This issue of Clinics in Geriatric Medicine, Guest Edited by Dr. Karen Kost, is devoted to Geriatric Otolaryngology. Articles in this issue include: Hearing Loss in the Elderly; Balance Disorders in the Elderly; Dysphagia in the Older Patient; The Aging Voice; Sleep-disordered Breathing; Rhinosinusitis and Allergies; Head and Neck Cancer in the Elderly; Cutaneous Malignancies; Thyroid Disorders; Anesthetic considerations in Geriatric Otolaryngology; and Frailty in Geriatric Otolaryngology.

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.

Most studies of geriatric patients have focused on nursing homes. In fact, most people are placed in these institutions only after being evaluated by medical and social service staff. This ethnography details the day-to-day experiences of a geriatric and assessment unit by examining the staff, families, and patients themselves. It looks at the activities that take place in the unit as well as the less obvious cultural patterns of the process. Using the Ethnography of Speaking method, it explores the human side of this most difficult of life's decisions.

Metabolic Aspects of Aging, Volume 155, the latest release in the Progress in Molecular Biology and Translational Science series seeks to provide the most topical, informative and exciting monographs available on a wide variety of research topics related to prions, viruses, bacteria and eukaryotes. The series includes in-depth knowledge on the molecular, biological aspects of organismal physiology and function, with this release including chapters on Longevity, Metabolic Disease and Community Health, the Metabolic Aspects of Aging, Obesity, Metabolism, and Aging: A Multiscalar Approach, The Intersection of Curandismo and Western Medicine and Their Epidemiological Impact for Aging Mexican Americans, and more.

""I want to provide the best care possible. The suffering has gone on for a long time, and I want to be sure the end stage is as comfortable as possible.""

This common sentiment is ex-pressed by both health care professionals responsible for caring for frail elders experiencing the later stages of dementia and family members trying to ensure the most compassionate care for their loved ones. Health care providers and family members often struggle with painful decisions when confronting the inevitable while providing love, compassion, and care. Modern medicine may offer seemingly promising treatments, but eventually, the impact of Alzheimer's disease and other causes of dementia can cause profound deterioration in the patient's quality of life. The focus must eventually shift to compassionate end-of-life care. This guidebook reflects Dr. Gordon's extensive experience with health care professionals and families struggling with these poignant and difficult decisions.

..". families will learn much about helping patients with dementia, but so too will physicians and other caregivers. Michael Gordon's humanity shines through every page, and, when combined with his medical expertise, the result is a guide which is both truly thoughtful and practically useful."
-Professor Arthur Schafer, Director, Centre for Professional and Applied Ethics, University of Manitoba

"Dr. Gordon is truly a healer whose experience as a geriatrician provides a road map for all of us who want to provide care, respect, and love for people diagnosed with dementia."
-Steven R. Sabat, PhD, Professor, Department of Psychology, Georgetown University

This issue of Clinics in Geriatric Medicine, Guest Edtied by Drs. Danelle Cayea and Samuel C. Durso, is devoted to Screening and Prevention in Geriatric Medicine. Articles in this issue include: The Medicare Annual Wellness Visit; Individualized Cancer Screening; Frailty; Medication Appropriateness; Geriatric Syndromes; Mental Health; Cardiovascular Screening; Preoperative Screening; Safety; Substance Use Disorders; Sexuality; Vaccines; and Excercise.

This issue of Clinics in Geriatric Medicine, guest edited by Drs. Sidney S. Braman and Gwen S. Skloot, is devoted to Pulmonary Disease in the Aging Patient. Articles in this issue include: The Effects of Aging on Lung Structure and Function; Immunosenescence and the Lungs; Epidemiology of Lung Disease in the Elderly; The Evaluation of Dyspnea in the Elderly; Asthma in the Elderly; COPD in the Elderly Patient; Pulmonary Vascular Diseases in the Elderly; Granulomatous Lung Diseases in the Elderly; Lung Cancer in the Older Patient; Sleep Disorders in the Elderly; Idiopathic Pulmonary Fibrosis in the Older Patient; and Co-morbidities of Lung Disease in the Elderly.

