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Books > Medicine > Clinical & internal medicine > Geriatric medicine
The fifth edition of this widely used book by caregivers brings to you updated and revised content, built on the basic understanding that medicine does not work in a vacuum, but rather alongside other disciplines to provide the environment for a healthy and fulfilling long life. Edited by alumni and senior faculty at McGill University, with international contributions, this book advocates the achievement of better, longer, satisfying, and more productive lives for older persons. It is a helpful resource for physicians, professional caregivers, therapists, students, and residents in medical and nursing disciplines, who care for our burgeoning older population and need to know what to look for and when to consult specialists. Key Features: 1. Follows a uniform structure with many chapters having a hypothetical vignette for instructional purposes and with the clinical chapters detailing the features and diagnosis of given conditions, along with possible management protocols specific to afflicted older individuals. 2. Builds on the success of the previous four editions to provide high-quality content from international experts for physicians and other caregivers in the field. 3. Provides possible management for pressing problems, including the nursing home challenge, pandemics such as COVID, and precision therapy for cancer.
Across the globe, populations are getting older. Hayashi surveys the development of residential care in Britain and Japan from the 1920s onwards, using regional case studies, and taking into account the influence of traditions and cultural norms.
This open access book provides a comprehensive perspective on the concept of ageism, its origins, the manifestation and consequences of ageism, as well as ways to respond to and research ageism. The book represents a collaborative effort of researchers from over 20 countries and a variety of disciplines, including, psychology, sociology, gerontology, geriatrics, pharmacology, law, geography, design, engineering, policy and media studies. The contributors have collaborated to produce a truly stimulating and educating book on ageism which brings a clear overview of the state of the art in the field. The book serves as a catalyst to generate research, policy and public interest in the field of ageism and to reconstruct the image of old age and will be of interest to researchers and students in gerontology and geriatrics.
This state-of-the-art volume will focus on the evidence base, but practical nature of the optimizing physical activity and function, and the real world recommendations provided by experts in the field. In addition, the book will be written by a wide variety of national and international experts across multiple disciplines including nursing, medicine, physical therapy, and exercise physiology.
Over the last two decades, the number of persons over 65 has increased by 65%. Handbook of Clinical Geropsychology focuses attention on how the contributions of clinical psychology address the problems faced by this enormous population. In the first part, chapters cover a historical perspective, clinical geropsychology and U.S. federal policy, psychodynamic issues, and other key topics. Part II details assessment and treatment for a wide range of disorders affecting the elderly. Part III considers such special issues as family caregiving, minority issues, physical activity, and elder abuse and neglect.
This Third Edition of the bestselling Psychotherapy with Older Adults continues to offer students and professionals a thorough overview of psychotherapy with older adults. Using the contextual, cohort-based, maturity, specific challenge (CCMSC) model, it draws upon findings from scientific gerontology and life-span developmental psychology to describe how psychotherapy needs to be adapted for work with older adults, as well as when it is similar to therapeutic work with younger adults. Sensitively linking both research and experience, author Bob G. Knight provides a practical account of the knowledge, technique, and skills necessary to work with older adults in a therapeutic relationship. This volume considers the essentials of gerontology as well as the nature of therapy in depth, focusing on special content areas and common themes. Psychotherapy with Older Adults includes a comprehensive discussion of assessment and options for intervention. Numerous case examples illustrate the dynamics of the therapeutic task and issues covered in therapy and stress the human element in working with older adults. A concluding chapter considers ethical questions and the future of psychotherapy with older adults. The author has updated the Third Edition to reflect new research findings and has written two entirely new chapters covering psychotherapy with persons with dementia and psychotherapy with caregivers of frail older adults. Since its initial publication in 1986, the book has been used as a course text and a professional reference around the world, including translations into French, Dutch, Chinese, and Japanese. It is a vital resource for practicing therapists and counselors who work with older adults and is also ideally suited as a text for advanced students in psychology, social work, gerontology, and nursing. Praise for Previous Editions: "Bob G. Knight's largest contribution is his excellent discussion of therapy. The book is clearly written, with a good use of summaries and case examples to clarify the major points. By linking research findings to practice experience, Knight has provided a pragmatic introduction which should be helpful to psychiatrists, psychologists, social workers, and psychiatric nurses working with older adults." -JOURNAL OF APPLIED GERONTOLOGY "I recommend this book to anyone interested in working with the elderly, partly because of the content and partly because the author presents the case for doing psychotherapy with the elderly with realism and enthusiasm." -BEHAVIOR RESEARCH & THERAPY
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.
