The National Institute on Aging (NIA) has historically been concerned with the protection of human subjects. In July 1977, the NIA sponsored a meeting to update and supplement guide lines for protecting those participating in Federal research pro jects. Although the basic guidelines had been in effect since 1966, it had been neglected to include the elderly as a vulnerable population. In November 1981, the NIA organized a conference on the ethical and legal issues related to informed consent in senile dementia cases. The present volume offers the latest and best thinking on Alzheimer's Dementia to have emerged from the dialog that was first embarked upon at the NIA meeting. Indeed, the issues and concerns it treats now seem even more relevant than they appeared historically because of the vastly greater awareness in the community of the entire spectrum of problems Alzheimer's disease confronts us all with. Our interest and concern is both humanitarian and self serving. Clearly older people must be protected from in appropriate research and careful attention must be paid to the circumstances under which research is conducted on those older persons who have given anything less than full consent. It is equally necessary, however, for the research enterprise to be protected so that today's elderly and those of the future can benefit from the fruits of research."

This book highlights different aspects of the problem of elder abuse and neglect in India, and discusses its forms as well as means of prevention, intervention and management. It presents a framework for understanding the occurrence of elder abuse and neglect in India, placing the discussion within the global context. Elder abuse and neglect is a growing concern in South Asia, and this is the first comprehensive account of the topic from India. It uses data from different parts of India to describe the various dimensions of elder abuse and neglect among different population categories and sections in society. Covering rural and urban areas in different states, it discusses current perspectives on elder abuse and neglect at the household level, widows, HIV-affected populations, and those residing in institutions. This book comprises views from experts in the field and is of interest to researchers and academics from the social and behavioural sciences, policy makers, and NGOs.

Hans-Werner Wahl, Hermann Brenner, Heidrun Mollenkopf, Dietrich Rothenbacher and Christoph Rott Ageing research has been identi?ed as a prototypical ?eld of inquiry deserving the full exploitation of single discipline approaches and interdisciplinary synergies amongst these single perspectives. Although this is a generally accepted insight, there still is a strong need to provide models of how this global and most fundamental challenge can be dealt with. It seems in any case necessary to narrow down the wide scope of ageing research issues to sets of key constructs most promising in terms of interdisciplinary cross-fertilisation. Againstthis,themajoraimofthebookistoprovideacomprehensive treatment of one well-selected set of key issues of recent ageing research, i. e. health, competence and well-being. In addition, the book's ambition is to identify priorities for future ageing research and to further new avenues for interdisciplinary approaches and social policy applications. The substance of the book is based on an international conference which took place on June 18 and 19, 2004 in Heidelberg, Germany. Framed within the array of health, competence and well-being perspectives in ageing research, the idea of the conf- ence was to provide an integrated presentation of ?ndings generated in the German Centre for Research on Ageing at the University of Heidelberg (Deutsches Zentrum f. ur Alternsforschung, DZFA). The centre's three departments, i. e.

The mental health needs of older people are all too often overlooked or put down to the inevitable consequences of ageing. This textbook will make it much easier for health, social care and third sector workers to identify, treat and support the needs of this population. The book takes an interdisciplinary team approach and sets the scene by looking at different practice contexts in the United Kingdom and the increasingly important role played by social care in addressing the mental health needs of older people. A number of more clinically focused chapters then cover: *mental health promotion *anxiety and depression *ageing and psychosis *alcohol and dual diagnosis *dementia *later life liaison services *complex and enduring mood disorders. Each clinical chapter makes use of extended and detailed case studies which illuminate the team's role in the assessment- intervention-evaluation cycle and ensure the text's application to practice. Service user and family perspectives are drawn on throughout and current practice exemplars outlined. The final chapter distils key messages from the book and sets a number of key challenges. Mental Health and Later Life highlights the rewards and complexity of working with older people with mental health needs and their families. It is invaluable reading for all those learning about, or working with, this population.

During the last 40 years, the study of the biological basis of aging has progressed tremendously, and it has now become an independent and respectable field of study and research. The essential cause of aging is molecular damage that slowly overwhelms cellular and organismic defense, repair and maintenance systems. In recent years, a wealth of highly sophisticated research has transformed this idea from a credible hypothesis not only to a major theory, but essentially to accepted knowledge. Aging at the Molecular Level examines the key elements in this transformation.
Bringing together contributions from an international team of authors, this volume will be of interest to graduates and postgraduates in the fields of medicine and nursing, researchers of different aspects of biogerontology and those in the pharmaceutical, cosmeceutical, nutraceutical and health-care industry.

