This is the third edition of the foremost medical reference on hereditary hearing loss. Chapters on epidemiology, embryology, non-syndromic hearing loss, and syndromic forms of hearing loss have all been updated with particular attention to the vast amount of new information on molecular mechanisms, and chapters on clinical and molecular diagnosis and on genetic susceptibility to ototoxic factors have been added. As in previous editions, the syndromes are grouped by system (visual, metabolic, cardiologic, neurologic, musculoskeletal, endocrine, etc.), with each chapter written by a recognized expert in the field. Written for practicing clinicians, this volume is an excellent reference for physicians, audiologists, and other professionals working with individuals with hearing loss and their families, and can also serve as a text for clinical training programs and for researchers in the hearing sciences.

This book contains a comprehensive review of the current research advances in late life mood disorders. This detailed review reflects the new understanding of neurobiology and psychosocial origins of geriatric mood disorders in the first decade of the 21st Century and is provided by the international group of leading experts in the field. The review of the latest developments and "gold standards" of care or methodologies in geriatric mood disorders is complemented by the anticipated future directions of research and translation into clinical practice. Our volume targets a broad audience of clinical researchers and clinicians. The content of the book will increase clinicians' and researcher's competency in recent research findings, and broaden their diagnostic and therapeutic perspectives and power of observation that will prepare them to deal with the challenges of finding appropriate effective treatments for older adults with mood disorders. The discussion of the data is presented in a textbook format and can be used for training of students of geriatric mental health. Individual chapters can be used as references on a particular topic for interested individuals, and obtained online. Clinicians and researchers who are dedicated to the treatment and study of mood disorders in older people might consider this volume an essential part of their library.

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 "

Anthroposophical medicine recognizes the individuality of each human being. This philosophy is central to care for the elderly where it is important to see beyond the outer ageing body, and to ensure dignity for all. This book describes particular approaches for professional nurses and carers, as well as offering practical care plans. While care cannot itself heal, it can provide the basis for the healing process to work. This book will help those who work with the elderly with invaluable guidance and advice.

The undisputed leader on the subject of geriatrics-updated to reflect the most recent advances in the field The leading text on the subject of geriatrics, this comprehensive guide combines gerontology principles with clinical geriatrics, offering unmatched coverage of this area of medicine. Anchored in evidence-based medicine and patient-centered practice, Hazzard's Geriatric Medicine and Gerontology presents the most up-to-date, medical information available. This updated eighth edition reflects the continued growth and increasing sophistication of geriatrics as a defined medical discipline. The book focuses on the implementation of key concepts and covers the foundation for geriatrics, as well as frequently encountered syndromes found in older adults. In addition, it provides valuable insights into the simultaneous management of multiple conditions, including psychological and social issues and their interactions, an intrinsic aspect of geriatric patient care. Features: A greater emphasize on the growing knowledge base for key topics in the field, including gerontology, geriatrics, geriatric conditions, and palliative medicine NEW chapters on: Social Determinants of Health, Health Disparities and Health Equity Age Friendly Care Geriatrics Around the World The Patient Perspective Substance Use and Disorders Applied Clinical Geroscience Managing the Care of Patients with Multiple Chronic Conditions UPDATED contributions from a respected and diverse team of geriatricians and subspecialists to reflect clinical breakthroughs and advances NEW: Extensive coverage of the COVID-19 pandemic and its impact on vulnerable older adults Updated Learning Objectives and Key Clinical Points Hundreds of full-color images A Doody's Core Title for 2022!

This book gathers current research from across the globe in the study of cancer in the elderly. Topics discussed include cancer-related fatigue in elderly patients; rectal cancer staging; hormone therapy treatment in elderly patients with hormone-sensitive breast cancer; age and gender-related risk for oral cancer; cancer treatment for patients with Alzheimer's disease and oesophageal cancer in the elderly.

With the goal of alleviating the paucity of knowledge about advanced dementia, and helping to improve the care and services that are increasingly needed for the growing numbers of people living with dementia-type diseases, this book provides evidence-based measurement scales for use by researchers and care providers who are seeking to improve our understanding of the final stages of this disease. Now collected in a single place are the best available research tools for use with this unique population, accompanied by knowledgeable reviews by the book's internationally recognized authors and by the original journal articles that explain each scale s development and validity. All scales presented in this unique resource have been proven effective in eliciting meaningful data from study subjects, patients, and long-term care residents whose communication difficulties reduce their ability to self-report or respond in traditionally measured ways. These customized scales are useful for assessing the following domains in late-stage or end-of-life dementia care: Dementia severity, Satisfaction with care, Symptom management, Comfort during dying, Quality of life, Activity involvement, Discomfort, Pain, Quality of visits, Agitation, Rejection of care

The Oxford Specialist Handbooks series provides readers with clear, concise information on all that is needed to successfully train in the medical sub-specialties. Each book gives an overview of clearly defined procedures, skills, guidelines, and technologies and provides practical tips and case studies to supplement hands-on experience. Where appropriate, each book complements the revised curriculum as developed by the Specialist Advisory Committees.
Dementia is a growing issue, exacerbated by improvements in health care which have led to an ageing population; currently three quarters of a million people suffer from dementia in the UK, and this is expected to rise to 1.8 million by 2050. This book concentrates on advanced disease and addresses issues such as pain management, decision-making, spiritual needs, communication, the Mental Health Capacity Act, dementia in the younger patient, and the carer's perspective.
Written by specialists, this book will be invaluable for doctors and nurses involved in palliative medicine, geriatrics, and old-age psychiatry, and the generalist who treats the patient with dementia.

