Caregiver Training Courses

Caregiver Training Ebooks

The caregiver training e-book gives a training course on how to provideassistance to another person who is ill, disabled or needs help with daily activities. It can also serve as a useful guide to the individuals in the need of help. The product deals in physical, mental, social, and psychological needs and well-being of both the caregivers and the elderly person requiring care. Everyone needs a little help from time to time and while many seniors lean on the friends and family members for support, there may be some instances in which it's necessary to seek additional assistance or long-term care which was why this product was created by the author. This caregiver product is a practical guide created by the author who is an expert in the field. This product embeds in it several training sections in which each section gives detailed information on how to provide assistance to people who are ill, disabled, or aged. This product is a trusted and 100% guarantee to provide the necessary details needed in caring for the physically challenged, aged and ill individuals. The product is also an essential overview of issues from Alzheimer's to diabetes to strokes.

Caregiver Training Ebooks Summary

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Author: Kenneth Watts
Price: $15.00

My Caregiver Training Ebooks Review

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All of the information that the author discovered has been compiled into a downloadable book so that purchasers of Caregiver Training Ebooks can begin putting the methods it teaches to use as soon as possible.

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Executive Functions and the Brains Signaling System

Comprehensive behavioral treatment with no medication, Carefully managed medication treatment with no other treatment, A combination of comprehensive behavioral treatment with medication management, or Community treatment with a pediatrician or another caregiver of the family's choice.

Parental Notification Or Consent Hidden Assumptions

Another problem in these laws occurs when they involve the legal guardian of the client. But some teens' legal guardians may not be involved in their lives. A minor may be living with a grandmother, aunt or uncle, step-parent, sibling, or friend. In some cultures, it is common for the client's primary caregiver not to have gone through the proper legal channels to be considered a legal guardian. Thus, the teen may discuss the desire to have an abortion with the caregiver but he or she has no legal standing to sign the consent form. Many of these teens are actually emancipated but have not obtained legal documentation to prove their lifestyle. Furthermore, many clients may not have the documentation to show that parental notification or consent has legally been given even when they have discussed the procedure with their caregivers. They may not have documents such as an identification cards, birth certificates, or adoption or custody papers to confirm who their legal guardians are....

Differential Diagnosis

Establishing the diagnosis of asthma in children can be difficult. In early childhood, asthma is often underdiagnosed, especially in infants and young children who wheeze and cough only with respiratory illnesses. Also, in this young age group the diagnosis is based primarily on clinical grounds and symptom reporting by a caregiver as there is a lack of tools to objectively measure lung function. It is also important to note that not all wheeze and cough is due to asthma, and alternative diagnoses should be excluded. Misdiagnosis can expose children to inappropriate prolonged asthma therapies. Other conditions that can masquerade as asthma include cystic fibrosis, gastroe-sophageal reflux, foreign body aspiration, bronchopulmonary dysplasia, congenital heart disease, congenital airway anomalies such as laryngeal webs, vascular ring, and tracheoesophageal fistula. In older children and adolescents, vocal cord dysfunction can masquerade as asthma, especially for those patients who fail...

Beta Interferon Therapies Avonex Betaseron and Rebif 711 Efficacy

Injection site reactions usually subside within weeks. Management includes icing and rotation of site, topical application of anesthetics or corticosteroid, improved injection technique, and warming the medication or using autoinjectors. Flu-like symptoms are common dose titration, nonsteroidal anti-inflammatory drugs (NSAIDS) or acetaminophen may be helpful, though symptoms usually resolve by 3 months 70 . Symptoms occur within a few hours of each injection and last 12-24 h. Injections should be administered at night. Hematologic and hepatic function abnormalities may occur therefore, complete blood count and liver function test monitoring is recommended at baseline, 1 week, 1 month, 3 months and then every 3-6 months thereafter. Treatment-related depression may occur, and patients and their caregivers should report any mood changes. Women may experience menstrual disorders. Women of child-bearing age should practice contraception, and women planning to become pregnant should...

