This updated and expanded second edition of Resilience in Aging offers a comprehensive description of the current state of knowledge with regard to resilience from physiological (including genetic), psychological (including cognitive and creative), cultural, and economic perspectives. In addition, the book considers the impact of resilience on many critical aspects of life for older adults including policy issues, economic, cognitive and physiological challenges, spirituality, chronic illness, and motivation. The only book devoted solely to the importance and development of resilience in quality of life among older adults, Resilience in Aging, 2nd Edition continues to offer evidence-based theory, clinical guidelines, and new and updated case examples and real-world interventions so professional readers can make the best use of this powerful tool. The critical insights in this volume are concluded with a discussion of future directions on optimizing resilience and the importance of a lifespan approach to the critical component of aging. The book's coverage extends across disciplines and domains, including: Resilience and personality disorders in older age. Cultural and ethnic perspectives on enhancing resilience in aging Sustained by the sacred: religious and spiritual factors for resilience in adulthood and aging. Building resilience in persons with early-stage dementia and their care partners. Interdisciplinary geriatric mental health resilience interventions. Developing resilience in the aged and dementia care workforce. Using technology to enhance resilience among older adults. This wide-ranging and updated lifespan approach gives Resilience in Aging, 2nd Edition particular relevance to the gamut of practitioners in gerontology and geriatrics, including health psychologists, neuropsychologists, clinical psychologists, psychiatrists, social workers, geriatricians, family physicians, nurses, occupational and physical therapists, among others.

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 assistive devices, 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 Fifth Italian Forum on Ambient Assisted Living, which was held in Catania, Italy, in September 2014 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.

" Genetic Aberrancies and Neurodegenerative Disorders" presents critical reviews and emerging findings concerning the roles of genetic mutations and polymorphisms in the pathogenesis of a range of neurological disorders including Alzheimer's and Parkinson's diseases, trinucleotide repeat disorders, stroke, epilepsy and others. This volume, written by leading experts, brings together fundamental information concerning the roles of inherited traits in the pathogenesis of different neurodegenerative disorders. In addition to providing a catalogue of the known genetic alterations that are linked to specific neurodegenerative disorders, the chapters detail the current state of understanding of the cellular and biochemical mechanisms whereby the genetic aberrancies lead to neuronal dysfunction and degeneration. The emerging picture of each disorder, painted by pathological, biochemical and molecular brushes, suggests that they share key mechanisms including increased levels of oxidative stress, perturbed ion homeostasis, mitochondrial dysfunction and apoptotic proteolytic cascades. The existence of specific molecular defects provides the opportunity to design experiments that can establish the precise pathogenic mechanism of a specific mutation or genetic risk factor. The value of this approach is exemplified by recent studies of how mutations in Cu/Zn-superoxide dismutase cause amyotrophic lateral sclerosis and how presenilin mutations result in early-onset Alzheimer's disease. A theme developed among the different chapters is that events that occur during aging predispose neurons to genetic aberrancies that promote degenerative cascades, and that specific genetic defects exert their influence on particular populations of neurons in a disorder-specific manner. The chapters in this volume will stimulate readers to generate new hypotheses concerning the pathogenic mechanisms of genetic aberrancies that can be experimentally tested.

This issue of Dental Clinics, edited by Lisa A. Thompson and Leonard J. Brennan, focuses on Geriatric Dentistry. Articles include: Our Current Geriatric Population: Demographic and Oral Health Care Utilization; Physiology of Aging of Older Adults: Systemic and Oral Health Considerations; Treatment Planning Considerations in Older Adults; Oral Health Disparity in Older Adults: Dental Decay and Tooth Loss; Oral Health Disparities in Older Adults: Oral bacteria, Inflammation and Aspiration Pneumonia; Salivary Function and Xerostomia and the Implications of Polypharmacy in Elderly; Systemic and Oral Health; Cognitive Impairment in Older Adults and Oral Health considerations: Treatment and Management; Integrating Oral Health into the Interdisciplinary Health Sciences Curriculum; Innovations in Dental Care Delivery for the Older Adult; and more!

