Lifelong Learning and Retirement: Meaning and Late Life Learning (H.R. Moody). The Third Age and the Disappearance of Old Age (P. Laslett). Life after Work: Lines, Boundaries, and Spaces (T. Schuller). Health and Quality of Life: The New Public Health Approach to Improving Physical Activity and Autonomy in Older Populations (J.B. McKinlay). Healthy Aging-Utopia or a Realistic Target? (E. Heikkinen). Adding Life to Years! Promoting Quality of Life in an Aging Europe (C. Todd). Gender, Generation, and Aging: Interrelations between Generations in Historical Perspective (B. Oden). Gender and Aging (C.C. Meunier). Gender, Aging, and Quality of Life (G.E. McClearn et al.). Pension Systems and Attitudes to Retirement: Psychological Issues of Aging and Work (P. Huuhtanen). A New Concept for Productive Aging at Work (J. Ilmarinen). What If the Disability Pension Application Is Denied? (R. Gould). Programs for Successful Retirement: Educating Health Professionals in Gerontology: A Canadian Perspective (A.C. Beckingham). Aging Well: European Health Program for Older People (S. Greengross). Retirement Preparation in Subjects of Working Age (F. Marcellini, N. Barbini). 19 additional articles. Index.

Chronic pain is a daily fact of life for many elderly people. The pain is often seen as a product of age, and is only too readily accepted as inevitable by patient and physician. This collection of original essays offers a comprehensive biopsychosocial approach to address the complex symptoms and treatment of chronic pain in the elderly. The nineteen contributors come from many disciplines, including psychology, medicine, social work, physical therapy, and nursing. Their primary objective is to improve the quality of pain management for seniors, but they also urge readers to examine their own attitudes and beliefs about elderly patients, to avoid the pitfalls of ageism and to refrain from using age to rationalize inaction. The volume is loosely divided into three overlapping sections. The first addresses social, psychological and epidemiological issues. The second section deals with family issues, including their role in pain management. The final section addresses psychological and medical interventions.

Component cognitive processes have played a critical role in the development of experimental aging research and theory in psychology as attested by articles published on this theme. However, in the last five to ten years, there has been a substantial increase in the number of articles attempting to isolate a single factor (or small subset of factors) responsible for age differences in information processing. This view of aging is frequently termed the complexity model of the generalized slowing model, the primary assumption being that age differences in cognition are due simply to a relatively larger performance decrement on the part of older adults (compared to younger adults) as task complexity increases. Because generalized complexity theorists have questioned the utility of using component cognitive processes as theoretical constructs, the editors feel it is time to restate why component cognitive processes are critical to any thorough understanding of age differences in cognition. Thus the present edited volume represents an attempt to demonstrate the utility of the process-specific approach to cognitive aging. Central to this effort are illustrations of how regression analyses may provide evidence for general slowing by maximizing explained variance while at the same time obscuring local sources of variance.

The book concentrates on age differences in word and language processing, because these factors relate to reading which is a critical cognitive process used in everyday life. Furthermore, age differences in word and language processing illustrate the importance of taking component cognitive processes into consideration. The breadth of coverage of the book attests to the wide range of cognitive processes involved in word and language processing.

This major work with an internationally famous list of contributors deals with the ways in which needs assessment, service, evaluation, and public health and social policy may improve the care of elderly people in all societies. It discusses the methodology of epidemiological studies, risk factors, and the most common problems and diseases in old age.

The 1990s have been characterized by a reappraisal of allocating expenditure for health care interventions. Coronary artery bypass in the elderly has emerged as an example of burgeoning expensive surgery whose appropriateness is under challenge. This book comprises the proceedings of an international symposium where leading experts in aspects such as health economics, ethics, clinical cardiology, cardiac surgery, epidemiology and health-care policy discussed the need and outcome of the operation in old and very old patients. Clinical issues and operative results complement national costs and quantitated benefits in terms of quality of life as a justification of surgery. The book is addressed to cardiologists, geriatricians, cardiac surgeons, psychiatrists, rehabilitation physicians and public health-care administrators.

