05167nam 22006371 450 991081766810332120240402015136.01-4619-5452-51-61705-190-X(CKB)3710000000077452(EBL)1580906(SSID)ssj0001082212(PQKBManifestationID)12457115(PQKBTitleCode)TC0001082212(PQKBWorkID)11091229(PQKB)11577156(MiAaPQ)EBC1580906(Au-PeEL)EBL1580906(CaPaEBR)ebr10818435(CaONFJC)MIL550414(OCoLC)866443858(EXLCZ)99371000000007745220131219d2014 uy 0engur|n|---|||||txtccrSexuality and dementia compassionate and practical strategies for dealing with unexpected or inappropriate behaviors /Douglas Wornell1st ed.New York :Demos Health,2014.1 online resource (200 p.)Description based upon print version of record.1-936303-55-8 Includes bibliographical references and index.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 DementiaWhat 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 CarePart Two: Understanding what you are FacingChapter 6: Age-Related 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 DementiaCaught 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 MedicationsSex, 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 AuthorIt 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.DementiaPatientsSexual behaviorDementiaDementiaPatientsSexual behavior.Dementia.362.19683616.8/3616.83Wornell Douglas1683408MiAaPQMiAaPQMiAaPQBOOK9910817668103321Sexuality and dementia4054112UNINA