Seeing older age as a time of loss and helplessness too often prevents therapists from providing treatments that can be of enormous benefit to older people.

Ken Laidlaw, Larry Thompson, Leah Dick-Siskin and Dolores Gallagher-Thompson draw upon their collective wealth of clinical experience to provide a comprehensive and practical guide to the applications of CBT to older adults.

Special features include:

• A new CBT model, effectively adapted from Beck's basic CBT model, for use with older adults.

• Numerous clinical examples of the usefulness of CBT to treat depression, anxiety, caregiver distress and sleep disturbances.

• Recommendations for treating depression co-morbid with common medical problems including stroke, Parkinson's disease, the dementias and arthritis.

• Specific recommendations for 'troubleshooting' frequent dilemmas, such as managing suicidality.

• Appendices containing blank examples of forms used within the text, and recommended self-help books and websites for further consultation.

Die Autorinnen widmen sich einem brisanten Phanomen. Dabei hat Gewalt in der Pflege viele Gesichter: Sie kann im Pflegeheim oder zu Hause auftreten, von Pflegekraften, Angehoerigen, aber auch Demenz-Patienten selbst ausgehen. Sie kann sich in tatlichen UEbergriffen ebenso zeigen wie in (finanzieller) Ausbeutung, Vernachlassigung oder Medikamentenuberdosierung. In dem Band werden die Ursachen erlautert und Vorschlage zur Vermeidung von Gewalt gemacht. Eine Hilfe fur alle, die die Augen vor dieser ernsten Thematik nicht verschliessen moechten.

Pflegen mit Pflegediagnosen - auch als Pflegeprofi

Der erste Praxisbegleiter fur examinierte Pflegekrafte in der Gesundheits- und (Kinder-)krankenpflege basierend auf Pflegediagnosen. Als Nachschlagewerk bietet es pflegerisches Wissen konzentriert auf die wichtigsten Fakten. So konnen Pflegende effizient ihr Wissen vertiefen oder Vergessenes nachlesen.

Die klare Struktur dient der schnellen Orientierung fur sicheres und effizientes Handeln und Pflegen: Pflegediagnosen und Pflegetechniken, Definition der Symptome zu jeder Pflegediagnose, physiologisches und pathophysiologisches Hintergrundwissen, Beobachtungskriterien, Erlauterung von Pflegetechniken, in Bezug zur Pflegediagnose stehende Krankheitsbilder und Erlauterung der speziellen Pflegetechniken

Plus:

• Wie vom Krankenpflegegesetz gefordert: Pravention, Anleitung und Beratung
• Rehabilitation
• Pflegemassnahmen bei allen wichtigen Krankheitsbildern und in verschiedenen Lebenssituationen der Patienten.
• Handlungsanleitungen mit Materialchecklisten Nachschlagewerk fur die Gesundheits- und (Kinder-)krankenpflege auf Grundlage von Pflegediagnosen mit klarer Struktur: Zur schnellen Orientierung fur schnelles Handeln

Il presente volume si propone di delineare la (TM)insieme delle attuali conoscenze in campo internazionale sulla consapevolezza di malattia in diverse condizioni neuropsichiatriche (emiplegia conseguente a un danno cerebrale, psicosi, demenze e disturbi della (TM)umore), con particolare riferimento alla (TM)anosognosia e alla (TM)insight. Il confronto tra diverse concettualizzazioni e la varietA di manifestazioni cliniche dA luogo ad un quadro molto articolato che necessita di un approccio multidimensionale, specie per quanto riguarda il momento diagnostico. A tal fine, gli autori propongono una (TM)integrazione di diversi contributi sul piano patogenetico, basati su evidenze neuroanatomiche e supportati dalle piA recenti tecniche di neuroimmagini. Inoltre, viene suggerito la (TM)utilizzo di una batteria diagnostica complessa in grado di analizzare i diversi aspetti del fenomeno, e di distinguerlo dal meccanismo psicologico difensivo della negazione. La ricerca in questo campo A] fondamentale anche per favorire la riabilitazione e la compliance con il trattamento, nonchA(c) la (TM)arricchimento delle conoscenze sui processi sottesi alla coscienza e alla consapevolezza nella (TM)essere umano.

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.