As the population ages, clinicians are facing an increasing number of elderly patients with colorectal cancer. These patients pose unique challenges as they have more comorbidities and lower functional reserves. In addition, the treatment goals may differ from those in younger patients. This book discusses in depth the different aspects of management of colorectal cancer in the elderly. After the provision of pertinent background information on the normal physiology of aging, screening and diagnosis are discussed. Subsequent chapters focus on a range of issues associated with the surgical and perioperative care of these patients and with adjuvant treatment and palliative care. Each chapter provides helpful take-home messages in bullet point form, and numerous informative figures and tables are also included. The authors are surgeons, physicians, anesthetists, geriatricians, oncologists, and allied health professionals with extensive experience in the field.

Features that characterize the aging process include the gradual accumulation of cell damage after prolonged exposure to oxidative and inflammatory events over a lifetime. In addition to the accretion of lesions, the intrinsic levels of pro-oxidant and aberrant immune responses are elevated with age. These adverse events are often further enhanced by the chronic and slow progressing diseases that characterize the senescent brain and cardiovascular system. The incidence of some disorders such as Alzheimer's disease and vascular diseases are sufficiently prevalent in the extreme elderly that these disorders can arguably be considered "normal." Aging and Aging-Related Disorders examines the interface between normal and pathological aging, and illustrates how this border can sometimes be diffuse. It explores and illustrates the processes underlying the means by which aging becomes increasingly associated with inappropriate levels of free radical activity and how this can serve as a platform for the progression of age-related diseases. The book provides chapters that examine the interactive relationship between systems in the body that can enhance or sometimes even limit cellular longevity. In addition, specific redox mechanisms in cells are discussed. Another important aspect for aging discussed here is the close relationship between the systems of the body and exposure to environmental influences of oxidative stress that can affect both cellular senescence and a cell's nuclear DNA. What may be even more interesting to note is that these external stressors are not simply confined to illnesses usually associated with aging, but can be evident in maturing and young individuals. A broad range of internationally recognized experts have contributed to this book. Their aim is to successfully highlight emerging knowledge and therapy for the understanding of the basis and development of aging related disorders.

Disaster Preparedness for Seniors: A Comprehensive Guide for Healthcare Professionals outlines specific disaster scenarios for homebound, community, hospitalized, long term care, homeless and aged veterans. Chapters are written by a diverse group of authors, all of whom offer insight and expertise in training healthcare professionals in preparing for disasters. Topics include myths and realities of natural disasters and disaster preparedness for special populations of elders-the acute care elderly, the community-dwelling elderly, home based primary care senior veterans, the immune-compromised elderly, those with multiple and co morbid illnesses, the long-term care elderly, those elderly at the end of life and the effects of disaster on caregivers. A significant portion of the book is also devoted to training, competencies, literacy, cultural competency and resilience in disaster preparedness as well as the role of the academic medical center. The volume concludes with coverage of the management of behavioral, medical and psychological consequences of disasters. Disaster Preparedness for Seniors: A Comprehensive Guide for Healthcare Professionals is an important new volume and will serve as a guide for the development of programs, policies and procedures for evacuation of seniors during various disaster scenarios.

How do digital technologies shape both how people care for each other and, through that, who they are? With technological innovation is on the rise and increasing migration introducing vast distances between family members--a situation additionally complicated by the COVID-19 pandemic and the requirements of physical distancing, especially for the most vulnerable – older adults--this is a pertinent question. Through ethnographic fieldwork among families of migrating nurses from Kerala, India, Tanja Ahlin explores how digital technologies shape elder care when adult children and their aging parents live far apart. Coming from a country in which appropriate elder care is closely associated with co-residence, these families tinker with smartphones and social media to establish how care at a distance can and should be done to be considered good. Through the notion of transnational care collectives, Calling Family uncovers the subtle workings of digital technologies on care across countries and continents when being physically together is not feasible. Calling Family provides a better understanding of technological relationality that can only be expected to further intensify in the future.

