For many, caring for a chronically ill family member is "the right thing to do", but it is also often a source of emotional hardship, physical stress, and social isolation. In response, skill-building, coping, and psychoeducational programs have emerged to help caregivers meet the changes and challenges in their - as well as the patients' - lives. Education and Support Programs for Caregivers reveals the diversity of the caregiver population as well as their experiences and needs, and it introduces an empirically solid framework for planning, implementing, and evaluating caregiver programs. The book synthesizes current trends, exploring the effectiveness of different types of programs (e.g., clinic, community, home based) and groups (e.g., peer, professional, self-help), and how supportive programs lead to improved care. Coverage includes: Improving service delivery of education and support programs to underserved caregivers. Cultural, ethnic, and gender issues in conducting caregiver education and support groups. Utilization patterns (e.g., a key to understanding service needs). E-health, telehealth, and other technological developments in caregiver services. Evaluating the effectiveness and sustainability of programs. Recommendations for future practice, training, policy, and advocacy. Education and Support Programs for Caregivers offers a wealth of insights and ideas for researchers, practitioners, and graduate students across the caregiving fields, including psychology, social work, public health, geriatrics and gerontology, and medicine as well as public and education policy makers.

The first book dedicated explicitly to the care of elderly patients with rheumatic diseases, this comprehensive resource is a practical guide for navigating the medical concerns of these complex patients. While patients over 65 years of age comprise roughly 15% of the population, they consume about 50% of rheumatology resources. This book presents current clinical practices with an eye toward achieving economically sustainable models of care. The world's leading authorities have come together to cover the full spectrum of rheumatic diseases, the immune system in aging, and ultrasound evaluation and arthrocentesis. The book also addresses the milieu of co-morbidities that the clinician may encounter with an older patient, as well as the accompanying concerns about multiple pharmacologic therapies and drug interactions. Bringing in experts from a wide array of subspecialties, the editors present the essentials of multidisciplinary care, an approach which is the hallmark of geriatrics and which naturally translates into the field of gerontorheumatology. Designed for primary care physicians and rheumatology consultants, Geriatric Rheumatology is an invaluable guide to caring for this rapidly growing patient population.

A ground-breaking new volume and the first of its kind to concisely outline and explicate the emerging field of whole person care process, Whole Person Care: A New Paradigm for the 21st Century organizes the disparate strains of literature on the topic. It does so by clarifying the concept of 'whole person' and also by outlining the challenges and opportunities that death anxiety poses to the practice of whole person care. Whole person care seeks to study, understand and promote the role of health care in relieving suffering and promoting healing in acute and chronic illness as a complement to the disease focus of biomedicine. The focus is on the whole person -- physical, emotional, social, and spiritual. Using concise, easy-to-read language, the early chapters offer practitioners a thorough understanding of the concepts, skills and tools necessary for the practice of whole person care from a clinician-patient interaction standpoint, while the last two chapters review the myriad implications of whole person care for medical practice. An invaluable resource for all areas of medical practice and for practitioners at all stages of development, from medical students to physicians and allied health providers with many years of experience, Whole Person Care: A New Paradigm for the 21st Century will have a profound impact on western medical practice in North America and elsewhere.

Measurement of Wound Healing will update the knowledge base and promote the use of measurements in order to improve both understanding of wounds and their management. This book will feature well used vascular measurements, pathological measurements, imaging measurements and so on. There will be chapters on techniques/measurements that have much promise. This book is led by 3 experienced clinician scientists from different backgrounds who have successfully worked together on projects.

This volume will be a reliable source on the management of the elderly with renal disease. There is an ever-increasing proportion of the aging population affected by renal disease and hypertension, and physicians are faced with atypical clinical presentations of renal disease in the aged as compared to younger people. This volume combines the fields of nephrology and geriatrics and presents a multidisciplinary approach to the topic.

Ageing population poses a set of complex policy and dilemmas for social security systems, intensifying the concerns about rising expenditures in health care and long-term care for elderly. In this context, ageing societies has many valuable lessons to learn by studying Japan's experience dealing with its hyper-aged society and particularly from its strategies to ensure the financial sustainability of the Long-Term Care Insurance (LTCI) system.