Eine ganz entscheidende Rolle in der erfolgreichen Behandlung und PrAvention der Skelettdestruktion in der Osteologie und Onkologie kommt einer neuen Arzneimittelgruppe zu, den Bisphosphonaten. In den letzten drei Jahrzehnten hat diese Substanzgruppe einen Siegeszug in der klinischen Onkologie und Osteologie erlebt und dem Knochen die gebA1/4hrende Beachtung in der gesamten Medizin verschafft. Mit diesem kurz gefassten, klar gegliederten, klinisch orientierten und aufwendig illustrierten Manual werden die Struktur-Wirkungsbeziehungen der Bisphosphonate und deren Indikationen aufgezeigt und praktische Richtlinien fA1/4r Behandlungsstrategien und Anwendungen gegeben. Es ist kein Buch fA1/4r Knochenspezialisten, vielmehr ein A1/4bersichtlicher praktischer Ratgeber fA1/4r alle A"rzte, die sich A1/4ber Bisphosphonate informieren und Patienten erfolgreich behandeln wollen.

With the book Borderline Personality Disorder in Older Adults: Emphasis on Care in Institutional Settings, Drs. Hategan, Bourgeois, and Xiong address an often underappreciated clinical problem that is likely increasing with the aging of the population. Geriatric patients with borderline personality disorder, like their younger counterparts, experience social and relationship challenges, comorbid psychiatric illness (including but not limited to substance use disorders), comorbid systemic illness, and are high utilizers of medical and social services. With the aging of the population worldwide, more older patients with chronic/progressive illnesses are to be found in various institutional settings such as skilled nursing facilities, rehabilitation units, and residential care, as well as in the general hospital. However, these patients' habitual patterns of behavior (including affective dyscontrol, externalizing of blame, "splitting" the external world into groups who are "all good" and "all bad") make the compromises and need for collectivity in institutional settings more challenging than for any other easily defined and demarcated patient group. The Editors have assembled a large team of authors and co-authors to produce a clinical handbook that addresses the clinical, social, and administrative needs of this particular group of patients. They include an overview of the development of the diagnosis of borderline personality disorder over several issues of the Diagnostic and Statistical Manual of Mental Disorders classification system; the epidemiology and comorbidity, personality and aging, clinical diagnosis and productive use of psychometrics; clinical interventions including psychotherapy, psychopharmacology and advanced somatic treatments; and chapters devoted to medical-legal matters, systems of care, therapeutic alliance, and palliative care approaches. In all chapters, the authors have endeavored to focus specifically on the challenges posed for the patient, the clinician, and the larger system for geriatric patients with borderline personality disorder. The authors and the editors hope that this volume summarizes the current clinical literature pertinent to the care of this population, with a focus on clinical encounters, clinical decision making, and techniques for interventions with patients and clinical systems of care to enhance the opportunities for favorable clinical outcomes for these patients, who typically have difficulty coping with the major existential challenges of old age, infirmity, and mortality. Greater awareness of borderline personality disorder in this population and greater clinician attunement to its understanding and management may serve the patient and the care system in this regard.

Urs Kalbermatten und Ladislav Valach ubertragen Handlungstheorie erfolgreich auf angewandte Forschung und verschiedene Praxisfelder in Gerontologie, Paarbeziehungen im Alter, Lebensubergange, Beratung, Psychotherapie, Pravention und Rehabilitation. Sie belegen mit ihrer vierzigjahrigen Weiterentwicklung handlungstheoretischerKonzepte und Modelle, wie diese eine bessere Konzeptualisierung von Praxisfeldern, eine wirkungsvolle praktische Tatigkeit und auch eine evidenzbasierte, theoriegestutzte Intervention ermoeglicht.

Old age is associated with a number of medico-social problems such as: hypertension, diabetes mellitus, thyroid disorders, osteoarthritis, tremor, pain, gait and balance impairment, incontinence, urinary tract infection, sarcopenia, osteoporosis, polypharmacy, pressure ulcers, sleeping problems, cardiocerebrovascular disorders, fluid and electrolyte disturbance, nutritional disorders, immunisation and disease prevention rehabilitation and care. The management of these problems differs significantly between younger and older adults. All of these problems are evaluated in this book in two parts with the contributions of experienced clinicians and researchers. In addition, cellular ageing, comprehensive geriatric assessments, and medicolegal and ethical principles in geriatric medicine are also evaluated. This book will be a valuable tool for all clinicians involved in the management of elderly people.

