The risk of cancer increases with age, and the number of older adults seeking treatment is increasing dramatically in line with the aging population. The care of older patients differs from that of younger adults because of differences in the biology of the tumor, age-related differences in host physiology, co-morbidity burden and psychosocial issues, which might impact the efficacy and side effects of cancer therapy. This book focuses on the management of hematological cancer and provides guidance on the management issues specific to older patients, spanning background and epidemiology, special considerations in the management of older people, therapeutics and psychosocial considerations.

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.

A leading expert answers your questions about how to live to your fullest with COPD. Significant lung damage from smoking, exposure in some jobs, or even diseases such as AIDS and tuberculosis can lead to COPD. Having chronic obstructive pulmonary disease can leave you feeling short of breath, sometimes reluctant to go shopping or for a walk because you are afraid of more difficulties. You may have wheezing, tightness in the chest, or frequent coughing. Although you see a doctor for your COPD, you often have questions and need answers. In this concise and practical guide, leading medical expert Donald A. Mahler answers some of the most pressing questions that he has been asked over 30 years of seeing patients with COPD, including * Why am I short of breath? * What medications can treat my COPD? * Can surgery improve COPD? * What are flare-ups-and how can I prevent them? * How can I stop smoking? * What should I do if my breathing isn't getting better? * Can exercise help? If so, which exercises are the most beneficial? * What's the best way to prevent lung infections? * How does COVID-19 affect COPD? * How can I travel with oxygen? * Can I be sexually active with COPD? and much more. Each chapter includes a patient vignette and key points. Tables and boxes offering helpful tips are included throughout. Providing up-to-date, evidence-based content that covers more than just medications, COPD gives you the tools you need to keep active-and thrive.

As recent articles about "the graying of America" suggest, a demographic revolution is well underway. The number of people living into extreme old age is increasing dramatically. By the year 2050 one in five of the world's population, including the developing countries, will be 65 or older, a fact which presages profound medical, biological, philosophical, and political changes in the coming century.

In Time of Our Lives, Tom Kirkwood unfolds some of the deepest mysteries of medical science while demolishing some of the most persistent misconceptions. He overturns the almost universally held belief that aging is either necessary or inevitable--it isn't--and debunks the idea that there exists a "death gene" that evolved to inhibit population growth. Instead, Kirkwood shows that we age because our genes, evolving at a time when life was "nasty, brutish, and short," placed little priority on the long-term maintenance of our bodies. With such knowledge, along with new insights from genome research, we can devise ways to target the root causes of aging and of age-related diseases such as Alzheimer's and osteoporosis. Expanding the thesis of the "disposable soma," developed over twenty years of research, Kirkwood makes sense of the evolution of aging, explains how aging occurs, and answers fundamental questions like why women live longer than men. He even considers the possibility that human beings will someday have greatly extended life spans or even be free from senescence altogether.

Beautifully written by one of the world's pioneering researchers into the science of aging, Time of Our Lives is a clear, original and, above all, inspiring investigation of a process all of us experience but few of us understand.

This issue of Clinics in Geriatric Medicine, guest edited by Dr. Amir Soumekh and Dr. Philip O. Katz, is devoted to Gastroenterology. Articles in this issue include: Esophageal and Gastric Motility Disorders, Gastroesophageal Reflux Disease (GERD) and Barrett's Esophagus, Non-steroidal Anti-Inflammatory Drugs (NSAIDS), Anticoagulation and Upper GI Bleeding, Managing Gallstone Disease in the Elderly, Fecal Incontinence, Constipation, Diarrhea, Functional Bowel Disease, Nutrition, Malnutrition and Obesity, Diverticulosis, Diverticulitis and Diverticular Bleeding, Gastrointestinal Bleeding, Colon Cancer Screening, Inflammatory Bowel Disease, and more.

