With this book, Siegel, an internationally known demographer and gerontologist, has made a unique contribution to the fledgling fields of health demography, and the demography and epidemiology of aging. The book represents a felicitous union of epidemiology, gerontology, and demography, and appears to be the first and only comprehensive text on this subject now available. Drawing on a wide range of sciences in addition to demography, gerontology, and epidemiology, including medical sociology, biostatistics, public policy, bioethics, and molecular biology, the author treats theoretical and applied issues, links methods and findings, covers the material internationally, nationally, and locally, and while focusing on the elderly, treats the entire life course. The methods, materials, and pespectives of demography and epidemiology are brought to bear on such topics as the prospects for future increases in human longevity, the relative contribution of life style, environment, genetics, and chance in human longevity, the measurement of the share of healthy years in total life expectancy, the role of population growth in the rising costs of health care, and the applications of health demography in serving the health needs of local communities. The separate chapters systematically develop the topics of the sources and quality of health data; mortality, life tables, and the measurement of health status; the interrelationships of health, on the one hand, and mortality, fertility, migration, and age structure, on the other; health conditions in the less developed countries; the concepts and theories of aging and projections of the aged population; and local health applications, public health policy, and bioethical issues in health demography. Given its comprehensiveness, clarity, interdisciplinary scope, and authencity, this book appeals to a wide range of users, from students and teachers of medical sociology, the demography of aging, and public health studies to practitioners in these areas, both as a text in health demography and the demography/epidemiology of aging, and as a reference work in these fields.

Sparking controversy in medical, social and professional circles, the nation's most respected medical ethicist strikes at the heart of America's growing health care crisis--the care of the aged. The New York Times Book Review calls Setting Limits "A pivotal work . . . the benchmark for future moral, medical and policy discussions of aging".

In this timely and important work, expert gerontologists review what has been learned about the aged and the process of aging and link this knowledge to interventions for improving the quality of life.

This volume highlights the development of preventive, therapeutic, and rehabilitative interventions designed to assist older people maintain their independence and quality of life. In addition to the editors, chapter authors include Robert N. Butler, Matilda White Riley, Carroll Estes, and a foreword by James O. Mason.

Approved by the Dietary Managers Association for 9 CEUs through September 1998 Here is a useful guide that helps both administrators and food service workers understand the daily functions of their dietary departments. Dietetic Service Operation Handbook enhances extended caregivers'knowledge of basic food service and clinical dietetics operations and serves as a functional tool they can use to initiate effective organization of dietetic services. It explains proper techniques and tips for everything from how to plan a menu and care for equipment to special adaptive eating devices and modifying texture for swallowing disorders. Packed with general and specific guidelines, this book also teaches food service employees how to allocate time more wisely, making them effective members of the interdisciplinary medical team--and saving their facility time and money as well. Administrators who wish to understand the functions of their dietary department so they can communicate more effectively with its staff will find this book a most useful resource, full of meaningful interpretations of routine tasks found in the daily operation of a food service.The author, registered with the American Dietetic Association, has prioritized the topics in the book to assist the systematic organization of any dietary department. Chapters cover both administrative and clinical topics, including food purchasing and production, the policy and procedure manual, quality assurance, current trends in geriatric nutrition, the effects of medicine on diet, enteral feeding, and documentation of the medical record. Dietetic Service Operation Handbook includes a wide variety of standardized recipes for the pureed diet, a resource list, handy calculations, and many useful forms for record-keeping which are compatible with OBRA laws. Beginning dietitians and dietary managers will find this book to be an extremely helpful and practical guide in their day-to-day work. Beginning or expert administrators and nursing directors will discover it improves their understanding of and communication with their food service operations.

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.

Increasingly, scholars from many disciplines have begun to incorporate various modalities from the humanities and arts - novels, films, artwork, and other forms of expression - to help connect students with the experience of aging in deeply meaningful and person-centered ways. This collection examines how these approaches are incorporated into gerontology and geriatrics education. Rather than focusing solely on measurable outcomes, such as changes in learning over time - which is the purview of empirical pedagogy - chapters focus on strategies for successfully incorporating a specific work into the classroom, descriptions of humanities and/or arts exercises with students or older adults, and other ways that explore how the humanities and arts can be applied successfully and meaningfully in educational settings. This book was originally published as a special issue of Geronotology & Geriatrics Education.

