There is a near-universal folk saying that everyone wishes to live a good long life, but no one wishes for old age. More contemporarily, the rock and roll band, Little Feat, sang, "You know that you're over the hill when your mind's making promises your body can't fill. " This book is about the good long life. It is a book about primary prevention strategies in the aging process; it is not about preventing that process. It is not about being old. Instead, it is about the things that individuals - and the helping professionals who provide them with counsel and assistance - can do to prevent the preventable problems of advancing age, and to better manage those changes in functioning that cannot be prevented. In short, it is about extending all our capacities to the fullest so that we can better keep all those promises that we make to ourselves and others. Aging is a life-long process. We focus here on the changes that are taking place in our selves and in our society as we age. In particular, we focus on what we can do to affect these changes by the choices we make and how we live. This book offers primary prevention strategies for mature and older adults, with the recognition that mature adulthood starts as soon as we are old enough to truly appreciate our active role in our own aging processes.

This text highlights good practice in elderly care and identifies useful approaches, with examples of where these exist. There is consideration of issues involved in the new Community Care Act, especially the assessment of need and access to services. The overall empha sis is on the quality of health care, the relevant contributions of clinical audit, and other quality assurance initiatives.;It should be of interest to geriatricians and other staff involved in health care of the elderly.

This book serves as a comprehensive reference for the basic principles of caring for older adults, directly corresponding to the key competencies for medical student and residents. These competencies are covered in 10 sections, each with chapters that target the skills and knowledge necessary for achieving competency. Each of the 45 chapters follow a consistent format for ease of use, beginning with an introduction to the associated competency and concluding with the most salient points for mastery. Chapters also includes brief cases to provide context to the clinical reasoning behind the competency, strengthening the core understanding necessary to physicians of the future. Written by expert educators and clinicians in geriatric medicine, Geriatric Practice is key resource for students in geriatric medicine, family and internal medicine, specialties, hospice and nursing home training, and all clinicians studying to work with aging patients.

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.

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.

The concept of elder abuse and neglect as a social problem continues to remain illusive. A major impediment has been the absence of research and clear definition of the problem, and a book which summarizes what is known about elder abuse has been needed for a long time. Drawing on examples from the US and the UK, this book is a contribution to research and information currently available.

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.

The latest addition to the Evidence-Based Book series, "Evidence-Based Geriatric Medicine" provides non-geriatrician clinicians an overview of key topics central to the care of the older patient. This guide focuses on the management of common problems in the elderly taking into account their life situations as well as treatment of specific conditions. Leading geriatricians with expertise in evidence-based medicine utilize the best available evidence and present this information in a concise, easy-to-use, question-based format. "Evidence-Based Geriatric Medicine" is a unique guide to the optimum management of older patients.

Psychotherapy in Later Life is a practical how-to-guide for psychiatrists, psychologists and mental health workers on choosing and delivering evidence-based psychological therapies to older adults. It covers all the main evidence-based psychological therapies such as cognitive behavioural therapy (CBT) and interpersonal psychotherapy (IPT), as well as specialist topics such as combining psychotherapy with pharmacological treatments, working with diverse populations and individual versus group therapy. The World Health Organization estimates that over the next four decades, the proportion of the world's older adults will nearly double, from twelve percent to twenty-two percent, and that one in five older adults has a diagnosable mental health disorder. Given the increasing number of older adults requiring mental health treatment, incorporating talking therapies into treatment plans is key to tackling issues related to polypharmacy, medication interactions and side effects. Written by experts in geriatric mental health, this book provides the most authoritative information on the use of psychotherapy in older adults.

Essen hat über die Nährstoffzufuhr hinaus großen sozialen Stellenwert; Riechen, Schmecken und das gemeinsame Erlebnis sind Mittel der Kommunikation und Stimulation. Krankheits- oder altersbedingte Einschränkungen beeinträchtigen diese sozialen Aspekte, besonders in Pflegeeinrichtungen kommen sie oft zu kurz. Hier setzt das interdisziplinäre Autorenteam an: Auf Basis wissenschaftlicher und medizinisch-pflegerischer Grundlagen geben ihre Vorschläge dem Essen auch mit Einschränkungen auf einfache Weise mehr Genuss und Lebensfreude zurück. Neuartige Kombinationen und Zubereitungen von Zutaten und ihre störungsspezifische Konsistenzveränderung liegen den Ideen zugrunde. Die dargestellten Maßnahmen können im stationären Setting einfach umgesetzt werden und erleichtern auch Pflegekräften die anspruchsvolle Arbeit. Rezeptvorschläge regen zum Nachmachen und Ausprobieren an. Das Buch richtet sich an Pflegekräfte in Praxis und Management, aber auch an Angehörige zu Hause, die Pflegebedürftigen mehr Lebensfreude durch Genuss ermöglichen möchten.