Based on an exhaustive literature review, and the results from six original researches on long-term care expenditures in Japan (LTCE) conducted during a doctoral program, the book provides a comprehensive view in analyzing trends and factors associated with increasing expenditures in the Long-Term Care Insurance system in Japan.

The book address relevant topics such as; the main socio-demographic changes experienced by the Japanese society during the last three decades, predictors of the LTCE, measuring efficiency in nursing homes, the impact of the LTCI 2005-reform to contain expenditures, cost-effectiveness of the in-home and community based services and institutional LTCE in the last year of life. The book end with a discussion on futures challenges and strategies oriented to contribute with the sustainability of LTCI system in Japan."

This is the first work to take a comprehensive look at the application of Magnetic Resonance (MR) techniques in the diagnosis, follow-up and therapy monitoring of dementing illnesses. The authors present an overview of MR findings in neurodegenerative and vascular disorders leading to dementia. In doing so, they also discuss other diseases that lead to cognitive and/or behavioural deterioration, such as infectious inflammatory disorders, toxic encephalopathies, inborn errors of metabolism of adult onset and post-traumatic, post-radiotherapy and post-chemotherapy conditions. This authoritative, well-written and richly illustrated reference work is indispensable for anybody working in the field.

Cardiothoracic Surgery in the Elderly: Evidence Based Practice is an important and timely book that reflects the thoughtful work of pioneers in geriatric surgery. It encompasses their knowledge related to geriatric surgery, and their reflections and guidance on the rapidly accumulating knowledge related to improving the health and surgical care of seniors. This book provides a scholarly review of the constantly expanding knowledge base about cardiovascular and thoracic surgery in seniors. The book follows a logical sequence covering general aspects of care, cardiac surgery and thoracic surgery. Chapters are focused on common, devastating and often missed complications of surgical care in the seniors. These include delirium, depression, pressure sores, functional losses, incontinence, volume depletion and asymptomatic or atypical complications -myocardial infarction, post-operative diarrhea, urinary track infections and pneumonia. Each is expertly reviewed. Strategies to help the surgeons and the surgical team anticipate, recognize and effectively prevent or manage such problems are discussed and the evidence basis for such strategies is provided. Cardiothoracic Surgery in the Elderly: Evidence Based Practice is particularly timely and the first to review the substantial body of knowledge that has been developed in recent years related to geriatric cardiothoracic surgical problems. It catalogs well the expanding knowledge basis for achieving successful surgical outcomes in the very old. It provides a most useful resources for cardiovascular thoracic surgeons in training and those already in practice.

Having limited face time with their doctor during their brief medical office or clinic visit, most people (but particularly the elderly) will find their questions, frustrations, and medical problems inadequately answered. This book was inspired by actual issues which confused, confounded, and frustrated older patients, and for which they, and their caregivers repeatedly sought answers and explanations: issues dealing with aging, health and disease, health care, hospitalization, emergency care, insurance, medical billing, medications, laboratory testing, interactions with doctors, and much more. Inspired by their need for answers, this book was written to fill many of the gaps in the average senior's knowledge, and help them understand what's happening in their bodies and in their medical life. This book confronts the complexity of health care for the elderly, and offers guidance for a longer and happier life. It is what you need to know if you are an older health care consumer.

