Experts in the fields of energy metabolism, aging and oxidative stress provide an integrated view of how mechanisms involved in regulating energy metabolism are linked to fundamental processes of aging including cellular stress resistance and free radical production.

During evolution signal transduction pathways and organ systems have been optimised for the efficient seeking, ingestion, storing and using of energy. These signalling pathways play prominent roles in lifespan determination with insulin and related signalling pathways being prime examples. The authors consider how lifespan and healthspan can be extended through knowledge of energy metabolism with the experimental model of dietary restriction being one example. The information in this volume of ACAG will foster novel approaches and experiments for further understanding the roles of energy metabolism in aging and disease.

A comprehensive, multidisciplinary annotated bibliography of the chronic pain in later life literature. It consists of 302 entries covering, assessment of chronic pain, the human body and chronic pain, perceptions of chronic pain, treatment of chronic pain, and correlates and consequences of chronic pain.

This volume includes a select citation list of 150 articles that focus on older persons and cancer pain. It suggests the use of both aggressive and holistic treatments to treat pain in the elderly. It will be of interest to scholars and practitioners in the disciplines including medicine, psychology, sociology, social work, pharmacology, and any social services which focus on the care of the elderly.

Much has been written about healthcare for older people, but the ageing process affects people of all ages. Ageing, rather than old people, has received scant attention within healthcare literature. This book addresses this paucity. It explores key perspectives of the ageing process. Ageing and old age are not necessarily synonymous. Ageing is a complex, multi--faceted concept and therefore is explored through three different perspectives: chronological, sociological and physiological. Although the majority of chapter authors are nurses, topics covered in this book extend beyond purely nursing issues.

The lipids of cellular membranes not only serve roles in controlling the structure and fluidity of the membrane, but are increasingly recognized for their roles as signalling molecules and modifiers of membrane protein function. Recent studies described in this volume reveal striking changes in membrane lipids during aging and in age-related diseases such as cancer, cardiovascular disease and neurodegenerative disorders. Lipids including inositol phospholipids, cholesterol, sphingolipids and ceramides play important roles in signalling cellular responses to stress and specific stimuli such as growth factors, cytokines and neurotransmitters. One or more of these lipid mediators has been linked to the pathogenesis of age-related diseases.

This book provides a comprehensive review of specific membrane lipid mediators and their roles in aging and age-related disease.

Population aging is a growing challenge worldwide. As such, new models of provision, organization, and allocation of resources, particularly in healthcare, are needed. As the self-care and long-term care needs of this age group become more prevalent, the importance of improved health services and effective health management strategies are apparent. The Handbook of Research on Health Systems and Organizations for an Aging Society provides emerging research exploring the challenges and opportunities for the development and management of health systems and organizations in relation to people aged 65 and over. Featuring coverage on a broad range of topics such as emotional wellness, long-term care, and professional caregiving, this book is ideally designed for health technicians, doctors, nurses, pharmacists, hospital administrators, clinical directors, laboratory technicians, medical professionals, researchers, and students.

This book belongs to a long tradition at the Tavistock Clinic of work focused on the mental and emotional well-being of the elderly. It applies psychoanalytic thinking to areas that have generally attracted very little sustained attention over the years.

This book brings together a selection of classic psychoanalytical papers related to ageing, dying and death that have appeared in the renowned International Journal of Psychoanalysis (IJP). Two papers address the analysis of an elderly patient directly and bring the work and the challenges it brings vividly to life. Also explored are such issues as death and the midlife crisis, loneliness and the ageing process, ageing and psychopathology, fear of death, transference and countertransference issues, and the final stage of the dying process. 'The idea behind this monograph is to alert interested psychoanalysts, students and those working from an interdisciplinary standpoint to the possibility of a better understanding of the ageing process as well as a group of potential analysis that seem to exist in the shadow of our professional communications. 'Each stage of life has its own somatic and psychic normality as well as pathology.

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.

