This fully updated and revised new edition provides a comprehensive, state-of-the art review of this field, and will serve as a valuable resource for clinicians, surgeons and researchers with an interest in prostate cancer. The book reviews new data about molecular characteristics of the disease, profiles the new grading system for prostate cancer introduced in 2015, and provides new perspectives about imaging of prostate cancer, as well as the role of targeted biopsies. The text summarizes the role of biomarkers and MRI in patient selection and management and details the world wide results of active surveillance. Specific chapters address communication and ethical issues, QOL outcomes, economic aspects, and psycho-social aspects of surveillance. The role of focal therapy for low risk disease is summarized, and the data supporting preventive interventions during surveillance reviewed. This text will serve as a very useful resource for physicians and researchers dealing with, and interested in this common malignancy, as it provides a concise yet comprehensive summary of the current status of the field that will help guide patient management and stimulate investigative efforts.

This volume highlights a range of issues underpinning elder care in India, with particular focus on the challenges that India faces in caring for the elderly. In addition to the very limited state support and near total dependence on the family for long-term social care and economic support, the changing dynamics between generations in the family structure and privatization of health care in general create new challenges that need to be addressed. Although care plays a significant role in the well-being of the elderly, there is not much research available from India. This volume draws on field-based evidence and the legal framework in India to understand the ways in which care is organized for the elderly and to locate the main sources of care provision. The book addresses key themes such as shrinking of traditional support base of the elderly, trajectory of old age homes in India and care arrangements for the elderly within the community. Written by academics and practitioners in the field of gerontology, this book is an informative resource for demographers, gerontologists, social scientists studying aging, and human rights and legal experts working with the aged.

Dieses essential ist eine wertvolle Orientierungshilfe zum Thema Sexualstrafrecht fur Menschen in Pflegeberufen in der Aus-, Fort- und Weiterbildung. Ulf Haakon Dammann liefert eine kompakte UEbersicht uber Erkenntnismerkmale, Definitionen und Beispiele sowie Verhaltensweisen im Umgang mit Opfern (sexueller) Gewalt. Der Autor erlautert wesentliche Aspekte des Sexualstrafrechts in Deutschland und bereitet diese als Praxistipps fur Menschen in Pflegeberufen auf.

Integrative geriatrics is a new field of medicine that advocates for a whole-person, patient-centered, primarily non-pharmacological approach to medical care of the elderly. Most current geriatric practices overprescribe medications and procedures and underutilize non-pharmacological, low-cost, high-touch methods. Patients, however, often show reluctance towards these standard practices, as the interventions they rely upon are often invasive. The practice of integrative geriatrics is rooted in lifestyle interventions, such as nutrition, movement therapies, and mind-body and spirituality approaches, that allow patients to have different path to their healthcare-one that utilizes pharmaceuticals and invasive procedures only when safer integrative approaches are not available or not effective. This first definitive textbook of this new field presents detailed, evidence-based information for all healthcare providers and advocates who work with the geriatric population. It is intended not only for providers in outpatient settings, but also for those who work in nursing homes, assisted and independent living facilities, and senior community centers. In addition, Integrative Geriatric Medicine will provide valuable information for leaders and politicians who are involved with implementing policies and procedures for care of elderly patients looking for safer, less costly, and more patient-centered approaches.

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.

If you are transgendered, the feeling of wanting your body to match the sex you feel you are never goes away. For some, though, especially those who grew up before trans people were widely out and advocating for equality, these feelings were often compartmentalized and rarely acted upon. Now that gender reassignment has become much more commonplace, many of these people may feel increasing pressure to finally undergo the procedures they have always secretly wanted. Ken Koch was one of those people. Married twice, a veteran, and a world traveler, a health scare when he was sixty-three prompted him to acknowledge the feelings that had plagued him since he was a small child. By undergoing a host of procedures, he radically changed his appearance and became Anne Koch. In the process though, Anne lost everything that Ken had accomplished. She had to remake herself from the ground up. Hoping to help other people in her age bracket who may be considering transitioning, Anne describes the step by step procedures that she underwent, and shares the cost to her personal life, in order to show seniors that although it is never too late to become the person you always knew you were, it is better to go into that new life prepared for some serious challenges. Both a fascinating memoir of a well-educated man growing up trans yet repressed in the mid-twentieth century, and a guidebook to navigating the tricky waters of gender reassignment as a senior, It Never Goes Away shows how what we see in the television world of Transparent translates in real life.

The interaction between mind and skin diseases is the focus in psychodermatology. This important subspecialty is the result of the merging of two major medical specialties: psychiatry and dermatology. Research and existing publications in this field are mainly focused on the general population. The increase in life expectation and the increasing number of elderly individuals worldwide is making the geriatrics specialty more and more important. "Geriatric psychodermatology" is a combination of three medical specialties: Geriatrics, Psychiatry and Dermatology. The natural aging changes that occur in the skin can be a psychological challenge for many individuals, as well as various psychodermatological disorders pertaining to the elderly population, causing significant psychological and physical distress and impacting quality of life. This is the first book ever published about this unexplored and eminent topic. This book presents a new perspective of known psychodermatological diseases in elderly populations. Psychological implications, impact on quality of life and holistic and integrated management of psychocutaneous diseases are the main focus of this book. The authors invite you to explore the geriatric psychodermatology field.

Based around the core curriculum for specialist trainees and consultants, Oxford Case Histories in Geriatric Medicine is a valuable reference and teaching tool, which provides an opportunity for case-based learning across a rapidly growing field. This book uses well-structured and concise cases from the Oxford hospitals. Each case has associated questions on the differential diagnosis and aspects of management providing interactive learning material. Cases were chosen to illustrate specific issues of particular relevance to geratology, emphasizing the unusual or occult presentation of disease, the presence of multiple interacting pathologies, possibility for rapid deterioration, high incidence of complications of treatment, including adverse drug reactions and a need at times for difficult clinical decisions. Part of the Oxford Case Histories series, this book will be valuable reading for postgraduate trainees and consultants, and will be an essential resource for those preparing for exit examinations and revalidation. It is also the ideal tool for those who wish to improve their skills in diagnosis and management of a broad range of geriatric disorders.