Lasting healthcare for the entire population, specifically the elderly, has become a main priority in society. It is imperative to find ways to boost the longevity of healthcare services for all users. Sustainable Health and Long-Term Care Solutions for an Aging Population is a pivotal reference source featuring the latest scholarly research on issues pertinent to health cost and finding effective ways of financing healthcare for the elderly. Including coverage on a number of topics such as provider accreditation, corporate social responsibility, and data management, this book is ideally designed for policy makers, academicians, researchers, and advanced-level students seeking current research on the innovative planning and development of healthcare.

This issue of Clinics in Geriatric Medicine focuses on the pharmacological, non-pharmacological, and device therapies in the medical management of cardiac rhythm disorders in the elderly population. It also reviews the epidemiology of arrhythmias and conduction disorders in older adults, atrial fibrillation and atrial flutter: stroke prevention, bradyarrhythmias and conduction disorders, and comorbidities, quality of life, and end-of-life issues in older patients with heart rhythm disorders.

Based on open-ended interviews with adult children and children-in-law, this book documents how plain folk from the working and middle classes manage to provide care for their frail, elderly parents while simultaneously meeting the obligations of their jobs and their own immediate families.

Adult children who care for elderly parents are pressured daily trying to juggle the responsibilities of work, family, and caregiving. Deborah Merrill shows how plain folk (as one caregiver termed herself) from the working and lower middle classes manage to provide care for their frail, elderly parents while simultaneously meeting the obligations of their jobs and their own immediate families. The evidence is drawn from open-ended, in-depth interviews with adult children and children-in-law, all of whom have worked outside of the home at some point during caregiving.

Merrill examines the strategies that caregivers use to combine work and caregiving and the accommodations they make in their jobs. She also points to the pathways that lead family members to caregiving roles and how those pathways vary according to family history, gender, and in-law status. By focusing on class differences in caregiving and pointing to policy implications, Merrill has provided an invaluable resource for students, researchers, and policymakers in social work, gerontology, family studies, and social issues.

Total joint replacement is an effective procedure, resulting in decreased pain and improved function and quality of life in patients of all age groups including the elderly. The use of TJR is increasing and therefore this issue reviews topics such as patient satisfaction with total joint arthroplasty, patient reported outcomes, rehabilitation with total joint arthroplasty, minimally Invasive total joint arthroplasty, and peri-operative complications of total joint arthroplasty.

This book documents the state of the art in the field of ambient assisted living (AAL), highlighting the impressive potential of novel methodologies and technologies to enhance well-being and promote active ageing. The coverage is wide ranging, with sections on assistive devices, elderly people monitoring, home rehabilitation, ICT solutions for AAL, living with chronic conditions, robotic assistance for the elderly, sensing technologies for AAL, and smart housing. The book comprises a selection of the best papers presented at the Fifth Italian Forum on Ambient Assisted Living, which was held in Catania, Italy, in September 2014 and brought together end users, technology teams, and policy makers to develop a consensus on how to improve provision for elderly and impaired people. Readers will find that the expert contributions offer clear insights into the ways in which the most recent exciting advances may be expected to assist in addressing the needs of the elderly and those with chronic conditions.

This authoritative guide is quite unique in how it covers sources dealing with injury prevention for the elderly in a comprehensive manner. This survey of 621 references covers injury prevention in general and all types of accidents and problems by topic--from alcohol use and problems, burns and scalds, elder abuse, hypothermia and hyperthermia, malnutrition, medication effects, motor accidents, and suicide.

A short introduction in each chapter gives an overview of what is available on each topic. This guide is designed for researchers and teachers in all levels of gerontology, social work, and health care, as well as for those who care for elders in long-term facilities and in the community. The arrangement of materials by topic and full author and subject indexes make this research tool easy to use in many different ways.

