| Foreword |
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xix | |
| Preface |
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xxiii | |
| Acknowledgments |
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xxvii | |
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1 | (19) |
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9 | (3) |
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12 | (5) |
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Where Do You Go from Here? |
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17 | (3) |
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2 Getting Medical Help for the Person with Dementia |
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20 | (16) |
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The Evaluation of the Person with a Suspected Dementia |
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21 | (7) |
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Finding Someone to Do an Evaluation |
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28 | (2) |
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The Medical Treatment and Management of Dementia |
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30 | (6) |
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30 | (1) |
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31 | (2) |
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33 | (1) |
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The Geriatric Care Manager |
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34 | (1) |
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34 | (2) |
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3 Characteristic Behavioral Symptoms of Dementia |
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36 | (42) |
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The Brain, Behavior, and Personality: Why People with Dementia Do the Things They Do |
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37 | (6) |
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Caregiving: Some General Suggestions |
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43 | (4) |
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47 | (1) |
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Overreacting, or Catastrophic Reactions |
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48 | (9) |
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57 | (1) |
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Problems with Speech and Communication |
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58 | (11) |
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Problems the Person with Dementia Has in Making Himself Understood |
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59 | (5) |
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Problems the Person with Dementia Has in Understanding Others |
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64 | (5) |
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69 | (5) |
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74 | (2) |
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Symptoms That Are Better Sometimes and Worse at Other Times |
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76 | (2) |
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4 Problems in Independent Living |
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78 | (26) |
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Mild Cognitive Impairment |
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78 | (4) |
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When a Person Must Give Up a Job |
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82 | (2) |
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When a Person Can No Longer Manage Money |
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84 | (2) |
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When a Person Can No Longer Drive Safely |
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86 | (6) |
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When a Person Can No Longer Live Alone |
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92 | (12) |
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When You Suspect That Someone Living Alone Is Getting Confused |
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93 | (4) |
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97 | (1) |
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Moving to a New Residence |
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98 | (6) |
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5 Problems Arising in Daily Care |
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104 | (68) |
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104 | (11) |
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107 | (4) |
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111 | (2) |
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113 | (1) |
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Highways and Parking Lots |
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113 | (1) |
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114 | (1) |
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114 | (1) |
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115 | (15) |
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116 | (1) |
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117 | (3) |
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120 | (3) |
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123 | (1) |
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124 | (1) |
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125 | (2) |
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When to Consider Tube Feeding |
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127 | (3) |
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130 | (3) |
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133 | (5) |
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137 | (1) |
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138 | (12) |
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140 | (4) |
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144 | (1) |
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145 | (2) |
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147 | (1) |
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148 | (2) |
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Incontinence (Wetting or Soiling) |
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150 | (10) |
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151 | (5) |
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156 | (1) |
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157 | (3) |
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Problems with Walking and Balance; Falling |
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160 | (6) |
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Becoming Chairbound or Bedbound |
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163 | (2) |
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165 | (1) |
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Changes You Can Make at Home |
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166 | (6) |
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Should Environments Be Cluttered or Bare? |
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169 | (3) |
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172 | (37) |
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175 | (1) |
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176 | (1) |
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177 | (1) |
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178 | (1) |
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178 | (1) |
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179 | (2) |
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181 | (5) |
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186 | (1) |
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187 | (3) |
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190 | (1) |
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191 | (1) |
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191 | (2) |
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If the Ill Person Must Enter the Hospital |
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193 | (3) |
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Seizures, Fits, or Convulsions |
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196 | (2) |
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Jerking Movements (Myoclonus) |
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198 | (1) |
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The Death of the Person with Dementia |
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199 | (10) |
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199 | (1) |
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200 | (1) |
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201 | (1) |
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Dying in the Hospital or Nursing Home |
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202 | (1) |
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When Should Treatment End? |
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202 | (2) |
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What Kind of Care Can Be Given at the End of Life? |
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204 | (5) |
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7 Behavioral Symptoms of Dementia |
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209 | (52) |
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The Six R's of Behavior Management |
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210 | (2) |
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212 | (3) |
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215 | (14) |
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Reasons That People Wander |
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215 | (3) |
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The Management of Wandering |
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218 | (11) |
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Sleep Disturbances and Night Wandering |
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229 | (5) |
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Worsening in the Evening ("Sundowning") |
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234 | (2) |
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Losing, Hoarding, or Hiding Things |
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236 | (2) |
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Rummaging in Drawers and Closets |
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238 | (1) |
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Inappropriate Sexual Behavior |
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238 | (4) |
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242 | (1) |
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243 | (1) |
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244 | (1) |
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Clinging or Persistently Following You Around |
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245 | (2) |
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247 | (5) |
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252 | (1) |
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Forgetting Telephone Calls |
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253 | (1) |
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254 | (3) |
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Stubbornness and Uncooperativeness |
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257 | (1) |
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When the Person with Dementia Insults the Sitter |
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258 | (2) |
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Using Medication to Manage Behavior |
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260 | (1) |
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8 Symptoms That Appear as Changes in Mood |
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261 | (27) |
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261 | (2) |
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263 | (1) |
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264 | (1) |
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264 | (2) |
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266 | (1) |
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267 | (1) |
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268 | (2) |
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Anxiety, Nervousness, and Restlessness |
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270 | (3) |
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False Ideas, Suspiciousness, Paranoia, and Hallucinations |
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273 | (13) |
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274 | (2) |
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Failure to Recognize People or Things (Agnosia) |
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276 | (1) |
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277 | (1) |
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"My Mother Is Coming for Me" |
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277 | (1) |
