For millions of Americans, the heartbreak of watching a loved one struggle with Alzheimer's disease is a pain they know all too well. Alzheimer's disease burdens an increasing number of our Nation's elders and their families, and it is essential that we confront the challenge it poses to our public health. In 2011, President Barack Obama signed into law the National Alzheimer's Project Act (NAPA), requiring the Secretary of the U.S. Department of Health and Human Services (HHS) to establish the National Alzheimer's Project to create and maintain an integrated national plan to overcome Alzheimer's disease; co-ordinate Alzheimer's disease research and services across all federal agencies; accelerate the development of treatments that would prevent, halt, or reverse the course of Alzheimer's disease; improve early diagnosis and co-ordination of care and treatment of Alzheimer's disease; improve outcomes for ethnic and racial minority populations that are at higher risk for Alzheimer's disease; co-ordinate with international bodies to fight Alzheimer's globally. This book addresses each of these points and provides further insight on the national plan to address this disease.

Studies find that effective physician-patient communication has specific benefits such as, patients are more likely to adhere to treatment and have better outcomes, they express greater satisfaction with their treatment, and they are less likely to bring malpractice suits. Communicating with older patients involves special issues. The aim of this book is to introduce and/or reinforce communication skills essential in caring for older patients and their families. The book offers practical techniques and approaches to help with diagnosis, promote treatment adherence, make more efficient use of clinicians' time, and increase patient and provider satisfaction. It then continues by discussing ways in which older people should talk to their doctors. A good patient-doctor relationship is more of a partnership. The Book gives a guide on how to ask the right questions to a doctor, along with nurses, physician assistants, pharmacists, and other health care providers, to solve medical problems and keep a patient healthy.

Never in human history have there been so many people entering old age-roughly one-third of whom will experience some form of neurodegeneration as they age. This seismic demographic shift will force us all to rethink how we live and deal with our aging population. Susan H. McFadden and John T. McFadden propose a radical reconstruction of our societal understanding of old age. Rather than categorizing elders based on their cognitive consciousness, the McFaddens contend that the only humanistic, supportive, and realistic approach is to find new ways to honor and recognize the dignity, worth, and personhood of those journeying into dementia. Doing so, they argue, counters the common view of dementia as a personal tragedy shared only by close family members and replaces it with the understanding that we are all living with dementia as the baby boomers age, particularly as early screening becomes more common and as a cure remains elusive. The McFaddens' inclusive vision calls for social institutions, especially faith communities, to build supportive, ongoing friendships that offer hospitality to all persons, regardless of cognitive status. Drawing on medicine, social science, philosophy, and religion to provide a broad perspective on aging, Aging Together offers a vision of relationships filled with love, joy, and hope in the face of a condition that all too often elicits anxiety, hopelessness, and despair.

Today, China's elderly population is approaching a staggering 170 million and in 2025 it will exceed 250 million. This demographic fact coupled with a growing Chinese middle class, have combined to make the senior living business one of the most dynamic new industries on the Mainland. There is a lot that Westerners can do here...and a lot they will not be able to do. The extent to which Western experts in geriatrics and those in the business of health care can participate in this extraordinary industry depends on one's ability to do business the Chinese-way. And what doing business the Chinese-way actually means is not easily defined but requires a cultural awareness that comes only with time spent in China and, of course, that elusive quality of effective cross-cultural relationships, patience. Enter the Ageing Dragon... is an insightful chronicle of one man's experience in the senior living business in China from its very inception...his views on its future development and more importantly, how he was successful. A gifted story teller with intuitive multicultural business instincts, the author artfully narrates the story through the entertaining lens of classical movies about China. Advance praise from global senior living industry leaders ..".Cole's informed and often humorous observations on senior living in China are both timely and extremely helpful...he helps us understand this unique market " Brad Perkins, FAIA MRAIC AICP- Chairman/CEO - Perkins Eastman (USA) "I was deeply moved by Bromme's understanding, profound grasp and broad sympathy toward the plight of aged population in China" Yue Tang - Partner, JuneHe Law Firm (China) "Felicitations Bromme ...une brillante analyse " Pascal Brunelet - CEO, Colisee Patrimoine (France) "An immensely valuable resource for senior living in China...very insightful...prescient...Bromme understands China to a T " Kevin Ryan - CEO, Waterbrook Senior Living (Australia) ..".I found Cole's new book not only entertaining but also quite informative David Freshwater - Chairman, The Freshwater Group (USA)

