As the demographics of the United States shift toward a population that is made up of an increasing percentage of older adults and people with disabilities, the workforce that supports and enables these individuals is also shifting to meet the demands of this population. For many older adults and people with disabilities, their priorities include maximizing their independence, living in their own homes, and participating in their communities. In order to meet this population's demands, the workforce is adapting by modifying its training, by determining how to coordinate among the range of different professionals who might play a role in supporting any one older adult or individual with disabilities, and by identifying the ways in which technology might be helpful. To better understand how the increasing demand for supports and services will affect the nation's workforce, the National Academies of Sciences, Engineering, and Medicine convened a public workshop in June 2016, in Washington, DC. Participants aimed to identify how the health care workforce can be strengthened to support both community living and community participation for adults with disabilities and older adults. This publication summarizes the presentations and discussions from the workshop. Table of Contents Front Matter 1 Introduction 2 Characterizing the Users and Providers of Long-Term Services and Supports 3 Enabling Community Participation Through Workforce Training, Education, and Development 4 Perspectives on Coordination Across the Spectrum of Caregivers, Providers, Services, and Supports 5 Harnessing the Potential of Technology to Enable Community Living and Participation and Optimize Person-Centered Services 6 Facilitated Table Discussions 7 Closing Remarks References Appendix A: Workshop Agenda Appendix B: Biographical Sketches of Workshop Speakers and Moderators

A one-of-a-kind guide to active, engaging learning strategies for aging studies. Harnessing the proven benefits of active learning strategies, this is the first activity book created for a broad spectrum of courses in aging-related higher education. It features 32 classroom and community-based educational activities for instructors seeking to introduce and/or enhance aging content in their courses. Underscoring the interdisciplinary nature of aging studies, the book encompasses teaching strategies for instructors in such disciplines as Counseling, Family Studies, Gerontology, Geriatrics, Medicine, Psychology, Public Administration, Public Health, Nursing, Social Work, Sociology, Speech Pathology, and others. This peer-reviewed collection of hands-on activities is designed by noted educators in aging and incorporates AGHE competencies. It offers clear, step-by-step procedures for implementing each activity including preparation, introduction, the activity itself, discussion/reflection, wrap-up, and assessment. The book also addresses learning outcomes and includes recommendations for number of participants, settings, materials, and time required. Encompassing key, impactful issues affecting older individuals, the text examines Ageism and Aging in the Media, Dementia, Demography, Health Care, Housing, Physical Aging, Policy and Politics of Aging, Positive Interactions with Older Adults, and Spirituality. In addition to its value to students, the book's activities are also beneficial to professionals instructing or participating in staff trainings, in-services, and continuing education. Key Features: Contains 32 experiential learning activities for students in a great variety of aging-related disciplines Designed for activities in the classroom, in the community, on line, and take- home Provides clear, step-by-step procedures for each activity from implementation through assessment Addresses student learning outcomes and includes a glossary Incorporates AGHE competencies

With an increase in the longevity of the global population, care of the functional, cognitive, and physical health of older adults is essential. There has been a dramatic demographic shift toward a growing aging population and an increase in osteoporotic fractures that has occurred over the last few decades especially in Western countries. This clearly demonstrates the need for a comprehensive approach to treating fragility fractures by surgeons, geriatricians, and care staff. Osteoporotic Fracture Care is the first book of its kind to offer a well-rounded and comprehensive resource on fragility fractures and orthogeriatric care designed to help new and experienced surgeons, geriatricians, physicians, and care personnel to better work together and develop interprofessional and interdisciplinary systems so as to treat patients more effectively. The book contains 44 chapters and is divided into three sections: "Principles", "Improving the system of care", and "Fracture management". The book's key features are: In-depth insight into the needs of older adults and how to best improve patient care, patient outcome, and reduce system costs Twenty detailed and illustrative case-based chapters giving the reader a wide array of options to improve patient care and outcomes More than 1,000 high-quality x-rays, clinical images, and illustrations

The Institute of Medicine Roundtable on Health Literacy convened a 1-day public workshop to explore the relationship between palliative care and health literacy, and the importance of health literate communication in providing high-quality delivery of palliative care. Health Literacy and Palliative Care summarizes the discussions that occurred throughout the workshop and highlights the key lessons presented, practical strategies, and the needs and opportunities for improving health literacy in the United States. Table of Contents Front Matter 1 Introduction 2 Communication: Palliative Care's Transformational Procedure 3 Interpersonal Communication 4 Professional Training 5 Integrated Care Teams 6 Health Literacy in Palliative Care Programs 7 Reflections on the Workshop References Appendix A: Workshop Agenda Appendix B: Biographical Sketches of Workshop Speakers and Moderators

