This book addresses in a structured and multidisciplinary way the medical issues related to aging, paying particular attention to the role of diagnostic imaging in the field of cardiovascular, musculoskeletal, respiratory, neurological, urogenital and gastrointestinal diseases.The progressive increase of the average age of the population, of life expectancy and the improvement of the quality of life are common phenomena in many countries of the World. Over the years, the management of older persons seems to have had an increasing impact both on the socio-economic and on the medical-health level. Medicine, in all its branches, has in fact focused more and more on the health conditions of the elderly patient and its protection and, in this context, due to the increasing progress in the field of technology and imaging methods, the radiologist occupies a front-line position. Unlike the young or middle-aged patients, the elderly need special care and attention, especially because of the involutive-degenerative senile processes they have to face, which must be taken into account to avoid incurring into misdiagnosis. Radiology, in fact, aims more and more at developing imaging techniques that are on the one hand satisfactory and comprehensive, but at the same time that do not represent any risk and/or obstacle for the elderly patient. The aim of this book is to provide the radiologist, and not only, with an adequate and complete geriatric preparation, thus to improve the diagnostic-therapeutic management of those patients who, to date, constitute the most conspicuous part of the medical-health users.  

Death is the destiny we all share. This will not change. But the way we die, which had been the same for many generations, has changed drastically in a relatively short time for those in developed countries with access to healthcare. For generations, if people were lucky enough to reach old age, not having died in infancy or childhood, in childbirth, in war, or by accident, they would take to bed, surrounded by loved ones who cared for them, and fade into death. Most likely, they would have seen their parents and grandparents die the same way, so this manner of dying would be familiar. It was part of the natural cycle of life. Now less than 25 per cent of Americans die at home, at much older ages than people would have dreamed of in past generations, often after surviving many illnesses and even diseases that would have been terminal for their grandparents. We are fortunate to live (and die) today, supported by myriad scientific, medical, and technological advancements. But we also face new problems as a result of the new way that we die. We cannot look forward to a peaceful waning when we know our lives will likely end in hospitals, having endured very expensive care, rather than at home with family. We have to decide what decisions we want our loved ones, or care-givers, to make when we cannot choose for ourselves. We have to think about whether in any circumstances we would seek physician-assisted death. We know we face other questions as well, but we may not even know where to start. In the face of these decisions, we can feel daunted and afraid. The best remedy is information and planning. In this book, Gregory Eastwood - a physician who has cared for dying patients, served as an ethics consultant, and taught end of life issues to medical and other health profession students - draws from his substantial experience with patients and families to provide the information that will help us think clearly about the choices and issues we will face at the end of our lives, and the end of our loved ones'. With sensitivity and profound insight, Eastwood guides us through all the important questions about death and dying in straightforward, clear language and through real-life stories. Throughout, he shows us how we can take ownership of the way we want to die, when we must die, and feel more in control as death approaches.

This book describes the changes in the brain and in cognitive functions that occur with aging in the absence of a neurological, psychiatric, or medical disease. It discusses aging-related changes in many brain functions, including memory, language, sensory perception, motor function, creativity, attention, executive functions, emotions and mood. The neural mechanisms that may account for specific aging-related changes in cognition, perception and behavior are explored, as well as the means by which aging-related cognitive decrements can be managed and possibly ameliorated. Consequently, this book will be of value to clinicians, including neurologists, psychiatrists, geriatricians, primary care physicians, psychologists and speech-language pathologists. In addition, researchers and graduate students who want to learn about the aging brain will find this an indispensable guide.

This acclaimed text promotes healthy aging by demonstrating how health practitioners, program developers, and policymakers can prevent or manage disease and make large-scale improvements toward health and wellness in the older adult population. The eighth edition encompasses major new research that substantially updates previous recommendations. It provides important new content on Medicare, Medicaid, Social Security and the ACA; clinical preventive services; global aging; sexual health; saving for retirement; long-term care alternatives; and much more.Accessible and comprehensive, this text is supported by abundant tables, figures, and illustrations. It describes practical strategies-including model community and government initiatives-that have proven markedly successful, as well as health-promotion tools, resource lists, assessment tools, and checklists. New trends such as green burials, LGBT aging, yoga, and dancing exercise regimens are also covered. Additionally, each chapter features key terms, learning objectives, summary, and thought-provoking questions. An improved instructor package includes upgraded PowerPoints, a new test bank, sample syllabi, chapter summaries, discussion questions, chapter exams, and more. Purchase includes access to the ebook for use on most mobile devices or computers. New to the Eighth Edition: Updated research findings, demographics, figures, and statistics regarding health/social/medical trends/exercise/weight management New content on global aging, sexual health, and substance abuse New information on medical screening recommendations, cancer treatments, complementary and alternative medicine, and more New findings regarding mental health and older adults Significant updates to Medicare, Medicaid, Social Security, and the ACA Expanded section on global health and older adults Upgraded instructor support package Key Features: Provides an interdisciplinary view of how practitioners, program developers, and policymakers can improve health and wellness in older adults Describes successful community and government model programs and initiatives Delivers health-promoting tools, resource lists, checklists, and assessment tools Offers key terms, learning objectives, critical-thinking questions and reflection boxes Includes a robust instructor package

