Osteoporosis currently affects 25 million people in the United States, and as the baby boomers enter their fifties, this bone-weakening disease is poised to strike millions more. Because of this disease, many older people will suffer from a bone fracture at some point , and far too many of these fractures will result in permanent disability. The good news is that this devastating "silent epidemic" is entirely preventable, and in The Osteoporosis Book, readers of all ages will find everything they need to know to slow, stop, and even reverse the bone loss that causes this crippling disease. Written by Dr. Nancy E. Lane, a leading investigator and clinician in the field of osteoporosis, it is an indispensable guide to the exciting medical breakthroughs that have taken place in the past few years--in bone density measurement, in estrogen therapy, and in our knowledge of the bone cycle--that now allow doctors to predict who is at risk and to monitor these individuals in their fifties, before a fracture occurs. Readers learn to evaluate--and whenever possible, eliminate--the risk factors in their own lives. "What vitamins should I take? Is hormone replacement therapy right for me? And what about exercise?" The answers are here. And for those already affected by osteoporosis, Dr. Lane provides the most effective and up-to-date medical and practical advice available anywhere for coping with its aches and pains and safeguarding against further deterioration. Impeccably researched and reassuringly accessible, The Osteoporosis Book empowers readers to make informed healthcare choices that will enhance the quality of their lives for decades to come. It has been endorsed by the National Osteoporosis Foundation.

There is a near-universal folk saying that everyone wishes to live a good long life, but no one wishes for old age. More contemporarily, the rock and roll band, Little Feat, sang, "You know that you're over the hill when your mind's making promises your body can't fill. " This book is about the good long life. It is a book about primary prevention strategies in the aging process; it is not about preventing that process. It is not about being old. Instead, it is about the things that individuals - and the helping professionals who provide them with counsel and assistance - can do to prevent the preventable problems of advancing age, and to better manage those changes in functioning that cannot be prevented. In short, it is about extending all our capacities to the fullest so that we can better keep all those promises that we make to ourselves and others. Aging is a life-long process. We focus here on the changes that are taking place in our selves and in our society as we age. In particular, we focus on what we can do to affect these changes by the choices we make and how we live. This book offers primary prevention strategies for mature and older adults, with the recognition that mature adulthood starts as soon as we are old enough to truly appreciate our active role in our own aging processes.

This text highlights good practice in elderly care and identifies useful approaches, with examples of where these exist. There is consideration of issues involved in the new Community Care Act, especially the assessment of need and access to services. The overall empha sis is on the quality of health care, the relevant contributions of clinical audit, and other quality assurance initiatives.;It should be of interest to geriatricians and other staff involved in health care of the elderly.

As the population of aged people increases throughout the world, the need for comprehensive, integrated geriatric care is rapidly becoming a high priority. Developed from an education program in clinical geriatrics offered through the Division on Aging of the Harvard Medical School, this authoritative text provides broad, interdisciplinary coverage of geriatric health care. The book incorporates the theory and skill needed for many disciplines to work together effectively. It integrates the various topics covered by way of section introductions, cross-references within chapters, a case study and case conference, and an introductory chapter of discussions among a panel of aged people. With contributions from a wide range of experts, this book teaches an interdisciplinary perspective on the aged and their health care, and examines the working relationships among the many professionals providing care for the aged.

The latest addition to the Evidence-Based Book series, "Evidence-Based Geriatric Medicine" provides non-geriatrician clinicians an overview of key topics central to the care of the older patient. This guide focuses on the management of common problems in the elderly taking into account their life situations as well as treatment of specific conditions. Leading geriatricians with expertise in evidence-based medicine utilize the best available evidence and present this information in a concise, easy-to-use, question-based format. "Evidence-Based Geriatric Medicine" is a unique guide to the optimum management of older patients.

Gerontological nursing remains a critical specialty area for the profession of nursing, especially as the older adult population grows. The Fifth Edition of Gerontological Nursing: Competencies for Care takes a holistic approach and teaches students how to provide quality patient care for the older adult, preparing them to effectively care for this population. Students and faculty appreciate the practical approach as well as the author's logical organization of competency-based content both of which are a hallmark of this text. Following the framework outlined by the AACN's recommended baccalaureate competencies and curricular guidelines for the care of older adults, the text guides students through the core foundations of gerontological nursing as a specialty. The Fifth Edition emphasizes these essential competencies coupled with the management of geriatric syndromes that impact this population including falls, sleep disorders, depression/anxiety, and elder abuse. Key Features: * Practical information on dementia for nurses and caregivers * Expanded content on fall prevention * New content on COVID-19 and telehealth care * "Healthy Aging Tips" found throughout the text * Updated research highlights * Critical thinking and personal reflection exercises * Video case studies in the form of author-conducted interviews accessible via Navigate Premier Access

The third volume in the series on community health care in Southern Africa covers both theoretical and practical issues of gerontological health care. A wide range of topics are discussed, including the physical and psychological changes that occur during the ageing process, ethical and legal questions affecting the aged, medication, exercise and nutrition, and the need for community-based health services as well as home nursing care facilities. Intended as a textbook for students of community health nursing, it should also serve as a source of reference for health personnel involved in caring for the aged.