One of the most pressing questions facing society today is how to care for its burgeoning elderly population. By the year 2050, experts predict that one-third of the world's population will be over 60 years old. Health promotion for the elderly is therefore becoming an increasingly important topic in public policy and planning. This book examines the challenges presented by an ageing global population, our varying expectations of healthy ageing, and the importance of exercise and physical activity for the elderly. Drawing on empirical research from around the world, it considers the factors that influence health and well-being in later life and compares practices and policies designed to promote healthy ageing. It presents case studies from 15 countries spanning Europe, North and South America, Africa and Asia, and sheds light on how attitudes to physical activity differ across nations, regions and cultures. Ageing, Physical Activity and Health: International Perspectives is important reading for all students, researchers and practitioners with an interest in physical activity, public health, exercise science or gerontology.

The fifth edition of this widely used book by caregivers brings to you updated and revised content, built on the basic understanding that medicine does not work in a vacuum, but rather alongside other disciplines to provide the environment for a healthy and fulfilling long life. Edited by alumni and senior faculty at McGill University, with international contributions, this book advocates the achievement of better, longer, satisfying, and more productive lives for older persons. It is a helpful resource for physicians, professional caregivers, therapists, students, and residents in medical and nursing disciplines, who care for our burgeoning older population and need to know what to look for and when to consult specialists. Key Features: 1. Follows a uniform structure with many chapters having a hypothetical vignette for instructional purposes and with the clinical chapters detailing the features and diagnosis of given conditions, along with possible management protocols specific to afflicted older individuals. 2. Builds on the success of the previous four editions to provide high-quality content from international experts for physicians and other caregivers in the field. 3. Provides possible management for pressing problems, including the nursing home challenge, pandemics such as COVID, and precision therapy for cancer.

Although textbooks on the subject of Osteopathy have been in print for over 100 years, there is little material specifically addressing the treatment of adults over the age of 50, in spite of the increase in this demographic group. This book is intended to provide a study of the biomechanics and physiology of somatic dysfunction as it relates to individuals over the age of 50. Practitioners require information about the diagnosis of somatic dysfunction and application of osteopathic manipulative treatment specifically as it relates to this age group - and this is where this book is invaluable. - The main body of the text considers the relevance of somatic function and dysfunction in multiple clinical areas including cardiology, pulmonology, gastroenterology, urology, neurology and rheumatology. - The diagnostic approach to the patient over the age of 50 and osteopathic manipulative treatment is thoroughly described. This book provides information on the biomechanics and physiology of somatic dysfunction for the osteopathic treatment of older adults in a thorough, yet easy to approach, fashion for practitioners of osteopathy and osteopathic medicine.

The decision making process that underlies ovarian hormone therapy (HT) is fallible. Thus, the decision for women to go on HT remains controversial. At a time when confusion still permeates the decision making with regard to HT, this book bridges diverse features that surround the decision making concerning HT. The book is written for both specialists and generalists in the field.

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.

Addressing the early clinical diagnosis of Alzheimer disease, this book was written to evaluate the relevance of current research on the subject. It uncovers the present lack of clinical utility in research methodologies such as neuro-imaging, drug challenges, electro-encephalographic studies and brain biopsy. The essays addressing each of these issues will provide the reader with a perspective on the role of each technology in clinical practice and an in-depth introduction to the technologies and research findings in each of the areas reviewed.

Our health, our income and our social networks at older ages are the consequence of what has happened to us over the course of our lives. The situation at age 50+ reflects our own decisions as well as many environmental factors, especially interventions by the welfare state. This book explores the richness of 28,000 life histories in thirteen European countries, collected as part of the Survey of Health, Ageing and Retirement in Europe (SHARE). Combining these data with a comprehensive account of European welfare state interventions provides a unique opportunity to answer the important public policy questions of our time how the welfare state affects people 's incomes, housing, families, retirement, volunteering and health. The overarching theme of the welfare state creates a book of genuinely interdisciplinary analyses, a valuable resource for economists, gerontologists, historians, political scientists, public health analysts, and sociologists alike.

