Disaster Public Health and Older People introduces professionals, students and fieldworkers to the science and art of promoting health and well-being among older people in the context of humanitarian emergencies, with a particular focus on low- and middle-income country settings. Older people face specific vulnerabilities in physical, mental and social well-being during disasters. They are likely to experience socio-economic marginalisation, isolation, inaccessible information and a lack of relevant post-emergency support services. Meanwhile, although older people can also significantly contribute to disaster preparedness, response and recovery, their capacities are often under-utilised. Drawing on a range of global case studies, this book provides readers with a theoretical underpinning, while suggesting actions at the individual, community and national levels to reduce the health risks to older people posed by the increasing frequency and intensity of disaster, in particular those resulting from natural hazards. Topics covered range from the health impact of disasters on older people and response to their post-disaster health needs, to disaster preparedness, disease prevention, healthy ageing, global policy developments and the contributions of older people in disaster contexts. This book draws on lessons learnt from previous disasters and targets students and professionals working in disaster medicine, disaster public health, humanitarian studies, gerontology and geriatrics.

The second edition of this engaging text reflects a welcome new paradigm for aging-that of aging as a positive stage of life. Written for undergraduate and masters-level students, it provides an interdisciplinary perspective on the wide variety of subject areas within gerontology, and combines research with engrossing narratives, new trends, and controversial topics. Substantially updated, the second edition features integrated content on the diversity of the aging population. State-of-the-art information includes new science on the biology of aging; chronic conditions; integrated care; changing roles for older adults; new demographics; and critical policy issues. The second edition examines career opportunities in gerontology and includes Practical Applications and Activities for Students, new scenarios, and many more charts and graphs. The book also includes PowerPoint slides, a test bank and an instructor's manual. Key Features: Conceptualizes a positive approach to aging, with an emphasis on the advantages and opportunities presented by the large and growing number of older Americans Delivers comprehensive, interdisciplinary coverage of aging topics Dispels negative myths about aging Engages the reader with vivid narratives and thought-provoking activities Offers a broad range of subject areas in the field, from biological aging processes, to economics and living arrangements Provides Instructor's Manual, PowerPoint slides, and multiple resources for additional learning New to the Second Edition: Presents a new chapter on careers in aging, which explores expanding opportunities Explores new and updated demographics Includes new information on personality, palliative care, age-friendly communities, homelessness, social networks, Medicaid and more Presents a new approach to elder abuse focusing on solutions to social isolation, a major cause of abuse Includes coverage of policies throughout the book, as they apply to their role in an aging society, in the workplace and retirement, in providing opportunities for older people to give and receive support, and in health care Uses Bloom's latest taxonomy for Learning Objectives

This book distills the wealth of knowledge contained in the classic text, Geriatric Medicine: An Evidence-Based Approach, 4/e into a practical guide for primary care, family medicine, and internal medicine residents. Written by top experts in the field, the book offers a detailed, compact overview of geriatric care. It addresses geriatric pharmacology, Medicare and Medicaid, and numerous other subjects unique to older adults. The case-based instructional approach helps readers navigate the complexity of prevention, presentation, and treatment for conditions such as depression, dementia, and hypertension. Graphs and tables aid the reader in determining the proper courses of treatment.

The significance of hormone action in psychiatry has long been studied, but only recently has this study included the psychiatric effects of hormones on the aging process. Hormones influence a wide scope of states and conditions, ranging from pain tolerance and anorexia to attention, mood, immunity, cardiovascular and cognitive function, schizophrenia, and Alzheimer's disease. Written by an eminent team of psychiatrists, psychologists, geriatricians, and neuropharmacologists, this pioneering clinical reference addresses the hormonal basis of mental disorders in older people. This book brings together established information and recent findings in four sections:

• An overview of the basic science of neurosteroids
• Sex difference and the roles that cortisol, thyroid hormone, and the sex steroids estrogen, progesterone, dehydroepiandrosterone and testosterone play in common mental disorders and pain sensitivity
• Psychoneuroimmunology in relation to age
• Sex differences and hormones in psychotropic drug metabolism in the elderly.

