With an increasing global ageing population, the psychiatry of old age has become increasingly important. This revised second edition remains a succinct manual on the practice of psychiatry of old age, providing an up-to-date summary of existing knowledge, best practice and future challenges for the specialty, from a global perspective. Written by four leading clinicians, teachers and researchers, the book offers a much-needed international focus and is designed for use in a wide variety of countries and settings. Chapters are presented in a clear and practical way, enhanced by current and comprehensive further reading sections as well as tables and diagrams for quick assimilation and reference. The new edition is updated to incorporate new developments in assessment, investigation, classification, treatment and care since the publication of the first edition, including the ICD-11 and DSM-5. Essential reading for practising psychiatrists and geriatricians, as well as trainees, nurses and medical students.

Originally published in 1980, this book contains the proceedings from a memorial conference held in honour of George A. Talland, who made a significant contribution to the area of memory and aging. The major objective of the volume was to stimulate research towards a more comprehensive understanding of age related differences in memory. It was also hoped it would provide direction for the application and utilization of research findings in the evaluation and treatment of memory complaints and memory difficulties experienced by the elderly. The book was intended for two broad groups of scientists. The first being researchers in the psychology of memory, and those who were currently active in the research on aging at the time. The second group was those concerned with applying current research findings to the diagnosis and treatment of problems of memory.

This book makes an enquiry into policies surrounding old age and telecare. It contextualises telecare within the wider history of health and social care in England to build the case that there are grand narratives of old age embedded in policies. Divided into four sections, the book covers: * Connecting old age with telecare * A general review of old age and telecare * A critical enquiry into discourses and the identity of old age * Conclusions and future directions. The author highlights the manifestation of old age discourses in care policies, how they have been perpetuated yet also transformed in the context of telecare, and what this means about older people. The book will be of interest to students and academics in the fields of gerontology, sociology, old age studies, philosophy, social policy, health and social care policy, information systems, and critical theoreticians

Trauma in older people aged over 65 is a rapidly growing field within orthopaedics. Up to two thirds of fractures occur as a result of a fall and about one third of all fractures occur in the over-65 population. The aim of this comprehensive new text is to present the epidemiology and management of all musculoskeletal trauma that occurs in the elderly. The book deals with the assessment and treatment of medical comorbidities, complications, and the role of orthogeriatric care. The focus of the book is on the practical management of fractures although soft tissue injuries and dislocations are also discussed. Reflecting the multidisciplinary nature of the field, contributors are drawn from orthopaedics and orthogeriatrics on both sides of the Atlantic. The book is intended for all surgeons and physicians involved in the treatment of trauma in the elderly, and it will be relevant to trainees and as well as experienced practitioners.

Across the globe, populations are getting older. Hayashi surveys the development of residential care in Britain and Japan from the 1920s onwards, using regional case studies, and taking into account the influence of traditions and cultural norms.

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.

Recognition that aging is not the accumulation of disease, but rather comprises fundamental biological processes that are amenable to experimental study, is the basis for the recent growth of experimental biogerontology. As increasingly sophisticated studies provide greater understanding of what occurs in the aging brain and how these changes occur, new possibilities emerge for limiting the effects of aging on neural function. A single source reference is necessary to keep abreast of the recent advances and future directions of gerontology research. Brain Aging: Models, Methods, and Mechanisms offers a selective overview of the research in this rapidly expanding field. A valuable resource for new and established investigators of the aging brain, this volume reviews critical studies of brain aging in new animal models, as well as advances in brain imaging techniques that permit investigations in aging humans with increasingly higher resolution. Detailed discussions link the information from human and animal studies to illustrate a comprehensive picture of the mechanism of aging. Emphasizing normal brain aging rather than pathological degeneration, the text provides an understanding of fundamental age-related changes in the nervous system and hypothesis-driven research into their basis. The book includes critical analyses of the distinct methodological challenges inherent in investigating the aging nervous system. Contributions from distinguished leaders and pioneers in their respective fields address data and mechanisms, as well as models and methods that are key to the study of aging. Each chapter is extensively referenced and highlights experimental concerns that are magnified or unique to the aging brain. Outlining relevant methods and techniques, this book provides scientists, researchers, and clinicians with a broad understanding of the important progress and implications for the future of this significant field.

