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Books > Medicine > Clinical & internal medicine > Geriatric medicine
One of the largest patient populations seen by neuropsychologists
are older adults suffering from problems associated with aging.
Further, the proportion of the population aged 65 and above is
rising rapidly. This book provides a guide to neuropsychological
clinicians increasingly called upon to assess this population. The
book details in a step-by-step fashion the phases and
considerations in performing a neuropsychological assessment of an
older patient. It covers procedural details including review of
patient's medical records, clinical interview, formal testing,
interpretation of test scores, addressing referral questions, and
preparing an evaluation report.
The transitional phase from pre-older adult to older adult affects the wellbeing of the concerned person economically, physically, and psychologically. This book is a description of the aging transition and discusses various psychological, health, and social challenges faced by older adults globally. It also offers a comparative study on the lifestyles of older adults in India and the United States. Although there is no consensus yet on an all-encompassing theory of aging, this book centers on various theories related to aging processes in an effort to advance discussion on different aspects of aging. Various theoretical formulations, such as person-centered, Hinduism, biopsychosocial, and positive psychology, guided the author to address the topics covered in this volume. Aging and Physicians Aging and Retirement Aging, Caregiving, and COVID-19 Aging and Diversity Aging and Longevity Aging, Disease Prevention, and Technology Aging and Spirituality Through the chapters, the author builds an understanding of the fundamental relation of aging with various health and socioeconomic factors, and also emphasizes a person-centered, holistic approach that values personal autonomy, choice, comfort, dignity, and purposeful living to support aging well. Rethinking the Aging Transition: Psychological, Health, and Social Principles to Guide Aging Well has academic value from a multicultural perspective that would be of benefit to graduate and undergraduate students in gerontology and other disciplines that study aging and older adult populations. With the main aim of raising awareness, this book is an important resource for a diverse group of populations globally, including clinical and non-clinical caregivers, other health(care) professionals, and policy-makers.
With the goal of alleviating the paucity of knowledge about advanced dementia, and helping to improve the care and services that are increasingly needed for the growing numbers of people living with dementia-type diseases, this book provides evidence-based measurement scales for use by researchers and care providers who are seeking to improve our understanding of the final stages of this disease. Now collected in a single place are the best available research tools for use with this unique population, accompanied by knowledgeable reviews by the book's internationally recognized authors and by the original journal articles that explain each scale s development and validity. All scales presented in this unique resource have been proven effective in eliciting meaningful data from study subjects, patients, and long-term care residents whose communication difficulties reduce their ability to self-report or respond in traditionally measured ways. These customized scales are useful for assessing the following domains in late-stage or end-of-life dementia care: Dementia severity, Satisfaction with care, Symptom management, Comfort during dying, Quality of life, Activity involvement, Discomfort, Pain, Quality of visits, Agitation, Rejection of care
Creativity stimulates older adults both mentally and emotionally and has numerous cognitive and social benefits. Providing culturally-sensitive strategies for improving memory through creativity, this timely book outlines innovative techniques and gives essential insight into effective clinical work in a world with an increasing number of diverse older adults and incidences of Alzheimer's disease. Amanda Alders Pike clearly explains how to structure sessions and use artistic creativity to improve memory, mood and socialization. She covers everything from how to introduce art materials and techniques, to how to enhance cross-cultural interaction. Graphs, charts, and tables illustrate how artistic creativity can parallel cognitive training to provide optimal benefits to a wide audience of older adults, and accompanying online material is provided for use in sessions and workshops.
With longevity and declining fertility rates, the population of older persons (60 years and above) is globally growing faster than the general population. The percentage of the elderly in India for example has been growing at an increasing rate in recent years and the trend is likely to continue in the coming decades. The share of population over the age of 60 years is projected to increase from 8 percent in 2015 to 19 percent in 2050. By the end of the century, the elderly will constitute nearly 34 percent of the total population in the country. In this book we aimed to identify trajectories of health and their associations with lifestyle factors in a nationally representative cohort study of middle-aged and older Indians. We discuss self-rated health status, age discrimination, major injuries, recurrent falls, perceived everyday discrimination, elder abuse, hypertension, diabetes, angina pectoris, stroke, arthritis, back pain or problems, oral health problems, cataract, edentulism, hearing loss, tobacco use, alcohol use, loneliness, health care discrimination, weight discrimination, religiosity and well-being. We hope that the findings may aid public policy and programmes for middle-aged and older adults in India.
