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The second edition of the Handbook of Pain Relief in Older Adults: An Evidence-Based Approach expands on the first edition by providing a number of timely new features. Most important of these are the revised recommendations from the American Geriatrics Society on prescribing that reflect the many new agents available since the last guidelines were released in 2001. Additionally, concepts such as synergy in prescribing for older adults have been better delineated in this edition. The most salient features of the original edition have been retained and updated, including the full range of approaches for pain assessment and prevention, interventional strategies, guidance on pharmacotherapy and nonpharmacologic pain relief strategies for seniors, preventive analgesia, the role of rehabilitation in sound pain treatment, legal and public policy issues in pain care for seniors, pain management in long-term care, and even the issue of spirituality as an adjunct to pain management. The second edition also includes a new chapter on resources, which includes organizations, internet websites, and guidance on acquiring additional consultation for pain intervention. Of particular interest is an updated discussion of the effect that electronic medical records and internet-based personal health records will have on pain relief in older adults and a new chapter that serves as a resource guide for patients and caregivers trying to navigate the waters of pain relief assistance. This issue has not been addressed substantively in the pain management literature and the ramifications for older adults are particularly poignant. Comprehensive and practical, the Handbook of Pain Relief in Older Adults: An Evidence-Based Approach (Second Edition) is a comprehensive resource with targeted, practical information that will be of vital importance for all clinicians who provide care for seniors.
Geriatric anesthesia is a rapidly growing and evolving field. The last few years have seen significant advancements in and important new modalities for addressing the needs of an aging population. The editors of Geriatric Anesthesiology's second edition are uniquely situated to put together a text highlighting both essential knowledge and recent breakthroughs of importance to any who work with the elderly. For the second edition, the editors have introduced a streamlined chapter format and have assembled a selection of chapters intended to deepen the understanding of anesthesic management of the geriatric patient.
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.
This book constitutes the refereed proceedings of the 7th International Conference On Smart Homes and and Health Telematics, ICOST 2009, held in Tours, France, in July 2009. The 27 revised full papers and 20 short papers presented were carefully reviewed and selected from numerous submissions. The papers are organized in topical sections on cognitive assistance and chronic diseases management; ambient living systems; service continuity and context awareness; user modeling and human-machine interaction; ambient intelligence modeling and privacy issues, human behavior and activities monitoring.
Cancer and aging are integrally related. Cancer incidence and mortality increase with age, with most cancer diagnoses and deaths occurring in patients aged 65 and older. The aging of the Baby Boomer population, along with an overall increase in life expectancy, points to a doubling of the U.S. population over age 65 by the year 2030. This demographic shift, combined with the known association of cancer and aging, is expected to bring about a rapid growth in the older cancer-patient population. It is clear that geriatric principles must become part of oncology care. The evaluation and development of treatment recommen- tions for an older adult with cancer can be challenging for many reasons. Tumor biology and response to therapy are affected by age. In addition, age-related factors may impact treatment patterns, tolerance, and efficacy. These age-related factors include functional status declines, comorbid conditions, changes in cognitive function, weakening of organ function, decreases in physiologic reserve, and faltering social support.
This book presents a comprehensive and state-of the-art approach to vascular disease for the geriatric patient, focusing on vascular pathology and interventions but also on perioperative care, anesthetic care, functional outcomes and quality of life, as well as ethical considerations that impact decision making. The book addresses open and endovascular interventions in different vascular beds, as well as preoperative workup and optimization, anesthetic considerations, all aspects and expectations of the postoperative care and recovery and is the only book to include specialize in the intricacies of the care of the geriatric patients, the challenging recovery and neurocognitive changes, and ethical considerations for the end stage geriatric patient or in the setting of postoperative complications. Written by experts in the field, each section addresses patient selection, pre-operative considerations, technical conduct of the most common operations with open or endovascular options, and avoiding complications. A brief review of the existing literature addressing the particular topic follows in each section. With its concise yet comprehensive summary of the field, Vascular Disease in Older Adults is the ultimate resource for geriatricians, cardiologists, surgeons, anesthesiologists, and all physicians of who care for the aging patient with vascular disease.
