This book illustrates the imperative for late-life depression prevention, introducing a broad range of approaches to prevention and provides detailed examples of clinical applications of late-life depression prevention - all with consideration of medical and scientific, social, economic and global health perspectives. Clear guidelines are delineated for assessing, treating and preventing such conditions as depression and anxiety, dementia, psychosis and mania, sleep disturbances and personality disorders. Written by experts in the field, this text considers the complicating conditions that depression may incur higher costs and create during the course and treatment of comorbid major medical conditions that are also highly prevalent in older adults - including diabetes, hypertension and heart disease. Prevention of Late-Life Depression: Current Clinical Challenges and Priorities is an important new volume that will be useful to all providers that are concerned with the mental health of our rapidly expanding aged population.

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 trace elements. 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.

This edited volume is a compilation of 30 articles discussing what constitutes food for health and longevity. The aim is to provide up-to-date information, insights, and future tendencies in the ongoing scientific research about nutritional components, food habits and dietary patterns in different cultures. The health-sustaining and health-promoting effects of food are certainly founded in its overall composition of macronutrients and micronutrients. However, the consumption of these nutrients is normally in the form of raw or prepared food from the animal and plant sources. The book is divided into four parts and a conclusion, and successfully convenes the well-established information and knowledge, along with the personal views of a diversified group of researchers and academicians on the multifaceted aspects of nutrition, food and diet. The first part reviews the scientific information about proteins, carbohydrates, fats and oils, micronutrients, pro- and pre-biotics, and hormetins, along with a discussion of the evolutionary principles and constraints about what is optimal food, if any. The second part discusses various kinds of foods and food supplements with respect to their claimed benefits for general health and prevention of some diseases. The third part brings in the cultural aspects, such as what are the principles of healthy eating according to the traditional Chinese and Indian systems, what is the importance of mealing times and daily rhythms, and how different cultures have developed different folk wisdoms for eating for health, longevity and immortality. In the part four, various approaches which are either already in practice or are still in the testing and research phases are discussed and evaluated critically, for example intermittent fasting and calorie restriction, food-based short peptides, senolytics, Ayurvedic compounds, optimal food for old people, and food for the prevention of obesity and other metabolic disorders. The overreaching aim of this book is to inform, inspire and encourage students, researchers, educators and medical health professionals thinking about food and food habits in a holistic context of our habits, cultures and patterns. Food cannot be reduced to a pill of nutritional components. Eating food is a complex human behavior culturally evolved over thousands of years. Perhaps the old adage "we are what we eat" needs to be modified to "we eat what we are".

Geriatric urology represents one of the largest overall sectors of care provided within the specialty of urology. As the incidence and prevalence of many clinical urologic conditions increase significantly in older adults, the practice of urology involves a need for advanced knowledge of the basic principles of geriatrics. Geriatric Urology outlines important topics in the care of elderly urology patients. The first section covers the biology of aging, changes in the genitourinary system, and common diseases including urologic conditions that may serve as warning signs of other disorders. Section two covers geriatric syndromes and implications for urologic care including frailty, polypharmacy, dementia, and wound healing. Urologic conditions in older adults are explored in detail including urinary incontinence, pelvic organ prolapse, urinary tract infection, nocturia, and benign prostate diseases. Other topics covered include obtaining informed consent, development of advance directives, palliative medicine and care of the dying patient. Geriatric Urology is of great value to urologists, geriatricians, internists, residents and family practitioners.

This expanded, one-of-a-kind reference of more than 250 entries provides a comprehensive guide to all of the essential elements of elder care across a breadth of health and social service disciplines. Responding to the needs of providers, directcare workers, family, and other caregivers, the diverse array of entries included in this encyclopedia recognize and address the complex medical, social, and psychological problems associated with geriatric care. In addition to a brief, accessible summary of each topic, entries include several key references, including web links and mobile apps for additional sources of information. This updated edition contains more than 30 new entries written by renowned experts that address a variety of elder care topics. New to the Fourth Edition: New entries addressing Ethics Consultation, Eye Disorders, Pain - Acute and Chronic, and many others Key Features: Provides succinct descriptions of over 250 key topics for health and social service clinicians Offers crucial information for elder care providers across all settings and disciplines Distills current, evidence-based literature sources Written by nationally recognized expert researchers and clinicians Includes links to useful websites and mobile apps

Written by an experienced clinician and researcher in the field, this reference provides practical information on the clinical recording techniques, physiologic origins, and applications of electroretinogram (ERG), electro-oculogram (EOG), and visual evoked potential (VEP) tests.

