This issue of Clinics in Geriatric Medicine, guest edited by Drs. Thomas T. Yoshikawa and Dean C. Norman, is devoted to Infectious Diseases in Geriatric Medicine. Articles in this issue include: Host Resistance and Immunology of Aging; Clinical Features of Infection; Principles of Antimicrobial Therapy; Bacterial Pneumonia; Tuberculosis; Intraabdominal Infections; Infectious Diarrhea: Clostridium Difficile and Norovirus; Urinary Tract Infection; Herpes Zoster; Bone and Joint Infections; Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome; Infections in the Long-Term Care Setting; and Vaccinations.

When aging adults struggle with social isolation, financial instability, or the difficult work of caring for a spouse with a chronic illness, their levels of stress can be enormous. But many older adults are living longer and are trying to make the best of their later years despite being more vulnerable to stress. In "Resilience and Aging," renowned geriatric psychiatrist Dr. Helen Lavretsky explains how enhanced resilience--which involves positively adapting to adversity in a way that maintains a person's biological and psychological equilibrium--can counter that vulnerability. She describes how care, practice, and research all can be redirected toward emphasizing the positive aspects of aging and prevention.

Lavretsky summarizes the most up-to-date research on resilience, neurobiology, and preventive care. She also describes novel interventions--including yoga, Tai Chi, meditation, and allopathic techniques--that can help older adults improve their cognition and quality of life. Finally, she explores relevant clinical cases from her practice.

Designed for geriatric practitioners, researchers, and family caregivers, this practical book offers critical information on measuring resilience, the role of spirituality in reducing stress, and incorporating resilience-building procedures into clinical practice or everyday life. Throughout, the book's revolutionary integrative approach aims to amplify personal happiness by allowing aging adults to remain healthy and active while simultaneously reducing the cost of chronic disease to families and society.

This issue of Clinics in Geriatric Medicine, guest edited by Drs. Cynthia Boyd, James T. Pacala, and Michael W. Rich, is devoted to Chronic Conditions in Older Adults with Cardiovascular Disease. Articles in this issue include: Epidemiology of multimorbidity in older adults with cardiovascular disease; Impact of multimorbidity on clinical outcomes in older adults with cardiovascular disease; Assessment of goals of care in patients with multiple chronic conditions; Challenges in decision-making: balancing trade-offs; Multimorbidity in older adults with heart failure; Multimorbidity in older adults with acute coronary syndromes; Multimorbidity in older adults with aortic stenosis; Multimorbidity in older adults with atrial fibrillation;Anticoagulation in older adults with multimorbidity; Approach to evaluating the multimorbid patient with cardiovascular disease undergoing non-cardiac surgery; Integrating care across disciplines; Assessing risks and benefits of invasive cardiac procedures in patients with advanced multimorbidity; Multimorbidity and end of life care in patients with cardiovascular disease; and Future research directions for cardiovascular disease.

This issue of Clinics in Geriatric Medicine is devoted to Geriatric Urology. Guest Editor Tomas L. Griebling, MD, MPH has assembled a group of expert authors to review the following topics: Non-Surgical Treatment of Urinary Incontinence in Elderly Women; Outcomes of Surgery for Stress Urinary Incontinence in Older Women; Evaluation and Management of Pelvic Organ Prolapse in Elderly Women; Underactive Bladder in Older Adults; Translational Research and Voiding Dysfunction in Older Adults; Functional Brain Imaging and Voiding Dysfunction in Older Adults; The Role of Urodynamics in Elderly Patients; Associations Between Voiding Symptoms and Sexual Health in Older Adults; Asymptomatic Bacteriuria and Urinary Tract Infections in Older Adults; Comorbidity and Surgical Risk in Older Urologic Patients; Small Renal Masses in Older Adults; Prostate Cancer in Elderly Men: Active Surveillance and Other Considerations; Late Onset Hypogonadism and Testosterone Replacement in Elderly Men; and Contemporary Chemotherapy for Urologic Malignancies in Geriatric Patients.