An activity book to help caregivers improve the quality of life of people who have dementia. Whether they are cared for at home or in an assisted living community, adults living with dementia should be offered a life that is interesting and fun. But what can you do to enhance the everyday experience of a loved one who is losing interest in or is unable to participate in their old hobbies and pursuits? In Creative Engagement, dementia activity expert Rachael Wonderlin and developmental psychology professor Geri M. Lotze provide dozens of creative, hands-on ways to engage with people living with cognitive loss. Teaching caregivers how to find dementia-friendly daily activities and introduce them into a person's life, this comprehensive, empathetic guide is aimed at both family members and professionals. Twelve chapters full of useful, tangible activities touch on a range of topics, including exercise, technology, cooking and baking, memory games, and arts and crafts. Focusing on both group and individual dynamics, mundane activities and specially tailored pursuits, Wonderlin and Lotze offer proven strategies for interacting with people living with dementia. The authors include detailed tips for building a dementia-friendly environment, creating a daily calendar, and scheduling community entertainment. They also suggest special activities geared toward people in hospice care and give targeted advice for dealing with caregiver stress. Drawing on Wonderlin's own practice while incorporating the latest scientific research on dementia and eldercare, Creative Engagement is unique in its dementia-positive approach. Anyone who cares for someone living with dementia will gain valuable knowledge from this compassionate book.

Preventive Medicine and the disappearance of random causes of death in developed countries have led to ageing populations and the consequent need for radical change in health service provision. This book comes at an opportune time as the old-fashioned National Health Service is reformulated to accord better with medical need, most of which concerns the elderly population that is projected to grow until 2025. Dr Thompson's book offers the modern concept of age change to be due to human development, rather than 'decline' or 'degeneration'. The outmoded idea that a disease is something that you either have or don't have is replaced by the modern concept of homoeostatic disturbance producing changes that are at first insidious and indistinguishable from good health arE one end of the scale, but which later advance across the clinical threshold and produce gross organic disturbance. The main function of the GP lies in his longitudinal relationship with parents, requiring understanding of the diseases of ageing and reducing the rate of pathological change, so preventing as far as possible the need for rehabilitation, the function of the hospital officer.

Alzheimer's disease (AD) and vascular dementia (VaD) are commonly viewed as the first and second most common types of dementia, respectively. The traditional paradigm has been to view and treat each illness as a separate entity with a separate pathophysiology. However, clinical and pathological studies suggest that the boundary separating AD and VaD, as well as their mild cognitive impairment (MCI) analogs, is not well defined. Thus, there is increased interest in viewing these diseases along a spectrum because of the significant overlap in the characterization and diagnosis of AD, VaD, and MCI. The focus of this edited volume is to examine how AD and VaD, as well as their MCI analogs, are best viewed as a heterogeneous, intersecting, if not a continuous disease state rather than separate, distinct entities. This book examines this approach by providing empirically based evidence, reviews of the literature, and chapters by key leaders in the field and will be of interest to clinical neuropsychologists and anyone studying or treating dementia in its many forms.

Older adults increasingly rely on family members or friends (i.e., informal caregivers) for needed care and support as they age. Family caregivers typically assume their caregiving role willingly and reap personal fulfilment from helping a loved one, developing new skills, and strengthening family relationships. For these benefits, however, caregivers often sacrifice their own health and well-being. Depression, anxiety, poor physical health, and compromised immune function are more common among family caregivers than in adults not providing such care. The REACH OUT Caregiver Support Program offers a multi-component, tailored, and flexible intervention for caregivers of people with dementia that is focused on the evidence-based therapeutic strategy of problem solving. This practical volume is designed to guide clinicians through the process of implementing REACH OUT (Resources for Enhancing Alzheimer's Caregiver Health: Offering Useful Treatments) and to provide them with necessary tools to share with caregivers, with the goal of enhancing caregiver physical and mental health. Five common risk areas (home safety, caregiver health, social support, challenging behaviors, and emotional well-being) are described in the manual, and interventions are outlined that respect the nuances of each risk area. By beginning with an individualized risk assessment and being flexible to the needs and issues of the caregiver, the REACH OUT intervention helps clinicians identify risk areas and provides caregivers with tailored action plans to reduce risk and promote well-being.

This open access book outlines the challenges of supporting the health and wellbeing of older adults around the world and offers examples of solutions designed by stakeholders, healthcare providers, and public, private and nonprofit organizations in the United States. The solutions presented address challenges including: providing person-centered long-term care, making palliative care accessible in all healthcare settings and the home, enabling aging-in-place, financing long-term care, improving care coordination and access to care, delivering hospital-level and emergency care in the home and retirement community settings, merging health and social care, supporting people living with dementia and their caregivers, creating communities and employment opportunities that are accessible and welcoming to those of all ages and abilities, and combating the stigma of aging. The innovative programs of support and care in Aging Well serve as models of excellence that, when put into action, move health spending toward a sustainable path and greatly contribute to the well-being of older adults.

