Psychological, social, and spiritual care is as important as physical care at the end of life. Yet caregivers often feel ill-equipped to give that nonphysical care. This book shows how to do it. The book addresses all caregivers who attend dying patients: doctors, nurses, chaplains, clergy in the pastorate, social workers, clinical psychologists, family caregivers, and others. It covers such topics as the functional and emotional trajectories of dying; the varied approaches of patients and caregivers to end-of-life decisions; culturally based beliefs about dying; the differences between depression and grief; and people's views about the right time to die, the death experience itself, and the afterlife. For each topic the book introduces core concepts and summarizes recent research about them. The book presents much of its material in readable tables for easy reference; applies the material to real-life cases; lists the main "take home" points for each chapter; and gives references for additional reading. The book helps caregivers anticipate the reactions of patients and survivors to end-of-life traumas and suggests how caregivers can respond insightfully and compassionately. At the same time the book challenges caregivers to think through their own views about death and dying. This book, therefore, is a must-read for all caregivers professional and nonprofessional alike who strive to give their patients comprehensive, high-quality end-of-life care.

This open access book offers new insights into the ageing-migration nexus and the nature of home. Documenting the hidden world of France's migrant worker hostels, it explores why older North and West African men continue to live past retirement age in this sub-standard housing. Conventional wisdom holds that at retirement labour migrants ought to instead return to their families in home countries, where their French pensions would have far greater purchasing power. This paradox is the point of departure for a book which transports readers from the banlieues of Paris to the banks of the Senegal River and the villages of the Anti-Atlas. In intimate ethnographic detail, the author brings to life the experiences of these older labour migrants by sharing in the life of the hostels as a resident, by observing at close quarters the men's family life on the other side of the Mediterranean as a guest in their homes, and even by accompanying them in their travels by bus, sea, and air. The monograph evaluates several theories of migration against rich qualitative data gathered from multiple methods: biographical narrative and semi-structured interviews, participant observation, and archival research. In the process, it offers a thoughtful contribution to broader debates on what it means for migrants to belong and achieve inclusion in society. This book has been awarded an 'honourable mention' in the Khayrallah Prize in Migration Studies, courtesy of the Moise A. Khayrallah Center for Lebanese Diaspora Studies at North Carolina State University. For more information please see: https://lebanesestudies.ncsu.edu/awards/scholarly/2018.php. This book has been nominated for the 2019 BSA Philip Abrams Memorial Prize

The present book intends to provide an update on immunosenescence and how deficiencies in the immune system contribute to a higher susceptibility to infections, decline in organ function, reduced vaccination responses, age-related disease and the ageing process itself, negatively affecting longevity. Our focus is on the main changes in immune system cells and their products occurring during the ageing process and the possible consequences for health and disease. This includes: discussion of the modulatory and/or suppressive mechanisms associated with the alterations in T regulatory cells, B regulatory cells and Myeloid Derived Suppressor cells; changes in the immune system observed in chronic neurodegenerative diseases, cancer, lung disease and frailty will also be discussed. Most importantly we provide recent literature information about possible interventions (focusing on physical activity) that could alleviate the negative effects of immunosenescence. The Ageing Immune System and Health is a comprehensive guide on the field intended to all physicians, researchers, professors and students interested on relationship between immune system, ageing and health.

This book is the first one in which basic demographic models are rigorously formulated by using modern age-structured population dynamics, extended to study real-world population problems. Age structure is a crucial factor in understanding population phenomena, and the essential ideas in demography and epidemiology cannot be understood without mathematical formulation; therefore, this book gives readers a robust mathematical introduction to human population studies. In the first part of the volume, classical demographic models such as the stable population model and its linear extensions, density-dependent nonlinear models, and pair-formation models are formulated by the McKendrick partial differential equation and are analyzed from a dynamical system point of view. In the second part, mathematical models for infectious diseases spreading at the population level are examined by using nonlinear differential equations and a renewal equation. Since an epidemic can be seen as a nonlinear renewal process of an infected population, this book will provide a natural unification point of view for demography and epidemiology. The well-known epidemic threshold principle is formulated by the basic reproduction number, which is also a most important key index in demography. The author develops a universal theory of the basic reproduction number in heterogeneous environments. By introducing the host age structure, epidemic models are developed into more realistic demographic formulations, which are essentially needed to attack urgent epidemiological control problems in the real world.