Anemia in the elderly has been properly defined as the silent epidemic, representing 3 million people in the United States aged 65 years and older. Incidence and prevalence of this condition increase with age. It differs in its etiology, pathogenesis and treatment from anemia in children and younger adults. Anemia is associated with reduced survival, increased risk of functional dependence and hospitalization, increased risk of congestive heart failure and stage renal disease and cognitive disorders. Approximately 70% of anemia in older individuals is reversible.
This book distills the wealth of knowledge contained in the classic text, Geriatric Medicine: An Evidence-Based Approach, 4/e into a practical guide for primary care, family medicine, and internal medicine residents. Written by top experts in the field, the book offers a detailed, compact overview of geriatric care. It addresses geriatric pharmacology, Medicare and Medicaid, and numerous other subjects unique to older adults. The case-based instructional approach helps readers navigate the complexity of prevention, presentation, and treatment for conditions such as depression, dementia, and hypertension. Graphs and tables aid the reader in determining the proper courses of treatment.
This unique book is intended for all health professionals caring for older people with diabetes such as specialist and general nurses, doctors, primary care practioners and dieteticians. Although there is an increasing body of work about personalised care, no publications were identified that encompass the focus and scope of the proposed book. The global population is ageing and increasing age is a key risk factor for diabetes. Older people with diabetes are often vulnerable, have complex care needs and often have cognitive changes, which makes personalising care challenging for health professionals. Thus, this is an internationally relevant book filling a gap in the current literature. This is a practical and updated book that will use an engaging and easy to read narrative style. It challenges readers to reflect in and on their practice. It encompasses people with diabetes' and authors' stories, which are known to have a special interest to readers, make it easier to apply the information to practice, enhance learning, and hence the relevance and value of the book. It is relevant to advocacy organisations as well as managers and service planners. Researchers and scientists may find relevant information on grant and ethics applications, research protocols, plain language statements for potential participants and operationalising research protocols.
Unser Gedachtnis will trainiert sein. Damit es nicht aus der UEbung kommt, hat die Neuropsychologin Regula Schmid ein multimodales, themenzentriertes Gedachtnistraining in zwei Banden entwickelt, das uns das ganze Jahr hindurch begleitet. Anders als bisherige Publikationen enthalt es nicht einfach eine beliebige Sammlung an UEbungen, sondern 52 komplette, thematisch auf den Jahresablauf abgestimmte Lektionen. Diese bestehen aus Texten, Denkanstoessen und gezielten Trainingsubungen fur verschiedene Gedachtnisfunktionen sowie fur Konzentration, denkerische, sprachliche und raumlich- praktische Fahigkeiten. Durch die Themenbezogenheit und die multimodale Aktivierung geistiger und koerperlicher Fahigkeiten soll der Dialog zwischen den Hirnzellen auf eine Art und Weise vertieft werden, wie es ihrer naturlichen Lernfahigkeit entspricht. Viel Sorgfalt ist einer benutzerfreundlichen Gestaltung mit verstandlichen Anleitungen gewidmet, damit das woechentliche Hirnleistungstraining sowohl in Eigenregie als auch im Gruppenunterricht zu einem Vergnugen wird. Fur alle, die ihr Gehirn bis ins hohe Alter regelmassig und vielfaltig nutzen wollen, fullt diese Trainingsmethode eine Lucke im bisherigen Angebot. Fur Fachleute, die Gedachtnistraining anbieten, ist dieses Konzept von speziellem Interesse: Die 52 professionell zusammengestellten Lektionen ersparen viel Aufwand und regen zu weiteren Ideen an.