Studies find that effective physician-patient communication has specific benefits such as, patients are more likely to adhere to treatment and have better outcomes, they express greater satisfaction with their treatment, and they are less likely to bring malpractice suits. Communicating with older patients involves special issues. The aim of this book is to introduce and/or reinforce communication skills essential in caring for older patients and their families. The book offers practical techniques and approaches to help with diagnosis, promote treatment adherence, make more efficient use of clinicians' time, and increase patient and provider satisfaction. It then continues by discussing ways in which older people should talk to their doctors. A good patient-doctor relationship is more of a partnership. The Book gives a guide on how to ask the right questions to a doctor, along with nurses, physician assistants, pharmacists, and other health care providers, to solve medical problems and keep a patient healthy.

The Evergreen Programme is a group-based therapeutic programme for older adults with acute mental illness which has been in place since 2003 at St. Patrick's University Hospital, Dublin. The Evergreen Guide is compiled by members of the multidisciplinary team, from a diverse range of disciplines, who deliver this programme in an inpatient unit of the largest mental health facility in Ireland. This publication reflects the broad range of topics and material which form the basis of the 6-week rotational programme. The Evergreen Programme was designed to be an interactive group programme for older people with a range of psychological conditions that could bridge the gap between diversional activities and psychotherapy. We believe that this book will be of particular interest to health professionals who deliver group-based therapy to older people and will also be a resource for long-term care facilities, as well as community-based active retirement groups and day hospitals, and other acute inpatient facilities. The book reflects a holistic approach to the treatment and rehabilitation of older people recovering from acute mental illness. The chapters are presented in a format that prompts discussion and participation through the use of reflective questions at the start of each chapter, followed by six, discrete weekly modules' reflecting the present organisation and operation of the Evergreen Programme. Clinicians can pick up this guide and begin to use it immediately, as a manual or road map in a group setting, for imparting the practical principles and strategies needed by older people to maximise their physical, mental and creative abilities. The breadth of topics covered is diverse ranging from successful aging, to spirituality, to the safe use of medication. All of the material is written by the team of clinicians who have considerable individual skill and knowledge, not only in relation to the theoretical material, but also in respect of the optimal methods and manner for imparting this information to groups of older people. Mental health professionals will appreciate this practical and detailed guide which will increase their effectiveness, relevance and competence in working with older people.

Altenpflege ist Beziehungs- und Gefuhlsarbeit. Sie erfordert Mut und Kompetenz, mit der Vergangenheit alter Menschen umzugehen, mit erlebtem Lebensgluck ebenso wie mit Trauer und Verzweiflung. Bei vielen Pflegenden gibt es eine Sehnsucht nach Begegnungen mit alten Menschen. Trotzdem bleiben viele Kontakte, aus Unsicherheit oder Angst, an der Oberflache. Eine wesentliche empathische Erfahrung geht damit verloren. Denn es koennen besondere Begegnungen entstehen, wenn Pflegepersonen es wagen, sich wirklich auf alte Menschen einzulassen. Genau diese magischen Momente sind es, die Altenpflege fur viele Pflegende so spannend machen. Sie starken die Berufszufriedenheit, geben Kraft fur schwierige berufliche Zeiten und sind ein, bis dato voellig unterschatzter Grund, warum Pflegende im Beruf bleiben. Sonja Schiff erzahlt ihre eigenen Schlusselerlebnisse mit alten Menschen und lasst auch andere Personen - unterschiedliche Professionisten aus der Altenpflege- und Altenbetreuung - in Form von strukturierten Interviews zu Wort kommen. Es entstanden Geschichten, die die Leserin/den Leser tief beruhren und Kraft geben. Gepaart mit einem leidenschaftlichen Pladoyer fur eine dringende Weiterentwicklung der Altenpflege und Kritik am bestehenden System, geht sie auch der Frage nach, welchen Anteil Pflegepersonen selbst an der Erreichung eines magischen Moments haben und wie sie diese umsetzen koennen. Jedes Kapitel wird eingeleitet und mit Aufgaben beendet, die zum Ausprobieren motivieren. Ein "Mutmach-Buch" fur alle Pflege- und Betreuungskrafte der Altenpflege. Es richtet sich aber auch an Fuhrungskrafte von Altenpflegeeinrichtungen, Angehoerige und sozialpolitisch tatige Personen.