Current Challenges and Management of Disease in the Elderly Population is a comprehensive insight into the diseases and their management in elderly population during ageing. The book provides information on the development in understanding, diagnosis and management of major diseases through biological and technological interventions. Non-communicable diseases currently infesting old age population will have a huge epidemiological burden on the health care system in near future. Middle- and high-income countries warrant sincere efforts to provide information on the current challenges and management of disease in elderly population in health care professionals and social organizations related to the health of society. The book is a holistic approach by international authors from different fields on major diseases, which are predominantly increasing at an alarming rate in old age population around the globe. The first chapter provides information on stem cells involved in the regulation of cell homeostasis by process of DNA-based methylation/demethylation and regulating gene expression involved in cell fate to undergo apoptosis. The second chapter emphasizes the immunological decline in innate and adaptive immunity in ageing cells, which leads to decreased activity of T-cell and T-regulatory cells. The third, fourth and fifth chapters deal with chronic diseases like Type 2 Diabetes mellitus based neuropathy, different bone diseases in old age and involvement of Vitamin D in women's bone health in elderly population. The problem of Type 2 Diabetes mellitus based neuropathy is the result of unattended or poor medical interventions, therefore emphasis on this problem and its prevention is dealt with in detail. Further disease like osteoporosis, Paget disease, and Arthritis, which are very common in old age population and deficiency of Vitamin D, calcium, phosphorous in elderly women after menopause, where estrogen based hormonal deabsorbtion of Vitamin D lead to poor bone health, is detailed from mechanism, diagnosis, current challenges and future perspective of preventions. Ageing eye problems and associated challenges are incorporated with in depth information on dry eyes and vitreous detachment, glaucoma, age-related macular degeneration, and diabetic retinopathy, which leads to irreversible visual impairment or blindness, the details information on detection, treatment and prevention are discussed in Chapter 6. The task of detecting specific diseases is paramount for the treatment of neurodegenerative disease. Chapter 7 & 8 on biomarkers using omics technology and metalobomics provides complete information on the recent development in identification and analysis of metabolites and biomolecules using different technology platforms to detect the disease condition at an early stage. They also highlight challenges in the field that need to be addressed to overcome the problem of disease diagnosis for timely intervention. The majority of neurodegenerative disorders influencing the population above the age of 65 is mainly related to neurodegeneration and oxidative stress. Tthe last two chapters, 9 &10, of this book have tried to provide information related to mechanism of neurodegeneration in various neuronal disorders and the role of various plant flavanoids in prevention of disease onset, the effect on the choice of nutraceuticals and their role in brain heath and prevention from old age neuronal problems.

Historically, clinicians and researchers have focused on depression and dementia in older people, paying little attention to anxiety except as a complication of these disorders. However, increased research into late-life anxiety has seen a growth in scientific literature and clinical interest. This important book brings together international experts to provide a comprehensive overview of current knowledge in relation to anxiety in older people, highlighting gaps in both theory and practice, and pointing towards the future. Early chapters cover the broader aspects of anxiety disorders, including epidemiology, risk factors, diagnostic issues, association with insomnia, impaired daily functioning, suicidality, and increased use of healthcare services. The book then explores cross-cultural issues, clinical assessment, and pharmacological and psychological interventions across a variety of settings. An invaluable resource for mental health professionals caring for older people including researchers, psychiatrists, psychologists, specialist geriatric nurses and social workers.

The development of 'ageless' mental health services means that an increasing number of clinicians are now required to work with older people. Cognitive Behavioural Therapy is recognised by all recent meta-analyses as the most effective therapy, yet few clinicians are trained specifically in its usage with the elderly. This book is a detailed guide to using CBT with older people both with and without cognitive difficulties. Reviewing its use in different settings, it covers both conceptual and practical perspectives, and details everything from causes and initial assessment to case formulation and change techniques. Case studies in both depression and dementia are used to illustrate how CBT should work and how positive effects can manifest themselves. Suitable both for trainees and experienced therapists, this book will be essential for anybody using cognitive behavioural therapy in their work with older people, regardless of their clients' levels of cognitive ability.