This book looks at the relationships between the physical-social environment and the elderly in Europe and Latin America, from the Environmental Gerontology perspective and through geographical and psychosocial approaches. It addresses the main environmental issues of population ageing, based on an understanding of the complex relationships, adjustments and adaptations between different environments (home, residence, public spaces, landscapes, neighbourhoods, urban and rural environment) and the quality of life of the ageing population, associated with residential strategies and other aspects related to health and dependency. The different levels of socio-spatial analysis are also explored: macro (urban and rural environments, regions and landscapes), meso (neighbourhood, public space) and micro (personal, home and institution). New theoretical and methodological approaches are proposed to analyse the attributes and functions of the physical-social environment of the elderly, as well as new ways of living the ageing process. All will have to respond to the challenges of urbanisation, globalisation and climate change in the 21st century. Also, the different experiences and challenges of public planning and management professionals involved with the growing ageing population are presented, and will require greater association and collaboration with the academic and scientific fields of Environmental Gerontology.

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Learn how to ensure quality and safety for vulnerable older adults Transitional care is crucial to older adults with complex care needs who are moving between different locations or different levels of care. Charting a Course for High Quality Care Transitions addresses this problem by providing leading experts and leaders in the field discussing practical strategies that ensure care quality and safety for transitioning vulnerable older adults. This helpful resource comprehensively discusses current research, quality improvement, risk targeting, risk identification, patterns of care, care coordination, and performance assessment. Lowering the inherent risks for adverse events when moving patients can be challenging. Numerous unforeseen variables such as possible mismanagement of medication or staff shortages can often jeopardize patient safety. Charting a Course for High Quality Care Transitions offers practical approaches to address several of the main challenges encountered by health professionals. This book focuses on various ways to provide the highest quality patient-centered care through advancements in research, practice, and data measurement. This informative text is extensively referenced and contains numerous tables to clarify and illustrate important data. Topics in Charting a Course for High Quality Care Transitions include: a semantic framework for overcoming quality improvement issues stemming from inconsistent use of terms a tool for home health agencies to identify home health care patients at risk for hospital readmission medical and social factors that contribute to poor quality care transitions a successful Advanced Practice Nurse transitional care model that can improve outcomes to cognitively impaired older adults unrecognized needs of older adults living in residential care facilities patient-centered performance measurement early results of the Reducing Acute Care Hospitalization National Demonstration Collaborative gaps in research that need to be addressed in the future Charting a Course for High Quality Care Transitions is an important resource for home care professionals, hospital discharge planners, public health nurses, geriatric health services researchers, and health care professionals of all types.

Bringing alive the relevance and value of psychoanalytic concepts in supporting the core role of professionals working directly in services for people who are older, this fascinating new book will also be of interest to analysts and psychotherapists interested in old age and the application of psychoanalytic thinking in the public sector. Davenhill shares an approach that has been helpful to her as a clinical psychologist working within the NHS and as a psychoanalyst working with people coming for consultation and intensive psychoanalytic treatment in the latter part of the lifespan. It will become evident to the reader that while each chapter is different and stands in its own right, there are certain psychoanalytic concepts which appear and reappear again and again. Specifically these are the concepts of transference, counter transference and projective identification, which are the theoretical and clinical bedrock on which psychoanalytic psychotherapy rests. Each chapter offers a different lens to the reader that will broaden and deepen understanding of such core concepts and their straightforward applicability in strengthening the quality of treatment offered both within old age services and psychological therapy services for people who are older in the public sector.

In a vicious cycle, poor nutritional health leads to acute and chronic disease, and disease states are catastrophic to nutritional health. The magnitude of nutritional depletion from any cause depends to a large extent on the nutritional reserves an individual has accumulated over time. In our increasingly older population, nutritional reserves are marginal and the magnitude of the effect on nutritional health is amplified. Strategies to improve nutritional health in older individuals require a unique approach and sensitivity to the individual's needs.