Enormous advances in our knowledge of genetic contributions to aging and disease, and in our understanding of the potential for manipulation of the aging process, have taken place during the past 20 years. This is the first volume in decades to consolidate this research in one place. It provides a broad and current overview of the most promising advances in genetic research on aging, current understanding of genetic contributions to the basic processes of aging, and age-related disease. The Review focuses on the aging process from lower organisms to man, and is organized in ascending order of biological complexity starting with stem cells and progressing through worms, flies, mice, and humans. Where relevant, the Review also includes information about yeasts and non-human primates.

The research presented in the Review uses a species-comparative approach that makes finding cross species similarities (gene conservation) and differences (gene differentiation) apparent. This approach reflects the way in which the field is organized, making it highly useful for investigators who want quick access and a concise summary of a particular topic.

Key Features: Provides state-of-the-art information about promising advances in genetic research on aging Comprises the first comprehensive volume regarding genetic research about aging in decades Authored by leading scholars in the field Disseminates enormous advances in our understanding of the aging process

2010 AJN Book of the Year Award Winner in both Gerontologic Nursing and Hospice and Palliative Care

""This book...provides important information on best practices and appropriate ways to care for a person with Alzheimer's and advanced dementia. Drs. Martin and Sabbagh have assembled a team of experts to help craft recommendations that should ultimately become standards that all professional caregivers adopt.""-Michael Reagan
Son of former President Ronald Reagan
President, Reagan Legacy Foundation

This book testifies that caregivers can have a monumental impact on the lives of persons with advanced dementia. Through specialized programming and a renewed effort toward patient-centered care, caregivers can profoundly enrich the quality of life for these persons. Providing guidelines for health care professionals, caregivers, and family members, this book introduces palliative care programs and protocols for the treatment of people with advanced dementia.

The book is designed to guide professional caregivers in meeting the needs of patients and their families, providing insight into the philosophy, assessment, planning, implementation, and evaluation measures involved in interdisciplinary palliative care. The chapter authors offer guidelines and standards of care based on contributions from nurses, physical therapists, social workers, dietitions, psychologists, family caregivers and pastors. An exhibit at the end of every chapter clearly articulates the standards of care appropriate for all advanced dementia facilities and health care staff. This book helps caregivers:

• Enhance the physiological, psychological, social, and spiritual well-being of the patient and the patient's family
• Anticipate and meet the patient's basic human needs: hunger, thirst, body positioning, hygiene, continence, and management of any pain
• Ensure that the patient's surroundings are safe, comfortable, and homelike
• Address health care decisions that will support the patient's right to self-determination until the end of life

Caring for an elderly family member can be overwhelming. But fulfilling life experiences are still possible for both caregivers and their loved ones, despite the stress and fatigue of caregiving. Even an elderly spouse, parent, or other family member who is significantly impaired or increasingly dependent can enjoy simple pleasures and share their joy and wisdom. In this book, Ann Kaiser Stearns explores the practical and personal challenges of both caregiving and successful aging. In her engaging, conversational tone, Stearns shares stories and lessons from many resilient caregivers. She couples findings from the latest research with powerful insights and problem-solving tips to help caregivers achieve the best life possible for those they care for-and for themselves as they age. Topics include* improving the quality of life for the one giving and the one receiving care* distinguishing normal aging from early warning signs * understanding caregiver sadness, resentment, guilt, and grief* using strategies and skills to minimize an impaired elder's distress and emotional outbursts and the caregiver's own anxieties about growing old* finding resources to aid in the care of the loved one and protect the caregiver from stress overload * moving forward after the death of a loved one to have a meaningful life of one's own * overcoming ageist stereotypes and deciding what kind of "old person" one will be* making life easier for those who someday will care for us Redefining Aging will help readers think differently about caregiving and their own aging. It will also help them empathize with and interact positively with their elderly loved ones while imagining a positive future for themselves.

