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Record Nr. |
UNINA9910817668103321 |
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Autore |
Wornell Douglas |
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Titolo |
Sexuality and dementia : compassionate and practical strategies for dealing with unexpected or inappropriate behaviors / / Douglas Wornell |
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Pubbl/distr/stampa |
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New York : , : Demos Health, , 2014 |
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ISBN |
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1-4619-5452-5 |
1-61705-190-X |
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Edizione |
[1st ed.] |
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Descrizione fisica |
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1 online resource (200 p.) |
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Disciplina |
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Soggetti |
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Dementia - Patients - Sexual behavior |
Dementia |
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Lingua di pubblicazione |
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Formato |
Materiale a stampa |
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Livello bibliografico |
Monografia |
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Note generali |
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Description based upon print version of record. |
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Nota di bibliografia |
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Includes bibliographical references and index. |
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Nota di contenuto |
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Cover; Title; Copyright; Contents; Preface; Is it Sex-or Something Else?; Part One: A Different View of Sexual Behavior; Chapter 1: An Unexpected Symptom: A Very Common Occurrence; A New Reality; The Need for Information; It's Time to Face the Other Reality of Dementia; What you will Find Out; Chapter 2: Relationships Revisited; Stepping Backward; Comparing the Personality Types; Paranoia and the Power Struggle; The Desperation of Misunderstanding; Hostages to Change; Mistaken Identity; The Partners' Abyss; No Looking Back; Chapter 3: The Neurobiology of Sex and Dementia |
What Happens in the BrainThe Three Basic Sexual Phases and the Dementia Effect; Neurotransmitters and the Dementia Effect; The Basic Categories of Abnormal Sexual Behavior; Men versus Women; A Path Forward; Chapter 4: Unexpected Bonds; The Group Shares its Pain; Mixed-up Messages; A Surprising Development; Until Death do us Part?; Outside the Group; Chapter 5: Sexuality in Long-Term Care; The Health Care Challenge; The Landscape of Long-Term Care; Assisted Living Facilities; Skilled Nursing Facilities; Adult Family Homes; Expectations versus Rights; Elder Sexual Abuse; Improving Care |
Part Two: Understanding what you are FacingChapter 6: Age-Related |
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Dementia; Identifying Dementia; Alzheimer's Disease; Stroke-Related Dementia; Dementia with Lewy Bodies; Parkinson's Disease Dementia; The Treatments; Chapter 7: Other Dementias; Syphilis: The Great Pox; A Modern Day Plague; Frontotemporal Dementia; Brain Injury; Dementia Pugilistica; Life After Cardiac Arrest; Posttraumatic Stress Disorder; Tough Choices; Chapter 8: The Sexual Effects of Delirium, Drugs, and Other Substances; A Jekyll/Hyde Case; Medications and Sexual Symptoms in Dementia |
Caught between a Nurse and a Hard PlaceThe Tricyclics and Trazadone; Sex Hormones and Dementia; Substance Abuse and Dementia; Alcohol and Dementia; Sugar and Dementia; Cause and Effect; Chapter 9: Treating the Symptoms; The Golden Rule; The Four Passive Steps in Behavioral Management of Sexual Behaviors; The Four Active Steps in Behavioral Management of Sexual Behaviors; The Pharmacologic Management of Sexual Behaviors; Dementia Medication: When is the Right Time to Stop?; Being in the Mood: The Antidepressants; What are Mood Stabilizers?; Antianxiety Medications |
Sex, Lies, and AntipsychoticsHormonal Therapy; An Inexact Science; Chapter 10: Where we go from Here; The Great American Contradiction; Sexuality is a Healthy Part of Growing Older; An Aging Population with a Changing Attitude; A New Awareness; Another Approach to Sex and Dementia; What can be Done; Dementia and Technology: Not Such Odd Bedfellows; A New Morality; The Blurry Line in the Sand; Into the Unexpected Future; Connections Always Matter; Notes; Acknowledgments; Index; About the Author |
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Sommario/riassunto |
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It is very common for a person with dementia to exhibit unexpected or inappropriate sexual behavior and yet few resources exist to help partners, family members, caregivers, and others address it. Now for the first time, esteemed geriatric neuropsychiatrist Dr. Doug Wornell provides a compassionate and detailed understanding of the issue and strategies for how to cope.Tackling a difficult subject without shame or embarrassment, Sexuality and Dementia offers essential information and practical solutions so that people with dementia and their partners can have stronger and happier relationships. |
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