This book highlights (1) the significance of reciprocity for the maintenance of self-esteem in old age and (2) the negative implications for the well-being of dependent older people when that significance goes unrecognized and, as a consequence, opportunities to give back to society, as well as take from it, are not facilitated by those in a position to do so. The discussion draws on research undertaken in the UK and Southern India into the extent to which having the self-perception of being valued in the world is important to older people in receipt of care support and whether, in their experience, this is recognized by others. The author presents an analysis of theoretical insights from leading thinkers across a broad range of literature and from several disciplines, including social theory, social work, philosophy, and gerontology. The author also gives voice to the perspectives of those dependent older people not often heard because of marginalizing and disempowering processes that contribute to their having little opportunity to be heard in the first place. The emphasis of this book is on aspiration to a meaningful life and continuing personal growth as offering a challenge to dominant discourses the equate old age with decline.

This issue serves as a comprehensive review and update in the management of the geriatric cancer patient. Topics covered include: Cancer and Aging, Comprehensive Geriatric Assessment, Breast Cancer in the Elderly, Solid Tumors in the Elderly, Radiation Therapy with the Elderly, Liquid Tumors in the Elderly, Nursing and Palliation of Elderly Cancer Patients, Ethics and Religion in Care of the Elderly, and Surgery in the Elderly.

This volume of "Advances in Cell Aging and Gerontology" provides a timely review on the molecular and cellular basis of cardiovascular diseases (CVD). Age itself is the leading risk factor for cardiovascular diseases, which include loss of vasomotor function, athero- and arterio-sclerosis, hypertension, congestive heart failure and stroke. Together these pathologies comprise the leading causes of permanent disability, hospitalization and death for individuals over the age of 65. Thus, there is a critical need to assess both the age-associated causes leading to CVD as well as the current state of knowledge on preventive regimens designed to slow or modulate disease progression.

This book concisely summarizes the current knowledge related to the major aspects contributing to cardiovascular disfunction in the elderly as well as potential ways of maintaining or improving human cardiovascular healthspan.

This issue provides a unique perspective on the topic of Successful Aging whcih will cover article topics such as: Normal Aging: Theories, Aging and Disease Prevention, Aging, hormones and hormone replacement, Aging and Diet, Aging and the Effects of Vitamins and Supplements, ?Aging and Toxins, Aging and the Preservation of Neurologic Function, ?Aging and the Psychological Outlook, Aging and Exercise, State of the Art?"Anti Aging Centers" Around the World, and Interviews, anecdotes and wisdom from centurions in the US.

This book aims to provide an up-to-date review of the literature in each of the major areas relating to the management of older urological cancer patients, and makes recommendations for best practice and future research. The authors come from a broad geographic spread including the UK, mainland Europe and North America to ensure a worldwide relevance.

In the last decade much attention has been paid to understanding and diagnosing Sarcopenia, the loss of muscle mass that results from the process of aging. This issue of Clinics in Geriatric Medicine, Guest Edited by Yves Rolland, MD, PhD, covers the History of Sarcopenia and works to define Sarcopenia based on recent workshops and meetings on the topic. This issue also covers the Epidemiology, Physiology, and Consequences of Sarcopenia. Also included are studies on Sarcopenia and Obesity, Sarcopenia and Frailty, Nutrition and Sarcopenia, Physical Activity and Sarcopenia, as well as a look at Clinical Trials on Sarcopenia.

This book aims to provide an up-to-date review of the literature in each of the major areas relating to the management of older colorectal cancers patients, and makes recommendations for best practice and future research. The authors come from a broad geographic spread including the UK, mainland Europe and North America to ensure a worldwide relevance.

Measurement of Wound Healing will update the knowledge base and promote the use of measurements in order to improve both understanding of wounds and their management. This book will feature well used vascular measurements, pathological measurements, imaging measurements and so on. There will be chapters on techniques/measurements that have much promise.

This book is led by 3 experienced clinician scientists from different backgrounds who have successfully worked together on projects.

This issue?brings the geriatrician up to date on topics in Longer-Term-Care?such as: Doing Dementia Better: Anthropological Insights, Update on teaching in the Long-Term Care Setting, Pneumonia in the Long-Term Resident, Palliative Care for Patients with Dementia in Long Term Care, Urinary Tract Infections in Long-Term Care Residents, and Nausea and Other Non-Pain Symptoms in Long-term Care.