Human Ageing: A Unique Experience explores the biology of human ageing focusing on the individual. The book begins with the premature ageing disorder Hutchinson-Gilford Progeria syndrome and spins a web of interconnected biological domains involving lamins, telomeres, alternative splicing, genetics, epigenetics, and molecular clocks. The profound influence of culture is explored since cultural inheritance and genetic inheritance are the two intertwined processes driving human evolution. An empirical framework is developed to describe human ageing at the individual level and the implications of this framework on the whole concept of diseases are discussed.
This book provides an overview of recent advances in the study of aging and aging related diseases, discussing the topics at individual, organ, tissue, cell, and molecular levels. It also presents studies on the biomarkers of aging and anti-aging interventions. Aging has been becoming a global health problem. However it was not possible to determine aging as we usually diagnose a disease because there are few biomarkers for age estimation. Since ancient times, people have been seeking anti-aging substances and methods for achieving immortality, while the scientific study of aging has only existed for 100 years. This book appeals to researchers both in institutes and in pharmaceutical companies interested in further studies in this field.
The first edition of Parkinson's Disease and Nonmotor Dysfunction was published in 2005 to provide a source of detailed information that could be readily accessed by the practicing physician. The widely praised first edition described and explained these nonmotor features that had at that point received insufficient attention both in the medical and in the lay literature. Since the publication of the first edition, awareness and knowledge of the nonmotor features of PD has dramatically expanded, calling for a new edition of this important title. Timely, fully updated and expanded, Parkinson's Disease and Nonmotor Dysfunction, Second Edition, offers a state-of-the-art overview of the topic from the same talented group of experienced researchers and clinicians who were the driving force behind the first edition. Importantly, a range of additional aspects of nonmotor dysfunction in PD -- such as dermatological, vestibular, and dental dysfunction -- have been included in this second edition, which remains subdivided into five diverse domains: Behavioral abnormalities, autonomic dysfunction, sleep-related dysfunction, sensory dysfunction, and other aspects of PD such as oculomotor dysfunction, fatigue, and maxillofacial issues. An invaluable contribution to the literature in movement disorders, this revised and expanded collection of contributions by an even larger contingent of superbly knowledgeable authors will further increase awareness of the manifold contributions that nonmotor features may make to the collective clinical picture experienced by the patient with PD.
Assisted living is a rapidly evolving industry, and many personnel lack adequate knowledge of emerging regulatory and reimbursement issues, resident care models, and marketing needs. A panel of experts covers clinical, business, and operational aspects of assisted living, presenting innovative approaches to providing a superior atmosphere of care. Most operators/administrators of assisted living (AL) facilities have backgrounds in long-term care or other residential care facilities and are familiar with basic facility operations. This book is designed to assist these individuals to cross train in their new positions. While avoiding both the dry detail of an operations textbook and the theoretical focus sometimes found in academic texts, this book thoughtfully covers the key business aspects and the fundamental resident care aspects of assisted living success. Training and education are indispensable for the growth and success of those assisted living administrators who, although familiar with basic facility operation methods, lack specific knowledge about regulatory requirements, Medicaid and Medicare reimbursement issues, health prevention and promotion models, and marketing needs specific to an AL facility. This book provides readers with innovative approaches to operation of different components of an assisted living facility and relies on examples and case studies to show how a superior atmosphere of care can be provided.
Originally published in 1980, this book contains the proceedings from a memorial conference held in honour of George A. Talland, who made a significant contribution to the area of memory and aging. The major objective of the volume was to stimulate research towards a more comprehensive understanding of age related differences in memory. It was also hoped it would provide direction for the application and utilization of research findings in the evaluation and treatment of memory complaints and memory difficulties experienced by the elderly. The book was intended for two broad groups of scientists. The first being researchers in the psychology of memory, and those who were currently active in the research on aging at the time. The second group was those concerned with applying current research findings to the diagnosis and treatment of problems of memory.
