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."

An in-depth and wide-ranging approach to the study of older adults in society Taking a holistic approach to the study of aging, this volume uses biological, archaeological, medical, and cultural perspectives to explore how older adults have functioned in societies around the globe and throughout human history. As the world's population over 65 years of age continues to increase, this wide-ranging approach fills a growing need for both academics and service professionals in gerontology, geriatrics, and related fields. Case studies from the United States, Tibet, Turkey, China, Nigeria, and Mexico provide examples of the ways age-related changes are influenced by environmental, genetic, sociocultural, and political-economic variables. Taken together, they help explain how the experience of aging varies across time and space. These contributions from noted anthropological scholars examine evolutionary and biological understandings of human aging, the roles of elders in various societies, issues of gender and ageism, and the role of chronic illness and "successful aging" among older adults. This volume highlights how an anthropology of aging can illustrate how older adults adapt to shifting life circumstances and environments, including changes to the ways in which individuals and families care for them. The research in Anthropological Perspectives on Aging can also help researchers, students, and practitioners reach across disciplines to address age discrimination and help improve health outcomes throughout the life course.

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.

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.

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.

As the demographics of the United States shift toward a population that is made up of an increasing percentage of older adults and people with disabilities, the workforce that supports and enables these individuals is also shifting to meet the demands of this population. For many older adults and people with disabilities, their priorities include maximizing their independence, living in their own homes, and participating in their communities. In order to meet this population's demands, the workforce is adapting by modifying its training, by determining how to coordinate among the range of different professionals who might play a role in supporting any one older adult or individual with disabilities, and by identifying the ways in which technology might be helpful. To better understand how the increasing demand for supports and services will affect the nation's workforce, the National Academies of Sciences, Engineering, and Medicine convened a public workshop in June 2016, in Washington, DC. Participants aimed to identify how the health care workforce can be strengthened to support both community living and community participation for adults with disabilities and older adults. This publication summarizes the presentations and discussions from the workshop. Table of Contents Front Matter 1 Introduction 2 Characterizing the Users and Providers of Long-Term Services and Supports 3 Enabling Community Participation Through Workforce Training, Education, and Development 4 Perspectives on Coordination Across the Spectrum of Caregivers, Providers, Services, and Supports 5 Harnessing the Potential of Technology to Enable Community Living and Participation and Optimize Person-Centered Services 6 Facilitated Table Discussions 7 Closing Remarks References Appendix A: Workshop Agenda Appendix B: Biographical Sketches of Workshop Speakers and Moderators

Being able to communicate is a cornerstone of healthy aging. People need to make themselves understood and to understand others to remain cognitively and socially engaged with families, friends, and other individuals. When they are unable to communicate, people with hearing impairments can become socially isolated, and social isolation can be an important driver of morbidity and mortality in older adults. Despite the critical importance of communication, many older adults have hearing loss that interferes with their social interactions and enjoyment of life. People may turn up the volume on their televisions or stereos, miss words in a conversation, go to fewer public places where it is difficult to hear, or worry about missing an alarm or notification. In other cases, hearing loss is much more severe, and people may retreat into a hard-to-reach shell. Yet fewer than one in seven older Americans with hearing loss use hearing aids, despite rapidly advancing technologies and innovative approaches to hearing health care. In addition, there may not be an adequate number of professionals trained to address the growing need for hearing health care for older adults. Further, Medicare does not cover routine hearing exams, hearing aids, or exams for fitting hearing aids, which can be prohibitively expensive for many older adults. Hearing Loss and Healthy Aging is the summary of a workshop convened by the Forum on Aging, Disability, and Independence in January 2014 on age-related hearing loss. Researchers, advocates, policy makers, entrepreneurs, regulators, and others discussed this pressing social and public health issue. This report examines the ways in which age-related hearing loss affects healthy aging, and how the spectrum of public and private stakeholders can work together to address hearing loss in older adults as a public health issue.

As the global population lives to an increasing older age, there is a need to research, develop and deliver appropriate anaesthesia and pain management care to these increasingly frail and vulnerable patients. This book provides a comprehensive and detailed overview of all aspects of anaesthesia for the elderly patient looking at the effect of ageing on the systems of the body and the role that age has on drug mechanisms. Designed for both consultants and trainees who care for elderly patients, chapters address the clinical management of the older patient in pain, trauma, intensive care as well as anaesthesia for all aspects of surgery. The expert author team use their experience to provide a practical and stimulating book which informs everyday clinical activity and explores the unanswered questions which face anaesthetists in this changing patient population. This book will give all consultants and trainees a thorough grounding in this growing and demanding area of anaesthetic practice.

Publisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product. The definitive case-based guide to effectively managing geriatric disorders Geriatric Physical Therapy provides the most authoritative overview available on managing the special needs of the elderly in all health care settings. Through nearly 200 cases, the text offers a skill-building balance of theory and clinical application of knowledge in caring for the older adult population. This timely book addresses and incorporates aspects of prevention, fitness, and wellness into the rehabilitative model of care for elders with and without pathological conditions. Features: Nearly 200 cases examine both acute and chronic stage settings, and provides suggested tests and measures Cases focus on orthopedics and neurology for consistency with board exams, which concentrate in these therapeutic areas Tables and boxes organize and summarize important information and highlight key points for quick reference A well-referenced and scientific approach provides the depth to understand integral processes and procedures

Use the ingenious communication and memory aids featured in this practical guide to significantly improve the ability of people with dementia and related memory impairments to stay connected, engaged, and functioning at their optimal level of independence. Presenting a wide array of evidence-based examples, Memory and Communication Aids for People with Dementia contains all the information needed to develop personalised supports for any individual and every circumstance. From low-tech options such as memory wallets, memo boards, planners, and reminder cards to commercial products available through new electronic technologies, these simple but powerful tools help to provide conversation prompts, answers to common questions, and reminders for daily living. Confusion, anxiety, frustration, and challenging behaviours melt away when individuals are able to communicate their needs and preferences to caregivers remember important names, places, and appointments complete tasks unassisted engage in meaningful conversations and social interactions recall past events and achievements preserve their dignity and identity Full-colour illustrations and simple instructions for creating various memory and communication tools are included. Abundant examples of useful content and formats are supplemented by more than 30 downloadable guides and templates to use or customise. Speech-language pathologists, occupational and physical therapists, activity directors, direct care staff, and family members interacting with adults with memory impairments will welcome this practical and life-enhancing resource.

This accessible and authoritative book provides an invaluable guide to identifying, treating and preventing depression in later life. Jill Manthorpe and Steve Iliffe take a multidisciplinary approach and employ both medical and psycho-social models of depression. The medical model is used to identify symptoms, make diagnoses and work towards optimal treatment. Psycho-social perspectives provide insight into the scale and complexity of the condition and point to its social causes. The authors identify different levels of depression through in-depth analysis and consider the condition in relation to, but distinct from, dementia, psychosis and anxiety disorders, helping professionals to make the correct diagnosis. Supporting case studies show that depression, and the physical symptoms often linked to it, are amenable to treatment. The authors provide practical guidance for health and social care practitioners and suggest numerous coping strategies. This comprehensive book is essential reading for health and social care practitioners working with older people, their carers and families.

Medical ethics is central to the sound practice of medicine, and in the field of geriatrics in particular, difficult ethical dilemmas are faced almost every day. This concise, introductory handbook discusses the basic principles of medical ethics, and includes practical, realistic guidance on how to evaluate and manage common ethical problems, focusing on the care of elderly patients. Typical scenarios faced in clinical practice, such as issues of mental capacity and consent, resuscitation, near death decisions, quality of life, and health care expenditure, are discussed. Example cases illustrating specific situations are included throughout.

Praxishandbuch und Kommentar zu den aktuellen MDK-Begutachtungsrichtlinien verstandlich und mit vielen Fallbeispielen. Pflegedienstleitungen, Pflegeberater und freie Sachverstandige finden in diesem Handbuch alles Wissenswerte, um MDK-Gutachten zu verstehen, zu beurteilen, Fehler zu erkennen und Widerspruche zu begrunden. Ein Nachschlagewerk, das auch fur gesetzliche Betreuer und Fachanwalte fur Sozialrecht nutzlich ist.

Alltaglich werden in Deutschland mehrere hundert Antrage auf eine Pflegestufe oder Hoherstufung abgelehnt. Viele zu recht - sehr viele zu Unrecht. Pflegefachkrafte und Pflegeleitungen sind oft erste Ansprechpartner fur ratlose Betroffene und deren Familien. Um Betroffene kompetent zu beraten und gemeinsam zu entscheiden, ob ein Zweitgutachten oder ein Widerspruch erfolgversprechend sind, setzt voraus, dass die Begutachtungsrichtlinien bekannt sind.

Dieser Praxiskommentar erlautert die aktuellen Begutachtungsrichtlinien des MDS Punkt fur Punkt und weist auf mogliche Fehlerquellen hin - im Ablauf, den Begutachtungskriterien und der Bewertung, der Dokumentation, den Formalien. Fallbeispiele verdeutlichen die Anwendung der Richtlinien einer Begutachtung im Pflegealltag. Je besser die Richtlinie verstanden und Gutachten interpretiert werden konnen, desto grosser ist die Chance eine erneute Prufung der Pflegestufe einzufordern und berechtigte Anspruche gegenuber der Pflegeversicherung geltend zu machen.