The mental health needs of older people are all too often overlooked or put down to the inevitable consequences of ageing. This textbook will make it much easier for health, social care and third sector workers to identify, treat and support the needs of this population. The book takes an interdisciplinary team approach and sets the scene by looking at different practice contexts in the United Kingdom and the increasingly important role played by social care in addressing the mental health needs of older people. A number of more clinically focused chapters then cover: mental health promotion anxiety and depression ageing and psychosis alcohol and dual diagnosis dementia later life liaison services complex and enduring mood disorders. Each clinical chapter makes use of extended and detailed case studies which illuminate the team's role in the assessment-intervention-evaluation cycle and ensure the text's application to practice. Service user and family perspectives are drawn on throughout and current practice exemplars outlined. The final chapter distils key messages from the book and sets a number of key challenges. Mental Health and Later Life highlights the rewards and complexity of working with older people with mental health needs and their families. It is invaluable reading for all those learning about, or working with, this population.

Age-Related Macular Degeneration: Diagnosis and Treatment is written by two leading experts from Wills Eye Hospital. Covering the latest therapies and treatments developed in the last few years, this is a concise yet highly illustrated andpractical text that guides the clinician through diagnosis and treatment of the leading cause of blindness in older Americans."

In the past decade, evidence based practice (EBP) has emerged as one of the most important movements to improve the effectiveness of clinical care. As the number of older adults continues to grow, it is essential that practitioners have knowledge of effective strategies to improve both the medical and the psychosocial aspects of older persons' lives. The purpose of this work is to present systematic reviews of research-based psychosocial interventions for older adults and their caregivers.

The interventions presented focus on a variety of critical issues facing older adults today including medical illnesses (cardiac disease, diabetes, arthritis/pain, cancer, and HIV/AIDS), mental health/cognitive disorders (depression/anxiety, dementia, substance abuse), and social functioning (developmental disabilities, end-of-life, dementia caregivers, grandparent caregivers). For each of these areas the prevalence of the problem, the demographics of those affected, and the nature and consequences of the problem are discussed. The empirical literature is then reviewed. A treatment summary highlights the type and nature of research supporting the interventions reviewed and is followed by a conclusion section that summarizes the status of intervention research for the specified issue. A Treatment Resource Appendix for each area is included. These appendices highlight manuals, books, articles and web resources that detail the treatment approaches and methodologies discussed.

This book was previously published as a special issue of the Journal of Gerontological Social Work.

Award-winning authors Marcy Houle and Elizabeth Eckstrom have teamed up again following the success of their critically acclaimed book The Gift of Caring, winner of the 2016 National Christopher Award. This new book blends frontline science with inspirational stories and insights from wise elders for aging with health, joy, and purpose. The book explains how our bodies and brains age, defining what can be expected with aging and what is unusual. It demonstrates ways we can significantly increase our chances for a positive aging experience into our 80s, 90s and 100s. It offers key strategies for meeting the challenges of aging, informs us of issues of inclusion and equity, and advises on handling legal and financial affairs. The Gift of Aging illustrates how we can make the third act of our lives meaningful and fulfilling, ensuring we as elders can make a difference in our world.

Psychological, social, and spiritual care is as important as physical care at the end of life. Yet caregivers often feel ill-equipped to give that nonphysical care. This book shows how to do it. The book addresses all caregivers who attend dying patients: doctors, nurses, chaplains, clergy in the pastorate, social workers, clinical psychologists, family caregivers, and others. It covers such topics as the functional and emotional trajectories of dying; the varied approaches of patients and caregivers to end-of-life decisions; culturally based beliefs about dying; the differences between depression and grief; and people's views about the right time to die, the death experience itself, and the afterlife. For each topic the book introduces core concepts and summarizes recent research about them. The book presents much of its material in readable tables for easy reference; applies the material to real-life cases; lists the main "take home" points for each chapter; and gives references for additional reading. The book helps caregivers anticipate the reactions of patients and survivors to end-of-life traumas and suggests how caregivers can respond insightfully and compassionately. At the same time the book challenges caregivers to think through their own views about death and dying. This book, therefore, is a must-read for all caregivers professional and nonprofessional alike who strive to give their patients comprehensive, high-quality end-of-life care.

