的各种问题的方法。信中还讨论了与难相处的人打交道的方法，解决了出现的具体财务和法律问题，承认了一些问题根本没有答案的事实，并描述了莱特博迪的母亲激发女儿内疚感的许多创造性方法。在后记中，莱特博迪指出，她希望自己的书能以充满希望、乐观的基调结束。然而，这很困难，因为大多数信件和日记都是在作者与母亲关系特别困难的时候写的。这本书的一个特别有用的特点是“注释”部分，列出了整本书中使用的引用的来源，以及“信件主题索引”，它允许读者将注意力集中在感兴趣的特定领域。奥黛丽·布朗·莱特博迪(Audrey Brown Lightbody)在加州克莱蒙特(Claremont)退休，她一生都在地方和国家层面从事基督教和行政工作。适合这本书的读者是神职人员，护士和社会工作者寻求与老人和他们的家庭工作。读者应该事先注意，这不是一本研究或基于事实的书，而是对试图照顾一个身心衰退的人的挫败感的强烈个人反思。这本书写得很好，但内容有时会使人难以阅读。
{"title":"Book Review: Living with Grief: Alzheimer's Disease","authors":"D. Kuhn","doi":"10.1177/153331750401900415","DOIUrl":"https://doi.org/10.1177/153331750401900415","url":null,"abstract":"This slender book is exactly what it advertises: a daughter’s guide to coping with the problems of caring for an aging parent. In this case, Lightbody uses unsent letters, journal entries, and highly personal reflections to talk about the long process of caring for her elderly mother with multiple disabilities. The book is intended to examine the impact of this kind of complex caregiving on the person, the family, and the community at large. This is an extremely personal book in which the author freely shares her complicated feelings of joy, anger, disappointment, apathy, sympathy, loss of hope, anger, and love during her caregiving career. The book is written in two parts. Part 1 is written in the form of a personal diary and deals with how Lightbody coped with the role reversal of becoming a “parent” to her own mother. Part 2, the central section, is a collection of unmailed letters to her mother that focus on such topics as her mother’s hearing problems, her blindness, her physical disabilities, her dementia, and her hallucinations. Each of these sections ends with a bulleted list describing ways of dealing with the various issues described. The letters also discuss ways of dealing with difficult people, address the specific financial and legal issues that arise, acknowledge the fact that there simply are no answers to some questions, and describe the many creative ways that Lightbody’s mother provoked guilt in her daughter. In the afterword, Lightbody points out that she wants her book to end on a hopeful, upbeat note. This is difficult, however, in that most of the letters and journal entries were written when the author was experiencing particularly tough spots in the relationship with her mother. A particularly useful feature of this book is the “Notes” section, listing the source of the quotes used throughout the book, and an “Index of Letter Topics,” which allows readers to zero in on a particular area of interest. Audrey Brown Lightbody is now retired in Claremont, California, from a lifetime of ecumenical and administrative ministries at both the local and national levels. Appropriate audiences for this book are clergy, nurses, and social workers seeking to work with elders and their families. Readers should be forewarned that this is not a research or fact-based book, but rather an intensely personal reflection on the frustrations of trying to care for someone in mental and physical decline. The book is well-written, but the content can make for difficult reading at times.","PeriodicalId":93865,"journal":{"name":"American journal of Alzheimer's disease and other dementias","volume":"3 1","pages":"255 - 256"},"PeriodicalIF":0.0,"publicationDate":"2004-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80186949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2004-05-01DOI: 10.1177/153331750401900301
C. Rowland
: This paper discusses the historical context of the NSW AECG and the NSW Aboriginal Education Policy, and emphasises the need for culturally inclusive policies and effective implementation strategies. It also highlights the relationship between Indigenous educational disadvantage and colonisation, demonstrating the need for dominant educational frameworks to be inclusive of Indigenous ways of knowing, being and doing.