Erstmals im deutschsprachigen Raum wird die Lebenswirklichkeit von Menschen, deren AElterwerden mit gesundheitlichen und gesellschaftlichen Stigmata verbunden ist, systematisch in den Blick genommen. Menschen mit Migrationshintergrund oder Behinderung, mit chronischen Erkrankungen wie HIV/Aids, mit langjahriger Drogen- oder Psychoseerfahrung, schwul, lesbisch oder trans* lebende Menschen weisen im Alter aufgrund ihrer Zugehoerigkeit zu einer stigmatisierten Gruppe spezifische psychosoziale Bedarfe auf. In dem Sammelband werden diese Bedarfe anhand aktueller Forschungs- und Praxisbefunde adressiert und innovative Perspektiven eines selbstbestimmten Alterns aufgezeigt.

Dieses Open-Access-Buch befasst sich kritisch mit der Anwendung freiheitseinschrankender Massnahmen (FeM) bei Menschen mit Demenz in professionellen Sorgebeziehungen, die sowohl im Hinblick auf ihren vermeintlichen Nutzen als auch auf ihre ethische Tragweite zu hinterfragen sind. In einer disziplinubergreifenden Analyse des Phanomens von FeM bei Menschen mit Demenz werden Diskurse und Erkenntnisse aus Pflegewissenschaft, Gerontologie, Rechtswissenschaft und Ethik gebundelt, zueinander in Beziehung gesetzt und erweitert. Die empirisch informierte Gesamtdarstellung wird dabei erganzt durch eine tiefgreifende Reflexion der Personalitat, Vulnerabilitat und Leiblichkeit von Menschen mit Demenz. Davon ausgehend werden konkrete Kategorien und konzeptionelle Zugange zur Bewertung und Einzelfallprufung von FeM in professionellen Sorgebeziehungen entwickelt.

Welche Relevanz haben religioese Migrantengemeinden fur die alltagliche Unterstutzung und Pflege von alteren Menschen mit Migrationserfahrung? Professionelle Dienstleistungen der Altenhilfe werden in der genannten Bevoelkerungsgruppe bislang nur unterdurchschnittlich genutzt. Gleichzeitig ist bekannt, dass migrantische Religionsgemeinschaften vielfaltige soziale Dienstleistungen erbringen. Das Buch verbindet Erkenntnisse und Perspektiven aus Gerontologie, Migrations- und Religionssoziologie, Soziologie des Alter(n)s, Sozialer Arbeit und Sozialpolitikforschung sowie aus den theologischen Wissenschaften verschiedener Religionsgemeinschaften. Zahlreiche Gemeinden positionieren sich als Akteure einer offenen Altenarbeit oder stellen Anschlusse zur professionellen Altenpflege her.

In the 21st century, people in the developed world are living longer. They hope they will have a healthy longer life and then die relatively quickly and peacefully. But frequently that does not happen. While people are living healthy a little longer, they tend to live sick for a lot longer. And at the end of being sick before dying, they and their families are frequently faced with daunting decisions about whether to continue life prolonging medical treatments or whether to find meaningful and forthright ways to die more easily and quickly. In this context, some people are searching for more and better options to hasten death. They may be experiencing unacceptable suffering in the present or may fear it in the near future. But they do not know the full range of options legally available to them. Voluntary stopping eating and drinking (VSED), though relatively unknown and poorly understood, is a widely available option for hastening death. VSED is legally permitted in places where medical assistance in dying (MAID) is not. And unlike U.S. jurisdictions where MAID is legally permitted, VSED is not limited to terminal illness or to those with current decision-making capacity. VSED is a compassionate option that respects patient choice. Despite its strongly misleading image of starvation, death by VSED is typically peaceful and meaningful when accompanied by adequate clinician and/or caregiver support. Moreover, the practice is not limited to avoiding unbearable suffering, but may also be used by those who are determined to avoid living with unacceptable deterioration such as severe dementia. But VSED is "not for everyone." This volume provides a realistic, appropriately critical, yet supportive assessment of the practice. Eight illustrative, previously unpublished real cases are included, receiving pragmatic analysis in each chapter. The volume's integrated, multi-professional, multi-disciplinary character makes it useful for a wide range of readers: patients considering present or future end-of-life options and their families, clinicians of all kinds, ethicists, lawyers, and institutional administrators. Appendices include recommended elements of an advance directive for stopping eating and drinking in one's future if and when decision making capacity is lost, and what to record as cause of death on the death certificates of those who hasten death by VSED.

