Demographic trends confirm what clinicians already know - they are spending increasing amounts of time dealing with older people. This new "ABC" provides an introduction to the new and increasing challenges of treating older patients in a variety of settings.

"ABC of Geriatric Medicine" provides an overview of geriatric medicine in practice. Chapters are written by experts, and are based on the specialty geriatric medicine curriculum in the UK.

"ABC of Geriatric Medicine" is a highly illustrated, informative, and practical source of knowledge, with links to further information and resources. It is an essential guide where management of the ageing population is a major health issue - for hospital and family doctors, students, nurses and other members of the multi-disciplinary team.

This issue of Medical Clinics, guest edited by Dr. Danelle Cayea, is devoted to Geriatrics. Articles in this important issue include: Thoughtful prescribing and deprescribing, Identifying goals of care, Overview of brief, high yield geriatrics assessment for clinic and hospital, Fall prevention, evaluation, and treatment, Cognitive impairment evaluation and management, Urinary and bowel symptoms, Sadness and worry in older adults, Chronic pain syndromes in older adults, Osteoporosis, Evaluation and management of difficult symptoms of older adults primary care, Perioperative assessment and management, Challenges related to safety and independence, and much more.

This issue of Clinics in Geriatric Medicine, edited by Drs. Dan Blazer and Susan Schultz, will cover a number of important aspects of Geriatric Psychiatry. Topics in this issue include, but are not limited to: Delirium in the elderly, Depression and cardiac disease in later life, Schizophrenia in later life, Anxiety Disorders in later life, Neurological changes and depression, Behavioral Changes with Alzheimer's Disease and Vascular Dementia, Palliative Care in Dementia and Chronic Mental Illness, Collaborative Care for the elderly with psychiatric disorders, and Post Traumatic Stress Disorders in the elderly.

Offering a comprehensive look at physical therapy science and practice, Guccione's Geriatric Physical Therapy, 4th Edition is a perfect resource for both students and practitioners alike. Year after year, this text is recommended as the primary preparatory resource for the Geriatric Physical Therapy Specialization exam. And this new fourth edition only gets better. Content has been thoroughly revised to keep you up to date on the latest geriatric physical therapy protocols and conditions. Five new chapters have also been added to this edition to help you learn how to better manage common orthopedic, cardiopulmonary, and neurologic conditions; become familiar with functional outcomes and assessments; and better understand the psychosocial aspects of aging. In all, you can rely on Guccione's Geriatric Physical Therapy to help you effectively care for today's aging patient population. Comprehensive coverage of geriatric physical therapy prepares students and clinicians to provide thoughtful, evidence-based care for aging patients. Combination of foundational knowledge and clinically relevant information provides a meaningful background in how to effectively manage geriatric disorders Updated information reflects the most recent and relevant information on the Geriatric Clinical Specialty Exam. Standard APTA terminology prepares students for terms they will hear in practice. Expert authorship ensures all information is authoritative, current, and clinically accurate. NEW! Thoroughly revised and updated content across all chapters keeps students up to date with the latest geriatric physical therapy protocols and conditions. NEW! References located at the end of each chapter point students toward credible external sources for further information. NEW! Treatment chapters guide students in managing common conditions in orthopedics, cardiopulmonary, and neurology. NEW! Chapter on functional outcomes and assessment lists relevant scores for the most frequently used tests. NEW! Chapter on psychosocial aspects of aging provides a well-rounded view of the social and mental conditions commonly affecting geriatric patients. NEW! Chapter on frailty covers a wide variety of interventions to optimize treatment. NEW! Enhanced eBook version is included with print purchase, allowing students to access all of the text, figures, and references from the book on a variety of devices.

Many practitioners are hesitant to treat mental health issues in older adults, believing that special expertise is required to do so effectively. DSM-5 Pocket Guide for Elder Mental Health is based on the premise that all practitioners can acquire the confidence needed to work with older patients. Primary care practitioners, clinical psychiatrists, psychiatric nurses, psychiatric residents, and resident fellows are just some of the professionals who will benefit from memorable cases that illustrate how the presented information can quickly be applied to the reader's own patients, handy mnemonics that make complex diagnostic information easy to commit to memory, and informative tables that help readers easily locate DSM-5 information for billing purposes. All of the information presented in this guide is grounded in real-world advice, so readers can be confident that the information provided is practical and clinically based as they learn how to * Perform 15- and 30-minute diagnostic interviews* Recognize the main elements of the most common mental health disorders* Reach an initial diagnosis* Engage patients in psychosocial, psychotherapeutic, and psychopharmacological treatment plans and work with caregivers* Know when to refer patients for additional subspecialty mental health treatment. With expert consensus threaded throughout, DSM-5 Pocket Guide for Elder Mental Health is the ideal companion for trainees and seasoned professionals alike, who will find the thoughtful, practical information they need to efficiently and effectively employ DSM-5 as part of comprehensive diagnostic interview and treatment planning for their older patients.