In the 7 years since the first edition of Clinical Manual of Geriatric Psychopharmacology was published, dozens of new drugs have been released, and older medications have been marketed in different formulations. In addition, research on pharmacokinetics, pharmacodynamics and mechanism of action, potential interactions, and other critical topics has proceeded apace, rendering much of the information in existing guides obsolete. This new volume is both comprehensive and completely up to date, offering information unavailable elsewhere. - New drugs covered include asenapine, paliperidone, iloperidone, lurasidone, desvenlafaxine, vilazodone, long-acting trazodone, milnacipran, armodafinil, extended-release valproate, rotigotine transdermal, tetrabenazine, dextromethorphan, long-acting gabapentin, and transdermal buprenorphine.- Each chapter has a standardized format, with topics including pharmacokinetics, pharmacodynamics and mechanism of action, drug interactions, clinical use (which addresses choice of drug, alternative formulations/routes, pre-treatment evaluation, dose and dose titration, PRN use, monitoring treatment, drug levels, managing treatment resistance, switching drugs, duration of treatment, discontinuation, and overdose), adverse effects, and treatment of selected syndromes and disorders.- Dozens of tables, boxes, and figures organize and present complex material, such as practice guidelines, in a straightforward manner that is easy to understand and apply, and the concise, bulleted text facilitates reading and comprehension in the clinical setting.- "Specific Drug Summaries" -- one-page summaries of prescribing information for individual drugs -- provide fast access to critical information in a simple format. Designed for residents, fellows, and all clinicians in psychiatry and medicine who diagnose and treat psychiatric and neuropsychiatric conditions affecting geriatric patients, this clinical reference can be used across all treatment settings (inpatient, outpatient, day hospital, consultation, and nursing home). Meticulously referenced and grounded in the latest research, Clinical Manual of Geriatric Psychopharmacology, Second Edition, is the definitive guide to psychotropic use in elderly patients. Clinicians can rely confidently on its up-to-date coverage and authoritative counsel.
Worried about memory loss and dementia risk? This new book will show you easy-to-follow steps to keep your brain healthy. Emily Clionsky, MD, and Mitchell Clionsky, PhD, are a physician and neuropsychologist couple who have cared for their own parents with dementia, created a test used by doctors to measure cognitive function, and treated more than 25,000 patients with cognitive impairment. In Dementia Prevention, they combine the most current scientific findings about Alzheimer's disease and other dementias with their experience to present a practical guide that empowers you to improve your brain's future. This book skips the fads, the unsupported claims of advertised products, and fringe theories. Instead, the authors guide you through a science-based tour of dementia, including how your brain works and how its function is affected by everything from blood circulation and blood pressure to sugar levels, medications, vision, and hearing. You will learn how your activity level, weight, habits, mental outlook, and social engagement may affect your likelihood of developing dementia. Dementia Prevention provides a dementia risk checklist to better understand your personal risk profile to help you on your journey. The authors' training and experience as behavioral scientists will help you set better goals, identify roadblocks to success, and overcome these obstacles. Forgetfulness and confusion are not an inevitable part of growing older—you can make changes to keep your brain working well into your 70s and beyond. From how you breathe while you sleep to what you do socially and physically every day, Dementia Prevention will give you practical—and sometimes surprising—methods for you to protect your brain.
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
The many significant technological and medical advances of the 21st century cannot overcome the escalating risk posed to older adults by such stressors as pain, weakness, fatigue, depression, anxiety, memory and other cognitive deficits, hearing loss, visual impairment, isolation, marginalization, and physical and mental illness. In order to overcome these and other challenges, and to maintain as high a quality of life as possible, older adults and the professionals who treat them need to promote and develop the capacity for resilience, which is innate in all of us to some degree. The purpose of this book is to provide the current scientific theory, clinical guidelines, and real-world interventions with regard to resilience as a clinical tool. To that end, the book addresses such issues as concepts and operationalization of resilience; relevance of resilience to successful aging; impact of personality and genetics on resilience; relationship between resilience and motivation; relationship between resilience and survival; promoting resilience in long-term care; and the lifespan approach to resilience. By addressing ways in which the hypothetical and theoretical concepts of resilience can be applied in geriatric practice, Resilience in Aging provides inroads to the current knowledge and practice of resilience from the perspectives of physiology, psychology, culture, creativity, and economics. In addition, the book considers the impact of resilience on critical aspects of life for older adults such as policy issues (e.g., nursing home policies, Medicare guidelines), health and wellness, motivation, spirituality, and survival. Following these discussions, the book focuses on interventions that increase resilience. The intervention chapters include case studies and are intended to be useful at the clinical level. The book concludes with a discussion of future directions in optimizing resilience in the elderly and the importance of a lifespan approach to aging.
In this deeply considered meditation on aging in Western culture, Jan Baars argues that, in today's world, living longer does not necessarily mean living better. He contends that there has been an overall loss of respect for aging, to the point that understanding and "dealing with" aging people has become a process focused on the decline of potential and the advance of disease rather than on the accumulation of wisdom and the creation of new skills. To make his case, Baars compares and contrasts the works of such modern-era thinkers as Foucault, Heidegger, and Husserl with the thought of Plato, Aristotle, Sophocles, Cicero, and other Ancient and Stoic philosophers. He shows how people in the classical period--less able to control health hazards--had a far better sense of the provisional nature of living, which led to a philosophical and religious emphasis on cultivating the art of living and the idea of wisdom. This is not to say that modern society's assessments of aging are insignificant, but they do need to balance an emphasis on the measuring of age with the concept of "living in time." Gerontologists, philosophers, and students will find Baars' discussion to be a powerful, perceptive conversation starter.