This book has two main purposes: formative case analysis and self-assessment of medicine in old age. It presents clinicians with a series of cases on which to base discussion of the investigation and management of patients. It also provides the trainee, or established doctor, with a medium to help prepare for post-graduate examinations and clinical practice. The authors have chosen 109 cases, a total of 250 questions/answers, illustrated by color photographs, diagrams, and tables. The cases cover the main modes of presentation of acute illness in old age, such as fall, confusion, incontinence, weight loss and immobility, with examples from all the major systems. These illustrate the complexity of diagnosis and treatment of medical illness in frail older people and the need to think widely and laterally when caring for such patients. The questions are mostly in best-of-five format to reflect the current style of multiple choice questions used in examination, though some are open questions as the basis for tutorials. Many of the clinical stems have been expanded to improve the educational function of the book and to test more rigorously the reader's deductive thinking.

The ability to effectively assess cognitive and other behavioral functions is an essential skill for neurologists, psychiatrists, geriatricians, nurses, and other clinicians who perform clinic and bedside examinations. Unique in the field, The Mental Status Examination Handbook is a user-friendly, comprehensive resource that provides practical guidance on cognitive assessment, clarifies mental status testing procedures, and assists with decision making for neuropsychological referrals. This detailed manual draws from the full history of behavioral neurology testing, making the complex and challenging area of cognitive assessment accessible for both students and practitioners. Offers guidance on how to choose and perform a large number of mental status tests, with information on selected test materials and normative values. Covers the bedside evaluation of arousal, attention, memory, language, perception, executive abilities, and other cognitive and behavioral areas. Provides an authoritative assessment and compendium of commonly used mental status scales, inventories and questionnaires. Describes relevant correlations with formal neuropsychological testing, neuroimaging, and neuropsychiatric disease. Explains how to weigh, use, and understand mental status scales and neuropsychological instruments. Discusses the meaning of cognitive symptoms and signs, and their neuroanatomical and neuropathological correlations. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

"Lifestyle Matters" is a practical resource that contains a wealth of ideas and activities for occupational therapists, support workers, students and other professionals working with older people in the community. Taking a holistic approach, the Lifestyle Matters programme challenges participants to examine their lifestyle and to make positive changes which promote good physical and emotional health. Themes include: "'The relationship between activity and health " Maintaining mental well-being'; 'Maintaining physical well-being'; Safety in the home and community'; and, Personal circumstances. Each theme is divided into a number of sessions with ideas for introductory activities, group discussion topics and group activity ideas. There are also 64 photocopiable handouts in the book and on the downloadable resources that can be used within the group sessions. The book is divided into four parts: 'The Lifestyle Matters programme and the principles behind it'; 'How to implement the programme - including who can benefit from it, how long it should last and the resources required'; 'Delivering the programme - looking at session structure, selecting a session and keeping a record of group and individual sessions'; and, 'The Lifestyle Matters manual - each section containing a combination of group sessions, individual sessions and visits or outings'. Inspired by research by Florence Clark and her colleagues at the University of Southern California, this Lifestyle Matters programme has been developed through consultation with older people at every stage, making it a welcome and invaluable resource. As one member of a group exclaimed, 'You didn't give me a new lease of life, you gave me back my life!'. "Lifestyle Matters" is now referred to in the NICE guidelines (2009) where it is identified as the intervention of choice for therapists and professionals responding to the guidance by this professional body.

