The molecular and cellular approaches to the relationship of joint and bone problems distinguish this from other books on the topic. Advances in bone and joint biology enable practitioners to approach clinical problems more comprehensively. Emphasis on genetics and on newer viewpoints and approaches, exemplified by the possible effect of subchondral bone on osteoarthritis, gives a wider viewpoint to the reader and may enable novel approaches to solving a clinical problem.

This novel attacks myths about end-of-life care that lead to unnecessary suffering and financial waste. Health professionals and the public alike need this information so they can make good decisions and avoid disasters at the end of life. By addressing this issue through fiction, Dr. Gordon takes his readers into a hospital to witness the perils of delaying the discussions about end-of-life care. The story engages and informs to motivate people to act on this crucial issue.

Neurons share more similarities with insulin-producing pancreatic islet cells than with any other cell type. The root of this similarity may lie in the islet's evolution from an ancestral insulin-producing neuron. The islet-neuron connection becomes less surprising as we learn more about insulin's involvement in functions far from its traditional role in mediating glucose uptake in muscle. The importance of insulin in the regulation of corporal aging has been established by the dramatic increases in longevity experienced by animals in which the adipose insulin receptor has been genetically eliminated, or in which the insulin-related daf genes have been mutated. New research suggests that, analogous to its influence on corporal aging, insulin also makes important contributions to brain aging and the expression of late-life neurodegenerative disease. Insulin plays a key role in cognition and other aspects of normal brain function. Insulin resistance induces chronic peripheral insulin elevations and is associated with reduced insulin activity both in periphery and brain. The insulin resistance syndrome underlies conditions such as Type 2 diabetes mellitus and hypertension, which are associated with age-related cognitive impairment and Alzheimer's disease. This book discusses the mechanisms through which insulin dysregulation contributes to the development of cognitive impairment and late-life neurodegenerative disease. Given the recent pandemic of conditions associated with insulin resistance, it is imperative that we achieve a comprehensive knowledge of the mechanisms through which insulin resistance affects brain function in order to develop therapeutic strategies to address these effects.

The book summarizes recent advances in the elucidation of the mechanisms involved in senile osteoporosis as well as its potential treatment, bringing an integrated approach from the bench to the clinical practice. A unique aspect of this book is its emphasis on the application of translational research in the field of osteoporosis and falls. The book provides a complete review on the prevention as well as current and future treatments of osteoporosis.

One of the greatest challenges of the 21st century is global ageing. A primary objective of this book is to review research that is at the forefront in providing information regarding the decline, maintenance, and improvements in health and cognition that are associated with age. Another objective is to provide information regarding pioneering methods to ameliorate age-related declines. It brings together scholars with a wide variety of expertise who present innovative ideas about lifestyle and brain health, quality of life issues, memory interventions, methodology for pain assessment, health communication, decision-making, future time perspective, and retirement goals. The reader will finish this book with a greater understanding of the problems and potential solutions for addressing the important problems of an ageing population. This timely book will make an important contribution to the current aging literature by offering new ideas to stimulate further research and application in understanding health, cognition, and ageing. This book is appropriate for advanced undergraduate students, graduate students, and professionals who study or work in the fields of psychology, gerontology, social work, human development and health fields such as nursing, physical therapy, and occupational therapy.

Medical Spanish: A Guide for Geriatrics, is the most extensive medical Spanish resource ever created for geriatrics. At 684 pages, it is so complete that no one practicing geriatrics will ever want to work without it again. History: Step-by-step phrases for taking a complete geriatric history. Don't know much Spanish? No problem. If you speak English, you can take a history from Spanish-speaking patients with this book. It is that complete and easy to use. Evaluation: Just as easy are the step-by-step phrases for performing a complete geriatric evaluation. Do you want your patients to hold their breaths, perform specific tests, or just be quiet? No matter what your Spanish level, this book orients the evaluation to the way you think in English. Diagnosis: A virtual cookbook for instructing patients about numerous diagnostic issues. Want the diagnosis in technical terms? Want the diagnosis in lay terms? And want the diagnosis explained in the kind of Spanish, which your patients understand? Procedures: Need to explain the procedures you need to perform? Just pick your topic. Treatment and Explanations: A whole host of treatments and their explanations - from cardiac disorders and depression to a whole host of acute and chronic diseases . Vocabulary: From soups to nuts - literally - all of the vocabulary needed to practice geriatrics well is in this book. Uncommonly simple - and utilitarian. This book has it all.