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278 | (5) |
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283 | (1) |
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Delusions and Hallucinations |
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283 | (3) |
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286 | (2) |
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9 Special Arrangements If You Become Ill |
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288 | (6) |
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In the Event of Your Death |
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291 | (3) |
| 10 Getting Outside Help |
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294 | (32) |
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Help from Friends and Neighbors |
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295 | (4) |
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Finding Information and Services |
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299 | (1) |
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299 | (7) |
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Having Someone Come into Your Home |
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301 | (1) |
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302 | (2) |
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Short-Stay Residential Care |
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304 | (2) |
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Planning in Advance for Home Care or Day Care |
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306 | (1) |
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When the Person with Dementia Rejects the Care |
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306 | (5) |
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Your Own Feelings about Getting Respite for Yourself |
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311 | (2) |
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313 | (4) |
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317 | (4) |
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Should Respite Programs Mix People Who Have Different Problems? |
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321 | (1) |
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Determining the Quality of Services |
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322 | (2) |
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Research and Demonstration Programs |
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324 | (2) |
| 11 You and the Person with Dementia as Parts of a Family |
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326 | (34) |
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329 | (7) |
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Understanding Family Conflicts |
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336 | (4) |
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Division of Responsibility |
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337 | (3) |
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340 | (1) |
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Coping with Role Changes and Family Conflict |
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341 | (7) |
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343 | (5) |
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When You Live out of Town |
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348 | (1) |
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When You Are Not the Primary Caregiver, What Can You Do to Help? |
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349 | (3) |
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352 | (1) |
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353 | (7) |
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357 | (3) |
| 12 How Caring for a Person with Dementia Affects You |
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360 | (36) |
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360 | (21) |
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362 | (5) |
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367 | (2) |
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369 | (1) |
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370 | (4) |
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374 | (1) |
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375 | (2) |
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377 | (2) |
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Isolation and Feeling Alone |
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379 | (1) |
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379 | (1) |
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Being Hopeful and Being Realistic |
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380 | (1) |
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Mistreating the Person with Dementia |
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381 | (2) |
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383 | (2) |
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383 | (1) |
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384 | (1) |
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385 | (5) |
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If Your Spouse Is Impaired |
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386 | (3) |
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If Your Impaired Parent Lives with You |
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389 | (1) |
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390 | (5) |
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392 | (3) |
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When the Person You Have Cared for Dies |
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395 | (1) |
| 13 Caring for Yourself |
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396 | (21) |
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398 | (4) |
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400 | (1) |
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400 | (1) |
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401 | (1) |
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Find Additional Help If You Need It |
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402 | (8) |
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Recognize the Warning Signs |
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403 | (3) |
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406 | (4) |
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Joining with Other Families: The Alzheimer's Association |
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410 | (4) |
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411 | (2) |
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413 | (1) |
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414 | (3) |
| 14 For Children and Teenagers |
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417 | (6) |
| 15 Financial and Legal Issues |
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423 | (19) |
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Your Financial Assessment |
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423 | (9) |
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424 | (2) |
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426 | (6) |
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Where to Look for the Forgetful Person's Resources |
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432 | (4) |
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436 | (6) |
| 16 Nursing Homes and Other Living Arrangements |
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442 | (50) |
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Types of Living Arrangements |
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446 | (3) |
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Moving with the Person with Dementia |
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449 | (11) |
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Finding a Nursing Home or Other Residential Care Setting |
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460 | (17) |
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463 | (4) |
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Guidelines for Selecting a Nursing Home or Other Residential Care Facility |
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467 | (10) |
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Moving to a Nursing Home or Other Residential Care Facility |
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477 | (2) |
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479 | (8) |
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480 | (4) |
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484 | (3) |
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When Problems Occur in the Nursing Home or Other Residential Care Facility |
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487 | (3) |
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Sexual Issues in Nursing Homes or Other Care Facilities |
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490 | (2) |
| 17 Brain Disorders and the Causes of Dementia |
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492 | (18) |
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492 | (12) |
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Dementia Associated with Alcohol Abuse |
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495 | (1) |
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496 | (2) |
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Vascular (Multi-Infarct) Dementia |
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498 | (1) |
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499 | (1) |
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The Frontotemporal Dementias, Including Pick Disease |
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500 | (1) |
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501 | (1) |
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502 | (1) |
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502 | (2) |
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504 | (5) |
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504 | (2) |
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Senility, Chronic Organic Brain Syndrome, Acute or Reversible Organic Brain Syndromes |
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506 | (1) |
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506 | (1) |
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507 | (1) |
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Head Injuries (Head Trauma) |
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507 | (1) |
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508 | (1) |
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Mild Cognitive Impairment |
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509 | (1) |
| 18 Research in Dementia |
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510 | (25) |
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511 | (4) |
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514 | (1) |
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Research in Vascular (Multi-Infarct) Dementia and Stroke |
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515 | (1) |
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Research in Alzheimer Disease |
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516 | (7) |
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Structural Changes in the Brain |
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516 | (1) |
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516 | (1) |
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516 | (1) |
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517 | (2) |
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519 | (1) |
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Transplants of Brain Tissue |
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519 | (1) |
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520 | (1) |
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521 | (1) |
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521 | (1) |
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522 | (1) |
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522 | (1) |
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523 | (1) |
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524 | (1) |
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524 | (1) |
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525 | (3) |
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528 | (1) |
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Promising Clinical and Research Tools |
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528 | (2) |
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530 | (1) |
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The Effect of Acute Illness on Dementia |
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531 | (1) |
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Research into the Delivery of Services |
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531 | (1) |
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532 | (3) |
Appendix
1. Using the Internet |
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535 | (2) |
Appendix
2. Organizations |
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537 | (6) |
| Index |
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543 | |