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In two volumes, the APA Handbook of Clinical Geropsychology offers a well-balanced scientist-practitioner approach, with chapters that succinctly review empirical research across a broad range of areas and offer practical approaches for the application of theory to everyday practice with the aging population. The handbook reviews the history of clinical geropsychology and geropsychology practice, to help the reader better understand how the field has grown over the past 30 plus years and to assess the several directions in which it is headed. Chapter authors highlight strength-based approaches to human development and aging, review the status of evidence-based treatment, explore the interface of geriatric medicine and clinical psychotherapy, review several ""normal aging"" areas of research, and discuss such common psychological, neurological, and other medical issues common in aging as depression, late-life anxiety disorders, schizophrenia, alcohol abuse and substance misuse, suicidal behaviour, mild cognitive impairment, Alzheimer's, and many more. The reader will not only gain knowledge about foundational competencies in the field of clinical geropsychology, but will also find a treasure of information related to assessment, intervention, and consultation in this continually evolving field.

This book provides a comprehensive overview for those interested in research and promoting sexual health in older people, as well as a "go-to" guide on the topic of sexual behaviour in older adults. Sexual activity is an essential part of intimate relationships, though it tends to decline in frequency as people grow older. Nevertheless, for many older people, sex still remains an important part of their life. There's a common misconception that as people age, they lose their interest in sex and capacity for sexual behaviour. This is not the case, as a number of national surveys show. The new research presented here indicates that the less sex older people have, the more likely they are to experience mental and physical health problems. Men and women who reported a decrease in the frequency of sexual activities were also more likely to report a deterioration in self-perceived health. Additionally, men with erectile dysfunction were also more likely to be diagnosed with cancer or coronary heart disease. This research has also determined that older adults who experience a decline in sexual activity report poorer well-being than those who maintain their levels of sexual desire, activity and function in later life, and that men who remain sexually active in later life continue to have better cognitive performance compared to those who don't. Despite these health benefits, medical professionals do little to promote sexual activity in older adults, and the literature suggests that there is a lack of knowledge on how to approach the subject and how to promote such activities. This is the first comprehensive book specifically exploring all areas of sexual behaviour and health in older adults, and drawing on the latest research in this area. It offers a valuable resource for researchers and clinicians in various health fields (medicine, nursing, occupational therapy, psychology, public health, etc.), as well as students in undergraduate and graduate programs.

This book is a quick-reference guide to osteoporosis that equips the reader with easy-to-follow guidelines for lifelong maintenance of skeletal structure and function, with an emphasis on the diagnosis, therapy and prevention of osteoporosis. Organized into 20 chapters it provides a concise, yet complete evidence-based overview of osteoporosis prevention and management “from paediatrics to geriatrics”. This practical guide is aimed at raising awareness and educate physicians across disciplines about this preventable, treatable and now even curable disease and emphasizing how every doctor can contribute to stop the “osteoporosis treatment gap” recognized over the last ten years. Covering bone biology, pathophysiology, secondary and drug-induced osteoporosis, as well as risk factors, diagnostic measurements, treatment and monitoring strategies, new drugs, management of osteoporotic fractures, and much more, this book is a must-have for all those involved in the prevention and care of this global threat.

An in-depth and wide-ranging approach to the study of older adults in society Taking a holistic approach to the study of aging, this volume uses biological, archaeological, medical, and cultural perspectives to explore how older adults have functioned in societies around the globe and throughout human history. As the world's population over 65 years of age continues to increase, this wide-ranging approach fills a growing need for both academics and service professionals in gerontology, geriatrics, and related fields. Case studies from the United States, Tibet, Turkey, China, Nigeria, and Mexico provide examples of the ways age-related changes are influenced by environmental, genetic, sociocultural, and political-economic variables. Taken together, they help explain how the experience of aging varies across time and space. These contributions from noted anthropological scholars examine evolutionary and biological understandings of human aging, the roles of elders in various societies, issues of gender and ageism, and the role of chronic illness and "successful aging" among older adults. This volume highlights how an anthropology of aging can illustrate how older adults adapt to shifting life circumstances and environments, including changes to the ways in which individuals and families care for them. The research in Anthropological Perspectives on Aging can also help researchers, students, and practitioners reach across disciplines to address age discrimination and help improve health outcomes throughout the life course.

This book critically reviews 75 important published papers that influence the practice of geriatric psychiatry. This book will assist anyone who is interested in the care of older adults with psychiatric disorders. It was written by thought leaders who shape the way geriatric psychiatry is currently practiced in the United States. All the major psychiatric disorders in later life are covered including anxiety disorders, bipolar disorders, depressive disorders, neurocognitive disorders, psychotic disorders, sleep disorders, and substance use disorders. It also reviews important studies on suicides in late life and interventional procedures in geriatric psychiatry like the ECT, and also evaluates the adverse effects of psychotropic medications on older adults with psychiatric disorders. The editors of the book along with input from members of the teaching and training committee of the American Association for Geriatric Psychiatry (AAGP) have chosen 75 published papers from the field of geriatric psychiatry that they believe provides the highest knowledge-yield/impact for practicing clinicians and educators in the field of geriatric mental health. The AAGP is a national association that represents and serves its members and the field of geriatric psychiatry. These 75 papers are critically appraised by the members of AAGP using a standardized format and a summary of these papers and their practical application is provided by these experts. This information can be used by anyone who wants to learn about the field of geriatric psychiatry.