How might sugammadex alter anesthetic practice

The role of SCH for rapidly securing the airway has been discussed, as have the numerous side effects of SCH. Pharmacologic innovation in development of muscle relaxants per se has not resulted in a nondepolarizing relaxant with quick-onset, short duration of action and freedom from worrisome side effects. However, sugammadex may provide a useful alternative if it allows the caregiver to administer rocuronium in rapid paralysis doses ( 1.2 mg kg) and have an avenue for pharamacologic antagonism soon after dosing of the relaxant through tight binding of circulating relaxant molecules. In fact, the use of sugammadex after rocuronium dosing may provide faster onset-offset profile than SCH given at 1 mg kg and eliminate the need to ever administer anticholinesterase medications. Finally, it should be mentioned that elimination of residual neuromuscular blockade in the postoperative period would be of definite clinical benefit.

Clinical Implications of Benign MS

The watchful waiting approach does not imply never treat 54 . Patients in watchful waiting mode should undergo yearly neurological examination and MRI of the head. If the clinical course changes or if the MRI shows accumulation of new or enhancing lesions, the caregiver and patient should consider DMA. Some patients will request early treatment regardless of their clinical course or MRI findings, and their wishes should be respected within the shared decision-making model.

Environmental Influences on Executive Function Development

Daniel Siegel (1999) described the pivotal role of interpersonal attachment in shaping neural networks throughout life, particularly during infancy and early childhood when the youngster is least able to regulate the intensity of his own emotions. When a parent or other caretaker responds to an infant's distress with soothing comfort, the disorganizing effects of the infant's stress are reduced and networks for self-calming are strengthened. In addition, when the caretaker echoes the infant's pleasurable reactions to daily events with warmth and enthusiasm, these more positive emotions are amplified and networks for pleasure are strengthened. Siegel refers to this emotional interaction of infant and caretaker as attunement. He sees it as the foundation for the emotional attachment of the infant to caregivers. Siegel argues that this process of attunement between infant and caregiver has a direct effect on the physical development of the infant's brain. He notes that those neural...

Measuring Psychiatric Symptoms

A number of different instruments have been used to measure neuropsychiatry symptoms in patients with parkinsonian disorders. These can be divided into clinical interviews that focus upon a broad range of symptoms or more focused scales. Examples of the first group include the Present Behavioural Examination (PBE) (6), Neuropsychiatric Inventory (NPI) (7), and Brief Psychiatric Rating Scale (BPRS) (8). The PBE is a lengthy interview with a detailed assessment of behavior in patients with dementia, and requires a trained observer. The NPI is a highly structured, caregiver-based interview, which can be completed in a relatively short time depending on the amount of disturbances (see below). The BPRS was constructed essentially for schizophrenic states, and requires a trained rater. Examples of scales that assess specific syndromes in more detail are the Hamilton Depression Rating Scale (HAM-D) (9) and self-rating scales completed by the patients themselves (i.e., Beck Depression...

Epidemiology And Implications Of Neuropsychiatric Features In Parkinsonian Disorders

Second, caring for a patient with a parkinsonian disorder is associated with considerable emotional, social, and physical distress (33-35). Neuropsychiatric symptoms of PD patients, such as depression, cognitive impairment, delusions, and hallucinations, have been found to be significant and independent contributors to the perceived burden in spouses of these patients (33). Third, a substantial proportion of patients with parkinsonian disorders are admitted to nursing homes (36). In addition to motor symptoms and functional impairment, neuropsychiatric symptoms such as cognitive impairment and psychosis have been found to be independent predictors of nursing home admission in parkinsonsian patients (37,38). Both higher need for care and increased caregiver burden may contribute to the relationship between nursing home admission and neuropsychiatric symptoms. Fourth, neuropsychiatric symptoms may increase the economic costs in patients with parkinsonism. In a recent study of patients...

Executive Functions and the Tasks of Childhood

The child's performance on each of these tasks is initially micromanaged on behalf of the child by parents, older siblings, or other caregivers, until the child is able to perform the tasks alone. Each of these tasks involves many steps and depends on some combination of those executive functions described in Chapter 2. For very young children, executive functions are performed by parents, older siblings, or other caregivers in virtually every situation. These guardians, present almost constantly during the young child's waking hours, protect and guide the child until, gradually, the child learns to manage an increasing range of situations for herself. Seeing this, most caretakers allow and encourage the child to do more for herself while they continue to provide support for those more challenging situations that may exceed the child's present abilities. Assessing the child's readiness to handle new situations usually requires gauging the child's competence in using the needed...