Contains more than 300 practice questions and answers!Assisted Living Administration and Management Review is the first practical question-based study guide for anyone preparing for certification or licensure exams in residential care and assisted living (RC/AL) administration. Organized according to the original five domains of practice established by the National Association of Long-Term Care Administrator Boards (NAB) and used in Assisted Living Administration and Management: Effective Practices and Model Programs in Elder Care, Second Edition, the book reflects the type of questions seen on the state and national exams. Answers and brief rationales have been provided in a final chapter organized according to the five domains of practice or knowledge areas of responsibility - Organizational Management, Human Resources Management, Business and Financial Management, Environmental Management, and Resident Care Management. Written by certified assisted living administrators and licensed health professionals and featuring questions relevant to all state-based exams, this is the authoritative study guide for anyone seeking professional certification/licensure in this growing line of service. The review begins with a comprehensive introduction to the current professional landscape of residential care and assisted living administration in addition to coverage of the different certification and licensure programs available. The following domain-based chapters feature multiple-choice, single-best answer questions, covering all core knowledge areas of responsibility that one is likely to see when taking state or national exams. Containing over 300 practice questions with rationales to encourage self-assessment and further learning, this is a must-have resource for students and professionals seeking RC/AL administrator certification or licensure. Key Features: Over 300 multiple-choice, single-best answer questions with answers and rationales Prepares students to study for Residential Care/Assisted Living (RC/AL) administrator certification and licensure exams administered at the state or national level Organized according to five domains of practice - Organizational Management, Human Resources Management, Business and Financial Management, Environmental Management, and Resident Care Management Written by certified assisted living administrators and licensed health professionals Purchase includes digital access for use on most mobile devices or computers

Indications for central venous cannulation in critically ill patients have increased dramatically in recent years owing to the use of more complex therapies unsuitable for delivery via peripheral veins. The main drawbacks of central venous access are morbidity and the growing scarcity of experienced operators. Ultrasound-guided peripheral venous access offers a solution, in that it reduces morbidity and can be performed by a dedicated nursing team. The aim of this book is to teach the fundamentals of this emerging technique. Advice is provided on the choice of materials and on vein selection. The advantages and disadvantages of peripherally inserted central venous catheters (PICC) in relation to other types of central venous catheter are discussed, and the principles of use and practical applications of ultrasound for venipuncture are explained. Maneuvers for PICC positioning, techniques for the evaluation of PICC tip placement, and the prevention, diagnosis, and management of complications are all described in detail. Advice is also provided on the organization of a dedicated PICC team within a hospital or a supportive care program, and psychological, legal, and economic issues are considered. Peripherally Inserted Central Venous Catheters will be of interest to a wide range of professionals, including nutritionists, oncologists, anesthesiologists, surgeons, registered nurses, nurse practitioners, physicians, physician assistants, and radiologists.

In this issue of Clinics in Geriatric Medicine, guest editors Steven H. Feinsilver and Margarita Oks bring their considerable expertise to the topic of Sleep in the Elderly. Provides in-depth, clinical reviews on Sleep in the Elderly, providing actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field; Authors synthesize and distill the latest research and practice guidelines to create these timely topic-based reviews.

Parkinson's disease and parkinsonism are particular problems in the elderly, causing disability and impairing quality of life. This book covers the clinical features, diagnosis, and management of Parkinson's disease in elderly people, discussing such topics as motor symptoms, depression, and autonomic nervous system dysfunction. It particularly emphasizes the importance of rehabilitation and total patient care. Topics covered include:

The seventh edition of this classic multidisciplinary text for students of gerontology continues to offer practical, user-friendly, and comprehensive information about the physical changes and common pathologies associated with the aging process. Fully updated with current information regarding diagnosis, risk factors, prevention recommendations, treatment approaches, and medications along with new statistics on prevalence and evidence-based clinical guidelines, this textbook focuses on physical changes and common pathologies of aging, while also considering the psychological and social implications with which they are inextricably linked.Through a systems-based approach, positive aspects of aging are emphasized, showing the reader how older adults can gain greater personal control through lifestyle changes and preventive health strategies. Included is important content related to teaching, health, and well-being, such as nutrition, medications, aging with lifelong disabilities, complementary and alternative therapies, and death and dying. The seventh edition features a new chapter on gerontechnology, with new content on the influence of pandemics, including COVID-19, on death, dying, grieving, and funeral rituals. This multifaceted text also delivers new and updated information on diagnosis and treatment, along with stressed behaviors and interventions to promote more personal control the individual aging process. Helpful appendices include practical suggestions for improving safety for older adults and websites of relevant organizations, along with a glossary of medical terms used in the text. Purchase includes digital access for use on most mobile devices or computers. New to the Seventh Edition: A brand-new chapter on gerontechnology Updated information on diagnosis and treatment, risk factors, and prevention recommendations New statistics for prevalence and clinical guidelines/recommendations Focus on behaviors and interventions providing personal control over aging process Practical suggestions for improving older adult safety Influence of COVID-19 on death, dying, grieving, and funeral rituals Test bank and PowerPoint slides Key Features: A unique systems-based approach covering the anatomy and physiology of each organ system Focuses on common health problems within each body system Addresses psychological and social implications of aging Provides evidence-based treatment strategies Describes practical applications of aging data - how to use the data to so adults can gain greater personal freedom Useful as textbook, practitioner's guide and family caregiver resource