The sixth volume of the Handbook is devoted to topics related to aging and dementia. The volume is introduced by two chapters dealing with age-related cognitive and neurobiological alterations in animals, including a detailed review of data obtained with transgenic and knockout technology. The next chapter reviews the cognitive changes associated with normal aging. The gamut of symptoms that occur in Alzheimer's disease (AD) are then described and analyzed, they include effects on attention, language, memory, non-verbal functions with emphasis on spatial abilities, olfaction and the motor system. The discussion of dementia syndromes is presented in two sections. The first concerns AD, which is discussed from the points of view of epidemiology, neuropathology and neurochemistry and concludes with a review of current and future treatments. The other section deals with non-AD dementias including Fronto-temporal and Lewy body dementias and specific conditions such as Parkinson's and Huntington's disease, as well as HIV infection. The volume includes a review of brain imaging and cerebral metabolism findings in aging and dementia. The final chapters review the relations between culture and dementia and the special syndrome of severe dementia.

Get the vital clinical information you need with this comprehensive handbook In the decade since the first edition of this book, dramatic changes have taken place in the field of geriatric psychiatry. Psychiatry in the Nursing Home, Second Edition, presents timely information on the newest trends in law, culture, and medications, while still offering essential advice on the fundamental concerns of caring for elderly patients with mental illnesses. The new edition of this essential handbook presents up-to-date information on psychiatric issues involving nursing home patients. Featuring helpful case histories and diagnostic criteria, Psychiatry in the Nursing Home, Second Edition, helps you effectively treat such difficult problems as noisy patients, sexual acting out, and incontinence. In addition, it offers help with such administrative concerns as financial issues, absent or warring families, and staffing problems. Psychiatry in the Nursing Home, Second Edition, presents incisive discussions of the changes in the field since the publication of the first edition, including: the effects of the new Prospective Payment System the use of newly released psychotropic medications the altered nomenclature of the DSM-IV the rise in assisted-living facilities the rapid development of the specialty of geriatric psychiatry With its comprehensive scope and practical advice, Psychiatry in the Nursing Home, Second Edition, is a must-have for nursing-home administrators and staff. Policymakers, mental health professionals, and geriatricians will be fascinated by the book's wider considerations of the problems of housing and caring for the mentally ill and its provocative suggestions for future policy.

Contents:
Preface. Aging and Trauma: Good Enough Understanding of Age, "Good Enough" Understanding of Trauma, Moderating Variables of Trauma in the Aging Person, Older People in Need of Help, Conclusion. PTSD in the Context of Aging: Prevalence of PTSD, PTSD's Historical Roots: Military Combat, What is PTSD? Oh, Well, What's in a Diagnosis? Theories of PTSD, Other Influences of Trauma, Special Problems, Conclusion. Life Story of the Aging Person: Two Faces of Aging, Life Story, Conclusion. Person and Memory: Memory Overall, Autobiographical Memory and Decline, Facts of the Aging Memory, Core Memory, Internal Organization, Schemas Personality Memories, Conclusion. Treatment: PTSD Personality Memories, Conclusion. Chapter 5: Treatment: and Beyond: Overall Treatment, PTSD Treatment, Information Processing, Old Folks and Rx, Conclusion. Key Ingredients to Psychotherapy: Dosed Exposure, Goals, Relationships, Relaxation, Assimilation, Emotion: Keeping in the Zone, Presentness Power, The Marker/Reflexiceness, Integrating, Little and Big Stuff, Conclusion. Treatment Model: Early Stages: Integration. Stage 1: Stabilize the Client. Stage 2: Relationship. Stage 3: Balance. Conclusion. Personality: Stage 4: Personality: PTSD and Personality. Aging and Personality. Theoretical Directions. Conclusion. Chapter 9: Core Memory: The "Good" Memory: Narrative Perspective. Assessment of Memory. The Good Memory: PCM. Principles for PCM. Last Resort. Special Case: Constructivism. Conclusion. Chapter 10: The Trauma Memory: The "Bad" Memory: Extant Models. Aging and the "Bad" Memory. The Trauma Memory. Aftercare and Relapse Prevention. Necessary Treatment: Family. Conclusion. Chapter 11: Grief Work and Forgiveness in the Context of PTSD: The Self. Grief Constructs. Growth in Grief. Treatment Model. Forgiveness: The Special Ingredient of Grief Therapy. A Caution. Conclusion. Using Assessment Data to Inform the Treatment Plan: Overall Considerations. Idiographic Formulation. The Players. Measures of Comorbid Issues. Conclusion. References. Appendix A: Cognitive Behavioral Therapy: Application. Appendix B: Treatment Rules for Axis II. Appendix C: EMDR Relaxation Procedure. Index

