This book critically explores the world of older prisoners to provide a more nuanced understanding of imprisonment at old age. Through an ethnographical study of male and female older prisoners in two Belgian prison settings, one in which older prisoners are integrated and one in which they are segregated, it informs debates and seeks to recognise ageist discourse, attitudes, practices in prison. The Older Prisoner seeks to situate the older prisoner from both a penological and gerontological perspective, organised around the following broad themes: the construction of the older prisoner, the physical prison world, the social prison world, surviving prison and giving meaning. The book allows readers to navigate between contrasting perspectives and voices rather than reinforcing traditional narratives and prevailing discourses on the older prisoner. In doing so, it hopes to open up a broader dialogue on ageing and punishment. It also offers insights into the concept of meaning in life as an analytical tool to study prisoners.

This case-based approach to geriatric medicine is suitable for all health professionals and trainees who provide care for the elderly, including interns, residents, geriatric fellows, physicians in practice, and nurse practitioners. Illustrated with more than 40 cases based on the authors' experience in clinical practice, the examples range from the healthy elderly to those with advanced cognitive or physical impairments. Discussions are evidence based with extensive references, emphasizing differential diagnosis, atypical presentations in late life, age-appropriate medical management, interdisciplinary methods, and care in the context of different health care settings. The authors have distilled a wealth of practical and clinical experience in this area to produce a user-friendly guide to geriatric medicine. This is the ideal study guide for certifying examinations and highly suitable as a textbook for courses in geriatric medicine and gerontology.

This book provides a comprehensive and practical guide to orthostatic hypotension (OH) for doctors and nurses involved in the care of older adults, together with a state-of-the-art update on OH, covering its epidemiology, pathophysiology, assessment, diagnosis, causes, prevention, management, and relevance for geriatric practice. In addition, it addresses mechanisms of orthostatic tolerance and other orthostasis related conditions, as well as drugs, comorbidities and geriatric syndromes related to OH. The homeostatic ability to maintain blood pressure while standing requires an adequate blood volume and the integrity of the nervous system, heart, blood vessels and muscle pump. However, in older adults, some age-related factors can contribute to the development of OH. For example, decreased baroreflex sensitivity, -1-adrenergic vasoconstrictor response to sympathetic stimuli, parasympathetic activity, renal salt and water conservation, increased vascular stiffness and decreased ventricular diastolic filling, as well as concentrated capacities of the kidney may be associated with changes in postural blood pressure. It has also been shown that OH is associated with falls, cardiac events, heart failure, stroke, reduced quality of life, and increased risk of overall mortality in these patients. "Orthostatic Hypotension in Older Adults" will be of considerable interest to all professionals working in the fields of geriatrics, geriatric psychiatry, neurology, internal medicine, cardiology, and emergency medicine, or working with older people in hospitals or in their community.

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.

To reveal the concrete threats to personal autonomy in long-term care, George Agich's book offers a framework for developing an ethic of long-term care within the complex environment in which many dependent and aged people find themselves. Previously published as Autonomy and Long-term Care (Oxford, 1993), this revised edition in paperback has wide appeal among bioethicists and health care professionals.

This book is the first one to examine the cause and effect of elderly people's healthy life expectancy, providing models that are easy to understand. The novel point is the success achieved in constructing a single structural model of cause and effect of healthy life expectancy. In the final models of the authors' studies, it was possible to clearly point out that it is not the case that lifestyle habits including an ideal diet directly provide for healthy life expectancy.This book is made up of published studies based on scientific evidence, using a vast amount of data based on about 8,000 in-home elderly people tracked longitudinally from 3 to 6 years, three times in all including baseline research, in a specific region of Japan. Therefore, health policy makers will be able to use this book as scientific evidence for creating area programs to promote good health that are focused on healthy longevity as the central issue. Academic researchers whose special fields are mainly public health will be able to learn both theory and practice to structurally analyze cause and effect of health factors.