The leading reference in the field of geriatric care, Brocklehurst's Textbook of Geriatric Medicine and Gerontology, 8th Edition, by Drs. Howard M. Fillit, Kenneth Rockwood, and John B. Young, provides a contemporary, global perspective on topics of importance to today's gerontologists, internal medicine physicians, and family doctors. An increased focus on frailty, along with coverage of key issues in gerontology, disease-specific geriatrics, and complex syndromes specific to the elderly, makes this 8th Edition the reference you'll turn to in order to meet the unique challenges posed by this growing patient population. Consistent discussions of clinical manifestations, diagnosis, prevention, treatment, and more make reference quick and easy. More than 250 figures, including algorithms, photographs, and tables, complement the text and help you find what you need on a given condition. Clinical relevance of the latest scientific findings helps you easily apply the material to everyday practice. A new chapter on frailty, plus an emphasis on frailty throughout the book, addresses the complex medical and social issues that affect care, and the specific knowledge and skills essential for meeting your patients' complex needs. New content brings you up to date with information on gerontechnology, emergency and pre-hospital care, HIV and aging, intensive treatment of older adults, telemedicine, the built environment, and transcultural geriatrics. New editor Professor John Young brings a fresh perspective and unique expertise to this edition.

This issue of Clinics in Geriatric Medicine is devoted to Palliative Care. Guest Editors Thomas Smith, MD and Madeline Leong, MD have assembled a group of expert authors to review the following topics: Palliative Care in the Era of Healthcare Redesign; Communications to Patients; Communications by Professionals; International Palliative Care; Public Health and Palliative Care; Culturally Relevant Palliative Care; Spirituality, Religion, and Healing in Palliative Care; Alternative, Complementary and Mainstream Therapies in Palliative Care; Symptom Management in the Older Adult; Interaction of Palliative Care and Primary Care; Palliative Care in the Ambulatory Geriatric Practice; Choosing Cancer Therapy Based on Geriatric Assessment; and Emergency Medicine and Palliative Care.

This issue of Clinics in Geriatric Medicine, guest edited by Dr. Soo Borson, is devoted to Geriatric Psychiatry. Articles in this issue include: Diagnosis; Providing high quality care for dementia patients and family caregivers; Common psychiatric problems in cognitively impaired patients - causes and management; Partnering with family caregivers; Palliation and end of life care; Geriatric depression; Treatment for depression and evaluating response; Post-traumatic stress in older adults; Sleep disorders; Substance Abuse; Suicide; and Mental Health Services for Older Adults.

The Health Services Executive (HSE (TM)): Tools for Leading Long-Term Care and Senior Living Organizations serves as a contemporary and comprehensive resource that addresses each of the core professional domains of practice and leadership essentials for long-term care administration students and professionals. With sections dedicated to post-acute care settings, operations, leadership and management, this textbook covers information pertinent to the spectrum of senior living service lines - from inpatient rehab facilities, long term acute care hospitals, nursing homes, assisted living and residential care communities to home-and-community-based services. It is a practical reference for both undergraduate and graduate students preparing to enter the field of long-term care administration and leadership, for professionals transitioning to another line of post-acute service. The textbook begins with a thorough history of the field, including the development of senior services in the United States. Section I then describes the components of customer care, supports, and services before transitioning into Section II, which addresses operations, including the core practice domains of effectively managing human resources, finances, and the environment. Section III offers a framework for leadership, covering strategic thinking and innovation, marketing and public relations, critical thinking and operation practice, working with people throughout the long-term care team, customer service, and personal development. Case examples, discussion questions, leadership essentials, high-impact practices, key points, and NAB domain competencies conclude each chapter. Written by two highly experienced long-term care administrators, this textbook is intended for those preparing for the examinations administered by the National Association of Long-Term Care Administrator Boards (NAB) for the HSE (TM) qualification or licensure for individual lines of service, such as for Nursing Home Administration (NHA), Residential Care and Assisted Living (RC/AL) and Home-and-Community-based Services (HCBS). Key Features: Provides best practices for leadership and management across the continuum of long-term care and senior living services Covers all five NAB professional practice domains - Customer Care, Supports and Services, Human Resources, Finance, Environment, and Leadership and Management Includes case problems, discussion questions and more to foster critical thinking and decision-making skills Offers coverage of the most unique differences among service lines that are part of the HSE (TM) initiative Insightful quotes from industry leaders woven throughout chapters for practical tips and words of wisdom Comes with access to a fully downloadable eBook, as well as a full suite of instructor resources including PowerPoint slides and a test bank

This issue of Medical Clinics of North America, edited by Drs. Jeffrey Wallace and Susan Merel, is devoted to Gerontology. Articles in this issue include: Preventative care in geriatrics; Geriatric syndromes and assessment in the outpatient setting; Assessment and management of fall risk; Drug interactions and side effects; Evaluation and management of elderly patients presenting with cognitive complaints; Pain management in the elderly; Diabetes management in the elderly; Hypertension in the elderly; End-of-life care; Urinary incontinence; Nutrition in the elderly; Anti-thrombotic management in the elderly; and Sleep problems in the elderly.

