Tuesday, February 10, 2009

The Physicians Guide to Depression and Bi Polar Disorders or Caring for Our Elders

The Physician's Guide to Depression and Bi-Polar Disorders

Author: Dwight L Evans

A Clinically-Oriented, Prescriptive Guide to Diagnosing and Treating Mood Disorders

Depression is very common in chronic medical illness, hindering recovery, increasing functional impairment, contributing to the costs of treating disease and worsening prognosis. In addition, symptoms of depression are often indistinguishable from symptoms of co-occurring illnesses. It is imperative that clinicians acquire a more precise understanding of how depression and other chronic medical conditions impact each other, and how the treatments for each may influence the other.

This book describes the epidemiology, etiology, diagnosis, and treatment of comorbid depression and bipolar disorder with specific illnesses. It informs physicians about what patients need for optimum outcomes, and gives practical ideas on communicating with patients and instilling hope.

This wealth of practical information on treating mood disorders and comorbid physical illness over the long term and avoiding relapses can be immediately utilized to enrich patient care.

This is the first step-by-step mood disorder guidebook designed specifically for physician use:

  • Helps physicians detect, diagnose, and treat depression and bipolar disorders in a concise, results-oriented way. Also helps physicians understand the issues and concerns of their patients for more effective and patient-centered care.

  • Provides a clinically rigorous method for quickly and accurately linking symptoms to each disorder.

  • Offers clear, up-to-date information on psychotropic drugs--with definitive instructions on the use of these antidepressants and mood stabilizers in the treatmentof disorders, including dosage guidelines.

  • Covers mood disorders as primary illnesses.

  • Focuses also on how mood disorders affect the diagnosis, treatment, and course of specific medical illnesses.
From Diagnosis to Treatment and Patient Management – A Unique Physician’s Guide to Depression and Bipolar Illness

Dwight L. Evans, MD
Ruth Meltzer Professor and Chairman
Department of Psychiatry
Professor of Psychiatry, Medicine and Neuroscience
University of Pennsylvania Health System

Dennis S. Charney, MD
Dean for Academic and Scientific Affairs for Mount Sinai School of Medicine
Senior Vice President for Health Sciences of The Mount Sinai Medical Center
Anne and Joel Ehrenkranz Professor
Departments of Psychiatry, Neuroscience, and & Biological Chemistry
Mount Sinai School of Medicine

Depression and Bipolar Support Alliance, based in Chicago, Illinois, is the nation's leading patient-directed organization focusing on the most prevalent mental illnesses -- depression and bipolar disorder.

Doody Review Services

Reviewer: Regina Lopez, MD(Rush University Medical Center)
Description: This guide primarily focuses on the relationship between comorbid depression and specific medical conditions. It also provides brief overviews of depression and bipolar disorder.
Purpose: The editors' purpose is to clearly describe the state of current knowledge for each medical disorder discussed, and to stimulate future inquiries where gaps in understanding exist. These are extremely worthy objectives given the impact depression and medical conditions have on one another. Also, mood disorders are often overlooked in the primary care setting. The objectives are clearly met.
Audience: The book is written for a broad audience, including psychiatrists, psychologists, and other healthcare professionals who treat patients with mental and behavioral health disorders, as well as physicians in virtually all medical and surgical specialties and researchers in the biomedical sciences. The first section is oriented towards those not specifically trained in the mental health field.
Features: The first section covers general information on the prevalence, diagnosis, and psychopharmacologic and psychotherapeutic treatment of depression and bipolar disorder in adults, adolescents, and children. The subsequent sections cover the epidemiology, underlying biologic and physiologic mechanisms, diagnosis, and treatment of comorbid depression and specific medical disorders. The final section covers special topics, such as complementary and alternative medical approaches to mood disorder treatment. The best feature is that the book provides the most up-to-dateliterature on the subject matter in an organized and readable manner. In some chapters, trials are summarized in a table format. The diagnostic dilemmas of comorbid depression and specific medical conditions are also discussed.
Assessment: This is a useful and needed book in the field of psychiatry. It underscores the importance of a psychiatrist's role in inquiring about medical illness and preventative healthcare in our patient population. Also, the book stresses the importance of screening for mood disorders in all other clinical settings.



Interesting book: Volkswirtschaft: Eine Zeitgenössische Einführung

Caring for Our Elders: Multicultural Experiences with Nursing Home Placement

Author: Patricia Kolb

Almost forty percent of American adults age sixty-five and over spend some time in a nursing home, and residents in nursing homes will be increasingly diverse racially and ethnically because of changing demographics. The decision to place a family member in a nursing home is often extremely difficult, especially when the family belongs to a group with a strong tradition of filial responsibility. Despite these realities, little has been written about the stresses families of diverse cultural backgrounds experience in making this challenging decision.

This book describes the experiences of seventy-five African American and Afro-Caribbean, white Jewish, and Latina/o residents and their relatives and friends who have been their caregivers. Integrating original qualitative research with quantitative data and theoretical perspectives and findings from other studies, Patricia Kolb not only presents new perspectives on how caregiving varies across racial and ethnic backgrounds but also dispels numerous stereotypes about nursing home placement among diverse groups.



Table of Contents:
Acknowledgments
Introduction1
Ch. 1The Need for Nursing Home Placement7
Ch. 2Research Studies About Caregiving by Family and Friends25
Ch. 3Earlier Years: Life Within Families and Communities46
Ch. 4Changing Health, Changing Relationships69
Ch. 5The Placement Process: Decisions and Transitions80
Ch. 6Settling In: Adjusting to the Changes104
Ch. 7Continuing to Care for Relatives in the Nursing Home121
Ch. 8Who Helps Residents and Their Relatives?134
References171
Index185

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