Over the past two decades there has been a marked change in global age demographics, with the number of over-60s increasing by 82% and the number of centenarians by 715%. This new-found longevity is testament to the success of recent advances in medicine, but poses significant challenges to multiple areas of health care concerning older patients. Building upon its predecessor's reputation as the definitive resource on the subject, this new edition of the Oxford Textbook of Geriatric Medicine offers a comprehensive and multinational examination of the field. Fully revised to reflect the current state of geriatric medicine, it examines the medical and scientific basis of clinical issues, as well as the ethical, legal, and socio-economic concerns for healthcare policy and systems. Over 170 chapters are broken up into 16 key sections, covering topics ranging from policy and key concepts through to infection, cancer, palliative medicine, and healthy ageing. New material includes focus on the evolving concepts of malnutrition, sarcopenia, frailty, and related geriatric syndromes and integration of geriatric principles from public health, primary and specialized care, and transitional stages from home to emergency, medicine and surgery, rehabilitation, and long term care. The Oxford Textbook of Geriatric Medicine brings together specialists from across the globe to provide every physician involved in the care of older patients with a comprehensive resource on all the clinical problems they are likely to encounter, as well as on related psychological, philosophical, and social issues.

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.

Die demographische Entwicklung prophezeit uns: Wir werden alle alter. Die hinzugewonnene Lebenszeit kann aber oft ein Leben mit Krankheit, Behinderung und der Pflegeabhangigkeit von anderen Menschen sein. Das Buch zeigt das Leben mit einer dementiellen Erkrankung und dient als praxisorientierter Leitfaden fur das Zusammenleben mit von Demenz betroffenen Personen. Klar und verstandlich werden die Ursachen der Erkrankung sowie Moeglichkeiten fur Diagnostik und Therapie besprochen. Fachleute aus den Bereichen Medizin, Pflege, Psychologie und Angehoerigenbetreuung geben praxisrelevante Loesungen, fur die im Verlauf der Erkrankung auftretenden Probleme, vom Erkennen der ersten Symptome bis hin zum Abschiednehmen. Die zweite Auflage wurde komplett aktualisiert und uberarbeitet, erganzt wurden Kapitel zur Demenz aus der Sicht der Betroffenen sowie zur Sexualitat im Alter. Professionelle Helfer der Altenpflege sowie Betroffene und deren Angehoerige erhalten einen detaillierten UEberblick zur Betreuung und Versorgung von dementiell erkrankten Menschen.

Urs Kalbermatten und Ladislav Valach ubertragen Handlungstheorie erfolgreich auf angewandte Forschung und verschiedene Praxisfelder in Gerontologie, Paarbeziehungen im Alter, Lebensubergange, Beratung, Psychotherapie, Pravention und Rehabilitation. Sie belegen mit ihrer vierzigjahrigen Weiterentwicklung handlungstheoretischerKonzepte und Modelle, wie diese eine bessere Konzeptualisierung von Praxisfeldern, eine wirkungsvolle praktische Tatigkeit und auch eine evidenzbasierte, theoriegestutzte Intervention ermoeglicht.

The Health Services Executive (HSE (TM)): Tools for Leading Long-Term Care and Senior Living Organizations serves as a contemporary and comprehensive resource that addresses each of the core professional domains of practice and leadership essentials for long-term care administration students and professionals. With sections dedicated to post-acute care settings, operations, leadership and management, this textbook covers information pertinent to the spectrum of senior living service lines - from inpatient rehab facilities, long term acute care hospitals, nursing homes, assisted living and residential care communities to home-and-community-based services. It is a practical reference for both undergraduate and graduate students preparing to enter the field of long-term care administration and leadership, for professionals transitioning to another line of post-acute service. The textbook begins with a thorough history of the field, including the development of senior services in the United States. Section I then describes the components of customer care, supports, and services before transitioning into Section II, which addresses operations, including the core practice domains of effectively managing human resources, finances, and the environment. Section III offers a framework for leadership, covering strategic thinking and innovation, marketing and public relations, critical thinking and operation practice, working with people throughout the long-term care team, customer service, and personal development. Case examples, discussion questions, leadership essentials, high-impact practices, key points, and NAB domain competencies conclude each chapter. Written by two highly experienced long-term care administrators, this textbook is intended for those preparing for the examinations administered by the National Association of Long-Term Care Administrator Boards (NAB) for the HSE (TM) qualification or licensure for individual lines of service, such as for Nursing Home Administration (NHA), Residential Care and Assisted Living (RC/AL) and Home-and-Community-based Services (HCBS). Key Features: Provides best practices for leadership and management across the continuum of long-term care and senior living services Covers all five NAB professional practice domains - Customer Care, Supports and Services, Human Resources, Finance, Environment, and Leadership and Management Includes case problems, discussion questions and more to foster critical thinking and decision-making skills Offers coverage of the most unique differences among service lines that are part of the HSE (TM) initiative Insightful quotes from industry leaders woven throughout chapters for practical tips and words of wisdom Comes with access to a fully downloadable eBook, as well as a full suite of instructor resources including PowerPoint slides and a test bank

