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A must-have professional reference for researchers and educators in psychology, sociology, anthropology, public health, genetics, medicine, and the biological sciences, this issue of the Annual Review of Gerontology and Geriatrics discusses how complex biological, behavioral, and social systems interact to create and impact health. This knowledge is essential to maintaining positive health outcomes over the life span and across a variety of populations and settings.
With contributions by leading world scientists, this trusted
annual volume reviews the current literature and presents examples
of how biological factors underlie behavioral factors to impact
health in later life. It also offers methods for examining these
complex systems of biology and behavior, and explores how social
scientists use this information in their research. Key
Learn the art of growing old from the supercentenarians living life to the fullest. It's said that life begins at 40 - but that number is constantly revised upwards as we live longer and longer. With the number of centenarians having quadrupled in the last thirty years, more of us can now hope to reach the 100-year mark than ever before. But how can we navigate this journey with grace, dignity and style? In this charming and informative book, Daniela Mari - the Italian doctor caring for some of the oldest people on the planet - draws on her experiences as a renowned gerontologist to reveal the science behind a healthy, happy old age. It turns out that the world's centenarians can teach us a thing or two about ageing well. And the secrets are not always what you'd think. Informed by the latest medical studies and incredible stories of individual longevity, Mari shows how our lifestyles can far surpass the influence of our genetics and why a daily glass of liquor isn't the end of the world. From our sleeping habits and diet to the crucial importance of our passions and interests, Breakfast with the Centenarians is the essential handbook for a fruitful and fulfilling old age.
The Geriatrics pocketcard Set is a concise summary of essential information on the assessment of the eldeerly patient. The cards contain information on topics such as activities of daily living, cardiac risk, dementia, depression, incontinence, and alcohol abuse. A variety of scales useful in evaluating the patient's health status include: * 10-item Geriatric Impairment Inventory * Clock Drawing Test * Barthel Index of Activities of Daily Living * Geriatric Depression Scale * Functional Assessment Staging in Alzheimer's Disease * Hachinski Ischemic Score * Hearing Handicap Inventory for the Elderly * And many more... For Students, residents, nurses and all other healthcare professionals.
This guide is structured to assist physicians in the management of those hypertensive patients who present with specific comorbidities, such as diabetes, systolic dysfunction, obesity, renal disease, or previous cardiac events, often associated with hypertension. The clinical cases contained in this book have been selected to provide a paradigmatic set of scenarios frequently encountered in daily clinical practice, and will serve as an easy-to-access tool in applying general guidelines to individual patients, particularly in the choice of the most appropriate antihypertensive therapy. Treatment of hypertension with associated clinical conditions require specific therapies and combinations of drugs, which are necessarily different from one comorbidity to another. By discussing exemplary cases that may better represent clinical practice in a "real world" setting, and analyzing step by step the diagnostic and therapeutic process, this book will assist cardiologists and physicians in selecting the diagnostic tools and forms of treatment best suited to the individual patient and the particular cardiovascular risk profile.
It's no secret that our population is aging. In fact, it won't be long before one in four drivers will be over the age of 65. Research suggests we'll outlive our ability to drive by almost ten years--but knowing when to stop or limit driving isn't always clear.
"The Driving Dilemma" is a comprehensive resource for older drivers and their families facing questions about driving safety. Dr. Dugan provides clear, useful information about the effects of age, medical conditions, and medications on driving. She offers practical advice on how to discuss this issue with loved ones. Such talks can be difficult, and the book provides not only the facts, but also a research-based approach to communication, with useful sample dialogue scripts that will help you discuss driving with your loved ones. Also included are state-by-state listings of available resources, making this book a total information source for families.
Andy Lazris, MD, is a practicing primary care physician who experiences the effects of Medicare policy on a daily basis. As a result, he believes that the way we care for our elderly has taken a wrong turn and that Medicare is complicit in creating the very problems it seeks to solve. Aging is not a disease to be cured; it is a life stage to be lived. Lazris argues that aggressive treatments cannot change that fact but only get in the way and decrease quality of life. Unfortunately, Medicare's payment structure and rules deprive the elderly of the chance to pursue less aggressive care, which often yields the most humane and effective results. Medicare encourages and will pay more readily for hospitalization than for palliative and home care. It encourages and pays for high-tech assaults on disease rather than for the primary care that can make a real difference in the lives of the elderly.Lazris offers straightforward solutions to ensure Medicare's solvency through sensible cost-effective plans that do not restrict patient choice or negate the doctor-patient relationship. Using both data and personal stories, he shows how Medicare needs to change in structure and purpose as the population ages, the physician pool becomes more specialized, and new medical technology becomes available. Curing Medicare demonstrates which medical interventions (medicines, tests, procedures) work and which can be harmful in many common conditions in the elderly; the harms and benefits of hospitalization; the current culture of long-term care; and how Medicare often promotes care that is ineffective, expensive, and contrary to what many elderly patients and their families really want.