Through the autobiographical perspectives of 16 preeminent researchers and scholars of Environmental Gerontology, this state-of-the-art Annual Review critically examines the broad range of topics that comprise this interdisciplinary field. The writings of these individuals, who have contributed to and shaped the growth of the field over the past three-plus decades, trace the growth and evolution of Environmental Gerontology and provide understanding of, and insights on, the role of environments for older adults and an aging society at multiple levels. The book examines the origins and growth of Environmental Gerontology, how the personal influences and professional choices of each author is linked to its development, the contextual factors influencing its biographical-intellectual evolution, and its potential implications for an aging society. The Review encompasses research and scholarship in diverse scales/contexts of the physical/built environment; diversity of disciplinary backgrounds represented by related social sciences, health sciences, and environmental design; basic/theoretical and applied/policy-oriented research; and more. Key Features: Promotes a critical understanding of the state of science and art in Environmental Gerontology Examines the origin, evolution, development, and future perspective of the field through the unique autobiographical lens of its worldwide pioneers Represents theoretical/substantive/applied perspectives through the reflections of preeminent scholars Focuses on intellectual development of pioneers in the field

This issue of Primary Care: Clinics in Office Practice, guest edited by Drs. Antimisiaris and Gopalraj, is devoted to Geriatrics. Articles in this issue include: Geriatric Assessment for the Primary Care Provider; Ageism in Medicine: What is Normal Aging?; Management of Polypharmacy in the 15 Minute Office Visit; Sexuality in the Older Adult; Alzheimer's Disease and the Future; Evaluating the Older Driver; Diabetes in the Older Adult; Hormone Replacement: The Fountain of Youth?; Mental Health in Older Age; Advanced Care Planning in the Office; Pain in the Older Adult; Hyperlipidemia and Hypertension in the Older Adult; and Delirium: Assessment and Prognosis.

Experts in gerontology, clinical psychology, and geriatric medicine provide an analytical survey and abstracts of the significant literature and research dealing with alcoholism and aging over the last 30 years. This research guide offers a general survey with sections dealing separately with the prevalence, precipitants, effects, diagnosis, prevention, and treatment of alcoholism in the older generation. The book also offers directions for future research. The narrative ends with a listing of references that have been assessed. The annotated bibliography gives abstracts for 301 sources that are arranged by types of works: bibliographies, overview articles, books and book chapters, empirical studies, and miscellaneous works. Cross-references and author and subject indexes make this guide readily accessible to students and teachers in the field of sociology, gerontology, psychology, medicine, and public health.

It is increasingly important for physicians who treat older persons, and for researchers on aging, to understand how molecular biology informs clinical expressions of aging and age-related conditions such as osteoporosis, diabetes, osteoarthritis, frailty, cancer, and dementia. Dr. David Hamerman translates basic scientific concepts into precepts of clinical practice and sheds light on the links among biology, natural aging, longevity, and disease.

Exploring the connections between disease and the science behind it, Geriatric Bioscience addresses how mechanisms of inflammation, cytokine expression, and stress responses influence disease and how preventive gerontology in the practice of medicine could compress morbidity. Hamerman also discusses cutting-edge therapies such as cyclo-oxygenases, bisphosphonates, statins, cytokine inhibitors, and hormone therapies.

Examining the science of geriatrics and converting its concepts into clinical applications, this groundbreaking work provides clinicians and researchers with a solid foundation for a greater understanding of the diagnosis, treatment, and prevention of age-related diseases as well as recommendations for promoting healthy aging.

This issue of Clinics in Geriatric Medicine, guest edited by Dr. John Morley, is devoted to Rapid Geriatric Assessment. Articles in this issue will address Frailty; Sarcopenia; Anorexia of Aging; Mild Cognitive Impairment; Cognitive Frailty; Falls; Hip Fracture; Depression; Delirium; and Advanced Directives and Palliative Care.

This issue of Clinics in Geriatric Medicine, guest edited by Drs. James D. Katz and Brian Walitt of the NIH, is devoted to Rheumatic Diseases in Older Adults. Articles in this outstanding issue include Rheumatology Pharmacotherapy Pearls for the General Practitioner; Sarcopenia - Pathogenesis and Management; Osteoporosis and Metabolic Bone Diseases; Osteoarthritis; Regional Rheumatic Disorders and Rehabilitation in Older Adults; Rheumatological Manifestations of Malignancy; Sjoegren's Syndrome; Cardiovascular Disease Risk in Patients with Rheumatic Diseases; Gaps in Aging Research as it Applies to Rheumatological Clinical Care; and Update on Crystal-induced Arthritides.