Today, China's elderly population is approaching a staggering 170 million and in 2025 it will exceed 250 million. This demographic fact coupled with a growing Chinese middle class, have combined to make the senior living business one of the most dynamic new industries on the Mainland. There is a lot that Westerners can do here...and a lot they will not be able to do. The extent to which Western experts in geriatrics and those in the business of health care can participate in this extraordinary industry depends on one's ability to do business the Chinese-way. And what doing business the Chinese-way actually means is not easily defined but requires a cultural awareness that comes only with time spent in China and, of course, that elusive quality of effective cross-cultural relationships, patience. Enter the Ageing Dragon... is an insightful chronicle of one man's experience in the senior living business in China from its very inception...his views on its future development and more importantly, how he was successful. A gifted story teller with intuitive multicultural business instincts, the author artfully narrates the story through the entertaining lens of classical movies about China. Advance praise from global senior living industry leaders ..".Cole's informed and often humorous observations on senior living in China are both timely and extremely helpful...he helps us understand this unique market " Brad Perkins, FAIA MRAIC AICP- Chairman/CEO - Perkins Eastman (USA) "I was deeply moved by Bromme's understanding, profound grasp and broad sympathy toward the plight of aged population in China" Yue Tang - Partner, JuneHe Law Firm (China) "Felicitations Bromme ...une brillante analyse " Pascal Brunelet - CEO, Colisee Patrimoine (France) "An immensely valuable resource for senior living in China...very insightful...prescient...Bromme understands China to a T " Kevin Ryan - CEO, Waterbrook Senior Living (Australia) ..".I found Cole's new book not only entertaining but also quite informative David Freshwater - Chairman, The Freshwater Group (USA)

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.

Evidence pertaining to continual violence throughout the life cycle coupled with the experience of growing old in a life permeated by intimate violence is scarce. And the focus is usually on the victims usually, the older, battered women and seldom on their aging partners or adult children who were part and parcel of the violent dynamics in the family system. With the increase in longevity and the older population s subsequent growth in size, the number of elderly couples living and aging in long-lasting conflictive relationships is on the rise.

The relatively intense preoccupation with elder abuse in the gerontological literature in recent years has not specifically addressed long-term intimate violence among the old adults and its lasting consequences. Similarly, the literature on intimate intergenerational relationships in old age has usually focused on normative exchanges between partners and their extended family, including their adult children. Therefore, conflictive relationships, and particularly violent ones, have also fallen outside the scope of this body of research. This volume describes and analyzes the various perspectives of family members concerning life, and particularly old age, in the shadow of long-term intimate violence. It explores how people make sense out of living and aging in violence, how interpersonal, familial and cross-generational relationships are perceived and reconstructed and how we-ness is achieved, if at all, in such families."

Disaster Preparedness for Seniors: A Comprehensive Guide for Healthcare Professionals outlines specific disaster scenarios for homebound, community, hospitalized, long term care, homeless and aged veterans. Chapters are written by a diverse group of authors, all of whom offer insight and expertise in training healthcare professionals in preparing for disasters. Topics include myths and realities of natural disasters and disaster preparedness for special populations of elders-the acute care elderly, the community-dwelling elderly, home based primary care senior veterans, the immune-compromised elderly, those with multiple and co morbid illnesses, the long-term care elderly, those elderly at the end of life and the effects of disaster on caregivers. A significant portion of the book is also devoted to training, competencies, literacy, cultural competency and resilience in disaster preparedness as well as the role of the academic medical center. The volume concludes with coverage of the management of behavioral, medical and psychological consequences of disasters. Disaster Preparedness for Seniors: A Comprehensive Guide for Healthcare Professionals is an important new volume and will serve as a guide for the development of programs, policies and procedures for evacuation of seniors during various disaster scenarios.

Indications for central venous cannulation in critically ill patients have increased dramatically in recent years owing to the use of more complex therapies unsuitable for delivery via peripheral veins. The main drawbacks of central venous access are morbidity and the growing scarcity of experienced operators. Ultrasound-guided peripheral venous access offers a solution, in that it reduces morbidity and can be performed by a dedicated nursing team. The aim of this book is to teach the fundamentals of this emerging technique. Advice is provided on the choice of materials and on vein selection. The advantages and disadvantages of peripherally inserted central venous catheters (PICC) in relation to other types of central venous catheter are discussed, and the principles of use and practical applications of ultrasound for venipuncture are explained. Maneuvers for PICC positioning, techniques for the evaluation of PICC tip placement, and the prevention, diagnosis, and management of complications are all described in detail. Advice is also provided on the organization of a dedicated PICC team within a hospital or a supportive care program, and psychological, legal, and economic issues are considered. Peripherally Inserted Central Venous Catheters will be of interest to a wide range of professionals, including nutritionists, oncologists, anesthesiologists, surgeons, registered nurses, nurse practitioners, physicians, physician assistants, and radiologists.

