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Books > Medicine > Clinical & internal medicine > Geriatric medicine
Written by key researchers and practitioners in the field, this book presents an overview of gerontology appropriate for graduate and advanced undergraduate students. It includes seminal chapters on theory, methodology, physiological processes, health, culture, dying and bereavement, cognitive processes and intellectual abilities, personality, assessment, clinical issues and competency, caregiving, and public policy issues. Each chapter includes review questions and a list of additional reference sources.
Going beyond simple procedural modifications, this is the first
book to address how the application of gerontology to CBT practice
can augment CBT's effectiveness and appropriateness with older
people. Taking you step-by-step through the CBT process and
supported by clinical case examples, therapeutic dialogue, points
for reflection and hints and tips, the book examines: - basic
theoretical models in CBT and how to relate them to work with older
people - main behavioural interventions and their practical
application - social context and relevant theories of aging -
implications of assessment, diagnosis and treatment - issues of
anxiety, worry and depression, and more specialist applications of
CBT for chronic illnesses - latest developments, thinking and
empirical evidence. This is an invaluable companion for any
clinical psychology, counselling, CBT/IAPT, and social care trainee
or professional new to working with older people, especially those
who are keen to understand how the application of CBT may be
different. Professor Ken Laidlaw is Head of the Department of
Clinical Psychology, University of East Anglia.
Elderly Care: Options, Challenges and Trends examines the
demographic shifts Lebanon has experienced over the last few
decades, indicating that it is a rapidly aging country. Such an
aging population may need various levels of support including
access to nursing care in nursing homes, either for short-term
rehabilitation or for extended periods of time, when individual
dependency outstrips family-based resources. Next, a review is
provided on the latest studies and evidences regarding the
influence of indoor environment on elderly health. A set of
recommendations to improve elderly environmental health are
presented, considering the most recent state-of-the-art on this
field. Following this, the authors share their real-world
experiences from an ongoing large-scale project on IoT-enabled
community eldercare. Technology-centric challenges that need to be
addressed are identified so that such systems can be sustainably
implemented and adopted by key stakeholders. In a separate chapter,
the book analyzes hospice care in China, which is still far from
meeting its needs caused by the profound aging of Chinas
population. The analysis indicates that the Chinese Government
should formulate a development plan for hospice care and include
hospice care services in the National Healthcare Insurance System.
Additionally, NGOs should continue to play their part in hospice
care development. The perspectives of aging and frailty syndrome
are explored later, focusing on the role of biomarkers and
environmental exposure in its development. Currently, there are
several gaps in the scientific literature regarding frailty
syndrome, namely in their definition, models, causal-effects and
prevention or treatments. Afterwards, rib fractures in the elderly
are addressed. Although plain radiographic films are diagnostic, a
large number of patients will need CAT scans for more precise
locations of rib fractures. The management of complications as a
direct result of rib fractures; mostly hemopneumothorax or visceral
injury, will be dealt with accordingly. In an additional study, the
factors for hospital admissions associated with adverse drug events
are studied. Drug related hospital admissions in the elderly are
commonly influenced by polypharmacy and inappropriate prescribing.
The third edition of the best-selling Cognitive Assessment for
Clinicians provides readers with an up-to-date, practical guide to
cognitive function and its assessment to ensure readers have a
conceptual knowledge of normal psychological function and how to
interpret their findings. Organized into 8 chapters, this resource
offers a framework in which various aspects of cognition are
considered. This includes the representation of cognition in the
brain (such as attention and memory), focal representation (such as
language, praxis and spatial abilities), detailed descriptions of
the major syndromes encountered in clinical practice, and
discussions on taking a patient's history and performing cognitive
testing. To ensure readers are aware of the latest developments in
patient assessment and neuropsychological practice all content has
been carefully revised by John R. Hodges to include essential
updates on areas such as the pathology and genetics of
frontotemporal dementia, and social cognition and major syndromes
encountered in clinical practice such as delirium. This useful
resource offers a theoretical basis for cognitive assessment at the
bedside or in the clinic, and a practical guide to taking an
appropriate history and examining patients presenting with
cognitive disorders. This edition also includes the latest version
of Addenbrooke's Cognitive Examination III (ACE-III), and 16 case
histories on a variety of cognitive disorders illustrating the
method of assessment and how to use the ACE-III in clinical
practice. In addition, the appendix outlines the range of formal
tests commonly used in neuropsychological practice.