This book focuses on the nutrients and nutraceuticals that promote active and healthy ageing - recently defined by the WHO as the process of development and maintenance of functional capacity that allows well-being at an advanced stage of life. There has been a rapid rise in the use of nutritional interventions as well as specific nutraceuticals in the management of multifactorial aspects of clinical health outcomes. Written by leading experts this book comprehensively discusses the various ageing phenotypes and age-related diseases. It also assesses the nutritional status of the elderly and the various epidemiological factors that influence it. It reviews the role of dietary fiber in disease-free and fully functional ageing. Further, the book explores the benefits of polyphenols, which are secondary plant metabolites, in protecting against cancer, cardiovascular diseases, and various neurodegenerative diseases.

This is the second edition of the Oxford Specialist Handbook in Parkinson's Disease and Other Movement Disorders aiming to provide its readership with the latest developments and innovation across the discipline. Alongside this update in content, the addition of new, insightful sections suggested by readers and other experts in the field, will allow the handbook to further develop as the premier quick reference guide for movement disorders. The varied and detailed composition of the handbook's chapters is extremely useful for the various readership of this title. The new edition advances the the knowledge and depth of the previous edition with the addition of a number of new sections. This new and improved edition will be a welcome and extremely useful addition to the neurological world.

This book highlights international efforts to better understand the role of individual differences in healthy aging by exploring new directions, methods, and questions within the field. The book considers how to measure personality and personality change during adulthood, the associations between personality and healthy aging outcomes over time, and the role of personality in building interventions to promote healthy aging. The first section considers the value of personality constructs for healthy aging outcomes beyond the broad Big Five personality dimensions. It discusses the role of attachment, purpose, and affect, and also touches on the issue of psychopathology. The second section presents innovative assessment methods, research designs beyond classical longitudinal approaches, as well as sophisticated and integrative techniques for analyzing personality change processes. The third section raises new important questions, such as how interventionists from non-personality domains can incorporate personality processes in their intervention programs. It also discusses how different domains of individual functioning may interact in concert to predict healthy aging outcomes, as well as how more integrative lifespan models of healthy aging may advance research on personality and healthy aging. Overall, this book will spark interest and chart new directions for researchers, practitioners and interventionists in healthy aging, gerontology and applied fields.

This book addresses the practical aspects of vibration exercise and vibration therapy. In addition, it describes the technical and physiological background, providing applied scientists and doctors with a deeper understanding of the therapeutic potential that vibration exercise holds. Having first emerged two decades ago, vibration exercise has since established itself as a widespread form of physical exercise, used in all rehabilitation areas. The goal of this book is to close the gap between scientific knowledge and practice.Given that occupational exposure to vibration leads to well-known unfavorable effects, the book is also dedicated to potential risks, hazards and contra-indications and of course, the application of vibration therapy in a number of specific conditions is presented in a clinically usable fashion. Given its breadth of coverage, this book will be of interest to physiotherapists and exercise scientists, but also to a wider range of physicians working in the field of rehabilitation.

Aging is an inevitable part of life and is becoming a worldwide social, economic and health problem. This is mainly due to the fact that the increasing proportion of individuals in the advanced age category have a higher probability of developing age-related disorders, such as type II diabetes mellitus, cardiovascular disorders, sarcopenia, and neurodegenerative conditions. New therapeutic approaches are still needed to decrease or slow the effects of such diseases. Advances in -omic technologies, such as genomics, transcriptomics, proteomics and metabolomics, have significantly advanced our understanding of disease in multiple medical areas, as the analysis of multiple molecular networks has simultaneously provided a more integrated view of disease pathways. It is hoped that emerging hits from these analyses might be prioritized for further screening as potential novel drug targets for increasing the human healthspan in line with the lifespan. In turn, this will lead to new therapeutic strategies as well as drug development projects by the pharmaceutical industry. This book presents a series of reviews describing studies that have resulted in identification of new potential drug targets for age-related disorders. Much of this information has come from -omic comparisons of healthy and disease states or from testing the effects of new therapeutic approaches. Authored by experts from around the globe, each chapter is presented in the context of specific chronic diseases or therapeutic strategies. This book is designed for researchers in the areas of aging and chronic disease, as well as clinical scientists, physicians and stakeholders in major drug companies.