Fast ein Drittel aller Menschen uber 65 Jahre sturzt mindestens einmal pro Jahr, 10% der Sturze fuhren zu schweren Verletzungen, 1% zu Huftfrakturen, nach denen die Betroffenen oft nicht mehr das vorherige Niveau ihrer Gehfahigkeit erreichen; in vielen Fallen entwickelt sich eine Pflegeabhangigkeit. Das Buch nimmt sich dieses Themas erstmalig zentral und deutschsprachig an. Es vermittelt moderne Methoden der Ganganalyse und stellt die diagnostischen Verfahren zur Risiko - Stratifizierung vor; ausfuhrlich widmet es sich den vielfaltigen therapeutischen Moglichkeiten."

Die Studie beschaftigt sich mit der subjektiven Perspektive und den sozialen Bedingungen von Menschen mit demenziellen Beeintrachtigungen (MmD). Die Erhebung und Auswertung der Daten erfolgt nach den Grundsatzen der qualitativen Sozialforschung mit der Grounded-Theory-Methodologie (GTM) in einer partizipativen Forschungsstrategie. Aus den Ergebnissen generiert der Autor evidenzbasierte, bedarfsgerechte psychosoziale Interventionsformen. Fur die praktische Anwendung empfiehlt sich die "Fahigkeit zur Selbsterhaltung" als Ressource zu foerdern, indem Defizitkonfrontationen vermieden und die Selbstorganisation der Betroffenen unterstutzt werden.

Alzheimer's disease (AD) is the most common type of neurodegenerative disorder in the ageing population, with dementia as a common consequence. AD is defined pathologically by the appearance of extracellular senile plaques and intracellular neurofibrillary tangles, as described by Alois Alzheimer about a century ago. The causes for AD include genetic predisposition in a small population, ageing and environmental stresses in majority cases. The underlying pathogenic cascades, increases in expression of amyloid precursor protein and accumulation of Ass and reactive oxidant activity and inflammation, have the features of both adaptive, at least initially, and harmful when becoming excessive. Dementia, on the other hand, is a clinical diagnosis and is defined as globally, persistently impaired cognitive skills including memory. Alzheimer dementia refers to clinical dementia in patients who also have Alzheimer neuropathology. Alzheimer dementia is what brings the patients to seek medical treatments. An extraordinary inability to form new memory, especially of those episodic type, and executive dysfunction are among the earliest symptoms in AD patients. In end-stage AD, cognitive degeneration extends far beyond memory loss. The underlying causes include decreases in impaired brain metabolism, which results in impaired synaptic functions and capacities, thus impaired information processing, and eventually leads to neuronal injury and death. This book presents leading-edge research in this dynamic field.

Dementia is a brain disorder that seriously affects a person's ability to carry out daily activities. The most common form of dementia among older people is Alzheimer's Disease (AD), which involves the parts of the brain that control memory, thought and language. Age is the most important known risk factor for AD. The number of people with the disease doubles every 5 years beyond the age of 65. AD is a slow disease, starting with mild memory loss and ending with severe brain damage. The course the disease takes and how fast changes occur vary from person to person. On average, AD patients live from 8 to 10 years after they are diagnosed, though the disease can last for as many as 20 years. Current research is aimed at understanding why AD occurs and who is at greatest risk for developing it, improving the accuracy of diagnosis and ability to identify who is at risk, developing, discovering and testing new treatments for behavioural problems in patients with AD. This new book gathers state-of-the-art research from leading scientists throughout the world which offers important information on understanding the underlying causes and discovering the most effective treatments for Alzheimer's Disease.

Highly Commended in Medicine in the 2018 BMA Medical Book Awards People with dementia increasingly find themselves staying in hospitals for extended periods, often due to separate health issues. This best-practice guide presents healthcare staff with the information and tools needed to provide excellent person-centred care to people with dementia in hospital settings. This useful handbook includes information and innovative strategies on how to manage common issues, including communication, physical health needs, pain, eating and nutrition, working with carers and relatives, understanding behaviour and approaching the end of life. It also highlights ethical considerations such as human rights and dementia, making decisions and the Mental Capacity Act. Each chapter includes a case study, emphasising the person at the centre of care and providing examples of how hospital staff can work with people with dementia to ensure best practice.

