Geriatric Psycho-Oncology is a comprehensive handbook that provides best practice models for the management of psychological, cognitive, and social outcomes of older adults living with cancer and their families. Chapters cover a wide range of topics including screening tools and interventions, psychiatric emergencies and disorders, physical symptom management, communication issues, and issues specific to common cancer sites. A resource section is appended to provide information on national services and programs. This book features contributions from experts designed to help clinicians review, anticipate and respond to emotional issues that often arise in the context of treating older cancer patients. Cross-references, succinct tables and figures make this concise reference easy to use. Geriatric Psycho-Oncology is an ideal resource for helping oncologists and nurses recognize when it may be best to refer patients to their mental health colleagues and for those who are establishing or adding psychosocial components to existing clinics.

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.

This issue of Clinics in Geriatric Medicine, guest edited by Dr. Elsa S. Strotmeyer, is devoted to Medical Complications of Diabetes in Older Adults. Articles in this issue include: Glucose Dysregulation: Pathophysiology and Prevention; Diabetic Medications and Polypharmacy; Physical Function and Disability; Diabetes and Osteoarthritis; Adiposity, Muscle Mass, and Diabetes; Exercise and Weight Loss in Diabetes Management; Diabetes and Cognition; Diabetes and Depression; Sleep Apnea and Diabetes; Diabetes and Coronary Artery Disease; and Diabetes and Balance and Falls.

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.

The healthy human brain contains tens of billions of neurons, specialized cells that process and transmit information via electrical and chemical signals. While the brain may shrink to some degree in healthy aging, it does not lose neurons in large numbers. In Alzheimer's disease, however, damage is widespread as many neurons stop functioning, lose connections with other neurons, and die. Alzheimer's disrupts processes vital to neurons and their networks, including communication, metabolism, and repair. At first, the disease typically destroys neurons and their connections in parts of the brain involved in memory, including the entorhinal cortex and the hippocampus. It later affects areas in the cerebral cortex responsible for language, reasoning, and social behavior. Eventually, many other areas of the brain are damaged, and a person with Alzheimer's becomes helpless and unresponsive to the outside world. This book provides a comparison of international approached to dealing with Alzheimer's disease and dementia, as well as discusses the effect this disease has on the brain and its function.

For millions of Americans, the heartbreak of watching a loved one struggle with Alzheimer's disease is a pain they know all too well. Alzheimer's disease burdens an increasing number of our Nation's elders and their families, and it is essential that we confront the challenge it poses to our public health. In 2011, President Barack Obama signed into law the National Alzheimer's Project Act (NAPA), requiring the Secretary of the U.S. Department of Health and Human Services (HHS) to establish the National Alzheimer's Project to create and maintain an integrated national plan to overcome Alzheimer's disease; co-ordinate Alzheimer's disease research and services across all federal agencies; accelerate the development of treatments that would prevent, halt, or reverse the course of Alzheimer's disease; improve early diagnosis and co-ordination of care and treatment of Alzheimer's disease; improve outcomes for ethnic and racial minority populations that are at higher risk for Alzheimer's disease; co-ordinate with international bodies to fight Alzheimer's globally. This book addresses each of these points and provides further insight on the national plan to address this disease.

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.

Interpersonal Psychotherapy for Depressed Older Adults is the first clinical book on how to conduct Interpersonal Psychotherapy (IPT) with persons 65 years of age and older. This growing cohort in the United States is expected to rise substantially after 2010, when the baby boom cohort enters that age category. To help clinicians learn effective care, the authors draw upon a wealth of experience to provide a comprehensive review of theory and research as well as practical guidance on clinical interventions. The authors review late life depression's presentation, health consequences, prevalence, interpersonal dynamics, clinical assessment, and treatment. Particularly valuable is the inclusion of actual clinical cases to illustrate the use of IPT in each phase of treatment. A case is made for why IPT is especially well suited for older persons by drawing upon theory and research on aging, the author's clinical experience in using IPT with older adults, and clinical research studies of IPT with the aged. By showing how the science of gerontology can best inform the practice of clinical geropsychology, the authors have written a book that will be an invaluable resource to any mental health professionals working with older adults.