Up-to-date information on pain managementincluding options to consider when conventional treatment is ineffective Providing effective treatment for pain-especially to elderly clients-can be a vexing problem for even the most knowledgeable clinician. In Clinical Management of the Elderly Patient in Pain, some of the world's leading authorities describe the unique difficulties that arise when trying to provide pain relief to elderly patients. They examine conventional treatment with opioid and non-steroidal anti-inflammatory drugs along with a broad range of alternatives to consider when frontline drugs fail. Non-drug options for pain relief from the fields of physical medicine and psychology are also explored. Essential topics addressed in Clinical Management of the Elderly Patient in Pain include: pain as an aspect of advancing age how pharmacology differs in elderly patients available therapeutic options, including opioids, non-steroidal anti-inflammatory drugs, anti-epileptic drugs, tricyclic antidepressants, membrane stabilizers, and topical agents physical medicine approaches psychological approaches to pain in the elderly Most publications on this subject focus on the use of opioids, non-steroidal drugs, and other commonly prescribed analgesics. Clinical Management of the Elderly Patient in Pain takes a different approach. Editor Gary McCleane, MD, says, Our need, with elderly patients, is to provide treatment that is both effective and easily tolerated. This is not a book devoted to opioids and non-steroidals, although they are addressed. Nor is it about those analgesics used in younger patients being used in smaller doses with the elderly. Rather, it contains practical options for treating pain when other simple remedies fail to help. At times this will involve using conventional analgesics in scaled-down doses, but at others it will involve using substances not yet fully recognized as possessing analgesic properties because they fit the bill in terms of possible analgesic actions, side-effect profiles, and lack of drug/drug interactionsand because practical experience suggests they may be useful in the scenario described. Clinical Management of the Elderly Patient in Pain is designed as a point of interface between the specialist pain practitioner and the clinician faced with all the problems of satisfactorily managing pain in elderly patients. It presents commonsense, practical, patient-oriented options that make it a useful resource for busy clinicians.

This issue of Clinics in Geriatric Medicine, guest edited by Drs. Michael Malone and Kevin Biese, is devoted to Care for the Older Adult in the Emergency Department. Articles in this outstanding issue include: Approach to the Older Patient in the Emergency Department; Ten Best Practices for Older Adults in the Emergency Department; Delirium and Dementia; Falls and Geriatric Trauma; Older Adults in the Emergency Department with Frailty; Communication Strategies to Better Care for Older Individuals in the Emergency Department; Systems-based Practice to Improve Care Within and Beyond the Emergency Department; Common Medication Management Approaches for Older Adults in the Emergency Department; Elder Abuse and Neglect; Care of those with end-of-life needs / Advanced illnesses in the Emergency Department; Behavioral Health Needs of Older Adults in the Emergency Department; and Pain Management Strategies for Older Adults.

There is no group of individuals more iconic of 1960s counterculture than the hippies - the long-haired, colorfully dressed youth who rebelled against mainstream societal values, preached and practiced love and peace, and generally sought more meaningful and authentic lives. These 'flower children' are now over sixty and comprise a significant part of the older population in the United States. While some hippies rejoined mainstream American society as they grew older, others still maintain the hippie ideology and lifestyle. This book is the first to explore the aging experience of older hippies by examining aspects related to identity, generativity, daily activities, spirituality, community, end-of-life care, and wellbeing. Based on 40 in-depth interviews with lifelong, returning, and past residents of The Farm, an intentional community in Tennessee that was founded in 1971 and still exists today, insights into the subculture of aging hippies and their keys to wellbeing are shared.

The first two volumes of Care-Giving in Dementia integrated up-to-date neurobiological information about dementia with specific developments in care-giving. Taking the same multidisciplinary approach, and drawing contributions from leading practitioners, this third volume will prove invaluable to health and mental health professionals caring for people with dementia.
Key themes in Volume 3 include: personal construct psychology and person-centred care; living in lifestyle groups in nursing homes; music therapy for people with dementia; support programmes for caregivers of people with dementia; coping in early dementia; stress and burden on care-givers; the Alzheimer CafA(c) concept and new support groups for people with dementia; ethical issues in the care of elderly people with dementia in nursing homes.