This comprehensive graduate textbook focuses on the full spectrum of long-term care settings ranging from family and community based care through supportive housing options to a variety of institutional long-term care alternatives. Integrating theory and practice, the book features the perspectives of diverse fields regarding current long-term care options and new directions for the future. Prominent scholars from history, environmental design, family caregiving, gerontology, social service delivery, clinical care, health service delivery, public policy, finance, law, and ethics explore such themes as relationships among independence, dependence, and interdependence; ethical considerations in the provision of long-term care; decision-making in long-term care; fluidity and transitions in long-term care; the lived experience of long-term care; and a micro-macro perspective ranging from the individual to societal institutions.

With more people living longer lives, there is increased importance in the health care industry on improving services for the elderly. This comprehensive book gives an expert overview of the topics and challenges, along with imperative ethical and legal frameworks. The book also details existing programs and benefits in relation to a realistic portrayal of population needs. Other important issues are covered such as long-term palliative care and hospice, other vulnerable populations, elder abuse, public-private collaboration, evidence-based policy-making, and much more.

Preventive Medicine and the disappearance of random causes of death in developed countries have led to ageing populations and the consequent need for radical change in health service provision. This book comes at an opportune time as the old-fashioned National Health Service is reformulated to accord better with medical need, most of which concerns the elderly population that is projected to grow until 2025. Dr Thompson's book offers the modern concept of age change to be due to human development, rather than 'decline' or 'degeneration'. The outmoded idea that a disease is something that you either have or don't have is replaced by the modern concept of homoeostatic disturbance producing changes that are at first insidious and indistinguishable from good health arE one end of the scale, but which later advance across the clinical threshold and produce gross organic disturbance. The main function of the GP lies in his longitudinal relationship with parents, requiring understanding of the diseases of ageing and reducing the rate of pathological change, so preventing as far as possible the need for rehabilitation, the function of the hospital officer.

This fortieth volume of Annual Review of Gerontology and Geriatrics focuses on economic inequality in later life. Cutting-edge chapters discuss the complex factors that can lead to advancing our understanding of economic inequalities. The volume includes perspectives on the changing pathways in later life, retirement income and security, race and associated advantages and disadvantages, and social rights for the elderly. The contributions in this volume discuss state-of-the-art research and keen insights into this increasingly important topic.Key Topics: Reconstructing Work and Retirement: Changing Pathways and Inequalities in Late Life Neoliberalism and the Future of Retirement Security Families in Later Life: A Consequence and Engine of Social Inequalities Increasing Risks, Costs, and Retirement Income Inequality Intentionality, Power, and Systemic Processes: Race and the Study of Cumulative Dis/Advantage Social Rights of the Elderly as Part of the New Human Rights Agenda: Non-contributory Pensions in Civil Society in Mexico

The Aging Self and the Aging Society Ethical issues involving the elderly have recently come to the fore. This should come as no surprise: Since the turn of the century, there has been an eightfold in crease in the number of Americans over the age of sixty five, and almost a tripling of their proportion to the general population. Those over the age of eighty-five- the fastest growing group in the country-are twenty one more times as numerous as in 1900. Demographers expect this trend to accelerate into the twenty-first century. The aging of society casts into vivid relief a num ber of deep and troubling questions. On the one hand, as individuals, we grapple with the immediate experience of aging and mortality and seek to find in it philosophical or ethical significance. We also wonder what responsi bilities we bear toward aging family members and what expectations of others our plans for old age can reasona bly include. On the other hand, as a community, we must decide: What special role, if any, do older persons occupy in our society? What constitutes a just distribution of medical resources between generations? And, How can institutions that serve the old foster imperiled values, such as autonomy, self-respect, and dignity? Only recently have we begun to explore these themes, yet already a rich and fruitful literature has grown up around them."

This collection provides a comprehensive analysis of intervention approaches to dementia caregiving. It reviews the existing knowledge and provides a conceptual framework for organizing caregiver interventions of all types. Of special interest is the design of an intervention study for a culturally diverse community. The volume concludes with a discussion of how to translate intervention research into public policy, with an assessment of the future of caregiving and caregiving intervention research.