Today, China's elderly population is approaching a staggering 170 million and in 2025 it will exceed 250 million. This demographic fact coupled with a growing Chinese middle class, have combined to make the senior living business one of the most dynamic new industries on the Mainland. There is a lot that Westerners can do here...and a lot they will not be able to do. The extent to which Western experts in geriatrics and those in the business of health care can participate in this extraordinary industry depends on one's ability to do business the Chinese-way. And what doing business the Chinese-way actually means is not easily defined but requires a cultural awareness that comes only with time spent in China and, of course, that elusive quality of effective cross-cultural relationships, patience. Enter the Ageing Dragon... is an insightful chronicle of one man's experience in the senior living business in China from its very inception...his views on its future development and more importantly, how he was successful. A gifted story teller with intuitive multicultural business instincts, the author artfully narrates the story through the entertaining lens of classical movies about China. Advance praise from global senior living industry leaders ..".Cole's informed and often humorous observations on senior living in China are both timely and extremely helpful...he helps us understand this unique market " Brad Perkins, FAIA MRAIC AICP- Chairman/CEO - Perkins Eastman (USA) "I was deeply moved by Bromme's understanding, profound grasp and broad sympathy toward the plight of aged population in China" Yue Tang - Partner, JuneHe Law Firm (China) "Felicitations Bromme ...une brillante analyse " Pascal Brunelet - CEO, Colisee Patrimoine (France) "An immensely valuable resource for senior living in China...very insightful...prescient...Bromme understands China to a T " Kevin Ryan - CEO, Waterbrook Senior Living (Australia) ..".I found Cole's new book not only entertaining but also quite informative David Freshwater - Chairman, The Freshwater Group (USA)

Managing Geriatric Health Services provides an overview of the many disciplines related to geriatric health administration as well as specialty topics in long-term care. Ideal for students studying geriatric health services administration, as well as active professionals currently working in the field, Managing Geriatric Health Services thoroughly examines core topics such as administration, nursing, and rehabilitative therapies. It also covers specialty topics, including spirituality, dementia, quality assurance, oral history, and ethical issues. This text examines the various jobs within the continuum of care from an administrative and management standpoint, and also looks at the various roles or disciplines within long-term care and the specific challenges to each. With contributions from experienced professionals in the field, this book includes an entire section of interdisciplinary case study examples and reflection exercises. Individual chapters include learning objectives, key terms, chapter-specific case studies, and chapter summaries, Key Features: * Discussion questions in each chapter engage the reader in learning and understanding the topics presented. * Interdisciplinary case studies allow the reader to see the practical application of the concepts presented. * Chapters are supported by current research from prominent experts in the field. * A unique chapter on Oral Histories explores the aging process and the value of reminiscing. Instructor Resources: PowerPoint LEcture Slides, Test Bank

This volume is the result of a lifetime of personal research into human wellness. It naturally considers all the implications of human illness as well. The chapters offer a kaleidoscope of training programs previously offered to thousands of healthcare professionals in hospitals, nursing homes and rehab centers in the New England Area. The topics range of nursing home placement to spirituality as life meaning, to depression and suicide in the elderly. It is meant to contribute to the modern challenge of longevity, living longer with greater meaning.

Do you or someone you know have a diagnosis of Diabetes ? Has the process of monitoring the blood sugar been taught? or even the procedure for self administering insulin injections? Has there been a diet regimen that was prescribed to stabilize the glucose fluctuations? Or perhaps an exercise program that aims to reduce weight? Diabetes is a chronic condition that disrupts the aging process. It destroys a happy lifestyle and threatens to injure the human body. People actively engaging in self-care manage their blood sugar levels and keep diabetes from disrupting their happy lifestyle. This book disseminates the information needed to manage the chronic condition of diabetes for older adults. It covers the fundamentals of diabetes such as classifications and differentiation, causes and risks, pathophysiology, diagnostic tests, treatment modalities, diet regimen, beginners exercises, diabetic recipes with pictures, nutrient values of foods, normal process of aging, reading food labels and so much more... The chapters in this book are: Chapter 1: The Biological Changes in the Aging Process Chapter 2: The Cognitive Changes in the Aging Process Chapter 3: The Theories of aging Chapter 4: Understanding Pre-diabetes Chapter 5: The Definition and Classification of Diabetes Mellitus Chapter 6: The Pathophysiology, Causes and Signs and Symptoms Of Diabetes Mellitus Chapter 7: The Complications of Diabetes Mellitus Chapter 8: Diagnosing Diabetes Mellitus Chapter 9: Managing Diabetes Mellitus with Medications Chapter 10: The Food Nutrients: Carbohydrates, Proteins, Fats, Vitamins and Minerals Chapter 11: Managing Diabetes Mellitus with Diet Chapter 12: Diabetic Recipes with Pictures Chapter 13: Managing Diabetes Mellitus with Activities and Exercises Chapter 14: Managing Diabetes Mellitus with Lifestyle Modification Appendix: Food Values of Common Foods