This first systematic guide to the latest research about religion and aging focuses on the linkage between religion and health outcomes in people over 55, who will represent one-third of America's population by the year 2025. A short introduction points to the rapidly growing literature since 1980; the conclusion offers a brief synthesis of the varied basic and applied studies on the subject and suggests a useful model to consider applying. Nearly 300 entries with concise and comprehensive annotations are organized under four main subjects: religious beliefs, behaviors, and experience; relationships between religion and health; practical applications of research findings; and measuring religiosity and spirituality. Arranged under numerous additional sub-topics and with author and subject indexes, the guide is accessible and designed for varied use by students, teachers, researchers, policymakers, practitioners, and professionals in the fields of sociology and social work, psychology and psychiatry, and medicine and health.

Researchers, educators, and policymakers will find this book invaluable in identifying research and application studies and in evaluating their quality and methodology. Arranged under additional subtopics (by populations in many situations with varied problems, in terms of concerns relating to mental and physical health and with applications in different fields) and with author and subject indexes, the guide is accessible and designed for varied use by students, teachers, practitioners, and professionals in the fields of sociology and social work, psychology and psychiatry, and medicine and health.

This practical resource, a companion volume to "Teaching Gerontology: The Curriculum Imperative," gives educators useful tools for teaching the subject. The book includes innovative classroom and clinical activ ities, guides for independent student field assignments, proven strate gies for effective use of print and video resources, and learning acti vities which develop students' ethical reasoning and sensitivity. An a nnotated list of articles, textbooks, videos, and films for teaching g erontologic nursing concepts is included.

The present volume provides overviews of aging and changes in renal function over time; it devotes chapters to renal parenchymal disease and urinary tract infections; and the sections on geriatric urology cover urinary incontinence and urinary-tract neoplasm, including prostatic cancer. The book summarizes current information on renal replacement therapy in the elderly and reviews such important topics as hemodialysis, peritoneal dialysis, fluid and acid-base abnormalities as they are seen in older patients, and transplantation in the elderly. Concerning medical care of older nephrology patients, the contributors have reviewed the management of hypertension, current understanding of glomerular disease, current approaches to the diabetic with renal disease, and use of antineoplastic and antimicrobial therapy, all in these special patients. They discuss the prevention of renal failure in older patients, both in diagnostic and therapeutic aspects, and examine sexual dysfunction and indications for surgery in the older patient with obstruction. Finally, the text examines such ethical issues as the use of advanced directives and the allocation of scarce resources.

A collection of 75 practical activities and programs for therapists working with older adults. In addition to the instructions and helpful hints for each activity, the authors have also included the therapeutic benefits of each activity (e.g., concentration, increasing endurance, olfactory stimulation, etc.). Plan your activity calendar using this collection of well-balanced activities! Chapters: How to Train and Motivate Volunteer Activity Leaders, Large Muscle Activities, Mental/Memory Activities, Arts and Crafts, Music, Dance and Drama, Outdoor/Nature Activities, and Religious Activities.

Dementia, now known as major neurocognitive disorder, is not one monolithic disease. Nor is behavior disturbance driven by one particular neurocognitive dysfunction. In fact if we are able to understand it, behavior is an excellent form of nonverbal communication. There are many different causes of dementia. A major challenge with both researching and implementing interventions is viewing dementia and related behaviors as single entities. This approach leaves room for critical errors in the treatment of dementia patients, beginning with misdiagnosis. This book approaches dementia by reviewing cognitive and functional assessments to provide a more accurate diagnosis, which then allows physicians to design specific interventions that are tailored to the person and their challenges. Because person centered care is vital to quality of life and longevity to an aging patient, this understanding of individual needs is vital. Written by experts in the field, this book incorporates the latest evidence-based behavioral interventions matched to specific deficits. Behavioral management focuses not on controlling behavior, but using it to teach staff and caregivers how to interpret common actions and maximize function for people with major neurocognitive disorders. Quality of life and individualized care planning will be the theme and the book will provide practical case examples. The book begins by introducing dementia and other neurocognitive illnesses, contextualizing them both historically and contemporarily. Next, the text focuses on the comprehensive assessment of a person with neurocognitive challenges in order to identify strengths and understand what the person is trying to communicate with their behavior. This process allows individualized care planning and behavioral (non-pharmacologic) management to meet the cognitive challenges and maximize individual strengths and thereby improve outcomes, making this a cutting edge resource.