Drawing from a group of outstanding experts in the field, Geriatric Nutrition is a state-of-the-art review of current nutritional thinking. Beginning with an overview of nutrition in older persons, the book addresses nutrition epidemiology, obesity, immunity, as well as molecular theories of aging. A detailed scientific review of nutritional requirements follows with chapters on energy balance, water metabolism, vitamin disorders, and traceelements. Techniques for the clinical assessment of nutrition in older adults include comparisons between US and European Union strategies and standards. The book includes a revealing section on the management of undernutrition in nursing homes and assisted living environments. It offers prescriptions for enteral and parenteral nutrition, as well as protein energy undernutrition. A significant portion of the book covers nutrition recommendations in specific disease states, including psychological issues such as dementia and depression, cancer, diabetes, anemia, and fracture risk. The book also considers multicultural and ethical issues relevant to the sensitive treatment of older individuals.

Exploring exciting new ideas in normal, pathological, and optimal nutrition, Geriatric Nutrition ties basic research with clinical practiceto further the understanding of nutrition in older persons.

Alzheimer's disease is the most common cause of senile dementia. Since the discovery in 1984 of the amyloid ?-peptide (A?) as the core protein of the senile plaques present in the brains of Alzheimer's disease sufferers, an immense amount of research has gone into mapping out the molecular basis of this debilitating disease. The aim of Alzheimer's Disease: Methods and Protocols is to bring together the main biochemical, cell biological, and molecular biological techniques and approaches that are being used to investigate the molecular basis of Alzheimer's disease. This volume begins with chapters of an introductory/ review nature. Chapter 1 provides a historical introduction to Alzheimer's d- ease with particular emphasis on the central role played by A? and its re- tion to tau. Chapter 2 examines the genetics underlying this neurodegenerative disease, covering the amyloid precursor protein, apolipoprotein E, and the presenilins. Chapter 3 presents an overview of currently available therapeutic agents and prospects for drugs of the future.

This book presents the refereed proceedings of the Fourth Italian Forum on Ambient Assisted Living (AAL), held in Ancona, Italy, in October 2013. A wide range of issues are covered and new technological developments are described which will support the autonomy and independence of individuals with special needs through an innovative and integrated approach, designed to respond to the socio-economic challenges of an aging population. Topics addressed include: health and well-being, prevention and rehabilitation and support for care providers; active aging and its social implications; services for the frail elderly with health problems and their families; nutrition; ICT platforms/technologies for the benefit of the elderly; home automation and control technologies (autonomy, safety and energy saving); smart cities and smart communities; telemedicine, telerehabilitation, and telecare; mobility, participation and social inclusion; games and fun for the elderly; building design; social housing; interface design and interaction (accessibility, acceptance); social policies to encourage and support active aging; business models, market analysis and development of sustainable financing and business and ethics, privacy and data protection. Many experimental validations based on user trials and usability testing are presented and discussed. The knowledge and insights provided in this book will help researchers and others involved in AAL to understand relevant societal trends, novel technological developments and pressing challenges.

The qualitative analysis of naturally occurring discourse in neurogenic communication disorders, specifically in dementia studies, has experienced recent burgeoning interest from wide-ranging disciplines. This multidisciplinarity has been exciting, but has added contextual confusion. This book advances the study of discourse in dementia by systematically exploring and applying different approaches to the same free conversational data sets, collected and transcribed by the authors. The applied methodologies and theories comprise a useful sourcebook for students, researchers, and practitioners alike.

Human stories are the core of identity and meaning. This book is an invitation to the engaging and reforming power of telling stories. It is also an invitation to heal the story of health care for older adults by improving the communication between professionals in medicine, psychology, and religion.

At any age the process of genuinely listening and expressing hopes and fears is an intimacy rarely matched in human interaction. Life stories can be told, revised, and rewritten through psychotherapy and improved by a health care which integrates the best of medicine, religion, and psychology. This book invites health care reform by renewing old principles. Through clinical experience, research, and listening to seniors and their families, life stories can be retold to promote healthy treatment and healthy aging. This book will be of interest to students and professionals in psychology, medicine, nursing, religion, and social work.

