It 's a core issue at the heart of elder care: while best-practice data exist for long-term care, quality of life as a concept, measure and standard for care outcomes remains elusive. The result of an ambitious European research initiative, the Care Keys Project addresses quality of life issues among frail, care-dependent seniors, taking their social as well as health needs into account. This resulting volume explains the theory behind Care Keys, its methodology, empirical findings, and practical considerations in promoting effective, efficient elder care aimed at social and emotional well-being and including disabled and cognitively impaired patients.

This volume brings together various theories of how aberrations in mitochondrial function and morphology contribute to neurodegeneration in idiopathic and familial forms of Parkinson's disease. Moreover, it comprehensively reviews the current search for therapies, and proposes how molecules are involved in specific functions as attractive therapeutic targets. It is expected to facilitate critical thought and discussion about the fundamental aspects of neurodegeneration in Parkinson's disease and foster the development of therapeutic strategies among researchers and graduate students. Theories of idiopathic Parkinson's etiology support roles for chronic inflammation and exposure to heavy metals or pesticides. Interestingly, as this project proposes, a case can be made that abnormalities in mitochondrial morphology and function are at the core of each of these theories. In fact, the most common approach to the generation of animal and cell-culture models of idiopathic Parkinson's disease involves exposure to mitochondrial toxins. Even more compelling is the fact that most familial patients harbor genetic mutations that cause disruptions in normal mitochondrial morphology and function. While there remains to be no effective treatment for Parkinson's disease, efforts to postpone, prevent and "cure" onset mitochondrial aberrations and neurodegeneration associated with Parkinson's disease in various models are encouraging. While only about ten percent of Parkinson's patients inherit disease-causing mutations, discovering common mechanisms by which familial forms of Parkinson's disease manifest will likely shed light on the pathophysiology of the more common idiopathic form and provide insight to the general process of neurodegeneration, thus revealing therapeutic targets that will become more and more accessible as technology improves.

This book covers the origins and subsequent history of research results in which attempts have been made to clarify issues related to cellular ageing, senescence, and age-related pathologies including cancer. Cellular Ageing and Replicative Senescence revisits more than fifty-five years of research based on the discovery that cultured normal cells are mortal and the interpretation that this phenomenon is associated with the origins of ageing. The mortality of normal cells and the immortality of cancer cells were also reported to have in vivo counterparts. Thus began the field of cytogerontology. Cellular Ageing and Replicative Senescence is organized into five sections: history and origins; serial passaging and progressive ageing; cell cycle arrest and senescence; system modulation; and recapitulation and future expectations. These issues are discussed by leading thinkers and researchers in biogerontology and cytogerontology. This collection of articles provides state-of-the-art information, and will encourage students, teachers, health care professionals and others interested in the biology of ageing to explore the fascinating and challenging question of why and how our cells age, and what can and cannot be done about it.

Aging Issues in Cardiology provides an overview of the practical clinical areas involved in managing cardiovascular disease in the elderly. This volume will be useful to any physician managing the cardiovascular health of elderly individuals.
Topics covered include:

-Delirium in Elderly Cardiac Patients,
-Depression,
- Pharmacologic Issues,
- Primary Prevention,
- Syncope,
- Heart Failure,
- Coronary Revascularization.

Designed to provide a highly visual reference for surgeons and other members of the patient management team, Atlas of Intestinal Stomas is based on the 1967 gold standard text, Turnbull and Weakly's Atlas of Intestinal Stomas. Additions include chapters on anatomy and physiology, biliary stomas, pediatric ostomies, the continent ileostomy, urostomy, laparoscopic stoma construction, stomas in trauma surgery, stomas for antegrade continence enema, percutaneous ostomies, and quality of life. There are also sections on ileostomy, colostomy, enterostomal therapy and on the management of complications of stomas such as management of the high output ostomy, enterocutaneous fistula, parastomal hernia, prolapse, and skin conditions. The Cleveland Clinic pioneered the entire practice of ostomies, beginning in 1858 and continuing to this day as the world's leading academic and clinical center. The editors and contributors are all current or former Cleveland Clinic physicians and instructors. The fundamental focus of the book is not only how to install ostomies, but how to avoid complications and how to treat complications when they arise. Atlas of Intestinal Stomas will be of great value to colorectal and general surgeons, both in practice and in training.