The proportion of the population of octogenarians and elderly patients presenting for intensive care is rapidly increasing thus exacerbating the need to modify our critical care management to cater for this patient group. This book will provide practical guidance on all issues related to the critical care of elderly patients, incorporating physiological and epidemiological information, clinical guidance, ethical and end-of-life issues and advice about optimal use of drugs and new technologies. Complications of polypharmacy, high-risk surgery and increased recovery times are also discussed. Chapters are concise, each including a list of key points and summary of available data, making this a quick reference for experienced consultants, as well as a useful resource for trainees preparing for exams.

The growing number of older adults in the United States poses a significant challenge to families, healthcare systems, mental health services, and many other caregiving groups. Using the Grand Challenges for Social Work initiative as a framework, this text evaluates critical policies and issues pertaining to older adults, identifying both the overall systemic inequalities currently working against older adults as well as specific areas that require updated policies and interventions. It calls for active attention to the implementation of science-based research, policy, and practices to promote health and well-being. Among the topics addressed: Family violence against older adults Disaster planning and preparedness Building financial capability for aging families Health needs of incarcerated older adults Closing the gap in healthcare services for older adults Social isolation and its effects on mental health and well-being A useful gerontology resource for students, social work scholars, and practitioners, Gerontological Social Work and the Grand Challenges advocates for justice and equal opportunity for older adults, and highlights important social issues that must be urgently addressed in the near future.

This book provides a comprehensive overview of a growing phenomenon in migration: retired Americans moving to Latin America. Through in-depth profiles of two of the most popular destinations - Cuenca, Ecuador and San Miguel de Allende, Mexico, the book provides a unique commentary on the social forces shaping this new diaspora and its impact on the settings to which retirees relocate. Sections of the book address the lives and activities of retirees themselves; their impact on real estate, business development, and gentrification within historic cities; the availability and access to medical and long-term care services; and the role of governmental policies in attracting immigrant retirees and shaping their societal impact. Concluding sections provide guidance for potential retirees and for cities and countries interested in attracting these new immigrants while minimizing adverse impact on local culture and quality of life. Carefully researched and extensively illustrated with photographs, maps, figures, and tables, the book serves as an important new resource for scientists and policy makers, as well as for baby boomers who have retired abroad or are considering doing so.

Zu erwartende demografische VerAnderungen sprechen eine eindeutige Sprache: Wer heute nicht an sich selber arbeitet und deshalb morgen Hilfe und Pflege von anderen erwartet, wird grAAte Probleme bekommen. Die Psychologie des hAheren Lebensalters wird immer mehr zum Thema unserer Gesellschaft. Die zweite Auflage liefert umfassend und aktualisiert grundlegende Einblicke in psychologische Altersthemen wie Denken und GedAchtnis, Langlebigkeit, PrAvention. Erweitert wurde sie durch Aspekte wie AngehArigenberatung und Themen rund um Pflege, Tod und Sterben. Die Meinung, alt ist gleich krank, wird grA1/4ndlich widerlegt. Kognitive VerAnderungen im GedAchtnisbereich sowie Alter und Gesundheit sind von der individuellen Biografie, von sozioAkonomischen Bedingungen, von biologischen VerAnderungen und vom eigenen Verhalten abhAngig. In diesem Sinne lautet die gerontopsychologische Botschaft fA1/4r ein erfolgreiches und gesundes Altern a žuse it or lose it": a žGebrauche tAglich deinen Kopf und deinen KArper oder verliere!"

