Zur Einordnung der einzelnen Wirkstoffe wird auch die PRISCUS-Liste berücksichtigt. Die A-Z Struktur, in der die Psychopharmaka-Profile aufgelistet sind, ermöglicht eine gezielte Suche und schnelles Finden der gwünschten Information. Die Listen geordnet nach Handelsnamen und nach Wirkstoffen unterstützt ebenfalls das schnelle Nachschlagen. Ein praktisches Taschenbuch zum schnellen Nachschlagen für Pflegefachkräfte in stationären und ambulanten Pflegeeinrichtungen. Aber auch Krankenpflegekräfte, Hausärzte und Medizinische Fachangestellte können von diesem übersichtlichen Nachschlagewerk profitieren. Für einen verantwortungsvollen und bewussten Umgang mit Psychopharmaka in der Betreuung älterer Menschen. Erhebungen zeigen, dass oft zu schnell und zu viele Psychopharmaka an ältere Menschen verabreicht werden. Insbesondere pflegebedürftige Menschen haben unter den Folgeerscheinungen wie z.B. Desorientierung, erhöhte Sturzgefahr, Immobilität zu leiden. Diese Einschränkungen zeigen sich im Alltag und können meist nur durch beobachtende Pflegekräfte erkannt und an den Arzt weitergetragen werden. Dieses praktische Taschenbuch vereint wichtiges Basiswissen häufiger Psychopharmaka und deren Wirkung bzw. unerwünschten Nebenwirkungen bei älteren Menschen. Der Fokus liegt auf den Fakten, die in der Pflege und Betreuung relevant sind, wie z.B. ... Durch das Wissen können Veränderungen bzw. Verschlechterungen des Gesundheitszustandes Pflegebedürftiger besser eingeschätzt und als mögliche Wechselwirkung oder Folgeerscheinung eines Medikaments erkannt werden. Dieses Wissen befähigt Pflegekräfte in der Kommunikation mit dem Arzt, besser auf negative Wechselwirkungen und Folgeerscheinungen einer eingestellten Medikation aufmerksam zu machen und nach einer Optimierung der Dosierung und Einstellung im Sinne des Senioren zu suchen. Neben der Aufklärung über Wirkung und Nebenwirkung einzelner Medikamente werden alternative Angebote aus z.B. der Basalen Stimulation, Seelsorge, Physiotherapie, Ergotherapie, Aromatherapie vorgestellt, mit denen Therapieziele ebenso erreicht werden können. Durch das fundierte Hintergrundwissen aus diesem Buch gelingt es Pflegekräften auf Augenhöhe mit dem Arzt zu kommunizieren, negative Wechselwirkungen schneller zu erkennen und somit dazu beizutragen, dass diese reduziert werden und weniger Psychopharmaka verabreicht werden, was immer die Lebensqualität der betroffenen Senioren erhöht.

The ability to effectively assess cognitive and other behavioral functions is an essential skill for neurologists, psychiatrists, geriatricians, nurses, and other clinicians who perform clinic and bedside examinations. Unique in the field, The Mental Status Examination Handbook is a user-friendly, comprehensive resource that provides practical guidance on cognitive assessment, clarifies mental status testing procedures, and assists with decision making for neuropsychological referrals. This detailed manual draws from the full history of behavioral neurology testing, making the complex and challenging area of cognitive assessment accessible for both students and practitioners. Offers guidance on how to choose and perform a large number of mental status tests, with information on selected test materials and normative values. Covers the bedside evaluation of arousal, attention, memory, language, perception, executive abilities, and other cognitive and behavioral areas. Provides an authoritative assessment and compendium of commonly used mental status scales, inventories and questionnaires. Describes relevant correlations with formal neuropsychological testing, neuroimaging, and neuropsychiatric disease. Explains how to weigh, use, and understand mental status scales and neuropsychological instruments. Discusses the meaning of cognitive symptoms and signs, and their neuroanatomical and neuropathological correlations. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

The growing incidence of depression in old age has stimulated considerable research activity in recent years. Underdetected and undertreated, it is a profoundly disabling condition associated with a high rate of suicide. However, an enthusiastic approach to its detection and management can considerably improve an otherwise poor prognosis. Depression in Old Age is a distillate of the research information currently available, describing the causes, epidemiology and presentation of depression in the elderly. The book also provides guidance on the detection and management of depression as well as reviewing the psychosocial and biological contributors to its aetiology and prognosis. It will be required reading for those researching, or involved in, the areas of psychiatry, psychology, medicine, social work and primary care.