Healthcare sensor networks (HSNs) now offer the possibility to continuously monitor human activity and physiological signals in a mobile environment. Such sensor networks may be able to reduce the strain on the present healthcare workforce by providing new autonomous monitoring services ranging from simple user-reminder systems to more advanced monitoring agents for preventive, diagnostic, and rehabilitative purposes. Potential services include reminding people to take their medication, providing early warning for the onset of heart attacks or epileptic seizures, and monitoring a child's physical activity in order to assess their growth and mental development. Healthcare Sensor Networks: Challenges Toward Practical Implementation discusses the fundamental concepts in designing and building such networks. It presents the latest developments in HSNs, explores applications of the technology, and provides insights into practical design and deployment challenges. Bringing together contributions from international experts in the field, the book highlights the key areas that require further research for HSNs to become a technological and commercially viable reality. The first part of the book concentrates on the engineering challenges, covering new biosensors, energy harvesting techniques, new wireless communication methods, and novel security approaches. Building from single sensing devices to networked sensing systems, the second part of the book looks at various health applications of HSNs. It addresses the human-centric requirements that should be considered in the design of HSN technologies-cost, portability, functionality, and user acceptance-and demonstrates how engineering compromises must be made in HSN solutions. A useful and timely resource for researchers, postgraduate students, and engineers looking for innovative solutions in healthcare, this book will also be of interest to medical and allied he

Reduced production of DHEA associated with the diseases that accompany aging has led to its use as a nutritional supplement for antiaging, metabolic support, and other purposes. While animal studies have clearly shown substantial benefits of DHEA in combating various disease states, the effect of low levels of DHEA in humans is less established, and the mechanisms of action and potential involvement in illnesses remain unclear. DHEA in Human Health and Aging reviews the past ten years of research into this hormone and explores its potential for future study.

With contributions from a cadre of international experts, this volume examines:

• The biology of DHEA relevant to health in humans
• Areas of potential clinical importance concerning low levels of DHEA related to age or physiological change
• Prevention as well as treatment of various human disease states by changing DHEA levels
• The use of DHEA levels in predicting the risk of disease
• The role of DHEA in diabetes, fitness, infectious disease, cancer, AIDS, bone health, cardiovascular diseases, autism, and mental health
• Animal models and their relation to studies done on humans
• The effects of loss of adrenal gland function, the subsequent reduction in DHEA production, and its replacement as therapy
• Adverse effects in DHEA-supplemented women
• Mechanisms of action of DHEA in prostate and ovarian health, vascular modification, stress, memory, aggression, and Alzheimer's disease

Covering a wide range of topics, the book is compiled from contributions of experts who have each studied some aspect of DHEA and human or animal health or disease. Every chapter is self-contained, allowing for focused study on individual topics. Edited by one of the leading experts in the field of nutrition, the book presents a compelling view of the state of the science in DHEA.

Health policy emphasises the role of primary and community-based services in achieving strategic change throughout the NHS. However, despite lead roles assigned to social service departments and residential and nursing home care services, difficulties remain in achieving closer working relationships. This book is a concise guide to the new initiatives in this area, including models and practical examples. It covers the recent developments encouraging partnerships between health and social care services, and is essential reading for all those involved in primary care and the social services, especially those with an interest in the care of older people. The National Primary Care Research and Development Centre series provides policy makers, commissioners, managers, primary care professionals and user organisations with up-to-date multi-disciplinary research on important issues that inform future decision-making for primary care development.

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.

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.

Detailed Review of Nutritional Therapies Used to Combat Elderly Health Issues The combination of the aging baby-boomer generation and their increased longevity has been fortunately met with increased research and greater understanding of health promotion and disease prevention in the elderly. Handbook of Nutrition in the Aged: Fourth Edition shares these groundbreaking insights and serves as a guide to better understand health problems that occur in aging adults and the nutritional therapies that are proven to fight and prevent them. Addresses Requirements for Optimum Health of Aging Physiological Systems This sharply focused work recognizes the special nutrition hurdles associated with the aged, particularly the decline of nutrient intake that compromises health. As a globally relevant text, this fourth edition is extensively revised, updated, and expanded to reflect the latest research in nutrition and aging. New chapters to this edition include information on: Arthritis Cognition Nutrition and the geriatric surgery patient Nutrition supplementation in fracture care Coffee and hypertension Asian medicine This book is a valuable tool not only for geriatricians and gerontologists, but also for dieticians, nutritionists, and aging researchers. It provides all the necessary information for assisting the growing aging population in maintaining a healthy quality of life.

"Parkinson's Disease in the Older Patient, Second Edition" has been fully revised, updated and expanded to include new treatments and entirely new chapters. This authoritative text is written by recognised national specialists in the field and provides accessible, easy-to-read information. The practical and versatile approach comprehensively covers all aspects of treatment, and although it focuses on the older patient, it is also highly relevant for younger patient groups with an emphasis on multidisciplinary assessment and management. Detailed information on the aetiology and pathogenesis of the condition, drug and surgical treatments, sleep disturbances, quality of life and careers is now included, along with the more prevalent older patient issues such as neuropsychiatric disturbances, speech and swallowing problems, balance and falls, and autonomic disturbances. The updates also include new advice on the management and services in primary care, linked to the recent NICE guidelines.With official endorsement from The Parkinson's Disease Academy of the British Geriatrics Society, this new edition is highly recommended for general practitioners, geriatricians, neurologists and psychiatrists. Physiotherapists, occupational therapists, speech therapists, dieticians, and psychologists will also find it invaluable. It is suitable for general and specialist nurses, and will be of great use to researchers with an interest in Parkinson's disease.