Is the pulse oximeter a good indicator of ventilation

A pulse oximeter gives no indication of ventilation, only of oxygenation. For instance, in the postanesthetic care unit a patient can have an oxygen mask delivering 50 or more oxygen and an SpO2 reading in the 90s, yet be hypoventilating and hypercapnic. In this situation the pulse oximeter gives a false sense of security. A better approach would be to administer less oxygen and, as the pulse oximeter values decrease below 90, it would alert the nurse to tend to the patient. Arousing the patient from sleep, encouraging him or her to breathe deeply, and elevating the head of their bed are better strategies than just increasing the delivered oxygen concentration. Of course these interventions may not improve the situation considerably, but then the caregiver knows to pursue other reasons why the patient is not oxygenating. Always treat the cause, not the symptom treat the patient, not the numbers.

Describe the process for postanesthetic care unit admission

A report is given by the anesthesia caregiver to the PACU nurse, reviewing the patient's prior health status, surgical procedure, intraoperative events, agents used, and anesthetic course. The use of muscle relaxants and reversal of neuromuscular blockade, the intraoperative interventions for analgesia, and the intraoperative fluids and blood products received guide in planning PACU care. Initial assessment of the patient by the PACU nurse includes vital signs, baseline responsiveness, adequacy of ventilation, and adequacy of analgesia. Various scoring systems have been used to allow numeric scoring of subjective observations as an indicator of progress toward discharge. The Aldrete scoring system (Table 32-1) tracks five observations activity, respiratory effort, circulation, consciousness, and oxygenation. Scales for each are 0 to 2, and a total score of 8 to 10 indicates readiness to move to the next phase of care. Regression of motor block in the case of regional anesthesia is...

Epidemiologic Aspects

The natural history of PSP, as evaluated by surveying a large sample of caregivers of living and deceased patients with PSP (12) and by retrospectively evaluating the medical records of a small sample of autopsy-confirmed cases (40), found that onset of falls during the first year, early dysph-agia, and incontinence predicted a shorter survival time. Similar predictors of survival were identified in a recently published record-based study of 187 PSP patients of which 33 were examined by the investigators, but none of those who died during follow-up underwent autopsy confirmation (14). These investigators found that classification as probable PSP according to the NINDS-SPSP criteria was associated with a poorer survival. In particular, they found that onset of falls, speech problems, or diplopia within 1 yr and swallowing problems within 2 yr, were associated with a worse prognosis.

Disorders of Arousal and Motivation

Prospect of being away from primary caregivers and has extreme difficulty accepting a substitute caretaker even for short intervals. When required to stay with a babysitter, spend time in day care, or to attend school, the child may become extremely agitated and panicked.

Look into for additional help

The people at the meetings by and large are there for positive reasons. They are generally well informed and well meaning. Additionally, there are the usual characters the newly diagnosed person in denial who is sure it was a misdiagnosis and expects never to be at another meeting the recently diagnosed person who expressed the same denial at a prior meeting the person who is certain of and has all of the answers the bee sting aficionado the lonely soul who has no other social contact the nervous caregiver who eats cookies nonstop and me. All of these people come together with stories that are unique, unnerving, empowering, irritating, enlightening, heartbreaking, tiring, and fascinating.

Specific Issues Surrounding Care In Asus

The transition of the patient from an acute setting to the home setting involves other issues of cost containment and improved outcome. Most patients report that their primary goal after a stroke is to return to their home environment. Strategies that promote early progression to the home environment result in both improved patient satisfaction and decreased costs. Ultimately, it must be determined whether the outcomes in a home setting and in a modified hospital setting are comparable. Is the decreased cost that is associated with home care associated with greater patient well being In the United Kingdom, a study compared the efficacy of three treatment settings in outcome, their acceptability to patients, and their acceptability to caregivers. The three settings were (i) a specialized ASU, (ii) general medical wards with a stroke team in attendance, and (iii) home care with a visiting stroke care therapist, and a general practitioner who had special interest in stroke. The primary...

Interventions for the Control of MRSA and VRE

With VRE, shared caregivers, and colonization pressure within a unit are predictors of VRE acquisition (40,44,61,146). One stochastic mathematical model predicted that even a moderate increase in hand hygiene during periods of understaffing or overcrowding conditions that are likely to favor poor hand hygiene in an ICU could decrease transmission as effectively as placing patients in cohorts (147).

