Few families are untouched by Alzheimer's disease or a related dementia. Moving accounts of what it is like to care for someone with this disease have already been published, as well as how-to books that offer caregivers advice and information on coping. But this book is the first to provide a comprehensive report of what it is like to have dementia oneself--the subjective experience of living with progressive memory loss.

Each chapter discusses a different aspect of having dementia, from the initial assessment and diagnosis through placement in a nursing home. The discussions are grounded in qualitative research and case studies, which convey the variable and personal nature of the experience. They seek to help clinicians, researchers, students, and caregivers (both professionals and family members) understand the experience of dementia, and thereby to promote better caregiving through a person-centered approach.

Contributors: Kathleen Kahn-Denis, Judson Retirement Community; Casey Durkin, a psychotherapist in Cleveland, Ohio; Jane Gilliard, Dementia Voice, UK; Phyllis Braudy Harris, John Carroll University; John Keady, University of Wales, UK; John Killick, University of Stirling, UK; Rebecca G. Logsdon, University of Washington; Charlie Murphy, University of Stirling, UK; Alison Phinney, University of British Columbia, Canada; Steven R. Sabat, Georgetown University; Dorothy Seman, Alzheimer's Family Care Center, Chicago; Lisa Snyder, University of California, San Diego; Jane Stansell, Alzheimer's Family Care Center, Chicago; Gloria Sterin, Shaker Heights, Ohio; Jon C. Stuckey, Messiah College; Robyn Yale, Consultant to the Alzheimer's Association, San Francisco; Rosalie Young, Wayne State University School of Medicine.

Today, approximately 1.6 million American children live in what social scientists call "grandfamilies"-households in which children are being raised by their grandparents. In You've Always Been There for Me, Rachel Dunifon uses data gathered from grandfamilies in New York to analyze their unique strengths and distinct needs. Though grandfamilies can benefit from the accumulated wisdom of mature adults raising children for a second time, Dunifon notes, such families also face high rates of health problems as well as parenting challenges related to a large generation gap. Grandfamilies are also largely hidden in American society, flying under the radar of social service agencies, policymakers, and family researchers. This book gives family researchers a greater understanding of a unique family form, and also offers service providers, policymakers and the general public important information about the lives of an important group of American families.

This book focuses on language and communication issues with older people with mental health problems. Radically revised and updated from the authors' earlier book, "Communication Disability and the Psychiatry of Old Age", this book recognizes that language and communication is not just the business of speech and language therapy, but is relevant to all staff involved with people who have mental health difficulties. It focuses on what older people with mental health difficulties require to maintain their independence and to minimize the effects of degenerative disease processes for as long as possible from a speech and language perspective. It is relevant to all members of the multidisciplinary team involved within older people's mental health services. Each chapter is evidence based and factual and reflects the substantial advances in the diagnosis and treatment of dementias.

In recent decades, the North American public has pursued an inspirational vision of successful aging-striving through medical technique and individual effort to eradicate the declines, vulnerabilities, and dependencies previously commonly associated with old age. On the face of it, this bold new vision of successful, healthy, and active aging is highly appealing. But it also rests on a deep cultural discomfort with aging and being old. The contributors to Successful Aging as a Contemporary Obsession explore how the successful aging movement is playing out across five continents. Their chapters investigate a variety of people, including Catholic nuns in the United States; Hindu ashram dwellers; older American women seeking plastic surgery; aging African-American lesbians and gay men in the District of Columbia; Chicago home health care workers and their aging clients; Mexican men foregoing Viagra; dementia and Alzheimer sufferers in the United States and Brazil; and aging policies in Denmark, Poland, India, China, Japan, and Uganda. This book offers a fresh look at a major cultural and public health movement of our time, questioning what has become for many a taken-for-granted goal-aging in a way that almost denies aging itself.

For the last 40 years, biogerontology--the study of the biological basis of aging--has progressed tremendously, and it has now become an independent and respected field of study and research. This volume brings together contributions by biogerontologists, bioethicists, biodemographers, researchers, students, clinicians, and dieticians.