Chronic Medical Disease and Cognitive Aging: Toward a Healthy Body and Brain explores the important and often overlooked connection between how chronic medical diseases of the body can affect cognitive function and brain health. As population demographics shift to that of an aging population it has become more important to understand and improve cognitive function in late life. Chronic medical diseases often increase the risk of cognitive impairment, and those with cognitive impairment may be less able to effectively manage their medical conditions, suggesting a reciprocal relationship may exist where medical disease impacts cognition that in turn may exacerbate physical health. Chronic Medical Disease and Cognitive Aging discusses current research on the association between a variety of chronic medical diseases and cognition and, where appropriate, promising interventions or accepted treatment strategies. While a cure for many diseases continues to be elusive, insights garnered from the interplay between diseases of the body and mind may help point the way to novel therapeutic strategies to improve cognitive function in late life.

The realities and misconceptions of long-term care and the challenges it presents for the ethics of autonomy are analyzed in this perceptive work. While defending the concept of autonomy, the author argues that the standard view of autonomy as non-interference and independence has only a limited applicability for long-term care. He explains that autonomy should be understood as a comprehensiveness that defines the overall course of a person's life rather than as a way of responding to an isolated situation. Agich distinguishes actual and ideal autonomy and argues that actual autonomy is better revealed in the everyday experiences of long-term care than in dramatic, conflict-ridden paradigm situations such as decisions to institutionalize, to initiate aggressive treatments, or to withhold or to withdraw life-sustaining treatments. Through a phenomenological analysis of long-term care, he develops an ethical framework for it by showing how autonomy is actually manifest in certain structural features of the social world of long-term care. Throughout this timely work, the rich sociological and anthropological literature on aging and long-term care is referenced and the practical ethical questions of promoting and enhancing the exercise of autonomy are addressed.

Provides recommendations by foremost scholars regarding best practices and future directions in LGBT aging. With its critical examination of contemporary issues facing lesbian, gay, bisexual, and transgender (LGBT) elders, this landmark Annual Review continues a nearly 40-year tradition of providing state-of-the-art knowledge, insight, and research on topics critical to gerontologists worldwide. The 37th volume addresses the cardinal changes occurring in the public policy arena—marriage rights, social security benefits, and other movements toward equality—as they pertain to LGBT elders, and focuses on a variety of key challenges affecting this population. Bringing together the work of highly respected researchers in health policy and psychosocial spheres pertinent to older LGBT adults, the Review also sets forth recommendations on best practices and discusses future directions for working with this population. Each chapter covers a specific issue affecting the older LGBT population and includes definitions of key concepts; a summary of current research; and a discussion of trends and future directions. The Review addresses such key topics as sexuality and sexual health, health and mental health disparities, caregiving, and service needs. It focuses on such critical issues for LGBT elders as social services, families and social supports, health and wellbeing for transgender and bisexual older adults, stigma for bisexual older adults, and special issues for older LGBT veterans and rural-dwelling elders. Also examined is the intersection of diverse characteristics such as gender, race, religion, disability, and sexual orientation. The book concludes with a discussion of programs and policies for older LGBT adults and offers concluding comments for professionals working with this population. Key Features: Provides an historical view of events, policy, and public opinion that have affected the lives of older LGBT cohorts Distils state-of-the-art research and data on such critical issues as sexuality, health and mental health disparities, caregiving, and service needs Considers the intersection of diverse characteristics such as gender, race, religion, disability, sexual orientation, and aging Discusses families and social supports, health and wellbeing for transsexual and bisexual older adults, LGBT veterans, and rural elders Examines future trends and changes in policy and programming to benefit older LGBTs .

This issue of Clinics in Geriatric Medicine, guest edited by Drs. Thomas T. Yoshikawa and Dean C. Norman, is devoted to Infectious Diseases in Geriatric Medicine. Articles in this issue include: Host Resistance and Immunology of Aging; Clinical Features of Infection; Principles of Antimicrobial Therapy; Bacterial Pneumonia; Tuberculosis; Intraabdominal Infections; Infectious Diarrhea: Clostridium Difficile and Norovirus; Urinary Tract Infection; Herpes Zoster; Bone and Joint Infections; Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome; Infections in the Long-Term Care Setting; and Vaccinations.

This issue of Clinics in Geriatric Medicine, guest edited by Drs. Cynthia Boyd, James T. Pacala, and Michael W. Rich, is devoted to Chronic Conditions in Older Adults with Cardiovascular Disease. Articles in this issue include: Epidemiology of multimorbidity in older adults with cardiovascular disease; Impact of multimorbidity on clinical outcomes in older adults with cardiovascular disease; Assessment of goals of care in patients with multiple chronic conditions; Challenges in decision-making: balancing trade-offs; Multimorbidity in older adults with heart failure; Multimorbidity in older adults with acute coronary syndromes; Multimorbidity in older adults with aortic stenosis; Multimorbidity in older adults with atrial fibrillation;Anticoagulation in older adults with multimorbidity; Approach to evaluating the multimorbid patient with cardiovascular disease undergoing non-cardiac surgery; Integrating care across disciplines; Assessing risks and benefits of invasive cardiac procedures in patients with advanced multimorbidity; Multimorbidity and end of life care in patients with cardiovascular disease; and Future research directions for cardiovascular disease.