This is an essential compendium of information and insight for the nursing home social worker on how to successfully navigate the day-to-day responsibilities and complexities of this role. Written for both new and seasoned social workers, it clearly addresses everything there is to know in one handy resource. The substantially updated third edition reflects the latest political, economic, and cultural trends and requirements for nursing home facilities and how they impact social workers. It includes a new chapter on how knowledge of Adverse Childhood Experiences (ACE) can aid in resident care plus major updates on disaster planning including workforce safety tips for pandemics and an expanded chapter on abuse, neglect, and mistreatment. Along with another new chapter to reflect current practice focusing on pandemics and disasters, including COVID-19. The book delineates specific resources and supplemental materials to assist the social worker in their daily role. The third edition is particularly relevant in its coverage of how ethnicity and culture impact nursing home admission and stays as well as undertreated pain in older adults. Purchase includes digital access for use on most mobile devices or computers. New to the Third Edition: Completely revised to consider the latest political, economic, and cultural trends and requirements for nursing homes and how they affect social workers New chapter on Adverse Childhood Experiences addressing how knowledge of childhood trauma can contribute to a caregiver's understanding and techniques Updated chapter on disaster to include pandemics, natural disasters, and violence in the workplace New workforce safety tips for pandemics Expanded chapter on abuse, neglect, and mistreatment Vignettes included to clarify and illuminate information Updated list of online resources Revised appendix of standardized forms Key Features: Describes the full range of skills and knowledge needed to succeed in this varied and multidisciplinary role Includes multiple vignettes to illustrate information Provides weblinks to additional resources Designed to be practical and reader friendly Presented in a question-and-answer format to clarify content Offers review questions at the end of each section

A comprehensive review of all aspects of hypertension in the elderly using the most current clinical data. Topics range from basic concepts, epidemiology and trials, and evaluation and management, to pharmacologic treatment, special populations, and adherence, all presented with an emphasis on the optimal management of patients. The authors examine in detail the mechanisms of hypertension in the elderly, the lifestyle trials and outcomes trials that were conducted in older persons, as well as the problems of clinical evaluation, secondary hypertension, adherence, and target organ damage. Extensive discussions of pharmacologic therapy detail the role of all the major drug classes.

This timely volume provides an up-to-date and comprehensive summary about what is known about aging and work and addresses the challenges and opportunities confronting older workers and organizations. The authors describe current and emerging topics related to work and aging adults such as working in teams, the increasing diversity of the labor force, work and caregiving, the implications of technology for an aging workforce, and health and wellness issues. The authorship is international; the authors are renowned for their respective work in the topical areas and represent a broad range of disciplines within academia, as well as offer perspectives from government and policy. Jobs, organizations, the labor market, and the workforce are experiencing dramatic change. Workers of all ages, including older workers, need to interact with the wide variety of ubiquitous technologies that are reshaping work processes, job content, work settings, communication strategies, and the delivery of training, and this book aims to update readers on the particular issues facing today's aging adults in the workplace. The chapters' broad and inclusive scope encompasses: Workplace aging and jobs in the 21st century The retirement income security outlook for older workers Population aging, age discrimination, and age discrimination protections Older workers and the contemporary labor market The role of aging, age diversity, and age heterogeneity within teams The intersection of family caregiving and work Current and Emerging Trends in Aging and Work is relevant to a broad audience of academic researchers, practitioners, and students in psychology, sociology, management, engineering (industrial and human factors), the health sciences, gerontology/geriatrics, and public health. It is also a useful resource for government and policy leaders, as well as workers and managers in the public and private sectors.