{"title":"Practicalities and possibilities","authors":"C. Rowland","doi":"10.1177/153331750401900301","DOIUrl":"https://doi.org/10.1177/153331750401900301","url":null,"abstract":": This paper discusses the historical context of the NSW AECG and the NSW Aboriginal Education Policy, and emphasises the need for culturally inclusive policies and effective implementation strategies. It also highlights the relationship between Indigenous educational disadvantage and colonisation, demonstrating the need for dominant educational frameworks to be inclusive of Indigenous ways of knowing, being and doing.","PeriodicalId":93865,"journal":{"name":"American journal of Alzheimer's disease and other dementias","volume":"56 1","pages":"NP - NP"},"PeriodicalIF":0.0,"publicationDate":"2004-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79781413","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2004-03-01DOI: 10.1177/153331750401900206
N. Richeson
The disturbing behaviors associated with dementia are a significant problem for older adults, their families, and their caregivers. By the year 2050, the incidence of dementia in the US is expected to climb to 14 million, according to the Alzheimer’s Association. The associated rise in disturbing behaviors will further affect the afflicted’s interpersonal relationships and quality of life, as well as opportunities to experience leisure. Dementia Practice Guidelines for Treating Disturbing Behaviors, a 400-page document, provides a long overdue systematic approach that will help recreational therapists treat these disturbing behaviors. The authors’ focus on the importance of including the best available evidence when formatting treatment decisions distinguishes this text from previous approaches to treatment in recreational therapy. The foundation of the dementia practice guidelines (DPG) is the merging of the Need-Driven DementiaCompromised Behavior (NDB) model and the Neurodevelopmental Sequencing Theory of Prescription (NDSP). The NDB model suggests that the disturbing behaviors of persons with dementia are not a symptom of the disease but rather an unmet need. The NDSP, developed by Buettner in the 1980s, is a comprehensive approach for treating the disturbing behaviors of frail older adults with dementia. While the Omnibus Budget Reconciliation Act of 1987 has long promoted a nonpharmacologic approach to treatment, little has been done to promote alternative treatment interventions. The DPG promotes recreational therapy as the first line of defense, ahead of prescribed psychoactive medication, with its negative side effects. The section on recreational therapy outlines the 10 steps in treating disturbing behaviors, referencing them with appendix materials such as behavior checklists, physician order forms, and evaluation materials. The tools provided in the appendices will ensure a place for the DPG on the practitioner’s desk. Also helpful is a chart of more than 80 protocols that can help the practitioner select the appropriate intervention based on factors such as behavior, stage, level of dementia, and research findings. The criteria for selecting an intervention to decrease a behavior illustrates the application of evidence-based practice. DPG’s literature review incorporates an evidencebased grading system that lets the reader determine the strength of the research. The reference section includes a key to inform the reader if the article is research, literature, national guidelines, or theory. The life work of two researchers, the DPG demonstrates a groundbreaking contribution not just to the therapeutic recreation profession but also to healthcare in general. The focus on evidence-based practice using a nonpharmological approach to treating disturbing behaviors for persons with dementia is an important one. As the authors note, there are many unanswered questions, and for that reason, Dementia Practice Guidelines for Treating Disturbing
{"title":"Book review: Dementia Practice Guidelines for Treating Disturbing Behaviors","authors":"N. Richeson","doi":"10.1177/153331750401900206","DOIUrl":"https://doi.org/10.1177/153331750401900206","url":null,"abstract":"The disturbing behaviors associated with dementia are a significant problem for older adults, their families, and their caregivers. By the year 2050, the incidence of dementia in the US is expected to climb to 14 million, according to the Alzheimer’s Association. The associated rise in disturbing behaviors will further affect the afflicted’s interpersonal relationships and quality of life, as well as opportunities to experience leisure. Dementia Practice Guidelines for Treating Disturbing Behaviors, a 400-page document, provides a long overdue systematic approach that will help recreational therapists treat these disturbing