Millions of people are living with dementia in the United States and globally. To live well with dementia, people need care, services, and supports that reflect their values and preferences, build on their strengths and abilities, promote well-being, and address needs that evolve as cognitive impairment deepens. Persons living with dementia co-manage their care with or rely on the support of a wide range of care partners and caregivers, including spouses, other family members and friends, and direct care workers in homes or residential care settings. While dementia care has improved since the 1970s, many individuals still lack access to high-quality care and are not living as well as they might. Disadvantaged groups, especially racial and ethnic minorities, still face challenges in access to care, services, and supports, due to deep and persistent inequities. Meeting the Challenge of Caring for Persons Living with Dementia and Their Care Partners and Caregivers: A Way Forward examines the complex body of evidence on dementia care and informs decision making about which interventions are ready to be broadly disseminated and implemented. It also offers a blueprint to guide future research using rigorous, cutting-edge methods that are inclusive, equitable, and yield critical information for real-world implementation, toward the ultimate goal of better supporting persons living with dementia and their care partners and caregivers in living as well as possible. Table of Contents Front Matter Summary 1 Introduction 2 Moving Toward Better Dementia Care, Services, and Supports 3 Complexity of Systems for Dementia Care, Services, and Supports 4 Making Decisions About Implementation 5 Assessing the Current State of Evidence 6 A Blueprint for Future Research Appendix A: Agency for Healthcare Research and Quality Systematic Review and Inclusion Criteria Appendix B: Public Meeting Agendas Appendix C: Biographical Sketches of Committee Members and Staff

Population aging is challenging countries around the globe to adapt their public policy responses to the new world. Long-term care is a relevant topic today both because of the rapid growth in long-term care needs in every country and the lack of responses from governments. The Future of Long-term Care explores some issues related to the implementation of long-term care responses in different countries. Looking at six different cases, the book highlights the need to foster an urgent debate in the area, as well as emphasizing the need for action in the coming years. The examples analysed show common problems faced by countries trying to respond to their people's needs, as well as the dissimilar stages, contexts, and paths followed by each one in the endeavour for providing long-term care services to the population. Whether the analysis is carried out in countries with well-established long-term care systems or in places where the debate is just starting, the book proves that this is an area in which many challenges remain. Learning lessons from others is important but providing a space for countries to frame their problems and propose their solutions is crucial. This book contributes to fill this gap and contribute to a debate that is just starting in many places around the world.

Alzheimer's disease (AD) and vascular dementia (VaD) are commonly viewed as the first and second most common types of dementia, respectively. The traditional paradigm has been to view and treat each illness as a separate entity with a separate pathophysiology. However, clinical and pathological studies suggest that the boundary separating AD and VaD, as well as their mild cognitive impairment (MCI) analogs, is not well defined. Thus, there is increased interest in viewing these diseases along a spectrum because of the significant overlap in the characterization and diagnosis of AD, VaD, and MCI. The focus of this edited volume is to examine how AD and VaD, as well as their MCI analogs, are best viewed as a heterogeneous, intersecting, if not a continuous disease state rather than separate, distinct entities. This book examines this approach by providing empirically based evidence, reviews of the literature, and chapters by key leaders in the field and will be of interest to clinical neuropsychologists and anyone studying or treating dementia in its many forms.