Handbook of Counseling and Psychotherapy with Older Adults

Older adults are the fastest-growing segment of society and are entering therapy at an unprecedented rate. Editor Michael Duffy has brought together leading experts in geropsychology and older adult counseling to discuss and offer practice strategies appropriate for this diverse population. The Handbook covers new research findings for clinical treatment, coverage of multiple treatment modalities, and clinical problems confronting older clients, including:

• Adjusting to role loss, leisure in late life, and retirement
• Developmental issues in psychotherapy with older men
• Existential issues of hope and meaning in late life therapy
• Developing and enhancing the therapeutic alliance with older clients
• The impact of cultural differences in psychotherapy with older clients
• Using reminiscence and life review as natural therapeutic strategies in groups
• Integrated group approaches with early stage Alzheimer's and their families
• Family disruption after nursing home placement of onset of dementia patients: systemic dynamics and treatment
• Realizing power in intergenerational family hierarchies: when older adults decline

Caring for the Geriatric Surgical Patient is covered extensively in this important Surgical Clinics of North America issue. Articles include: Changing Demographics of the American Population; Effect of Aging on Cardiac Function plus Monitoring and Support; Effect of Aging on Vascular System plus Monitoring and Support; Effect of Aging on Pulmonary Function plus Monitoring and Support; Effect of Aging on Renal Function plus Monitoring and Support; Management of the Gastrointestinal Tract and Nutrition in the Geriatric Surgical Patient; Management of Skin/Soft Tissue/Pressure Sores in the Geriatric Surgical Patient; Hematologic Issues in the Geriatric Surgical Patient; Healthcare-Economic Impact of Caring for the Elderly; Operative Risk Stratification in the Geriatric Surgical Patient; Management of Fractures in the Geriatric Surgical Patient; Pharmacology for the Geriatric Surgical Patient; Rehabilitation of the Geriatric Surgical Patient; End-of-Life Care of the Geriatric Surgical Patient, and more.

Older adults increasingly rely on family members or friends (i.e., informal caregivers) for needed care and support as they age. Family caregivers typically assume their caregiving role willingly and reap personal fulfilment from helping a loved one, developing new skills, and strengthening family relationships. For these benefits, however, caregivers often sacrifice their own health and well-being. Depression, anxiety, poor physical health, and compromised immune function are more common among family caregivers than in adults not providing such care. The REACH OUT Caregiver Support Program offers a multi-component, tailored, and flexible intervention for caregivers of people with dementia that is focused on the evidence-based therapeutic strategy of problem solving. This practical volume is designed to guide clinicians through the process of implementing REACH OUT (Resources for Enhancing Alzheimer's Caregiver Health: Offering Useful Treatments) and to provide them with necessary tools to share with caregivers, with the goal of enhancing caregiver physical and mental health. Five common risk areas (home safety, caregiver health, social support, challenging behaviors, and emotional well-being) are described in the manual, and interventions are outlined that respect the nuances of each risk area. By beginning with an individualized risk assessment and being flexible to the needs and issues of the caregiver, the REACH OUT intervention helps clinicians identify risk areas and provides caregivers with tailored action plans to reduce risk and promote well-being.

Wenn ein Mensch stirbt, bleiben trauernde Angehorige und Freunde zuruck. In geriatrischen oder anderen Pflegeeinrichtungen sind auch Mitbewohner und betreuende Pflegekrafte vom Verlust langjahrig nahestehender Menschen betroffen. Trauernde Kinder oder Eltern, die ein Kind, Bruder oder Schwester verloren haben, sind in ganz besonderer Weise mit der uberwaltigenden, oft auch tabuisierten Emotion konfrontiert, der das Umfeld oft hilflos gegenubersteht.