Being able to communicate is a cornerstone of healthy aging. People need to make themselves understood and to understand others to remain cognitively and socially engaged with families, friends, and other individuals. When they are unable to communicate, people with hearing impairments can become socially isolated, and social isolation can be an important driver of morbidity and mortality in older adults. Despite the critical importance of communication, many older adults have hearing loss that interferes with their social interactions and enjoyment of life. People may turn up the volume on their televisions or stereos, miss words in a conversation, go to fewer public places where it is difficult to hear, or worry about missing an alarm or notification. In other cases, hearing loss is much more severe, and people may retreat into a hard-to-reach shell. Yet fewer than one in seven older Americans with hearing loss use hearing aids, despite rapidly advancing technologies and innovative approaches to hearing health care. In addition, there may not be an adequate number of professionals trained to address the growing need for hearing health care for older adults. Further, Medicare does not cover routine hearing exams, hearing aids, or exams for fitting hearing aids, which can be prohibitively expensive for many older adults. Hearing Loss and Healthy Aging is the summary of a workshop convened by the Forum on Aging, Disability, and Independence in January 2014 on age-related hearing loss. Researchers, advocates, policy makers, entrepreneurs, regulators, and others discussed this pressing social and public health issue. This report examines the ways in which age-related hearing loss affects healthy aging, and how the spectrum of public and private stakeholders can work together to address hearing loss in older adults as a public health issue.

Working with older clients involves a number of unique ethical challenges, including those related to the array of health concerns that psychologists do not often encounter with younger clients, such as Alzheimer's disease. Perhaps the greatest challenge for geropsychologists is balancing the principles of respecting client autonomy and promoting client welfare, especially when a client's decision-making capacity is in question. Geropsychologists also must negotiate the competing interests and expectations of clients and their relatives, other healthcare professions, and the institutions in which many older adults are evaluated and treated. To help geropsychologists navigate these complex issues, this book introduces a structured decision-making process that draws heavily from principle-based and positive ethics and provides practical applications of the APA Ethics Code while also accounting for federal laws and regulations. Detailed case examples illustrate how to apply this process in a variety of treatment contexts, including hospitals, long-term care facilities, and hospice care. These vignettes review unique considerations for assessment, intervention, consultation, business practices, education and training, and advocating for clients' rights. This book will also help geropsychologists prepare for the ethics component of the board certification exam.

Alt werden will jeder. Alt sein nicht nicht unbedingt. Aber was heiAen Alter und Altern? Wodurch ist unser Leben im Alter - jenseits von biologischen Faktoren - bestimmt? A. Kruse und H.-W. Wahl, zwei fA1/4hrende Alternsforscher, vermitteln in diesem klar geschriebenen Buch anhand der Befunde moderner Forschung die Botschaft: Alter kann, je nach individueller und gesellschaftlicher Weichenstellung, einen erfA1/4llten Lebensabend bedeuten und dabei eine wichtige soziale Funktion erfA1/4llen. Und selbst bei PflegebedA1/4rftigkeit oder Demenz finden sich noch sehr verschiedenartige GestaltungsmAglichkeiten der individuellen Lebensbedingungen. Wir mA1/4ssen die Weichen jetzt richtig stellen, wenn wir gesellschaftlich und individuell die Herausforderungen des Alterns bewAltigen wollen.

Old age is associated with a number of medico-social problems such as: hypertension, diabetes mellitus, thyroid disorders, osteoarthritis, tremor, pain, gait and balance impairment, incontinence, urinary tract infection, sarcopenia, osteoporosis, polypharmacy, pressure ulcers, sleeping problems, cardiocerebrovascular disorders, fluid and electrolyte disturbance, nutritional disorders, immunisation and disease prevention rehabilitation and care. The management of these problems differs significantly between younger and older adults. All of these problems are evaluated in this book in two parts with the contributions of experienced clinicians and researchers. In addition, cellular ageing, comprehensive geriatric assessments, and medicolegal and ethical principles in geriatric medicine are also evaluated. This book will be a valuable tool for all clinicians involved in the management of elderly people.