While the problems of aging are being studied with microscope, computer, and questionnaire as a medical, social, and economic challenge, these essays introduce the humanistic perspective. The assumption behind this work is that in history, literature, folklore, and art we have the record of centuries of human experience to enhance our present understanding of aging, old age, and death.Growing old is a process that occurs in every person every minute, every hour that passes. But if aging does not begin on the day of retirement at the age of sixty-five, what is the definition of old age? Is it chronologically; physiologically, mentally, or culturally determined? Old age may not be a phase of life as easily identified as adolescence.As our population continues to grow older we are ever more in need of greater sensitivity to the joys and tragedies of old age. In recent years, however, our view of old age has been clouded by our negative feelings about death. Old age has become inextricably associated with death. It was not always so: until a lower infant mortality rate, better nutrition, and a higher standard of living so greatly increased our chances of surviving into old age, death was recognized as a threat at every stage of life.This volume brings together twelve eminent scholars from various humanistic disciplines to trace the origins of our present attitudes and to identify the models and myths of old age in our culture. The historians in the group ask how old people were treated in past societies. Literary scholars and art critics discuss the effects of aging on the later works of authors and artists and art as a source of solace, inspiration, and revelation to the aged. A philosopher explores a theme shared by all: that the way one ages and dies is a function of the way one has lived.Contributors John Demos, Leon Edel, Erik H. Erikson, Leslie Fiedler, Tamara K. Hareven, Robert Kastenbaum, Robert Kohn, Juanita M. Kreps, Peter Laslett, Francis V. O'Connor, Robert F. Sayre.

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.

With the recent discovery that amyloid beta protein, the cause of plaques in Alzheimer's disease, is an antimicrobial peptide produced in response to infection, many researchers are focusing on the role infection plays in the development of Alzheimer's disease. Brain studies have also identified a number of different viruses, bacteria, fungi, and protozoa in the postmortem brain specimens of Alzheimer's patients. Infection (particularly chronic, latent and persistent infections) causes an immune response that leads to inflammation and brain cell degeneration, which are characteristic features of Alzheimer's disease. Sources of infection in Alzheimer's disease vary from childhood infections to gut microbes that find their way into the brain as a result of aging, leaky gut syndrome, and increased permeability of the blood brain barrier. Studies and ongoing clinical trials show that treatment of viral and bacterial infections, as well as restoring a healthy balance to the gut microbiome, can reduce disease risk and improve symptoms in patients with Alzheimer's disease. This book serves as an introduction to the human microbiome and the role that infection plays in the development of Alzheimer's disease.

The financial burden and the level of specialized care required to look after older adults with dementia has reached the point of a public health crisis. Older adults diagnosed and living with the disorder reached 35.6 million worldwide in 2010 and is expected to increase to 135.5 million in 2050, with costs soaring to $1.1 trillion. In the face of the increasing burden this disorder poses to health care systems and the management of this patient population, intelligent assistive technologies (IATs) represent a remarkable and promising strategy to meet the need of persons suffering from dementia. These technologies aim at helping individuals compensate for specific physical and cognitive deficits, and maintain a higher level of independence at home and in everyday activities. However, the rapid development and widespread implementation of these technologies are not without associated challenges at multiple levels. An international and multidisciplinary group of authors provide future-oriented and in-depth analysis of IATs. Part I delineates the current landscape of intelligent assistive technologies for dementia care and age-related disability from a global perspective, while the contributions in Part II analyze and address the major psycho-social implications linked to the development and clinical use of IATs. In the last section, essays examine the major ethical, social and regulatory issues associated with the use of IATs in dementia care. This volume provides an authoritative and comprehensive overview of how IATs are reshaping dementia care.

Zur Palliativmedizin gehoert neben der psycho-sozialen und spirituellen Begleitung eine Schmerztherapie, die sich an der Art der Schmerzen sowie der sozialen Umgebung der Patienten orientiert. Die Autoren behandeln neben den Themen Ethik, Lebensqualitat und Kommunikation die Klassifikation, Entstehung und Diagnostik des Schmerzes sowie dessen medikamentoese, nichtmedikamentoese und chirurgische Therapie. Die 3., aktualisierte Auflage wurde um Kapitel zur Patientenverfugung, klinischen Ernahrung und Palliativversorgung von Demenzpatienten erganzt.

