As our population continues to age, health professionals are being called on to care for an ever-increasing number of elderly patients. A thorough understanding of what constitutes normal aging versus age-prevalent illness is essential. In addition, the atypical and nonspecific presentation of illness commonly encountered when caring for an older patient must be expected and watched for carefully. In recent years, the health professional has been exposed to an exponentially increasing number of publications attempting to teach geriatric principles. To date, few publications lend themselves to use by the busy practitioner, student, or nurse in search of immediate facts, flow sheets, and clinically applicable data. It was felt that the health professional would benefit greatly from a book based on the concept of a ready-reference "hand book," with chapters filled with tables, flow sheets, and listings similar in scope to those in a well-presented lecture series. Our goal was to create a geriatrics handbook that would have value at the bedside as well as in the classroom. It is to this end that the contributors dedicated their efforts."

The National Institute on Aging (NIA) has historically been concerned with the protection of human subjects. In July 1977, the NIA sponsored a meeting to update and supplement guide lines for protecting those participating in Federal research pro jects. Although the basic guidelines had been in effect since 1966, it had been neglected to include the elderly as a vulnerable population. In November 1981, the NIA organized a conference on the ethical and legal issues related to informed consent in senile dementia cases. The present volume offers the latest and best thinking on Alzheimer's Dementia to have emerged from the dialog that was first embarked upon at the NIA meeting. Indeed, the issues and concerns it treats now seem even more relevant than they appeared historically because of the vastly greater awareness in the community of the entire spectrum of problems Alzheimer's disease confronts us all with. Our interest and concern is both humanitarian and self serving. Clearly older people must be protected from in appropriate research and careful attention must be paid to the circumstances under which research is conducted on those older persons who have given anything less than full consent. It is equally necessary, however, for the research enterprise to be protected so that today's elderly and those of the future can benefit from the fruits of research."

Millions of people are living with dementia in the United States and globally. To live well with dementia, people need care, services, and supports that reflect their values and preferences, build on their strengths and abilities, promote well-being, and address needs that evolve as cognitive impairment deepens. Persons living with dementia co-manage their care with or rely on the support of a wide range of care partners and caregivers, including spouses, other family members and friends, and direct care workers in homes or residential care settings. While dementia care has improved since the 1970s, many individuals still lack access to high-quality care and are not living as well as they might. Disadvantaged groups, especially racial and ethnic minorities, still face challenges in access to care, services, and supports, due to deep and persistent inequities. Meeting the Challenge of Caring for Persons Living with Dementia and Their Care Partners and Caregivers: A Way Forward examines the complex body of evidence on dementia care and informs decision making about which interventions are ready to be broadly disseminated and implemented. It also offers a blueprint to guide future research using rigorous, cutting-edge methods that are inclusive, equitable, and yield critical information for real-world implementation, toward the ultimate goal of better supporting persons living with dementia and their care partners and caregivers in living as well as possible. Table of Contents Front Matter Summary 1 Introduction 2 Moving Toward Better Dementia Care, Services, and Supports 3 Complexity of Systems for Dementia Care, Services, and Supports 4 Making Decisions About Implementation 5 Assessing the Current State of Evidence 6 A Blueprint for Future Research Appendix A: Agency for Healthcare Research and Quality Systematic Review and Inclusion Criteria Appendix B: Public Meeting Agendas Appendix C: Biographical Sketches of Committee Members and Staff

Population aging is challenging countries around the globe to adapt their public policy responses to the new world. Long-term care is a relevant topic today both because of the rapid growth in long-term care needs in every country and the lack of responses from governments. The Future of Long-term Care explores some issues related to the implementation of long-term care responses in different countries. Looking at six different cases, the book highlights the need to foster an urgent debate in the area, as well as emphasizing the need for action in the coming years. The examples analysed show common problems faced by countries trying to respond to their people's needs, as well as the dissimilar stages, contexts, and paths followed by each one in the endeavour for providing long-term care services to the population. Whether the analysis is carried out in countries with well-established long-term care systems or in places where the debate is just starting, the book proves that this is an area in which many challenges remain. Learning lessons from others is important but providing a space for countries to frame their problems and propose their solutions is crucial. This book contributes to fill this gap and contribute to a debate that is just starting in many places around the world.

Alzheimer's disease (AD) and vascular dementia (VaD) are commonly viewed as the first and second most common types of dementia, respectively. The traditional paradigm has been to view and treat each illness as a separate entity with a separate pathophysiology. However, clinical and pathological studies suggest that the boundary separating AD and VaD, as well as their mild cognitive impairment (MCI) analogs, is not well defined. Thus, there is increased interest in viewing these diseases along a spectrum because of the significant overlap in the characterization and diagnosis of AD, VaD, and MCI. The focus of this edited volume is to examine how AD and VaD, as well as their MCI analogs, are best viewed as a heterogeneous, intersecting, if not a continuous disease state rather than separate, distinct entities. This book examines this approach by providing empirically based evidence, reviews of the literature, and chapters by key leaders in the field and will be of interest to clinical neuropsychologists and anyone studying or treating dementia in its many forms.

