Focusing on the need for developing new service delivery models for the aged, Health Care of the Aged examines fiscal, political, and social criteria influencing this challenge of the 1990s. The aged are caught in the sweeping changes currently occuring in the financing, organizing, and delivery of human and health care services. From various perspectives, this new book will help shape the direction for elderly health care program development and implementation. With an emphasis on greater long-term care in either home, community, or institutional settings, this important book will increase the understanding for a comprehensive, effective policy designed to carry the growing number of elderly through this decade and into the next. As roles and issues change, this valuable book will become increasingly important to those involved in providing services and care to the elderly. Health care administrators, policymakers, social workers, physical and occupational therapists, and caregivers will benefit from the expertise presented in Health Care of the Aged.

A ground-breaking new volume and the first of its kind to concisely outline and explicate the emerging field of whole person care process, Whole Person Care: A New Paradigm for the 21st Century organizes the disparate strains of literature on the topic. It does so by clarifying the concept of 'whole person' and also by outlining the challenges and opportunities that death anxiety poses to the practice of whole person care. Whole person care seeks to study, understand and promote the role of health care in relieving suffering and promoting healing in acute and chronic illness as a complement to the disease focus of biomedicine. The focus is on the whole person -- physical, emotional, social, and spiritual. Using concise, easy-to-read language, the early chapters offer practitioners a thorough understanding of the concepts, skills and tools necessary for the practice of whole person care from a clinician-patient interaction standpoint, while the last two chapters review the myriad implications of whole person care for medical practice. An invaluable resource for all areas of medical practice and for practitioners at all stages of development, from medical students to physicians and allied health providers with many years of experience, Whole Person Care: A New Paradigm for the 21st Century will have a profound impact on western medical practice in North America and elsewhere. Content Level Professional/practitioner

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.

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.

The 1990s have been characterized by a reappraisal of allocating expenditure for health care interventions. Coronary artery bypass in the elderly has emerged as an example of burgeoning expensive surgery whose appropriateness is under challenge. This book comprises the proceedings of an international symposium where leading experts in aspects such as health economics, ethics, clinical cardiology, cardiac surgery, epidemiology and health-care policy discussed the need and outcome of the operation in old and very old patients. Clinical issues and operative results complement national costs and quantitated benefits in terms of quality of life as a justification of surgery. The book is addressed to cardiologists, geriatricians, cardiac surgeons, psychiatrists, rehabilitation physicians and public health-care administrators.

This issue of Emergency Medicine Clinics focuses on Geriatric Emergencies. Articles include: Recent Trends in Geriatric Emergency Medicine, Resuscitation of the Elderly, Pharmacology in the Geriatric Patient, Trauma and Falls in the Elderly, Sepsis and Infectious Emergencies in the Elderly, Evaluation of the Geriatric Patient with Chest Pain, Evaluation of Dyspnea in the Elderly, Abdominal Pain in the Geriatric Patient, Neurologic Emergencies in the Elderly, Evaluation of Syncope, Altered Mental Status and Delirium, and more!

This state-of-the-art handbook will keep researchers and practitioners in gerontology abreast of the newest theories and models of ageing. With virtually all new contributors and content, this edition contains 35 chapters by the most highly respected luminaries in the field. It addresses theories and concepts built on cumulative knowledge in four disciplinary areas - biology, psychology, social sciences, and policy and practice - as well as landmark advances in trans-disciplinary science. With its explicit focus on theory, the handbook is unique in providing essential knowledge about primary explanations for ageing, spanning from cells to societies. The chapters in the third edition place a strong emphasis on the future of theory development, assessing the current state of theories and providing a roadmap for how theory can shape research, and vice versa, in years to come. Many chapters also address connections between theories and policy or practice. Each set of authors has been asked to consider how theories in their area address matters of diversity and inequalities in aging, and how theories might be revised or tested with these matters in mind. The third edition also contains a new section, "Standing on the Shoulders of Giants", which includes personal essays by senior gerontologists who share their perspectives on the history of ideas in their fields, and on their experiences with the process and prospects of developing good theory. Hallmarks of the third edition: Highlights important gains in trans-disciplinary theories of ageing. Emphasises the future of theory development. Provides insights on theory development from living legends in gerontology. Examines what human diversity and inequality mean for ageing theories. Emphasises interconnections between theory, research, intervention, and policy. Underscores international issues with greater representation of international authors. Includes section introductions by the editors and associate editors that summarise theoretical developments. Key Features: Highlights variability and diversity in aging processes, from the cellular level of biological ageing to the societal level of public policy. Provides insights on theory development from living legends in gerontology. Offers intergenerational, interdisciplinary, and international perspectives. Disseminates a forward-thinking, future-oriented focus in theory development.

This volume provides a comprehensive and multi-disciplinary overview of the aging lung, written by the main researchers in the field. Current physiological, cellular and molecular understanding of how the lungs age and the relationship to age-associated lung diseases will be presented. The contents are aimed at a broad audience of scientists and clinicians with an interest in the respiratory system, pathogenesis of age-associated lung diseases and clinical implications.