Food or calorie restriction has been shown in many short-lived animals and the rhesus monkey to prolong life-span. Life-long nutrition studies are not possible in humans because of their long survival. Studies over two to six years in healthy adult humans have, however, shown that a 20% reduction in food or calorie intake slows many indices of normal and disease-related aging. Thus, it is widely believed that long-term reduction in calorie or food intake will delay the onset of age-related diseases such as heart disease, diabetes and cancer, and so prolong life.

Over the last 20 or more years there has been a progressive rise in food intake in many countries of the world, accompanied by a rising incidence of obesity. Thus our increasing food and calorie intake has been linked to the rising incidence of cardiovascular disease and diabetes in early adult life. It is accepted that overeating, accompanied by reduced physical exercise, will lead to more age-related diseases and shortening of life-span. The answer is to reduce our calorie intake, improve our diet, and exercise more. But calorie restriction is extremely difficult to maintain for long periods. How then can we solve this problem?

Edited by a team of highly distinguished academics, this book provides the latest information on the beneficial effects of calorie restriction on health and life-span. This book brings us closer to an understanding at the molecular, cellular and whole organism level of the way forward.

While elder abuse is a topic that has been widely explored, elder self-neglect is a subject that has not really been defined, much less discussed at any length. This volume is the first comprehensive work on the prevalent geriatric problem of self-neglect. It contains original clinical research and analyzes the medical, psychological, and social aspects of geriatric self-neglect from various perspectives of professionals within the geriatric field.

This volume opens with an overview of elder self-neglect, including a general framework that describes exactly what is involved with this clinical problem. The authors then explore the broad societal implications of self-neglect before going on to examine special risks and subgroups that are associated with this dilemma. The final chapter investigates areas of research likely to enhance further understanding of this problem. Social workers, nurses and geriatric professionals who are concerned with this threat to our elderly will find this volume to be a valuable resource that provides an interdisciplinary perspective on health and social services.

Clinical Neurology of Aging, Third Edition continues the tradition of the First (1984) and Second (1994) editions with 60 chapters written by the world's elite clinicians from neurology, geriatrics and research on all aspects of geriatric neurology. Aging does not automatically imply decline. Many older people find joy in their friendships and their willingness to look at the world with a calmer view than they may have had in youth. This clinically focused book is designed to help clinicians help older persons maintain that joy. Now divided into 9 comprehensive sections, the Third Edition contains subjects ranging from geriatric assessment to pain management and palliative care. Specific sections include: Introduction to Geriatric Neurology; Neurological Assessment in Aging; Cognitive Disorders in Aging; Motor Disorders in Aging; Neuropsychiatric Illness in Aging; Sensory Disturbance in Aging; Peripheral Neurology of Aging; Disease States in Elderly; and Neurological Therapeutics. With a deft touch, the editors - Drs. Martin Albert and Janice Knoefel - have incorporated the geriatric care perspective and a quality-oriented approach to health care throughout the volume. The result: the definitive reference, useful for all clinicians caring for older people and informative to those who set policies that affect research and clinical practice.

Because of many advances in medicine and biotechnology, an increasing number of individuals are surviving into old age, and we are now challenged to apply sophisticated medical knowledge to the care of the elderly citizen. In nephrology, individuals older than 65 are the fastest-growing group of patients requiring dialysis. Similarly, in increasing numbers, elderly persons present themselves with renal complaints to their family doctor, the geriatrician or the nephrologist. In August 1998, with the financial support of the John A. Hartford Foundation, leaders in geriatrics, nephrology and urology met in Jasper, Alberta, for one week to discuss their areas of special knowledge and to learn from each other. Geriatricians learned from nephrologists, nephrologists learned from geriatricians, and both came to see that they had much in common. All participants discovered a common interest, challenge and commitment, namely, to provide the best renal care to a progressively aging population and to teach their fellows the principles of the other collaborating specialties. This book contains all the papers presented at this meeting and also the text of group discussions on Training and Education, Special Clinical Problems in Geriatric Patients, and Recommendations in Basic and Clinical Research. Nephrology and Geriatrics Integrated will prove useful to both nephrologists and geriatricians in their efforts to manage the renal complaints of the elderly, who come to them in increasing numbers.