Interventions for the Control of Methicillin Resistant S aureus and Vancomycin Resistant Enterococci

Both VRE and MRSA can survive on the hands of health care workers, and persistence on environmental surfaces may be a source of contamination of health care workers' hands and gloves (107-109). Proximity to patients with VRE, shared caregivers, and colonization pressure within a unit are predictors of VRE acquisition (31,110-112). One stochastic mathematical model predicted that even a moderate increase in hand hygiene during periods of understaffing or overcrowding conditions that are likely to favor poor hand hygiene in an ICU could decrease transmission as effectively as placing patients in cohorts (113). It can be inferred from these and other studies that improvement in hand hygiene should reduce the transmission of these organisms. Yet, compliance with hand hygiene guidelines has been distressingly poor, despite the acknowledged efficacy of this simple intervention. There-fore, hand hygiene should be a part of a broader set of interventions.

Management And Prognosis

Patients should be managed in an intensive care setting of a tertiary-care center whenever possible. Facilities and equipment that should be available include a quiet darkened room, suction equipment and oxygen, cardiac and respiratory monitors, a ventilator, and tracheostomy equipment. The patients must be managed by experienced caregivers skilled in ventilatory support and maintenance of cardiovascular stability. Minimizing external stimuli and maintaining intravenous hydration may be sufficient in the initial days of the illness. Sedation and muscle relaxation should be instituted, usually with diazepam (0.1-0.2 mg kg intravenously every four to six hours). Additional sedation with phenothiazines may be needed. If spasms are not adequately controlled, therapeutic paralysis may be necessary (4).

Community Interventions

A large-scale multinational intervention, the Integrated Management of Childhood Illness (IMCI), was developed by WHO and UNICEF to provide effective and affordable interventions to reduce child mortality and improve child health and development. Gouws et al. (2004) assessed the effect of IMCI case management training on the use of antimicrobial drugs among health-care workers treating young children at first-level facilities in Brazil, Uganda, and Tanzania. Overall, children seen by IMCI-trained, health-care workers were less likely to receive unnecessary antibiotics in all three countries and more likely to receive correct prescriptions for antimicrobial drugs when needed. Caregivers whose children were seen by workers not trained in IMCI received little or no information about how to administer antibiotics.

Infection Control chapter

Some of the earliest efforts to control infection followed the recognition in the nineteenth century that women were dying in childbirth from bloodstream infections caused by group A Streptococcus (Streptococcus pyogenes) because physicians were spreading the organism by not washing their hands between examinations of different patients. Hand washing is still the comer-stone of modem infection control programs. Moreover, the first recommendations for isolation precautions in U.S. hospitals were published in the late 1800s when guidelines appeared advocating placement of patients with infectious diseases in separate hospital facilities. By the late 1950s, the advent of nosocomial infections caused by Staphylococcus aureus finally ushered in the modern age of infection control. Li the past four decades, we have learned that, in addition to hospitalized patients acquiring infections, health care workers are also at risk of acquiring infections from patients. Thus, present-day infection...

Hospital Infection Control Programs

Tion in the hospital (nursery, intensive care unit), same caregiver, or prior respiratory or physical therapy. Risk factors, inducting underlying diseases, current or prior antimicrobial therapy, and placement of a Foley catheter, are also assessed. This information helps the infection control committee determine (1) die reservoir of the organism in the hospital, that is, the place where it exists, and (2) the means of transmission of the organism from its reservoir to the patient.

Lack of Adequate Resources for Assessment and Treatment

Not every community has adequate resources to provide assessment and treatment of ADD syndrome for children most do not yet have any resources for treating adolescents and adults with this disorder. For most families in developing countries and for many even in the more developed countries, access to medical care is extremely limited. Many do not have access to adequately trained physicians for life-threatening medical conditions, let alone services for mental health. Even in communities where psychologists and physicians are available, patients are often put on waiting lists for many months or even years. Moreover, even when accessible, these caregivers may or may not be familiar with current understandings of ADD and its appropriate treatment.

Cholinergic therapies

An understanding of the cholinergic pathology (Davis et al., 1992 Mayeux and Sano, 1999). Initial attempts at using precursor loading therapy with choline and lethicin failed. Several cholinesterase inhibitors are now available around the world, and are of relatively comparable efficacy although they vary somewhat in their side effects. These drugs have been approved by regulatory bodies because they have been demonstrated to improve cognition on objective tests and to have also achieved a modest degree of clinical meaningfulness as judged by clinicians' ratings and or scores of caregiver ratings of activities of daily living. Clearly, these drugs are only first step efforts to improve the cognitive function in dementias but they do represent some modest success for rational drug development.