Each year, more than 300,000 adults in the United States undergo hip replacement surgery. What can the many people experiencing hip pain in this country expect before, during, and after surgery? Hip Replacement-part of a new series of Johns Hopkins University Press books on specific surgical procedures-is designed to provide quick answers to all of the most common questions individuals have about hip surgery and the recovery process. Focusing on the patient experience, this frank and easy-to-use book highlights real patient experiences with hip pain, diagnosis, and treatment. The book * discusses basic hip anatomy * describes the symptoms of hip arthritis * explores alternative treatments, including lifestyle changes, medications, and surgical treatments other than hip replacement * reviews the entire recovery process, including preferred exercises to help speed your recovery and how quickly you can return to certain activities* features a glossary of key terms and a list of frequently asked questions * contains numerous sidebars touching on important points to consider, questions to ask your doctor, red flags, and risks * is supplemented with useful illustrations and photographs The book's concise format allows readers to peruse the content quickly in the days leading up to surgery and then refer to it during the recovery period. Written by experts in the field, Hip Replacement is destined to become the most trusted book on this topic. Contributors: Roy K. Aaron, MD, Valentin Antoci, Jr., MD, PhD, Travis Blood, MD, Eric Cohen, MD, Matthew E. Deren, MD, John Froehlich, MD, MBA, Derek R. Jenkins, MD, Dominic T. Kleinhenz, MD, Scott Ritterman, MD, Lee E. Rubin, MD
Recent studies show that more people than ever before are reaching old age in better health and enjoying that health for a longer time. This Handbook outlines the latest discoveries in the study of aging from bio-medicine, psychology, and socio-demography. It treats the study of aging as a multidisciplinary scientific subject, since it requires the interplay of broad disciplines, while offering high motivation, positive attitudes, and behaviors for aging well, and lifestyle changes that will help people to stay healthier across life span and in old age. Written by leading scholars from various academic disciplines, the chapters delve into the most topical aspects of aging today - including biological mechanisms of aging, aging with health, active and productive aging, aging with satisfaction, aging with respect, and aging with dignity. Aimed at health professionals as well as general readers, this Cambridge Handbook offers a new, positive approach to later life.
A reassuring and thoroughly researched guide to maintaining a high quality of life--from resilient old age to the first inklings of a serious illness to the final breath--by the New York Times bestselling author of Knocking on Heaven's Door. The Art of Dying Well is about living as well as possible for as long as possible and adapting successfully to change. Packed with extraordinarily helpful insights and inspiring true stories, award-winning journalist and prominent end-of-life speaker Katy Butler shows how to thrive in later life (even when coping with a chronic medical condition), how to get the best from our health system, and how to make your own "good death" more likely. This handbook of step by step preparations--practical, communal, physical, and sometimes spiritual--will help you make the most of your remaining time, be it decades, years, or months. Butler explains how to successfully age in place, why to pick a younger doctor and how to have an honest conversation with her, when not to call 911, and how to make your death a sacred rite of passage rather than a medical event. This down-to-earth manual for living, aging, and dying with meaning and even joy is based on Butler's own experience caring for aging parents, as well as hundreds of interviews with people who have successfully navigated a fragmented health system and helped their loved ones have good deaths. It also draws on interviews with nationally recognized experts in family medicine, palliative care, geriatrics, oncology, hospice, and other medical specialties. Inspired by the medieval death manual Ars Moriendi, or the Art of Dying, The Art of Dying Well is the definitive update for our modern age, and illuminates the path to a better end of life.