This issue of Clinics in Geriatric Medicine, guest edited by Drs. Carlos Singer and Stephen G. Reich, is devoted to Parkinson Disease. Articles in this issue include: Parkinson Disease: An overview of epidemiology, pathology, genetics and pathophysiology; Diagnosis and Differential Diagnosis of Parkinson Disease; Tremor in the Elderly: Is it Parkinson Disease?; Management of Early Parkinson Disease; Management of Advanced Parkinson Disease; Orthostatic Hypotension in Parkinson Disease; Management of Urological and Sexual Dysfunction in Parkinson Disease; Gastrointestinal Care of the Parkinson Patient; Cognitive Impairment and Dementia in Parkinson Disease; Depression and Anxiety in Parkinson Disease; Hallucinations, Delusions, and Impulse Control Disorders in Parkinson Disease; Sleep Disorders in Parkinson Disease; Orthopedic Care of the Parkinson Patient; Driving in Parkinson Disease; Palliative Care in Parkinson Disease; Multidisciplinary Care of Parkinson Disease: Fall prevention, fatigue, exercise, rehabilitative therapies, caregiver strain; and Hospitalization of the Patient with Parkinson Disease.

Sicher und kompetent pflegen Dieses kompakte Praxisbuch unterstutzt Pflegefachkrafte in der ambulanten Pflege mit pragnanten Beschreibungen zur Vorbereitung und Durchfuhrung von Pflegemassnahmen, dazu zahlreiche Praxistipps. Ideal zum Nachschlagen und Auffrischen fur Anfanger, Wiedereinsteiger und Umschuler. Aus dem Inhalt Tagliche Pflegemassnahmen wie Haut-, Intim-, Abendpflege Spezielle Massnahmen wie Absaugen, Katheteranlage, PEG- und Stomaversorgung Unterstutzende Massnahmen, z.B. Wickel, therapeutische Waschungen Prophylaxen, u.a. Dekubitus und Dysphagie Wundmanagement Handlungsanweisungen fur Notfalle, z.B. Schock, Atemnot Rechtliche Hinweise, u.a. zur Schweigepflicht, Vorsorgevollmacht und freiheitsentziehenden Massnahmen

This book provides a comprehensive view of rational suicide in the elderly, a group that has nearly twice the rate of suicide when chronically ill than any other demographic. Its frame of reference does not endorse a single point-of-view about the legitimacy of rational suicide, which is evolving across societies with little guidance for geriatric mental health professionals. Instead, it serves as a resource for both those clinicians who agree that older people may rationally commit suicide and those who believe that this wish may require further assessment and treatment. The first chapters of the book provides an overview of rational suicide in the elderly, examining it through history and across cultures also addressing the special case of baby boomers. This book takes an ethical and philosophical look at whether suicide can truly be rational and whether the nearness of death in late-life adults means that suicide should be considered differently than in younger adults. Clinical criteria for rational suicide in the elderly are proposed in this book for the first time, as well as a guidelines for the psychosocial profile of an older adult who wants to commit rational suicide. Unlike any other book, this text examines the existential, psychological, and psychodynamic perspectives. A chapter on terminal mental illness and a consideration of suicide in that context and proposed interventions even without a diagnosable mental illness also plays a vital role in this book as these are key issues in within the question of suicide among the elderly. This book is the first to consider all preventative measures, including the spiritual as well as the psychotherapeutic, and pharmacologic. A commentary on modern society, aging, and rational suicide that ties all of these elements together, making this the ultimate guide for addressing suicide among the elderly. Rational Suicide in the Elderly is an excellent resource for all medical professionals with potentially suicidal patients, including geriatricians, geriatric and general psychiatrists, geriatric nurses, social workers, and public health officials.