Most of the DNA in the human genome does not encode proteins but is involved in regulatory functions. In addition, the human genome is characterized by an extensive array of structural DNA variants arising from de novo mutations plus accumulated structural variants transmitted through an individual's lineage. The result is that each person has a unique genome which is expressed as that person's unique phenotype. Ageing can be understood on both the species and individual level. Each species has a programmed ageing and mortality pattern, but within those broad species-specific boundaries there is considerable individual variation. At the individual level, ageing reflects the integrated effects of that individual's unique mix of DNA structural variants, unique experience-specific epigenetic marks and imperfectly repaired genomic and cellular damage. This book examines human "chronic degenerative" diseases which are not diseases, but rather variations of the ageing process across individuals.

Having limited face time with their doctor during their brief medical office or clinic visit, most people (but particularly the elderly) will find their questions, frustrations, and medical problems inadequately answered. This book was inspired by actual issues which confused, confounded, and frustrated older patients, and for which they, and their caregivers repeatedly sought answers and explanations: issues dealing with aging, health and disease, health care, hospitalization, emergency care, insurance, medical billing, medications, laboratory testing, interactions with doctors, and much more. Inspired by their need for answers, this book was written to fill many of the gaps in the average senior's knowledge, and help them understand what's happening in their bodies and in their medical life. This book confronts the complexity of health care for the elderly, and offers guidance for a longer and happier life. It is what you need to know if you are an older health care consumer.

This book outlines the state of the art program for the prevention and treatment of Alzheimer's dementia (AD), memory loss and mild cognitive impairment (MCI or pre-Alzheimer's). At the Leonardi Institute, Drs. Leonardi and Daley have focused their entire careers on the enhancement of vitality and the prevention of age related disease for men and women over the age of 40. After developing programs effective for preventing cancer and cardiovascular disease they then looked at what their patients would face next if spared our two biggest killers. The answer, AD, prompted a concentrated investigation into the biochemistry behind Alzheimer's and how that biochemistry can be attacked using a combination of lifestyle alteration, optimal nutrition, bioidentical hormone replacement and nutritional supplements that specifically target AD pathology. While drug companies languish in finding a "patentable pharmaceutical cure," the authors uncovered approximately 30 natural elements with real disease-altering potency and organized them into a succinct 6 step program. With 281 scientific articles cited, every element adopted into this program is backed by the latest science. Whether you have Alzheimer's or want to prevent it, this is where you need to focus your attention. We urge you to read the evidence and start this program now

""I want to provide the best care possible. The suffering has gone on for a long time, and I want to be sure the end stage is as comfortable as possible.""

This common sentiment is ex-pressed by both health care professionals responsible for caring for frail elders experiencing the later stages of dementia and family members trying to ensure the most compassionate care for their loved ones. Health care providers and family members often struggle with painful decisions when confronting the inevitable while providing love, compassion, and care. Modern medicine may offer seemingly promising treatments, but eventually, the impact of Alzheimer's disease and other causes of dementia can cause profound deterioration in the patient's quality of life. The focus must eventually shift to compassionate end-of-life care. This guidebook reflects Dr. Gordon's extensive experience with health care professionals and families struggling with these poignant and difficult decisions.

..". families will learn much about helping patients with dementia, but so too will physicians and other caregivers. Michael Gordon's humanity shines through every page, and, when combined with his medical expertise, the result is a guide which is both truly thoughtful and practically useful."
-Professor Arthur Schafer, Director, Centre for Professional and Applied Ethics, University of Manitoba

"Dr. Gordon is truly a healer whose experience as a geriatrician provides a road map for all of us who want to provide care, respect, and love for people diagnosed with dementia."
-Steven R. Sabat, PhD, Professor, Department of Psychology, Georgetown University

This scarce antiquarian book is a selection from Kessinger Publishing's Legacy Reprint Series. Due to its age, it may contain imperfections such as marks, notations, marginalia and flawed pages. Because we believe this work is culturally important, we have made it available as part of our commitment to protecting, preserving, and promoting the world's literature. Kessinger Publishing is the place to find hundreds of thousands of rare and hard-to-find books with something of interest for everyone