Memory is typically thought of as a set of neural representations - 'memory traces' - that must be found and reactivated in order to be experienced. It is often suggested that 'memory traces' are represented by a hierarchically organized system of analyzers, modified, sharpened and differentiated by encounters with successive events. Remembering: An activity of mind and brain is the magnum opus of one of the leading figures in the psychology of memory. It sets out Fergus Craik's current view of human memory as a dynamic activity of mind and brain. The author argues that remembering should be understood as a system of active cognitive processes, similar to (perhaps identical to) the processes underlying attending, perceiving and thinking. Thus, encoding processes are essentially viewed as the mental activities involved in perceiving and understanding, and retrieval is described as the partial reactivation of these same processes. This account proposes that episodic and semantic memory should be thought of as levels in a continuum of specificity rather than as separate systems of memory. In addition, the book presents Craik's views on working memory and on age-related memory impairments. In the latter case the losses are attributed largely to a difficulty with the self-initiation of appropriate encoding and retrieval operations compensated, when needed, by support from the external environment. The development of these ideas is discussed throughout the book and illustrated substantially by experiments from the author's lab, but also by empirical and theoretical contributions from other researchers. A broad account of current ideas and findings in contemporary memory research, but viewed from the author's personal theoretical standpoint, Remembering: An activity of mind and brain will be essential for researchers, graduate and postdoctoral students working in the field of human memory.

This book provides family doctors with a wealth of evidence-based indications and tips regarding geriatric medicine and approaches for the management of older patients, to be applied in daily practice. After discussing old and new features of healthy ageing and the approaches required in Family Medicine Consultation, the text introduces key elements of geriatric medicine such as frailty, sarcopenia, and the comprehensive geriatric assessment (CGA), before describing a range of characteristics unique to older patients in different contexts, with a dedicated section on Palliative Care. The role of polypharmacy and the importance of quaternary prevention and deprescribing are also addressed. Finally, the book emphasizes both the importance of a humanistic approach in caring and the approach of research and meta-research in geriatrics. Though many texts explore the role of primary care professionals in geriatric medicine, the role of family doctors in older people care has not yet been clearly addressed, despite the growing burden of ageing, which has been dubbed the "silver tsunami." Family physicians care for individuals in the context of their family, community, and culture, respecting the autonomy of their patients. In negotiating management plans with their patients, family doctors integrate physical, psychological, social, cultural and existential factors, utilizing the knowledge and trust engendered by repeated visits. They do so by promoting health, preventing disease, providing cures, care, or palliation and promoting patient empowerment and self-management. This will likely become all the more important, since we are witnessing a global demographic shift and family doctors will be responsible for and involved in caring for a growing population of older patients. This book is intended for family medicine trainees and professionals, but can also be a useful tool for geriatricians, helping them to better understand some features of primary care and to more fruitfully interact with family doctors.

Entdecken Sie individuelle Kommunikationswege bei Demenz! Dieser Ratgeber hilft Angehoerigen und Pflegenden, die Starken eines demenzerkranken Menschen zu erkennen und individuelle Kommunikationswege auszuprobieren. Jeder Mensch mit Demenz ist einzigartig und jeder Krankheitsverlauf ist anders. Es gibt kein allgemeingultiges Patentrezept fur den Umgang mit den Betroffenen. Jedoch gibt es gute Herangehensweisen und verschiedene Kommunikationswege, um demenzerkrankte Menschen zu verstehen und Botschaften zu vermitteln. Dies machen die Autoren durch zahlreiche Praxistipps und Alltagsbeispiele deutlich. Eine angemessene Kommunikation entlastet Angehoerige wie Pflegende und steigert die Lebensqualitat des demenzkranken Menschen. Ein ermutigender Leitfaden fur Angehoerige, Ehrenamtliche und Fachkrafte.

We live in a time of change, an era where old men can be celebrated as elders who are valued but who are not demeaned if they become ill and dependent. Where we aim to maintain health but find dignity in frailty. Old Man Country helps readers see and imagine this change for themselves. The book follows the journey of a writer in search of wisdom, as he narrates encounters with twelve distinguished American men over 80 - including Paul Volcker, the former head of the Federal Reserve, and Denton Cooley, the world's most famous heart surgeon. In these and other intimate conversations, the book explores and honors the particular way that each man faces four challenges of living a good old age: Am I Still a Man? Do I Still Matter? What is the Meaning of My Life? Am I Loved? Readers will come to see how each man - even the most famous - faces challenges that are every man's challenges. Personal yet universal stories about work, love, sexuality, and hope mingle with stories about illness, loss and death. These stories will strengthen each of us as we anticipate and navigate our way through the passages of old age.