Nimmt man Bticher tiber Alterskrankheiten aus frtiheren Jahr zehnten zur Hand, etwa das Werk von Canstadt (1839) oder von Geist (1860), von Charcot (1868) oder den von Schwalbe 1909 herausgegebenen Sammelband, so wird man in den Vorreden immer wieder einem typischen Gedankengang begegnen. Die Verfasser wun dern sich dariiber, daB das Gebiet der Alterskrankheiten trotz seiner Wichtigkeit und Ergiebigkeit in der wissenschaftlichen Literatur ver nachlassigt werde, sie stellen ein Versagen der Kenntnisse und des Handelns, die Mangel der Diagnose und der Therapie im Alter fest, und sie erhoffen von ihrem Werk eine Belebung des lnteresses und eine Zu nahme des arztlichen Wissens und Konnens. lhre Betrachtungen haben auch heute nicht an Berechtigung und Aktualitat verloren. 1m Gegen teil. Auch heute ist die Tatigkeit auf diesem Gebiete unzureichend, aber mit der Zunahme der Lebensdauer ist der Anteil der Alten iiberall in raschem Wachstum begriffen und mit den Fortschritten der Medizin verschiebt sich ein Teil der groBen, noch zu lOsenden Probleme, wie das der Hypertonie, der Arteriosklerose, des Krebses auf Zustande, welche vorwiegend den spateren Jahren zukommen. Das letzte grofiere Werk tiber Alterskrankheiten in deutscher Sprache ist vor mehr als 20 Jahren erschienen. Es war dies das um fangreiche Buch von H. S chI e sin g e r: Die Krankheiten des hoheren Lebensalters, 1914. Es bedarf daher keiner besonderen Reehtfertigung, wenn neuerlich ein Versueh der Darstellung unternommen wird, wohl aber ist es notwendig, die Grundztige der Durchftihrung anzugeben."

Dieser Buchtitel ist Teil des Digitalisierungsprojekts Springer Book Archives mit Publikationen, die seit den Anfangen des Verlags von 1842 erschienen sind. Der Verlag stellt mit diesem Archiv Quellen fur die historische wie auch die disziplingeschichtliche Forschung zur Verfugung, die jeweils im historischen Kontext betrachtet werden mussen. Dieser Titel erschien in der Zeit vor 1945 und wird daher in seiner zeittypischen politisch-ideologischen Ausrichtung vom Verlag nicht beworben.

Dieser Buchtitel ist Teil des Digitalisierungsprojekts Springer Book Archives mit Publikationen, die seit den Anfangen des Verlags von 1842 erschienen sind. Der Verlag stellt mit diesem Archiv Quellen fur die historische wie auch die disziplingeschichtliche Forschung zur Verfugung, die jeweils im historischen Kontext betrachtet werden mussen. Dieser Titel erschien in der Zeit vor 1945 und wird daher in seiner zeittypischen politisch-ideologischen Ausrichtung vom Verlag nicht beworben.

Dieser Buchtitel ist Teil des Digitalisierungsprojekts Springer Book Archives mit Publikationen, die seit den Anfangen des Verlags von 1842 erschienen sind. Der Verlag stellt mit diesem Archiv Quellen fur die historische wie auch die disziplingeschichtliche Forschung zur Verfugung, die jeweils im historischen Kontext betrachtet werden mussen. Dieser Titel erschien in der Zeit vor 1945 und wird daher in seiner zeittypischen politisch-ideologischen Ausrichtung vom Verlag nicht beworben.

The number of Americans 65 years of age or older is projected to more than double to over 98 million by 2060, making them 24% of the overall population. Women constitute more than 50% of this group. Most clinicians who provide primary care for older women receive minimal training about their unique health issues and needs during residency however, and few resources exist to guide them regarding these issues in practice. This book provides user-friendly, evidence-based guidance to manage common challenges in healthcare for women during menopause and beyond, filling a huge and growing unmet need for primary care clinicians. Edited by a multidisciplinary team with content expert authors from family medicine, oncology, urogynecology, obstetrics and gynecology, psychology, and more, this text provides clinically relevant information about important conditions impacting the health of older women, including suggested guidelines for management and helpful resources for patient counselling and care. The first half of the book covers general topics such as menopause, bone health, depression and grief, cancer survivorship, and obesity. The second half focuses on issues below the belt that are difficult to talk about, such as incontinence, vulvar pathology, and sexual health after menopause. While there is copious literature about the menopausal transition, few resources for clinicians exist about caring for women beyond the 6th decade. Challenges in Older Women's Health: A primer for clinicians provides focused, evidence-based information about high-yield topics for a too often neglected group of patients.