Wondering where to live in your later years? This strategic and thoughtful guide is aimed at anyone looking to determine the best place to call home during the second half of life. Place plays a significant but often unacknowledged role in health and happiness. The right place elevates personal well-being. It can help promote purpose, facilitate human connection, catalyze physical activity, support financial health, and inspire community engagement. Conversely, the wrong place can be detrimental to health, as the COVID-19 pandemic has highlighted. In Right Place, Right Time, Ryan Frederick argues that where you live matters enormously-especially during the second half of your life. Frederick, the CEO of SmartLiving 360 and a recognized thought leader on the intersection of place and healthy aging, provides you with tools to evaluate your living situation, ensuring that you weigh all the necessary factors to make a sound decision that optimizes your current and future well-being. He explores the pros and cons of different living options, from remaining in your current home to downsizing, intergenerational living, co-housing, senior living, and more. Along the way, he helps readers answer important questions, including "Are you already in the right place?" and "In what areas does your current place not align with your needs and desires?" The rest of the book helps you to unpack specific options for place, beginning with considerations for regions and neighborhoods and then looking at specific housing models. It also focuses on how housing is changing, particularly from a technology, health, and health care perspective. The book closes by challenging the reader to develop a discipline of choosing the right place at the right time. Combining real-life stories about people selecting places to live with design thinking principles and interactive tools, Right Place, Right Time will appeal to empty nesters, retirees, solo agers, and even adult children seeking ways to support their parents and loved ones.

Learn how to ensure quality and safety for vulnerable older adults Transitional care is crucial to older adults with complex care needs who are moving between different locations or different levels of care. Charting a Course for High Quality Care Transitions addresses this problem by providing leading experts and leaders in the field discussing practical strategies that ensure care quality and safety for transitioning vulnerable older adults. This helpful resource comprehensively discusses current research, quality improvement, risk targeting, risk identification, patterns of care, care coordination, and performance assessment. Lowering the inherent risks for adverse events when moving patients can be challenging. Numerous unforeseen variables such as possible mismanagement of medication or staff shortages can often jeopardize patient safety. Charting a Course for High Quality Care Transitions offers practical approaches to address several of the main challenges encountered by health professionals. This book focuses on various ways to provide the highest quality patient-centered care through advancements in research, practice, and data measurement. This informative text is extensively referenced and contains numerous tables to clarify and illustrate important data. Topics in Charting a Course for High Quality Care Transitions include: a semantic framework for overcoming quality improvement issues stemming from inconsistent use of terms a tool for home health agencies to identify home health care patients at risk for hospital readmission medical and social factors that contribute to poor quality care transitions a successful Advanced Practice Nurse transitional care model that can improve outcomes to cognitively impaired older adults unrecognized needs of older adults living in residential care facilities patient-centered performance measurement early results of the Reducing Acute Care Hospitalization National Demonstration Collaborative gaps in research that need to be addressed in the future Charting a Course for High Quality Care Transitions is an important resource for home care professionals, hospital discharge planners, public health nurses, geriatric health services researchers, and health care professionals of all types.

Written by the foremost authorities on the topic, this reference provides quick access to essential information on specific antibiotics, major clinical infections, selected pathogens, and infections in long-term elderly-care facilities-summarizing the vast array of topics related to infectious diseases in older adults including epidemiology, clinical manifestations, altered host resistance, and pharmacology.

Cognitive Analytic Therapy and Later Life highlights that any attempt to work psychotherapeutically with older people must take into account the effects of working within a context of institutional ageism. It explores the specialist skills required when working with older people, covering: * the delayed effects of early trauma * narcissism and the re-emergence of borderline traits and dissociative states * the emergence of treatment resistant depression and anxiety * the use of the cognitive analytic therapy model to challenge the child centred paradigm of psychoanalytic theory. Clinical psychologists, psychiatrists, psychotherapists, nurses, social workers, and occupational therapists alike will find this an illuminating and thought provoking book.

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.

With over 3.5 million copies sold, the bestselling guide to understanding and caring for people with dementia is now completely revised and updated! For 40 years, The 36-Hour Day has been the leading work in the field for caregivers of those with dementia. Written by experts with decades of experience caring for individuals with memory loss, Alzheimer's, and other dementias, the book is widely known for its authoritativeness and compassionate approach to care. Featuring everything from the causes of dementia to managing its early stages to advice on caring for those in the later stages of the disease, it is widely considered to be the most detailed and trusted book available. Highlighting useful takeaway messages and informed by recent research into the causes of dementia, this new edition has been completely updated. It features * brand-new content on everything from home care aides to useful apps to promising preventative techniques and therapies * practical advice for avoiding caregiver burnout-plus tips for when and how to get additional help * a completely new two-column design that allows readers to quickly access what they need The central idea underlying this indispensable book-that much can be done to improve the lives of people with dementia and of those caring for them-remains the same. The 36-Hour Day is the definitive dementia care guide.

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

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.

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.