Understanding socially disruptive behavior in dementia is never easy. Most explanations offer neither solace nor solutions for families and carers, and treatment is often characterized by policies of control and containment. The result of Graham Stokes' 15 years of clinical work with people who are challenging, this book: disputes the traditional medical model of dementia and asserts that if we reach behind the barrier of cognitive devastation and decipher the cryptic messages, it can be shown that much behavior is not meaningless but meaningful. It contrasts the medical interpretation that sees anti-social behavior as mere symptoms of disease with a person-centered interpretation that resonates change and resolution. It offers a radical and innovative interpretation of challenging behavior consistent with the new culture of dementia care, focusing on needs to be met rather than problems to be managed.

Comprehensive overview of literary works that illuminate the experiences of aging. Bibliographical essays analyze the ideas or themes relating to over 70 topics. Lengthy critical annotations accompany the more than 350 literary works, across various genres, on the different topics. An introduction, how to use the work section, careful cross-referencing, and author and subject indexes make this a useful research tool for gerontologists, health-care professionals, and general readers concerned with aging.

Selective, annotated bibliography aimed at providing gerontologists, health care professionals, and general readers interested in the aging process, a useful tool for identifying and utilizing literary works that provide insight into various topics in gerontology.

Part One contains bibliographical essays on more than 70 topics in gerontology. Each essay analyzes the ideas or themes that a number of literary works provide on a specific topic. The essays illustrate the relevance of literary works to gerontology study, introducing readers to a variety of works whose characters, plots, themes, or images bear on current topics in gerontology. Part Two includes detailed critical annotations of more than 350 literary works, including anthologies, autobiographies, novels, plays, poems, and stories. Annotations are detailed and draw out specific issues related to characterization, plot, conflicts, themes, imagery, and metaphors. This comprehensive overview includes an introduction, a chapter about how to use the guide, and author and subject indexes.

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 text assembles together advances in knowledge about dementia, Alzheimers disease and related disorders as they affect persons with intellectual disabilities. Diagnosis, assessment, treatment, management and care practices are detailed in a practical manner for both students and professionals.

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Mental Health Practice in Geriatric Health Care Settings emphasizes the major research and clinical findings realized in five years of research on mental health issues in older urban medical patients, many of whom represent minority groups. Chapters cover the high comorbidity of health and mental health problems in geriatric patients, neuropsychological (or cognitive) assessment, depression, alcohol abuse in health care settings, emerging behavioral medicine issues, and family relations and their tie to medical settings. As a practitioner, you'll find this book helps your practice by representing the first assessment and treatment techniques normed and validated on minority elderly. If you're a professional working in the mental health system, you'll see how to expand your services to health care markets.Mental Health Practice in Geriatric Health Care Settings devotes three chapters to neuropsychological assessment--first, a review of major principles; second, a new test battery for minorities; and third, extensive review on how to use test results in clinical decision making. Other chapters provide valuable information on: the analysis of outcomes for one thousand 60--103-year-olds a new validated behavioral treatment method for depression methods of detection and treatment of alcohol abuse emerging issues in behavioral medicine, including competency assessments; anxiety and pain disorders; and shaping the referral process family relations and health care, including caregiving and nursing home placement nursing home consultation and survival strategies in health care systemsAs Author Peter A. Lichtenberg describes in the Introduction, each chapter in Mental Health Practice in Geriatric Health Care Settings is multidisciplinary, empirically and statistically investigated, and focused upon urban elderly. "In addition, the major objectives are to provide clinicians with new understandings and new assessment and treatment knowledge to utilize in their practices. Finally, this book is hoped to provide clinicians [with] information about emerging trends in the field, and effective strategies for practice in healthcare settings."