Memory is typically thought of as a set of neural representations - 'memory traces' - that must be found and reactivated in order to be experienced. It is often suggested that 'memory traces' are represented by a hierarchically organized system of analyzers, modified, sharpened and differentiated by encounters with successive events. Remembering: An activity of mind and brain is the magnum opus of one of the leading figures in the psychology of memory. It sets out Fergus Craik's current view of human memory as a dynamic activity of mind and brain. The author argues that remembering should be understood as a system of active cognitive processes, similar to (perhaps identical to) the processes underlying attending, perceiving and thinking. Thus, encoding processes are essentially viewed as the mental activities involved in perceiving and understanding, and retrieval is described as the partial reactivation of these same processes. This account proposes that episodic and semantic memory should be thought of as levels in a continuum of specificity rather than as separate systems of memory. In addition, the book presents Craik's views on working memory and on age-related memory impairments. In the latter case the losses are attributed largely to a difficulty with the self-initiation of appropriate encoding and retrieval operations compensated, when needed, by support from the external environment. The development of these ideas is discussed throughout the book and illustrated substantially by experiments from the author's lab, but also by empirical and theoretical contributions from other researchers. A broad account of current ideas and findings in contemporary memory research, but viewed from the author's personal theoretical standpoint, Remembering: An activity of mind and brain will be essential for researchers, graduate and postdoctoral students working in the field of human memory.

The development of 'ageless' mental health services means that an increasing number of clinicians are now required to work with older people. Cognitive Behavioural Therapy is recognised by all recent meta-analyses as the most effective therapy, yet few clinicians are trained specifically in its usage with the elderly. This book is a detailed guide to using CBT with older people both with and without cognitive difficulties. Reviewing its use in different settings, it covers both conceptual and practical perspectives, and details everything from causes and initial assessment to case formulation and change techniques. Case studies in both depression and dementia are used to illustrate how CBT should work and how positive effects can manifest themselves. Suitable both for trainees and experienced therapists, this book will be essential for anybody using cognitive behavioural therapy in their work with older people, regardless of their clients' levels of cognitive ability.

This new edition of the Oxford Handbook in Geriatric Medicine has been expanded and updated to reflect the substantial changes in clinical practice since the previous edition, including the Francis report and the impact on care for the older patient, the National Dementia Strategy and screening, and the evolution of the role of Geriatricians in other specialities. It includes new material on risk scoring management of TIA, and a new chapter on the older surgical patient. With an ageing population, geriatric medicine is increasingly central to emergency and internal medicine in hospital settings and in general practice. Diseases are more common in the older person, and can be particularly difficult to assess and to treat effectively in a field that has limited evidence, yet makes up a substantial proportion of the work of most clinicians. Using clinical vignettes and how-to boxes to provide practical advice on common problems, this is a practical, accessible, and essential handbook for all medical staff who manage older patients.

Aktiv, gesund und vor allem produktiv im Alter? Seit mittlerweile 40 Jahren fordern Wissenschaft und Politik ein Umdenken: Alte Menschen sollen selbststandig und leistungsfahig bleiben, statt sich zuruckzuziehen und abzubauen. Doch was ist dran an diesen Ideen, und sind sie wirklich so neu? Daniel Schafer nimmt Sie mit auf einen ausgedehnten Streifzug durch die Kultur- und Wissensgeschichte mit vielen Gedankenanstoessen fur die Gegenwart. Sie erfahren, was Medizin, Psychologie und andere Forschungsbereiche derzeit uber Starken und Schwachen beim koerperlichen, mentalen und sexuellen Altern wissen. Und was Menschen in fruheren Epochen uber diese Themen gedacht haben. Das zeigt uns: Einseitig positive und negative Altersbilder wirken auch noch heute nach. Doch jenseits dieser Stereotypen gibt es viele unterschiedliche Moeglichkeiten, aber auch Grenzen, im Alter fur andere und auch fur sich selbst tatig zu sein.