Drug-related problems in the elderly is intended to serve as a source of information and clinical support in geriatric pharmacotherapy for students as well as all health care professionals, e.g. physicians, nurses and pharmacists. Pharmacotherapy is of great importance to all mankind. Drugs are however powerful and must be handled appropriately. This is especially important for elderly patients. Drug-related problem is not a major subject in most university programmes in medicine or pharmacy. When there is no speci c course, there is often no book covering the topic. In our view, as teachers at various university courses, there has been a shortage of literature that re ects the most important aspects of drug-related problems in the elderly. Medical practitioners, nurses and pharmacists, need to have this knowledge to be able to serve their patients in the best way. This book covers most aspects of drug-related problems in the elderly. With b- ter knowledge of drug-related dif culties and risks we hope that elderly will have fewer drug-related problems and bene t more from their pharmacotherapy.

This book constitutes the refereed proceedings of the 7th International Conference On Smart Homes and and Health Telematics, ICOST 2009, held in Tours, France, in July 2009. The 27 revised full papers and 20 short papers presented were carefully reviewed and selected from numerous submissions. The papers are organized in topical sections on cognitive assistance and chronic diseases management; ambient living systems; service continuity and context awareness; user modeling and human-machine interaction; ambient intelligence modeling and privacy issues, human behavior and activities monitoring.

This volume brings together noted scientists who study presbycusis from the perspective of complementary disciplines, for a review of the current state of knowledge on the aging auditory system. Age-related hearing loss (ARHL) is one of the top three most common chronic health conditions affecting individuals aged 65 years and older. The high prevalence of age-related hearing loss compels audiologists, otolaryngologists, and auditory neuroscientists alike to understand the neural, genetic and molecular mechanisms underlying this disorder. A comprehensive understanding of these factors is needed so that effective prevention, intervention, and rehabilitative strategies can be developed to ameliorate the myriad of behavioral manifestations.

The aim is to provide students and researchers in auditory science and aging with a understanding of the various effects of aging on the auditory system.

Contents:

• Introduction and Overview Sandra Gordon-Salant and Robert D. Frisina
• The Physiology of Cochlear Presbyacusis Richard A. Schmiedt
• The Cell Biology and Physiology of the Aging Central Auditory Pathway Barbara Canlon, Robert Benjamin Illing, and Joseph Walton
  
• Closing the Gap between Neurobiology and Human Presbycusis: Behavioral and Evoked Potential Studies of Age-related Hearing Loss in Animal Models and in Humans James R. Ison, Kelly L. Tremblay, and Paul D. Allen
• Behavioral Studies with Aging Humans: Hearing Sensitivity and Psychoacoustics Peter J. Fitzgibbons and Sandra Gordon-Salant.
• Binaural Processing and Auditory Asymmetries David A. Eddins and Joseph W. Hall III

• The Effects of Senescent Changes in Audition and Cognition on Spoken Language Comprehension Bruce A. Schneider, Kathy Pichora-Fuller, and Meredyth Daneman
• Factors Affecting Speech Understanding in Older Adults Larry E. Humes and Judy R. Dubno
• Epidemiology of Age-related Hearing Impairment Karen J. Cruickshanks, Weihai Zhan, and Wenjun Zhong
• Interventions and Future Therapies: Lessons from Animal Models James F. Willott and Jochen Schacht

Sandra Gordon-Salant is Professor and Director of the Doctoral Program in Clinical Audiology in the Department of Hearing and Speech Sciences at the University of Maryland, College Park. Robert D. Frisina is Professor of Otolaryngology, Neurobiology & Anatomy, and Biomedical Engineering, and Associate Chair of Otolaryngology at the University of Rochester Medical School. Arthur N. Popper is Professor in the Department of Biology and Co-Director of the Center for Comparative and Evolutionary Biology of Hearing at the University of Maryland, College Park. Richard R. Fay is Director of the Parmly Hearing Institute and Professor of Psychology at Loyola University of Chicago.

About the series:

The Springer Handbook of Auditory Research presents a series of synthetic reviews of fundamental topics dealing with auditory systems. Each volume is independent and authoritative; taken as a set, this series is the definitive resource in the field.

This work fills a gap in the literature in presenting a collection of topics on acute geriatric care. Most chapters are structured as grand rounds, focused on clinical problems that have limited disclosure in textbooks, presented as a dialog between theory and practice, written by clinicians for clinicians. This collection is based on encounters between geriatricians and consultants, meant to resolve clinical problems; a collaboration where clinical experience and interdisciplinary exchange may supplant scanty guidelines. A multidisciplinary approach is also proposed to reduce functional decline of elderly patients, decrease length of hospital stays, and prevent nursing home admissions.

