Dieses Open-Access-Buch befasst sich kritisch mit der Anwendung freiheitseinschrankender Massnahmen (FeM) bei Menschen mit Demenz in professionellen Sorgebeziehungen, die sowohl im Hinblick auf ihren vermeintlichen Nutzen als auch auf ihre ethische Tragweite zu hinterfragen sind. In einer disziplinubergreifenden Analyse des Phanomens von FeM bei Menschen mit Demenz werden Diskurse und Erkenntnisse aus Pflegewissenschaft, Gerontologie, Rechtswissenschaft und Ethik gebundelt, zueinander in Beziehung gesetzt und erweitert. Die empirisch informierte Gesamtdarstellung wird dabei erganzt durch eine tiefgreifende Reflexion der Personalitat, Vulnerabilitat und Leiblichkeit von Menschen mit Demenz. Davon ausgehend werden konkrete Kategorien und konzeptionelle Zugange zur Bewertung und Einzelfallprufung von FeM in professionellen Sorgebeziehungen entwickelt.

Welche Relevanz haben religioese Migrantengemeinden fur die alltagliche Unterstutzung und Pflege von alteren Menschen mit Migrationserfahrung? Professionelle Dienstleistungen der Altenhilfe werden in der genannten Bevoelkerungsgruppe bislang nur unterdurchschnittlich genutzt. Gleichzeitig ist bekannt, dass migrantische Religionsgemeinschaften vielfaltige soziale Dienstleistungen erbringen. Das Buch verbindet Erkenntnisse und Perspektiven aus Gerontologie, Migrations- und Religionssoziologie, Soziologie des Alter(n)s, Sozialer Arbeit und Sozialpolitikforschung sowie aus den theologischen Wissenschaften verschiedener Religionsgemeinschaften. Zahlreiche Gemeinden positionieren sich als Akteure einer offenen Altenarbeit oder stellen Anschlusse zur professionellen Altenpflege her.

In this issue of Clinics in Geriatric Medicine, guest editors Steven H. Feinsilver and Margarita Oks bring their considerable expertise to the topic of Sleep in the Elderly. Provides in-depth, clinical reviews on Sleep in the Elderly, providing actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field; Authors synthesize and distill the latest research and practice guidelines to create these timely topic-based reviews.

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.

Geriatric Dentistry: Caring for Our Aging Population provides general practitioners, dental students, and auxiliary members of the dental team with a comprehensive, practical guide to oral healthcare for the aging population. Beginning with fundamental chapters on the psychological, environmental, and social aspects of aging, the book approaches patient care from a holistic point of view. Subsequent chapters show the importance of this information in a practical context by discussing how it affects office environment, decision?-making and treatment planning, and the management and treatment of common geriatric oral conditions. Case studies and study questions are used to illustrate application of educational presentations to practice settings. Contributed by leaders in the field, Geriatric Dentistry will strengthen readers understanding and clinical acumen in addressing this special population.

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.

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.

This issue of Clinics in Geriatric Medicine, guest edited by Dr. Susan Friedman, is devoted to Healthy Aging. Articles in this issue include: Healthy Aging Across the Stages of Old Age, How Geriatric Principles Inform Healthy Aging, Multimorbidity, Function and Cognition in Aging, Preserving Cognition, Preventing Dementia, Preserving Engagement, Nurturing Resilience, The Frailty Cycle: Reducing frailty to promote healthy aging, Addressing Obesity to Promote Healthy Aging, Lifestyle (Medicine) and Healthy Aging, Nutrition and Healthy Aging, Physical Activity and Healthy Aging, Mindfulness, Stress, and Aging, The Role of Prevention in Healthy Aging, Best Practices for Promoting Healthy Aging, Getting from Here to There: Motivational Interviewing and Other Techniques to Promote Healthy Aging, and more.

Das Mobilitatsprojekt "mobisaar" verbessert die Teilhabe von mobilitatseingeschrankten Menschen und Menschen mit Behinderungen durch den Einsatz von Lots*innen und mit Technikunterstutzung durch Apps. Das in vier saarlandischen Landkreisen erfolgreich umgesetzte BMBF-Projekt wird nach 5 Jahren Laufzeit 2020 finalisiert und bietet einen guten Einblick in die Konzepte, Strukturen und Schulungsideen des kostenfreien Begleitdienstes im kleinsten Flachenland Deutschlands sowie dessen Auswirkungen auf den OEPNV.