This issue of Clinics in Geriatric Medicine is devoted to Geriatric Urology. Guest Editor Tomas L. Griebling, MD, MPH has assembled a group of expert authors to review the following topics: Non-Surgical Treatment of Urinary Incontinence in Elderly Women; Outcomes of Surgery for Stress Urinary Incontinence in Older Women; Evaluation and Management of Pelvic Organ Prolapse in Elderly Women; Underactive Bladder in Older Adults; Translational Research and Voiding Dysfunction in Older Adults; Functional Brain Imaging and Voiding Dysfunction in Older Adults; The Role of Urodynamics in Elderly Patients; Associations Between Voiding Symptoms and Sexual Health in Older Adults; Asymptomatic Bacteriuria and Urinary Tract Infections in Older Adults; Comorbidity and Surgical Risk in Older Urologic Patients; Small Renal Masses in Older Adults; Prostate Cancer in Elderly Men: Active Surveillance and Other Considerations; Late Onset Hypogonadism and Testosterone Replacement in Elderly Men; and Contemporary Chemotherapy for Urologic Malignancies in Geriatric Patients.

As the American population ages, health care for the elderly grows in importance. This bibliography overviews the most significant books and journal articles on the ethical issues related to health care for older Americans. The topics covered are of interest to practitioners and the general public alike, as well as to professionals from a wide range of fields. The author has provided more than five hundred bibliographic citations. These entries are arranged in eleven topical chapters to facilitate use by the reader. Each citation is accompanied by an annotation that concisely summarizes and assesses the contents of the work. The volume begins with an informative introductory essay on the ethical issues pertinent to health care for older adults. The chapters that follow are devoted to broad topics, such as financial considerations, treatment for the terminally ill, and decision-making by and for the impaired elderly. The work concludes with author and subject indexes that add to its utility. Researchers and practitioners from all fields will find this work an indispensable guide to the wealth of literature on the ethical aspects of health care for older Americans.

This book provides a comprehensive overview of the field of developmental programming of ageing phenotypes. Although gerontological research has traditionally focused on later stages of the life cycle, growing evidence indicates that both the rate of ageing-associated functional declines, and the risks of later-life chronic pathological conditions, can be traced to origins early in life. While other books in the field concentrate on the developmental origin of particular disorders, this volume offers a detailed guide to all important aspects of the role of early-life conditions in programming both chronic pathological conditions and the ageing process. Interest in the study of ageing and longevity had its beginnings in research on the fetal origins of adult disease. This has evolved into a hypothesis on the Developmental Origins of Adult Health and Disease (DOHaD), which postulates that adverse environmental exposures during critical in-utero and early postnatal stages of development may permanently change physiological responses and cause functional impairments and disorders in adult life. In this book, the contributing authors and leading experts from around the world, describe research on mechanisms underlying the developmental programming phenomenon, as well as interventional strategies aimed at restoring developmentally disrupted epigenetic patterns. Early Life Origins of Ageing and Longevity benefits a wide audience of working scientists, clinicians, and advanced students, and will also interest scientifically curious general readers who wish to know more about current research in this rapidly evolving field.

The book describes the major degenerative processes and pathologies exacerbated by senescence and how they can be alleviated through retardation of cellular aging. Topics discussed include neurodegenerative disease, protein oxidation, cerebrovascular disease, particle-induced inflammation and cardiovascular disease, Alzheimer's disease, ovarian aging, dietary and endogenous anti-oxidants in management of Parkinson's disease, and effects of exercise on oxidation and inflammation. The nineteen expertly authored chapters are organized into three sections in order to present a complete picture to the reader: Age Related Cellular Events, Role of Inflammatory and Oxidative Processes in Age-Related Diseases, and Retardation of Cellular Aging. Inflammation, Oxidative Stress and Age-Related Disease draws from a variety of international perspectives and provides a comprehensive overview of the relationship between disease, cell aging, and oxidative stress, as well as potential for preventing or slowing these processes. This installment of Springer's Oxidative Stress in Applied Basic Research and Clinical Practice is ideal for researchers, clinicians, and advanced graduate students in the fields of cardiology, neuroscience, biogerontolgy, and cell biology.