This book brings together a selection of classic psychoanalytical papers related to aging, dying, and death that have appeared in the renowned International Journal of Psychoanalysis. People are living longer than ever before, leading full and active lives long past retirement, and yet many analysts are averse to working with patients over the age of fifty. Sigmund Freud never wavered from his conviction that the elderly would not benefit from analysis and, despite the huge expansion in analytic technique and practice since the 1940s, the treatment of elderly patients is still not widely practiced. This is reflected in a paucity of papers on the subject--a mere twenty papers on the analysis of elderly patients have appeared in the journal's long history.The chosen papers come from eminent analysts, most of whom have embarked on clinical work with elderly patients. Two papers--one by Hanna Segal, who has also written the Foreword, and the other by Nina E. C. Coltart--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 aging process, aging and psychopathology, fear of death, transference and countertransference issues, and the final stage of the dying process. The book ends with Erik Erikson's paper on the generational cycle. This paper is a fitting conclusion from the pioneer whose work contributed to a clearer understanding of the impact of the experiences of the life cycle, from childhood to old age.It is to be hoped that this fascinating collection will stimulate further research and encourage more analysts to work with this neglected and growing section of the population.The Contributors: Norman A Cohen, Nina E. C. Coltart, Erik Homburger Erikson, Tor-Bjorn Hagglund, Elliott Jaques, Gabriele Junkers, Pearl H.M. King, Wolfgang Loch, George H. Pollock, Hanna Segal, Harold W. Wylie, and Mavis L. Wylie"

Auf die Bedurfnisse der taglichen Praxis abgestimmt
Strukturierte, klar definierte Vorgehensweisen fur Diagnostik, Therapiekonzepte und personalisierte Therapieziele.

Umfassende Information, inklusive
- Pravention, Fruherkennung
- Begleiterkrankungen: Fettstoffwechselstorungen, Hypertonie ...
- Folgeerkrankungen: Gefasserkrankungen, Nephropathie, Neuropathien ...
- Patientenschulung: Ernahrung, Lebensfuhrung ...
Besonderheiten bei
- Kindern/Jugendlichen, Schwangeren, alten Patienten
- perioperativer Betreuung, enteraler und parenteraler Ernahrung
- psychiatrischen Erkrankungen einschliesslich Demenz
- Sport, Reisen
Komplexe Fragen kompetente Antworten
- Stufentherapie individuell abgestimmt auf Begleiterkrankungen, Bedurfnisse und Moglichkeiten des Patienten
- Praxistipps fur typische und atypische Therapieprobleme
- neue und zukunftige Therapieformen

NEU u.a.
- Bariatrische Chirurgie
- Compliance und Empowerment
- Qualitatssicherung und Versorgungsforschung
- DMPs, DRGs

Nach den Leitlinien/Richtlinien
- Deutsche Diabetes Gesellschaft (DDG)
- Osterreichische Diabetesgesellschaft (ODG)
- Schweizerische Gesellschaft fur Endokrinologie und Diabetologie (SGED)

Interdisziplinar, topaktuell. Von den fuhrenden Experten aus Deutschland, Osterreich, Schweiz.

Wissen fur das optimale Diabetes-Management gerade heute besonders wichtig."

Ein Grossteil der chronischen Erkrankungen und deren Risikofaktoren kann durch persoenliches Verhalten, also durch den Lebensstil vermieden bzw. verhindert und insbesondere deren Progredienz minimiert werden. Aus unzahligen weltweit durchgefuhrten epidemiologischen Studien ist erwiesen, dass regelmassige koerperliche Aktivitat, eine entsprechende Ernahrung sowie soziale Eingebundenheit und damit Lebenszufriedenheit Schlusselfaktoren fur Lebensqualitat und Langlebigkeit sind. Das Buch geht diesem Phanomen auf den Grund und zeigt auf, welche gesundheitspolitischen Massnahmen sich im Kampf gegen eine Pflegebedurftigkeit im Alter bewahren. Denn durch gesundheitsfoerdernde, praventive und rehabilitative Massnahmen kann die Selbstandigkeit von alteren Menschen erhalten, gefoerdert oder sogar wiedergewonnen werden. Wesentliche Forderungen sind dabei eine strukturell, personell, finanziell und ausbildungstechnische Pflegereform und der flachendeckende Einsatz von anderen innovativen Werkzeugen, wie etwa Pflegekompetenzzentren und der Best Agers Bonus-Pass.