behaviors. The authors’ focus on the importance of including the best available evidence when formatting treatment decisions distinguishes this text from previous approaches to treatment in recreational therapy. The foundation of the dementia practice guidelines (DPG) is the merging of the Need-Driven DementiaCompromised Behavior (NDB) model and the Neurodevelopmental Sequencing Theory of Prescription (NDSP). The NDB model suggests that the disturbing behaviors of persons with dementia are not a symptom of the disease but rather an unmet need. The NDSP, developed by Buettner in the 1980s, is a comprehensive approach for treating the disturbing behaviors of frail older adults with dementia. While the Omnibus Budget Reconciliation Act of 1987 has long promoted a nonpharmacologic approach to treatment, little has been done to promote alternative treatment interventions. The DPG promotes recreational therapy as the first line of defense, ahead of prescribed psychoactive medication, with its negative side effects. The section on recreational therapy outlines the 10 steps in treating disturbing behaviors, referencing them with appendix materials such as behavior checklists, physician order forms, and evaluation materials. The tools provided in the appendices will ensure a place for the DPG on the practitioner’s desk. Also helpful is a chart of more than 80 protocols that can help the practitioner select the appropriate intervention based on factors such as behavior, stage, level of dementia, and research findings. The criteria for selecting an intervention to decrease a behavior illustrates the application of evidence-based practice. DPG’s literature review incorporates an evidencebased grading system that lets the reader determine the strength of the research. The reference section includes a key to inform the reader if the article is research, literature, national guidelines, or theory. The life work of two researchers, the DPG demonstrates a groundbreaking contribution not just to the therapeutic recreation profession but also to healthcare in general. The focus on evidence-based practice using a nonpharmological approach to treating disturbing behaviors for persons with dementia is an important one. As the authors note, there are many unanswered questions, and for that reason, Dementia Practice Guidelines for Treating Disturbing","PeriodicalId":93865,"journal":{"name":"American journal of Alzheimer's disease and other dementias","volume":"19 1","pages":"135 - 135"},"PeriodicalIF":0.0,"publicationDate":"2004-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85706124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2004-03-01DOI: 10.1177/153331750401900207
Elizabeth Hirshom
{"title":"Book Review: Design for Assisted Living: Guidelines for Housing the Physically and Mentally Frail","authors":"Elizabeth Hirshom","doi":"10.1177/153331750401900207","DOIUrl":"https://doi.org/10.1177/153331750401900207","url":null,"abstract":"","PeriodicalId":93865,"journal":{"name":"American journal of Alzheimer's disease and other dementias","volume":"10 1","pages":"136 - 136"},"PeriodicalIF":0.0,"publicationDate":"2004-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78549581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2004-03-01DOI: 10.1177/153331750401900201
C. Rowland
{"title":"Behaviors and concepts","authors":"C. Rowland","doi":"10.1177/153331750401900201","DOIUrl":"https://doi.org/10.1177/153331750401900201","url":null,"abstract":"","PeriodicalId":93865,"journal":{"name":"American journal of Alzheimer's disease and other dementias","volume":"47 1","pages":"NP - NP"},"PeriodicalIF":0.0,"publicationDate":"2004-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82036108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2004-01-01DOI: 10.1177/153331750401900101
C. Rowland
{"title":"Memantine, ethics, and behavioral matters","authors":"C. Rowland","doi":"10.1177/153331750401900101","DOIUrl":"https://doi.org/10.1177/153331750401900101","url":null,"abstract":"","PeriodicalId":93865,"journal":{"name":"American journal of Alzheimer's disease and other dementias","volume":"181 1","pages":"NP - NP"},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80257204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2004-01-01DOI: 10.1177/153331750401900113
Jan Sharrow
{"title":"Accepting the Challenge","authors":"Jan Sharrow","doi":"10.1177/153331750401900113","DOIUrl":"https://doi.org/10.1177/153331750401900113","url":null,"abstract":"","PeriodicalId":93865,"journal":{"name":"American journal of Alzheimer's disease and other dementias","volume":"150 1","pages":"51 - 52"},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75049843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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