This volume is the result of a lifetime of personal research into human wellness. It naturally considers all the implications of human illness as well. The chapters offer a kaleidoscope of training programs previously offered to thousands of healthcare professionals in hospitals, nursing homes and rehab centers in the New England Area. The topics range of nursing home placement to spirituality as life meaning, to depression and suicide in the elderly. It is meant to contribute to the modern challenge of longevity, living longer with greater meaning.

Managing Geriatric Health Services provides an overview of the many disciplines related to geriatric health administration as well as specialty topics in long-term care. Ideal for students studying geriatric health services administration, as well as active professionals currently working in the field, Managing Geriatric Health Services thoroughly examines core topics such as administration, nursing, and rehabilitative therapies. It also covers specialty topics, including spirituality, dementia, quality assurance, oral history, and ethical issues. This text examines the various jobs within the continuum of care from an administrative and management standpoint, and also looks at the various roles or disciplines within long-term care and the specific challenges to each. With contributions from experienced professionals in the field, this book includes an entire section of interdisciplinary case study examples and reflection exercises. Individual chapters include learning objectives, key terms, chapter-specific case studies, and chapter summaries, Key Features: * Discussion questions in each chapter engage the reader in learning and understanding the topics presented. * Interdisciplinary case studies allow the reader to see the practical application of the concepts presented. * Chapters are supported by current research from prominent experts in the field. * A unique chapter on Oral Histories explores the aging process and the value of reminiscing. Instructor Resources: PowerPoint LEcture Slides, Test Bank

The Evergreen Programme is a group-based therapeutic programme for older adults with acute mental illness which has been in place since 2003 at St. Patrick's University Hospital, Dublin. The Evergreen Guide is compiled by members of the multidisciplinary team, from a diverse range of disciplines, who deliver this programme in an inpatient unit of the largest mental health facility in Ireland. This publication reflects the broad range of topics and material which form the basis of the 6-week rotational programme. The Evergreen Programme was designed to be an interactive group programme for older people with a range of psychological conditions that could bridge the gap between diversional activities and psychotherapy. We believe that this book will be of particular interest to health professionals who deliver group-based therapy to older people and will also be a resource for long-term care facilities, as well as community-based active retirement groups and day hospitals, and other acute inpatient facilities. The book reflects a holistic approach to the treatment and rehabilitation of older people recovering from acute mental illness. The chapters are presented in a format that prompts discussion and participation through the use of reflective questions at the start of each chapter, followed by six, discrete weekly modules' reflecting the present organisation and operation of the Evergreen Programme. Clinicians can pick up this guide and begin to use it immediately, as a manual or road map in a group setting, for imparting the practical principles and strategies needed by older people to maximise their physical, mental and creative abilities. The breadth of topics covered is diverse ranging from successful aging, to spirituality, to the safe use of medication. All of the material is written by the team of clinicians who have considerable individual skill and knowledge, not only in relation to the theoretical material, but also in respect of the optimal methods and manner for imparting this information to groups of older people. Mental health professionals will appreciate this practical and detailed guide which will increase their effectiveness, relevance and competence in working with older people.

