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.

Over the past two decades there has been a marked change in global age demographics, with the number of over-60s increasing by 82% and the number of centenarians by 715%. This new-found longevity is testament to the success of recent advances in medicine, but poses significant challenges to multiple areas of health care concerning older patients. Building upon its predecessor's reputation as the definitive resource on the subject, this new edition of the Oxford Textbook of Geriatric Medicine offers a comprehensive and multinational examination of the field. Fully revised to reflect the current state of geriatric medicine, it examines the medical and scientific basis of clinical issues, as well as the ethical, legal, and socio-economic concerns for healthcare policy and systems. Over 170 chapters are broken up into 16 key sections, covering topics ranging from policy and key concepts through to infection, cancer, palliative medicine, and healthy ageing. New material includes focus on the evolving concepts of malnutrition, sarcopenia, frailty, and related geriatric syndromes and integration of geriatric principles from public health, primary and specialized care, and transitional stages from home to emergency, medicine and surgery, rehabilitation, and long term care. The Oxford Textbook of Geriatric Medicine brings together specialists from across the globe to provide every physician involved in the care of older patients with a comprehensive resource on all the clinical problems they are likely to encounter, as well as on related psychological, philosophical, and social issues.

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.

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.

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.

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.

Strukturwandel landlicher Raume und demographischer Wandel schlagen sich in regionalen Wanderungen, wirtschaftlichen Schrumpfungs- und Konzentrationsprozessen sowie Problemen bei der kunftigen Versorgung alterer Menschen nieder. Daraus ergeben sich neue Herausforderungen fur die familialen Generationenbeziehungen und regionalen Versorgungsstrukturen, die politische Gestaltung sowie Finanzierung dieser Veranderungen. Betroffen sind grundsatzlich die Lebenslagen aller Generationen in den jeweiligen Regionen. Es ergeben sich aber zugleich neue Chancen und Potentiale, die ein steigender Anteil alterer Menschen mit zunehmend besserer Gesundheit, durchschnittlich hoeherer Bildung und - im Vergleich zu fruheren Zeitpunkten - materiell weitgehend gesicherten Lebenslagen mit sich bringt.

Die Biografie Johann Sebastian Bachs wird unter dem Gesichtspunkt der Resilienz betrachtet: Wie ist es dem grossen Komponisten gelungen, trotz zahlreicher Verluste, Ruckschlage und Grenzsituationen sein ausserordentliches schoepferisches Potenzial zu entfalten? Inwieweit sind Bezuge zwischen der Entwicklung in verschiedenen Lebensabschnitten und einzelnen Werken erkennbar? Lasst sich das Leben Bachs selbst als "Werk" interpretieren? Nach einem UEberblick uber psychologische Resilienzforschung werden der fruhe Verlust seiner Eltern, der Tod seiner ersten Frau und die von gesundheitlichen Einschrankungen und dem Verlust der Sehfahigkeit gepragte letzte Lebensphase Johann Sebastian Bachs untersucht. Dabei wird deutlich, dass es ihm bis ans Ende seines Lebens gelungen ist, sein schoepferisches Potenzial in seinem Werk wie auch in seiner Lebensfuhrung zu verwirklichen, wobei seiner religioesen Bindung besondere Bedeutung zukommt.

The focus of this book is on the aging male, though I suspect the significant other will be most interested as well. It is a collection of anecdotes, advice and reminisences gathered over 50 years of medical care. You will not find any astounding revelations here. The content, though known, wasn't appreciated as much til the author entered the hallowed halls of old farthood himself. He is an avuncular storyteller and had a lot of fun in the writing of these very readable pages.

Most social studies of older people in the United States have focused upon problems and conditions encountered in urban centers. In Older Rural Americans sixteen social scientists representing various regions examine in depth the circumstances of older people in rural America. The authors first consider older people in the contexts of work, the family, and the community, discussing their social outlook, their place in these contexts, and the profound changes they face as they move away from an active part in these areas of life. Later chapters analyze the distribution of the rural aged population and their economic, housing, and health status. Of particular interest are essays treating the place and condition of older rural people in three major subcultures of the United States -- the American Indian, the Spanish-speaking people of the Southwest, and African Americans. Finally, the authors trace the development of local, state, and federal programs designed to assist the aged. The authors argue that an understanding of rural life some sixty years ago is of the utmost importance, for it is the values of that time that have largely formed the attitudes and outlooks of today's rural aged.

People are living longer and the population over the age of 60 is burgeoning, with repercussions for health services and healthcare expenditure in developed countries. Crucially, disease aetiology, diagnosis, and treatment in older people differ from the general adult population. Older people often have complicated co-morbidities and respond to treatment in different ways compared to younger people. Evidence of efficacy of different treatments is often lacking because older people are under-represented in clinical trials, and the specific needs of older people are rarely discussed specifically in more general texts. Geriatric medicine: an evidence based approach is a clinical reference for health care professionals who manage older patients, and summarizes up-to-date research literature in a style that can be directly applied by busy healthcare professionals and provide a useful resource for reference.

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.

The growing geriatric population in the United States has created an increasing need for palliative medicine services across the range of medical and surgical specialties. Yet, palliative medicine lacks the resources to carry such a workload itself. Geriatric Palliative Care addresses this need by encouraging individual specialties to "own" the management of elderly with the same vigor as they "own" other key management competencies within their specialty. This clinically focused and highly practical handbook, which compliments the more comprehensive text Geriatric Palliative Care by Sean Morrison and Diane Meier (Oxford University Press, 2003), encourages this process of learning and ownership across many medical specialties. Designed to be readable and easily accessible to a range of health care providers, Geriatric Palliative Care outlines specific strategies for caring for specific palliative care issues common in elderly patients. The handbook also provides evidence based advice for helping patients, relatives, and staff cope with such issues as polypharmacy, dementia and consent, multiple pathologies, home care, elderly caregivers, and supporting the elderly in the place where they would like to be.