The global burden of geriatric hip fractures is enormous. From both the patient's and physician's perspective, the injury is complex. A hip fracture often changes a patient's life and/or the life of the patient's family permanently. From the physician's perspective, care of geriatric hip fracture patients requires a multidisciplinary team, which is led by the surgeon and which includes internists and other subspecialists within internal medicine, anesthesiologists, nurses, operating room technicians, social workers, physical therapists, and rehabilitation center coordinators and staff. Nowhere in the orthopedic literature is there a text that guides care for these complex patients from injury through recovery. This text is the first to do so by organizing and synthesizing a large body of literature. Its main themes include pre-operative, operative, and post-operative care of the patient who sustains a geriatric hip fracture. Its main objective is to organize the current body of literature into a cohesive whole so that the busy orthopedic surgeon does not have to undertake a literature search each time he or she wants an answer to the myriad questions that characterize a patient's injury, treatment, and recovery course. With regard to pedagogy, because orthopedic surgeons in training will utilize this book, and because the case study is the central pedagogical tool in the field of orthopedic surgery, this book includes case studies within each chapter, with the author's preferred treatment and decision-making rationale for each case. Selected video supplements reinforce real-world application of knowledge. Practicing orthopedic surgeons, as well as orthopedic residents and fellows in training, will find Geriatric Hip Fractures: A Practical Approach a highly useful and informative resource.

A wide variety of ambitions and measures to slow, stop, and reverse phenomena associated with aging have been part of human culture since early civilization. From alchemy to cell injections to dietary supplements, the list of techniques aimed at altering the processes of aging continues to expand. Charlatans, quacks, and entrpreneurs proffering anti-aging products and practices have always exploited uniformed customers and instilled doubt and apprehension toward practices intended to extend life. Recently, however, the pursuit of longevity has developed into a respectable scientific activity. Many biologists are substantially funded by the government and the private sector to conduct research that they believe will lead to effective anti-aging interventions.
While many embrace this quest for "prolongevity"--extended youth and long life--others fear its consequences. If effective anti-aging interventions were achieved, they would likely bring about profound alterations in the experiences of individual and collective life. What if aging could be decelerated to the extent that both average life expectancy and maximum life span would increase by forty percent? What if all humans could live to be centenarians, free of the chronic diseases and disabilities now commonly associated with old age? What if modern scientists could find the modern equivalent to the Fountain of Youth that Ponce de Leon sought?
This book addresses these questions by exploring the ramifications of possible anti-aging interventions on both individual and collective life. Through a series of essays, it examines the biomedical goal of prolongevity from cultural, scientific, religious, and ethical perspectives, offering a sweeping view into the future of aging.

Aging is associated with morphologic and functional alterations of organ systems including the genitourinary tract. Aging of the bladder leads to urgency, frequency, dysuria, recurrent urinary tract infections and incontinence both in the aging men and women. These symptoms occur frequently, are very distressing and influence daily life of the aging person. Besides patients symptoms, medications and incontinence devices are a tremendous financial burden on health care systems. Understanding the morphologic and functional processes of the aging bladder may decrease symptoms, costs and develop new, preventive strategies for the treatment of the aging bladder. This book reviews present knowledge of morphologic and functional alterations of the aging bladder both in men and women adding new insights in order to optimize therapeutic options for the treatment of aging bladder in daily practice and improve patients quality of life.

