Dementia is increasingly being recognised as a public health priority and poses one of the largest challenges we face as a society. At the same time, there is a growing awareness that the quest for a cure for Alzheimer's disease and other causes of dementia needs to be complemented by efforts to improve the lives of people with dementia. To gain a better understanding of dementia and of how to organize dementia care, there is a need to bring together insights from many different disciplines. Filling this knowledge gap, this book provides an integrated view on dementia resulting from extensive discussions between world experts from different fields, including medicine, social psychology, nursing, economics and literary studies. Working towards a development of integrative policies focused on social inclusion and quality of life, Dementia and Society reminds the reader that a better future for persons with dementia is a collective responsibility.

With an increasing global ageing population, the psychiatry of old age has become increasingly important. This revised second edition remains a succinct manual on the practice of psychiatry of old age, providing an up-to-date summary of existing knowledge, best practice and future challenges for the specialty, from a global perspective. Written by four leading clinicians, teachers and researchers, the book offers a much-needed international focus and is designed for use in a wide variety of countries and settings. Chapters are presented in a clear and practical way, enhanced by current and comprehensive further reading sections as well as tables and diagrams for quick assimilation and reference. The new edition is updated to incorporate new developments in assessment, investigation, classification, treatment and care since the publication of the first edition, including the ICD-11 and DSM-5. Essential reading for practising psychiatrists and geriatricians, as well as trainees, nurses and medical students.

The growing proportion of older people in Western countries means that the proper provision of suitable care facilities is of increasing importance. This timely new book is based on solid practical research carried out over 12 years in over 300 different establishments, and offers a conceptual framework for evaluating group residences for older adults, and new procedures for measuring their quality. It also proposes guidelines for designing new facilities as well as improving existing facilities.

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.

Globally, EDs face new challenges as the world's population ages. Visits from older people are predicted to rise for the next 20 years. This practical and accessible book provides essential guidance on assessing the ED care of older patients - and improving it. It assists ED teams to implement changes tailored to their unique environments, providing guidance across all settings regardless of size, location or resources. Experience- and evidence-based elements combine to guide best practices for older patient flow, staff and patient satisfaction, and improving patient health outcomes. The book features proven ideas for creating a geriatric ED such as specific staff training, modifying job roles, implementing new care processes, and adapting physical spaces. An invaluable resource for practising ED clinicians, leaders, administrators, educators, and system change leaders.

Your best tool to optimize patient care by minimizing restraint use Frontline nurses face fraught decisions every day about whether and how to use restraints in dementia care. They need to consider many complicated issues: legislation governing the use of restraints, the policies of health-care facilities, the expectations of families, and--most importantly--the well-being, dignity, and safety of patients and care providers. Frontline nurses need the right support to navigate decisions about restraint use. Dr. Atul Sunny Luthra and his colleagues have developed an algorithm to provide that support. Their work comes from focus-group consultations with frontline staff, a review of current literature on restraint use, and a clear summary of key legislation. The algorithm's systematic approach ensures restraints are a last-resort measure, and puts the right steps in place when restraints are necessary. This short guide includes: A review of nurses' perspectives on restraint use. Alternatives to restraints in patient management and assessment of clinical indicators for restraint use. Procedures to ensure informed consent when restraints are necessary. A reference on appropriate and inappropriate restraint use in everyday clinical situations.

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.

This book covers current controversies in women's health care. It takes a broad interdisciplinary approach to the subject. With topics ranging from the controversies in breast and cervical cancer screening, through osteoporosis and the menopause, to the relationships of older women with their doctors, it provides a well-rounded view of health care for older women. Each chapter has been written by an authority in that field and includes issues of current debate. The book is suitable both for students new to the area and for specialists wishing to read about the work of others in related fields, as well as being a useful source of information for general practitioners about the provision of women's health care from a primary care perspective.

Part of the What Do I Do Now? Psychiatry series, Geriatric Psychiatry offers comprehensive expertise for clinicians seeking answers for how to manage complex situations in geriatric psychiatry, with a focus on individuals with Alzheimer's disease and other neurocognitive disorders. This volume addresses conditions common to all psychiatric settings as well as features that must be factored into diagnosis and treatment in later life for anxiety, depression, psychosis, apathy, and agitation. Chapters feature brief clinical case vignettes and further resources for topics in neurocognitive disorders, anxiety disorders, mood disorders, psychotic disorders, and substance use in elderly patients. An authoritative guide for clinicians facing an aging population, Geriatric Psychiatry provides clear answers to some of the most complex situations in geriatric psychiatric care.