This comprehensive update offers practical advice for professionals working in neuropsychology with older adults. Focusing on fundamentals, common issues, special considerations, and late-life cognitive disorders, respected names in this critical specialty address a wide range of presenting problems and assessment, diagnostic, and treatment concerns. Th roughout, coverage pays keen attention to detail, bringing real-world nuance to large-scale concepts and breaking down complex processes into digestible steps. And like its predecessor, the new Handbook features recommendations for test batteries and ends each chapter by extracting its "clinical pearls." A sampling of the topics covered: * Assessment of depression and anxiety in older adults. * The assessment of change: serial assessments in dementia evaluations. * Elder abuse identifi cation in older adults. * Clinical assessment of postoperative cognitive decline. * Cognitive training and rehabilitation in aging and dementia. * Diff erentiating mild cognitive impairment and cognitive changes of normal aging. * Evaluating cognition in patients with chronic obstructive pulmonary disease. This Second Edition of the Handbook on the Neuropsychology of Aging and Dementia offers a wealth of expert knowledge and hands-on guidance for neuropsychologists, gerontologists, social workers, and other clinicians interested in aging. Th is can be a valuable reference for those studying for board certifi cation in neuropsychology as well as a resource for veteran practitioners brushing up on key concepts in neuropsychology of age related disorders.

Renowned experts in adult development and aging, Manfred Diehl and Hans-Werner Wahl synthesize decades of psychological research into a comprehensive volume that considers later life in the context of lifespan development, social and physical environmental factors, and historical-cultural influences. In so doing, they review important research on cognitive functioning, behavioral processes, personality and identity development, and overall well-being in middle- to late-adulthood. Diehl and Wahl's framework helps readers better understand that the development process is influenced by many facets and can take many different trajectories. Through this contextualized perspective, they examine the influence that previous life experiences, beginning in early childhood, can have on the aging process in older adults. This includes social relations, technological developments, societal perspectives on aging, and education. The authors also examine the challenges and opportunities of aging, using a strengths-based approach to promote a diverse, nuanced understanding on successful, healthy aging. Chapters also conclude with dialogues from other experts in the field, offering multiple different perspectives on the research.

Rheumatoid arthritis is an autoimmune disease in which inflammation plays a major role in causing joint problems. Warmth and swelling in the joints, along with significant stiffness and pain, can make daily life difficult. Many people with rheumatoid arthritis also experience fatigue, low-grade fever, loss of appetite, depression, and muscle aches.

In this, the third edition of "Living with Rheumatoid Arthritis, " Tammi L. Shlotzhauer describes new findings about causes and treatments, including - New research on risk factors and triggers, including pathologic bacteria in the digestive tract, smoking, and exposure to pollutants and chemicals- Lifestyle and diet modifications that can help avoid potential triggers - How stress contributes to inflammation and other symptoms - Information about new biologic disease-modifying drugs - Promising research on biomarkers that may generate a personalized approach to treatment - Remarkable gains in reducing disability, hospitalizations, and surgeries

In addition to explaining the causes, symptoms, and treatment options for people who have rheumatoid arthritis, Dr. Shlotzhauer offers practical strategies for coping with the pain, fatigue, and emotional toll of a chronic illness. She provides new information on associated diseases such as osteoporosis, tips for finding safe and reliable information online, and information on how to get an accurate diagnosis.

This book aims to fill knowledge gap among healthcare workers about Clostridium difficile (also known as C.difficile and CDI) among aging patients, especially those in long-term care facilities (LTCFs). Written by experts in infectious diseases and geriatric medicine, this book provides comprehensive information on all aspects of CDI pertaining to LTCF settings, including epidemiology, diagnosis, prevention, management and the unique challenges faced by LTCFs with regards to the CDI problem. The book begins by introducing the topic as it relates to aging patients before delving into the various aspects of CDI management. Topics include infection control and prevention, treatment of CDI, and the establishment of antibiotic stewardship programs to reduce inappropriate antibiotic use and reduce CDI rates. The book also features a chapter on probiotics for the prevention of CDI and new strategies to monitor environmental cleaning practices of CDI patient rooms that do not appear in any other resource. Clostridium Difficile Infection in Long-Term Care Facilities is an excellent resource for geriatricians, infectious diseases specialists, long-term care administrators, nurses, pharmacists, researchers, and all clinicians working with infections in long-term care settings.