The main areas of discussion and presentation of new research results include (1) biological and non-biological factors affecting lifespan and the quality of life; (2) ethical and social issues related to lifespan and health-span extension; (3) physiological, cellular, and molecular aspects of aging; (4) new technologies to understand and modulate aging; (5) the latest successful approaches in the prevention and treatment of age-related diseases, and (6) aging intervention, prevention, and modulation by genes, natural and synthetic molecules, and lifestyle modifications.

Accordingly, the main sections of the volume focus on the following topics: defining aging, longevity, and the diseases of aging; selected aging organs; cellular aging; molecular aging; ethics of aging intervention; genetics of aging and longevity; and aging interventions.

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Das Thema Alter und Altern mit seinen vielfaltigen Aspekten, von der kontinuierlichen Zunahme der mittleren Lebenserwartung seit 1850 um etwa 3 Monate pro Jahr und der erheblichen Abnahme der Fortpflanzungshaufigkeit bis zur Gefahrdung des Generationenvertrags und der Altersversorgung jungerer Jahrgange, wird seit einigen Jahren, wenn auch mit beachtlicher Verspatung, in der Offentlichkeit und Politik wahrgenommen.

Die daruber kursierenden Vorstellungen entbehren nicht einer gewissen, mitunter erheblichen Einseitigkeit.

Die Heidelberger Akademie der Wissenschaften hat mit der Natur- und Geisteswissenschaften ubergreifenden Kompetenz ihrer Mitglieder und mit Forderung durch die Robert-Bosch-Stiftung, die auf dem Gebiet der Altersforschung und fursorge umfangreich und erfolgreich tatig ist, das Thema aufgegriffen. Der grundlegende Ansatz, die Frage nach Ursprung, Wesen, Folgen und Bewaltigung des Alterns aus dem Blickwinkel aller relevanten Wissenschaften analysieren zu lassen, von der Molekularbiologie und Medizin uber die Politik- und Wirtschaftswissenschaften "

This textbook presents hands-on training material for medical students. The style reflects the need for practice-based teaching with a modern edge in daily clinical routine; accordingly, it also employs online material and pocket cards. Each chapter begins with specific learning objectives, which are cross-referenced with the European curriculum for undergraduate medical education released by the European Union of Medical Specialists (UEMS) together with the European Union Geriatric Medicine Society (EUGMS), as well as the minimum geriatric competences for medical students established by the American Geriatrics Society (AGS). World-renowned European experts in practicing and teaching the interdisciplinary field of Geriatrics contributed to this work, with the aim of offering the new generation of health professionals a global perspective on one of the greatest public health challenges of our time: the management of the steadily increasing number of older, multimorbid, and vulnerable persons. The major strength of this book - published under the auspices of the EUGMS - is its pragmatic, goal-oriented approach, which makes it suitable for bedside learning and patient-centered medicine; further, all of the chapters are firmly based on the pillars of the ageing process in all of its biological aspects, helping readers understand the pathophysiology of and rationale behind interventions for the main geriatric syndromes and disorders.

These plays show a fascinating side of the American melodramatic imagination as it was nurtured in the social world of the nineteenth century, and later grew to be a dominant genre in the theatre, film, and television of today. Includes: "The Poor of New York" by Dion Boucicault, "Uncle Tom's Cabin" by George Aiken/Harriet Beecher Stowe, "Under the Gaslight" by Augustin Daly, "The Girl of the Golden West" by David Belasco.

The elderly represent the fastest growing segment of the population in developed countries, reflected in the patient population presenting to EDs and hospitals. These patients more often than not have greater co-morbidities, more complicated workups and utilize more laboratory and radiologic services. This text is designed to teach emergency physicians how best to care for this specific demographic of patients. It addresses physiologic changes, high-risk conditions, and atypical presentations associated with elderly patients in the ED that result in frequent misdiagnosis or delays in diagnosis. It instructs the readers how best to care for elderly patients in order to minimize morbidity and mortality, addressing some of the difficult psychosocial issues that confront health care providers that care for elderly patients, such as psychiatric disease and end-of-life care. The utility of this text is not limited to emergency physicians, but it should be useful to all health care providers involved in the treatment of elderly patients with acute medical or surgical conditions.