This book summarizes findings from the National Health and Nutrition Survey Epidemiologic Follow-up Study (NHEFS) for persons 55 years of age and older at initial examination. This is the first prospective study of health and health-related behaviour in a representative sample of the US population.Included in the follow-up study approximately 10 years later were all 14,407 participants who were examined at baseline in 1971-1974 (National Health and Nutrition Survey I-NHANES I). This book reports on the 5,215 individuals who were 55-74 years of age at baseline and who could be traced for further examination.The prospective nature of this research permits the authors to estimate the incidence of new disease, to examine changes in health related behaviour over time, and to access the probability of subsequent disease, given the presence of risk factors at baseline. Their analyses provide new insights into disease causation and outcome in an aging population in the US.

This book examines the worldwide growth of elderly populations and its consequences for future care, and the associated costs for this sector of the population. Living a longer life does not necessarily imply an improvement in the quality of life. Important issues concerning the overall quality of additional years gained through increase in life expectancy are addressed in this book. Progress in specific dimensions of wellbeing are described. Recent gains in knowledge are reviewed, together with advances in our understanding of falls, sensory disorders, mental health in old age, osteoporosis, incontinence, drug therapy and iatrogenic disorders. The book extends outside medical care to encompass the family, which is the key issue in developing countries, community care, nursing home and hospice care; health care services that are particularly appreciated by older people are described. It will provide readers with a knowledge base for developing policies and programs that will advance the wellbeing of the elderly people of the world.

Aufgrund der demographischen und oekonomischen Entwicklung erlangt die Behandlung geriatrischer Patienten steigende Bedeutung. Am Beispiel der Zentralen Notfallaufnahme am Klinikum Klagenfurt wird ein Modell fur eine spezifische geriatrische Notfallversorgung prasentiert, die hochbetagten multimorbiden Patienten gerecht wird. Das Buch spannt den Bogen von der hausarztlichen Akut- uber die intrahospitale Notfallversorgung bis zur Pflegeheimmedizin. Im medizinischen Bereich werden Schnittstellen zwischen eindimensionaler und geriatrischer Sicht beleuchtet. Weitere erfolgreiche Projekte aus D, A und CH, in denen durch organisatorische Veranderungen eine massive Auswirkung auf Patientenstroeme aus Pflegeheimen gezeigt wurde, vervollstandigen das Werk. Es richtet sich an Fuhrungskrafte mit gesundheitsoekonomischer Ausrichtung im Gesundheitswesen, an Pflegedienstleitungen, Mediziner (Geriater, Notfallmediziner und Hausarzte) und Studierende der Gesundheitsoekonomie/-management, Pflegewissenschaft und Public Health.

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 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.

Forensic pathologists and clinicians are increasingly faced with challenges when it comes to geriatric cases, due to an aging population and increased comorbidities in the elderly. This text provides an up-to-date guide to all facets of geriatric forensic pathology, with contributions from experts from a variety of disciplines. Packed with color illustrations and case examples, chapters cover inflicted, self-inflicted, and accidental trauma, as well as natural conditions leading to unexpected death. In addition, specific chapters cover a wide range of difficult and topical areas, from elder abuse, dementias, and nutrition to pharmacology and toxicology issues, long-term care facilities, and scene investigation. Topics such as euthanasia are also explored to provide the reader with a rich, contemporary understanding of medicolegal issues. This is an invaluable resource not only for pathologists, but also for medical practitioners and lawyers dealing with geriatric cases. The book comes packaged with online access to the text and high-resolution images.

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 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.

This book provides a comprehensive view of rational suicide in the elderly, a group that has nearly twice the rate of suicide when chronically ill than any other demographic. Its frame of reference does not endorse a single point-of-view about the legitimacy of rational suicide, which is evolving across societies with little guidance for geriatric mental health professionals. Instead, it serves as a resource for both those clinicians who agree that older people may rationally commit suicide and those who believe that this wish may require further assessment and treatment. The first chapters of the book provides an overview of rational suicide in the elderly, examining it through history and across cultures also addressing the special case of baby boomers. This book takes an ethical and philosophical look at whether suicide can truly be rational and whether the nearness of death in late-life adults means that suicide should be considered differently than in younger adults. Clinical criteria for rational suicide in the elderly are proposed in this book for the first time, as well as a guidelines for the psychosocial profile of an older adult who wants to commit rational suicide. Unlike any other book, this text examines the existential, psychological, and psychodynamic perspectives. A chapter on terminal mental illness and a consideration of suicide in that context and proposed interventions even without a diagnosable mental illness also plays a vital role in this book as these are key issues in within the question of suicide among the elderly. This book is the first to consider all preventative measures, including the spiritual as well as the psychotherapeutic, and pharmacologic. A commentary on modern society, aging, and rational suicide that ties all of these elements together, making this the ultimate guide for addressing suicide among the elderly. Rational Suicide in the Elderly is an excellent resource for all medical professionals with potentially suicidal patients, including geriatricians, geriatric and general psychiatrists, geriatric nurses, social workers, and public health officials.