Lifelong Learning and Retirement: Meaning and Late Life Learning (H.R. Moody). The Third Age and the Disappearance of Old Age (P. Laslett). Life after Work: Lines, Boundaries, and Spaces (T. Schuller). Health and Quality of Life: The New Public Health Approach to Improving Physical Activity and Autonomy in Older Populations (J.B. McKinlay). Healthy Aging-Utopia or a Realistic Target? (E. Heikkinen). Adding Life to Years! Promoting Quality of Life in an Aging Europe (C. Todd). Gender, Generation, and Aging: Interrelations between Generations in Historical Perspective (B. Oden). Gender and Aging (C.C. Meunier). Gender, Aging, and Quality of Life (G.E. McClearn et al.). Pension Systems and Attitudes to Retirement: Psychological Issues of Aging and Work (P. Huuhtanen). A New Concept for Productive Aging at Work (J. Ilmarinen). What If the Disability Pension Application Is Denied? (R. Gould). Programs for Successful Retirement: Educating Health Professionals in Gerontology: A Canadian Perspective (A.C. Beckingham). Aging Well: European Health Program for Older People (S. Greengross). Retirement Preparation in Subjects of Working Age (F. Marcellini, N. Barbini). 19 additional articles. Index.

Neurons share more similarities with insulin-producing pancreatic islet cells than with any other cell type. The root of this similarity may lie in the islet's evolution from an ancestral insulin-producing neuron. The islet-neuron connection becomes less surprising as we learn more about insulin's involvement in functions far from its traditional role in mediating glucose uptake in muscle. The importance of insulin in the regulation of corporal aging has been established by the dramatic increases in longevity experienced by animals in which the adipose insulin receptor has been genetically eliminated, or in which the insulin-related daf genes have been mutated. New research suggests that, analogous to its influence on corporal aging, insulin also makes important contributions to brain aging and the expression of late-life neurodegenerative disease. Insulin plays a key role in cognition and other aspects of normal brain function. Insulin resistance induces chronic peripheral insulin elevations and is associated with reduced insulin activity both in periphery and brain. The insulin resistance syndrome underlies conditions such as Type 2 diabetes mellitus and hypertension, which are associated with age-related cognitive impairment and Alzheimer's disease. This book discusses the mechanisms through which insulin dysregulation contributes to the development of cognitive impairment and late-life neurodegenerative disease. Given the recent pandemic of conditions associated with insulin resistance, it is imperative that we achieve a comprehensive knowledge of the mechanisms through which insulin resistance affects brain function in order to develop therapeutic strategies to address these effects.

This book presents a wealth of insights and new conceptualizations for the development of "Assistive Technologies for the Interaction of the Elderly." The book arranges the chaptersaccording to important aspects of maximizing the use value in innovation projects. Every chapter will include an executive summary reporting the main results, a storyline using everyday language, and scientific excursions, wherever useful.

The book shows how an innovation project should be structured towards maximum use value and how a project should be structured in order to make a difference. It describes the useful categorization of the large group of the elderly to maximize the focus of the innovation and demonstrates the user involvement into innovation activities. Of course, the assessment of such innovative projects is discussed as well as the lessons learned . The book also explores the business opportunities and the financial evaluation of aspects of assistive technology.

"

This issue covers a broad selection of topics critical to psychiatrist and any physician who treats older patients. Topics include: Epidemiology, clinical evaluation, and treatment of dementing disorders, late-life psychosis; suicide in late life; depression in primary care; structural neuroimaging of geriatric depression; gene-environment interactions in geriatric depression; treatment of geriatric depression; etiological Theories of Late-Life depression; geriatric bipolar disorder; psychotherapies in geriatric depression; home-based care of the elderly with mental disorders; functional neuroimaging in geriatric depression; models of treatment engagement of geriatric persons with mental disorders; and mental health service delivery to the elderly.

With the projected shortage of geriatricians over the next many years, it is essential for every internist and primary care physician to be equipped with the most current information and clinical skills for the treatment of older adults. This edition of Medical Clinics of North America brings the reader up to date on important issues in geriatrics including the following: treatment strategies for sarcopenia and frailty; congestive heart failure; revitalizing the aged brain; nutritional strategies for aging successfully; falls, osteoporosis and hip fractures; late-life Hypogonadism; hypertension in older persons; incontinence; delirium; weight loss; nursing homes and the physician; and diabetes and insulin resistance in older persons.