The Key Facts on Alzheimer's Disease provides readers with essential, easy-to-read information on Alzheimer's Disease. Compiled in a simplified manner, this guide helps patients navigate this painful and debilitating diseases without enduring the complicated nature of medical terminology. By making a patient-friendly manual to the causes, symptoms, treatment, and ongoing research of Alzheimer's Disease, one can easily determine what they are facing and how to live their life to the fullest.

Medical Implications of Basic Research in Aging provides a sampling of the most important discoveries of the past several years relevant to aging research in the context of enhancing life- and healthspan. Have you ever wondered if there is anything that you can do to slow aging or prevent diseases associated with aging? Are you interested in enhancing your health based on the latest scientific discoveries? Are you a biohacker experimenting on your own body in an attempt to live longer? Assembled in this volume are a number of the commentaries that previously appeared in the scientific journal Rejuvenation Research. The presentations are clearly written and accessible to those with a general background in biology and medical science. An overview summarizes the articles for the informed layman. Thorough referencing provides an opportunity for further in-depth reading.

This book presents the refereed proceedings of the Fourth Italian Forum on Ambient Assisted Living (AAL), held in Ancona, Italy, in October 2013. A wide range of issues are covered and new technological developments are described which will support the autonomy and independence of individuals with special needs through an innovative and integrated approach, designed to respond to the socio-economic challenges of an aging population. Topics addressed include: health and well-being, prevention and rehabilitation and support for care providers; active aging and its social implications; services for the frail elderly with health problems and their families; nutrition; ICT platforms/technologies for the benefit of the elderly; home automation and control technologies (autonomy, safety and energy saving); smart cities and smart communities; telemedicine, telerehabilitation, and telecare; mobility, participation and social inclusion; games and fun for the elderly; building design; social housing; interface design and interaction (accessibility, acceptance); social policies to encourage and support active aging; business models, market analysis and development of sustainable financing and business and ethics, privacy and data protection. Many experimental validations based on user trials and usability testing are presented and discussed. The knowledge and insights provided in this book will help researchers and others involved in AAL to understand relevant societal trends, novel technological developments and pressing challenges.

Do you or someone you know have a diagnosis of Diabetes ? Has the process of monitoring the blood sugar been taught? or even the procedure for self administering insulin injections? Has there been a diet regimen that was prescribed to stabilize the glucose fluctuations? Or perhaps an exercise program that aims to reduce weight? Diabetes is a chronic condition that disrupts the aging process. It destroys a happy lifestyle and threatens to injure the human body. People actively engaging in self-care manage their blood sugar levels and keep diabetes from disrupting their happy lifestyle. This book disseminates the information needed to manage the chronic condition of diabetes for older adults. It covers the fundamentals of diabetes such as classifications and differentiation, causes and risks, pathophysiology, diagnostic tests, treatment modalities, diet regimen, beginners exercises, diabetic recipes with pictures, nutrient values of foods, normal process of aging, reading food labels and so much more... The chapters in this book are: Chapter 1: The Biological Changes in the Aging Process Chapter 2: The Cognitive Changes in the Aging Process Chapter 3: The Theories of aging Chapter 4: Understanding Pre-diabetes Chapter 5: The Definition and Classification of Diabetes Mellitus Chapter 6: The Pathophysiology, Causes and Signs and Symptoms Of Diabetes Mellitus Chapter 7: The Complications of Diabetes Mellitus Chapter 8: Diagnosing Diabetes Mellitus Chapter 9: Managing Diabetes Mellitus with Medications Chapter 10: The Food Nutrients: Carbohydrates, Proteins, Fats, Vitamins and Minerals Chapter 11: Managing Diabetes Mellitus with Diet Chapter 12: Diabetic Recipes with Pictures Chapter 13: Managing Diabetes Mellitus with Activities and Exercises Chapter 14: Managing Diabetes Mellitus with Lifestyle Modification Appendix: Food Values of Common Foods

This volume discusses the current state of research findings related to healthy brain aging by integrating human clinical studies and translational research in animal models. Several chapters offer a unique overview of successful aging, age-related cognitive decline and its associated structural and functional brain changes, as well as how these changes are influenced by reproductive aging. Insights provided by preclinical studies in mouse models and advanced neuroimaging techniques in humans are also presented."