"This is a most impressive work on a much needed and neglected area of older men who lost their spouses. Moore and Stratton listened to what these men had to say and presented us with such a rich mosaic of feelings, experiences, and hypotheses for future research."
- Leonard Poon, PhD, Dr Phil hc
Professor of Psychology
Chair, Faculty of Gerontology
Director, University of Georgia Gerontology Center

Based on the authors' intensive qualitative study of a diverse group of 51 widowers, this unique book sets widowhood within the context of life experience. It identifies characteristics and patterns of behavior that contribute to widower's success, as well as lack of success, in adjusting satisfactorily to their circumstances.

This newly expanded and updated fifth edition will be the largest and most comprehensive of the five editions and new topics and chapter authors have been added. The authors have created the most comprehensive and up-to-date review of the nutritional strategies available for the prevention of disease and the promotion of health through nutrition. Patients are looking for credible information from their health care providers about a whole range of subjects covered here, including ss-carotene, lycopene, antioxidants, folate, and the myriad of bioactive phytochemicals found in garlic and other foods. With sections on cardiovascular disease, diabetes, and pregnancy among many others, this volume will be of great value to practicing health professionals, including physicians, nutritionists, dentists, pharmacists, dieticians, health educators, policy makers, health economists, regulatory agencies and research investigators. An entire section covers nutrition transitions around the world including Eastern Europe, Latin America and Asia as well as goals for preventive nutrition in developing countries. Preventive Nutrition: The Comprehensive Guide for Health Professionals, 5th Ed. is an important resource for thousands of health professionals who have been utilizing the previous editions since 1997.

This book documents the state of the art in the field of ambient assisted living (AAL), highlighting the impressive potential of novel methodologies and technologies to enhance well-being and promote active ageing. The coverage is wide ranging, with sections on care models and algorithms, enabling technologies and assistive solutions, elderly people monitoring, home rehabilitation, ICT solutions for AAL, living with chronic conditions, robotic assistance for the elderly, sensing technologies for AAL, and smart housing. The book comprises a selection of the best papers presented at the 9th Italian Forum on Ambient Assisted Living (ForitAAL 2018), which was held in Lecce, Italy, in July 2018 and brought together end users, technology teams, and policy makers to develop a consensus on how to improve provision for elderly and impaired people. Readers will find that the expert contributions offer clear insights into the ways in which the most recent exciting advances may be expected to assist in addressing the needs of the elderly and those with chronic conditions.

State-of-the-art developments in multiple new technologies for older adult care. Grounded in a unique team-based geriatrics perspective, this book delivers a broad range of current, evidence-based knowledge about innovative technology that has the potential to advance the care and well being of older adults. It provides key information about the development, selection, and implementation of technology products, and describes research evidence, education-based initiatives, and systems thinking. The book also examines challenges and barriers to implementation, adoption and innovation. From telehealth and assistive technology in the home to simulation and augmented reality in educational settings, the text provides a hands-on, field-tested articulation of how products can aid in the transitional care process, chronic care delivery, and geriatrics/gerontology education. It discusses technology developments in rural areas, home telehealth, wearable technology, personalized medicine, social robots, technology to assist seniors with cognitive impairments, the potential of artificial intelligence to enhance health care of older adults. The text is written to help health care professionals select the appropriate technology for their needs. Key Features: Describes the most current technology resources, evidence, and developments for older adult care Based on a team-centered approach Written by interprofessional health care providers experienced in implementing, developing and adopting technology to assist older adults Includes case studies depicting technology-related successes and failures Addresses the challenges, barriers, and opportunities for transforming aging with technology across transitions of care

The second edition contains updated resources, research institution information and a listing of treatment and care facilities in the United States. Additions to the encyclopedia section include advances in Alzheimer's disease research, genetics, diagnostic procedures, treatment, alternative medicine, brain plasticity, risk factors, clinical trial information, nursing home safety, and preventive measures. In addition the book describes medical treatments used in other countries and the results of collaborative efforts such as the recent global imaging test initiatives and the Prevent Alzheimer's Disease by 2020 Project.