In its brief but vigorous history, gerontology has spawned a broadening range of specializations. One of the newest of such specializations is narrative gerontology, so named for its emphasis on the biographical, or inside, dimensions of the experience of aging.
Telling stories about our world, our relationships, and ourselves is fundamental to how we make meaning. Everything from our history to our religion and our memories to our emotions is linked to the tales we tell ourselves, and others, about where we have come from and where we are going. They are central to who we are.
The biographical side of human life is every bit as critical to fathom as the biological side, if we seek a more balanced, positive, and optimistic perspective on what aging is about; if we would honor the dignity and complexity, the humanity and uniqueness of the lives of older persons, no matter what their health or economic standing. In this respect, a narrative approach is particularly suited to the exploration of such topics as meaning, spirituality, and wisdom, and the connections they share.
This volume reflects a selection of new directions and insights, and constitutes a general broadening and deepening of narrative gerontology, exploring its implications for theory and research in the field of aging, and for the quality of life of older adults themselves. Such deepening indicates a greater refinement of thought, method, and intervention. The evolution of narrative gerontology is also evidenced by a significant increase in the number of faculty and graduate students engaged in research in this area, as well as by increasing collaboration among researchers, practitioners, and administrators in applying narrative insights to contexts such as long term care - indeed, healthcare in general. These initiatives have given rise to the phrase, "narrative care as core care."

This book investigates sociological, demographic and geographic aspects of aging in rural and nonmetropolitan areas of the United States. Population aging is one of the most important trends of the 20th and 21st centuries, and it is occurring worldwide, especially in more developed countries such as the United States. Population aging is more rapid in rural than urban areas of the U.S. In 2010, 15 percent of the nonmetropolitan compared to 12 percent of the metropolitan population were 65 years of age and older. By definition rural communities have smaller sized populations, and more limited healthcare, transportation and other aging-relevant services than do urban areas. It is thus especially important to study and understand aging in rural environments. "Rural Aging in 21st Century America" contributes evidence-based, policy-relevant information on rural aging in the U.S. A primary objective of the book is to improve understanding of what makes the experience of rural aging different from aging in urban areas and to increase understanding of the aged change the nature of rural places. The book addresses unique features of rural aging across economic, racial/ethnic, migration and other structures and patterns, all with a focus on debunking myths about rural aging and to emphasize opportunities and challenges that rural places and older people experience."""

This book discusses theoretical issues, standards, and professional considerations arising when legal and health practitioners undertake legal capacity assessments in the context of wills, enduring powers of attorney and advance health directives. The potential loss of cognition can erode autonomy as individuals lose the ability to make their own legally recognised decisions. This is an inescapable problem with significant legal, social, health and policy repercussions. This work synthesises and critically analyses the existing literature, including some of the best assessment models and guiding principles internationally, to generate a new methodology and understanding of what capacity assessment best practice means. This includes the impact of assessments on individual autonomy - the ideal method building upon respect for both autonomy as well as fundamental human rights. The triggers to assess capacity, who to involve in the assessment process, as well as how to conduct that assessment process are discussed. The crucial relationship between the legal and health professionals involved in assessments, including growing concerns around practitioner liability, is also explored. This analysis is undertaken through the innovative use of a therapeutic jurisprudence lens, the effect of which is to contribute new knowledge to this complex field.

This volume provides a broad and critical presentation of the behavioral and psychosocial treatments of Latinxs with dementia in the United States (U.S.) and across a representative sample of Spanish-speaking countries in the world. The compendium of chapters, written by researchers, practitioners, and policy analysts from multiple disciplines provides a deep exploration of the current state of dementia care for Latinxs in the U.S. and around the globe. The volume is designed to increase and strengthen the collective scientific and sociocultural understanding of the epidemiological and biopsychosocial factors, as well as the overlapping systemic challenges that impact diagnosis and symptom management of Latinxs with dementia. The authors introduce policy options to reduce risk factors for dementia and present culturally-responsive interventions that meet the needs of Latinx patients and their caregivers. Highlighted topics featured in the book include: Contextual, cultural, and socio-political issues of Latinxs with dementia. New meta-analysis of dementia rates in the Americas and Caribbean. Dementia-related behavioral issues and placement considerations. Educational, diagnostic, and supportive psychosocial interventions. Pharmacological, non-pharmacological, and ethnocultural healthcare interventions. Intersectionality as a practice of dementia care for sexual and gender minoritized Latinxs. Prescriptions for policy and programs to empower older Latinxs and their families. Caring for Latinxs with Dementia in a Globalized World: Behavioral and Psychosocial Treatments is a resource that accentuates and contextualizes the heterogeneity in nationality, immigration, race, sexual orientation, gender, and political realities. It is a key reference for a wide range of fields inclusive of demography, geriatrics, gerontology, medicine, mental health, neurology, neuropsychology, nursing, occupational therapy, pharmacology, psychiatry, psychology, rehabilitation, social work, sociology, and statistics all of which, collectively, bear on the problem and the solutions for better care for Latinxs affected by dementia.