Social isolation and loneliness are serious yet underappreciated public health risks that affect a significant portion of the older adult population. Approximately one-quarter of community-dwelling Americans aged 65 and older are considered to be socially isolated, and a significant proportion of adults in the United States report feeling lonely. People who are 50 years of age or older are more likely to experience many of the risk factors that can cause or exacerbate social isolation or loneliness, such as living alone, the loss of family or friends, chronic illness, and sensory impairments. Over a life course, social isolation and loneliness may be episodic or chronic, depending upon an individual's circumstances and perceptions. A substantial body of evidence demonstrates that social isolation presents a major risk for premature mortality, comparable to other risk factors such as high blood pressure, smoking, or obesity. As older adults are particularly high-volume and high-frequency users of the health care system, there is an opportunity for health care professionals to identify, prevent, and mitigate the adverse health impacts of social isolation and loneliness in older adults. Social Isolation and Loneliness in Older Adults summarizes the evidence base and explores how social isolation and loneliness affect health and quality of life in adults aged 50 and older, particularly among low income, underserved, and vulnerable populations. This report makes recommendations specifically for clinical settings of health care to identify those who suffer the resultant negative health impacts of social isolation and loneliness and target interventions to improve their social conditions. Social Isolation and Loneliness in Older Adults considers clinical tools and methodologies, better education and training for the health care workforce, and dissemination and implementation that will be important for translating research into practice, especially as the evidence base for effective interventions continues to flourish. Table of Contents Front Matter Summary 1 Introduction 2 Evaluating the Evidence for the Impacts of Social Isolation, Loneliness, and Other Aspects of Social Connection on Mortality 3 Health Impacts of Social Isolation and Loneliness on Morbidity and Quality of Life 4 Risk and Protective Factors for Social Isolation and Loneliness 5 Mediators and Moderators 6 Assessment of Social Isolation and Loneliness in Research 7 Role of the Health Care System 8 Education and Training 9 Interventions 10 Dissemination and Implementation References Appendix A: Public Meeting Agendas Appendix B: Committee and Staff Biographies

Geriatric Psycho-Oncology is a comprehensive handbook that provides best practice models for the management of psychological, cognitive, and social outcomes of older adults living with cancer and their families. Chapters cover a wide range of topics including screening tools and interventions, psychiatric emergencies and disorders, physical symptom management, communication issues, and issues specific to common cancer sites. A resource section is appended to provide information on national services and programs. This book features contributions from experts designed to help clinicians review, anticipate and respond to emotional issues that often arise in the context of treating older cancer patients. Cross-references, succinct tables and figures make this concise reference easy to use. Geriatric Psycho-Oncology is an ideal resource for helping oncologists and nurses recognize when it may be best to refer patients to their mental health colleagues and for those who are establishing or adding psychosocial components to existing clinics.

The Oxford Textbook of Old Age Psychiatry, Third Edition, has been thoroughly updated to keep pace with the developments that have taken place in old age psychiatry since publication of the Second Edition in 2013, including the publication of the DSM-5/ICD-11 classification criteria. The Third Edition also includes new chapters on the ageing brain; the experience of dementia; carers' issues; biomarkers; and old age psychiatry in low- and middle-income countries. This new edition introduces two new co-editors, Robert Stewart, Professor of Psychiatric Epidemiology & Clinical Informatics at King's College London (and a Co-Editor of Practical Psychiatric Epidemiology), and John-Paul Taylor, Professor of Translational Dementia Research at Newcastle University. Part of the authoritative Oxford Textbooks in Psychiatry series, this comprehensive resource is an essential reference for old age psychiatrists, geriatricians, and other clinicians who are interested in the mental health care of older people.

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.

With an ageing population, there is little doubt that the majority of hospital-based consultants and their teams will care for older patients and the many complications this presents. This book provides an evidence-based guide for both trainees and consultants in geriatric medicine and those interested in geriatric medicine. Designed in line with the core Royal College curriculum, it provides a comprehensive and relevant guide to the issues seen in everyday geriatric medicine practice across the world. Presented in an easy-to-use double page spread format, highly bulleted and concise, Oxford Desk Reference: Geriatric Medicine is ideal for quick referral for both trainees and consultants. Contributions from the leading figures in geriatric medicine throughout the world make this book indispensable for all those working in the field, and for all those who have to deal with older patients.