Mental Health Practice in Geriatric Health Care Settings emphasizes the major research and clinical findings realized in five years of research on mental health issues in older urban medical patients, many of whom represent minority groups. Chapters cover the high comorbidity of health and mental health problems in geriatric patients, neuropsychological (or cognitive) assessment, depression, alcohol abuse in health care settings, emerging behavioral medicine issues, and family relations and their tie to medical settings. As a practitioner, you ll find this book helps your practice by representing the first assessment and treatment techniques normed and validated on minority elderly. If you re a professional working in the mental health system, you ll see how to expand your services to health care markets.Mental Health Practice in Geriatric Health Care Settings devotes three chapters to neuropsychological assessment--first, a review of major principles; second, a new test battery for minorities; and third, extensive review on how to use test results in clinical decision making. Other chapters provide valuable information on: the analysis of outcomes for one thousand 60--103-year-olds a new validated behavioral treatment method for depression methods of detection and treatment of alcohol abuse emerging issues in behavioral medicine, including competency assessments; anxiety and pain disorders; and shaping the referral process family relations and health care, including caregiving and nursing home placement nursing home consultation and survival strategies in health care systemsAs Author Peter A. Lichtenberg describes in the Introduction, each chapter in Mental Health Practice in Geriatric Health Care Settings is multidisciplinary, empirically and statistically investigated, and focused upon urban elderly. "In addition, the major objectives are to provide clinicians with new understandings and new assessment and treatment knowledge to utilize in their practices. Finally, this book is hoped to provide clinicians with] information about emerging trends in the field, and effective strategies for practice in healthcare settings.""

This comprehensive book gives an up-to-date profile of all aspects of the care of older people in the community, with particular emphasis on the importance of maintaining function and independence as well as health. In a uniquely broad approach, the book is edited by two family doctors with a particular interest in the elderly and a consultant geriatrician, and the varied subjects are each presented by experts in their field. This accessible book enables primary care teams to produce optimal standards of care in old age, and is helpful in the organization of preventive care programmes. Emphasizing the need for joint working, the book draws together practical knowledge and skills to produce an essential source of reference and advice for all those involved in delivering a co-ordinated service. It is essential reading for all doctors in general practice and in public health, medical students and all other professionals whose work brings them into contact with elderly people. It is particularly useful for general practice teams, allied professionals such as nurses and physiotherapists, as well as patients and carers seeking an understanding of good practice. It also contains much practical information vital to the work of voluntary agencies, social service departments and specialists in geriatric medicine.

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

People with mid-stage dementia are served by special care units in long-term care facilities, although as these residents deteriorate, they are transferred out of the unit and into a general nursing home unit. These nursing homes are not equipped to deal with palliative needs of end-stage dementia care. The book addresses those needs. With this in mind, Part One examines the stages of dementia (end-stage in particular). Other chapters in this section provide background on the hospice movement and hospice concepts; the idea of maintaining personhood; and administration of a late-stage care unit. Part Two focuses on treatment approaches for common needs in end-stage dementia - medical and physical care; a supportive environment; the fundamentals of care; psychopharmacology; and therapeutic activities. Part 3 contains chapters on family-centred care; legal and ethical issues; programme evaluation; and future opportunities.

Contents:
Part 1 Foundations and options for programme development: stages of dementia - an overview; palliative care for late-stage dementia; maintaining personhood - philosophy, goals, programme development and staff education; administration of a late-stage dementia programme in the nursing home setting. Part 2 Treatment approaches for common needs: medical care during late-stage dementia; treatment approaches to common physical care needs; strategies for eating, swallowing and dysphagia; a supportive environment for people with late-stage dementia; communications and fundamentals of care - bathing, grooming and dressing; behaviours associated with late-stage dementia; psychopharmacology and late-stage dementia behaviours; therapeutic activities for low- functioning older adults with dementia. Part 3 Special issues in care: working with the family; making change work - understanding concepts and strategies; legal and ethical issues; programme evaluation; future challenges and considerations.