Do you or someone you know have a diagnosis of Diabetes ? Has the process of monitoring the blood sugar been taught? or even the procedure for self administering insulin injections? Has there been a diet regimen that was prescribed to stabilize the glucose fluctuations? Or perhaps an exercise program that aims to reduce weight? Diabetes is a chronic condition that disrupts the aging process. It destroys a happy lifestyle and threatens to injure the human body. People actively engaging in self-care manage their blood sugar levels and keep diabetes from disrupting their happy lifestyle. This book disseminates the information needed to manage the chronic condition of diabetes for older adults. It covers the fundamentals of diabetes such as classifications and differentiation, causes and risks, pathophysiology, diagnostic tests, treatment modalities, diet regimen, beginners exercises, diabetic recipes with pictures, nutrient values of foods, normal process of aging, reading food labels and so much more... The chapters in this book are: Chapter 1: The Biological Changes in the Aging Process Chapter 2: The Cognitive Changes in the Aging Process Chapter 3: The Theories of aging Chapter 4: Understanding Pre-diabetes Chapter 5: The Definition and Classification of Diabetes Mellitus Chapter 6: The Pathophysiology, Causes and Signs and Symptoms Of Diabetes Mellitus Chapter 7: The Complications of Diabetes Mellitus Chapter 8: Diagnosing Diabetes Mellitus Chapter 9: Managing Diabetes Mellitus with Medications Chapter 10: The Food Nutrients: Carbohydrates, Proteins, Fats, Vitamins and Minerals Chapter 11: Managing Diabetes Mellitus with Diet Chapter 12: Diabetic Recipes with Pictures Chapter 13: Managing Diabetes Mellitus with Activities and Exercises Chapter 14: Managing Diabetes Mellitus with Lifestyle Modification Appendix: Food Values of Common Foods

Patients suffering from cerebrovascular disease pose many clinical challenges and even experienced clinicians can arrive at the point where diagnostic, work-up, treatment, or prognostic thinking falters. Authored by a vascular neurologist whose work spans the entire spectrum of this group of brain dysfunctions, Cerebrovascular Disease helps clinicians evaluate and manage patients suffering from stroke, embolism, thrombosis, hemorrhage, and other critical presentations. In a medical field where it's often difficult to distill the vast array of research and apply it in any meaningful clinical way, this next volume in the "What Do I Do Now?" series focuses on walking the clinician through evidence-based decision-making. Each clinical scenario featured in Cerebrovascular Disease describes in careful detail the presentation, diagnostic studies, treatment options, and rationale for handling these tricky cases.

Neuroinfections presents 35 subjects, each with a different neurologic infectious or inflammatory disorder. A short vignette provides salient clinical symptoms and signs, laboratory studies, spinal fluid and imaging findings for each patient. A highly focused discussion leads the reader to the final diagnosis. Important features of the history, neurologic examination, findings on CSF and imaging are emphasized. There is no other book that provides a careful case description that includes all the neurologic features of 19 neurologic diseases produced by virus, as well as cases of bacterial meningitis and other infections produced by spirochetes, protozoans and prions, as well as inflammatory diseases of the nervous system of unknown etiology. A unique feature of the book is that every patient described is a real-time case that the author has seen or on whom he provided consultation. Anyone who reads every case in this book will know the essentials needed to diagnose and care for patients with infectious or inflammatory diseases of the nervous system.

Chronic Medical Disease and Cognitive Aging: Toward a Healthy Body and Brain explores the important and often overlooked connection between how chronic medical diseases of the body can affect cognitive function and brain health. As population demographics shift to that of an aging population it has become more important to understand and improve cognitive function in late life. Chronic medical diseases often increase the risk of cognitive impairment, and those with cognitive impairment may be less able to effectively manage their medical conditions, suggesting a reciprocal relationship may exist where medical disease impacts cognition that in turn may exacerbate physical health. Chronic Medical Disease and Cognitive Aging discusses current research on the association between a variety of chronic medical diseases and cognition and, where appropriate, promising interventions or accepted treatment strategies. While a cure for many diseases continues to be elusive, insights garnered from the interplay between diseases of the body and mind may help point the way to novel therapeutic strategies to improve cognitive function in late life.

