Inpatient Geriatric Psychiatry Optimum Care, Emerging Limitations,
This book offers mental health guidelines for all medical professionals facing the emerging challenges presented by an aging population worldwide. The text acknowledges that as the geriatric demographic grows, limited resources and infrastructures d
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Inpatient Geriatric Psychiatry
Howard H. Fenn • Ana Hategan James A. Bourgeois Editors
Inpatient Geriatric Psychiatry Optimum Care, Emerging Limitations, and Realistic Goals
Editors Howard H. Fenn Department of Psychiatry and Stanford/ VA Alzheimer’s Center VA Health Care System Palo Alto, CA USA
Ana Hategan Department of Psychiatry and Behavioural Neurosciences McMaster University Hamilton, ON Canada
James A. Bourgeois Department of Psychiatry Baylor Scott and White Central Texas Division College of Medicine Texas A & M University Health Science Center Temple, TX USA
ISBN 978-3-030-10400-9 ISBN 978-3-030-10401-6 (eBook) https://doi.org/10.1007/978-3-030-10401-6 Library of Congress Control Number: 2019935522 © Springer Nature Switzerland AG 2019 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
To our aging veterans
Foreword 1
Most people are aware of the rapidly changing demographics. In the USA, 10,000 Baby Boomers are turning 65 every single day, and this will continue until 2030 [1]. What is not well appreciated is that the numbers of older people with mental illnesses are rising even more rapidly [2, 3]. The number of Americans with Alzheimer’s disease and other dementias is expected to increase from 4 million today to 15 million by 2050 [4]. A large majority of the persons with dementia have behavioral problems including psychosis, depression, and severe agitation that are often multi-determined and difficult to manage at home, especially in acute states. There are also problems in diagnosing illnesses in older neuropsychiatric patients because of nearly universal comorbidities. These patients need multidisciplinary evaluation including psychiatric, neurological, gene
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