A ground-breaking new volume and the first of its kind to concisely outline and explicate the emerging field of whole person care process, Whole Person Care: A New Paradigm for the 21st Century organizes the disparate strains of literature on the topic. It does so by clarifying the concept of 'whole person' and also by outlining the challenges and opportunities that death anxiety poses to the practice of whole person care. Whole person care seeks to study, understand and promote the role of health care in relieving suffering and promoting healing in acute and chronic illness as a complement to the disease focus of biomedicine. The focus is on the whole person -- physical, emotional, social, and spiritual. Using concise, easy-to-read language, the early chapters offer practitioners a thorough understanding of the concepts, skills and tools necessary for the practice of whole person care from a clinician-patient interaction standpoint, while the last two chapters review the myriad implications of whole person care for medical practice. An invaluable resource for all areas of medical practice and for practitioners at all stages of development, from medical students to physicians and allied health providers with many years of experience, Whole Person Care: A New Paradigm for the 21st Century will have a profound impact on western medical practice in North America and elsewhere. Content Level Professional/practitioner

Focusing on the need for developing new service delivery models for the aged, Health Care of the Aged examines fiscal, political, and social criteria influencing this challenge of the 1990s. The aged are caught in the sweeping changes currently occuring in the financing, organizing, and delivery of human and health care services. From various perspectives, this new book will help shape the direction for elderly health care program development and implementation. With an emphasis on greater long-term care in either home, community, or institutional settings, this important book will increase the understanding for a comprehensive, effective policy designed to carry the growing number of elderly through this decade and into the next. As roles and issues change, this valuable book will become increasingly important to those involved in providing services and care to the elderly. Health care administrators, policymakers, social workers, physical and occupational therapists, and caregivers will benefit from the expertise presented in Health Care of the Aged.

This volume provides the non-biologist an overview of what is known about the physiological bases of aging. The author examines the many basic theories and emerging hypotheses underlying the molecular, cellular, and systemic processes involved in senescence. He addresses the normal physiological changes that characterize the aging phenotype, and also considers the role of many age-associated diseases in growing older. Masoro synthesizes a much-needed "unified theory" of biological aging to which explains how and why the body grows into the condition we call "old." This text is intended for gerontology students in training, as well as for human physiologists interested in gerontology.

Your indispensable guide to taking charge of the second half of your life. From Dr. Rosanne M. Leipzig, a top doctor with more than 35 years of experience caring for older people, Honest Aging is an indispensable guide to the second half of life, describing what to expect physically, psychologically, functionally, and emotionally as you age. Leipzig, an expert in evidence-based geriatrics, highlights how 80-year-olds differ from 60-year-olds and why knowing this is important for your health. With candor, humor, and empathy, this book will provide you with the knowledge and practical advice to optimize aging. The book * helps you recognize age-related changes in your body and mind and understand what's typical with aging and what's not; * offers guidance for common health concerns, including problems with memory, energy, mood, sleep, incontinence, mobility and falls, hearing and vision, aches and pains, gastrointestinal problems, weight, and sex; * shares advice on how to make decisions about health care, driving, and where to live; * includes helpful checklists and lists of medications to prepare for doctor and hospital visits; * recommends the best technology options, such as mobility devices, emergency device systems, and more; * counters common myths about aging; and * offers resources for additional information, self-help, and support. Enriched by illustrations, patient stories, and deep dives into science and the latest research, Honest Aging gives you the tools to take control of your health and well-being as you age.

For many people growing old means facing one or more chronic diseases. "Successful Aging and Adaptation with Chronic Diseases" reviews, coalesces, and expands what we know about how older adults successfully experience the aging process and how they feel about and live with chronic illnesses.

Questions considered include: How do older adults approach and deal with everyday-life when affected by multiple health problems? What kind of impact do they feel diseases have on their successful aging? How do existent models and theories of coping address these issues?

Presenting research funded by the AARP Andrus Foundation, this book brings together contributions by originators in the field, including Robert Kahn and Ann Whall. This volume is sure to be a seminal reference point for future research.