This book provides a comprehensive, theory-based analysis of current issues in population economics. It addresses the most important problems caused by demographic changes using the popular overlapping generations growth model by Samuelson and Diamond. Taking into account families' fertility decisions, it examines not only the demographic changes due to longer life expectancy but also the effects of social security policy on demography and labor supply/individual retirement behaviors. Conducting all analyses in a dynamic general equilibrium setting, the book offers a valuable theoretical reference guide in the field of population economics.

My mother's first attempt at dying occurred nine days after her eighty-ninth birthday. I lived a carefree bachelor life, no children, few responsibilities outside of work, but that all changed when the call came. When she decided to come back to life, I decided to move from the dry heat of Los Angeles back to the high humidity of New Jersey to take over. My first task was to remove all hazards: her current caretakers. After, I asked my mom, "Do you trust me?" She whispered, "Yes." "Do you understand I will do everything in my power to keep you healthy and safe?" She nodded. "That means I'm in charge. And that means you must obey me." Her mood shifted in an instant. She looked me dead in the eye and puckered up her lips. I wasn't sure if this was a sign of surrender or one wishing me luck. I kissed her and hoped for the best. The parent/child role reversal was not unique to me, but how I dealt with it was. A Cup of Tea on the Commode chronicles my multi-taking adventures of filling Mom's last years with love, laughter, and joy. Though not always successful, I came pretty damn close.

This book approaches the concept of adjustment to aging and endeavors to build reader understanding of this construct through a critical review and discussion. Once the reader understands the origins and nature of adjustment to aging, a second innovation encompasses the development of a proposed empirical model of adjustment to aging and the analysis of its components and correlates. Measures to assess adjustment to aging, policies, programs and interventions comprising adjustment to aging and its components and correlates will also be addressed. Another innovation includes the multidimensional experience of adjustment to aging from the cultural perspective. Lastly, it addresses areas of future development related to this construct.Future policies and interventions in older populations need to integrate and debate the role of adjustment to aging, and ultimately consider a variety of different strategies, each with a different set of costs and benefits. Health and social professionals will be at the vanguard of policy making and community and institutional interventions. Hence, resources and tools to adequately prepare these individuals for the future years will be vital. It is the author's hope that this resource can be valuable for professionals and students working within the field of aging, as they develop research and intervention policies encompassing adjustment to aging in the coming years.

This book provides an in-depth analysis of the older-tourist market, and of the challenges and opportunities created by population ageing from a tourism marketing perspective, by combining a demand-side and a supply-side approach to older tourists. The book is divided into three parts, the first of which defines older tourists and presents a critical review of segmentation approaches. The second part then focuses on the behavior of older tourists in terms of the travel planning process, the use of information and communication technologies for travel purposes, and accommodation choices. The final part analyzes the marketing strategies and operative practices of three tourism companies that focus on the older-adult market. Practical implications for tourism suppliers willing to target older tourists are derived. The book is intended primarily for academics, researchers, and professionals in the tourism and hospitality industry. In addition, it will be useful for students attending advanced tourism and hospitality courses.

Dieses Buch erforscht Fachgesprache als Moeglichkeit der strukturierten und lernfoerderlichen Lehrer-Schuler-Kommunikation. Die Autorin entwickelt ein Feedback-Instrument, das sich an der Theorie von Hattie und Timperley orientiert. In Verbindung mit einer dreigliedrigen Unterrichtsreihe bringt sie dieses zum Einsatz und untersucht den unmittelbaren Anwendungskontext. Daruber hinaus liefert sie erste Befunde, die aufzeigen, dass sich ein reglementiert-prozedurales Feedback lernfoerderlich auswirken kann, da es die Haltungen und Handlungen der Studierenden in Problemsituationen verandert. Weiterhin zeigen sich positive Effekte hinsichtlich der Foerderung von Lernen, Verstehen, Motivation und Selbstwirksamkeit. Die Untersuchung bietet eine Grundlage fur die unterrichtsnahe Erforschung metakognitiver Lernunterstutzungsansatze.