Geriatric Medicine at a Glance logically presents the core principles of geriatric medicine, including mechanisms of ageing, changes in physiology commonly seen in older adults, and the clinical management and treatment of the key medical presentations affecting older patients. It provides a thorough overview of the essential required core knowledge, mapped to the British Geriatrics Society undergraduate curriculum on ageing. Geriatric Medicine at a Glance: - Is fully aligned with the newly developed British Geriatric Society curriculum on ageing for undergraduate medical students - Explains the relevant concepts associated with ageing in addition to the common medical presentations seen in older adults - Includes the perspective of nurses and other allied health professionals - Features 'best of five' MCQ self-assessment questions Geriatric Medicine at a Glance will help address the uncertainty often experienced by medical students and junior doctors when dealing with older patients.
Stroke care has been revolutionised by better prevention, treatment, and more widely available rehabilitation. Nonetheless, stroke remains the second most common cause of death worldwide. This fully-updated new edition provides clear facts and practical advice as to why strokes occur and how they can be prevented in the future. Concise in style but comprehensive in approach, Stroke: The Facts describes the myriad of symptoms, varied presentations, and longer-term consequences of this disabling condition. The journey from treatment through to rehabilitation and preventing a further stroke is made easy by the author, a stroke doctor and researcher involved in many of the studies that have advanced care. Supplemented with case studies, this guide concentrates on developments in treatment, providing an important update on the first edition. It is essential reading for those who have had a stroke or Transient Ischaemic Attack and their families, and will also be of interest to medical professionals working within stroke care.
The latest addition to the Evidence-Based Book series, "Evidence-Based Geriatric Medicine" provides non-geriatrician clinicians an overview of key topics central to the care of the older patient. This guide focuses on the management of common problems in the elderly taking into account their life situations as well as treatment of specific conditions. Leading geriatricians with expertise in evidence-based medicine utilize the best available evidence and present this information in a concise, easy-to-use, question-based format. "Evidence-Based Geriatric Medicine" is a unique guide to the optimum management of older patients.
This text focuses on the under-recognized and undertreated problem of addiction in later life. The widespread lack of clinical knowledge about this patient population can be traced to several sources: the systematic exclusion of older individuals from clinical trials; their reluctance to seek medical help owing to stigma and shame; the fact that additive disorders may be disguised by concurrent medical conditions; a lack of screening instruments tailored to an older population; and the low sensitivity of standard diagnostic criteria for detecting addiction in middle-aged and elderly adults who do not display the occupational and legal "red flags" seen in younger individuals. This volume provides the reader with a clear sense of the surprisingly high prevalence of alcohol and substance use disorders in older adults. For each of the major classes of addictive substances, both prescribed and illicit, this book highlights the key clinical issues that can complicate successful diagnosis. The authors describe strategies for initial engagement with the patient, including screening instruments, brief interventions which can be adapted to a primary care setting, emerging web-based and mobile technologies, and treatment strategies which are tailored to the age-appropriate needs of older adults, including older women - who have been found to be especially vulnerable to prescription drug misuse. With the aging of the baby boomers, a generation arriving in middle-age with greater exposure to alcohol and drugs than any previous cohort, the need for successful identification and effective treatment of alcohol and substance use disorders in later life has become a clinical imperative. Addiction in the Older Patient, whose editors bring more than 40 years of combined research and clinical experience in the field of addiction treatment, offers a comprehensive introduction to this underexplored and timely topic. This text synthesizes current clinical evidence to support the most effective strategies for discovering and treating addictive disorders in our older patients.
This practical book provides up-to-date information on the particular features of ovarian cancer in older women and the best management approach. The full range of relevant topics is covered. Guidance is provided on geriatric assessment, screening, pathology, diagnosis, and follow-up. The various treatment options are carefully explained, covering surgical approaches, chemotherapy as a first-line strategy, the use of anti-angiogenic agents, and treatment of relapse. The cognitive problems that may arise in elderly women during and after treatment of ovarian cancer are documented, with advice on response. Guidance is also provided on the design of clinical trials, and current directions in biological research are reviewed. This book will be of value to both practitioners and researchers with an interest in ovarian cancer and the elderly.
Problem Solving in Older Cancer Patients providesan evidence-based guidebook forming an overview of the current thinking and clinical practice in this field. By referring to individual case studies written and/or overseen by experienced physicians, the reader can learn how to approach the management of older cancer patients and implement the appropriate treatment strategy that best suits the patient, taking account of comorbidities, frailty, and patient choice.The core readership envisaged is the physician in oncology or geriatrics (and other medical disciplines) involved with older cancer patients, working in primary care, district hospitals or main general hospitals, cancer units and cancer centres. Specialist nurses, trainee specialists and senior students are an important potential readership.The first part of the book consists of general perspective chapters, discussing generic issues such as radiotherapy in older patients and anaesthetic issues. These are then followed in the second part by clinical case scenarios. Each clinical case includes a concise discussion on patient presentation and of scenarios underpinning issues experienced by older patients followed by a clear appraisal of how the latest clinical research impacts on patient management. The aim is to help the busy clinician modify daily medical practice in response to individual cases.In the twenty-first century, this large cohort of patients requires both innovative care and individual attention. This carefully crafted book shares the experience of an expert multidisciplinary team in the interest of patient centred care..