Written by leading experts in the field, "Cardiovascular Diseases and Health in the Older Patient "covers the epidemiology, pathophysiology and management of cardiovascular disease in the older patient. Based on and expanded from the cardiovascular section in "Pathy's Principles and Practice of Geriatric Medicine," Fifth Edition, this book provides authoritative, practical information on one of the major diseases of old age. An excellent reference for clinical and pre-clinical levels, it's a must-have resource for geriatricians, cardiologists, and GPs, as well as cardiac specialist nurses and advanced practice nurses.

This book contains chapters from experts in the fields of brain imaging, clinical neuroscience, and cognitive neuroscience who have studied the aging brain. Topics covered include technical factors in brain imaging, pathological basis of age-related structural and functional changes, neurochemistry and genetics of brain imaging in aging, and the use of imaging techniques in diagnosis, longitudinal testing, drug development and testing, and presymptomatic detection. The book is intended to be both a detailed review of the current status of brain imaging and aging and to serve as an introduction to the field for those who may be starting investigations using imaging techniques of PET, structural MRI, and functional MRI. It covers basic science approaches such as using fMRI to probe networks, as well as recent developments like amyloid imaging and the use of imaging as a biomarker in clinical trials.

This book provides family doctors with a wealth of evidence-based indications and tips regarding geriatric medicine and approaches for the management of older patients, to be applied in daily practice. After discussing old and new features of healthy ageing and the approaches required in Family Medicine Consultation, the text introduces key elements of geriatric medicine such as frailty, sarcopenia, and the comprehensive geriatric assessment (CGA), before describing a range of characteristics unique to older patients in different contexts, with a dedicated section on Palliative Care. The role of polypharmacy and the importance of quaternary prevention and deprescribing are also addressed. Finally, the book emphasizes both the importance of a humanistic approach in caring and the approach of research and meta-research in geriatrics. Though many texts explore the role of primary care professionals in geriatric medicine, the role of family doctors in older people care has not yet been clearly addressed, despite the growing burden of ageing, which has been dubbed the "silver tsunami." Family physicians care for individuals in the context of their family, community, and culture, respecting the autonomy of their patients. In negotiating management plans with their patients, family doctors integrate physical, psychological, social, cultural and existential factors, utilizing the knowledge and trust engendered by repeated visits. They do so by promoting health, preventing disease, providing cures, care, or palliation and promoting patient empowerment and self-management. This will likely become all the more important, since we are witnessing a global demographic shift and family doctors will be responsible for and involved in caring for a growing population of older patients. This book is intended for family medicine trainees and professionals, but can also be a useful tool for geriatricians, helping them to better understand some features of primary care and to more fruitfully interact with family doctors.

A comprehensive review of psychopathology in older adults–combining theory, research, and practice

The tremendous growth of the aging population has dramatically increased the importance of clinical geropsychology as a major area of research, theory, and practice. The unique ways in which psychological disorders manifest in the later years of life create special challenges for professionals working with older clients. Edited by a well-known expert in aging, and with contributions from leading clinical researchers, Psychopathology in Later Adulthood addresses the assessment, diagnosis, and treatment issues health professionals encounter in late adulthood.

Combining theory, research, and case examples, this book explores both the physical and cognitive changes that occur as adults age. Each chapter focuses on a specific disorder and includes a relevant clinical case study, which is integrated into the substantive content. Some of the subjects covered are:

• Personality, anxiety, mood, and sexual disorders
• Dementia
• Suicide
• Substance abuse disorders
• Schizophrenia and related disorders
• Sleep-related disorders
• General principles of therapy

Thorough and practical, Psychopathology in Later Adulthood provides the reader with the insight needed to understand and successfully treat the complex aspects of aging.