Dieses Buch bietet im einfuhrenden Teil allgemeine Informationen zum Thema Trauer und Trauerarbeit. Im Praxisteil werden viele praxisnahe Beispiele fur einen empathischen und lebensnahen Umgang mit der Trauer verschiedener Personengruppen in unterschiedlichen Settings aufgezeigt. Kranken- und Altenpflegekrafte, Sozialarbeiter, Padagogen, Psychologen, Personen in Kriseninterventionsteams und Seelsorge usw. finden Anregungen, wie sie Angehorige und andere Bezugspersonen eines Verstorbenen aktiv begleiten und in ihrer Trauer empathisch unterstutzen konnen.

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This book discusses gerontological issues and challenges impacting the quality of life of older people in India. The chapters provide different disciplinary insights ranging from sociology, anthropology, psychology, health sciences, social work, demography, gender, and legal perspectives. The chapters are written by experts and practitioners in the field bringing focus to new gerontological insights from an academic and an empirical perspective. It engages the reader with the growth of different branches of gerontology along with concerns faced by older people. It brings attention to concerns related to ageing of the population in different parts of the country, such as among the tribes, the LGBT community, and conflict zones. It highlights gender aspects related to health care and discusses policy responses, strategies to empower older persons, the role of voluntary organizations, issues related to caregiving and family bonding, and aspects of social protection for the older people. It offers a valuable resource for researchers, academics, practitioners, and policymakers in the areas of gerontology, demography, and sociology, as well as all those interested in the study of ageing populations.

The articles appearing in this geriatrics-focused issue are consistent with the collaborative and translational concepts held by a life course perspective. Each supports interprofessional collaboration and some are either authored or coauthored by interdisciplinary colleagues. Three goals are reflected in these articles: keeping community-dwelling older adults safe, sensible, and secure with solutions that will enable them to stay healthy, wise, and aware. Topics include maintaining physical functions, benefits and consequences of weight-bearing exercise on foot health; cancer prevention; managing nocturia's effect on sleep quality and safety; protection from financial exploitation; and providing safe and affordable living environments. Several articles address physical or cognitive challenges that include monitoring medication adherence, threat of anxiety and stigma in dementia, and approaches to managing self-care in the home for persons with dementia. These evidence-based articles address emerging and best practices to support targeted interventions for persons in community-dwelling home settings. They provide a frame-work of person-centered approaches that foster good health in older age, a central tenet of aging in place and the global response to population aging.

The growing number of older adults in the United States poses a significant challenge to families, healthcare systems, mental health services, and many other caregiving groups. Using the Grand Challenges for Social Work initiative as a framework, this text evaluates critical policies and issues pertaining to older adults, identifying both the overall systemic inequalities currently working against older adults as well as specific areas that require updated policies and interventions. It calls for active attention to the implementation of science-based research, policy, and practices to promote health and well-being. Among the topics addressed: Family violence against older adults Disaster planning and preparedness Building financial capability for aging families Health needs of incarcerated older adults Closing the gap in healthcare services for older adults Social isolation and its effects on mental health and well-being A useful gerontology resource for students, social work scholars, and practitioners, Gerontological Social Work and the Grand Challenges advocates for justice and equal opportunity for older adults, and highlights important social issues that must be urgently addressed in the near future.

This issue of Clinics in Geriatric Medicine is centered on the management of the geriatric fragility fracture patient. This issue features expert clinical reviews on topics such as Principles of comanagement, Lean business model and implementation of a Geriatric Fracture Center, Preoperative optimization and risk assessment, Preoperative reversal and management of anticoagulation and antiplatelet agents, Classification and surgical approach to hip fractures for non-surgeons, Special anesthetic consideration for the fragility fracture patient, Non-surgical management and palliation of fragility fractures, and Management of post-operative complications including Delerium, Anemia, Venous thromboembolism, and Cardiovascular disease and volume management. Also included are articles on Transitions in care and rehabilitation, Osteoporosis related secondary fracture prevention, Post-operative assessment of falls risk and prevention, and Fragility fractures requiring special consideration.

This issue of Clinics in Geriatric Medicine features expert clinical reviews on Mild Cognitive Impairment which includes current information on topics such as Overview of Mild Cognitive Impairment, Aging and Cognition, Classification and Epidemiology of Mild Cognitive Impairment, Neuropsychiatric Symptoms of Mild Cognitive Impairment, Clinical Evaluation of Early Cognitive Symptoms, Emerging Biomarkers Relating to Cognition, Imaging Modalities in Evaluation of Cognition, Current Management Decisions in Mild Cognitive Impairment, Risk Factors for Progression to Dementia, Dealing with Mild Cognitive Impairment: Help for Patients and Caregivers.