This best-seller in geriatrics is even better in an updated and completely revised new edition. Geriatric Secrets provides a substantial knowledge base in geriatric medicine and provides a wealth of insights into the art and practice of geriatrics, featuring all the most important "need to know" questions and answers in the proven format of the Secrets Series (R). Thought-provoking questions that provide succinct answers Presentation of a vast amount of information, but not overly simplistic The most important "need-to-know" questions-and-answers in the proven format of the highly acclaimed Secrets Series (R) Concise answers that include the author's pearls, tips, memory aids, and "secrets" Bulleted lists, algorithms, and illustrations for quick review Thorough, highly detailed index

Gerontology did not emerge as a scientific field of inquiry in the United States until the twentieth century. By tracing intellectual networks and analyzing institutional patterns, Crossing Frontiers shows how old age became a "problem" worth investigating and how a multidisciplinary orientation took shape. Gerontology remains a marginal intellectual enterprise, but its very strengths and weaknesses illuminate the politics of specialization and academic turf-fighting in U.S. higher education.

Although philosophers, physicians, and others have long pondered the meanings and experiences of growing older, gerontology did not emerge as a scientific field of inquiry in the United States until the twentieth century. The study of aging borrows from a variety of other disciplines, including medicine, psychology, sociology and anthropology, but its own scientific basis is still developing. Despite dozens of aging-related journals, and a notable increase in state, regional, national and international networks, there are no widely shared techniques or distinctive methods. Theories of aging remain partial and tentative. By tracing intellectual networks and analyzing institutional patterns, Crossing Frontiers shows how old age became a 'problem' worth investigating and how a multidisciplinary orientation took shape. Gerontology is a marginal intellectual enterprise but its very strengths and weaknesses illuminate the politics of specialization and academic turf-fighting in U.S. higher education.

La "cultura geriatrica" - intesa come conoscenza e dominio dei processi di invecchiamento - non ha avuto ancora piena affermazione in campo medico-sanitario. Questo comporta che il piu delle volte non si sappia distinguere a pieno il limite tra il fisiologico e il patologico che distinge l'anziano sano con gli inevitabili "acciacchi" dovuti all'invecchiamento da quello abbisognevole di supporti sanitari e/o assistenziali. Finora si e spesso trattato l'anziano con la cultura dell'adulto, molto diversa da quella geriatrica, con il risultato di considerare malato anche chi ha solo il torto di dimostrare i propri anni. In sostanza, mentre le eta della crescita e della piena efficienza sono ben conosciute nei loro aspetti normali e patologici, non altrettanto avviene per l'eta della decadenza, per la quale ci si avvale impropriamente di un altro metro di valutazione. Il risultato inevitabile di tutto questo e che gli interventi di supporto per la terza eta possono essere scorretti, cosi come l'impiego delle risorse umane e finanziare ad essa destinate. I vincoli economici sempre piu stretti da un lato e il progressivo allargamento della popolazione anziana dall'altro rendono ormai ineludibile l'affermarsi di una vera e propria "cultura geriatrica" non solo in campo diagnostico radiologico ma anche in tutte le altre discipline specialistiche. Quest'opera vuole andare in questa direzione."

Why do we age? Is aging inevitable? Will advances in medical knowledge allow us to extend the human lifespan beyond its present limits? Because growing old has long been the one irreducible reality of human existence, these intriguing questions arise more often in the context of science fiction than science fact. But recent discoveries in the fields of cell biology and molecular genetics are seriously challenging the assumption that human lifespans are beyond our control. With such discoveries in mind, noted cell biologist William R. Clark clearly and skillfully describes how senescence begins at the level of individual cells and how cellular replication may be bound up with aging of the entire organism. He explores the evolutionary origin and function of aging, the cellular connections between aging and cancer, the parallels between cellular senescence and Alzheimer's disease, and the insights gained through studying human genetic disorders--such as Werner's syndrome--that mimic the symptoms of aging. Clark also explains how reduction in caloric intake may actually help increase lifespan, and how the destructive effects of oxidative elements in the body may be limited by the consumption of antioxidants found in fruits and vegetables. In a final chapter, Clark considers the social and economic aspects of living longer, the implications of gene therapy on senescence, and what we might learn about aging from experiments in cloning. This is a highly readable, provocative account of some of the most far-reaching and controversial questions we are likely to ask in the next century.