Designed for the busy practitioner, "Geriatrics" presents 97 alphabetically arranged topics covering all major concerns in geriatric rehabilitation ranging from age-related changes to end-of-life care. The first section reviews topics related to normal aging and assessment methods to measure systemic changes. The second section addresses common aging-associated diseases and disorders affecting relevant organ systems, including neurologic, musculoskeletal, rheumatologic, and cardiovascular problems and other key concerns such as functional decline, incontinence, and visual impairments. The last section highlights special considerations such as aging with a developmental disability, exercise, pain management, polypharmacy, and rehabilitation in various healthcare settings. Taken together, the book catalogs the broad range of functional issues endemic in the elderly population and offers a quick reference guide for rehabilitation professionals providing high-quality clinical care to older patients.
Every entry is standardized for quick look-up in the office or clinic, and features description, etiology, risk factors, clinical features, natural history, diagnosis, red flags, treatment, prognosis, helpful hints, and suggested readings.
All "Rehabilitation Medicine Quick Reference"Titles Offer Consistent Approach and Organization: at-a-glance outline format allows readers to find the facts quickly Concise Coverage: of must-know information broken down into easy-to-locate topics Fast Answers to Clinical Questions: diagnostic and management criteria for problems commonly encountered in daily practice Hands-on Practical Guidance: for all types of interventions and therapies Multi-Specialty Perspective: ensures that issues of relevance to all rehabilitation team members are addressed
"This collection is a timely and excellent contribution to the study of resilience and the field of gerontology."--Anthropology and Aging Quarterly
This state-of-the science, multidisciplinary "Annual Review of Gerontology and Geriatrics" provides a comprehensive examination of critical issues on resilience in a variety of life domains central to the well-being of older persons. It examines the role of resilience in determining adjustment and function in the domains of health, grief and bereavement, physical activity and functioning, spirituality, work, retirement, intellectual/cognitive functioning, coping with life events, care giving, and mental health interventions.
The first section of the book addresses such domains of resilience as immunological function, stress and mood disorders, emotional and cognitive resilience, adjustment to cultural and environmental changes, and spirituality. Section two is concerned with practical applications of resilience. A developmental family perspective is used to examine differences in adaptation to age-related challenges. The role of resilience in geriatric rehabilitation is discussed as is adaptive coping in regard to loss and trauma. The text also explores resilience in regard to career management, retirement, and volunteerism, considers resilience as a component of health in regard to public policy, and examines exemplary public health programs and policies and the relationship of resilience to health care finance. Also addressed is resilience in caregiving as a mutually beneficial process, clinical interventions that enhance resilience, and resilience from a lifespan developmental perspective. Key Features:
Synthesizes the best current research in the field, with direct practice implications Addresses resilience in regard to immunological function, emotional and cognitive resilience, and spirituality Explores the role of resilience in geriatric rehabilitation, career management and retirement, person-environ fit, and public health and policy Examines directions for future research and resilience-oriented interventions
Our elderly population is the fastest-growing segment of society, and pain, particularly chronic pain, is one of the most common problems this group faces.
In "Managing Pain in the Older Adult," Dr. Jansen provides treatment options designed for older adults. Controlling pain can be challenging as the elderly, in addition to the common physiologic changes of aging, often have multiple health problems and take many medications. Furthermore, drugs are only rarely tested on older adults, so pharmaceutical intervention often relies on a slow trial and error regime. Drawing on her experience in critical care and neuroscience nursing as well as work as a GNP, Dr. Jansen adopts a multimodality approach to focus on the assessment, diagnosis, and treatment of acute and chronic pain among older adults with interventional, non-interventional, pharmacotherapeutic, and nonpharmacotherapeutic methods.