It is with great pride that the Psychologists in Long Term Care (PLTC) have sponsored The Professional Educational Long-Term Care Training Manual, and now its second iteration, Geropsychology and Long Term Care: A Practitioner's Guide. Education of psychologists working in long-term care settings is consistent with PLTC's mission to assure the provision of high-quality psychological services for a neglected sector of the population, i.e., residents in nursing homes and assisted-living communities. To this end, direct training of generalist psychologists in the nuances of psychological care delivery in long-term care settings has been a major priority. It is a tribute to the accelerating nature of research in long-term care settings that a revision is now necessary. After all, the Professional Educational Training Manual's initial publication date was only in 2001. However, in the intervening years, much progress has been made in addressing assessment and intervention strategies tailored to the needs of this frail but quite diverse population. It is so gratifying to be able to say that there is now a corpus of scientific knowledge to guide long-term care service delivery in long-term care settings.

The manifestations of dermatologic disease in the geriatric population are often subtly different to those in the younger age groups and there is a need to produce a practical and clinical reference for dermatology fellows and residents, geriatricians and related clinicians to identify dermatoses and their differential diagnosis specific to the aging population. Diagnosis of Aging Skin Diseases will provide the clinician with a visual encyclopedia of geriatric dermatoses that can be used on rounds or in a reference environment. It also provides a structured review of the differential diagnosis of the lesions illustrated within the book, which will make this a priceless reference resource for all physicians dealing with older skin.

Among the most critical issues facing society today is the provision of community support for people of all ages who require assistance in performing daily living tasks. Researchers have documented the support systems and needs of older persons, children with special health care needs, and young persons transitioning into adulthood. While the United States may not yet have solved many of the challenges of providing adequate supports to these populations, researchers at least have a good sense of the nature of those challenges and are working toward that end. Somewhat surprising, then, is the nearly complete lack of knowledge about the support systems and needs of a rapidly growing population of adults who are not yet considered old but who nevertheless need help due to traumatic injury, the congenital illnesses of childhood and young adulthood, and/or the early onset of chronic diseases typically associated with later life (e.g., arthritis, heart disease and cancer). Specifically, researchers know little about the millions of Americans who require assistance during the period of late middle age, a transition phase between middle age and the older years, when activity limitations associated with a chronic condition escalate sharply. The largest generation in American history to date--the baby boom generation--has begun to enter late middle age, the oldest of whom turned sixty in 2006. While the research community looks ahead to the likely strains this generation will place on the formal long-term care system, Medicare, and the Social Security system in the near future, those who find themselves in need of personal care in late middle age must first pass through a particularly vulnerabletime before they are eligible to benefit from the safety net these systems afford. Because late-middle-aged adults are often considered the "carers" of society (many caring for dependent children or aging parents, and often both), we do not often think of this group as vulnerable and in need of help themselves. They, more than others, are left to rely on their own financial and family support systems to get through their difficult time, while at the same time planning and preparing for the possibility of living another 20 years or more with chronic illnesses and conditions. Up until now, we have known very little about how, and how well, they manage. In this first critical study of the availability and receipt of care for late-middle-aged adults, Julie Lima and Susan Allen uncover a host of vulnerabilities that challenge the wellbeing of those who find themselves in need of personal assistance at a critical point in their lives. Using a lifecourse approach, they outline the care needs of older adults in various stages of life, as well as the sociodemographic and policy trends that influence the amounts and types of care that are available, and that will likely be available in the near future. Since so little was known about the care needs of this group prior to this work, this book is largely descriptive in nature, and the authors intend for it to lay the groundwork for future work in this area. This is an important book for all gerontology, disability, and lifecourse collections.

Slowakisch/Deutsch, Deutsch/Slowakisch - Woerterbuch fur slowakische Pflegende, Senioren und Angehoerige: Eine grosse Herausforderung fur viele slowakische Pflegekrafte im deutschsprachigen Raum ist die Verstandigung im Alltag der hauslichen Pflege. Dieser einfache Sprachfuhrer ist ein unverzichtbarer Helfer im direkten Gesprach. Begriffe und einfache Satze aus dem Alltag werden in beiden Sprachen angefuhrt und erleichtern die Kommunikation zwischen allen Beteiligten. Haufig verwendete Vokabeln, medizinische Fachwoerter und einfache Dialoge werden zu Alltagsthemen zusammengetragen, wie z.B.: Koerperhygiene, Haushalt, der menschliche Koerper, Wohlbefinden, Arztbesuch, Gesundheit und Krankheit, Ernahrung. Zahlreiche Abbildungen unterstutzen ebenfalls das Einander-Verstehen. Fur slowakische Pflegekrafte, die in Deutschland, OEsterreich oder in der Schweiz arbeiten, Vermittlungsagenturen und Arbeitgeber im Gesundheitswesen, die mit slowakischen Fachkraften zusammenarbeiten. Aber auch Senioren und Angehoerige, die dankbar sind uber die Unterstutzung im hauslichen Umfeld, finden in diesem Alltagswoerterbuch eine wirklich praktische Hilfe.