Most of the people receiving physiotherapy are middle-aged or older, thus it is important for all physiotherapists to acquire the knowledge and skills particular to working with older people. The role of the physiotherapist is not restricted to reducing disability, but also encompasses the promotion of positive health, and Barrie Pickles and colleagues have taken the innovative approach of combining both of these aspects in this research-based, comprehensive textbook. Written by an international team of experts, the text is divided into the following sections: Background to Aging The Aging Process Working with Older People Management of Impairments and Disabilities Handicaps of Aging Integrated Case Management Future Directions Within these broad areas, the authors provide a thorough and readable introduction to the many complex and challenging issues that form part of or influence health care and health education for the older adult, including: Posture and gait Communication Motor learning Health promotion programs Specific clinical problems, such as pain, stroke and incontinence The book is written from a global perspective, the link between theory and practice is made both within each individual chapter and by means of helpful case studies. Students will find this attractively presented text a stimulating introduction to the theoretical background and principles of physiotherapy, practice older people.Multiauthored by an international team of experts Includes normal psychological and physiological changes with ageDiscusses strategies for accurate assessment, and reasoned delivery of care Covers working with healthy, ill and disabled people in a variety of settings

This book is designed to present the clinical geriatric trends within general internal medicine and family practice, which practitioners often encounter in caring for their older adult patients. Chapters focus on increasingly difficult clinical decisions that practitioners have to make in caring for older adults, who often experience medical complications due to memory loss, physical disability, and multiple chronic conditions. Written by experts in geriatric medicine, each of these chapters start with the most up-to-date clinical geriatric research and provide specific examples or case studies on how to use this information to address the clinical needs of older adult patients. In addition, there is a set of concise "take-home points" for each chapter that are easy to commit to memory and implement in clinical care of aging patients. As the only book to focus on current trends in geriatric research and evidence-based eldercare practice, Clinical Trends in Geriatric Medicine is of great value to internists, family practitioners, geriatricians, nurses, and physician assistants who care for older adults.

ThisvolumerepresentstheproceedingsofaNATOAdvancedResearchWorkShop(ARW) on the topic of "Sensorimotor Impairment in the Elderly" held at the Residenz Hotel, Bad Windsheim, Germany, September 11-13, 1992. The Residenz Hotel provided a pleasarit setting for the ARW in a historic environment. ' The motivation of this ARW was to provide some coherence to the widely scattered literature on motorimpairmentsin the elderly by bringing together, for atwo day workshop, many of the prominent individuals who are doing much of the contemporary research on sensorimotor aging. Our hope was to advance knowledge by having tutorial lectures and provocative discussions. As directors, we wanted the ARW to appraise the main theoretical ideas that currently characterize sensorimotor research on older adults. Our hope is that this volume will provide a review of some of the diverse literature on sensorimotor integration problems in the elderly. What was abundantly clear [TOm the presentations and discussions was how much more remains to be discovered about how motor and sensory systems change with age. The stimulus provided by this volume should be an invaluable reference in the years to come. Thevolume isorganized around five topicthemes: SensorimotorIntegration, AgeChanges in Muscle, Posture and Locomotion, Neurological Diseases, and Effects ofTraining. While they are not comprehensive, the topic themes reflect the structure of the ARW. The chapters within each topic discuss many ofthe currently debated questions on sensorimotormechanisms and how they are altered by age.

This book on complementary alternative medicine (CAM) for the Elderly provides a critical and objective evaluation of alternative medical therapy for the elderly. The focus on practical aspects such as adverse effects and general risks of various therapeutic methods makes it a valuable reference book for the general practitioner, for geriatricians and professionals within the area of alternative medicine, but also for interested laypeople. In the three sections, Epidemiology, Types of CAM, and Common Medical Problems and CAM, a broad range of issues are covered. They range from drug compliance in elderly people to CAM in the treatment of specific conditions such as pulmonary diseases, arthritis or cancer. The above features and in particular the unbiased approach to discuss the pros and cons of CAM make this publication a must-have for everybody searching for detailed information on alternative medicine for the elderly.

The 1st World Congress on Geriatrics and Neurodegenerative Disease Research (GeNeDis 2014), will focus on recent advances in geriatrics and neurodegeneration, ranging from basic science to clinical and pharmaceutical developments and will provide an international forum for the latest scientific discoveries, medical practices and care initiatives. Advances information technologies will be discussed along with their implications for various research, implementation and policy concerns. In addition, the conference will address European and global issues in the funding of long-term care and medico-social policies regarding elderly people. GeNeDis 2014 takes place in Corfu, Greece, 10-13 April 2014. This volume focuses on the sessions that address geriatrics.