A MacArthur Genius Grant recipient pioneers a radical change in how we interact with older loved ones, especially those experiencing dementia, as she introduces a proven method that uses the creative arts to bring light and joy to the lives of elders. In Creative Care, Anne Basting lays the groundwork for a widespread transformation in our approach to elder care and uses compelling, touching stories to inspire and guide us all-family, friends, and health professionals-in how to connect and interact with those living with dementia. A MacArthur Genius Grant recipient, Basting tells the story of how she pioneered a radical change in how we interact with our older loved ones. Now used around the world, this proven method has brought light and joy to the lives of elders-and those who care for them. Here, for the first time, everyone can learn these methods. Early in her career, Basting noticed a problem: today's elderly-especially those experiencing dementia and Alzheimer's- are often isolated in nursing homes or segregated in elder-care settings, making the final years of life feel lonely and devoid of meaning. To alleviate their sense of aloneness, Basting developed a radical approach that combines methods from the world of theater and improvisation with evidence-based therapies that connect people using their own creativity and imagination. Rooted in twenty-five years of research, these new techniques draw on core creative exercises-such as "Yes, and . . ." and "Beautiful Questions." This approach fosters storytelling and active listening, allowing elders to freely share ideas and stories without worrying about getting the details "correct." Basting's research has shown that these practices stimulate the brain and awaken the imagination to add wonder and awe to patients' daily lives-and provide them a means of connection, both with the world and with those caring for them. Creative Care promises to bring light and hope to a community that needs it most.

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.

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.

"The book will be valuable for undergraduate and postgraduate students, researchers and lecturers involved in the field of dementia care and the health-care sciences. Furthermore, it provides a useful resource for clinicians who wish to explore their understanding of 'personhood', person-centred care and the nature of Kitwood's critical appraisal of how 'care' should be constructed and delivered." Ageing and Society"Baldwin and Capstick have produced an honest appraisal that is undeniably a reader and critical commentary, and have not shirked from any responsibilities. ... This paperback would serve two distinct strands of readership equally well - those coming afresh to dementia care, or practitioners steeped in the concepts, who are looking to reanalyse and consider future developments. As such, it is difficult to underestimate its value." Nursing in Practice How does Kitwood's work contribute to our understanding of 'the dementing process' and the essentials of quality care?How was Kitwood's thinking about dementia influenced by the wider context of his work in theology, psychology and biochemistry?What is the relevance today of key themes and issues in Kitwood's work? Tom Kitwood was one of the most influential writers on dementia of the last 20 years. Key concepts and approaches from his work on person-centred care and well-being in dementia have gained international recognition and shaped much current thinking about practice development. The complexities of Kitwood's work and the development of his thinking over time have, however, received less attention. This Reader brings together twenty original publications by Kitwood which span the entire period of his writing on dementia, and the different audiences for whom he wrote.Almost ten years after Kitwood's death, it is now timely to review his contribution to the field of dementia studies in the light of more recent developments and from a critical and interdisciplinary perspective. The introduction to this Reader summarises and problematises some of the key characteristics of Kitwood's writing. Each of the four themed sections begins with a commentary offering a balanced consideration of the strengths of Kitwood's work, but also of its limitations and oversights. The Reader also includes a biography and annotated bibliography.Tom Kitwood on Dementia: A Reader and Critical Commentary is key reading for students of social work or mental health nursing, with an interest in dementia care. Professionals working with people with dementia will also find it invaluable.Additional Contributors: Habib Chaudhury, Deborah O'Connor, Alison Phinney, Barbara Purves, Ruth Bartlett.

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.

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.

As the aging population continues to increase, so does the need for a text specific to the specialized care of the elderly patient as it applies to the physical therapist assistant student, faculty, and clinician. Geriatric Rehabilitation: A Textbook for the Physical Therapist Assistant, recognizes the growing role of the PTA in a variety of heath care settings from acute to home to long-term care settings, to name a few. Inside Geriatric Rehabilitation, Dr. Jennifer Bottomley, along with her contributors, focuses on the clinically relevant assessment, treatment, and management of the geriatric population. Pathological manifestations commonly seen in the elderly patient are addressed from a systems perspective, as well as a focus on what is seen clinically and how it affects function. Each pathological area covered includes: Screening, assessment, and evaluation Treatment prescription Goal setting Modification of treatment Anticipated outcomes Psychosocial, pharmacological, and nutritional elements The organization and presentation of the practical, hands-on components of interventions, assessments, and decision-making skills make this a go-to text for the PTA to administer comprehensive geriatric care at each point along the continuum of care. Some of the features inside include: Emphasis on treatment interventions-techniques, tips, and options Focus on how assessment tools and treatments are applied and modified to benefit the geriatric population, and what the expected outcomes are Clear and outlined chapter objectives User-friendly summary tables in the nutritional and pharmacology chapters Pearls that highlight important chapter information Appendices and study aids Geriatric Rehabilitation: A Textbook for the Physical Therapist Assistant answers the call for a text that focuses on the management of geriatric patients across the spectrum of care for the PTA, from students to those practicing in geriatric populations.