Medical issues typically presented by seniors, disabilities that accompany the aging process, and nursing home situations are addressed throughout so as to give clinicians the facts they need to work with elderly clients. All major drug classes receive comprehensive coverage: antidepressants, antipsychotics, anxiolytics, mood stabilizers, and cognitive enhancers. For each class, Sadavoy addresses the impact that changes in human physiology have on the standard directives for prescription and the necessary warnings regarding side effects and cross-indication. A wide range of disorders is addressed with particular emphasis on disturbances and disorders that are encountered when treating the mental health of the elderly: Alzheimer's Disease and other forms of dementia, behavioral disturbances, anxiety and depression, mania and other mood disorders, and various forms and presentations of psychosis. The comprehensive presentation of dispensing directions is rigorously based on the most current research and accepted clinical practice. Psychotropic Drugs and the Elderly: Fast Facts is organized in the same format as Norton's other titles in the highly successful "Fast Facts" series with individual chapters devoted to classes of medications and all critical information presented in easy-to-read tables and charts. With authoritative content and a well-planned presentation, this handy guide is essential reading for physicians, psychogeriatricians and all mental health professionals who treat the elderly.

This text provides a comprehensive, state of the art review of this field and will serve as a resource for urologists, colorectal surgeons, geriatricians, and gynecologists as well as researchers interested in neuromuscular phenomena in the pelvis. The book also reviews new data regarding risk factors for pelvic floor muscle dysfunction and profiles new minimally invasive surgical strategies for well known pelvic disease processes. Each chapter is chock full of data from landmark trials which have been published over the past few years and placed in context with respect to current management techniques for pelvic floor disorders. Written by experts in their field, Pelvic Floor Dysfunction and Pelvic Surgery in the Elderly: An Integrated Approach provides a concise yet comprehensive summary to help guide patient management.

Die Autoren stellen eine Untersuchung der Bedarfslagen von Menschen mit Demenz (MmD) vor, die eine umfangreiche Analyse von Behandlungsdokumenten gerontopsychiatrischer Patienten, Experteninterviews sowie eine Befragung von einweisenden Hausarzten umfasst. Haufig liegt der Schwerpunkt der sozialen, pflegerischen und/oder medizinischen Bedarfslagen an der ambulant-stationaren Schnittstelle. Die genannten Aspekte bilden in ihrer Komplexitat und ihrem Zusammenspiel das dynamische Konzept der Dementia Care Sensitive Demands (DCSD). Dieses Konzept kann Akteuren verschiedener Berufe, die an der Versorgung von MmD beteiligt sind, eine strukturierte Analyse der Bedarfe und ihres komplexen Zusammenwirkens ermoeglichen und eine multiprofessionelle Zusammenarbeit darstellbar machen.

Reingard Lange beleuchtet vier Bereiche der sozialen Vernetzung bei Menschen mit beginnender Demenz: im engsten sozialen Umfeld, zusammen mit Profis bzw. Hilfeorganisationen, im Gemeinwesen und mit anderen gleichermassen Betroffenen. In Gruppengesprachen beschreiben Menschen mit beginnender Demenz und Angehoerige die Veranderungen, die die Erkrankung mit sich bringt und die Bedeutung der Vernetzung als Ressource. In der Auswertung der Gesprache werden Spannungsfelder und hilfreiche Differenzierungen erkennbar. Die Studie gibt praxistaugliche Handlungsempfehlungen, wie Vernetzung als Zusammenleben und Zusammenwirken von und fur Menschen mit Demenz und ihre Angehoerigen gestaltet werden kann.

This book describes the changes in the brain and in cognitive functions that occur with aging in the absence of a neurological, psychiatric, or medical disease. It discusses aging-related changes in many brain functions, including memory, language, sensory perception, motor function, creativity, attention, executive functions, emotions and mood. The neural mechanisms that may account for specific aging-related changes in cognition, perception and behavior are explored, as well as the means by which aging-related cognitive decrements can be managed and possibly ameliorated. Consequently, this book will be of value to clinicians, including neurologists, psychiatrists, geriatricians, primary care physicians, psychologists and speech-language pathologists. In addition, researchers and graduate students who want to learn about the aging brain will find this an indispensable guide.

In the 7 years since the first edition of Clinical Manual of Geriatric Psychopharmacology was published, dozens of new drugs have been released, and older medications have been marketed in different formulations. In addition, research on pharmacokinetics, pharmacodynamics and mechanism of action, potential interactions, and other critical topics has proceeded apace, rendering much of the information in existing guides obsolete. This new volume is both comprehensive and completely up to date, offering information unavailable elsewhere.