Contemporary popular culture has created a slew of stereotypical roles for girls and women to (willingly or not) play throughout their lives: The Princess, the Nymphette, the Diva, the Single Girl, the Bridezilla, the Tiger Mother, the M.I.L.F, the Cougar, and more. In this book Ames and Burcon investigate the role of cultural texts in gender socialization at specific pre-scripted stages of a woman's life (from girls to the "golden girls") and how that instruction compounds over time. By studying various texts (toys, magazines, blogs, tweets, television shows, Hollywood films, novels, and self-help books) they argue that popular culture exists as a type of funhouse mirror constantly distorting the real world conditions that exist for women, magnifying the gendered expectations they face. Despite the many problematic, conflicting messages women receive throughout their lives, this book also showcases the ways such messages are resisted, allowing women to move past the blurry reality they broadcast and toward, hopefully, gender equality.

This unique book sheds new light on the most invisible members of the lesbian, gay, bisexual and transgender (LGBT) community. Hidden from view by a combination of prevailing cultural assumptions and their own unwillingness to be seen, older lesbians have been consistently under-represented in both popular culture and research. This ground-breaking study, based on an unprecedentedly large research sample of nearly four hundred lesbian-identified women between the ages of 60 and 90, offers a fascinating insight into the lives of older lesbians in the UK. Drawing on data from a comprehensive questionnaire survey and illustrated with vivid personal testimonies, it explores both the diversity and the distinct collective identity of the older lesbian community, arguing that understanding their past experience is crucial to providing for their needs in the future. It is essential reading for scholars in the fields of women's studies and genders and sexualities, and will also appeal to sociologists, political scientists, anthropologists, social and cultural historians, and experts in ageing, gerontology, nursing and social work.

Narrating Midlife: Crisis, Transition, and Transformation is rooted in a discussion about why it is important to address the midlife years in ways that challenge and interrogate the myths that surround this phase of life. Although readers are free to construct their own meaning after reading each narrative, they are encouraged to attend to the ways in which each narrative reveals how the author grapples with their particular issues communicatively. More important, readers are invited to see the power of narrative re-framing as authors seek to understand, interpret and "live" midlife change(s) in ways that are empowering and life affirming. In this book, contributors spin compelling and meaningful narratives about change at midlife. The empty nest, the surprise discovery of cancer, re-defining one's life at midlife and re-imagining long term commitment after divorce are just some of the topics explored in this book. Auto-ethnographically crafted, the narratives presented throughout the book aim to show how managing and living through change at midlife is very much a communicative endeavor.

This book provides the first comprehensive overview of a new scientific discipline termed Geroscience. Geroscience examines the molecular and cellular mechanisms that might explain why aging is the main risk factor for most chronic diseases affecting the elderly population. Over the past few decades, researchers have made impressive progress in understanding the genetics, biology and physiology of aging. This book presents vital research that can help readers to better understand how aging is a critical malleable risk factor in most chronic diseases, which, in turn, could lead to interventions that can help increase a healthy lifespan, or 'healthspan.' The book begins with an analysis of the Geroscience hypothesis, as well as the epidemiological underpinnings that define aging as a candidate main risk factor for most chronic diseases. Next, each chapter focuses on one particular disease, or group of diseases, with an emphasis on how basic molecular and cellular biology might explain why aging is a major risk factor for it. Coverage in the book includes: cancer, cardiovascular disease, dementias, stroke, Parkinson's and Alzheimer's diseases, osteoporosis, arthritis, diabetes asthma, emphysema, kidney disease, vision impairment, and AIDS/HIV. It finishes with a chapter on pain in the elderly and an overview of future steps needed to bring the newly acquired knowledge into the clinic and the public at large.