Elderly patients are often afflicted with the onset of a convergent
strabismus as a sign of aging, without any other neurologic
disorder. Unfortunately, physicians and even ophthalmologists are
generally unaware of this fact. Consequently, such patients fail to
find timely help for their double vision. In addition, there are
other geriatric alterations (such as cataracts, glaucoma and
age-related maculopathy), which are connected with binocularity
disorders but do not always result in double vision. These masked
diplopia are only perceptible as the closing of one eye and the
patients complaint of seeing clouds. Erroneous diagnoses have a
dramatic outcome for many elderly people whose ability to read is
vitally important for their quality of life. Studies on this topic
and suggestions for improving the patients situation are contained
in this book. The book also covers intractable diplopia, or "horror
fusionis", which is particularly difficult to understand.
Examinations of the micromotility of the eyes could explain some of
the puzzling observations. Although eye muscle palsies are
generally outside the scope of this books focus, connections
between neuro-ophthalmology (e.g. in Parkinson's disease) and
reading problems due to convergence insufficiency are discussed.
Finally, this book examines what happens in adulthood to the
numerous patients whose squints were operated on during childhood.
Many of these patients later suffer problems such as double vision,
which may be misinterpreted as eye muscle palsy. This book is not a
textbook of orthoptics. It seeks to provide advanced training for
ophthalmologists based on the authors personal experiences
collected over fifty years of practice as an ophthalmologist and
specialist for strabismology at the Medical University of Viennas
eye clinic and in her own office. As far as the author is aware, it
is the first book to be published exclusively on this topic. The
previously unpublished research and experiences it contains should
provoke the interest of colleagues and orthoptists whose elderly
patients present with binocularity, a condition which sadly remains
underestimated.
The Key Facts on Alzheimer's Disease provides readers with
essential, easy-to-read information on Alzheimer's Disease.
Compiled in a simplified manner, this guide helps patients navigate
this painful and debilitating diseases without enduring the
complicated nature of medical terminology. By making a
patient-friendly manual to the causes, symptoms, treatment, and
ongoing research of Alzheimer's Disease, one can easily determine
what they are facing and how to live their life to the fullest.
Medical Implications of Basic Research in Aging provides a sampling
of the most important discoveries of the past several years
relevant to aging research in the context of enhancing life- and
healthspan. Have you ever wondered if there is anything that you
can do to slow aging or prevent diseases associated with aging? Are
you interested in enhancing your health based on the latest
scientific discoveries? Are you a biohacker experimenting on your
own body in an attempt to live longer? Assembled in this volume are
a number of the commentaries that previously appeared in the
scientific journal Rejuvenation Research. The presentations are
clearly written and accessible to those with a general background
in biology and medical science. An overview summarizes the articles
for the informed layman. Thorough referencing provides an
opportunity for further in-depth reading.
Current projections indicate that by 2050 the number of people aged
over 80 years old will rise to 395 million and that by this date
25-30% of people over the age of 85 will show some degree of
cognitive decline. Palliative care for older people: A public
health perspective provides a comprehensive account of the current
state of palliative care for older people worldwide and illustrates
the range of concomitant issues that, as the global population
ages, will ever more acutely shape the decisions of policy-makers
and care-givers. The book begins by outlining the range of policies
towards palliative care for older people that are found worldwide.
It follows this by examining an array of socio-cultural issues and
palliative care initiatives, from the care implications of health
trajectories of older people to the spiritual requirements of
palliative care patients, and from the need to encourage compassion
towards end-of-life care within communities to the development of
care pathways for older people. Palliative care for older people: A
public health perspective is a valuable resource for professionals
and academics in a range of healthcare and public health fields to
understand the current state of policy work from around the world.
The book also highlights the social-cultural considerations that
influence the difficult decisions that those involved in palliative
care face, not least patients themselves, and offers examples of
good practice and recommendations to inspire, support, and direct
healthcare policy and decision-making at organisational, regional,
national and international levels.
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