While the problems of aging are being studied with microscope, computer, and questionnaire as a medical, social, and economic challenge, these essays introduce the humanistic perspective. The assumption behind this work is that in history, literature, folklore, and art we have the record of centuries of human experience to enhance our present understanding of aging, old age, and death.Growing old is a process that occurs in every person every minute, every hour that passes. But if aging does not begin on the day of retirement at the age of sixty-five, what is the definition of old age? Is it chronologically; physiologically, mentally, or culturally determined? Old age may not be a phase of life as easily identified as adolescence.As our population continues to grow older we are ever more in need of greater sensitivity to the joys and tragedies of old age. In recent years, however, our view of old age has been clouded by our negative feelings about death. Old age has become inextricably associated with death. It was not always so: until a lower infant mortality rate, better nutrition, and a higher standard of living so greatly increased our chances of surviving into old age, death was recognized as a threat at every stage of life.This volume brings together twelve eminent scholars from various humanistic disciplines to trace the origins of our present attitudes and to identify the models and myths of old age in our culture. The historians in the group ask how old people were treated in past societies. Literary scholars and art critics discuss the effects of aging on the later works of authors and artists and art as a source of solace, inspiration, and revelation to the aged. A philosopher explores a theme shared by all: that the way one ages and dies is a function of the way one has lived.Contributors John Demos, Leon Edel, Erik H. Erikson, Leslie Fiedler, Tamara K. Hareven, Robert Kastenbaum, Robert Kohn, Juanita M. Kreps, Peter Laslett, Francis V. O'Connor, Robert F. Sayre.

This textbook presents hands-on training material for medical students. The style reflects the need for practice-based teaching with a modern edge in daily clinical routine; accordingly, it also employs online material and pocket cards. Each chapter begins with specific learning objectives, which are cross-referenced with the European curriculum for undergraduate medical education released by the European Union of Medical Specialists (UEMS) together with the European Union Geriatric Medicine Society (EUGMS), as well as the minimum geriatric competences for medical students established by the American Geriatrics Society (AGS). World-renowned European experts in practicing and teaching the interdisciplinary field of Geriatrics contributed to this work, with the aim of offering the new generation of health professionals a global perspective on one of the greatest public health challenges of our time: the management of the steadily increasing number of older, multimorbid, and vulnerable persons. The major strength of this book - published under the auspices of the EUGMS - is its pragmatic, goal-oriented approach, which makes it suitable for bedside learning and patient-centered medicine; further, all of the chapters are firmly based on the pillars of the ageing process in all of its biological aspects, helping readers understand the pathophysiology of and rationale behind interventions for the main geriatric syndromes and disorders.

Although this monograph "Dependency o r interdependency in old age" is not the first publication o f the European Social Sciences Research C- mittee (ESSRC) o f the International Association o f Gerontology, I a m happy, as former chairman o f the Committee (1964-1975), to introduce this book to the readers, together with the present chairman. So far the activities o f the Committee have consisted o f co-operating in organizing the scientific programme o f the tri-annual congresses o f the International Association o f Gerontology (lAG), and in organizing sm- ler o r bigger symposia and colloquia for social gerontologists. Sometimes these meetings were mainly organized for European researchers only, sometimes several concurrent colloquia took place in which Americans and o t h e r non-Europeans participated. T h e Committee, the oldest o f the lAG, was established at a scientific meeting in 1954 at Sheffield (U. K. ) A f t e r that year colloquia were held in 1956 near Copenhagen 1 (Denmark), in 1957 at M e r a n o2 (Italy), in 1959 at Assisi (Italy), in 1960 a t Berkeley (Cal.

The financial burden and the level of specialized care required to look after older adults with dementia has reached the point of a public health crisis. Older adults diagnosed and living with the disorder reached 35.6 million worldwide in 2010 and is expected to increase to 135.5 million in 2050, with costs soaring to $1.1 trillion. In the face of the increasing burden this disorder poses to health care systems and the management of this patient population, intelligent assistive technologies (IATs) represent a remarkable and promising strategy to meet the need of persons suffering from dementia. These technologies aim at helping individuals compensate for specific physical and cognitive deficits, and maintain a higher level of independence at home and in everyday activities. However, the rapid development and widespread implementation of these technologies are not without associated challenges at multiple levels. An international and multidisciplinary group of authors provide future-oriented and in-depth analysis of IATs. Part I delineates the current landscape of intelligent assistive technologies for dementia care and age-related disability from a global perspective, while the contributions in Part II analyze and address the major psycho-social implications linked to the development and clinical use of IATs. In the last section, essays examine the major ethical, social and regulatory issues associated with the use of IATs in dementia care. This volume provides an authoritative and comprehensive overview of how IATs are reshaping dementia care.