The risk of serious injury resulting from a fall increases with age as our eyesight, ability to react quickly, memory, and cognitive functions begin to decline. For the growing population of people over age 65, falls can lead to loss of dignity and independence, and they can cause serious injury or even death.

Preventing Falls is an essential guide for the elderly, caregivers, Parkinson's sufferers, and many others who face this health risk in their daily lives. As people age, knowing how to accommodate motor, sensory, and cognitive changes is important. While no single cause for a fall exists, the leading factors are environmental hazards, balance problems, muscle weakness, poor vision, and impaired judgment. Parkinson's patients as well as those with various neurological or muscular disorders are especially prone to falls because their motor skills are seriously compromised. This book addresses valuable skills and coping mechanisms as well as environmental changes and assistive devices that are needed to prevent falls.

Many elderly victims of a fall require the skilled care of a nursing home within a year of the incident, especially those elders who cannot care for themselves and whose family members are unable to provide adequate help. The editors place emphasis on "successful aging"-the ability to maintain mobility and remain independent. Preventing Falls is a handy guidebook for elders to decrease their risk of falls, develop personal confidence, and maintain their independence. This vital sourcebook is complemented with a valuable 60-minute videotape offering step-by-step instruction on the best methods for preventing falls.

This issue of Clinics in Geriatric Medicine, Guest Edited by David Hunter, MD, will feature such article topics as: Epidemiology of Osteoarthritis; Age-Related Changes in the Musculoskeletal System and the Development of Osteoarthritis; The Contribution of Osteoarthritis to Disability; Etiology and Assessment of Disability in Older Adults; Quality of Osteoarthritis Care for Community-Dwelling Older Adults; Contextualizing Osteoarthritis Care and the Reasons for the Gap Between Evidence and Practice; Transforming Osteoarthritis Care in an Era of Health Care Reform; Strength Training in Older Adults: the Benefits for Osteoarthritis, Diet and Exercise in Older Obese Adults with Osteoarthritis; Device Use: Braces, Walking aids and orthotics; Pharmacologic Intervention for Osteoarthritis in Older Adults; Surgery in Older Adults with Osteoarthritis.

Nursing home reform, Professor Farmer asserts, calls for increased emphasis upon issues related to life rather than care. Organizational climate, which reflects the nursing home's unique position to impact life issues, provides a conceptual framework for effective interventions, evaluations, and ultimately meaningful reform.

The general atmosphere of most nursing homes remains overwhelmingly negative in spite of those few homes that are credited with excellence. Professor Farmer believes that the concept of organizational climate holds promise for better understanding the complexities and impact of atmosphere in any one nursing home. At the same time, organizational climate as a concept is poorly understood. There is a need to rethink the concept and return to the original notion of weather as its metaphor. Farmer attempts this in her case study by describing organizational climate where it can best be captured.

Practitioners of long-term care, from the fields of administration, geronotology, nursing, nutrition, policy makers, occupational and physical therapy, social work, and therapeutic recreation will find the insights of this study of great value, as will graduate students, scholars, and others concerned with organizational studies and issues in gerontology.

Effective, meaningful caregiving requires a well-coordinated and informed effort guided by various highly skilled specialists across several interrelated professions, including psychologists, social workers, and occupational therapists. Multidisciplinary Coordinated Caregiving addresses the information needs of these interrelated professionals, contributing to the direct care of individuals and serving as an essential resource for those who ultimately create collaborative approaches to contemporary caregiving plans. In addition, the volume provides a wealth of evidence-based research findings to facilitate ongoing dialogue about multidisciplinary and interdisciplinary perspectives on and interventions for the complex challenge of caregiving in America. Key areas of coverage include: * The status of professional caregiving in the United States. * Nursing perspectives on the state of family caregiving. * Psychological aspects of caregiving. * A human development, lifespan perspective on caregiving during late life. * Public health contributions to caregiving. Multidisciplinary Coordinated Caregiving offers a wealth of insights for those researchers, practitioners, and graduate students who seek to optimize the care of individuals across such fields as psychology, social work, public health, geriatrics and gerontology, and medicine as well as public and educational policy making.