Explore pastoral strategies for dealing with mental health problems! Mental health is increasingly being recognized as an important issue in later life. This valuable book will help you examine this dimension of aging in the context of pastoral, spiritual, and cultural issues. It explores the relationship between mental health, spirituality, and religion in later life, including the search for meaning, cultural issues, spiritual issues, depression, dementia, and issues of suicide in older people. The first part of Mental Health and Spirituality in Later Life focuses on theology, ethics, and cultural issues in mental health and aging. The second part addresses issues of multidisciplinary practice, including a challenging chapter written by a woman with early onset dementia (Alzheimer's) and other chapters that present perspectives on the uses and meanings of ritual and symbolism in mental health and pastoral approaches to care. Part one of Mental Health and Spirituality in Later Life deals with issues of theology, culture, and mental health in later life, focusing on: the importance of a richly textured understanding of personhood as a prerequisite for constructing a picture of late-life mental health in the context of theology the relationship between culture, spirituality, and meaning for older immigrantsand their effects on mental health the adverse effects of a mental health system that reflects only the dominant culture of a society, leaving minority cultures vulnerable to misdiagnosis and inappropriate treatments that can do more harm than good a wholistic picture of aging that moves beyond the biomedical paradigm and demonstrates the power and potential of the human spirit in adjusting to and moving beyond suffering Part two of this valuable book addresses issues of concern to practitioners in mental health and spirituality for the aging, including: disruptive behavior among nursing home residents and common practices that fail to identify its causes or address the problem how some staff/resident interactions can produce suffering for all concernedwith case study outlines that illustrate the point memory loss and its effect on spirituality, self-worth, and the faith community pastoral care for people suffering with dementiawith practical information on helping them to make use of the power of prayer and to deal with loneliness, fear, and disempowerment an insightful look at a recent major study of residents in aged care facilities in Australia that explores the link between depression and spirituality risk and protective factors associated with suicide in later life and the treatment of depression pastoral interventions for depression and dementia

Explore pastoral strategies for dealing with mental health problems! Mental health is increasingly being recognized as an important issue in later life. This valuable book will help you examine this dimension of aging in the context of pastoral, spiritual, and cultural issues. It explores the relationship between mental health, spirituality, and religion in later life, including the search for meaning, cultural issues, spiritual issues, depression, dementia, and issues of suicide in older people. The first part of Mental Health and Spirituality in Later Life focuses on theology, ethics, and cultural issues in mental health and aging. The second part addresses issues of multidisciplinary practice, including a challenging chapter written by a woman with early onset dementia (Alzheimer's) and other chapters that present perspectives on the uses and meanings of ritual and symbolism in mental health and pastoral approaches to care. Part one of Mental Health and Spirituality in Later Life deals with issues of theology, culture, and mental health in later life, focusing on: the importance of a richly textured understanding of personhood as a prerequisite for constructing a picture of late-life mental health in the context of theology the relationship between culture, spirituality, and meaning for older immigrantsand their effects on mental health the adverse effects of a mental health system that reflects only the dominant culture of a society, leaving minority cultures vulnerable to misdiagnosis and inappropriate treatments that can do more harm than good a wholistic picture of aging that moves beyond the biomedical paradigm and demonstrates the power and potential of the human spirit in adjusting to and moving beyond suffering Part two of this valuable book addresses issues of concern to practitioners in mental health and spirituality for the aging, including: disruptive behavior among nursing home residents and common practices that fail to identify its causes or address the problem how some staff/resident interactions can produce suffering for all concernedwith case study outlines that illustrate the point memory loss and its effect on spirituality, self-worth, and the faith community pastoral care for people suffering with dementiawith practical information on helping them to make use of the power of prayer and to deal with loneliness, fear, and disempowerment an insightful look at a recent major study of residents in aged care facilities in Australia that explores the link between depression and spirituality risk and protective factors associated with suicide in later life and the treatment of depression pastoral interventions for depression and dementia