Includes 6 months' free ExamPrepConnect digital access with print purchase! Now in its 8th edition, The Licensing Exam Review Guide in Nursing Home Administration remains the most comprehensive question and answer review for anyone seeking nursing home administration licensure in the United States. With more than 1100 questions, including two online practice exams for both the Core of Knowledge Examination (CORE) and the Line of Service Examination for Nursing Home Administration (NHA), the book tests your knowledge of the important concepts and topics related to the National Association of Long Term Care Administrator Boards (NAB) domains of practice- Care, Services and Supports; Operations; Environment and Quality; and Leadership and Strategy. Key Features: Contains more than 1100 multiple choice questions with answers and rationales Reflects the style and format of the National Association of Long-Term Care Administrator Boards (NAB) licensure exam Includes test-taking strategies for success Covers important updates and revisions in the field Offers on-the-go digital access with ExamPrepConnect ExamPrepConnect Features: Review all the high-quality content from the book Get organized by using the personalized study plan based on your exam date Study by topic to identify your strengths and weaknesses Strengthen your knowledge with over 1100 questions and detailed answer rationales Prepare for exam day with 2 timed practice exams each of the Core of Knowledge Examination (CORE) and the Line of Service Examination for Nursing Home Administration (NHA) Connect and chat with fellow future nursing home administrators using the discussion board

During the last decades, as the population grew older, gerontologically adjusted services became the norm for the highest standard of care. The Acute Care for Elderly Unit has been specifically devised to provide trained acute hospital care for elderly patients with geriatric syndromes, disabilities and frailty. Hospitalists and geriatricians find only limited guidance in the literature referring specifically to the management of acute disorders in elderly persons, having multiple comorbidities, geriatric syndromes, disabilities and frailty. For such conditions we have attempted to update the most recent evidence and define the frontiers of knowledge in the volumes Challenges in Acute Geriatric Care' in 2009 and Acute Geriatric Care' published in 2012. Fifty five case histories in this tome provide an insight into acute geriatric care: the patients, the problems and the physicians' skills concerned.

This book documents, verifies and brings to life the issues and debates that are created around the aging society. It carefully offers a series of opinions that attempt to illuminate the fact that the aging society goes beyond aging and includes a series of changes in terms of family, social ties, relationships, and the way human beings perceive society. The book contributes substantially to the discussion of this new type of aging, the new types of families, and the new types of relationships, as well as in the application of cutting-edge analytical strategies to understand the trends and patterns of these new modes of social structures. The book includes detailed perspectives on how decisions need to be made, mindsets need to be changed, and precautions need to be taken to positively deal with these new realities. The evidence presented in this book suggests that if this does not happen, the danger of thanato-politics appears, which, denying reality, will lead humanity into difficult labyrinths, perhaps without any "Ariadne's thread" that will allow a glimpse of the way out. The translation from Spanish to English was done with the help of artificial intelligence (machine translation by the service DeepL.com). A subsequent human revision was done primarily in terms of content.

With the development of effective antiretroviral therapies (ART) in the mid-1990s, HIV became a treatable although serious condition, and people who are adherent to HIV medications can attain normal or near-normal life expectancies. Because of the success of ART, people 50 and older now make up a majority of people with HIV in high-income countries and other places where ART is accessible. The aging of the HIV epidemic is a global trend that is also being observed in low- and middle-income countries, including countries in sub-Saharan Africa, where the greatest number of older people with HIV reside (3.7 million). While globally over half of older adults with HIV are in sub-Saharan Africa, we have little information about the circumstances, needs, and resiliencies of this population, which limits our ability to craft effective policy and programmatic responses to aging with HIV in this region. At present, our understanding of HIV and aging is dominated by information from the U.S. and Western Europe, where the epidemiology of HIV and the infrastructure to provide social care are markedly different than in sub-Saharan Africa. Aging with HIV in Sub-Saharan Africa addresses this gap in our knowledge by providing current research and perspectives on a range of health and psychosocial topics concerning these older adults from across this region. This volume provides a unique and timely overview of growing older with HIV in a sub-Saharan African context, covering such topics as epidemiology, health and functioning, and social support, as well as policy and program implications to support those growing older with HIV. There are very few published volumes that address HIV and aging, and this is the first book to consider HIV and aging in sub-Saharan Africa. Most publications in this area focus on HIV and aging in Uganda and South Africa. This volume broadens the scope with contributions from authors working in West Africa, Botswana, and Kenya. The range of topics covered here will be useful to professionals in a range of disciplines including psychology, epidemiology, gerontology, sociology, health care, public health, and social work.

