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.

Medication costs and common drug-related problems, such as misapplication of therapy, medication misuse, and adverse effects, can often be avoided or reduced. Geriatric Drug Therapy Interventions will help you get better outcomes with your patients as it points out pitfalls to avoid and provides you with logical principles for administering drug therapy. Offering guidelines, advice, and gentle reminders, this book shows you the importance of properly documenting patient problems and of considering the entire medical history of your patients. It also helps you perform fall and psychoactive drug risk assessments and address under-recognized and undertreated problems such as malnutrition, depression, sensory deficits, anemia, osteoporosis, and pressure ulcers.As Geriatric Drug Therapy Interventions clarifies, increased consultant pharmacist involvement in comprehensive pharmaceutical services results in the reduction of drug-related problems and medication-associated costs with long-term care patients. Using this book's helpful and substantive interventions, you can improve clinical, economic, and humanistic outcomes in your practice. For this purpose, Geriatric Drug Therapy Interventions discusses: a study designed to teach pharmacy students to identify, document, solve, and prevent medication-related problems providing patient-focused care and assuming responsibility for patient outcomes reimbursing pharmacists for performing cognitive service and cost-savings activities how the prevalence of drug-related problems that influence the need for hospital and nursing home admissions increases with age reasons for patient noncompliance NSAID-associated gastritis, gastrointestinal bleeding, drug-induced delirium, incontinence, and constipation why the advent of managed care does not bode well for the overall health outcomes of the elderlyPharmacists, physicians, and other health care providers can't control all aspects of drug use, but there are many practical steps you can take to help your patients use their prescriptions appropriately. Geriatric Drug Therapy Interventions will help you monitor the efficacy of drug therapy, guide patients who are exasperated with being poked, prodded, and barraged with medications, and work together to develop therapy patterns and schedules that are effective and comfortable.

Comprehensive health services cannot be planned on the basis of 7.000 people - the average list size of a fundholding practice. Services such as casualty and kidney transplantation must be planned on populations of hundreds of thousands. GP commissioning has developed from the spontaneous reaction against fundholding by some GPs ( both fundholding and non-fundholding) into a comprehensive, systematic approach towards the planning and monitoring of health services. This book is the first to explain GP commissioning in its own right. It documents the history, theory and practice of GP commissioning and places it within the current political situation faced by the NHS. It shows how commissioning goes beyond fundholding. Commissioning is a more cost-efficient alternative, is clinically effective and its spontaneous development implies it is more in keeping with the basic tenets of the National Health Service. The difficult areas of financing, commercialization and rationing of health care are all covered. The book also explores the relationship between GP commissioning and evidence-based medicine, both of which can contribute to a systematic approach towards the planning and provision of health care into the next century. With contributions from GP commissioners, health services managers, leading academics, the Secretary of State, and the former Shadow Secretary of State for Health, this book will inform the important debate on the structure of primary care. It is vital reading for all those with an interest in the future of the health service.

Sportive care can be thought of as an extension of palliative care so that the person with dementia receives good quality, holistic care that makes no distinctions between the dichotomies of care and cure from the time of diagnosis until, and beyond, death. It recognizes the need for an inter-disciplinary approach for continuity of care. Supportive care in dementia must, therefore, be broad in its scope and application.
Supportive Care of the Person with Dementia provides just such a broad and full perspective, drawing upon the experience and expertise of a wide range of internationally-based professionals to outline a model of supportive care that will provide good quality and holistic care for people with dementia. Making use of real-life reports from both patients and carers to help readers fully understand the reality of dementia, the book examines the key principles that guide the practice of supportive care. It looks at how supportive care can be used, and specific benefits a care model of this type can bring to the complex problems that are frequently encountered when treating this condition.
It is an ideal resource for all clinicians who are part of an interdisciplinary team caring for sufferers with this debilitating illness.

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.

Part of a series of pocket-sized books that set out to provide easily assimilable information on diagnosis and treatment of common medical conditions. This volume looks at depression in the elderly, covering such topics as aetiology and risk factors, clinical presentation and prognosis.