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.

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 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.

This third edition of a trusted resource brings together the latest literature across multiple fields to facilitate the understanding and prevention of falls in older adults. Thoroughly revised by a multidisciplinary team of authors, it features a new three-part structure covering epidemiology and risk factors for falls, strategies for prevention and implications for practice. The book reviews and incorporates new research in an additional thirteen chapters covering the biomechanics of balance and falling, fall risk screening and assessment with new technologies, volitional and reactive step training, cognitive-motor interventions, fall injury prevention, promoting uptake and adherence to fall prevention programs and translating fall prevention research into practice. This edition is an invaluable update for clinicians, physiotherapists, occupational therapists, nurses, researchers, and all those working in community, hospital and residential or rehabilitation aged care settings.

This issue of Clinics in Geriatric Medicine, guest edited by Dr. Elsa S. Strotmeyer, is devoted to Medical Complications of Diabetes in Older Adults. Articles in this issue include: Glucose Dysregulation: Pathophysiology and Prevention; Diabetic Medications and Polypharmacy; Physical Function and Disability; Diabetes and Osteoarthritis; Adiposity, Muscle Mass, and Diabetes; Exercise and Weight Loss in Diabetes Management; Diabetes and Cognition; Diabetes and Depression; Sleep Apnea and Diabetes; Diabetes and Coronary Artery Disease; and Diabetes and Balance and Falls.

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.

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.

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.

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.

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.

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.

Methuselah's Echo focuses on psychotherapy with patients over 65, the fastest growing segment of our population. Basing his findings on 20 years of work with the elderly, Dr George Bouklas explains how to resolve resistances to contemplation and return elderly patients to a maturational path on which they can face with greater equanimity the realities of ageing and the inevitability of death. Echoing refers to joining, mirroring and reflecting; therapeutic techniques that enable patients to become increasingly self-aware. The author demonstrates how these approaches work, and how to apply them in the context of psychodynamic, interpersonal and behavioural interventions. He further explains how the therapist promotes progress with people in this age group, and with vivid examples shows what inspiration and wisdom can be gained from working with the elderly.

This book discusses the state of the research and cutting-edge practice with regard to chronic illnesses and rehabilitation in older adults. It emphasizes biopsychosocial and culturally appropriate rehabilitation approaches to reduce the degree of disability and maximize independence in the activities of daily living among the burgeoning aging population. Organized in four sections-Introduction and Overview, Major Illnesses and Problems in Aging Populations, Evaluation of Functional Rehabilitation Approaches for Aging Populations, and Future Clinical Research Needs-the book includes chapters on the "graying" of the West with implications for increased chronic illnesses and disabilities; a review of biopsychosocial rehabilitation approaches; important "aging" issues such as slips-and-falls, musculoskeletal pain, chronic disabling conditions such as cancer and cardiovascular disease, and work-related factors to maintain work engagement in older workers. The US Census Bureau projects that by the year 2030, about 20% of the U.S. population will be 65 or older, contributing to the increased concern about healthcare and rehabilitation issues among older adults. This work will be of interest to healthcare, rehabilitation, vocational, human resource and disability management professionals, policy makers as well as researchers in areas of aging, gerontology, chronic illness, disability, rehabilitation, social work, medicine and psychology.

As the average age of the population rises, mental health professionals have become increasingly aware of the critical importance of personality in mediating successful adaptation in later life. Personality disorders were once thought to "age out," and accordingly to have an inconsequential impact on the lives of the elderly. But recent clinical experience and studies underscore not only the prevalence of personality disorders in older people, but the pivotal roles they play in the onset, course, and treatment outcomes of other emotional and cognitive problems and physical problems as well. Clearly, mental health professionals must further develop research methods, assessment techniques, and intervention strategies targeting these disorders; and they must more effectively integrate what is being learned from advances in research and theory into clinical practice.
Inspired by these needs, the editors have brought together a distinguished group of behavioral scientists and clinicians dedicated to understanding the interaction of personality and aging. Offering a rich array of theoretical perspectives (intrapsychic, interpersonal, neuropsychological, and systems), they summarize the empirical literature, present phenomenological case reports, and review psychodynamic, cognitive-behavioral, and pharmacological treatment approaches. This comprehensive state-of-the-art guide will be welcomed by all those who must confront the complexity and the challenge of working with this population.

This book provides multinational evidence on active and healthy ageing. It generates authoritative new knowledge for mutual learning and policymaking in addressing challenges linked with population ageing. The authors discuss how to achieve better active ageing outcomes through appropriate policies including addressing life course determinants of active and healthy ageing. The chapters are distinctive in their focus on quantitative analysis of active and healthy ageing based on a first-of-its-kind composite measure, the Active Ageing Index developed during the 2012 European Year for Active Ageing and Solidarity between Generations. Contributors include researchers, civil service representatives, policymakers and other stakeholders from national, regional and European organisations. This edited volume provides a multidisciplinary resource for academics and policy makers in various areas of the social sciences, especially those studying population ageing and its consequences, economists, sociologists, social policy analysts and public health experts.

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.

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.