This book aims to present the age-related alterations in redox signaling networks and their diagnostic biomarkers in aging cells using multidisciplinary approach. Establishing sensitive and specific biomarkers of dynamic redox homeostasis is crucially important in the development of effective antiaging and senolytic interventions. Recent years have seen tremendous advances in the understanding of redox signaling events which highlight the process of aging and age-related pathologies. A major challenge in biological aging research is developing reliable biomarkers to determine the consequences of disrupted redox signaling networks long before the clinical diagnosis of age-related diseases is made. Therefore, we have chosen to concentrate on aging-induced aberrant redox signaling networks, their biomarkers, and pathological consequences in this book. Although oxidation is a natural metabolic process, the imbalance in the level of oxidants and antioxidants causes oxidative stress and eventually leads to inflammatory conditions, diabetes, neurodegenerative diseases, and cancer. Novel redox-sensitive biomarkers for the evaluation of aging-induced proteinopathies such as amyloid ss and tau proteins in Alzheimer's disease, -synuclein in Parkinson's disease, and islet amyloid polypeptides in type 2 diabetes mellitus recently drew the attention of researchers. Inside this textbook, readers will find comprehensive perspectives on the association between redox homeostasis and the aging process both at the molecular and clinical levels. Due to the inherent relationship between impaired metabolic activities and oxidative stress, the temporal interaction between intermediary metabolism and disturbed redox status can lead to greater susceptibility to aging-induced diseases and disorders, such as cardiovascular diseases, hypertension, and diabetes. This knowledge could be a key to continued research toward improving medication regimens such as in cancer and cardiovascular therapies, and procedural outcomes for patients. This book brings together current research evidence and knowledge on redox signaling and biomarkers in aging in chapters written by leading global experts in this rapidly evolving field. We hope that this textbook is of interest to a wide group of researchers, advanced students, scientifically curious non-specialist readers and clinicians alike.

Although very little can be done to alter the course of dementia, much can be done to maximize the quality of life of people with the condition. Research as well as practical experience suggest that behavior management, especially through programs that provide meaningful and constructive activity, is currently the most effective treatment.

In "Keeping Busy," James Dowling describes a variety of activities designed to bring meaning and enjoyment to the lives of persons with dementia. The activities are organized by general categories such as music, exercise, horticulture, pets, humor, and social events. The largest section deals with communication and includes word games that help people strengthen their remaining verbal skills. The description of each activity includes step-by-step instructions, as well as tips on how to adapt it for small or large groups, for individuals at home or in an organization, or people who are bedridden.

The average life expectancy has increased worldwide in the recent decades. This has presented new challenges as old age brings the onset of diseases such as cancer, neurodegenerative disorders, cardiovascular disease, type 2 diabetes, arthritis, osteoporosis, stroke, and Alzheimer's disease. Studies and research have shown the potential preventive and therapeutic roles of antioxidants in aging and age-related diseases by inhibiting the formation or disrupting the propagation of free radicals and thus increasing healthy longevity, enhancing immune function, and decreasing oxidative stress. This has made an antioxidant rich diet of increasing importance in battling the detrimental effects of the aging process. "The Role of Antioxidants in Longevity and Age-Related Diseases" is the book that compiles research on antioxidants and their biological mechanisms that mediate age-related diseases. This book covers the major issues linked to antioxidants, aging, and age-related diseases, including changes in organ systems over the lifespan, age-related oxidative stress-induced redox imbalance, inflammaging, implications of inflammation in aging and age-related diseases, and the important role of antioxidant-rich foods in their prevention and treatment of various age-related diseases. For researchers seeking a comprehensive single source on antioxidants and their roles in aging and age-related diseases, this novel text provides an up-to-date overview.

The transitional phase from pre-older adult to older adult affects the wellbeing of the concerned person economically, physically, and psychologically. This book is a description of the aging transition and discusses various psychological, health, and social challenges faced by older adults globally. It also offers a comparative study on the lifestyles of older adults in India and the United States. Although there is no consensus yet on an all-encompassing theory of aging, this book centers on various theories related to aging processes in an effort to advance discussion on different aspects of aging. Various theoretical formulations, such as person-centered, Hinduism, biopsychosocial, and positive psychology, guided the author to address the topics covered in this volume. Aging and Physicians Aging and Retirement Aging, Caregiving, and COVID-19 Aging and Diversity Aging and Longevity Aging, Disease Prevention, and Technology Aging and Spirituality Through the chapters, the author builds an understanding of the fundamental relation of aging with various health and socioeconomic factors, and also emphasizes a person-centered, holistic approach that values personal autonomy, choice, comfort, dignity, and purposeful living to support aging well. Rethinking the Aging Transition: Psychological, Health, and Social Principles to Guide Aging Well has academic value from a multicultural perspective that would be of benefit to graduate and undergraduate students in gerontology and other disciplines that study aging and older adult populations. With the main aim of raising awareness, this book is an important resource for a diverse group of populations globally, including clinical and non-clinical caregivers, other health(care) professionals, and policy-makers.