Some well-known age-related neurological diseases include Parkinson's disease, Alzheimer's disease, deafness, and blindness. Even more common are the problems of aging which are not due to disease but to more subtle impairments in neurobiological systems, including impairments in vision, memory loss, muscle weakening, and loss of reproductive functions, changes in body weight, and sleeplessness. As the average age of our society increases, diseases of aging continue to become more common, and conditions associated with aging need more attention by doctors and researchers. In 1991, patients over the age of 65 saw their doctors an average of eight times per year. Research funding is provided by the Neuroscience and Neuropsychology of Aging (NNA) Program, which is run by the National Institute on Aging. This book offers a comprehensive overview of all topics related to functional impairments which are related to the aging brain and nervous system. It is organized according to four general functions: movement, senses, memory, and neuroendocrine regulation. Written by the leading researchers in the field, this comprehensive work addresses both impairments associated with diseases and not associated with diseases, making it easier to understand the mechanisms involved. Functional Neurobiology of Aging is an important reference for professionals and students involved in aging research, as well as physicians who need to recognize and understand age-related impairments.
Key Features
* Organized by function, making it easy to find and understand the material
* Addresses impairments both associated with diseases and not associated with diseases
* Written by leading researchers in the field
* Most comprehensive source of information on the neurobiology of aging

This is the first of two volumes that draw on the specialized insights and extensive clinical experience of phoniatric experts in order to offer a basis for the development of concerted European training standards in phoniatrics, with the goal of guaranteeing a high quality of care for European patients in all age groups. The interdisciplinary character of phoniatrics is mirrored in the inclusion of valuable contributions from a range of other medical and non-medical disciplines. This volume focuses on voice disorders and disorders of language and hearing development. In each case a wide range of particular kinds of communication loss are considered. Basic aspects are fully addressed, and guidance provided on diagnostic methods, differential diagnosis, prevention, treatment/rehabilitation, and prognosis. An introductory section also discusses the fundamentals of phoniatrics. The reader will benefit from numerous color photos and tables as well as supplementary electronic material, including audio and video examples. This book is intended for residents and practitioners in phoniatrics and also for ENT physicians, medical students, logopedists, and speech and language pathologists and therapists.

This book provides a comprehensive research-based source of material, which focuses on the important issue of dementia and family care. It critically examines how dementia is defined, diagnosed and "treated" and provides a new environmentally focused approach to this challenging and growing issue for nurses and other care givers.

The Aging Skeleton is a comprehensive and timely book on all aspects of the skeleton as it ages, including basic mechanisms and pathways as well as pathobiology. Chapters cover general aspects and models of aging, determinants and maintenance of peak bone mass, mechanisms of age-related bone loss, quantifiable manifestations of age-related bone loss, fractures, and therapeutics.
Key Features
* Covers all aspects of the aging skeleton in one comprehensive volume
* Looks at the influence of genetics, nutrition, environment, hormones, and other factors on bone mass
* Provides a thorough discussion of fractures, one of the major consequences of the aging skeleton
* Reviews current therapeutic approaches and methods
* Written by internationally renowned authors and edited by leaders in the field
* Is the only book available on this subject

A much needed practical nursing text addressing the complex problems posed by the growing number of elderly people with mental health problems. The book can be used as an everyday companion for qualified nurses or for teaching health care assistants and students about practical interventions, therapeutic approaches and for developing knowledge and attitudes. Wider issues are considered, including the care continuum through acute to continuing care, and different care environments. * Practical advice for dealing with every-day problems * Examines common mental health problems in depth, to develop nurses' understanding of clients' needs * Positive approach, challenging stereotypical views and giving guidance for good care practices