Because aging is accompanied by a steady decline in resistance to infectious diseases, the diagnosis and treatment of these diseases in the elderly is not only much more complex, but also often quite different from that for younger patients. In the second edition of Infectious Disease in the Aging: A Clinical Handbook, a panel of well known and highly experienced geriatric physicians and infectious disease experts review the most important common infections affecting the elderly and delineate their well-proven diagnostic, therapeutic, and preventive techniques. Among the illnesses discussed are urinary tract infections, pneumonia, ocular infections, tuberculosis, and fungal and viral infections. In addition, there are detailed discussions of sepsis, infective endocarditis, intraabdominal infections, bacterial meningitis, osteomyelitis and septic arthritis, and prosthetic device infections.
Across the globe, populations are getting older. Hayashi surveys the development of residential care in Britain and Japan from the 1920s onwards, using regional case studies, and taking into account the influence of traditions and cultural norms.
It is important to understand the relationship between the brain, cognition and behavior when providing care to the elderly. Behavioral Neurology in the Elderly provides a comprehensive overview of this significant relationship, one of the most important topics concerning medical and behavioral gerontology today. It provides insight into how the aging brain affects memory and language, as well as motor, emotional, and executive functioning.
Following an introduction that outlines the history and projects the future of gerontology, the authors offer insightful profiles of roughly 300 researchers, teachers, and practitioners in aging. North Americans are heavily represented, though gerontologists from Great Britain and the Continent are included as well. The dictionary can be read for an overview of the field, while cross-listings and a complete name and subject index make it an ideal reference. Each entry contains a professional and academic biography, along with citations and succinct descriptions of the individual's important contributions to the study of the elderly and aging.
Renowned specialists on aging explore the meaning of prevention and provide practical information about programs and services for the elderly. Interesting chapters focus on the prevention of long-term care institutionalization, alternative health delivery systems, informal support networks, and the prevention of domestic neglect and abuse of elderly adults.
The book covers topics ranging from basic sciences (developmental changes in neuroanatomy and neurophysiology and effects of neuropharmacology) to special situations such as brain death, ethical issues and palliative care. It discusses various neurological surgical problems and their challenges along with common problems such as Alzheimer's and Parkinson's disease. A section on Pain covers all possible modalities for relieving pain in this patient population followed by the important issue of palliative care. The book addresses the issue of cognition decline, common in this group. The fact that basic sciences are included along with clinical sciences makes it a unique read for the audience.
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.
Named a 2013 Doody's Essential Purchase "This is a terrific text with good basic information and a level of detail, tools, and practicality that make it a useful resource to get older adults mobilized in any setting."--The Gerontologist " This] book provides a practical hands-on perspective for implementing function focused care in all settings... It] is a unique resource that is relevant for all nurses and health care providers working with older adults. In addition to addressing functional decline, function-focused care provides a fresh and practical solution to many of the problems that tend to arise with older adults such as infections, falls, and pressure ulcers all known to be associated with immobility." From the Foreword by Colin Milner "This book encourages individualization, which is difficult to achieve with more prescriptive approaches. This second edition includes chapters on cognitively impaired adults, ethical issues, and patient-centered care, all of which are so important in long-term care. I found it to be very motivating in the way it helped me apply the philosophy and strategies to elders with whom I come in contact. I would highly recommend this book to anyone working with elders. Score: 95, 4 Stars--Doody's Medical Reviews The purpose of restorative care nursing (often referred to as function-focused care) is to take an active role in helping older adults maintain their highest level of function, thereby preventing excess disability. This is the only volume to educate caregivers about both the philosophy of restorative care and how to integrate it into all care settings for older adults. Now in its second edition, the text contains updated content in each chapter along with two entirely new chapters on function-focused care for cognitively impaired adults, ethical issues, and patient-centered care. The book provides a complete six-week education program in restorative care for nurses and other caregivers, numerous practical suggestions for beneficial activities that will enhance function, and strategies for motivating both older adults and caregivers to engage in restorative care. Woven throughout the text is research that documents the benefits and expected outcomes of restorative care. The book also includes the requirements for restorative care across all settings, and the necessary documentation. "Restorative Care Nursing for Older Adults" will help formal and informal caregivers and administrators at all levels assimilate the philosophy of restorative care and be able to develop and implement successful restorative care programs. This New Edition Features: Completely updated information, including two new chapters on function-focused care for cognitively impaired adults, ethical issues, and patient-centered care A six-week education program that teaches practical application of restorative care nursing Helpful suggestions and strategies for motivating older adults and caregivers Education materials designed for nursing home, assisted living, and acute care settings, including required documentation and goal-setting forms Educational materials for family caregivers |
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