What special skills and knowledge base do practitioners need to work in nursing homes? What ethical and legal issues do practitioners face in nursing homes? And how have reforms under the newly implemented 1987 OBRA legislature affected practice in nursing homes? With the rapid growth of nursing homes in the 1980s, questions such as these are now being raised by policymakers, administrators, practitioners, and others working in nursing homes. In this highly instructive volume, the authors examine these vital questions and explore such relevant issues as working with nursing home residents and their families, managing selected special populations, working with other members of the nursing home staff, legal and ethical issues, and the organizational and policy contexts that shape practice. In addition, the authors include structured learning tasks that can be used to guide the development of practice skills in supervised nursing home practicums and field settings. Professionals from a variety of fields including social work, nursing, geriatric mental health, medicine, and nursing home administration will find this book to be an invaluable resource in their own day to day work. "This book presents a useful and thorough introduction to the subject of case practice with older persons in nursing homes. While of interest to anyone who desires to work with older persons in nursing homes, this book will be particularly useful to students and professors in social work and gerontology courses. . . . Instructors will find that the chapters lend themselves effectively to course organization, and they will appreciate the model fieldwork assignments that are presented in the appendix." --Clinical Gerontologist "This book provides a detailed and practical introduction to the subject of geriatric case practice in nursing homes. To the authors' credit, the content reflects a sound psychosocial theoretical base consistent with social service and social work practice. Students, beginning case practitioners, and instructors will find this book to be a useful guide to geriatric case practice in nursing homes." --Clinical Gerontologist "Generally, the private nursing-home sector is poorly served with high quality literature specifically relating to this field; so, it is pleasing to find a book such as Geriatric Case Practice in Nursing Homes which is extremely well-written and fully referenced. . . . I definitely recommend [this book] to health-care staff from any profession who have contact with elderly people, particularly nursing and rest-home staff, hospital, community- and day-centre staff, and nursing-home inspectors." --Nursing Standard "Very useful as a textbook in schools of social work. . . . The text would be valuable to any professional neophyte in the nursing home industry who needs an overview of the field, its development and the policies that are meant to effect change in quality of care. A major strength of this text is found in the 26-page appendix which thoughtfully and in great detail provides outlines, including learning objectives, for implementing several model fieldwork assignments in nursing homes." --Priscilla Ebersole, Ph.D., R.N., F.A.A.N., Geriatric Nursing "It presents a great deal of informative material with clarity in a well-organizeed and useful manner. Students and others who work in nursing facilities will become well-acquainted with the dimensions and complexities of these institutions when they read this book." --Journal of Cross-Cultural Gerontology
Geriatric medicine is generally defined as medical care for adults aged 65 years and older. In Africa and in many developing countries, where the average life expectancy is less than 65 years, medical care of the older adult is still being defined and is in its infancy stages. There are also disparities in health and health care of older adults of African origin in most countries across the world. The aim of this book is to provide a clinical practice resource for physicians and allied health professionals, as they deliver clinical care for older adults of African descent all over the world. It is not intended to be a comprehensive textbook for geriatric medicine. Instead, we focus on common health care issues and unique cultural characteristics that often impact health care utilization in this vulnerable subset of older adults. Chapter authors are medical experts from across several continents, with extensive training and experience in providing medical care for older adults of African descent.
Globally, EDs face new challenges as the world's population ages. Visits from older people are predicted to rise for the next 20 years. This practical and accessible book provides essential guidance on assessing the ED care of older patients - and improving it. It assists ED teams to implement changes tailored to their unique environments, providing guidance across all settings regardless of size, location or resources. Experience- and evidence-based elements combine to guide best practices for older patient flow, staff and patient satisfaction, and improving patient health outcomes. The book features proven ideas for creating a geriatric ED such as specific staff training, modifying job roles, implementing new care processes, and adapting physical spaces. An invaluable resource for practising ED clinicians, leaders, administrators, educators, and system change leaders.
This book discusses the intersections between culture, context, and aging. It adopts a socio-cultural lens and highlights emotional, social, and psychological issues of the older adults in urban India. It is set in multiple sites such as Ahmedabad, Delhi, Kolkata, and Saskatoon to indicate how different cultural practices and contextual factors play an integral role in determining the course of aging. It also focuses on different narratives such as older adults living with adult children, older adults living with spouse, and older adults living alone to demonstrate the intricate process of growing old. Drawing from various sites and living arrangements of older adults, it sheds light on cultural constructions of growing old, ideas of belonging, the inevitability of death, everyday processes of aging, perceptions associated with growing old in India, acceptance of the aging body, and intergenerational ties in later lives. Given its scope, the book is essential reading for students and researchers in the fields of sociology, demography, and social scientists studying aging.