Cultivate confident, wellness-oriented care for older adults across a changing healthcare environment with the latest evidence-based coverage of gerontological nursing. Nursing for Wellness in Older Adults, 9th Edition, fosters students' understanding of both the physiologic and psychosocial aspects of aging, as well as common risk factors that may interfere with optimal health and functioning. Organized around the author's Functional Consequences Theory for Promoting Wellness in Older Adults and extensively updated to reflect current issues in gerontological practice, this trusted text equips students to work proactively with older adults to promote high levels of functioning and quality of life, despite limitations that may accompany aging, disease, and related conditions.

The present volume provides overviews of aging and changes in renal function over time; it devotes chapters to renal parenchymal disease and urinary tract infections; and the sections on geriatric urology cover urinary incontinence and urinary-tract neoplasm, including prostatic cancer. The book summarizes current information on renal replacement therapy in the elderly and reviews such important topics as hemodialysis, peritoneal dialysis, fluid and acid-base abnormalities as they are seen in older patients, and transplantation in the elderly. Concerning medical care of older nephrology patients, the contributors have reviewed the management of hypertension, current understanding of glomerular disease, current approaches to the diabetic with renal disease, and use of antineoplastic and antimicrobial therapy, all in these special patients. They discuss the prevention of renal failure in older patients, both in diagnostic and therapeutic aspects, and examine sexual dysfunction and indications for surgery in the older patient with obstruction. Finally, the text examines such ethical issues as the use of advanced directives and the allocation of scarce resources.

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

This classic text-more relevant than ever as our population rapidly ages-delivers comprehensive and up-to-date knowledge about aging services in the U.S. Written for both students and practitioners of gerontology, along with all professionals involved in the well-being of older adults, this highly accessible book provides a current and detailed description and analysis of local to global services for older people with or without cognitive, physical, or social needs. The Ninth Edition is updated to reflect critical changes to legislation, health care, and recent trends. It focuses on the strengths and diversity of older adults and the role our multilayered aging networks play in advocacy, community independence, and engagement. Commentary and critical thinking challenges from policymakers, program directors, and educators facilitate high-level reasoning and independent analysis of aging networks past, present, and future. The ninth edition also offers enhanced resources including a Test Bank, Instructor's Manual, PowerPoint slides, and links to video. Additionally, the print version of the book includes free, searchable, digital access to the entire contents. New to the Ninth Edition: Fully updated to reflect historical context, recent trends and challenges, and future considerations Addresses the effects of our current political and ideological landscape on aging networks including a Call to Action Examines the current status of Medicare and Medicaid, Meals-on-Wheels, and the impact of the ACA Discusses long-term services and supports, disaster preparedness and climate change, caregiving as a human right, and LBGTQ services and support Presents new case studies providing evidence-based best-practice initiatives and new innovations Delivers enhanced instructor resources including Test Bank, Instructor's Manual, Power Point slides, and video links Includes eBook format Key Features: Focuses on the strengths of older adults and the role our multilayered aging networks play in advocacy, community independence, and engagement Provides commentary and critical thinking challenges from policy-makers, program directors, and educators to facilitate high-level analysis Addresses changing demographics and future challenges Offers "Voices from the Field" boxes and "Critical Thinking" topics and questions to encourage reflection and discussion

This open access book provides a comprehensive perspective on the concept of ageism, its origins, the manifestation and consequences of ageism, as well as ways to respond to and research ageism. The book represents a collaborative effort of researchers from over 20 countries and a variety of disciplines, including, psychology, sociology, gerontology, geriatrics, pharmacology, law, geography, design, engineering, policy and media studies. The contributors have collaborated to produce a truly stimulating and educating book on ageism which brings a clear overview of the state of the art in the field. The book serves as a catalyst to generate research, policy and public interest in the field of ageism and to reconstruct the image of old age and will be of interest to researchers and students in gerontology and geriatrics.

Arguing that death is the central force shaping our social life and order, Michael Kearl draws on anthropology, religion, politics, philosophy, the natural sciences, economics, and psychology to provide a broad sociological perspective on the interrelationships of life and death, showing how death contributes to social change and how the meanings of death are generated to serve social functions. Working from a social as well as a psychological perspective, Kearl analyzes traditional topics, including aging, suicide, grief, and medical ethics while also examining current issues such as the impact of the AIDS epidemic on social trust, governments' use of death symbolism, the business of death and dying, the political economy of doomsday weaponry, and death in popular culture. Incisive and original, this book maps the separate contributions of various social institutions to American attitudes toward death, observing the influence of each upon the broader cultural outlook on life.