Assisted Living Administration and Management: Effective Practices and Model Programs in Elder Care 2nd Edition provides students and healthcare professionals with the most up to date and essential knowledge on assisted living and residential care. This comprehensive text empowers current and future assisted living administrators to employ effective practices, understand model programs, and learn the necessary tools and tips to maximize the overall health, safety, and comfort of residents in their care. Organized by domains of practice, it also covers content information required to prepare for state-based Residential Care and Assisted Living (RC/AL) administrator certification or licensure exams.The textbook is structured in five parts which instruct on how to build and manage effective assisted living and residential care communities, beginning with Organizational Management and progressing through Human Resources, Business and Financial Management, Environmental Management, and Resident Care Management. The second edition includes six new chapters on evolving topics, such as interprofessional practice, home and community-based services (HCBS) as alternatives to assisted living, information and communication technology (ICT), LGBT issues, memory care units, and palliative and hospice care. Chapters feature learning objectives, case studies, effective practices, and more enabling students and healthcare professionals to evaluate, analyze, and synthetize information on how to best operate, manage, and lead assisted living communities. Useful for any long-term care and health management professional or student in the fields of gerontology, health administration, and long-term care administration, this comprehensive book covers the most crucial aspects of assisted living and residential care management the most abundant and fastest growing senior living line of service in the United States. Key Features: Describes real-life situations and challenges associated with Assisted Living Administration with pragmatic solutions which highlight the most effective practices and model programs in elder care Contains new chapters on interprofessional practice, home and community-based services (HCBS) as an alternative to assisted living, information and communication technology (ICT), LGBT issues, memory care units, palliative and hospice care Highlights useful details on business and financial management, including guidelines for marketing facilities and services, important legal issues and terms, and evolving public policy issues Incorporates chapters on environmental management, with information on accessibility, fire safety, disaster preparedness, universal design and aging in place, and much more Emphasizes the importance of holistic, resident care management by examining the biological, psychological, and social aspects of aging Prepares students to qualify and sit for the state certification or licensure examination as Assisted Living Administrators Includes access to the fully downloadable eBook and instructor resources including a test bank

Nursing homes provide care to about 1.4 million nursing home residentsaa vulnerable population of elderly and disabled individuals. CMS, an agency within the Department of Health and Human Services (HHS), defines standards nursing homes must meet to participate in the Medicare and Medicaid programs. This book reviews the abuse of residents in nursing homes.

Als Folge der Uberalterung unserer Gesellschaft sind Gedachtnisstorungen in den vergangenen Jahren exponentiell gestiegen und werden weiter ansteigen. Sie treten nicht nur in Form von Demenzen auf, sondern auch im Rahmen von normalen Altersvorgangen. Doch wann liegt eine Gedachtnisstorung vor? Wie kann eine Diagnose gestellt werden? Wie sind Gedachtnisstorungen zu behandeln?

Diese und andere Fragen beantworten Neurologen und Psychiater in diesem Werk. Das Praxisbuch bildet das komplexe Themenspektrum Gedachtnisstorungen strukturiert und interdisziplinar ab. Es unterstutzt Neurologen und Psychiater bei der differenzialdiagnostischen Abgrenzung bis hin zum speziellen Management von Gedachtnisstorungen unterschiedlicher Atiologie.

Nach den neurophysiologischen Grundlagen werden zunachst diagnostische und differentialdiagnostische Aspekte, Gedachtnisfehler und das Lernen im Alter in den Fokus genommen. Die speziellen Storungsbilder stehen im Zentrum des Buches und werden hinsichtlich Klinik, Pathophysiologie und spezieller therapeutischer Aspekte herausgestellt. Die Spannweite reicht von entwicklungsbedingten, transienten und akuten Gedachtnisstorungen uber solche, die neurologische Erkrankungen begleiten, bis hin zu psychogenen Gedachtnisstorungen und Demenzen. Therapeutische und rehabilitative Aspekte beinhalten u.a. die Pharmakotherapie und den Aufbau einer interdisziplinaren Gedachtnisambulanz.

Ein integratives, klinisch orientiertes Buch, nutzlich fur Mitarbeiter an Gedachtnisambulanzen von Neurologen und Psychiatern bis hin zu Rehabilitationsmedizinern, Geriatern und Neuropsychologen.