- New drugs covered include asenapine, paliperidone, iloperidone, lurasidone, desvenlafaxine, vilazodone, long-acting trazodone, milnacipran, armodafinil, extended-release valproate, rotigotine transdermal, tetrabenazine, dextromethorphan, long-acting gabapentin, and transdermal buprenorphine.- Each chapter has a standardized format, with topics including pharmacokinetics, pharmacodynamics and mechanism of action, drug interactions, clinical use (which addresses choice of drug, alternative formulations/routes, pre-treatment evaluation, dose and dose titration, PRN use, monitoring treatment, drug levels, managing treatment resistance, switching drugs, duration of treatment, discontinuation, and overdose), adverse effects, and treatment of selected syndromes and disorders.- Dozens of tables, boxes, and figures organize and present complex material, such as practice guidelines, in a straightforward manner that is easy to understand and apply, and the concise, bulleted text facilitates reading and comprehension in the clinical setting.- "Specific Drug Summaries" -- one-page summaries of prescribing information for individual drugs -- provide fast access to critical information in a simple format.

Designed for residents, fellows, and all clinicians in psychiatry and medicine who diagnose and treat psychiatric and neuropsychiatric conditions affecting geriatric patients, this clinical reference can be used across all treatment settings (inpatient, outpatient, day hospital, consultation, and nursing home). Meticulously referenced and grounded in the latest research, Clinical Manual of Geriatric Psychopharmacology, Second Edition, is the definitive guide to psychotropic use in elderly patients. Clinicians can rely confidently on its up-to-date coverage and authoritative counsel.

Dieses essential ist eine wertvolle Orientierungshilfe zum Thema Sexualstrafrecht fur Menschen in Pflegeberufen in der Aus-, Fort- und Weiterbildung. Ulf Haakon Dammann liefert eine kompakte UEbersicht uber Erkenntnismerkmale, Definitionen und Beispiele sowie Verhaltensweisen im Umgang mit Opfern (sexueller) Gewalt. Der Autor erlautert wesentliche Aspekte des Sexualstrafrechts in Deutschland und bereitet diese als Praxistipps fur Menschen in Pflegeberufen auf.

Wie geht es dir - Wie geht es mir: Rat und Tat fur pflegende Angehoerige mit empathischen und leicht verstandlichen Antworten auf die wichtigsten Fragen. Die Autorin kennt die Probleme und Fragen durch ihre jahrelange Tatigkeit als Leiterin von Angehoerigenkursen. Praxisnah erlautert sie die pflegerischen Grundlagen wie Grundpflege, Ernahrung, Lagerung, Krankenbeobachtung, Vorbeugung vor Zweiterkrankungen, Dekubitus- und Wundversorgung etc. Zusatzlich gibt sie Tipps zur Pflege und zum Umgang mit dem MDK, ambulanten Pflegediensten und anderen Dienstleistern. Das Pflegewissen ist in kurzen Checklisten zusammengefasst. Im praktischen Anhang: Adressen von Selbsthilfegruppen, Formulare und ein Lexikon medizinischer und pflegerischer Fachbegriffe.

Martina Bogensberger rekonstruiert die Erfahrungsraume der Mitarbeiter und Mitarbeiterinnen in der mobilen Pflege mit Personen mit Demenz anhand der dokumentarischen Methode nach Ralf Bohnsack. In funf Gruppendiskussionen werden die Handlungspraktiken im Arbeitsalltag des Pflegepersonals dargestellt. Die Haupttypologie "Vom Phantom zur Mutter" zeigt die Interaktionsmuster der Pflegenden. Die Ergebnisse machen deutlich, dass die Arbeit mit Angehoerigen von Personen mit Demenz fur die betreuenden Personen eine UEberforderung darstellt und eine personelle Trennung von Pflegetatigkeiten und Angehoerigenarbeit erforderlich ist. Sowohl fur den Wissenstransfer von Fortbildungsinhalten in die alltagliche Arbeit als auch fur die Fursorge der betreuenden Mitarbeiter und Mitarbeiterinnen sollte eigenes Personal bereitgestellt werden.

Die Gedachtnistrainerin Annemarie Frick-Salzmann beschreibt, wie unser Gedachtnis funktioniert und welche Gehirnregionen fur einzelne Gedachtnissysteme relevant sind. Sie beantwortet oft gestellte Fragen wie z.B. "Wie sehr koennen wir uns auf unsere Erinnerungen verlassen? Was koennen Ursachen fur falsche Erinnerungen sein? Warum haben Vergessen und Gedachtnispannen auch positive Seiten?" Gut nachvollziehbar widerlegt sie das Vorurteil uber die Vergesslichkeit alternder Menschen. Sie gibt dem Leser Hinweise zum Lernen und Informationen anhand ausgewahlter Texte zu Gehirnregionen und Funktionssystemen. Die Autorin stellt komplexe Sachverhalte einfach und verstandlich dar und zeigt, dass wir uns dank der Plastizitat unseres Gehirns neuen Situationen anpassen und bis ins hohe Alter lernen koennen.