Most of the DNA in the human genome does not encode proteins but is involved in regulatory functions. In addition, the human genome is characterized by an extensive array of structural DNA variants arising from de novo mutations plus accumulated structural variants transmitted through an individual's lineage. The result is that each person has a unique genome which is expressed as that person's unique phenotype. Ageing can be understood on both the species and individual level. Each species has a programmed ageing and mortality pattern, but within those broad species-specific boundaries there is considerable individual variation. At the individual level, ageing reflects the integrated effects of that individual's unique mix of DNA structural variants, unique experience-specific epigenetic marks and imperfectly repaired genomic and cellular damage. This book examines human "chronic degenerative" diseases which are not diseases, but rather variations of the ageing process across individuals.

America is quickly going grey. There are more Americans alive today over the age of 80 than ever before in our history; by 2030, that number is expected to almost triple. But when we discuss how long people live, we must also consider how well they live. Aging Our Way follows the everyday lives of 30 elders (ages 85-102) living at home and mostly alone to understand how they create and maintain meaningful lives for themselves. Through extensive interviews, Meika Loe explores how elders navigate the practical challenges of living as independently as possible while staying healthy, connected, and comfortable. Aging Our Way celebrates these men and women as they really are: lively, complicated, engaging people finding creative ways to make their aging as meaningful and manageable as possible. Written with remarkable warmth and depth of understanding, Aging Our Way offers a vivid look at a group of people who too often remain invisible-those who have lived the longest - and all they have to teach us.

Having limited face time with their doctor during their brief medical office or clinic visit, most people (but particularly the elderly) will find their questions, frustrations, and medical problems inadequately answered. This book was inspired by actual issues which confused, confounded, and frustrated older patients, and for which they, and their caregivers repeatedly sought answers and explanations: issues dealing with aging, health and disease, health care, hospitalization, emergency care, insurance, medical billing, medications, laboratory testing, interactions with doctors, and much more. Inspired by their need for answers, this book was written to fill many of the gaps in the average senior's knowledge, and help them understand what's happening in their bodies and in their medical life. This book confronts the complexity of health care for the elderly, and offers guidance for a longer and happier life. It is what you need to know if you are an older health care consumer.

This book outlines the state of the art program for the prevention and treatment of Alzheimer's dementia (AD), memory loss and mild cognitive impairment (MCI or pre-Alzheimer's). At the Leonardi Institute, Drs. Leonardi and Daley have focused their entire careers on the enhancement of vitality and the prevention of age related disease for men and women over the age of 40. After developing programs effective for preventing cancer and cardiovascular disease they then looked at what their patients would face next if spared our two biggest killers. The answer, AD, prompted a concentrated investigation into the biochemistry behind Alzheimer's and how that biochemistry can be attacked using a combination of lifestyle alteration, optimal nutrition, bioidentical hormone replacement and nutritional supplements that specifically target AD pathology. While drug companies languish in finding a "patentable pharmaceutical cure," the authors uncovered approximately 30 natural elements with real disease-altering potency and organized them into a succinct 6 step program. With 281 scientific articles cited, every element adopted into this program is backed by the latest science. Whether you have Alzheimer's or want to prevent it, this is where you need to focus your attention. We urge you to read the evidence and start this program now

""I want to provide the best care possible. The suffering has gone on for a long time, and I want to be sure the end stage is as comfortable as possible.""

This common sentiment is ex-pressed by both health care professionals responsible for caring for frail elders experiencing the later stages of dementia and family members trying to ensure the most compassionate care for their loved ones. Health care providers and family members often struggle with painful decisions when confronting the inevitable while providing love, compassion, and care. Modern medicine may offer seemingly promising treatments, but eventually, the impact of Alzheimer's disease and other causes of dementia can cause profound deterioration in the patient's quality of life. The focus must eventually shift to compassionate end-of-life care. This guidebook reflects Dr. Gordon's extensive experience with health care professionals and families struggling with these poignant and difficult decisions.

