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.

The number of elderly patients with diabetes is increasing at a significant rate. Responding to this growth, this source serves as a solid arsenal of information on the varying presentations and challenges associated with diabetes in the geriatric patient, and supplies clearly written sections on the screening, diagnosis, and treatment of diabetes in elderly populations. With contributions from renowned authorities from the national and international institutions, this reference will depict the role of specific co-morbidities, socioeconomic aspects, and caregiver issues on the effective management of diabetes in the older adult.

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.

The ultimate-and fun!-guide to maintaining vibrant sexual health with aging. In Never Too Late, Shannon Dowler, MD, a family physician who is also an expert on sexually transmitted diseases (STD), provides a refreshing overview of sexual education for people over 55. With the advent of dating apps, vibrant 55+ retirement communities, and sexual enhancement drugs, adults are sexually active well into their golden years. Unfortunately, the rates of STDs are dramatically increasing in older adults. In entertaining, accessible language, Dr. Dowler presents relatable patient stories and hilarious rhymes that make for an easy and fun way to learn about safe sex. This guide covers important topics, including: * How to identify the signs and symptoms of different STDs, including newer infections * The importance of regular screening * Best sexual practices, including guidance on medications * Preventative measures, tests, and treatments * Guidance on how to broach difficult conversations with romantic partners and doctors * Details about changing sexual trends, including dating apps, swinging, and normal aging changes that may impact your sexuality * Conditions commonly confused with sexually transmitted infections, such as urinary tract infections, tick-related infections, and forms of dermatitis * Common misconceptions, myths, and assumptions * Advice on seeking medical care when uninsured or financially limited Never Too Late will help you take charge of your sexual health and learn how to protect yourself and your current and future partners.

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.

It is important to understand the relationship between the brain, cognition and behavior when providing care to the elderly. Behavioral Neurology in the Elderly provides a comprehensive overview of this significant relationship, one of the most important topics concerning medical and behavioral gerontology today. It provides insight into how the aging brain affects memory and language, as well as motor, emotional, and executive functioning.

Beginning with a historical view of aging and healthy living, this practical and informative book describes the most important neurobehavioral issues such as information processing, motor function, language and communication. It also provides essential information on neurobehavioral disorders such as depression, sleep disorders, epilepsy, apraxia, dementia and stroke. Furthermore, it offers an ultimate guide to medical and neuropsychological geriatric assessment and evaluation. A resource for all professionals working with elderly people, Behavioral Neurology in the Elderly points out new directions in research methods for assessment, diagnosis, and treatment.

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.

A MacArthur Genius Grant recipient pioneers a radical change in how we interact with older loved ones, especially those experiencing dementia, as she introduces a proven method that uses the creative arts to bring light and joy to the lives of elders. In Creative Care, Anne Basting lays the groundwork for a widespread transformation in our approach to elder care and uses compelling, touching stories to inspire and guide us all-family, friends, and health professionals-in how to connect and interact with those living with dementia. A MacArthur Genius Grant recipient, Basting tells the story of how she pioneered a radical change in how we interact with our older loved ones. Now used around the world, this proven method has brought light and joy to the lives of elders-and those who care for them. Here, for the first time, everyone can learn these methods. Early in her career, Basting noticed a problem: today's elderly-especially those experiencing dementia and Alzheimer's- are often isolated in nursing homes or segregated in elder-care settings, making the final years of life feel lonely and devoid of meaning. To alleviate their sense of aloneness, Basting developed a radical approach that combines methods from the world of theater and improvisation with evidence-based therapies that connect people using their own creativity and imagination. Rooted in twenty-five years of research, these new techniques draw on core creative exercises-such as "Yes, and . . ." and "Beautiful Questions." This approach fosters storytelling and active listening, allowing elders to freely share ideas and stories without worrying about getting the details "correct." Basting's research has shown that these practices stimulate the brain and awaken the imagination to add wonder and awe to patients' daily lives-and provide them a means of connection, both with the world and with those caring for them. Creative Care promises to bring light and hope to a community that needs it most.