Effective Strategies for Changing Prescribing Behaviors Making It Easy to Do It Right

Antibiotic use are rooted in cost savings and ignore individual patient needs delays and difficulties in establishing ID diagnoses, prompting the initial (and often continued) use of broadspectrum antibiotics expectations of patients and their care-givers with attendant issues of satisfaction with provision of care the perceived high risk of withholding antibiotics in patients with possible infections lack of access to authoritative opinion leaders, such as ID specialists industry marketing of newer agents and the list goes on and on. There no longer should be any patience for excuses or explanations for prescribing practices that are capable of affecting societal health. We need to change the way antibiotics are used now. Every unnecessary antibiotic prescription written undermines the success of subsequent therapies.

Peg Vs Radiological Or Surgical Gastrostomy

Through the PEG tube following delivery of medications and enteral feedings should be reinforced to both the patient and the caregivers. Bulking agents such as psyllium and certain resins such as cholestyramine should never be given through the PEG (13). In occasions when tube occlusion does occur, flushing the tube with a 60-cm3 syringe is recommended. Warm water is the best irrigant, and is superior to other liquids such as juices or colas (14). In the event this fails, a PEG tube brush can be used to clear the obstruction (13).

Neuropsychiatric Symptoms In Progressive Supranuclear Palsy

45 had memory impairment, 15 were depressed, 23 had personality changes, and 17 emotional lability (75). In another study, caregivers of 437 of the 1184 members of the Society for Progressive Supranuclear Palsy (SPSP) (76) completed a structured questionnaire assessing common symptoms and signs, including cognitive and emotional personality problems. Personality and emotional problems were uncommon 2 yr prior to the diagnosis. At the time of diagnosis, however, changes in personality appeared in 46 and depression in 44 . Other personality problems, such as losing control over emotions, lack of emotions, and excessive anger, were reported in less than 30 of patients at the time of diagnosis. A UK sample of 187 patients was diagnosed according to the National Institute of Neurological Disorders and Stroke (NINDS)-SPSP criteria for probable or possible PSP. Sixty-two patients were drawn from a prevalence study and examined by the investigators, 49 of these with a structured clinical...

Subacute Care and Management

In addition to access to acute stroke care, referral to stroke centers may also be important for the comprehensive quality of care in all patients presenting to the hospital with stroke.45 A study of patterns of care among patients with suspected stroke presenting to the EDs in rural East Texas hospitals revealed that head CT was performed in only 88 and ECG was performed in only 85 of patients blood pressure lowering was inappropriately aggressive, yielding pressures below current recommendations.5 Other studies have shown that telephone consultation for cognitive testing may provide a useful method for the diagnosis of poststroke dementia.46 Even after discharge, telemedicine-enabled family discussions may be helpful for caregivers of stroke survivors.47 In addition, telemedicine is useful for stroke rehabilitation in the subacute or postdischarge setting.48

What are the benefits and risks of using muscle relaxants

By interfering with normal neuromuscular transmission, these drugs paralyze skeletal muscle and can be used to facilitate endotracheal intubation, assist with mechanical ventilation, and optimize surgical conditions. Occasionally they may be used to reduce the metabolic demands of breathing and facilitate the treatment of raised intracranial pressure (ICP). Because they paralyze all respiratory muscles, they are dangerous drugs to use in the unintubated patient unless the caregiver is trained in airway management.

Tailoring Treatments for Individuals and Families with ADHD

To publish stories that ADHD is a fictitious disorder or merely a conflict between today's Huck Finns and their caregivers is tantamount to declaring the earth flat, the laws of gravity debatable, and the periodic table in chemistry as a fraud. (Barkley, Cook, et al. 2002, pp. 96-98)

Conclusions

It is clear to me that the millennia-old ongoing war between antibiotics and microorganisms will continue regardless of anything man does to intervene. In other words, all of our efforts to get care-givers to wash their hands between patients, to get hospitals to clean the environment properly and to convince physicians to use antibiotics only when necessary will be too little too late. Of course, I don't mean to belittle these efforts that I think are an important part of our armamentarium to preserve the utility of the antibiotics we have. But to deal with the uncanny ability of organisms to become resistant and to spread the genes that determine resistance to all their cousins around the globe, we simply need a constant stream of new antibiotics. True, eventually, with time, the microorganisms will become resistant to the new antibiotics, which is why we need to keep finding new ones. It is and will always be never-ending just as it has been since the beginning of life on earth.