The development of 'ageless' mental health services means that an increasing number of clinicians are now required to work with older people. Cognitive Behavioural Therapy is recognised by all recent meta-analyses as the most effective therapy, yet few clinicians are trained specifically in its usage with the elderly. This book is a detailed guide to using CBT with older people both with and without cognitive difficulties. Reviewing its use in different settings, it covers both conceptual and practical perspectives, and details everything from causes and initial assessment to case formulation and change techniques. Case studies in both depression and dementia are used to illustrate how CBT should work and how positive effects can manifest themselves. Suitable both for trainees and experienced therapists, this book will be essential for anybody using cognitive behavioural therapy in their work with older people, regardless of their clients' levels of cognitive ability.

Written by leading experts in the field, "Cardiovascular Diseases and Health in the Older Patient "covers the epidemiology, pathophysiology and management of cardiovascular disease in the older patient. Based on and expanded from the cardiovascular section in "Pathy's Principles and Practice of Geriatric Medicine," Fifth Edition, this book provides authoritative, practical information on one of the major diseases of old age. An excellent reference for clinical and pre-clinical levels, it's a must-have resource for geriatricians, cardiologists, and GPs, as well as cardiac specialist nurses and advanced practice nurses.

This issue of Clinics in Geriatric Medicine, Guest Edited by William B. Ershler, MD of the Institute for Advanced Studies in Aging and Geriatric Medicine, is devoted to Anemia in the Older Adult. Articles in this important issue include: Aging and Hematopoiesis; Prevalence of Anemia in Older Populations; Functional Consequences of Anemia in Older Patients; Mechanisms of Anemia in Older Populations; Unexplained Anemia in Older Populations; Significance of Elevated RDW in Older Populations; Iron Deficiency; Vitamin B12; Myelodysplasia; Chronic Kidney Disease and Anemia in Older Populations; Inflammation, Aging and Anemia; Emergence of Sickle Cell Disease in Older Populations; Heyde's Syndrome; and Special Considerations for Anemia in the Nursing Home.

This issue of Clinics in Geriatric Medicine, devoted to Alzheimer's and Other Dementias, is guest edited by Dr. John E. Morley of Saint Louis University School of Medicine. Articles in this important issue include: An Overview of Cognitive Impairment in Geriatrics; Screening for Cognitive Impairment in Geriatrics; Treatable Dementias; Mild Cognitive Impairment in Geriatrics; Alzheimer's Disease; Vascular Dementia; Lewy-Body Dementia; Traumatic Brain Injury in Geriatrics; Diabetes and Dementia; Behavioral Problems and Dementia; Cognitive Stimulation Therapy in Geriatrics; Cognitive Frailty in Geriatrics; and Nutrition and Alzheimer's.

While modern Americans strive to control nearly every aspect of their lives, many of us abandon control of life's final passage. But the realities of twenty-first-century medicine will allow most of us to have a say in how, when, and where we die, so we need to make decisions here, too. Through compelling real-life stories and practical guidance, this book helps readers navigate end-of-life care for themselves and their loved ones.

"The Better End" is about hope, empowerment, and inspiration. What we choose for our end-of-life care depends on accurate information and on our personal values. We need not only to understand new medical advances but also to appreciate the wisdom of humanity's past and present.

Dan Morhaim, a practicing physician and Maryland state legislator, guides readers through the medical and legal maze of end-of-life care. He details the care choices available to patients and explains why living wills and advance directives are a necessity for every American. He tells readers where to find free and readily available living wills and advance directives and why it is so important for everyone--young and old--to complete them.

Dr. Morhaim helps readers keep decisions in their own hands and spare their families the uncertainty and trauma of guessing about their end-of-life wishes. With this book, he breaks down the barriers to a difficult but essential topic, helping readers to open this often avoided discussion with their loved ones and providing the information and guidance needed to ensure that deeply held values are reflected and honored.

This issue of Clinics in Geriatric Medicine, Guest Edited by Dr. Karen Kost, is devoted to Geriatric Otolaryngology. Articles in this issue include: Hearing Loss in the Elderly; Balance Disorders in the Elderly; Dysphagia in the Older Patient; The Aging Voice; Sleep-disordered Breathing; Rhinosinusitis and Allergies; Head and Neck Cancer in the Elderly; Cutaneous Malignancies; Thyroid Disorders; Anesthetic considerations in Geriatric Otolaryngology; and Frailty in Geriatric Otolaryngology.

