Der etwas andere Ratgeber zur Vorbeugung von Demenzerkrankungen packt uns bei unseren Schwachen und provoziert: Wir erfahren, was wir tun koennen, um unseren Weg zu einer Demenz zu beschleunigen. Wir koennen sogar wahlen, ob wir den neurodegenerativen oder den vaskularen Weg bevorzugen. Fur alle, die es satt haben, auf ihren kognitiven Verfall im Alter nur passiv zu warten: Wie wir mit Eigeninitiative und Selbststandigkeit den zugigen Abbau unseres Gedachtnisses foerdern. Die Autoren geben Tipps und Anregungen aus den Bereichen Altern, Ernahrung, Bewegung, Bildung, Sozialkontakte, Sinnesorgane, Alkohol, Drogen und Lifestyle.

This book offers mental health guidelines for all medical professionals facing the emerging challenges presented by an aging population worldwide. The text acknowledges that as the geriatric demographic grows, limited resources and infrastructures demand quality protocols to deliver inpatient geriatric psychiatric care, and that many physicians may not be trained to address these specific needs. This text fills this gap with guidelines assessing, diagnosing, and treating aging patients as they present in the emergency room and other settings. Unlike any other text, this book focuses on how to optimize the use of the inpatient setting by recommending evaluations and treatments, and offering flow-charts and figures of key points, to guide both general workup and continued evaluation and treatment. This approach aims to minimize instances of premature release or readmissions and to improve outcomes. Chapters cover the various issues that clinicians face when working with an older patient, including legal topics, limitations to treatment, prescription-related complications, patients struggling with substance abuse, and various behavioral concerns. Written by experts in the field, the text takes a multidisciplinary approach to deliver high-quality care as needs of the aging population evolve. Inpatient Geriatric Psychiatry is a vital resource for all clinicians working with an aging population, including geriatricians, psychiatrists, neurologists, primary care providers, hospitalists, psychologists, neuropsychologists, emergency room and geriatric nurses, social workers, and trainees.

For those fortunate enough to reside in the developed world, death before reaching a ripe old age is a tragedy, not a fact of life. Although aging and dying are not diseases, older Americans are subject to the most egregious marketing in the name of ""successful aging"" and ""long life,"" as if both are commodities. In Rethinking Aging, Nortin M. Hadler examines health-care choices offered to aging Americans and argues that too often the choices serve to profit the provider rather than benefit the recipient, leading to the medicalization of everyday ailments and blatant overtreatment. Rethinking Aging forewarns and arms readers with evidence-based insights that facilitate health-promoting decision making. Over the past decade, Hadler has established himself as a leading voice among those who approach the menu of health-care choices with informed skepticism. Only the rigorous demonstration of efficacy is adequate reassurance of a treatment's value, he argues; if it cannot be shown that a particular treatment will benefit the patient, one should proceed with caution. In Rethinking Aging, Hadler offers a doctor's perspective on the medical literature as well as his long clinical experience to help readers assess their health-care options and make informed medical choices in the last decades of life. The challenges of aging and dying, he eloquently assures us, can be faced with sophistication, confidence, and grace.

Today, approximately 1.6 million American children live in what social scientists call "grandfamilies"-households in which children are being raised by their grandparents. In You've Always Been There for Me, Rachel Dunifon uses data gathered from grandfamilies in New York to analyze their unique strengths and distinct needs. Though grandfamilies can benefit from the accumulated wisdom of mature adults raising children for a second time, Dunifon notes, such families also face high rates of health problems as well as parenting challenges related to a large generation gap. Grandfamilies are also largely hidden in American society, flying under the radar of social service agencies, policymakers, and family researchers. This book gives family researchers a greater understanding of a unique family form, and also offers service providers, policymakers and the general public important information about the lives of an important group of American families.

Many different groups of people are subject to stereotypes. Positive stereotypes (e.g., "older and wiser") may provide a benefit to the relevant groups. However, negative stereotypes of aging and of disability continue to persist and, in some cases, remain socially acceptable. Research has shown that when exposed to negative images of aging, older persons demonstrate poor physical and cognitive performance and function, while those who are exposed to positive images of aging (or who have positive self-perceptions of aging) demonstrate better performance and function. Furthermore, an individual's expectations about and perceptions of aging can predict future health outcomes. To better understand how stereotypes affect older adults and individuals with disabilities, the National Academies of Sciences, Engineering, and Medicine, with support from AARP, convened a public workshop on October 10, 2017. This publication summarizes the presentations and discussions from the workshop. Table of Contents Front Matter 1 Introduction 2 Who Is Worthy of Choice? 3 Exploring the State of the Knowledge on Stereotypes and Their Impact 4 Disrupting Stereotypes in Practice 5 Disrupting Negative Stereotypes in the Media 6 Disrupting Negative Stereotypes in Design 7 Closing Remarks References Appendix A: Workshop Agenda Appendix B: Biographical Sketches of Workshop Speakers and Moderators

Das Sachbuch betrachtet das hohe Alter aus zwei unterschiedlichen Perspektiven: der Verletzlichkeits- und der Reifeperspektive. Es untersucht wissenschaftlich fundiert, zugleich anschaulich und gut verstandlich, welche seelisch-geistigen Entwicklungsprozesse im hohen Alter moeglich sind, die fur das Selbstverstandnis alter Menschen jenseits verschiedener Formen der Verletzlichkeit grosse Bedeutung besitzen. Entscheidendes Gewicht haben dabei die Sorgestrukturen, das heisst Beziehungen, in denen alte Menschen Unterstutzung anbieten wie sie auch Unterstutzung empfangen. Weiterhin sind die Lebensbedingungen des Menschen (einschliesslich der rechtlichen Bedingungen) fur dessen koerperliche, seelisch-geistige und soziale Situation sowie fur die Moeglichkeiten, diese zu gestalten, wichtig. Das Buch integriert Erkenntnisse aus verschiedenen Disziplinen. Es wendet sich an alte Menschen und ihre Angehoerigen, an alle in der Altenarbeit beschaftigten Personen, an Wissenschaftler, an Mitarbeiter von Bildungs- und kirchlichen Einrichtungen, an politische Entscheidungstrager wie auch an Studenten der Gerontologie und ihrer Nachbardisziplinen.

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.

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.

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 aging, 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.

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.

Providing a practical, up-to-date reference in Geriatric Medicine, Hospitalists' Guide to the Care of Older Patients is the first book written specifically for hospitalists who need concise, evidence-based information on the vital topic of caring for older hospitalized patients. This groundbreaking text covers the care of older patients, their needs and vulnerabilities, and the current hospital practice environment. The book provides tools to translate what is known about the older patient's unique needs into steps that can be immediately implemented to improve care and limit avoidable morbidity.

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.