Das Mobilitatsprojekt "mobisaar" verbessert die Teilhabe von mobilitatseingeschrankten Menschen und Menschen mit Behinderungen durch den Einsatz von Lots*innen und mit Technikunterstutzung durch Apps. Das in vier saarlandischen Landkreisen erfolgreich umgesetzte BMBF-Projekt wird nach 5 Jahren Laufzeit 2020 finalisiert und bietet einen guten Einblick in die Konzepte, Strukturen und Schulungsideen des kostenfreien Begleitdienstes im kleinsten Flachenland Deutschlands sowie dessen Auswirkungen auf den OEPNV.

Die Begriffe Koerper und Gesundheit sind (nicht erst) seit dem sogenannten body-, corporeal- oder somatic-turn Gegenstand sehr unterschiedlicher Disziplinen und Perspektiven: Die Komplexitat der Zusammenhange, Verschrankungen, Bedingungen des Gegenstandspaares Koerper-Gesundheit bis hin zur Identifikation macht es erforderlich, multidisziplinar und multiperspektivisch vorzugehen. In diesem Band sind unterschiedliche Disziplinen und Perspektiven versammelt, die sich aus ihrer Fachgenese und wissenschaftlichen Position heraus mit Koerper, Leib und Gesundheit beschaftigen, um v.a. Forschungsfelder zu erschliessen und praxeologische Konsequenzen zu benennen.

Der UEbergang in den Ruhestand ist fur viele Betroffene ein biographischer Einschnitt. Eine Vielzahl von Aspekten bestimmt dabei die Entscheidung uber das "Wann" und "Wie" des Renteneintritts. Ein Aspekt bleibt in der wissenschaftlichen Diskussion eher unberucksichtigt: der Einfluss des persoenlichen Umfelds bzw. des Haushaltskontexts. Die vorliegende Studie widmet sich diesem und fokussiert dabei im Besonderen den Einfluss partnerschaftlicher Machtverhaltnisse. Anhand einer Sekundaranalyse qualitativer Daten, die im Zuge einer Untersuchung zur Koordination der Ruhestandsentscheidungen von heterosexuellen Doppelverdiener-Paaren entstanden sind, werden die Machtstrukturen genauer untersucht. Dabei werden funf Typen entwickelt, die zeigen, wie die paarinternen Einflussverhaltnisse auf unterschiedliche Weise in die (individuellen) Ruhestandsentscheidungen eingreifen koennen. Die Studie zeigt daruber hinaus, dass diese dabei nicht alleine verantwortlich sind, sondern dass es auf Haushaltsebene immer zu einem Zusammenspiel mit anderen Aspekten der Ruhestandsentscheidung kommt. Zugleich weist die Studie darauf hin, dass die Partnerschaft von heterosexuellen Doppelverdiener-Paaren nicht ausschliesslich als Unterstutzungsfaktor beim UEbergang in den Ruhestand zu verstehen ist, sondern dass sich zahlreiche Abhangigkeitsstrukturen zwischen Partnerin und Partner verstarken und verschieben koennen. Da bis jetzt ahnliche Untersuchungen im Feld der Retirement Studies nicht bekannt sind, wird die Studie ihrem explorativen Charakter gerecht.

The ambition of ageing science to discover the golden fleece of longevity and health is closely connected to the concept of 'successful ageing'. Still, for a large portion of the population, frailty and cognitive impairment is the reality of ageing, and it is by no means certain if health promotion, prevention and other interventions will reduce the probability of its occurrence. This book argues that a narrow understanding of 'successful ageing' as good health, full functioning, and active participation in society excludes a large portion of ageing individuals from the quest for a good life in old age. The challenge is that the term 'successful ageing' comes with ambitions but also with ambivalence. On the one hand, it counteracts the deficit view of ageing and facilitates visionary thinking on what might be possible in the future. On the other hand, its implicitly ageist and derogative features have negative consequences to older people and society at large. So, what is successful ageing? We provide answers at three levels: First, we synthesise the various models used to define successful ageing into a heuristic scheme able to unravel the normative complexity and differences inherent in existing models. Second, we anchor successful ageing models in a tripartite way at micro (individual), meso, and macro analytic levels of human development. Third, we argue that the usefulness of successful ageing in guiding policy will only profit from the concept, if it follows a pluralistic and holistic view without hastily deciding for one model only.