This book introduces Japan's current policy initiatives directed at eldercare and international labor migration, and, wherever appropriate,it adds a comparative perspective from Germany. The book shows how eldercare is currently being organized and discusses integration policies for foreigners. It studies the policy-making process behind the system, and contextualizes the migration avenue within the strong roots of Japan's eldercare in local communities and the non-preparedness of the nation to grant local citizenship to international newcomers. Through applying an approach of multi-level policy making, putting a strong focus on the local level and introducing new approaches, this book is of interest to policy makers and scholars in aging, migration, health care, and contemporary Japan.

Social isolation and loneliness are serious yet underappreciated public health risks that affect a significant portion of the older adult population. Approximately one-quarter of community-dwelling Americans aged 65 and older are considered to be socially isolated, and a significant proportion of adults in the United States report feeling lonely. People who are 50 years of age or older are more likely to experience many of the risk factors that can cause or exacerbate social isolation or loneliness, such as living alone, the loss of family or friends, chronic illness, and sensory impairments. Over a life course, social isolation and loneliness may be episodic or chronic, depending upon an individual's circumstances and perceptions. A substantial body of evidence demonstrates that social isolation presents a major risk for premature mortality, comparable to other risk factors such as high blood pressure, smoking, or obesity. As older adults are particularly high-volume and high-frequency users of the health care system, there is an opportunity for health care professionals to identify, prevent, and mitigate the adverse health impacts of social isolation and loneliness in older adults. Social Isolation and Loneliness in Older Adults summarizes the evidence base and explores how social isolation and loneliness affect health and quality of life in adults aged 50 and older, particularly among low income, underserved, and vulnerable populations. This report makes recommendations specifically for clinical settings of health care to identify those who suffer the resultant negative health impacts of social isolation and loneliness and target interventions to improve their social conditions. Social Isolation and Loneliness in Older Adults considers clinical tools and methodologies, better education and training for the health care workforce, and dissemination and implementation that will be important for translating research into practice, especially as the evidence base for effective interventions continues to flourish. Table of Contents Front Matter Summary 1 Introduction 2 Evaluating the Evidence for the Impacts of Social Isolation, Loneliness, and Other Aspects of Social Connection on Mortality 3 Health Impacts of Social Isolation and Loneliness on Morbidity and Quality of Life 4 Risk and Protective Factors for Social Isolation and Loneliness 5 Mediators and Moderators 6 Assessment of Social Isolation and Loneliness in Research 7 Role of the Health Care System 8 Education and Training 9 Interventions 10 Dissemination and Implementation References Appendix A: Public Meeting Agendas Appendix B: Committee and Staff Biographies

Quelles realites recouvre l'image, souvent uniformisante, des transformations recentes des conditions de vie des retraites ? Certes, la pauvrete a recule chez les personnes agees, leur etat de sante s'est ameliore et la retraite ne rime plus avec exclusion sociale. Pourtant, dans les coulisses des tendances generales, d'anciennes vulnerabilites persistent et de nouvelles inegalites emergent. Melant contributions theoriques et empiriques, cet ouvrage porte sur un aspect largement occulte en sociologie de la vieillesse, celui des inegalites sociales dans la derniere etape du parcours de vie. Il interroge notamment les nouveaux modeles du bien vieillir et du vieillissement actif en portant l'attention sur les conditions de realisation socialement situees de ces modeles. Il propose egalement un regard reflexif sur les travaux sociologiques dans le domaine du vieillissement en questionnant, du point de vue historique, leur role dans le processus d'invisibilisation des effets de classe dans ce champ d'etude et en montrant comment les perspectives issues des etudes de genre ouvrent la voie a un renouveau des analyses en terme de classes dans le cadre des approches intersectionnelles.

Wissenschaftler und Stottertherapeuten stellen gemeinsam die aktuellen und gesicherten Erkenntnisse zu Redeflussstoerungen (Stottern und Poltern) vor. Sie zeigen, dass Stottern in hohem Masse erblich ist, mit strukturellen und funktionellen Hirnveranderungen einhergeht und ein neurologisches Stoerungsbild darstellt. Sie raumen auf mit der Vorstellung, dass Stottern durch fruhkindliche Erfahrungen hervorgerufen wird: Eltern eines stotternden Kindes haben in der sprachlichen Erziehung nichts falsch gemacht. Die Autoren benennen Therapien, die Stottern beseitigen oder zumindest mindern koennen, und Therapien, die popular sein moegen, aber nicht wirken. Das Buch ist ein hilfreicher Ratgeber fur Betroffene, ein umfangreiches Nachschlagewerk fur Stottertherapeuten und eine massgebliche Leitlinie fur AErzte.