Africa is known both for having a primarily youthful population and for its elders being held in high esteem. However, this situation is changing: people in Africa are living longer, some for many years with chronic, disabling illnesses. In Ghana, many older people, rather than experiencing a sense of security that they will be respected and cared for by the younger generations, feel anxious that they will be abandoned and neglected by their kin. In response to their concerns about care, they and their kin are exploring new kinds of support for aging adults, from paid caregivers to social groups and senior day centers. These innovations in care are happening in fits and starts, in episodic and scattered ways, visible in certain circles more than others. By examining emergent discourses and practices of aging in Ghana, Changes in Care makes an innovative argument about the uneven and fragile processes by which some social change occurs. There is a short film that accompanies the book, “Making Happiness: Older People Organize Themselves” (2020), an 11-minute film by Cati Coe. Available at: https://doi.org/doi:10.7282/t3-thke-hp15

As the population ages, increasing numbers of older people require the attention and services of mental health professionals. Despite their prevalence, however, mental health problems in this population often go undiagnosed and therefore untreated. This textbook offers medical students and professionals the information they need to care for older people with mental disorders.

Drs. Donna Cohen and Carl Eisdorfer, two internationally recognized experts in geriatric mental health, provide a comprehensive framework within which students and practitioners alike can address the salient issues of the field. These include the biopsychosocial aging processes, specific pathologies prevalent in later life, social issues common to the elderly, the delivery of care in various settings, and the economic policies affecting services for older people.

The authors' goal is not only to enhance clinical practice but also to urge physicians to develop and coordinate a more holistic care strategy that acknowledges the complex challenges of older patients. To this end, Cohen and Eisdorfer discuss essential principles of optimal care, the latest research findings, evidence- and consensus-based practice standards, resources to help professionals keep abreast of the changing mental health landscape, and ethical dilemmas of clinical practice and research.

The signal strength of this book lies in its integrated approach, an approach that emphasizes the philosophy and principles of caring for older people along with clinical practices and issues. From this broader perspective, the authors describe the many factors that influence the lives, health, and well-being of older patients and their caregivers, making this an ideal text for psychiatrists, psychologists, nurses, and social workers.

Pflegen mit Pflegediagnosen - auch als Pflegeprofi

Der erste Praxisbegleiter fur examinierte Pflegekrafte in der Gesundheits- und (Kinder-)krankenpflege basierend auf Pflegediagnosen. Als Nachschlagewerk bietet es pflegerisches Wissen konzentriert auf die wichtigsten Fakten. So konnen Pflegende effizient ihr Wissen vertiefen oder Vergessenes nachlesen.

Die klare Struktur dient der schnellen Orientierung fur sicheres und effizientes Handeln und Pflegen: Pflegediagnosen und Pflegetechniken, Definition der Symptome zu jeder Pflegediagnose, physiologisches und pathophysiologisches Hintergrundwissen, Beobachtungskriterien, Erlauterung von Pflegetechniken, in Bezug zur Pflegediagnose stehende Krankheitsbilder und Erlauterung der speziellen Pflegetechniken

Plus:

• Wie vom Krankenpflegegesetz gefordert: Pravention, Anleitung und Beratung
• Rehabilitation
• Pflegemassnahmen bei allen wichtigen Krankheitsbildern und in verschiedenen Lebenssituationen der Patienten.
• Handlungsanleitungen mit Materialchecklisten Nachschlagewerk fur die Gesundheits- und (Kinder-)krankenpflege auf Grundlage von Pflegediagnosen mit klarer Struktur: Zur schnellen Orientierung fur schnelles Handeln

Zur Palliativmedizin gehoert neben der psycho-sozialen und spirituellen Begleitung eine Schmerztherapie, die sich an der Art der Schmerzen sowie der sozialen Umgebung der Patienten orientiert. Die Autoren behandeln neben den Themen Ethik, Lebensqualitat und Kommunikation die Klassifikation, Entstehung und Diagnostik des Schmerzes sowie dessen medikamentoese, nichtmedikamentoese und chirurgische Therapie. Die 3., aktualisierte Auflage wurde um Kapitel zur Patientenverfugung, klinischen Ernahrung und Palliativversorgung von Demenzpatienten erganzt.