This book presents an interactional sociolinguistic approach to the progressive communicative breakdowns typical of Alzheimer's disease. The language used in open-ended, naturally occurring conversations between the author and one elderly female Alzheimer's patient over four-and-a-half years is investigated in an attempt to understand how the patient's communicative abilities and disabilities are related, how they change, and how they are influenced by the behavior of the healthy interlocutor.

This book examines the concepts of preventive care and health promotion specifically in the context of the elderly. It adopts a broad concept of health and defines a number of goals around this theme. Thereafter it provides a succinct, up-to-the-minute critique of the worth, risks and costs of preventive care and health promotional strategies for older people. A broad range of such strategies are considered including cancer prevention, the prevention of non-cancer health problems and strategies aimed at enhancing functional status and strengthening the social support network. Principles for tailoring these strategies to the varied needs and wishes of elderly people are outlined. Likewise, practical measures are discussed for integrating these preventive strategies into the existing health care system. In particular, the role of screening, case-finding and targeting strategies in primary care are reviewed in detail. The book concludes with a wider look at the cost implications of preventive care for the purchasers of health and health care services.

This thoughtful and compassionate account addresses some of the difficult ethical and medical issues raised in the provision of health care for the dependent elderly patient. Care of the dependent elderly is subject to conflicting priorities arising from the demands of patients, their relatives, the fair allocation of medical and financial resources, and the medical ethos to prolong life. A distinguished team of contributors, selected from the fields of medicine, philosophy, ethics, and law, discuss and critically evaluate these issues. This volume will provide a focus for further debate and interest in this important subject.

We live in an ageing society, where people are living longer, and where decreases in the birth rate mean that the proportion of the population above retirement age is steadily increasing. An ageing population has considerable implications for health services and care provision. Consequently there is a growing interest among researchers, medical practitioners, and policy makers in older adults, their capabilities, and the changes in their cognitive functioning. This book offers an up-to-the-minute account of the latest methodological and theoretical issues in cognitive ageing. Part of the Debates in Psychology series, it sets out the arguments surrounding the currently controversial questions in cognitive ageing. What is the appropriate methodology for understanding cognitive change? How many factors are necessary to understand the patterns of age-related change? What might these factors be? The topics and arguments are explored in a series of chapters by the leading researchers in the field. Each contributor offers their view of how cognitive ageing can be best understood, and together they cover a broad range of cognitive functions including language use, cognitive slowing, and memory loss. Each of the chapters stands alone as the latest review of work in the area. Taken together, the chapters form a coherent theoretical debate through which the reader will learn about the dynamic nature of cognitive ageing research, and about the direction this research will be taking in the future. Models of Cognitive Aging will be an invaluable resource for anyone with an interest in the elderly, and in their cognitive abilities.

This volume presents a series of case narratives, following individual patients and families throughout the course of illness and death in the context of hospice and palliative care. Using a variety of qualitative research methods, including participant-observation, interviews, and journal-keeping, the experiences, perceptions, and feelings of the patient, the family and a range of caregivers are recorded, providing the reader with rich, multi-textured narratives. Going beyond conventional case reports in Medicine, typically concentrating on symptoms and treatment, these narratives depict how individuals find personal meaning in illness, and how this influences the experience and outcome of care.

To a certain extent the dementias have been forgotten diseases until just recen tly when they were brought to the attention of the general public and health authorities as a result of the increasing number of cases in the aging popula tion, especially among famous people, and because of the efforts of private foundations. The goals of the present volume are to present the dementias to health prac titioners, to provide some basic information on their epidemiology and biolo gical basis and to discuss the diagnostic and clinical problems that physicians and institutions face when caring for demented patients. This book explores the various types of dementias and is not limited to Alzheimer's disease although, as expected, more information is available and presented on this pathology. On the other hand, a few fundamental questions on dementia can only be answe red through a comparison of the various forms. Examples of such questions are the following: Is the loss of cerebral tissue sufficient to cause dementia? Are there thresholds or is there a continuous progression toward the irreversible development of dementia? Are there common pathways in the dementing pro cess? Are there common risk factors? Comparative analysis allows the common and distinctive patterns of the various dementias to be defined, ultimately lea ding to more focused therapeutic interventions."