There is no group of individuals more iconic of 1960s counterculture than the hippies - the long-haired, colorfully dressed youth who rebelled against mainstream societal values, preached and practiced love and peace, and generally sought more meaningful and authentic lives. These 'flower children' are now over sixty and comprise a significant part of the older population in the United States. While some hippies rejoined mainstream American society as they grew older, others still maintain the hippie ideology and lifestyle. This book is the first to explore the aging experience of older hippies by examining aspects related to identity, generativity, daily activities, spirituality, community, end-of-life care, and wellbeing. Based on 40 in-depth interviews with lifelong, returning, and past residents of The Farm, an intentional community in Tennessee that was founded in 1971 and still exists today, insights into the subculture of aging hippies and their keys to wellbeing are shared.

A leading expert answers your questions about how to live to your fullest with COPD. Significant lung damage from smoking, exposure in some jobs, or even diseases such as AIDS and tuberculosis can lead to COPD. Having chronic obstructive pulmonary disease can leave you feeling short of breath, sometimes reluctant to go shopping or for a walk because you are afraid of more difficulties. You may have wheezing, tightness in the chest, or frequent coughing. Although you see a doctor for your COPD, you often have questions and need answers. In this concise and practical guide, leading medical expert Donald A. Mahler answers some of the most pressing questions that he has been asked over 30 years of seeing patients with COPD, including * Why am I short of breath? * What medications can treat my COPD? * Can surgery improve COPD? * What are flare-ups-and how can I prevent them? * How can I stop smoking? * What should I do if my breathing isn't getting better? * Can exercise help? If so, which exercises are the most beneficial? * What's the best way to prevent lung infections? * How does COVID-19 affect COPD? * How can I travel with oxygen? * Can I be sexually active with COPD? and much more. Each chapter includes a patient vignette and key points. Tables and boxes offering helpful tips are included throughout. Providing up-to-date, evidence-based content that covers more than just medications, COPD gives you the tools you need to keep active-and thrive.

An encouraging and compassionate guide for dementia caregivers. Caring for someone with dementia means devotedly and patiently doing a hundred little things each day. But few care providers are trained to meet the challenges of dementia-despite the fact that millions of people will struggle with it as they grow older. In A Loving Approach to Dementia Care, Laura Wayman, who is known professionally as the Dementia Whisperer, offers practical, compassionate advice on overcoming caregiving obstacles and maintaining meaningful relationships with loved ones who have dementia and memory loss. In this thoroughly revised third edition, Wayman includes * answers to common caregiver questions, such as "What is dementia?" * a detailed explanation of how to cope with and care for a spouse with dementia symptoms, including advice about communication * a new chapter on caring for someone who has dementia along with other health problems * recommendations about how to handle challenging situations and behaviors * dementia-aware activities that work for both family caregivers and professional care staff * fresh caregiving insights that emphasize the importance of taking time to care for oneself Each chapter contains two sections-"Lessons Learned" and "Perceptions and Approaches"-which provide details about how readers can apply lessons from the stories Wayman tells to their own caregiving practice. Providing support for the numerous difficulties and disruptions that all caregivers face along the way, A Loving Approach to Dementia Care is an empathetic guide filled with respect, calm, and creativity. It will leave readers feeling empowered and inspired.

Update your knowledge of mental health services delivery in long-term care settings! Authored by experts in the field of psychology practice in long-term care (LTC), this valuable book is designed to update psychologists and educators on developments in the evolving field of geriatric mental health in LTC settings. The editors and chapter authors are scientist-practitioners who use their expertise to cover applied topics while maintaining high scientific and scholarly standards. The first section of Emerging Trends in Psychological Practice in Long-Term Care examines modifications to traditional psychotherapy techniques that make them more appropriate for long-term care patients, with chapters reviewing: group therapy in long-term care brief psychotherapy for treating depression in patients with dementia the use of autobiographical memory techniques in cognitive-behavioral treatment for depression the treatment of disruptive behaviors in LTC residents The second section covers systematic therapy approaches in LTC settings, with chapters discussing: distinctive family therapy issues in LTC an LTC systems application of behavioral treatment for depression using pleasant events a comparison of patient and staff perceptions of characteristics that contribute to the quality of LTC facilities a multidisciplinary team approach to the treatment of dementia training LTC caregivers in behavioral techniques The third section of this remarkable volume addresses the thorny ethical and legal issues unique to LTC residents, including legal definitions, requirements for obtaining informed consent from LTC patients, and confidentiality dilemmas that are unique to clinical services in long-term care. With helpful charts, tables, and fascinating case studies that illustrate clinical issues, this user-friendly text belongs on the reference shelf of everyone involved in providing mental health services to people in long-term care settings!

