LEADER 05167nam 22006371 450 001 9910817668103321 005 20240402015136.0 010 $a1-4619-5452-5 010 $a1-61705-190-X 035 $a(CKB)3710000000077452 035 $a(EBL)1580906 035 $a(SSID)ssj0001082212 035 $a(PQKBManifestationID)12457115 035 $a(PQKBTitleCode)TC0001082212 035 $a(PQKBWorkID)11091229 035 $a(PQKB)11577156 035 $a(MiAaPQ)EBC1580906 035 $a(Au-PeEL)EBL1580906 035 $a(CaPaEBR)ebr10818435 035 $a(CaONFJC)MIL550414 035 $a(OCoLC)866443858 035 $a(EXLCZ)993710000000077452 100 $a20131219d2014 uy 0 101 0 $aeng 135 $aur|n|---||||| 181 $ctxt 182 $cc 183 $acr 200 10$aSexuality and dementia $ecompassionate and practical strategies for dealing with unexpected or inappropriate behaviors /$fDouglas Wornell 205 $a1st ed. 210 1$aNew York :$cDemos Health,$d2014. 215 $a1 online resource (200 p.) 300 $aDescription based upon print version of record. 311 $a1-936303-55-8 320 $aIncludes bibliographical references and index. 327 $aCover; 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 327 $aWhat 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 327 $aPart 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 Dementia 327 $aCaught 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 327 $aSex, 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 330 $aIt 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. 606 $aDementia$xPatients$xSexual behavior 606 $aDementia 615 0$aDementia$xPatients$xSexual behavior. 615 0$aDementia. 676 $a362.19683 676 $a616.8/3 676 $a616.83 700 $aWornell$b Douglas$01683408 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910817668103321 996 $aSexuality and dementia$94054112 997 $aUNINA