As indicated by its title, this monograph deals chiefly with morphologically recognizable deviations from the normal anatomical condition of the human CNS. The AD-associated pathology is illustrated from its beginnings (sometimes even in childhood) to its final form, which is reached late in life. The AD process commences much earlier than the clinically recognizable phase of the disorder, and its timeline includes an extended preclinical phase. The further the pendulum swings away from the symptomatic final stages towards the early pathology, the more obvious the lesions become, although from a standpoint of severity they are more unremarkable and thus frequently overlooked during routine neuropathological assessment. For this reason, the authors deal with the hallmark lesions in the early phases of the AD process in considerable detail

Geriatric urology represents one of the largest overall sectors of care provided within the specialty of urology. As the incidence and prevalence of many clinical urologic conditions increase significantly in older adults, the practice of urology involves a need for advanced knowledge of the basic principles of geriatrics. Geriatric Urology outlines important topics in the care of elderly urology patients. The first section covers the biology of aging, changes in the genitourinary system, and common diseases including urologic conditions that may serve as warning signs of other disorders. Section two covers geriatric syndromes and implications for urologic care including frailty, polypharmacy, dementia, and wound healing. Urologic conditions in older adults are explored in detail including urinary incontinence, pelvic organ prolapse, urinary tract infection, nocturia, and benign prostate diseases. Other topics covered include obtaining informed consent, development of advance directives, palliative medicine and care of the dying patient. Geriatric Urology is of great value to urologists, geriatricians, internists, residents and family practitioners.

"Aging, Health, and Longevityin the Mexican-Origin Population"creates a foundation for an interdisciplinary discussion of the trajectory of disability and long-term care for older people of Mexican-origin from a bi-national perspective. Although the literature on Latino elders in the United States is growing, few of these studies or publications offer the breadth and depth contained in this book.

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This is the new and fully revised third edition of the well-received text that is the benchmark book in the field of nutrition and aging. The editors (specialists in geriatric nutrition, medical sociology, and clinical nutrition, respectively) and contributors (a panel of recognized academic nutritionists, geriatricians, clinicians, and other scientists) have added a number of new chapters and have thoroughly updated the widely acclaimed second edition. This third edition provides fresh perspectives and the latest scientific and clinical developments on the interaction of nutrition with age-associated disease and provides practical, evidence-based options to enhance this at-risk population's potential for optimal health and disease prevention. Chapters on a wide range of topics, such as the role of nutrition in physical and cognitive function, and coverage of an array of clinical conditions (obesity, diabetes, heart failure, cancer, kidney disease, osteoporosis), compliment chapters on food insecurity, anti-aging and nutritional supplements, making this third edition uniquely different from previous editions. Handbook of Clinical Nutrition and Aging, Third Edition, is a practical and comprehensive resource and an invaluable guide to nutritionists, physicians, nurses, social workers and others who provide health care for the ever-increasing aging population.

This book presents a wealth of insights and new conceptualizations for the development of "Assistive Technologies for the Interaction of the Elderly." The book arranges the chaptersaccording to important aspects of maximizing the use value in innovation projects. Every chapter will include an executive summary reporting the main results, a storyline using everyday language, and scientific excursions, wherever useful.

The book shows how an innovation project should be structured towards maximum use value and how a project should be structured in order to make a difference. It describes the useful categorization of the large group of the elderly to maximize the focus of the innovation and demonstrates the user involvement into innovation activities. Of course, the assessment of such innovative projects is discussed as well as the lessons learned . The book also explores the business opportunities and the financial evaluation of aspects of assistive technology.

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