Against the background of Socrates' insight that the unexamined life is not worth living, Reading Our Lives: The Poetics of Growing Old investigates the often overlooked inside dimensions of aging. Despite popular portrayals of mid- and later life as entailing inevitable decline, this book looks at aging as, potentially, a process of poiesis: a creative endeavor of fashioning meaning from the ever-accumulating texts - memories and reflections-that constitute our inner worlds. At its center is the conviction that although we are constantly reading our lives to some degree anyway, doing so in a mindful matter is critical to our development in the second half of life.
Drawing on research in numerous disciplines affected by the so-called narrative turn - including cognitive psychology, neuroscience, and the psychology of aging - authors Randall and McKim articulate a vision of aging that promises to accommodate such time-honored concepts as wisdom and spirituality: one that understands aging as a matter not merely of getting old but of consciously growing old.

Improvements in health care in the 21st century mean people are living longer, but with the paradox that chronic illness is increasingly prevalent. Dementia, a term used to describe various different brain disorders that involve a loss of brain function that is usually progressive and eventually severe, is a condition associated with an ageing population and is becoming increasingly common. Worldwide there are approximately 24 million people with dementia, expected to rise to 81 million by 2040. Inevitably, people living with dementia will die, but their needs at the end of life are not well known. This book describes what might be achieved if the values and best practice of both dementia care and palliative care are brought together, to achieve quality end of life care for this specific group of patients. It explores what is known about the experience of dying with dementia, using a narrative approach, and develops a model that draws together a 'person-centred' approach to care. The book examines the possibilities and the challenges faced when trying to improve quality of life for people with dementia, and presents examples of good practice from across the world.

This book assembles many of the great leaders of the senior living and care industry to discuss their paths to and views on leadership. Each chapter provides readers with ideas, information, and inspiration on how to achieve leadership in this dynamic, mission-focused industry. It includes various strategies for success, such as promoting meaning and purpose in corporate culture, making decisions in the absence of perfect information, managing your personal assets of relationships and reputation, and finding competitive advantages through technology, training, and team-building. These leaders also share their experiences responding to COVID-19 and discuss how the pandemic may change the future of leadership in the industry. Whether your path starts in gerontology, nursing, social work, design, real estate, finance, law, operations, or technology, and whether one pursues work in the private, nonprofit, or government sectors, this volume provides a valuable resource for all aspiring and developing leaders in the senior living industry.

This volume highlights the socioeconomic concerns related to medical care for homeless patients and places them at the interface of common psychiatric and medical problems clinicians encounter. Written by experts in psychiatry and other medical specialties, this volume is a concise, yet comprehensive overview of the homeless crisis, its costs, and ultimately, best practices for improved outcomes. The text begins by examining the scope and epidemiology of the problem and discusses its costs. It then examines the best practices for both physical and psychiatric care before concluding with a section on working with special populations that have unique concerns across the country including LGBTQ, women, children, veterans, and aging adults. As the first medical book on homelessness, it is designed to cover a broad range of concerns in a concise, practical fashion for all clinicians working with homeless patients. Clinical Management of the Homeless Patient is written by and for psychiatrists, general internists, geriatricians, pediatricians, addiction medicine physicians, VA physicians, and all others who may encounter this crisis in their work.

When aging adults struggle with social isolation, financial instability, or the difficult work of caring for a spouse with a chronic illness, their levels of stress can be enormous. But many older adults are living longer and are trying to make the best of their later years despite being more vulnerable to stress. In "Resilience and Aging," renowned geriatric psychiatrist Dr. Helen Lavretsky explains how enhanced resilience--which involves positively adapting to adversity in a way that maintains a person's biological and psychological equilibrium--can counter that vulnerability. She describes how care, practice, and research all can be redirected toward emphasizing the positive aspects of aging and prevention.

Lavretsky summarizes the most up-to-date research on resilience, neurobiology, and preventive care. She also describes novel interventions--including yoga, Tai Chi, meditation, and allopathic techniques--that can help older adults improve their cognition and quality of life. Finally, she explores relevant clinical cases from her practice.