This issue of Clinics in Geriatric Medicine features expert clinical reviews on Renal Disease in Older Adults which includes current information on topics such as Anatomic/ Physiological Changes with Aging, Acute Kidney Injury in Older Adults, Electrolyte Problems in Older Adults, Glomerular Disease in Older Adults, Hypertension in Older Adults, Chronic Kidney Disease in Older Adults, End-stage Renal Disease in Older Adults, Decision Making in the Older Adult Patient with Advanced Kidney Disease, Obstructive Uropathy in Older Adults, Drug Dosing, Transplantation in Older Adults, and Slowing the Aging Process.

This book provides family doctors with a wealth of evidence-based indications and tips regarding geriatric medicine and approaches for the management of older patients, to be applied in daily practice. After discussing old and new features of healthy ageing and the approaches required in Family Medicine Consultation, the text introduces key elements of geriatric medicine such as frailty, sarcopenia, and the comprehensive geriatric assessment (CGA), before describing a range of characteristics unique to older patients in different contexts, with a dedicated section on Palliative Care. The role of polypharmacy and the importance of quaternary prevention and deprescribing are also addressed. Finally, the book emphasizes both the importance of a humanistic approach in caring and the approach of research and meta-research in geriatrics. Though many texts explore the role of primary care professionals in geriatric medicine, the role of family doctors in older people care has not yet been clearly addressed, despite the growing burden of ageing, which has been dubbed the "silver tsunami." Family physicians care for individuals in the context of their family, community, and culture, respecting the autonomy of their patients. In negotiating management plans with their patients, family doctors integrate physical, psychological, social, cultural and existential factors, utilizing the knowledge and trust engendered by repeated visits. They do so by promoting health, preventing disease, providing cures, care, or palliation and promoting patient empowerment and self-management. This will likely become all the more important, since we are witnessing a global demographic shift and family doctors will be responsible for and involved in caring for a growing population of older patients. This book is intended for family medicine trainees and professionals, but can also be a useful tool for geriatricians, helping them to better understand some features of primary care and to more fruitfully interact with family doctors.

This issue of Medical Clinics covers the important advances surrounding the early intervention of Alzheimer's Disease. Guest edited by world-renowned experts from around the world, the topics covered will include evaluation of new diagnostic criteria, CSF biomarkers, diagnostic imaging, neurocognitive approaches, breaking clinical trials and more.

This issue of Clinics in Geriatric Medicine features expert clinical reviews on Geriatric Dermatology which includes current information on topics such as diagnosis and management of bullous disease, common skin cancers in older adults, psoriasis, management of pressure ulcers, management of venous stasis disease, approach to diabetic and vascular ulcers, diagnosis and management of soft tissue infections, cutaneous fungal infections in older adults, mangagment of scabies and generalized pruritus, herpes zoster and other herpes infections, and adverse drug effects in aging skin.

This book provides basic knowledge and skills for non-dental healthcare practitioners, helping them recognize the importance of oral health, perform initial oral health assessments, consult dentists when necessary, and offer preventive advice and counseling. As people age, they tend to refrain from routine dental care, while the number of consultations with non-dental healthcare providers (physicians, nurses, pharmacists, physician assistants, physical therapists, occupational therapists etc.) increases. However, few healthcare providers are adequately trained to assess oral problems. The relevance of this book is underscored by the recently published European policy recommendations on oral health in older adults by the European College of Gerodontology and the European Geriatric Medicine Society, which highlight the importance of the active involvement of non-dental primary care practitioners in oral health assessment and promotion. These two respected European Societies have identified a significant gap in education, practice and health policies and described the necessary action plans. This book helps to fill the educational gap identified in the recommendations and will be an invaluable tool for all healthcare providers working with older people.

This issue of Clinics in Geriatric Medicine focuses on the pharmacological, non-pharmacological, and device therapies in the medical management of cardiac rhythm disorders in the elderly population. It also reviews the epidemiology of arrhythmias and conduction disorders in older adults, atrial fibrillation and atrial flutter: stroke prevention, bradyarrhythmias and conduction disorders, and comorbidities, quality of life, and end-of-life issues in older patients with heart rhythm disorders.