Comprehensive overview of literary works that illuminate the experiences of aging. Bibliographical essays analyze the ideas or themes relating to over 70 topics. Lengthy critical annotations accompany the more than 350 literary works, across various genres, on the different topics. An introduction, how to use the work section, careful cross-referencing, and author and subject indexes make this a useful research tool for gerontologists, health-care professionals, and general readers concerned with aging.

Selective, annotated bibliography aimed at providing gerontologists, health care professionals, and general readers interested in the aging process, a useful tool for identifying and utilizing literary works that provide insight into various topics in gerontology.

Part One contains bibliographical essays on more than 70 topics in gerontology. Each essay analyzes the ideas or themes that a number of literary works provide on a specific topic. The essays illustrate the relevance of literary works to gerontology study, introducing readers to a variety of works whose characters, plots, themes, or images bear on current topics in gerontology. Part Two includes detailed critical annotations of more than 350 literary works, including anthologies, autobiographies, novels, plays, poems, and stories. Annotations are detailed and draw out specific issues related to characterization, plot, conflicts, themes, imagery, and metaphors. This comprehensive overview includes an introduction, a chapter about how to use the guide, and author and subject indexes.

The proportion of elderly people continues to increase in the western world-nearly a quarter of the population will be over 65 years by the year 2050. Since aging is accompanied by an increase in diseases and by a deterioration in well-being, finding solutions to these social, medical and psychological problems is necessarily a major goal for society. Scientists and medical practitioners are therefore faced with the urgent task of increasing basic knowledge of the biological processes that cause aging. More resources must be put into this research in order to achieve better understanding of the cellular mechanisms that underlie the differences in life span between species and to answer the difficult questions of why some individuals age more quickly than others, and why some develop liver problems, some have heart problems, and others brain problems. The results of such a wide program of research will provide important information about the causes of many life-threatening and/ or debilitating diseases of old age; it will help find ways to prevent some of the ailments that result from aging, and it may well lead to discoveries enabling the prolongation of human life.

The second edition of PROTOCOLS IN PRIMARY CARE GERIATRICS continues its mission of improving practical, clinical knowledge among physicians and others caring for elderly people, while providing updated information on several major areas in the field. Reflecting current practice trends, a new chapter on home care has been added as well as one on comprehensive geriatric assessment. Revised guidelines for falls, incontinence, and drug treatment are also featured. Designed to provide both quick reference to clinical problem-solving schemes and lists, as well as a lucid, readable discussion of basic topics in geriatrics, the book's value lies in its combination of brief, readable chapters, a section of notes in outline form, staightforward clinical approaches, didactic exercises, and new updated case studies. Family physicians, primary care internists, and other primary specialists caring for elderly people will find this book of great value. It is also not to be missed by residents, as well as nursing homes, hospitals, and indiviual health care professionals, other than physicians, who will benefit from its use as a clinical reference guide.

"Public Health and Aging" was published to critical acclaim almost fifteen years ago. Much has changed in public health since then. Thomas R. Prohaska, Lynda A. Anderson, and Robert H. Binstock now offer a completely new and updated overview of the field in "Public Health for an Aging Society". This comprehensive survey discusses research, policy, and practice; managing and preventing diseases; promoting mental and physical health; and maintaining quality of life for an aging society. The fields of public health and aging have grown increasingly complex. Given the interdependency of issues posed by an aging society, the editors of this volume expand the traditional scope and treatments of public health and aging by adopting a social-ecological perspective that incorporates individual, family, community, societal, and environmental concerns. Chapters address the most critical public health issues facing an aging society, including Medicare and family caregiving, and introduce many new and emerging concepts, such as emergency preparedness, technology in aging, translational research, genomics, and environmental influences on health and health practices. The emergence of an aging society in the United States has far-reaching consequences for every generation. This book provides the latest information and future directions for the public health of this growing population. Students and practitioners will find "Public Health for an Aging Society" an invaluable resource both in the workplace and the classroom.