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.

This eighth edition of Dr Reichel's formative text remains the go-to guide for practicing physicians and allied health staff confronted with the unique problems of an increasing elderly population. Fully updated and revised, it provides a practical guide for all health specialists, emphasizing the clinical management of the elderly patient with simple to complex problems. Featuring four new chapters and the incorporation of geriatric emergency medicine into chapters. The book begins with a general approach to the management of older adults, followed by a review of common geriatric syndromes, and proceeding to an organ-based review of care. The final section addresses principles of care, including care in special situations, psychosocial aspects of our aging society, and organization of care. Particular emphasis is placed on cost-effective, patient-centered care, including a discussion of the Choosing Wisely campaign. A must-read for all practitioners seeking practical and relevant information in a comprehensive format.

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.

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 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.

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.

Handbook of Counseling and Psychotherapy with Older Adults

Older adults are the fastest-growing segment of society and are entering therapy at an unprecedented rate. Editor Michael Duffy has brought together leading experts in geropsychology and older adult counseling to discuss and offer practice strategies appropriate for this diverse population. The Handbook covers new research findings for clinical treatment, coverage of multiple treatment modalities, and clinical problems confronting older clients, including:

• Adjusting to role loss, leisure in late life, and retirement
• Developmental issues in psychotherapy with older men
• Existential issues of hope and meaning in late life therapy
• Developing and enhancing the therapeutic alliance with older clients
• The impact of cultural differences in psychotherapy with older clients
• Using reminiscence and life review as natural therapeutic strategies in groups
• Integrated group approaches with early stage Alzheimer's and their families
• Family disruption after nursing home placement of onset of dementia patients: systemic dynamics and treatment
• Realizing power in intergenerational family hierarchies: when older adults decline

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.

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.

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.

While modern Americans strive to control nearly every aspect of their lives, many of us abandon control of life's final passage. But the realities of twenty-first-century medicine will allow most of us to have a say in how, when, and where we die, so we need to make decisions here, too. Through compelling real-life stories and practical guidance, this book helps readers navigate end-of-life care for themselves and their loved ones.

"The Better End" is about hope, empowerment, and inspiration. What we choose for our end-of-life care depends on accurate information and on our personal values. We need not only to understand new medical advances but also to appreciate the wisdom of humanity's past and present.

Dan Morhaim, a practicing physician and Maryland state legislator, guides readers through the medical and legal maze of end-of-life care. He details the care choices available to patients and explains why living wills and advance directives are a necessity for every American. He tells readers where to find free and readily available living wills and advance directives and why it is so important for everyone--young and old--to complete them.

Dr. Morhaim helps readers keep decisions in their own hands and spare their families the uncertainty and trauma of guessing about their end-of-life wishes. With this book, he breaks down the barriers to a difficult but essential topic, helping readers to open this often avoided discussion with their loved ones and providing the information and guidance needed to ensure that deeply held values are reflected and honored.

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."

This book aims to be a single point of reference for advances in the care of geriatric populations across medical and surgical specialties. The aging population is a unique demographic with its own health challenges. Geriatricians are specifically trained to address these challenges but few medical students or residents enter geriatrics, even as the demand for geriatric expertise increases. The practices of many medical and surgical specialists are dominated by older patients who may themselves see many specialists but rarely visit geriatricians. This updated edition elucidates the most common medical conditions seen in aging patients and translates approaches to those conditions for physicians across specialties. Divided into three sections that assemble crosscutting issues, medical specialties, and surgical and related specialties, this book serves as a guide for clinicians of all backgrounds who will work with older patients as the demographic ages further. This second edition of Geriatrics for Specialists expands the number of specialist chapters to reflect growth in research in aging and clinical care for older people in dermatology, plastic surgery, and behavioral neurology. All original chapters from the first edition are extensively revised and updated to reflect the rapid growth of new knowledge in the field.

The global population is aging rapidly, and as a result emergency abdominal surgery for acute abdomen in the elderly has become a global issue. Demographic changes in the population have also altered the profile of emergency abdominal surgery, with typical causes of acute abdomen in the elderly including acute cholecystitis, incarcerated hernia, bowel obstruction and appendicitis. In these patients, recovery from surgery is often complicated, leading to longer hospital stays compared with younger patients. Laparoscopy in the emergency setting is well established and offers a number of advantages over open surgical approaches, such as reduced postoperative pain, length of hospital stay and complication rates. While laparoscopic surgery for acute diverticulitis has become more widespread, in other conditions, like small bowel obstruction and perforated peptic ulcer, laparotomy is still used in about 70% of cases. Further, despite the urgent need for knowledge regarding surgical treatment of acute abdomen in the elderly, there is still a lack of evidence in this relevant clinical field.This book analyzes the management strategies and critically evaluates the outcomes of laparoscopic emergency surgery for acute abdomen in the elderly according to the principles of evidence-based medicine. Discussing each topic clearly, and promoting the use of emergency laparoscopy in elderly patients, the book is intended for young general surgeons and surgeons in training with at least a basic knowledge of surgery for acute abdomen. It is also useful as a quick reference tool during on-call shifts.