The growing incidence of depression in old age has stimulated considerable research activity in recent years. Underdetected and undertreated, it is a profoundly disabling condition associated with a high rate of suicide. However, an enthusiastic approach to its detection and management can considerably improve an otherwise poor prognosis. Depression in Old Age is a distillate of the research information currently available, describing the causes, epidemiology and presentation of depression in the elderly. The book also provides guidance on the detection and management of depression as well as reviewing the psychosocial and biological contributors to its aetiology and prognosis. It will be required reading for those researching, or involved in, the areas of psychiatry, psychology, medicine, social work and primary care.

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.

In the 7 years since the first edition of Clinical Manual of Geriatric Psychopharmacology was published, dozens of new drugs have been released, and older medications have been marketed in different formulations. In addition, research on pharmacokinetics, pharmacodynamics and mechanism of action, potential interactions, and other critical topics has proceeded apace, rendering much of the information in existing guides obsolete. This new volume is both comprehensive and completely up to date, offering information unavailable elsewhere.

- New drugs covered include asenapine, paliperidone, iloperidone, lurasidone, desvenlafaxine, vilazodone, long-acting trazodone, milnacipran, armodafinil, extended-release valproate, rotigotine transdermal, tetrabenazine, dextromethorphan, long-acting gabapentin, and transdermal buprenorphine.- Each chapter has a standardized format, with topics including pharmacokinetics, pharmacodynamics and mechanism of action, drug interactions, clinical use (which addresses choice of drug, alternative formulations/routes, pre-treatment evaluation, dose and dose titration, PRN use, monitoring treatment, drug levels, managing treatment resistance, switching drugs, duration of treatment, discontinuation, and overdose), adverse effects, and treatment of selected syndromes and disorders.- Dozens of tables, boxes, and figures organize and present complex material, such as practice guidelines, in a straightforward manner that is easy to understand and apply, and the concise, bulleted text facilitates reading and comprehension in the clinical setting.- "Specific Drug Summaries" -- one-page summaries of prescribing information for individual drugs -- provide fast access to critical information in a simple format.

Designed for residents, fellows, and all clinicians in psychiatry and medicine who diagnose and treat psychiatric and neuropsychiatric conditions affecting geriatric patients, this clinical reference can be used across all treatment settings (inpatient, outpatient, day hospital, consultation, and nursing home). Meticulously referenced and grounded in the latest research, Clinical Manual of Geriatric Psychopharmacology, Second Edition, is the definitive guide to psychotropic use in elderly patients. Clinicians can rely confidently on its up-to-date coverage and authoritative counsel.

This book examines the critical issues in understanding and treating depression and suicidal behavior in late life. Chapters cover the biology, psychology, epidemiology, and sociology of depression and suicidal behavior in late life.

This book approaches the concept of adjustment to aging and endeavors to build reader understanding of this construct through a critical review and discussion. Once the reader understands the origins and nature of adjustment to aging, a second innovation encompasses the development of a proposed empirical model of adjustment to aging and the analysis of its components and correlates. Measures to assess adjustment to aging, policies, programs and interventions comprising adjustment to aging and its components and correlates will also be addressed. Another innovation includes the multidimensional experience of adjustment to aging from the cultural perspective. Lastly, it addresses areas of future development related to this construct.Future policies and interventions in older populations need to integrate and debate the role of adjustment to aging, and ultimately consider a variety of different strategies, each with a different set of costs and benefits. Health and social professionals will be at the vanguard of policy making and community and institutional interventions. Hence, resources and tools to adequately prepare these individuals for the future years will be vital. It is the author's hope that this resource can be valuable for professionals and students working within the field of aging, as they develop research and intervention policies encompassing adjustment to aging in the coming years.

One of the problems geriatricians are confronted with in everyday clinical practice is differentiating disease from the process of old age. The challenges of ageing require a better understanding of the essential biology of ageing in order to separate ageing from disease, and indeed ageing made worse by disease. Although the topic is large and diverse, this practical and easy-to-read reference book contains vital information on the biology of ageing. It provides a concise understanding of the changes that occur and focuses on the clinical implications of ageing. MCQs are featured throughout for revision and examination practice. The Biology of Ageing provides the reader with: . a learning guide on the biology of ageing through an overview of the changes that occur at both cellular and system levels . knowledge of how biological changes of ageing impact on physiology and the clinical relevance in medical practice . a practical consideration of these changes in disease presentations and how these changes may impact on disease management. This full-colour guide featuring slides, MRIs, figures and photographs is ideal for doctors training in geriatric medicine, practising geriatricians and those with an interest in management of older people.