With the use of multiple medications in the elderly patient comes the risk of drug-related problems. This issue covers polypharmacy in the elderly patient with topics that include: The Interplay between Polypharmacy, Geriatric Conditions, and Adverse Drug Reactions, Factors Leading to Excessive Polypharmacy, Clinical Practice Guidelines for Chronic Diseases and How They Contribute to Polypharmacy, Polypharmacy in Nursing Home Residents, Psychotropic Polypharmacy, Deprescribing Trials: Methods to Reduce Polypharmacy and the Impact on Prescribing and Clinical Outcomes, Ethical Framework for Medication Discontinuation in Nursing Home Residents with Limited Life Expectancy, Pharmacokinetics in the Elderly and the Interaction with Polypharmacy, Medication Adherence to Multi-drug Regimens, Improvements in Electronic Prescribing to Reduce Inappropriate Medication Use and Polypharmacy, and Tools to Decrease Polypharmacy.

Part of the Masterpass series, this highly authoritative guide covers all the required topics, with emphasis on important areas ensuring candidates are thoroughly tested. MCQs in Geriatric Medicine for Postgraduate Examinations is ideal for postgraduate doctors wanting to succeed in elderly medicine biased MCQs such as candidates for the Diploma in Geriatric Medicine and registrars in geriatric medicine reading for their specialty certificates. It is also highly recommended for Part I MRCP candidates requiring a grasp of this rapidly increasing branch of medicine in terms of information, number of patients and cost to the state. The overall proportions of topics are.suggested by the Royal College of Physicians, London but I have added more questions proportional to the importance of some topics.When you have cracked all 350, you will have the MCQ examiners on toast. Roger Gabriel, in the Preface.

The second edition contains updated resources, research institution information and a listing of treatment and care facilities in the United States. Additions to the encyclopedia section include advances in Alzheimer's disease research, genetics, diagnostic procedures, treatment, alternative medicine, brain plasticity, risk factors, clinical trial information, nursing home safety, and preventive measures. In addition the book describes medical treatments used in other countries and the results of collaborative efforts such as the recent global imaging test initiatives and the Prevent Alzheimer's Disease by 2020 Project.

Named a 2013 Doody's Essential Purchase

"This is a terrific text with good basic information and a level of detail, tools, and practicality that make it a useful resource to get older adults mobilized in any setting."--The Gerontologist

" This] book provides a practical hands-on perspective for implementing function focused care in all settings... It] is a unique resource that is relevant for all nurses and health care providers working with older adults. In addition to addressing functional decline, function-focused care provides a fresh and practical solution to many of the problems that tend to arise with older adults such as infections, falls, and pressure ulcers all known to be associated with immobility."

From the Foreword by Colin Milner
CEO, International Council on Active Aging

"This book encourages individualization, which is difficult to achieve with more prescriptive approaches. This second edition includes chapters on cognitively impaired adults, ethical issues, and patient-centered care, all of which are so important in long-term care. I found it to be very motivating in the way it helped me apply the philosophy and strategies to elders with whom I come in contact. I would highly recommend this book to anyone working with elders. Score: 95, 4 Stars--Doody's Medical Reviews

The purpose of restorative care nursing (often referred to as function-focused care) is to take an active role in helping older adults maintain their highest level of function, thereby preventing excess disability. This is the only volume to educate caregivers about both the philosophy of restorative care and how to integrate it into all care settings for older adults. Now in its second edition, the text contains updated content in each chapter along with two entirely new chapters on function-focused care for cognitively impaired adults, ethical issues, and patient-centered care.

The book provides a complete six-week education program in restorative care for nurses and other caregivers, numerous practical suggestions for beneficial activities that will enhance function, and strategies for motivating both older adults and caregivers to engage in restorative care. Woven throughout the text is research that documents the benefits and expected outcomes of restorative care. The book also includes the requirements for restorative care across all settings, and the necessary documentation. "Restorative Care Nursing for Older Adults" will help formal and informal caregivers and administrators at all levels assimilate the philosophy of restorative care and be able to develop and implement successful restorative care programs. This New Edition Features:

Completely updated information, including two new chapters on function-focused care for cognitively impaired adults, ethical issues, and patient-centered care A six-week education program that teaches practical application of restorative care nursing Helpful suggestions and strategies for motivating older adults and caregivers Education materials designed for nursing home, assisted living, and acute care settings, including required documentation and goal-setting forms Educational materials for family caregivers