It 's a core issue at the heart of elder care: while best-practice data exist for long-term care, quality of life as a concept, measure and standard for care outcomes remains elusive. The result of an ambitious European research initiative, the Care Keys Project addresses quality of life issues among frail, care-dependent seniors, taking their social as well as health needs into account. This resulting volume explains the theory behind Care Keys, its methodology, empirical findings, and practical considerations in promoting effective, efficient elder care aimed at social and emotional well-being and including disabled and cognitively impaired patients.

The transformation in the health care industry, begun over a decade ag o, will continue well into the 21st century. And the dominant theme in the new millennium is likely to be collaborative practice and outcome s-based health care delivery. A collection of the most current and inn ovative presentations in path-based, collaborative practices, this boo k focuses on the design, implementation and analysis of outcomes for t he heavy volume DRGs. For each DRG, the authors present two to three s tandard clinical pathways, and then show how those pathways can be man ipulated to alter outcomes. Health Care Outcomes covers topics in Resp iratory, Neonatal/Pediatric, General Surgery, Orthopaedic, and Geriatr ic Care. A comprehensive collection of critical pathways and outcomes maps being used by leading hospitals and health care agencies around t he country, this is an important reference for developing path-based c are models, or revising critical paths and outcomes maps.

This important handbook addresses technologies targeted at the assessment, early detection and the mitigation of common geriatric conditions. These include decline in functional abilities, gait, mobility, sleep disturbance, vision impairment, hearing loss, falls, and cognitive decline. This book not only describes the state of both embedded and wearable technologies, but also focuses on research showing the potential utility of these technologies in the field.

The population of older Americans, those 65 years and older, is rapidly increasing and is posing an epigrammatic predicament in the field of public health. At the same time, many older adults perceive spirituality as an important resource in their lives and spiritual practices as crucial to their health and well-being. There is limited knowledge regarding the definition of spirituality from a patient's participant and even less acknowledgment regarding the use of spirituality in managing chronic conditions. The focus of this book was to define, explore, and describe spirituality in the life of chronically ill elders and to examine its relationship to self-management of chronic illness in terms of gender and race. The analysis should help answer the questions: What is "spirituality"? Is it linked to religion? Can spirituality be considered a health behavior? Is spirituality a form of self-management? How do older adults living with chronic illness incorporate their spiritual practices in their lives? This book is addressed to professionals in gerontology, nursing, public health education, and public health researchers.

Anemia in the elderly has been properly defined as the silent epidemic, representing 3 million people in the United States aged 65 years and older. Incidence and prevalence of this condition increase with age. It differs in its etiology, pathogenesis and treatment from anemia in children and younger adults. Anemia is associated with reduced survival, increased risk of functional dependence and hospitalization, increased risk of congestive heart failure and stage renal disease and cognitive disorders. Approximately 70% of anemia in older individuals is reversible.

As the population of retirees between the ages of 65 and 75 continues to grow, professionals, researchers, and educators in all areas of the health care and the business sectors will require more expertise on the latest trends to make better decisions and improve systems.

Contributed by nationally recognized experts, "The Crown of Life: Dynamics of the Early Post-Retirement Period" presents some of the most important and current decision-making research describing life between the ages of 65 and 75. Topics cover many aspects and social issues of retirement including: Demographics Functioning and Well-being Aging Black Americans Late Middle Age The Impact of Work Change and Stability Health and Religiousness Social Relations Leisure Activities Male Satisfaction Everyday Life Gay Lives Retirement Community Life

For anyone interested in the key issues and current trends of this growing population, editors Jacquelyn Boone James and Paul Wink provide one of the most important and current expert collections dedicated to the Crown of Life period.

About the Series...
Now celebrating its 26th year, this series of annual reviews, established by Carl Eisdorfer, is designed to encompass the broad spectrum of concerns in aging, including psychology, biology, medicine, sociology, and public policy. The goal is to present reviews of the highest quality and to address those important questions that are salient to all gerontologists.

Focusing on the most prevalent conditions affecting seniors - including diabetes, cardiovascular disease, osteoporosis, arthritis, and fibromyalgia - Morewitz and Goldstein analyze the impact of chronic disease on aging. Separate chapters are devoted to cognitive changes, psychological problems, and trends in health care utilization, and all chapters are amplified by current research findings.

This scarce antiquarian book is included in our special Legacy Reprint Series. In the interest of creating a more extensive selection of rare historical book reprints, we have chosen to reproduce this title even though it may possibly have occasional imperfections such as missing and blurred pages, missing text, poor pictures, markings, dark backgrounds and other reproduction issues beyond our control. Because this work is culturally important, we have made it available as a part of our commitment to protecting, preserving and promoting the world's literature.