Unser Gedachtnis will trainiert sein. Damit es nicht aus der UEbung kommt, hat die Neuropsychologin Regula Schmid ein multimodales, themenzentriertes Gedachtnistraining in zwei Banden entwickelt, das uns das ganze Jahr hindurch begleitet. Anders als bisherige Publikationen enthalt es nicht einfach eine beliebige Sammlung an UEbungen, sondern 52 komplette, thematisch auf den Jahresablauf abgestimmte Lektionen. Diese bestehen aus Texten, Denkanstoessen und gezielten Trainingsubungen fur verschiedene Gedachtnisfunktionen sowie fur Konzentration, denkerische, sprachliche und raumlich- praktische Fahigkeiten. Durch die Themenbezogenheit und die multimodale Aktivierung geistiger und koerperlicher Fahigkeiten soll der Dialog zwischen den Hirnzellen auf eine Art und Weise vertieft werden, wie es ihrer naturlichen Lernfahigkeit entspricht. Viel Sorgfalt ist einer benutzerfreundlichen Gestaltung mit verstandlichen Anleitungen gewidmet, damit das woechentliche Hirnleistungstraining sowohl in Eigenregie als auch im Gruppenunterricht zu einem Vergnugen wird. Fur alle, die ihr Gehirn bis ins hohe Alter regelmassig und vielfaltig nutzen wollen, fullt dieses Buch eine Lucke im bisherigen Angebot. Fur Fachleute, die Gedachtnistraining anbieten, ist dieses Konzept von speziellem Interesse: Die 52 professionell zusammengestellten Lektionen ersparen viel Aufwand und regen zu weiteren Ideen an.
As aging trends in the United States and Europe in particular are strongly suggestive of increasingly older society, it would be prudent for health care providers to better prepare for such changes. By including physiology, disease, nutrition, pharmacology, pathology, radiology and other relevant associated topics, Geriatric Gastroenterology fills the void in the literature for a volume devoted specifically to gastrointestinal illness in the elderly. This unique volume includes provision of training for current and future generations of physicians to deal with the health problems of older adults. It will also serve as a comprehensive guide to practicing physicians for ease of reference. Relevant to the geriatric age group, the volume covers epidemiology, physiology of aging, gastrointestinal physiology, pharmacology, radiology, pathology, motility disorders, luminal disorders, hepato-biliary disease, systemic manifestations, neoplastic disorders, gastrointestinal bleeding, cancer and medication related interactions and adverse events, all extremely common in older adults; these are often hard to evaluate and judge, especially considering the complex aging physiology. All have become important components of modern medicine. Special emphasis is be given to nutrition and related disorders. Capsule endoscopy and its utility in the geriatric population is also covered. Presented in simple, easy to read style, the volume includes numerous tables, figures and key points enabling ease of understanding. Chapters on imaging and pathology are profusely illustrated. All chapters are written by specialists and include up to date scientific information. Geriatric Gastroenterology is of great utility to residents in internal medicine, fellows in gastroenterology and geriatric medicine as well as gastroenterologists, geriatricians and practicing physicians including primary care physicians caring for older adults.
The lives of urban Chinese daughters have changed. Education and employment have propelled them from dependency to self-sufficiency, resulting in new attitudes and lifestyles. However, traditional filial obligation has remained. This book asks why it continues and how it is currently discharged, focusing on the emotion work daughters do to sustain the parent relationship, deal with conflict and maintain their self-esteem. Based on interviews with women living in Hong Kong, Singapore and mainland China, the book further explores whether the structural or relational motivations underpinning support and care may be less important than the standards daughters impose on themselves; why care may be discontinued or not undertaken in the first place; why care provided to parents may be different from in-laws, and the importance of domestic helpers to the modern caregiving paradigm. To undertake this exploration, a typology of support and care was created, allowing for the first time to distinguish between what daughters do for healthy parents and in-laws versus parents who require temporary or full time care, specifically addressing how providing support and care affects the daughters' well-being.
This book gathers current research from across the globe in the study of cancer in the elderly. Topics discussed include cancer-related fatigue in elderly patients; rectal cancer staging; hormone therapy treatment in elderly patients with hormone-sensitive breast cancer; age and gender-related risk for oral cancer; cancer treatment for patients with Alzheimer's disease and oesophageal cancer in the elderly.
A guide for doctors to quickly choose the right drugs in the right
dose for the most important clinical problems in the
elderlyPrescribing medications for elderly patients is complex -
this book gives clear advice on treatment regimes, drug
interactions, adverse effects, and recommended dose changesProvides
practical help with the problems that can arise in reaching an
accurate diagnosis in the elderly, recommends clear treatment
options, lists key drug interactions and side effects, and advises
when to amend doses
Seeing older age as a time of loss and helplessness too often prevents therapists from providing treatments that can be of enormous benefit to older people.