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

Nursing homes provide care to about 1.4 million nursing home residentsaa vulnerable population of elderly and disabled individuals. CMS, an agency within the Department of Health and Human Services (HHS), defines standards nursing homes must meet to participate in the Medicare and Medicaid programs. This book reviews the abuse of residents in nursing homes.

Als Folge der Uberalterung unserer Gesellschaft sind Gedachtnisstorungen in den vergangenen Jahren exponentiell gestiegen und werden weiter ansteigen. Sie treten nicht nur in Form von Demenzen auf, sondern auch im Rahmen von normalen Altersvorgangen. Doch wann liegt eine Gedachtnisstorung vor? Wie kann eine Diagnose gestellt werden? Wie sind Gedachtnisstorungen zu behandeln?

Diese und andere Fragen beantworten Neurologen und Psychiater in diesem Werk. Das Praxisbuch bildet das komplexe Themenspektrum Gedachtnisstorungen strukturiert und interdisziplinar ab. Es unterstutzt Neurologen und Psychiater bei der differenzialdiagnostischen Abgrenzung bis hin zum speziellen Management von Gedachtnisstorungen unterschiedlicher Atiologie.

Nach den neurophysiologischen Grundlagen werden zunachst diagnostische und differentialdiagnostische Aspekte, Gedachtnisfehler und das Lernen im Alter in den Fokus genommen. Die speziellen Storungsbilder stehen im Zentrum des Buches und werden hinsichtlich Klinik, Pathophysiologie und spezieller therapeutischer Aspekte herausgestellt. Die Spannweite reicht von entwicklungsbedingten, transienten und akuten Gedachtnisstorungen uber solche, die neurologische Erkrankungen begleiten, bis hin zu psychogenen Gedachtnisstorungen und Demenzen. Therapeutische und rehabilitative Aspekte beinhalten u.a. die Pharmakotherapie und den Aufbau einer interdisziplinaren Gedachtnisambulanz.

Ein integratives, klinisch orientiertes Buch, nutzlich fur Mitarbeiter an Gedachtnisambulanzen von Neurologen und Psychiatern bis hin zu Rehabilitationsmedizinern, Geriatern und Neuropsychologen.

This issue of Clinics in Geriatric Medicine, Guest Edited by Dr. Steven Castle, is devoted to Falls Prevention. Articles in this important issue include: Key components of exercise programs in community to prevent falls; Potential reasons deaths from falls in older adults have doubled in the past decade; Link between Primary care and community-based balance exercise programs; Role of foot orthoses and shoe insoles at improving mobility and balance; Blood Pressure control and falls risk; Optimizing function and physical activity in hospitalized older adults to prevent functional decline and falls; Delirium as it relates to falls; Virtual sitters; Redesigning a Fall Prevention Program in Acute Care: Building on Evidence; and Nursing Unit Design and Hospital Falls.

Candidates can prepare with confidence for the Geriatric Medicine Specialty Certificate Examination with this revision guide designed specifically for the exam. Containing 300 Best of Five questions, the content is carefully mapped to the curriculum ensuring comprehensive preparation. The questions mirror the format of those candidates can expect to find in the exam, and cover all of the key topics, including dementia and delirium, palliative care, nutrition, and stroke. Explanatory answers include references to guidelines and other sources to enable further reading and study. The second edition addresses the latest clinical guidelines and supporting literature, Non-vitamin K Antagonist Oral Anticoagulants (NOACs), and changes in health and social care policy. This new edition is also suitable for candidates preparing for the Diploma in Geriatric Medicine exam. Providing a thorough assessment of the reader's geriatric medicine knowledge, this is the only revision guide candidates will need to pass the Geriatric Medicine Specialty Certificate Examination first time.

Completely revised and updated, Geriatric Audiology, Second Edition is a unique handbook that provides audiologists, speech language pathologists, and doctoral students in audiology with evidence-based, clinical guidance on evaluating and treating hearing loss in older adults. Focusing solely on geriatric audiology, this new edition contains the latest information on the demographics of aging as well as the biological, sociological, and psychological factors that affect geriatric hearing loss and its ramifications. Key features: Includes a new chapter designed to help audiologists and speech language pathologists teach health care professionals about hearing loss diagnosis and management Emphasizes patient-centered hearing health care Contains updated chapters on hearing loss, pure tone and speech findings, hearing aids, and audiologist rehabilitation and counseling for geriatric patients, giving readers comprehensive information on important areas in the specialty Based on Dr. Weinstein's extensive experience in geriatric audiology, this book is an invaluable resource for audiologists, speech-language pathologists, and others involved in the care of elderly patients with hearing, speech, language, voice problems, and other communicative disorders.