Stroke is a major health concern worldwide, and the epidemiological data is staggering. One in six people will have a stroke during the course of their life; it is the second most common cause of death; and stroke also ranks second among causes contributing to the global burden of disability. However, the burden of stroke can be alleviated: it is potentially preventable, treatable, and possible to manage long term. Despite continuing advances in our knowledge about this disease, there is currently still a large evidence-to-clinical practice gap in all regions. The Oxford Textbook of Stroke and Cerebrovascular Disease is a comprehensive textbook on clinical stroke, covering all major aspects of cerebrovascular disease including epidemiology, risk factors, primary prevention, pathophysiology, diagnostics, clinical features, acute therapies, secondary prevention, prognosis, and rehabilitation. It makes use of current pedagogic principles, and includes not only aspects on management in the acute hospital phase of stroke, but also public health issues, prevention, long-term management, and silent vascular disease (which is becoming increasingly epidemic in the general population). Topical aspects also include advice to improve clinical skills in examination, diagnosing, and treating stroke. The text also covers the fields of silent cerebrovascular disease (silent brain infarcts, microbleeds, white matter ischemic abnormalities) that more recently have been recognized to be highly prevalent in the general population, and that carry important risks on vascular events and cognitive decline/dementia. Chapters are written by a most distinguished group of international experts in the field of stroke from around the world, and have been carefully edited to ensure consistency in style and clarity of contents. The concurrent online version allows access to the full content of the textbook, contains links from the references to primary research journal articles, allows full text searches, and provides access to figures and tables that can be downloaded to PowerPoint (R). Practical, easy to use, yet detailed with respect to pathophysiology, diagnostics, and management, this text provides a source of reference for the detection and management of all stroke and less common cerebrovascular diseases for practising and trainee neurologists, geriatricians, and all stroke physicians and clinicians.

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.

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.

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.

In Johann Sebastian Bachs Musik werden Grenzgange hoerbar, die unser Leben begleiten: In seiner Kirchenmusik wird die Grenze zwischen Weltlichem und Goettlichem an vielen Themen durchgespielt, und in der "Kunst der Fuge" glaubt man den Tod zu hoeren, wenn eine Stimme nach der anderen verklingt. Andreas Kruse, fuhrender Altersforscher, Gerontopsychologe und ausgebildeter Musiker beschreibt in diesem faszinierenden Buch die Grenzgange des alten Bach als kreative und auch psychologisch spannende Lebenskunst. Johann Sebastian Bach als biografisches Fallbeispiel fur Krisenbewaltigung im Leben wird beim Lesen zu einer psychologischen Entdeckung, die auch beim musikalischen Spatwerk aufhorchen lasst.

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.

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. Sharpen your critical thinking skills and IMPROVE PATIENT CAREA Doody's Core Title for 2017! Experience with clinical cases is key to mastering the art and science of medicine and ultimately to providing patients with competent clinical care. Case Files: Geriatrics provides 40 true-to-life cases that illustrate essential concepts in geriatric care. Each case includes an easy-tounderstand discussion correlated to key concepts, definitions of key terms, clinical pearls, and board-style review questions to reinforce your learning.With Case Files, you'll learn instead of memorize. Learn from 40 high-yield cases, each with board-style questions: Master key concepts with clinical pearls Polish your approach to clinical problem-solving and to patient care Perfect for residents, medical students, PAs, and NPs working with geriatric patients

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 TEXT ON THE PRINCIPLES AND CLINCAL PRACTICE OF NURSING HOME CAREA Doody's Core Title for 2017! Nursing Home Care is a practical textbook designed to serve as a rich evidence-based resource to provide physicians and other practitioners with the information and knowledge to advance nursing home care. It states and explains the principles underpinning safe, personalized, and dignified nursing home practice using an integrated, cooperative approach. In addition, itprovides the medical knowledge necessary to give quality care to nursing home residents. Nursing Home Care reflects the International Association for Geriatrics and Gerontology's conviction that nursing home practice is an interdisciplinary endeavor that requires a sound theoretical, scientific, and values base in addition to clinical expertise. Mindful of the influences of different culture and context, the premise of this text is that there is a shared and commonknowledge base to guide nursing home practice and approaches to caring that are universal. THIS UNIQUE TEXT IS LOGICALLY DIVIDED INTO FOUR PARTS: PART 1 covers the origins of the nursing home movement, plus alternative approaches, including aging in place and what older people are saying about nursing home life and culture change. PART 2 focuses on the fundamentals of working as part of a nursing home team providing day-to-day care and the leadership essentials to drive the quality improvement agenda. PART 3 addresses the most common conditions experienced by older nursing home residents. PART 4 is devoted to clinical and nursing aspects of specific disease management. KEY FEATURES: Online supplemental material, including 1,000 PowerPoint slides available to faculty, plus Q&A available from the IAGGI * Over 150 multiple choice questions * Key points for each chapter * An essential study guide for the IAGG certificate in nursing home care

Wo soll ich hin? Wie soll ich das bezahlen? Wann werde ich abgeholt? Diese Fragen bestimmen denn Alltag eines Demenzkranken. Sie sind immer wiederkehrend, vor allem, wenn sie sich allein fuhlen. Die Arbeit mit ihnen ist anstrengend, korperlich und psychisch. Dennoch gibt es auch Lichtblicke, die motivieren und versohnlich stimmen. Ein unterhaltsames Lesebuch, zusammengestellt aus Kurzgeschichten mit Demenzkranken im Heim, fur Angehorige und Interessierte.

During the last decades, as the population grew older, gerontologically adjusted services became the norm for the highest standard of care. The Acute Care for Elderly Unit has been specifically devised to provide trained acute hospital care for elderly patients with geriatric syndromes, disabilities and frailty. Hospitalists and geriatricians find only limited guidance in the literature referring specifically to the management of acute disorders in elderly persons, having multiple comorbidities, geriatric syndromes, disabilities and frailty. For such conditions we have attempted to update the most recent evidence and define the frontiers of knowledge in the volumes Challenges in Acute Geriatric Care' in 2009 and Acute Geriatric Care' published in 2012. Fifty five case histories in this tome provide an insight into acute geriatric care: the patients, the problems and the physicians' skills concerned.

The purpose of this book is to disseminate "best practice" models of treatment for the common mental health problems of late life, so that evidence-based practice will become the norm (rather than the exception) when working clinically with older adults. Each chapter contains reviews of the empirical literature focusing on studies conducted with elders; then they emphasize how CBT can be applied most effectively to that specific patient population. Case studies illuminate practice recommendations, and issues of diversity are likewise highlighted whenever possible.

Alt werden will jeder. Alt sein nicht nicht unbedingt. Aber was heiAen Alter und Altern? Wodurch ist unser Leben im Alter - jenseits von biologischen Faktoren - bestimmt? A. Kruse und H.-W. Wahl, zwei fA1/4hrende Alternsforscher, vermitteln in diesem klar geschriebenen Buch anhand der Befunde moderner Forschung die Botschaft: Alter kann, je nach individueller und gesellschaftlicher Weichenstellung, einen erfA1/4llten Lebensabend bedeuten und dabei eine wichtige soziale Funktion erfA1/4llen. Und selbst bei PflegebedA1/4rftigkeit oder Demenz finden sich noch sehr verschiedenartige GestaltungsmAglichkeiten der individuellen Lebensbedingungen. Wir mA1/4ssen die Weichen jetzt richtig stellen, wenn wir gesellschaftlich und individuell die Herausforderungen des Alterns bewAltigen wollen.