Published in collaboration with American Journal of Therapeutics, Therapeutic Advances in Hospital Medicine: Focus on the Older Adult is a concise, practical reference that helps you provide optimal care to geriatric patients in the hospital setting. Ideal for hospitalists, geriatricians, nurse practitioners, and physician assistants, this easy-to-read monograph presents expert advice on effectively managing common conditions seen in this growing patient population. Discusses common geriatric hospital presentations such as congestive heart failure, complicated urinary tract infections, symptomatic hyponatremia, orthostatic hypotension, delirium, chronic pain, and insomnia. Includes a section on medication management that addresses the issues of overdose and conflicting prescriptions that arise from multiple medical conditions. Highlights important therapeutic advances in caring for patients with anticoagulant-induced bleeding and diabetes. Covers improved interdisciplinary collaboration for perioperative care, nutritional support, and advanced care planning. Enrich Your eBook Reading Experience Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech.

This issue of Clinics in Geriatric Medicine, guest edited by Drs. Sidney S. Braman and Gwen S. Skloot, is devoted to Pulmonary Disease in the Aging Patient. Articles in this issue include: The Effects of Aging on Lung Structure and Function; Immunosenescence and the Lungs; Epidemiology of Lung Disease in the Elderly; The Evaluation of Dyspnea in the Elderly; Asthma in the Elderly; COPD in the Elderly Patient; Pulmonary Vascular Diseases in the Elderly; Granulomatous Lung Diseases in the Elderly; Lung Cancer in the Older Patient; Sleep Disorders in the Elderly; Idiopathic Pulmonary Fibrosis in the Older Patient; and Co-morbidities of Lung Disease in the Elderly.

This book describes the changes in the brain and in cognitive functions that occur with aging in the absence of a neurological, psychiatric, or medical disease. It discusses aging-related changes in many brain functions, including memory, language, sensory perception, motor function, creativity, attention, executive functions, emotions and mood. The neural mechanisms that may account for specific aging-related changes in cognition, perception and behavior are explored, as well as the means by which aging-related cognitive decrements can be managed and possibly ameliorated. Consequently, this book will be of value to clinicians, including neurologists, psychiatrists, geriatricians, primary care physicians, psychologists and speech-language pathologists. In addition, researchers and graduate students who want to learn about the aging brain will find this an indispensable guide.

This issue of Clinics in Geriatric Medicine, Guest Edtied by Drs. Danelle Cayea and Samuel C. Durso, is devoted to Screening and Prevention in Geriatric Medicine. Articles in this issue include: The Medicare Annual Wellness Visit; Individualized Cancer Screening; Frailty; Medication Appropriateness; Geriatric Syndromes; Mental Health; Cardiovascular Screening; Preoperative Screening; Safety; Substance Use Disorders; Sexuality; Vaccines; and Excercise.

Maintaining good metabolic profile plays a significant role in improving the quality of life at aging. Widely recommended physical and psychological strategies include exercise, calorie restriction (such as healthy diet), anti-aging neuroprotective and anti-inflammation therapy. Most occurring risks at middle age range (45-65 years old) are obesity, insulin resistance, inflammation, alteration in the hypothalamus-hypophysis suprarenal axis activity, stress and hypertension that could increase the prevalence of metabolic syndrome. Metabolic syndrome increases with age, particularly for women. Significant associations were seen between imaging measures and cardiovascular risk factors at both baseline and 18-month follow-ups. Both baseline and longitudinal imaging analysis and correlations with neurocogntive tests as well as cardiovascular risk factors could provide distinct and confirmative perspectives relating to the pathophysiology of aging-related diseases such as dementia and diabetes. Significant baseline and longitudinal effects of age, smoking and neuropathological burdens such as amyloid, tau and glucose metabolism provide a complete imaging, neurocognitive and cardiovascular profile for better staging and differentiating different diseases. Together with accurate imaging guidance, early detection and treatment could be achieved with the ultimate goal of improving quality of life at middle age and extending longevity. The aim of this book is intended to provide both beginners and experts in biomedical imaging and health care a broad picture as well as new development in brain function and metabolism of aging using innovative neuroimaging techniques and advanced longitudinal /correlational analyses. Methods and data presented in this book with novel experimental designs and protocols, especially longitudinal investigation of multiple imaging metrics from microvascular, micro-structural to systematic functional, metabolic and neuropathological perspectives will help improving diagnosis and early prevention of common diseases at middle age such as metabolic syndrome and early dementia. Some promising prevention strategies such as arts therapy, aerobic exercise and calorie restriction will be introduced additionally with imaging evidence. Results presented will help improving diagnosis accuracy, staging, and determining phases and trajectories of disease progression with age, endothelial dysfunction and deficits in metabolic syndrome. This book will provide the current state-of-the-art and new frontiers of brain function and metabolic changes at age using multi-parametric functional, structural and molecular imaging techniques in detection, diagnosis and treatment. We will present some forefront and interesting multi-dimensional baseline and longitudinal imaging techniques to serve as a reference and resource book in neuroimaging application and research field. Several distinct detection and application perspectives, including cutting-edge imaging methods from baseline evaluations to longitudinal applications as well as multi-modal and multi-parametric quantifications will be described. The relatively new and advanced data and results together with interesting examples and application demonstrations could help facilitate the generalization, interpretation and applications of these techniques to improve disease diagnosis, quality of life and treatment for metabolic syndrome and brain dysfunction.