Die Pflege hat eine zentrale Rolle in der Versorgung alter Menschen. Sie tragt dazu bei, dass alte Menschen trotz Einschrankungen, z.B. in der Selbststandigkeit, ein Leben in Wurde und Selbstbestimmung fuhren koennen. Renommierte Autorinnen und Autoren konkretisieren, welches genau das Ziel der Pflege von alten Menschen sein soll und wie die Qualitat in der Langzeitpflege weiterentwickelt und gemessen werden kann. Weitere Beitrage thematisieren Herausforderungen und Konzepte in der spirituellen Begleitung von zu pflegenden Menschen und hinsichtlich des Einsatzes von digitalen Technologien. Schliesslich werden rechtliche und qualifikatorische Rahmenbedingungen diskutiert sowie Chancen und Desiderata von Pflegeforschung herausgearbeitet.

This book aims to clarify the potential association between frailty and cardiovascular disease in older people. Covering the biological as well as the clinical point of view, it allows researchers and clinicians to discover the significance of this topic. The contributions cover the most important aspects in the potential relationship between frailty and cardiovascular disease. In particular, authoritative authors in this field have clarified the definition and the epidemiology of frailty and cardiovascular disease in older people. A large part of the volume is dedicated to the biological mechanisms of frailty and cardiovascular disease, trying to find those in common between these two conditions. Since this book is dedicated to both researchers and clinicians, we have proposed some chapters to the importance of comprehensive geriatric assessment in the evaluation and treatment of cardiovascular diseases and frailty. In this regard, the importance of geriatric evaluation in cardiac surgery for older people is well covered. Finally, the importance of cardiac rehabilitation and physical exercise is summarized, being, actually, the most important treatments for both frailty and cardiovascular disease. Written by many well-known and widely published experts in their respective fields, this book will appeal to a wide readership such as researchers in the field and clinicians, especially suited in geriatric medicine and cardiology who, every day, face frail older patients.

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.

This book covers the latest advances in non-muscle invasive bladder cancer care. It provides a review of the available evidence base for the efficacy of a range of therapeutic techniques, diagnostic procedures and risk factors. Management of Non-Muscle Invasive Bladder Cancer features detailed guidance in uniformly formatted chapters on how to properly apply a range of available therapeutic treatments relevant for patient care. It is a valuable resource for all trainee and practising medical professionals who treat these patients.

This timely volume provides an up-to-date and comprehensive summary about what is known about aging and work and addresses the challenges and opportunities confronting older workers and organizations. The authors describe current and emerging topics related to work and aging adults such as working in teams, the increasing diversity of the labor force, work and caregiving, the implications of technology for an aging workforce, and health and wellness issues. The authorship is international; the authors are renowned for their respective work in the topical areas and represent a broad range of disciplines within academia, as well as offer perspectives from government and policy. Jobs, organizations, the labor market, and the workforce are experiencing dramatic change. Workers of all ages, including older workers, need to interact with the wide variety of ubiquitous technologies that are reshaping work processes, job content, work settings, communication strategies, and the delivery of training, and this book aims to update readers on the particular issues facing today's aging adults in the workplace. The chapters' broad and inclusive scope encompasses: Workplace aging and jobs in the 21st century The retirement income security outlook for older workers Population aging, age discrimination, and age discrimination protections Older workers and the contemporary labor market The role of aging, age diversity, and age heterogeneity within teams The intersection of family caregiving and work Current and Emerging Trends in Aging and Work is relevant to a broad audience of academic researchers, practitioners, and students in psychology, sociology, management, engineering (industrial and human factors), the health sciences, gerontology/geriatrics, and public health. It is also a useful resource for government and policy leaders, as well as workers and managers in the public and private sectors.