Between longer life expectancies and declining birth rates, Europe's elder population is growing into a sizable minority with considerable impact on nations, health systems, and economies-in other words, global implications as well as local and regional ones. Those investing in the health of older adults need a double perspective: the social and clinical complexity of aging and the larger forces shaping these experiences.

"Aging in European Societies" examines aging trends across the continent, analyzing individual and collective variables that affect the lives of older adults, and drawing salient comparisons with other parts of the world. An interdisciplinary panel of experts provides theory, research, and empirical findings (with examples from the UK, Cyprus, Sweden, and others) in key areas such as family and social supports, physical and cognitive changes, dependence and autonomy issues, and living arrangements. The book's wide-net approach offers insights into not only aging, but aging well. And of particular importance, it details approaches to defining and measuring the elusive but crucial concept, quality of life. Included in the coverage:

The potential for technology to improve elders' quality of life.Dementia and quality of life issues.Changes in functional ability with aging and over time.Family networks and supports in older age.Factors influencing inequalities in quality of life.Late-life learning in the E.U.

Gerontologists, sociologists, health and cross-cultural psychologists, and public health policymakers will welcome "Aging in European Societies "as a springboard toward continued discussion, new directions for research, and improvements in policy and practice."

This book provides a current perspective on alcohol and aging to better understand the trends, costs, benefits, and clinical and community evidenced-based strategies. This book embraces not only the physical, cognitive, psychological, and social health benefits of moderate drinking in the elderly, it also delves into the risks of excessive drinking, including physical and psychiatric morbidity, neurodegeneration, medication complications, and accidents and injuries, and loss of independence. Written by experts in the field, this book is the only current text that includes the most current scientific, research, empirical, and practice information alongside a comprehensive review of the status of the field that will help guide alcohol use management and stimulate future research. Alcohol and Aging is the ultimate resource for all researchers, educators, clinicians, and professionals working with older adults who drink.

This book, Recent Advances in Geriatrics, is based on the proceedings of the 8th Course of the School of Gerontology and Geriatrics held in Erice (Trapani, Italy) at the In ternational Centre for Scientific Culture "Ettore Majorana" on March 20-25, 1997. This international effort was organized jointly by professors from the University of Palermo (It aly) and from Wayne State University (Michigan, USA) as a result of a cross-cultural col laboration of several years. _ The increasing average age of the populations in industrialized countries has re sulted in increased interest in the different biological, medical, psychological, and eco nomic aspects related to the health and social care of the elderly. Physicians and health care practitioners are realizing the need for a revised approach to geriatric care. Comprising contributions of clinicians and scientists from Italy and North America, the present volume provides a multidisciplinary approach to many gerontological and geriatric problems, examined from a scientific and a practical point of view. Several of the most important aspects of the aging process - the genetics of aging, body composition modification, immunological, endocrinological, and renal physiology changes - have been addressed. Data from a multi-center Italian study on centenarians is reported, to gether with an update on clinical and pharmacological approaches to dementia syndromes and economic and social aspects related to the care of the elderly."

This volume reviews the new potential treatments and research in the area of Alzheimer's disease. Special attention is given to international developments in all fields relevant to new drug development. Topics discussed include: progress in the international harmonization of drug development guidelines for dementia drugs; bioethics and law; development of rating instruments; behavioural treatments; and the activities of the Reagan Foundation. The text integrates basic and clinical research findings, and provides evaluation of new approaches to therapy by world leaders in the field. The potential benefit for Alzheimer patients and families resulting from these research programmes, from molecular biology to clinical pharmacology, is reviewed and evaluated.

The decline of infections, starvation, heart attack, and stroke has allowed people to reach extreme old age--and ushered in disability, dementia, and degenerative disease, with profound consequences for the self and society. In chapters echoing Dante's nine circles of hell, Dr. Guy Brown explores these vital issues at various levels, from the cell, to the whole body, to society and how all this new medical technology affects the meaning of death. He tracks the seismic shifts in the causes and character of death that are rocking medicine and reveals how technological innovations, such as cloning and electronic interfaces, hint at new modes of "survival" after death.