This issue of Clinics in Geriatric Medicine, guest edited by Dr. John Morley, is devoted to Rapid Geriatric Assessment. Articles in this issue will address Frailty; Sarcopenia; Anorexia of Aging; Mild Cognitive Impairment; Cognitive Frailty; Falls; Hip Fracture; Depression; Delirium; and Advanced Directives and Palliative Care.

This issue of Primary Care: Clinics in Office Practice, guest edited by Drs. Antimisiaris and Gopalraj, is devoted to Geriatrics. Articles in this issue include: Geriatric Assessment for the Primary Care Provider; Ageism in Medicine: What is Normal Aging?; Management of Polypharmacy in the 15 Minute Office Visit; Sexuality in the Older Adult; Alzheimer's Disease and the Future; Evaluating the Older Driver; Diabetes in the Older Adult; Hormone Replacement: The Fountain of Youth?; Mental Health in Older Age; Advanced Care Planning in the Office; Pain in the Older Adult; Hyperlipidemia and Hypertension in the Older Adult; and Delirium: Assessment and Prognosis.

This issue of Clinics in Geriatric Medicine, guest edited by Drs. James D. Katz and Brian Walitt of the NIH, is devoted to Rheumatic Diseases in Older Adults. Articles in this outstanding issue include Rheumatology Pharmacotherapy Pearls for the General Practitioner; Sarcopenia - Pathogenesis and Management; Osteoporosis and Metabolic Bone Diseases; Osteoarthritis; Regional Rheumatic Disorders and Rehabilitation in Older Adults; Rheumatological Manifestations of Malignancy; Sjoegren's Syndrome; Cardiovascular Disease Risk in Patients with Rheumatic Diseases; Gaps in Aging Research as it Applies to Rheumatological Clinical Care; and Update on Crystal-induced Arthritides.

Die Legalisierung der Beihilfe zum Suizid bringt tiefgreifende gesellschaftliche Veranderungen mit sich. Das bisherige Selbstverstandnis von Medizin und Pflege wird in Frage gestellt und es wird eine neue Auseinandersetzung mit dem Leid am Lebensende erfordern. Das Buch bietet einen UEberblick uber die ethischen Aspekte und die internationalen Entwicklungen der Suizidassistenz sowie uber die Spannungsfelder, die sich durch die Legalisierung der Beihilfe zum Suizid aus der Sicht von Palliative Care ergeben. Die Entwicklungen in anderen Landern, in denen Suizidassistenz schon langer legal ist, geben Anlass zur Sorge. Es wird entscheidend sein, wie gut es gelingt, Rahmenbedingungen festzulegen, die gewahrleisten, dass der Entschluss fur einen assistierten Suizid frei von Druck getroffen wird. Das Buch richtet sich an alle Berufsgruppen, die Patienten am Lebensende behandeln oder betreuen und schwierige Entscheidungen treffen mussen, sowie an ethischen Themen Interessierte.

The End of Alzheimer's: The Brain and Beyond, Second Edition is the first comprehensive overview on the molecular basis of Alzheimer's outside of the brain, merging the most recent findings within the field into a single book. It aims to educate the reader on the many overlooked aspects of Alzheimer's disease that occur outside the brain. This book uniquely provides step-by-step, peer-reviewed evidence that the current research model may be misguided and that a new and emerging model is more accurate. It carefully outlines the molecular research in Alzheimer's outside the brain and argues that a more thorough, whole-body diagnosis will provide better answers about its causes and lead to new treatments. It is beneficial to researchers who need to be apprised of the emerging science on the causes of Alzheimer's, and will hopefully redirect many into new avenues of cellular research and discovery.