As we age, it's natural to see some loss of strength, flexibility, balance, and aerobic endurance. But today's aging population isn't willing to just sit back and accept these declines. They're looking for ways to maintain a high quality of life throughout their older years. "Bending the Aging Curve: The Complete Exercise Guide for Older Adults "offers a systematic approach to designing exercise programs that will help older adults bend or straighten these curves of decline, resulting in more years of strength, vitality, and independence. "Bending the Aging Curve" provides fitness professionals with a multifaceted periodized training program specifically for older adults. With this book and DVD package, you will find the tools you need to help your clients slow the physical decline that can accompany aging: -Training strategies for improving body composition, flexibility, bone density, muscular strength and power, and cardiovascular fitness that can be customized to fit each client -73 translational exercises that simulate everyday activities and help older clients to translate their new strengths into improved daily function and increased independence -A series of tests that will allow you to assess your clients' strengths and weaknesses, design programs that address their needs, and keep them motivated during their training -A spreadsheet in which you can record clients' test results and view their percentile rankings for their sex and age groups -Videos of the translational exercises that let you and your clients see these unique activities in action to ensure accuracy and safety -Video case studies of four sample clients that show the progression from testing to targeted training to the translational exercise cycle to help you understand how to design programs that meet your clients' varying needs and goals This one-of-a-kind resource presents a scientifically substantiated and practically proven training system that can extend the vitality of our aging population. Signorile offers an engaging explanation of the research behind his diagnosis and prescription model while maintaining a focus on the practical components of program design. You will learn to use tests to diagnose your clients' needs and then prescribe training cycles with the appropriate mix of work, active recovery, and skill practice to maximize functional improvements. The photos and step-by-step instructions for each of the tests and exercises found in the book and the video clips on the DVD make it easy to quickly implement this training system with your clients. Maintaining independence as we age depends on a multitude of factors. "Bending the Aging Curve" offers a comprehensive approach to designing exercise interventions that address all of these factors. With its targeted strategies, you'll be able to help your clients stay active, energetic, and self-reliant, regardless of their age.
This book provides a comprehensive overview of a growing phenomenon in migration: retired Americans moving to Latin America. Through in-depth profiles of two of the most popular destinations - Cuenca, Ecuador and San Miguel de Allende, Mexico, the book provides a unique commentary on the social forces shaping this new diaspora and its impact on the settings to which retirees relocate. Sections of the book address the lives and activities of retirees themselves; their impact on real estate, business development, and gentrification within historic cities; the availability and access to medical and long-term care services; and the role of governmental policies in attracting immigrant retirees and shaping their societal impact. Concluding sections provide guidance for potential retirees and for cities and countries interested in attracting these new immigrants while minimizing adverse impact on local culture and quality of life. Carefully researched and extensively illustrated with photographs, maps, figures, and tables, the book serves as an important new resource for scientists and policy makers, as well as for baby boomers who have retired abroad or are considering doing so.
For the first time, those at the front lines of care have access to a single source for a comprehensive set of practical tools to effectively address distressing and harmful interactions between residents with dementia. This prevalent but under-recognized public health problem in long-term care homes results in serious consequences, including psychological harm, physical injuries, and even death. After examining the potential consequences and manifestations of these behavioral expressions, readers learn how to identify the contributing factors, causes, unmet needs, and triggering events that commonly lead to these episodes. With an emphasis on person-directed care practices, this book describes numerous psychosocial strategies to use for prevention and de-escalation prior to, during, and after episodes of harmful resident-to-resident incidents.This valuable resource will help inform training programs for direct care staff, interdisciplinary teams, and LTC administrators. In addition to cost savings from reduced resident-to-resident incidents, care providers will see significant improvements in resident and staff well-being.
This book critically explores the world of older prisoners to provide a more nuanced understanding of imprisonment at old age. Through an ethnographical study of male and female older prisoners in two Belgian prison settings, one in which older prisoners are integrated and one in which they are segregated, it informs debates and seeks to recognise ageist discourse, attitudes, practices in prison. The Older Prisoner seeks to situate the older prisoner from both a penological and gerontological perspective, organised around the following broad themes: the construction of the older prisoner, the physical prison world, the social prison world, surviving prison and giving meaning. The book allows readers to navigate between contrasting perspectives and voices rather than reinforcing traditional narratives and prevailing discourses on the older prisoner. In doing so, it hopes to open up a broader dialogue on ageing and punishment. It also offers insights into the concept of meaning in life as an analytical tool to study prisoners.
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