Skills in caring for people with dementia are increasingly demanded of all health care practitioners as the numbers of diagnosed increase. Caring for People with Dementia presents Christine Brown Wilson's latest research into improving dementia care for both non-expert students and junior staff as well as more senior managers. The text first guides the reader through the underpinning theory behind the different approaches to person centred and relationship centred care and provides case scenarios with a range of practical strategies staff and students have developed and implemented. It then presents the different levels of the organisational change using practical strategies adopting a person centred and relationship centred approach involving the person with dementia and their families. This book will be indispensable reading for all nursing and healthcare students and practitioners who want to improve the quality of life for people with dementia. Christine Brown Wilson is Associate Professor at the University of Queensland, Australia.

Diabetes mellitus type 2 or Type 2 Diabetes (formerly called non - insulin-dependent diabetes mellitus (NIDDM), or adult-onset diabetes) is a metabolic disorder that is primarily characterised by insulin resistance, relative insulin deficiency, and hyperglycemia. It is often managed by increasing exercise and dietary modification, although medications and insulin are often needed, especially as the disease progresses. It is rapidly increasing in the developed world and there is some evidence that this pattern will be followed in much of the rest of the world in coming years. CDC has characterised the increase as an epidemic. In addition, whereas this disease used to be also seen primarily in adults over age 40, in contrast to type 1 diabetes, it is now increasingly seen in children and adolescents, an increase thought to be linked to rising rates of obesity in this age group, although it remains a minority of cases. Unlike type 1 diabetes, there is little tendency toward ketoacidosis in type 2 diabetes, though it is not unknown. One effect that can occur is nonketonic hyperglycemia which also is quite dangerous, though it must be treated very differently. Complex and multifactorial metabolic changes very often lead to damage and function impairment of many organs, most importantly the cardiovascular system in both types. This leads to substantially increased morbidity and mortality in both Type 1 and Type 2 patients, but the two have quite different origins and treatments despite the similarity in complications. This comprehensive book deals with type 2 diabetes in the middle-aged and elderly.

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In the past 20 years, the number of women over 65 has grown enormously. A woman alive at the end of the 20th century can expect to live 27 years longer than her 19th century ancestor. And among the "oldest old" -- those aged 85 and over -- women outnumber men 2-to-1. This dramatic decrease in mortality rates and increase in life expectancy has created a need for quality care and services for older women. As women live longer, they become significant consumers of health care and human services as they face chronic health problems, losses encountered in later years, and impoverishment. This book presents recent medical research on important topics dealing with women and ageing.

Highly Commended in Medicine in the 2018 BMA Medical Book Awards People with dementia increasingly find themselves staying in hospitals for extended periods, often due to separate health issues. This best-practice guide presents healthcare staff with the information and tools needed to provide excellent person-centred care to people with dementia in hospital settings. This useful handbook includes information and innovative strategies on how to manage common issues, including communication, physical health needs, pain, eating and nutrition, working with carers and relatives, understanding behaviour and approaching the end of life. It also highlights ethical considerations such as human rights and dementia, making decisions and the Mental Capacity Act. Each chapter includes a case study, emphasising the person at the centre of care and providing examples of how hospital staff can work with people with dementia to ensure best practice.

The ageing process changes body composition and thus nutritional status changes as one gets older. At the same time the body becomes more susceptible to diseases and diet becomes an even more significant or at least visibly significant than in earlier years. Moreover, there is frequently socio-economic downward drifting in this age group making nutritious foods more difficult to afford. This new book presents leading-edge research from around the world.

Die Biografie Johann Sebastian Bachs wird unter dem Gesichtspunkt der Resilienz betrachtet: Wie ist es dem grossen Komponisten gelungen, trotz zahlreicher Verluste, Ruckschlage und Grenzsituationen sein ausserordentliches schoepferisches Potenzial zu entfalten? Inwieweit sind Bezuge zwischen der Entwicklung in verschiedenen Lebensabschnitten und einzelnen Werken erkennbar? Lasst sich das Leben Bachs selbst als "Werk" interpretieren? Nach einem UEberblick uber psychologische Resilienzforschung werden der fruhe Verlust seiner Eltern, der Tod seiner ersten Frau und die von gesundheitlichen Einschrankungen und dem Verlust der Sehfahigkeit gepragte letzte Lebensphase Johann Sebastian Bachs untersucht. Dabei wird deutlich, dass es ihm bis ans Ende seines Lebens gelungen ist, sein schoepferisches Potenzial in seinem Werk wie auch in seiner Lebensfuhrung zu verwirklichen, wobei seiner religioesen Bindung besondere Bedeutung zukommt.

