Older People and Mental Health Nursing -- Contents -- Contributors -- Foreword -- Introduction -- Part 1 CONTEXT -- 1 Background and Influences -- Introduction -- Psychological perspectives on mental health -- Older people's mental health -- The development of mental health services for older people -- The contribution of nursing -- References -- Part 2 HELPING OLDER INDIVIDUALS -- 2 Older Individuals and Mental Health -- Introduction -- The mental health of older people -- Experiences of ageing and mental illness -- Discrimination -- Participation in meaningful activity and mental health -- Relationships and mental health -- Physical health -- Poverty -- Transitions and the threat to mental health -- The significance of continuity -- Experiences of services -- Community support: A model for the future -- Conclusion -- References -- 3 Normal Physiological Ageing -- Introduction -- The process of ageing -- The ageing brain -- Latent potential -- Cognitive function -- Conclusion -- References -- 4 Values Underpinning Help, Support and Care -- Introduction -- Values and beliefs -- Values are everywhere -- Personal and professional values -- Clarifying your values -- Ageism -- What does a values clarification exercise look like? -- Values and evidence base -- Having values and working with them -- From values to action -- Values enabling person-centredness -- Conclusions -- Resources -- References -- 5 Approaches to Help, Support and Care -- Introduction -- Mrs Jane Gordon -- Mr Raj Josephs -- Mrs Rose Smith -- Josie Lomax -- Patrick O'Sullivan -- Conclusion -- Acknowledgements -- Resources -- References -- 6 Legal and Ethical Frameworks for Mental Health Nursing -- Introduction -- Contexts and circumstances -- Groups at risk- complexities -- The need for an ethical framework -- Codes of conduct as ethical components.

The politics of society vs. the individual -- How do services enable clients? -- The argument of best interest -- Current ethical frameworks -- Whose right and whose duty? -- The use of advocacy -- Moral or civil rights? -- Advanced directives -- The Mental Capacity Act, 2005 -- Consent -- Conclusion -- References -- 7 Dilemmas in Mental Health Nursing -- Introduction -- Rights, risks and responsibilities related to restraint -- Avoiding the use of restraint, assessing the risks -- Our responsibility in relation to restraint -- Older people's rights -- Dilemmas in caring for and supporting older people with mental needs -- Some therapeutic approaches -- Safeguarding adults -- Conclusions -- References -- 8 Assessing Older People with Mental Health Issues -- Introduction -- Assessment revisited -- The Single Assessment Process -- Therapeutic relationship development -- Structure of mental health assessments -- What will be assessed? -- How will it be assessed? -- What will be done with the assessment? -- Conclusion -- References -- Part 3 NEGLECTED ASPECTS -- 9 Culture, Religion and Spirituality -- Introduction -- Spirituality -- The importance of culture -- Religion, spirituality and older people -- Skills focus: Assessing for culturally sensitive care -- Conclusion -- References -- 10 Intimacy, Sex and Sexuality -- Introduction -- The backdrop to understanding relationships, intimacy and sexuality -- What do we mean by intimacy and sexuality? -- Effects of age changes on sexuality -- Intimacy and sexuality-issues for older people with mental health needs -- Problems associated with sexuality in people with a mental health illness -- Skills and strategies for supporting intimacy and sexuality in older people with mental health problems -- Staff support and awareness -- Conclusion -- Resources -- References -- 11 Nutrition -- Introduction.

Nutrients and the brain -- Assessment of nutrition and eating skills -- Mental health status -- Nutritional issues in the clinical management of dementia -- Nutritional issues in the clinical management of depression -- Reflection -- Conclusion -- References -- 12 Palliative and End-of-Life Care -- Introduction -- Death and dying in today's society -- The challenges for mental health nurses working with people at the end of their lives -- Assessing the needs of older people with mental health needs at the end of their lives -- Meeting the challenges and offering appropriate care at the end of a person's life -- Conclusion -- References -- Part 4 MENTAL HEALTH ISSUES FOR OLDER PEOPLE -- 13 Acute Mental Health Issues -- Introduction -- How common is challenging behaviour in older people? -- Why is it important to learn about challenging behaviour? -- Understanding behavioural approaches and assessing behaviour -- Causes of challenging behaviour -- Example of a model in action -- Interventions for older people with challenging behaviour -- Caring for people who resist essential care -- Caring for under-active or passive people -- Caring for older people who may be aggressive -- Caring for people with hallucinations -- Caring for people with delusions -- Caring for older people who 'wander' or 'pace' -- Conclusion -- References -- 14 Delirium -- Introduction -- Risk factors for developing delirium -- The experience of delirium -- Identifying delirium -- Prevention and care -- Conclusion -- References -- 15 Enduring Mental Health Issues -- Introduction -- Schizophrenia -- Homelessness -- Bipolar disorder -- Substance misuse -- Conclusion -- References -- 16 Depression in Later Life -- Introduction -- What is depression? -- Depression and dementia -- Depression and risk -- Treatment of depression -- Medical treatments -- Conclusion -- References.

Chapter 17 Dementia in Later Life -- Introduction -- Exploring dementia -- Alzheimer's disease -- Vascular dementia -- The development of dementia care nursing -- Dementia care nursing skills -- Conclusion -- References -- Part 5 FUTURE DIRECTIONS -- 18 Mental Health and Well-Being for Older People in the Future: The Nursing Contribution -- Introduction -- Future populations of older people and nurses -- The mental health and well-being of older people in the future -- Developments in treatment and care -- Developing services for the future -- Nursing in the future -- Conclusion -- References -- Index.

Older People and Mental Health Nursing provides an evidence-based guide to caring for the growing number of older people with mental health issues. It focuses on the knowledge and key skills which practitioners require to work effectively with older people who have, or are at risk of developing, mental health needs. Divided into five sections, Older People and Mental Health Nursing first explores the background, historical perspectives and influences on mental health care in later life. It then looks at the ethical and legal issues involved, therapeutic relationships, and the values underpinning support and care. Part three focuses on aspects which have traditionally been neglected in mental health care, including culture, religion and sexuality. Part four details specific mental health issues for older people, including delirium, depression, and dementia. The final section explores future trends in older people's mental health and offers ideas on how nursing is developing, and could develop, to address these. Offers a practical evidence-based guide to the care of older people with mental health conditions Includes thought provoking practice examples throughout Contains guidelines for nursing practice & therapeutic interventions Includes case studies and reflective scenarios Written by experts in the field.

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Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2018. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.