There is no doubt that the need for a multidisciplinary cadre of informed and skilled health professionals in geriatrics is growing as the population ages. This book was developed as a response to that need and is designed to assist health care professionals in locating some of the best materials in geriatrics available in the various disciplines. The annotations found in this volume are written clearly and concisely so that the reader can quickly grasp the essence of each reference. The book is organized into two sections, the first of which identifies resources for specific health care disciplines, and the second focuses on resources in health care issues that cut across all disciplines. Specifically, Section I (Geriatrics in the Health Care Disciplines) provides annotations for most major health care disciplines. Section II (Special Issues in Geriatric Health Care) includes ethnic and minority health issues in aging, geriatric care and older women, medical ethics in geriatrics, and new reimbursement systems for medical care for the elderly. Each chapter has been compiled by experienced geriatric professionals who are trained and actively practice in the discipline they cover. This book will be a useful tool for health practitioners, educators, and researchers involved in promoting geriatric education and quality clinical care of older adults.

This book examines the social aspects of healthy ageing for older individuals. It features more than 15 papers that explore the relevance of the social environment for health on the micro, meso, and macro level. Overall, the book applies a comprehensive contextual approach that includes discussion of how family and friends, neighborhoods, nations, and welfare regimes influence health. The book first explores the issue on the individual level. It looks at the importance of social capital for health among older people, examines types of social networks and health among older Americans, as well as discusses dynamic social capital and mental health in late life. Next, the book looks at the issue through a neighborhood and societal context, which takes into account day-to-day interaction in the immediate environment as well as the social, health, and economic policies in place in different regions in the world, including America, Europe, Asia, and Africa. From there, the book goes on to offer implications and recommendations for research and practice, including the management of related concepts of research on well-being and health. It also offers a psychosocial approach to promoting social capital and mental health among older adults. This book provides health professionals as well as researchers and students in gerontology, sociology, social policy, psychology, and social work with vital insights into the social factors that increase healthy life years and promote well-being.

This multiauthored introductory textbook could not have been conceived or brought to fruition 10 or 15 years ago. Indeed, at that time relatively little attention was accorded to the psychological needs of older adults. The general tenor of the field then was that older adults would not benefit from psychological intervention. As we now know, this was a faulty assumption that has been discredited with empirical data. Indeed, clinical research data adduced, primar ily in the last decade, clearly documents that older adults do benefit from specific psychotherapies that are tailored to their unique presentation of symptoms. Given the explosion of interest in this area (as evinced by increased investi gatory activity, national funding, and media attention) and the increased number of masters-and doctoral-level courses devoted to this topic, we felt that the time was right for a textbook in the area. Such flurry of activity also has been fueled by statistics showing how our population by the year 2030 will consist of 30% who are senior citizens. Moreover, since 12% of older adults in the community are estimated to have diagnosable psychiatric disorders and 40% to 50% of older adult medical inpatients have a concomitant psychiatric disorder, the task for clinicians in the next century will be overwhelming."

What are the boundary zones between normal aging and Alzheimer's disease (AD)? Are many elderly people whom we regard as normal actually in the early stages of AD? Alzheimer's disease does not develop overnight; the early phases may last for years or even decades. Recently, clinical investigators have identified a transitional condition between normal aging and and very early Alzheimer's disease that they have called mild cognitive impairment, or MCI. This term typically refers to memory impairment beyond what one would expect in individuals of a given age whose other abilities to function in daily life are well preserved. Persons who meet the criteria for mild cognitive impairment have an increased risk of progressing to Alzheimer's disease in the near future. Though many questions about this condition and its underlying neuropathology remain open, full clinical trials are currently underway worldwide aimed at preventing the progression from MCI to Alzheimer's disease. This book addresses the spectrum of issues involved in mild cognitive impairment, and includes chapters on clinical studies, neuropsychology, neuroimaging, neuropathology, biological markers, diagnostic approaches, and treatment. It is intended for clinicians, researchers, and students interested in aging and cognition, among them neurologists, psychiatrists, geriatricians, clinical psychologists, and neuropsychologists.