This book is a study of the neurobiology of Alzheimer's disease. The authors critically review the established and accepted culprit in Alzheimer's disease, the amyloid, the main molecular factor of neurodegeneration in this disease. This book provides a synopsis of current information about ischemic cellular and molecular mediators involved in Alzheimer's neuropathology as well as interactions between these mediators that influence pathology. Current knowledge on the relation between ischemia-reperfusion factors and Alzhemier's-type demential are reviewed as well as the linking of B-amyloid deposition to neuronal damage and clinical disease.

Alzheimer's disease (AD), the most common type of neurodegenerative disorder in the aging population, is characterised pathologically by extracellular amyloid plaques and intracellular neurofibrillary tangles, pathophysiologically by synaptic dysfunction, and clinically by a progressive dementia. The rapid progress in the research fields of AD and dementia continues since the publication of the first book volume with the same title. This second book volume contains 14 chapters, bringing together a presentation of research frontiers in current AD/dementia research. The topics range from defining deregulation of amyloid precursor protein (APP) processing and neurotransmitter and signal molecules involved in regulation of APP processing, transgenic AD mouse models and their relevance to AD research, amyloid -peptide (A) immunisation, cerebral inflammation, myelin breakdown, roles of deregulation of cell cycle in AD pathology, relationship between cholesterol and AD, A binding to cholesterol and cholesterol oxidation, A-binding alcohol dehydrogenase and roles in AD pathogenesis, sex steroids, oestrogen therapy for AD prevention, behavioural and psychological symptoms of AD, memantine for AD therapy, enoxaparin as a therapeutic agent for AD, to molecular links between AD and traumatic brain injury. The prospects for developing effective therapeutic agents that target memory-relevant AD pathogenesis, as shown in these chapters written by world-wide leaders in the fields, are more encouraging. The book will be highly valuable to students and scientists world-wide who are interested in the scientific research progress in AD and dementia.

This best-seller in geriatrics is even better in an updated and completely revised new edition. Geriatric Secrets provides a substantial knowledge base in geriatric medicine and provides a wealth of insights into the art and practice of geriatrics, featuring all the most important "need to know" questions and answers in the proven format of the Secrets Series (R). Thought-provoking questions that provide succinct answers Presentation of a vast amount of information, but not overly simplistic The most important "need-to-know" questions-and-answers in the proven format of the highly acclaimed Secrets Series (R) Concise answers that include the author's pearls, tips, memory aids, and "secrets" Bulleted lists, algorithms, and illustrations for quick review Thorough, highly detailed index

Dementia is a brain disorder that seriously affects a person's ability to carry out daily activities. The most common form of dementia among older people is Alzheimer's Disease (AD), which involves the parts of the brain that control memory, thought and language. Age is the most important known risk factor for AD. The number of people with the disease doubles every 5 years beyond the age of 65. AD is a slow disease, starting with mild memory loss and ending with severe brain damage. The course the disease takes and how fast changes occur vary from person to person. On average, AD patients live from 8 to 10 years after they are diagnosed, though the disease can last for as many as 20 years. Current research is aimed at understanding why AD occurs and who is at greatest risk for developing it, improving the accuracy of diagnosis and ability to identify who is at risk, developing, discovering and testing new treatments for behavioural problems in patients with AD. This new book gathers state-of-the-art research from leading scientists throughout the world which offers important information on understanding the underlying causes and discovering the most effective treatments for Alzheimer's Disease.

Vascular dementia is one of the most common forms of mental deterioration for the elderly, second only to Alzheimer's disease. It should not be defined as a single disease, but rather as a group of syndromes that relate to different vascular mechanisms. This is one of the first books to be solely dedicated to the specific class of vascular dementia known as subcortical vascular dementia. The strict focus of the chapters give an depth review that will clarify many different aspects and give an unprecedented amount of detail about this clinical problem. Considering that vascular dementia can be prevented with early diagnosis, the research presented in this book will be important for both students and specialists of this important field.

Ageing has become a great problem for many countries. Due to world-wide life prolongation the number of people over 6o years old has grown rapidly into a ten percent piece of the world population. The growing age of the world population raises many social, economical, and medical problems. The proportion of people in the economically active age groups to those who are over 65 is constantly decreasing. A major consequence of the increasing numbers of individuals in advanced age groups is increasing numbers of patients suffering from age-related diseases. The aim of this book is to present the basic data on human ageing as well as on age-related diseases.