As demographic trends shift toward an aging population, there is a growing need for improved mental health treatment for older adults. With depression as the leading mental health concern in later life, one of the greatest challenges for treatment providers is the wide variability of life circumstances that accompany depressive symptoms for clients across outpatient mental health, integrated primary care, and inpatient psychiatric settings. Treating Later-Life Depression: Clinician Guide outlines culturally responsive practices that target the contexts and drivers/antecedents of depression in middle-aged and older adults. Clinicians can choose research-supported modules from the accompanying Workbook that fit the needs of their clients (i.e. chronic pain, sleep problems, anxiety, experiences of loss). This practical guide reflects continuing international scientific and clinical advances in applying CBT to age-related problems using individual and group formats, with clinician-tested recommendations for telehealth practice. With the flexible clinical tools provided in this guide, practitioners can personalize the application of change strategies, including behavioral activation, relaxation training, self-compassion, cognitive reappraisal, and communication skills training among others. Case examples are also provided from a range of disciplines (e.g., clinical psychology, psychiatry, social work, counseling, marriage and family therapy, nursing, occupational therapy and recreational specialists) to illustrate application in busy clinical practices. The guide closes with aging-friendly assessment tools and other resources to support ongoing professional development. Treating Later-Life Depression, Clinician Guide is an indispensable resource for all behavioral health providers who wish to help diverse aging clients thrive effectively and efficiently in a daily life that is true to their values and personal strengths.

Ageing populations mean that palliative and end of life care for older people must assume greater priority. Indeed, there is an urgent need to improve the experiences of older people at the end of life, given that they have been identified as the 'disadvantaged dying'. To date, models of care are underpinned by the ideals of specialist palliative care which were developed to meet the needs of predominantly middle-aged and 'young old' people, and evidence suggests these may not be adequate for the older population group.
This book identifies ways forward for improving the end of life experiences of older people by taking an interdisciplinary and international approach. Providing a synergy between the currently disparate literature of gerontology and palliative care, a wide range of leading international experts contribute to discussions regarding priority areas in relation to ageing and end of life care. Some authors take a theoretical focus, others a very practical approach rooted in their clinical and research experience. The issues covered are diverse, as are the countries in which discussions are contextualised. Those working in both palliative care and gerontology will find the issues and advice discussed in this book hugely topical and of real practical value.

Geropsychology-the field of psychology concerned with the psychological, behavioral, biological, and social aspects of aging-has developed repidly in the past two decades, in response to the ever increasing aging population worldwide. This clinical casebook describes current best practice in managing complex cases involving common mental health issues in later life. It includes chapters by leading authorities in the field-experienced practitioners, researchers, and educators-who address contemporary issues in clinical work with older adults. It will be useful for clinicians wishing to update their practice, educators looking for case material to enrich their didactic courses, and students and practitioners new to working with older adults seeking guidance in approaching casework with this population. The book spans the international arena of practice, illustrating both universal themes in clinical work as well as regional practice issues that can inform health professionals more broadly. Each chapter is designed to inform the reader about the rich context in which clinical work occurs, including how the setting, the therapist's approach, and the nature of the problem interact to influence outcomes. Throughout, the cases have been carefully chosen to reflect archetypal scenarios and provide practical, empirically informed guidance for assessment, formulation, and formulation, and interventions. The cases deal with complex issues of diagnosis and formulation, assessment and intervention techniques, ethical and legal issues, and interdisciplinary perspectives that will appeal to a wide range of mental health professionals. The text provides points for reflection from the cases, as well as key references in the area, with an emphasis on current issues and theoretical perspectives. Providing a range of expertise in a single source, the Casebook of Clinical Geropsychology is an invaluable resource for anyone concerned with the mental health needs of older people.

The ambition of ageing science to discover the golden fleece of longevity and health is closely connected to the concept of 'successful ageing'. Still, for a large portion of the population, frailty and cognitive impairment is the reality of ageing, and it is by no means certain if health promotion, prevention and other interventions will reduce the probability of its occurrence. This book argues that a narrow understanding of 'successful ageing' as good health, full functioning, and active participation in society excludes a large portion of ageing individuals from the quest for a good life in old age. The challenge is that the term 'successful ageing' comes with ambitions but also with ambivalence. On the one hand, it counteracts the deficit view of ageing and facilitates visionary thinking on what might be possible in the future. On the other hand, its implicitly ageist and derogative features have negative consequences to older people and society at large. So, what is successful ageing? We provide answers at three levels: First, we synthesise the various models used to define successful ageing into a heuristic scheme able to unravel the normative complexity and differences inherent in existing models. Second, we anchor successful ageing models in a tripartite way at micro (individual), meso, and macro analytic levels of human development. Third, we argue that the usefulness of successful ageing in guiding policy will only profit from the concept, if it follows a pluralistic and holistic view without hastily deciding for one model only.