This open access book takes a multidisciplinary approach to provide a holistic understanding of late old age, and situates the aged person within the context of family, caregivers, clinical and other institutions. All through the book, the author discusses preparedness for an aging individual as well as the society in the Indian context. The book highlights inevitable but mostly neglected health issues like depression, dementia, fall, and frailty and provides detailed analyses of solutions that are practicable in low resource settings. It also brings up intergenerational differences and harmony in the context of holistic care of older Indians. Alongside clinical perspectives, the book uses narratives of elderly patients to dwell on the myriad of problems and issues that constitute old age healthcare. Demonstrating cases that range from the most influential to the most underprivileged elderly in India, the book enlightens multiple caregivers-doctors, nurses, and professional caregivers as well as family members-about the dynamic approach required in dealing with complex issues related to late old age. The narratives make the book relatable and interesting to non-academic readers, with important lessons for gerontological and geriatric caregiving. It is also of use to older adults in preparing for active aging.

This book provides a comprehensive overview of the field of developmental programming of ageing phenotypes. Although gerontological research has traditionally focused on later stages of the life cycle, growing evidence indicates that both the rate of ageing-associated functional declines, and the risks of later-life chronic pathological conditions, can be traced to origins early in life. While other books in the field concentrate on the developmental origin of particular disorders, this volume offers a detailed guide to all important aspects of the role of early-life conditions in programming both chronic pathological conditions and the ageing process. Interest in the study of ageing and longevity had its beginnings in research on the fetal origins of adult disease. This has evolved into a hypothesis on the Developmental Origins of Adult Health and Disease (DOHaD), which postulates that adverse environmental exposures during critical in-utero and early postnatal stages of development may permanently change physiological responses and cause functional impairments and disorders in adult life. In this book, the contributing authors and leading experts from around the world, describe research on mechanisms underlying the developmental programming phenomenon, as well as interventional strategies aimed at restoring developmentally disrupted epigenetic patterns. Early Life Origins of Ageing and Longevity benefits a wide audience of working scientists, clinicians, and advanced students, and will also interest scientifically curious general readers who wish to know more about current research in this rapidly evolving field.

Death Across Cultures: Death and Dying in Non-Western Cultures, explores death practices and beliefs, before and after death, around the non-Western world. It includes chapters on countries in Africa, Asia, South America, as well as indigenous people in Australia and North America. These chapters address changes in death rituals and beliefs, medicalization and the industry of death, and the different ways cultures mediate the impacts of modernity. Comparative studies with the west and among countries are included. This book brings together global research conducted by anthropologists, social scientists and scholars who work closely with individuals from the cultures they are writing about.

Gesund und fit zu sein sind Attribute, die keine Altergrenze kennen. Das Altern selbst ist gewiss nicht zu verhindern, doch eine angepasste Lebensfuhrung verzogert die Alterungsvorgage signifikant und steigert Wohlbefinden, Vitalitat und Lebensqualitat. In diesem Sachbuch vermittelt Ihnen Univ.-Prof. Dr. Paul Haber leicht verstandlich und wissenschaftlich fundiert, wie optimale Ernahrung und regelmassige Bewegung als Eckpfeiler eines gesunden Lebensstils zusammenwirken und in den personlichen Alltag integriert werden konnen. Sie erfahren informatives und praxisnahes Hintergrundwissen uber Stoffwechselvorgange, Ernahrung und altersspezifisches Ausdauer- und Krafttraining.

Die herzerfrischenden und humorvollen Karikaturen von Dr. Piero Lercher begleiten Sie in eine spannende Reise durch den menschlichen Korper und motivieren eine gesunde Lebensweise anzustreben, die mit mehr Lebensfreude und einer hoheren Leistungsfahigkeit verbunden ist. "

This book focuses on centenarians - people aged 100 and over - one of the fastest growing segments of the population in most developed countries. Drawing on official international and national data, it describes the longevity phenomenon and profiles socio-demographic, health and living conditions of long-lived people in 28 European countries. By comparing and synthesizing current information according to country, the book helps fill the knowledge gap regarding Europe's centenarian population. Providing insights to help stakeholders better predict, plan for and respond to the challenges of extreme longevity, it is a valuable resource for students and academics in the field of population aging, gerontology and geriatrics, as well as social scientists and policymakers.