This issue of Medical Clinics, guest edited by Dr. Danelle Cayea, is devoted to Geriatrics. Articles in this important issue include: Thoughtful prescribing and deprescribing, Identifying goals of care, Overview of brief, high yield geriatrics assessment for clinic and hospital, Fall prevention, evaluation, and treatment, Cognitive impairment evaluation and management, Urinary and bowel symptoms, Sadness and worry in older adults, Chronic pain syndromes in older adults, Osteoporosis, Evaluation and management of difficult symptoms of older adults primary care, Perioperative assessment and management, Challenges related to safety and independence, and much more.

This issue of Clinics in Geriatric Medicine, edited by Drs. Dan Blazer and Susan Schultz, will cover a number of important aspects of Geriatric Psychiatry. Topics in this issue include, but are not limited to: Delirium in the elderly, Depression and cardiac disease in later life, Schizophrenia in later life, Anxiety Disorders in later life, Neurological changes and depression, Behavioral Changes with Alzheimer's Disease and Vascular Dementia, Palliative Care in Dementia and Chronic Mental Illness, Collaborative Care for the elderly with psychiatric disorders, and Post Traumatic Stress Disorders in the elderly.

Aktiv, gesund und vor allem produktiv im Alter? Seit mittlerweile 40 Jahren fordern Wissenschaft und Politik ein Umdenken: Alte Menschen sollen selbststandig und leistungsfahig bleiben, statt sich zuruckzuziehen und abzubauen. Doch was ist dran an diesen Ideen, und sind sie wirklich so neu? Daniel Schafer nimmt Sie mit auf einen ausgedehnten Streifzug durch die Kultur- und Wissensgeschichte mit vielen Gedankenanstoessen fur die Gegenwart. Sie erfahren, was Medizin, Psychologie und andere Forschungsbereiche derzeit uber Starken und Schwachen beim koerperlichen, mentalen und sexuellen Altern wissen. Und was Menschen in fruheren Epochen uber diese Themen gedacht haben. Das zeigt uns: Einseitig positive und negative Altersbilder wirken auch noch heute nach. Doch jenseits dieser Stereotypen gibt es viele unterschiedliche Moeglichkeiten, aber auch Grenzen, im Alter fur andere und auch fur sich selbst tatig zu sein.

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.

This issue of Clinics in Geriatric Medicine, guest edited by Drs. Carlos Singer and Stephen G. Reich, is devoted to Parkinson Disease. Articles in this issue include: Parkinson Disease: An overview of epidemiology, pathology, genetics and pathophysiology; Diagnosis and Differential Diagnosis of Parkinson Disease; Tremor in the Elderly: Is it Parkinson Disease?; Management of Early Parkinson Disease; Management of Advanced Parkinson Disease; Orthostatic Hypotension in Parkinson Disease; Management of Urological and Sexual Dysfunction in Parkinson Disease; Gastrointestinal Care of the Parkinson Patient; Cognitive Impairment and Dementia in Parkinson Disease; Depression and Anxiety in Parkinson Disease; Hallucinations, Delusions, and Impulse Control Disorders in Parkinson Disease; Sleep Disorders in Parkinson Disease; Orthopedic Care of the Parkinson Patient; Driving in Parkinson Disease; Palliative Care in Parkinson Disease; Multidisciplinary Care of Parkinson Disease: Fall prevention, fatigue, exercise, rehabilitative therapies, caregiver strain; and Hospitalization of the Patient with Parkinson Disease.

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.

This issue of Clinics in Geriatric Medicine, Guest Edited by William B. Ershler, MD of the Institute for Advanced Studies in Aging and Geriatric Medicine, is devoted to Anemia in the Older Adult. Articles in this important issue include: Aging and Hematopoiesis; Prevalence of Anemia in Older Populations; Functional Consequences of Anemia in Older Patients; Mechanisms of Anemia in Older Populations; Unexplained Anemia in Older Populations; Significance of Elevated RDW in Older Populations; Iron Deficiency; Vitamin B12; Myelodysplasia; Chronic Kidney Disease and Anemia in Older Populations; Inflammation, Aging and Anemia; Emergence of Sickle Cell Disease in Older Populations; Heyde's Syndrome; and Special Considerations for Anemia in the Nursing Home.