We live in a time of change, an era where old men can be celebrated as elders who are valued but who are not demeaned if they become ill and dependent. Where we aim to maintain health but find dignity in frailty. Old Man Country helps readers see and imagine this change for themselves. The book follows the journey of a writer in search of wisdom, as he narrates encounters with twelve distinguished American men over 80 - including Paul Volcker, the former head of the Federal Reserve, and Denton Cooley, the world's most famous heart surgeon. In these and other intimate conversations, the book explores and honors the particular way that each man faces four challenges of living a good old age: Am I Still a Man? Do I Still Matter? What is the Meaning of My Life? Am I Loved? Readers will come to see how each man - even the most famous - faces challenges that are every man's challenges. Personal yet universal stories about work, love, sexuality, and hope mingle with stories about illness, loss and death. These stories will strengthen each of us as we anticipate and navigate our way through the passages of old age.

There is growing evidence that the sexual rights of older people are not being met. One reason, perhaps the main reason, relates to the way that old age is viewed. In many cultures, being old is associated with decline and disease, which positions older people as dependent and powerless. Furthermore, an absence of positive or celebratory discourses around older people's sexuality is particularly striking. The book addresses a gap in research and policy. Using an adaptation of the Declaration of Sexual Rights from the World Association of Sexual Health, it provides readers with an innovative and evidence-based framework for achieving the sexual rights of older people. Drawing on interdisciplinary research, it explores the cultural and social locations of old age and its intersections with sexual orientation, gender identity, and intersex status. Key themes include stigma, silencing, invisibility, prejudice, discrimination, and a lack of information, awareness, and understanding. Addressing the Sexual Rights of Older People: Theory, Policy and Practice is a text for academics, health professionals, social professionals, service providers, and policy-makers. It is a timely and insightful collection which suggests ways to apply the sexual rights framework, raise awareness, and engage communities in constructing strategies for reform.

Learn about the key issues when assessing and treating older adults with mental health problems: Expert guidance through the key topics Highlights the best assessment and treatment practices Addresses diversity, ethical, and health system issues Full of real-life case examples Resources in the appendix to test your knowledge Mental health practitioners are encountering an ever-growing number of older adults and so an up-to-date and comprehensive text addressing the special considerations that arise in the psychological assessment and treatment of this population is vital. This accessible handbook does just that by introducing the key topics that psychologists and other health professionals face when working with older adults. Each area is introduced and then the special considerations for older adults are explored, including specific ethical and healthcare system issues. The use of case examples brings the topics further to life. An important feature of the book is the interweaving of diversity issues (culture, race, sexuality, etc.) within the text to lend an inclusive, contemporary insight into these important practice components. The Pikes Peak Geropsychology Knowledge and Skill Assessment Tool is included in an appendix so readers can test their knowledge, which will be helpful for those aiming for board certification in geropsychology (ABGERO). This an ideal text for clinical psychologists transitioning to work with older clients, for those wanting to improve their knowledge for their regular practice, and for trainees or young clinicians just starting out.

Dieses Buch befasst sich mit Symbolen des Lebenslaufes. Im Rahmen der Individualisierung sind die kollektiv verbreiteten Bilder des Lebenslaufes aus dem kulturellen Raum weitgehend verschwunden. Das Hauptziel der Autorin ist die empirische Erforschung aktuell verbreiteter Vorstellungen vom menschlichen Lebenslauf in Form von Bildern, Metaphern und konkreten Zeichnungen. Sie kombiniert dabei im methodischen Design qualitative und quantitative Zugange miteinander und analysiert neben alters- und geschlechtstypischen Effekten auch kulturelle Einflusse im Vergleich von Deutschland und Litauen zueinander.

The International Handbook of Population Aging examines research on a wide array of the profound implications of population aging. It demonstrates how the world is changing through population aging, and how demography is changing in response to it.