Disorder

The information and suggestions contained in this book are not intended to replace the services of your physician or caregiver. Because each person and each medical situation is unique, you should consult your own physician to get answers to your personal questions, to evaluate any symptoms you may have, or to receive suggestions on appropriate medications.

Future Directions

The need for safe and effective medications to treat CNS disorders is evident not only in the context of the limitations of existing medications but also in regard to the major unmet medical need associated with the increasingly aged population. Effective medications for the treatment of the various addictive behaviors including substance abuse, for AD and other dementias and for stroke would significantly reduce the burden of disease cost to society and add immeasurably to the individual quality of life, to that of immediate caregivers and to society as a whole.

Prevention

Routine infection-control measures, such as glove-gown-cohort-isolation and good handwashing are of utmost importance especially in preventing and controlling outbreaks. Cohorting of infants and personnel are important. Caregivers with concurrent illnesses should not work in the nursery.

Approaches To Care

From there, the choices can be influenced by the age and maturity of the child, the severity of disease, the needs of the family caregiver, and insurance restrictions. The stepwise approach for management of infants and young children is found in Fig. 1 and for older children in Fig. 2.

Behaving Carefully

Far more than most others of comparable age, these children depend on parents, older siblings, teachers, and other caregivers to protect them with constant vigilance and quick responses. Those who care for such children need to be on high alert, always trying to anticipate and protect against whatever dangerous move the child might try next. Compensating for the inability of these children to be careful is a demanding and exhausting responsibility and one that babysitters, grandparents, and other adults who might otherwise assist with childcare are understandably reluctant to share.

Birth and infancy

There is a sense in which when a child is first born it is even more vulnerable than in the womb. The protection of the womb is no longer there but the infant is still just as dependent on the mother (or some other caregiver) as he or she was a few hours ago. Infants do have some basic abilities, of course, otherwise they would be unable to develop at all. They have basic perceptions and are able to make basic discriminations. Perhaps the most complex of these is that from very early on they can distinguish the elements of faces from the rest of the world - clearly a very useful ability since they are so dependent on creatures with faces for their survival. At a more primitive level, they also have various necessary reflexes such as sucking and eye-blinking. And at a more sophisticated level, they can think and gather information, although both processes have a long way to go before reaching the sophistication of even a 5-year-old. caregivers gratify their children's needs and the...

Carer Burden

It is not only the lives of patients that are severely affected by the chronic progressive disease course, by decreased life expectancy, and by the multiple consequences of atypical parkinsonian disorders the lives of each family member and, particularly their carers, are also affected. It is likely that atypical parkinsonian disorders affect carers' physical functioning (e.g., caring affecting the carer's own health), emotional well-being (e.g., response to change in role, feelings of hopelessness and depression), and social functioning (limitations on social life), but no studies to date have assessed the different aspects of caregiver burden in these disorders. However, one study investigated the correlates and determinants of carer burden in PSP (35). In this study, the impact of PSP on carers increased with advancing disease severity and disability. Interestingly, this was most pronounced in the first 18 mo after diagnosis, but carer burden plateaued after this initial increase....

Maturity

1 Trust and mistrust are the two opposed elements in the first stage this stage occurs during infancy. The mistrust comes from the child's sudden appearance into a difficult world and this is resolved by the attachment to the mother, or main caregiver. Of course, there may well be further conflict if the trust is sometimes misplaced. In any event, the sense of trust that develops in this first stage provides hope that then lasts throughout life.

Management

At present there are no effective therapies that could slow or completely resolve patients' symptoms, however, state-of-the-art management should include the palliative treatment of patients's symptoms at the different stages of the disease, as well as providing education and support to the patient and their caregivers. In our clinical experience, both contribute to the improvement of the quality of life of patients and caregivers and help delay institutionalization. Informed patients are usually eager to participate in research and should be provided with the latest information. Anticholinergics (use cautiously ) Social services support therapy lay associations (caregiver burden) Society for PSP, Inc. Suite 515, Woodholme Medical Building, 1838 Greene Tree Road, Baltimore, MD 21208, http www.psp.org ) and the PSP (Europe) Association (The Old Rectory, Wappenhan, Towcester NN12 8SQ, UK,