..". families will learn much about helping patients with dementia, but so too will physicians and other caregivers. Michael Gordon's humanity shines through every page, and, when combined with his medical expertise, the result is a guide which is both truly thoughtful and practically useful."
-Professor Arthur Schafer, Director, Centre for Professional and Applied Ethics, University of Manitoba

"Dr. Gordon is truly a healer whose experience as a geriatrician provides a road map for all of us who want to provide care, respect, and love for people diagnosed with dementia."
-Steven R. Sabat, PhD, Professor, Department of Psychology, Georgetown University

This scarce antiquarian book is a selection from Kessinger Publishing's Legacy Reprint Series. Due to its age, it may contain imperfections such as marks, notations, marginalia and flawed pages. Because we believe this work is culturally important, we have made it available as part of our commitment to protecting, preserving, and promoting the world's literature. Kessinger Publishing is the place to find hundreds of thousands of rare and hard-to-find books with something of interest for everyone

The purpose of this book is to disseminate "best practice" models of treatment for the common mental health problems of late life, so that evidence-based practice will become the norm (rather than the exception) when working clinically with older adults. Each chapter contains reviews of the empirical literature focusing on studies conducted with elders; then they emphasize how CBT can be applied most effectively to that specific patient population. Case studies illuminate practice recommendations, and issues of diversity are likewise highlighted whenever possible.

In the past 25 years, the frontal lobes have dominated human neuroscience research. Functional neuroimaging studies have revealed their importance to brain networks involved in nearly every aspect of mental and cognitive functioning. Studies of patients with focal brain lesions have expanded on early case study evidence of behavioral, emotional, and cognitive changes associated with frontal lobe brain damage. The role of frontal lobe function and dysfunction in human development (in both children and older adults), psychiatric disorders, the dementias, and other brain diseases has also received rapidly increasing attention. In this useful text, 14 leading frontal lobe researchers review and synthesize the current state of knowledge on frontal lobe function, including structural and functional brain imaging, brain network analysis, aging and dementia, traumatic brain injury, rehabilitation, attention, memory, and consciousness. The book therefore provides a state-of-the-art account of research in this exciting area, and also highlights a number of new findings by some of the world's top researchers.

This scarce antiquarian book is a selection from Kessinger Publishing's Legacy Reprint Series. Due to its age, it may contain imperfections such as marks, notations, marginalia and flawed pages. Because we believe this work is culturally important, we have made it available as part of our commitment to protecting, preserving, and promoting the world's literature. Kessinger Publishing is the place to find hundreds of thousands of rare and hard-to-find books with something of interest for everyone!

The Pool Activity Level (PAL) Instrument is widely used as the framework for providing activity-based care for people with cognitive impairments, including dementia. The Instrument is recommended for daily living skills training and activity planning in the National Institute for Clinical Excellence Clinical Guidelines for Dementia (NICE 2006), and has been proven valid and reliable by a recent research study. It is an essential resource for any practitioner or carer wanting to provide fulfilling occupation for clients with cognitive impairments. This fourth edition of The Pool Activity Level (PAL) Instrument for Occupational Profiling includes a new section on using the PAL Checklist to carry out sensory interventions, together with the photocopiable Instrument itself in a new easy-to-use format, and plans that help to match users' abilities to activities. It includes the latest research on the use of the PAL Instrument in a range of settings, and new case studies, as well as information about how a new online PAL tool complements and supports the book. The book also contains suggestions for activities, together with information on obtaining the necessary resources and guidance for carrying out the activities with individuals of different ability levels, as revealed by the PAL Checklist.

This book gathers current research from across the globe in the study of cancer in the elderly. Topics discussed include cancer-related fatigue in elderly patients; rectal cancer staging; hormone therapy treatment in elderly patients with hormone-sensitive breast cancer; age and gender-related risk for oral cancer; cancer treatment for patients with Alzheimer's disease and oesophageal cancer in the elderly.