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.

Die Begriffe Koerper und Gesundheit sind (nicht erst) seit dem sogenannten body-, corporeal- oder somatic-turn Gegenstand sehr unterschiedlicher Disziplinen und Perspektiven: Die Komplexitat der Zusammenhange, Verschrankungen, Bedingungen des Gegenstandspaares Koerper-Gesundheit bis hin zur Identifikation macht es erforderlich, multidisziplinar und multiperspektivisch vorzugehen. In diesem Band sind unterschiedliche Disziplinen und Perspektiven versammelt, die sich aus ihrer Fachgenese und wissenschaftlichen Position heraus mit Koerper, Leib und Gesundheit beschaftigen, um v.a. Forschungsfelder zu erschliessen und praxeologische Konsequenzen zu benennen.

This unique book reviews the information available in the literature regarding the new syndrome, frailty, in patients with various renal conditions, such as acute kidney injury, chronic kidney disease, as well as dialysis and transplant patients. The topic is of importance in nephrology, specifically nephrogeriatrics, since frailty is a condition affecting many elderly patients and which is becoming increasingly common in medical practice. As such, there is a considerable need for information to assist professionals treating these patients. The book includes chapters on the frailty syndrome (definition, evaluation and treatment), the main geriatric syndromes (gait disorder, falls, incontinence, and delirium), the main renal syndromes (acute renal injury, chronic kidney disease) as well as dialysis and kidney transplant, and the relationship between geriatrics and renal syndromes. Frailty and Kidney Disease: A Practical Guide to Clinical Management is an essential resource for general practitioners, researchers, internal medicine physicians, geriatricians, and nephrologists.

Der UEbergang in den Ruhestand ist fur viele Betroffene ein biographischer Einschnitt. Eine Vielzahl von Aspekten bestimmt dabei die Entscheidung uber das "Wann" und "Wie" des Renteneintritts. Ein Aspekt bleibt in der wissenschaftlichen Diskussion eher unberucksichtigt: der Einfluss des persoenlichen Umfelds bzw. des Haushaltskontexts. Die vorliegende Studie widmet sich diesem und fokussiert dabei im Besonderen den Einfluss partnerschaftlicher Machtverhaltnisse. Anhand einer Sekundaranalyse qualitativer Daten, die im Zuge einer Untersuchung zur Koordination der Ruhestandsentscheidungen von heterosexuellen Doppelverdiener-Paaren entstanden sind, werden die Machtstrukturen genauer untersucht. Dabei werden funf Typen entwickelt, die zeigen, wie die paarinternen Einflussverhaltnisse auf unterschiedliche Weise in die (individuellen) Ruhestandsentscheidungen eingreifen koennen. Die Studie zeigt daruber hinaus, dass diese dabei nicht alleine verantwortlich sind, sondern dass es auf Haushaltsebene immer zu einem Zusammenspiel mit anderen Aspekten der Ruhestandsentscheidung kommt. Zugleich weist die Studie darauf hin, dass die Partnerschaft von heterosexuellen Doppelverdiener-Paaren nicht ausschliesslich als Unterstutzungsfaktor beim UEbergang in den Ruhestand zu verstehen ist, sondern dass sich zahlreiche Abhangigkeitsstrukturen zwischen Partnerin und Partner verstarken und verschieben koennen. Da bis jetzt ahnliche Untersuchungen im Feld der Retirement Studies nicht bekannt sind, wird die Studie ihrem explorativen Charakter gerecht.

This issue of Clinics in Geriatric Medicine, devoted to Alzheimer's and Other Dementias, is guest edited by Dr. John E. Morley of Saint Louis University School of Medicine. Articles in this important issue include: An Overview of Cognitive Impairment in Geriatrics; Screening for Cognitive Impairment in Geriatrics; Treatable Dementias; Mild Cognitive Impairment in Geriatrics; Alzheimer's Disease; Vascular Dementia; Lewy-Body Dementia; Traumatic Brain Injury in Geriatrics; Diabetes and Dementia; Behavioral Problems and Dementia; Cognitive Stimulation Therapy in Geriatrics; Cognitive Frailty in Geriatrics; and Nutrition and Alzheimer's.