Demographically, the care of older people is a growing area of concern. The growth in nursing care in this area has been tremendous both within and without the NHS. Nursing texts have tended to be limited to medical aspects of ill-health, but nursing older people as a specialty is developing a much more positive, holistic focus. This book provides a practice-based text concentrating on how nursing should focus on positive aspects of care and developing quality of life. Growing older is often regarded purely in negative terms and this has a profound influence on the practice of caring for older people. This innovative text focuses on promoting a positive approach to practice and the value of older people in our society. Unlike other books in this field, it avoids a medical approach and instead focuses on health, individuality and relationships in caring--the quality of life which should be the aim of care. Section 1--Values, Attitudes and Beliefs: cultural perspectives, choice and autonomy, risk management Section 2--Optimum Health: positive approaches to health, sexuality, spirituality, social networks Section 3: Therapeutic Interventions: communication, touch, sensory environments, relaxation Section 4: Future Issues: outcome measures, resource issues, policy dimensions. Drawing on a range of contributors from the fields of learning disabilities and mental health as well as adult health, the editors have recognised that many different disciplines can contribute to developing new partnerships in approaches to care. Practice-focused, the text features case studies and activities extensively to encourage readers to reflect on their own values and experiences and the experiences of older people. This practice-based text will inspire both students and practitioners working with older people to reflect upon their practice, think differently and discover new approaches to care.positive approach integrates theory and practice from different disciplines chapters included on innovative practical approaches to therapeutic communication including the use of touch and relaxationcolour plate section extensive use of case studies provides links to readers practiceuser-friendly text design includes reflection and discussion points

Cultivate confident, wellness-oriented care for older adults across a changing healthcare environment with the latest evidence-based coverage of gerontological nursing. Nursing for Wellness in Older Adults, 9th Edition, fosters students' understanding of both the physiologic and psychosocial aspects of aging, as well as common risk factors that may interfere with optimal health and functioning. Organized around the author's Functional Consequences Theory for Promoting Wellness in Older Adults and extensively updated to reflect current issues in gerontological practice, this trusted text equips students to work proactively with older adults to promote high levels of functioning and quality of life, despite limitations that may accompany aging, disease, and related conditions.

< B> Handbook of the Aging Brain< /B> brings together diverse scientific disciplines to cover the most recent research findings in an easy-to-read summary. Scientists and clinicians will find a wide spectrum of subjects including gerontology, neurology, psychology, molecular biology, and cellular biology. The book includes general chapters on the neuroanatomy and neurobiology of the aging brain, and moves on to discussion of specifics including signal transduction, cell death, and specific cellular and neurological changes associated with dementia, Alzheimer's and Parkinson's Disease. Other chapters discuss the affect of aging on learning and memory, language, and cognition.

This book provides a comprehensive and systematic state-of-the science review of major primary care delivery models, how they address specific needs of older adults, and available evidence for their efficacy. Written by experts in the field, this book explores the patient-centered medical home model (PCMH) in depth and dives into the complexities of the "medical neighborhood". It describes and analyzes primary care specifically directed toward special, complex populations, such as the Health Home for safety net patients with mental health needs, and intensive primary care for older adults. It reviews an array of primary care models related to dual eligible patients including the GRACE primary care consultation model and PACE models. It describes primary care with Advanced Practice Nurses and Physician Assistants and explores in-depth the massive effort within the VA to develop the Patient Activated Care Team (PACT), a VA form of the PCMH that also has several offshoots that address complex older veterans and veterans with severe mental illness. Finally, it illuminates rarely discussed primary care that occurs within the home and within long-term care. Throughout the entire book, experts navigate the workforce, care quality, and financing challenges of primary care for older adults. Primary Care for Older Adults is a valuable resource for clinicians, researchers, patients, caregivers and their advocates, and policy makers who have an interest in designing, promoting, and implementing high quality primary care for older adults.