Der Biogerontologie oder biologischen Alternsforschung ist es gelungen, den Alternsprozess von Labororganismen zu manipulieren. Biogerontologische Forscher glauben diese Erkenntnisse auch auf den Menschen ubertragen zu konnen. Hier sollte zeitnah eine ethische Reflexion einsetzen, bevor Forschungserfolge die zukunftige Entwicklung in eine unerwunschte Richtung fuhren. Der Kontext fur diese Reflexion besteht im demographischen Wandel und in veranderten Altersbildern. Einerseits gibt es daher Hoffnungen, dass erfolgreiche, neue Interventionen in Alternsprozesse negative Folgen des demographischen Wandels abschwachen oder gar ganz verhindern konnten. Andererseits konnten Eingriffe in Alternsprozesse auch ethische Probleme hervorbringen. Das vorliegende Buch stellt zunachst knapp biogerontologische Theorien, Konzeptionen und Methoden dar und untersucht systematisch, die sich im Anschluss daran die einschlagigen ethischen Fragen. Um diese Fragen zu beantworten werden umfangreiche interdisziplinare Forschungsergebnisse aus Biogerontologie, Medizinethik, Philosophie und Sozialgerontologie berucksichtigt. Die Untersuchung kommt zum Ergebnis, dass es zwar einige berechtigte ethische Bedenken gegen die biogerontologische Forschung und ihre mogliche Anwendung in der Medizin gibt, aber keine berechtigten, prinzipiellen Einwande."

This book, part of the European Society of Intensive Care Medicine (ESICM) textbook series, provides detailed up-to-date information on the care of the critical ill very old ( 80 years) patients in the ICU. The very old are expanding fast in our populations, and this is mirrored in our hospitals and ICUs as well. During the last decade, a lot more information about the group of critical ill elderly has been published, and several large networks cooperate in performing multinational studies in this field, one of them with roots in the ESICM. This book will give readers knowledge about the current epidemiology of elderly ICU patients, in patients centered outcomes and factors affecting these outcomes. A large part is devoted to age related changes in vital organ functions, and the specific geriatric "syndromes" like frailty, cognitive decline, reduced activity of daily living, sarcopenia and immunosenecence. This is all important for the practicing intensivists to know about. In addition, specific groups of the elderly in the ICU are also described like the elderly patients with trauma or sepsis. The book is written jointly by intensivists and geriatricians, often working in teams and originating from many different countries. This herald a new era in the collaboration between these two groups in order to improve care and rehabilitation. We have a lot to learn from each other, as both groups have a holistic view of our patients although with different perspectives. This book should be of value for all working in adult ICUs, physicians as well as nurses. It will hopefully lead to a better understanding of the particular challenges posed by this important sub-group of ICU patients and how to manage his group in a way that combine respect for life as well as death and includes patients and caregivers in this process.

Demographic trends confirm what clinicians already know - they are spending increasing amounts of time dealing with older people. This new "ABC" provides an introduction to the new and increasing challenges of treating older patients in a variety of settings.

"ABC of Geriatric Medicine" provides an overview of geriatric medicine in practice. Chapters are written by experts, and are based on the specialty geriatric medicine curriculum in the UK.

"ABC of Geriatric Medicine" is a highly illustrated, informative, and practical source of knowledge, with links to further information and resources. It is an essential guide where management of the ageing population is a major health issue - for hospital and family doctors, students, nurses and other members of the multi-disciplinary team.

This book is the result of reflections and work of the Specialty group on neurology in migrants of the World Federation of Neurology. The volume provides a synthesis of migrants' health in relation to the sustainable development goals and the 2030 agenda, and an up-to-date overview on neurological diseases among migrants, refugees and ethnic minorities. The book is composed of both general chapters dealing with the history of migration, the relationship between climate change and migration flows, the migration and neurosciences research and the barriers to migrant's health. Other chapters deal with the migrants' particularities of the common neurological diseases such as cerebrovascular diseases, epilepsy, dementia, movement disorders, multiple sclerosis, headache, functional and mental disorders. In addition, also neurological manifestation of COVID-19 in ethnic minorities and palliative care in migrants are discussed. Neurology in Migrants and Refugees will be useful to neurologists worldwide who can find appropriate knowledge for diagnosis and treatment when facing migrants with neurological disorders which are sometimes difficult to assess in the absence of clinical experience with the migrant population. It will also be very useful for international organizations, policymakers and non-governmental organizations working in the field of health and migration. This book will certainly find an indispensable place in neurological departments libraries and will constitute a basic textbook for teaching neurology taking into account ethnicity, culture and health inequalities in the care of neurological disorders.