As the population continues to age, gerontological research will become increasingly important and library holdings in gerontology and geriatrics will be in great demand. This valuable reference discusses the history of gerontology and geriatrics libraries in the United States and Canada and profiles their holdings. The study is based on a questionnaire distributed to public and private gerontology and geriatrics libraries. Data from the questionnaire are presented in brief but informative profiles. Each profile lists the type of library, its chief administrator, the date of its founding, the hours during which it is open, and its holdings, services, and facilities. The result is an illuminating overview of information centers available for the study of geriatrics and gerontology.

Joyce A. Post begins with an extensive discussion that traces the history of library collections in gerontology and geriatrics, including the impact and importance of federal assistance and the creation of geriatric education centers. The next section discusses the author's research methodology and offers an analytical summary of her findings. The directory that follows is arranged alphabetically by state and then by towns within each state. The appendixes present the questionnaire used to obtain the data and a listing of the library holdings of 18 major gerontology and geriatrics periodicals. The useful and varied indexes make this work an indispensable and easy to use reference for gerontologists, librarians, and all those interested in research on the elderly.

This book is the first one to examine the cause and effect of elderly people's healthy life expectancy, providing models that are easy to understand. The novel point is the success achieved in constructing a single structural model of cause and effect of healthy life expectancy. In the final models of the authors' studies, it was possible to clearly point out that it is not the case that lifestyle habits including an ideal diet directly provide for healthy life expectancy.This book is made up of published studies based on scientific evidence, using a vast amount of data based on about 8,000 in-home elderly people tracked longitudinally from 3 to 6 years, three times in all including baseline research, in a specific region of Japan. Therefore, health policy makers will be able to use this book as scientific evidence for creating area programs to promote good health that are focused on healthy longevity as the central issue. Academic researchers whose special fields are mainly public health will be able to learn both theory and practice to structurally analyze cause and effect of health factors.

Long-term care in the United States has taken the nursing home as its benchmark, but the monetary, social, and psychological costs of nursing home care are all too high. This book challenges the current dominance of nursing homes as the principal institution of long-term care. It offers a series of alternative models where both services and housing can be provided in a way that allows long-term consumers to enjoy dignified, "normal" lifestyles.

The authors start with the premise that long-term care is designed to assist people who lack the capacity to function fully independently. In addition, the authors argue, no disabled person of any age should be required to forsake his/her humanity in exchange for care. The book rejects the artificial dichotomy between social and medical care, asserting that both play important roles in the psychological and physical well-being of long-term care patients. The book considers the need for competent and compassionate medicine and discusses the methods for improving both its coordination of care and its effectiveness. The book redefines the meaning of safety and protection in long-term care, and how this goal can be accomplished without sacrificing quality of living.

As the new millennium and the aging of baby boomers approaches, more creative approaches to providing better long-term care are required. This volume outlines a useful framework for the provision of effective and humane community-based programs that are both feasible and affordable. The Heart of Long-Term Care is intended for geriatricians, public health professionals, family physicians, and nurses who care for elderly patients.

Newly revised and updated, this book provides geriatricians and orthopedic surgeons with the most vital tools to treat elderly patients who sustain a variety of fractures. The text uniquely encompass the etiologies of fracture in the elderly, perioperative management, the surgical treatment of common fractures in the elderly, as well as rehabilitation and prevention in the older patient. It focuses on the most current data and opinions regarding assessment and management of geriatric conditions that predispose the elderly to fracture, perioperative complications and subsequent functional decline. Unlike any other text, experts in both orthopedics and geriatrics review the content of each chapter for readability and appeal to his/her respective discipline, making this the physician's ultimate guide to treating elderly patients with injuries. Fractures in the Elderly, Second Edition is a valuable resource for geriatricians, orthopedic surgeons, physiologists, and rehabilitation specialists.

Focusing on the most prevalent conditions affecting seniors - including diabetes, cardiovascular disease, osteoporosis, arthritis, and fibromyalgia - Morewitz and Goldstein analyze the impact of chronic disease on aging. Separate chapters are devoted to cognitive changes, psychological problems, and trends in health care utilization, and all chapters are amplified by current research findings.

With people living longer, often with chronic illnesses and disabilities, it is becoming increasingly important to understand how depression, disability, and physical illnesses are interrelated, the mechanisms underlying these interrelationships, and their implications for diagnosis and treatment. This volume synthesizes a carefully selected portion of the knowledge about physical illness and depression that has emerged during the past twenty years.