Ken Laidlaw, Larry Thompson, Leah Dick-Siskin and Dolores Gallagher-Thompson draw upon their collective wealth of clinical experience to provide a comprehensive and practical guide to the applications of CBT to older adults.
Special features include:
A New York Times bestseller
One of the greatest challenges of the 21st century is global ageing. A primary objective of this book is to review research that is at the forefront in providing information regarding the decline, maintenance, and improvements in health and cognition that are associated with age. Another objective is to provide information regarding pioneering methods to ameliorate age-related declines. It brings together scholars with a wide variety of expertise who present innovative ideas about lifestyle and brain health, quality of life issues, memory interventions, methodology for pain assessment, health communication, decision-making, future time perspective, and retirement goals. The reader will finish this book with a greater understanding of the problems and potential solutions for addressing the important problems of an ageing population. This timely book will make an important contribution to the current aging literature by offering new ideas to stimulate further research and application in understanding health, cognition, and ageing. This book is appropriate for advanced undergraduate students, graduate students, and professionals who study or work in the fields of psychology, gerontology, social work, human development and health fields such as nursing, physical therapy, and occupational therapy.
This work fills a gap in the literature in presenting a collection of topics on acute geriatric care. Most chapters are structured as grand rounds, focused on clinical problems that have limited disclosure in textbooks, presented as a dialog between theory and practice, written by clinicians for clinicians. This collection is based on encounters between geriatricians and consultants, meant to resolve clinical problems; a collaboration where clinical experience and interdisciplinary exchange may supplant scanty guidelines. A multidisciplinary approach is also proposed to reduce functional decline of elderly patients, decrease length of hospital stays, and prevent nursing home admissions.
Ageing and Later Life reflects the diverse nature of the subject by taking a multidisciplinary approach including literary, historical, sociological, policy, psychological, philosophical and clinical perspectives. This lively and informative book features essays by major authors in the field and includes discussions of: cultural aspects of self-image and identity; current concerns relating to health and well-being; the reality of power and control in the care of older people; concepts and values which shape our understanding of ageing; issues of policy and politics; and historical perspectives on ageing and possibilities for the future. Ageing and Later Life is a set book for The Open University course K256 An Ageing Society.
Disaster Public Health and Older People introduces professionals, students and fieldworkers to the science and art of promoting health and well-being among older people in the context of humanitarian emergencies, with a particular focus on low- and middle-income country settings. Older people face specific vulnerabilities in physical, mental and social well-being during disasters. They are likely to experience socio-economic marginalisation, isolation, inaccessible information and a lack of relevant post-emergency support services. Meanwhile, although older people can also significantly contribute to disaster preparedness, response and recovery, their capacities are often under-utilised. Drawing on a range of global case studies, this book provides readers with a theoretical underpinning, while suggesting actions at the individual, community and national levels to reduce the health risks to older people posed by the increasing frequency and intensity of disaster, in particular those resulting from natural hazards. Topics covered range from the health impact of disasters on older people and response to their post-disaster health needs, to disaster preparedness, disease prevention, healthy ageing, global policy developments and the contributions of older people in disaster contexts. This book draws on lessons learnt from previous disasters and targets students and professionals working in disaster medicine, disaster public health, humanitarian studies, gerontology and geriatrics.
This major work with an internationally famous list of contributors deals with the ways in which needs assessment, service, evaluation, and public health and social policy may improve the care of elderly people in all societies. It discusses the methodology of epidemiological studies, risk factors, and the most common problems and diseases in old age.
This book brings together state-of-the-art research on successful aging in Asian populations and highlights how the factors that contribute to successful aging differ from those in the West. It examines the differences between the Asian and Western contexts in which the aging process unfolds, including cultural values, lifestyles, physical environments and family structures. In addition, it examines the question of how to add quality to longer years of life. Specifically, it looks at ways to promote health, preserve cognition, maximize functioning with social support and maintain emotional well-being despite inevitable declines and losses. Compared to other parts of the world, Asia will age more quickly as a result of the rapid socioeconomic developments leading to rising longevity and historically low fertility rates in some countries. These demographic forces in vast populations such as China are expected to make Asia the main driver of global aging in the coming decades. As a result, researchers, professionals, policymakers, as well as the commercial sector, in both East and West, are increasingly interested in gaining a deeper understanding of aging in Asia.
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