This book offers focused and concise coverage of all issues relating to malnutrition in the field of neurology, and in particular addresses practical aspects of nutritional support from a neurology perspective. In addition to providing basic knowledge on important nutritional concepts (body metabolism, assessment and diagnosis of malnutrition, epidemiology, enteral/parenteral nutrition), detailed information is presented on nutritional support for various neurologic disorders handled in a variety of settings, including the neurointensive care unit. Much consideration is also given to the diagnosis and management of dysphagia, which is a common and highly critical cause of malnutrition in these patients. Finally, the newly developing concept of neuronutrition (or brain foods) - the use of certain nutrients for treatment of neurologic disorders - is discussed. By providing practical solutions to commonly encountered challenges in the nutritional management of neurologic patients, this book will prove a valuable resource for practicing neurologists in a wide variety of fields. It will also be very useful for medical personnel from other specialties such as clinical nutrition, critical care, and geriatric medicine.

Your best tool to optimize patient care by minimizing restraint use Frontline nurses face fraught decisions every day about whether and how to use restraints in dementia care. They need to consider many complicated issues: legislation governing the use of restraints, the policies of health-care facilities, the expectations of families, and--most importantly--the well-being, dignity, and safety of patients and care providers. Frontline nurses need the right support to navigate decisions about restraint use. Dr. Atul Sunny Luthra and his colleagues have developed an algorithm to provide that support. Their work comes from focus-group consultations with frontline staff, a review of current literature on restraint use, and a clear summary of key legislation. The algorithm's systematic approach ensures restraints are a last-resort measure, and puts the right steps in place when restraints are necessary. This short guide includes: A review of nurses' perspectives on restraint use. Alternatives to restraints in patient management and assessment of clinical indicators for restraint use. Procedures to ensure informed consent when restraints are necessary. A reference on appropriate and inappropriate restraint use in everyday clinical situations.

The proportion of the population of octogenarians and elderly patients presenting for intensive care is rapidly increasing thus exacerbating the need to modify our critical care management to cater for this patient group. This book will provide practical guidance on all issues related to the critical care of elderly patients, incorporating physiological and epidemiological information, clinical guidance, ethical and end-of-life issues and advice about optimal use of drugs and new technologies. Complications of polypharmacy, high-risk surgery and increased recovery times are also discussed. Chapters are concise, each including a list of key points and summary of available data, making this a quick reference for experienced consultants, as well as a useful resource for trainees preparing for exams.

This open access book turns the research attention of social policy scholars and long-term care researchers from comparative descriptions of care systems, focusing mostly on expenditures and volumes of long-term care services, to outcomes, and in particular to the question whether older people really receive the support that they need. Without knowledge about which needs and which social groups are currently inadequately covered, it is impossible to guide policy development. The book puts forward a novel theoretical framework to guide future research work and public discussion on the issue of unmet long-term care needs, by broadening the current discussion so that inadequate care is seen in its societal and policy contexts, taking structural issues and policy designs into account. Kroeger outlines three different domains of care poverty (personal care poverty, practical care poverty and socio-emotional care poverty) and differentiates between main methods how unmet needs are measured. This book summarises the existing knowledge on the prevalence, factors and consequences of unmet care needs and interprets these comparatively in the light of social inequalities and care policy models of different welfare states. It will be invaluable to students and scholars of social policy, social work, social gerontology, sociology and political science, and to all disciplines across the field of social sciences that study welfare state policies and care for older people.

This book provides up-to-date guidance on optimal care of the patient with an underactive bladder. It covers all aspects of management, including clinical evaluation, urodynamic diagnosis, standard care, drug therapy, and emerging treatment options. Nursing issues are extensively discussed, and advice offered on the use of catheters and avoidance of catheter-related complications. Further chapters address epidemiology, pathophysiology, animal modeling, and health care costs. While most practitioners are familiar with overactive bladder, the converse condition of underactive bladder has generally remained far below the radar. As a consequence, there is still a lack of empirically validated treatments and effective treatment strategies. This is a matter of concern, especially as the burden of the condition is expected to rise in line with the aging of global populations. The Underactive Bladder is a major step forward in raising awareness, exploring best practices in patient care, and searching for future therapies. It will be invaluable for urologists, geriatricians, other specialists, researchers, and nurses.

To reveal the concrete threats to personal autonomy in long-term care, George Agich's book offers a framework for developing an ethic of long-term care within the complex environment in which many dependent and aged people find themselves. Previously published as Autonomy and Long-term Care (Oxford, 1993), this revised edition in paperback has wide appeal among bioethicists and health care professionals.