This comprehensive book presents an evidence-based approach to treating asthma in adults aged 65 and older, a vulnerable subset of patients who are more likely to experience higher morbidity and mortality rates, and often enduring higher financial burdens related to treatment. Treatment of Asthma in Older Adults: A Comprehensive, Evidence-Based Guide is a unique resource, providing an up-to-date review of medication strategies, how asthma phenotypes and treatment decisions interact, and how controlling asthma triggers impacts long-term asthma outcomes in older patients. Additionally, the book incorporates recent advances in alternative therapies that improve the patient's quality of life. Opening discussions address the unique challenges of the differential diagnosis of asthma in older adults, as well as an examination of the significant medical comorbidities that co-exist with asthma. Subsequent chapters provide strategies to optimizing asthma management in this specific population, including information on case management that will assist allied health providers. Finally, the book closes with an analysis of several novel targets for therapy to treat severe asthma including biologics, macrolides and bronchial thermoplasty. Written by experts in the field, Treatment of Asthma in Older Adults: A Comprehensive, Evidence-Based Guide is an indispensable resource for allergists, pulmonologists, family physicians, physician assistants, nurse practitioners and all other allied clinicians.

Medical practitioners receive little, if any, formal training in the prevention, assessment and management of pressure ulcers and other chronic wounds. Pressure Ulcers in the Aging Population: A Guide for Clinicians is a resource primarily aimed at physicians interested in the fundamentals of wound care. This book is written for geriatricians, internists, general practitioners, residents and fellows who treat older patients and unlike other texts on the market addresses the specific issues of wound prevention and managment in older individuals. Pressure Ulcers in the Aging Population: A Guide for Clinicians emphasizes prevention, proper documentation and the team care process which are often overlooked in standard texts. Chapters are written by experts in their fields and include such evolving topics as deep tissue injury and the newer support surface technologies.

This book provides an overview of recent advances in the study of aging and aging related diseases, discussing the topics at individual, organ, tissue, cell, and molecular levels. It also presents studies on the biomarkers of aging and anti-aging interventions. Aging has been becoming a global health problem. However it was not possible to determine aging as we usually diagnose a disease because there are few biomarkers for age estimation. Since ancient times, people have been seeking anti-aging substances and methods for achieving immortality, while the scientific study of aging has only existed for 100 years. This book appeals to researchers both in institutes and in pharmaceutical companies interested in further studies in this field.

This text provides a comprehensive, state of the art review of this field and will serve as a resource for urologists, colorectal surgeons, geriatricians, and gynecologists as well as researchers interested in neuromuscular phenomena in the pelvis. The book also reviews new data regarding risk factors for pelvic floor muscle dysfunction and profiles new minimally invasive surgical strategies for well known pelvic disease processes. Each chapter is chock full of data from landmark trials which have been published over the past few years and placed in context with respect to current management techniques for pelvic floor disorders. Written by experts in their field, Pelvic Floor Dysfunction and Pelvic Surgery in the Elderly: An Integrated Approach provides a concise yet comprehensive summary to help guide patient management.

Some of the most serious consequences of aging are its effects on skeletal muscle. Sarcopenia', the progressive age-related loss of muscle mass and associated muscle weakness, renders frail elders susceptible to serious injury from sudden falls and fractures and at risk for losing their functional independence. Not surprisingly, sarcopenia is a significant public health problem throughout the developed world. There is an urgent need to better understand the neuromuscular mechanisms underlying age-related muscle wasting and to develop therapeutic strategies that can attenuate, prevent, or ultimately reverse sarcopenia. Significant research and development in academic and research institutions and in pharmaceutical companies is being directed to sarcopenia and to related health issues in order to develop and evaluate novel therapeutics. This book provides the latest information on sarcopenia from leading international researchers studying the cellular and molecular mechanisms underlying age-related changes in skeletal muscle and identifies strategies to combat sarcopenia and related muscle wasting conditions and neuromuscular disorders. The book provides a vital resource for researchers and practitioners alike, with information relevant to gerontologists, geriatricians, sports medicine physicians, physiologists, neuroscientists, cell biologists, endocrinologists, physical therapists, allied health and musculoskeletal practitioners, strength and conditioning specialists, athletic trainers, and students of the medical and biomedical sciences.