Designed for geriatric practitioners, researchers, and family caregivers, this practical book offers critical information on measuring resilience, the role of spirituality in reducing stress, and incorporating resilience-building procedures into clinical practice or everyday life. Throughout, the book's revolutionary integrative approach aims to amplify personal happiness by allowing aging adults to remain healthy and active while simultaneously reducing the cost of chronic disease to families and society.

This edited volume is a compilation of 30 articles discussing what constitutes food for health and longevity. The aim is to provide up-to-date information, insights, and future tendencies in the ongoing scientific research about nutritional components, food habits and dietary patterns in different cultures. The health-sustaining and health-promoting effects of food are certainly founded in its overall composition of macronutrients and micronutrients. However, the consumption of these nutrients is normally in the form of raw or prepared food from the animal and plant sources. The book is divided into four parts and a conclusion, and successfully convenes the well-established information and knowledge, along with the personal views of a diversified group of researchers and academicians on the multifaceted aspects of nutrition, food and diet. The first part reviews the scientific information about proteins, carbohydrates, fats and oils, micronutrients, pro- and pre-biotics, and hormetins, along with a discussion of the evolutionary principles and constraints about what is optimal food, if any. The second part discusses various kinds of foods and food supplements with respect to their claimed benefits for general health and prevention of some diseases. The third part brings in the cultural aspects, such as what are the principles of healthy eating according to the traditional Chinese and Indian systems, what is the importance of mealing times and daily rhythms, and how different cultures have developed different folk wisdoms for eating for health, longevity and immortality. In the part four, various approaches which are either already in practice or are still in the testing and research phases are discussed and evaluated critically, for example intermittent fasting and calorie restriction, food-based short peptides, senolytics, Ayurvedic compounds, optimal food for old people, and food for the prevention of obesity and other metabolic disorders. The overreaching aim of this book is to inform, inspire and encourage students, researchers, educators and medical health professionals thinking about food and food habits in a holistic context of our habits, cultures and patterns. Food cannot be reduced to a pill of nutritional components. Eating food is a complex human behavior culturally evolved over thousands of years. Perhaps the old adage "we are what we eat" needs to be modified to "we eat what we are".

This book discusses gerontological issues and challenges impacting the quality of life of older people in India. The chapters provide different disciplinary insights ranging from sociology, anthropology, psychology, health sciences, social work, demography, gender, and legal perspectives. The chapters are written by experts and practitioners in the field bringing focus to new gerontological insights from an academic and an empirical perspective. It engages the reader with the growth of different branches of gerontology along with concerns faced by older people. It brings attention to concerns related to ageing of the population in different parts of the country, such as among the tribes, the LGBT community, and conflict zones. It highlights gender aspects related to health care and discusses policy responses, strategies to empower older persons, the role of voluntary organizations, issues related to caregiving and family bonding, and aspects of social protection for the older people. It offers a valuable resource for researchers, academics, practitioners, and policymakers in the areas of gerontology, demography, and sociology, as well as all those interested in the study of ageing populations.

Dieses Buch vermittelt einen kompetenten und facherubergreifenden Uberblick uber das aktuelle Wissen auf dem Gebiet der Parkinson-Krankheit. Es ist im deutschsprachigen Raum das einzige Buch, das umfassend neurobiologische Grundlagen, experimentelle Modelle, Klinik und Therapie der Parkinson-Krankheit beschreibt und einen kompakten Uberblick zur Pharmakologie und den Wirkmechanismen der Anti-Parkinson-Medikamente gibt. Das Buch besticht durch seine klare Systematik und die komprimierte Darstellung mit vielen Tabellen, Schemata und Abbildungen. Das Buch ist Lehrbuch, Nachschlagewerk und Leitfaden fur Studenten, Arzte und Wissenschaftler. Daruber hinaus werden auch dem interessierten Patienten und Laien wichtige Informationen geboten.

Neu in der 4. Auflage: Alle neuen Medikamente; Neueste Entwicklungen in der Genetik, Pathogenese- und Therapieforschung; Aktuelle Ubersicht uber Modelle der Parkinson-Krankheit; Gegenwartiger Stand der klinischen Studien zur symptomatischen Therapie und Neuroprotektion."