This timely and critical book takes on a new phenomenon facing the United States and poses the stark question: Will the United States be prepared by 2050, when its older population doubles and we become a majority-minority society? In the authors' response, scholars, policy leaders and the public are provided with the background and information that connects these two trends to contemporary public policy debates. Written with clarity and expertise, this book illuminates the changes and challenges that face the nation by concisely addressing a wide range of topics, including immigration reform, the politics of aging, and health and retirement security, and provides a glimpse of how the "next America" might look. The authors draw on current data about longevity, diversity and the growing Hispanic population in particular, to unfold the social, cultural, policy and political implications for an aging and diversifying population. With case studies and real-world examples, the book outlines and analyzes the possible impact of this phenomenon on issues like governance, public benefits, the long term care work force and national security, and builds a broader framework with which to understand them. With combined experience in academia, government and policy advocacy, the authors tackle the dramatic changes occurring across the United States and offer a road map to not only understanding but addressing these challenges and opportunities with reason and responsibility. Key Features: Presents the most current statistics and data on demographics Written by an interdisciplinary team with combined experience in academia, government and policy advocacy Includes case studies and real-world examples to build a broader framework of understanding Addresses social, policy, cultural and political challenges facing a rapidly changing population and offers rational and respectful responses

This book brings together in one volume the current state of ageing research in the nematode Caenorhabditis elegans. The authors are leading researchers in the field, placing this topic in the context of human ageing, describing how and why basic discoveries in this simple organism have impacted our prospects for intervention in the ageing process. The authors cover a broad range of topics with regards to organismal and reproductive ageing including anatomical, physiological and biochemical changes, as well as genetic and environmental interventions that promote longevity and ameliorate age-related disease. Ageing is the single most important factor determining the onset of human disease in developed countries. With current worldwide demographic trends indicating that the number of individuals over the age of 65 will continue to rise, it is clear that an understanding of the processes that underpin ageing and age-related disease represents a key challenge in the biomedical sciences. In recent years there have been huge advances in our understanding of the ageing process and many of these have stemmed from genetic analysis of C. elegans. With no analogous book in this subject area this work will be of interest to a wide audience, ranging from academic researchers to the general public.

Over the past few years the world's population has continued on its remarkable transition from a state of high birth and death rates to one characterized by low birth and death rates. Consequently, primary care physicians and dermatologists will see more elderly patients presenting age-related dermatological conditions. There has never been a better time for a book devoted entirely to skin care in the elderly.

Geriatric Dermatology draws together a panel of experts who provide an overview of the diagnosis and treatment of geriatric skin diseases. It begins with a general review of the aging of the world's population and the major dermatological problems that often arise in elderly patients. An added benefit is the book's coverage of geriatric skin care in nursing homes, adult congregate living, and subacute and home health settings, a subject not always found in conventional dermatology texts.

The book includes:

· A summary of the dermatological disorders frequently encountered in the elderly, including eczematous dermatitis, skin infections, and neoplasias
· A description of the most common geriatric hair and scalp disorders, including graying, alopecia, and scalp psoriasis
· Comprehensive coverage of the diagnosis and treatment of leg, foot, and nail diseases
· Detailed discussion of the treatment of superficial mycoses, scabies, and pediculosis
· Less common geriatric conditions such as blistering diseases
· Major adverse drug reactions on the skin
· Leg ulcers due to venous insufficiency, arterial diseases, and diabetic nephropathy
· Diagnosis and treatment of diabetic complications of dermatology, such scleroderma and dermopathy

The study of diseases that impact the elderly population is a crucial and growing area of interest in medicine. Geriatricians, primary care physicians, dermatologists, and others involved in the care of the elderly will inevitably see an increase in skin diseases specific to aging. The comprehensive coverage provided by Geriatric Dermatology facilitates the diagnosis and management of these geriatric skin diseases from the common to the rare and unusual.