New trends in mental healthcare practice and a rapid increase in the aged population are causing an explosion in the fields of clinical gerontology and geropsychology today. This comprehensivesecond editionhandbook offers clinicians and graduate students clear guidelines and reliable tools for assessing general mental health, cognitive functioning, functional age, psychosocial health, comorbidity, behavior deficits, and more. Psychopathology, behavioral disorders, changes in cognition, and changes in everyday functioning are addressed in full, and a wide range of conditions and disorders common to this patient population are covered. Each chapter provides an empirical review of assessment instruments, assessment scales in their totality, a review of how these instruments are used with and adapted for different cultural groups, illustration of assessments through case studies, and information on how to utilize ongoing assessment in treatment and/or treatment planning. This combination of elements will make the volume the definitive assessment source for clinicians working with elderly patients.
*The most comprehensive source of up-to-date data on gerontological assessment, with review articles covering: psychopathology, behavioral disorders, changes in cognition, and changes in everyday functioning
*Consolidates broadly distributed literature into single source, saving researchers and clinicians time in obtaining and translating information and improving the level of further research and care they can provide
*Chapters directly address the range of conditions and disorders most common for this patient population - i.e. driving ability, mental competency, sleep, nutrition, sexual functioning, demntias, elder abuse, depression, anxiety disorders, etc
*Fully informs readers regarding conditions most commonly encountered in real world treatment of an elderly patient population
*Each chapter cites case studies to illustrate assessment techniques
*Exposes reader to real-world application of each assessment discussed"

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.

The average age of the world's population is increasing at an unprecedented rate and this increase is changing the world. This "Silver tsunami" emphasizes the need to provide advanced training in epidemiology and increase the cadre of experts in the study of aging. This book is designed to summarize unique methodological issues relevant to the study of aging, biomarkers of aging and the biology/physiology of aging and in-depth discussions of the etiology and epidemiology of common geriatric syndromes and diseases. Contributing authors in the book represent many disciplines, not only epidemiology and clinical geriatrics, but also demography, health services, research, cardiovascular disease, diabetes, psychiatry, neurology, social services, musculoskeletal diseases and cancer. The aim of the book is to provide a broad multidisciplinary background for any student/researcher interested in aging. The material in the book is organized and comprehensive. It represents the most up-to-date information on the scientific issues in aging research written by academics who specialize in research and training in the broad field of aging. The structure and organization of the book reflects our course series in the Epidemiology of Aging starting with the broad issues of demography and methodology, and then addressing specific health conditions and geriatric conditions common to older persons.

This book aims to clarify the potential association between frailty and cardiovascular disease in older people. Covering the biological as well as the clinical point of view, it allows researchers and clinicians to discover the significance of this topic. The contributions cover the most important aspects in the potential relationship between frailty and cardiovascular disease. In particular, authoritative authors in this field have clarified the definition and the epidemiology of frailty and cardiovascular disease in older people. A large part of the volume is dedicated to the biological mechanisms of frailty and cardiovascular disease, trying to find those in common between these two conditions. Since this book is dedicated to both researchers and clinicians, we have proposed some chapters to the importance of comprehensive geriatric assessment in the evaluation and treatment of cardiovascular diseases and frailty. In this regard, the importance of geriatric evaluation in cardiac surgery for older people is well covered. Finally, the importance of cardiac rehabilitation and physical exercise is summarized, being, actually, the most important treatments for both frailty and cardiovascular disease. Written by many well-known and widely published experts in their respective fields, this book will appeal to a wide readership such as researchers in the field and clinicians, especially suited in geriatric medicine and cardiology who, every day, face frail older patients.

This book examines the concepts of preventive care and health promotion specifically in the context of the elderly. It adopts a broad concept of health and defines a number of goals around this theme. Thereafter it provides a succinct, up-to-the-minute critique of the worth, risks and costs of preventive care and health promotional strategies for older people. A broad range of such strategies are considered including cancer prevention, the prevention of non-cancer health problems and strategies aimed at enhancing functional status and strengthening the social support network. Principles for tailoring these strategies to the varied needs and wishes of elderly people are outlined. Likewise, practical measures are discussed for integrating these preventive strategies into the existing health care system. In particular, the role of screening, case-finding and targeting strategies in primary care are reviewed in detail. The book concludes with a wider look at the cost implications of preventive care for the purchasers of health and health care services.