"Managing Pain in the Older Adult" addresses a myriad of factors pertaining exclusively to pain management among the elderly, including: The importance of early recognition of pain symptoms Environmental factors that influence pain and its perception Specific issues involved when treating the elderly Non-pharmaceutical treatments: physical therapy, acupuncture, and other complementary techniques Lack of resources for treating pain in the aged
The book will serve as an invaluable reference for a wide range of health care providers working with our aging population.
Preventive Medicine and the disappearance of random causes of death in developed countries have led to ageing populations and the consequent need for radical change in health service provision. This book comes at an opportune time as the old-fashioned National Health Service is reformulated to accord better with medical need, most of which concerns the elderly population that is projected to grow until 2025. Dr Thompsons book offers the modern concept of age change to be due to human development, rather than 'decline' or 'degeneration'. The outmoded idea that a disease is something that you either have or dont have is replaced by the modern concept of homoeostatic disturbance producing changes that are at first insidious and indistinguishable from good health arE one end of the scale, but which later advance across the clinical threshold and produce gross organic disturbance. The main function of the GP lies in his longitudinal relationship with parents, requiring understanding of the diseases of ageing and reducing the rate of pathological change, so preventing as far as possible the need for rehabilitation, the function of the hospital officer.
Seven in ten Americans over the age of age of sixty who require medical decisions in the final days of their life lack the capacity to make them. For many of us, our biggest, life-and-death decisions-literally-will therefore be made by someone else. They will decide whether we live or die; between long life and quality of life; whether we receive heroic interventions in our final hours; and whether we die in a hospital or at home. They will determine whether our wishes are honored and choose between fidelity to our interests and what is best for themselves or others. Yet despite their critical role, we know remarkably little about how our loved ones decide for us. Speaking for the Dying tells their story, drawing on daily observations over more than two years in two intensive care units in a diverse urban hospital. From bedsides, hallways, and conference rooms, you will hear, in their own words, how physicians really talk to families and how they respond. You will see how decision makers are selected, the interventions they weigh in on, the information they seek and evaluate, the values and memories they draw on, the criteria they weigh, the outcomes they choose, the conflicts they become embroiled in, and the challenges they face. Observations also provide insight into why some decision makers authorize one aggressive intervention after the next while others do not-even on behalf of patients with similar problems and prospects. And they expose the limited role of advance directives in structuring the process decision makers follow or the outcomes that result. Research has consistently found that choosing life or death for another is one of the most difficult decisions anyone can face, sometimes haunting families for decades. This book shines a bright light on a role few of us will escape and offers steps that patients and loved ones, health care providers, lawyers, and policymakers could undertake before it is too late.
Elderly Care Medicine Lecture Notes provides all the necessary information, within one short volume, for a sound introduction to the particular characteristics and needs of elderly patients. Presented in a user-friendly format, combining readability with high-quality illustrations, this eighth edition has been thoroughly revised to reflect advances in knowledge on how disease presents in elderly people, and changes in management practice, particularly regarding stroke, dementia, delirium, and cancer. New for this edition, Elderly Care Medicine Lecture Notes also features: * More treatment tables and boxes throughout for rapid access and revision * Expansion of material on polypharmacy and prescribing * Discussion of emotional support, counselling and spirituality * Advice for doctors on breaking bad news and end-of-life care * Consideration of ethical and legal issues A companion website at www.lecturenoteseries.com/elderlycaremed features appendices which can be used as guidelines in a clinical setting, key revision points for each chapter, further reading suggestions, and extended content for specialty training in geriatrics. Not only is this book a great starting point to support initial teaching on the topic, but it is also easy to dip in and out of for reference or revision at the end of a module, rotation or final exams. Whether you need to develop or refresh your knowledge of geriatrics, Elderly Care Medicine Lecture Notes presents 'need to know' information for all those involved in treating elderly people.
Reduced production of DHEA associated with the diseases that accompany aging has led to its use as a nutritional supplement for antiaging, metabolic support, and other purposes. While animal studies have clearly shown substantial benefits of DHEA in combating various disease states, the effect of low levels of DHEA in humans is less established, and the mechanisms of action and potential involvement in illnesses remain unclear. DHEA in Human Health and Aging reviews the past ten years of research into this hormone and explores its potential for future study.
With contributions from a cadre of international experts, this volume examines:
Covering a wide range of topics, the book is compiled from contributions of experts who have each studied some aspect of DHEA and human or animal health or disease. Every chapter is self-contained, allowing for focused study on individual topics. Edited by one of the leading experts in the field of nutrition, the book presents a compelling view of the state of the science in DHEA.
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