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.

After the age of 40, we may notice occasional lapses - a forgotten phone number, a friend's name, or a word that was right on the tip of our tongue. By 60, we may find ourselves wondering who called this morning, why we came into the kitchen, where we parked the car. In an aging nation, where one citizen in seven will be 65 when the next century arrives, these little difficulties raise a larger question: what precisely happens to our thinking as we grow older? What is normal, what is not, and how are we to know the signs? Douglas Powell offers a comprehensive account of cognitive aging of how our mental functions change as we mature. Defining patterns of normal decline, as well as severe forms of cognitive impairment, this book will help us understand and address the needs of an aging population. Powell integrates the latest literature on aging with the findings of his recent study of 1,000 physicians and 600 other subjects ranging in age from 25 to 92. His work reveals patterns of cognitive aging throughout the life cycle, particularly the way in which variability among individuals outpaces the decline of overall ability. Tackling an issue of growing interest in the field of gerontology, he notes the effect of certain factors such as gender, diet, health, and physical and mental exercise on changes in cognitive functioning over time. Along with the criteria for mild cognitive impairment and normal cognitive aging, this book addresses the question of optimal cognitive aging, identifying its characteristics and searching out their implications for the maintenance of intellectual abilities in the post-retirement years.

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

By 2050, the number of people aged sixty years and older with schizophrenia is expected to double and affect about 10 million people worldwide. Psychoses are among the most common experiences in later life, with a lifetime risk of 23 percent. As a result, there is a looming crisis in mental health care. Schizophrenia and Psychoses in Later Life is the first major multidisciplinary reference on these important disorders. The book provides guidelines for clinical care, research and policy that are consistent with the emerging paradigmatic changes occurring with respect to schizophrenia in later life. This book features multidisciplinary contributions from experts in the fields of biological psychiatry, social psychiatry, sociology, anthropology, social work, psychology, and neuropsychology that will help professionals to integrate services and attain the best outcomes. The text will guide psychiatrists, psychologists, gerontologists, policymakers, and social scientists in creating innovative new programs to help this underserved and growing population.

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.

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.

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 population is ageing, and most cardiovascular diseases are more common in older people. Older people often present atypically, have multiple co-morbidities, and are vulnerable to therapeutic delays or errors. The healthcare needs of the elderly differ from those of younger patients and are more complex, related to the physical and psychological changes associated with ageing and other disease processes in the elderly population. In addition, the response to treatment may alter with ageing, yet many elderly patients with cardiovascular disease are not looked after by specialists. Cardiovascular Disease in the Elderly provides user-friendly advice in a field that has limited evidence but contributes significantly to the workload not only of cardiologists but also of elderly care physicians and general practitioners. It reflects current UK and international guidelines and provides key evidence based references. Wherever possible, published guidelines are incorporated to ensure the book reflects current recommended management. It indicates where practice differs from that of younger adults, and provides guidance on the ethical and clinical dilemmas particular to the elderly. The handbook covers many aspects of cardiovascular disease in the elderly and focuses on common problems, including heart failure, atrial fibrillation and isolated systolic hypertension.

Many practitioners are hesitant to treat mental health issues in older adults, believing that special expertise is required to do so effectively. DSM-5 Pocket Guide for Elder Mental Health is based on the premise that all practitioners can acquire the confidence needed to work with older patients. Primary care practitioners, clinical psychiatrists, psychiatric nurses, psychiatric residents, and resident fellows are just some of the professionals who will benefit from memorable cases that illustrate how the presented information can quickly be applied to the reader's own patients, handy mnemonics that make complex diagnostic information easy to commit to memory, and informative tables that help readers easily locate DSM-5 information for billing purposes. All of the information presented in this guide is grounded in real-world advice, so readers can be confident that the information provided is practical and clinically based as they learn how to * Perform 15- and 30-minute diagnostic interviews* Recognize the main elements of the most common mental health disorders* Reach an initial diagnosis* Engage patients in psychosocial, psychotherapeutic, and psychopharmacological treatment plans and work with caregivers* Know when to refer patients for additional subspecialty mental health treatment. With expert consensus threaded throughout, DSM-5 Pocket Guide for Elder Mental Health is the ideal companion for trainees and seasoned professionals alike, who will find the thoughtful, practical information they need to efficiently and effectively employ DSM-5 as part of comprehensive diagnostic interview and treatment planning for their older patients.

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

Forensic pathologists and clinicians are increasingly faced with challenges when it comes to geriatric cases, due to an aging population and increased comorbidities in the elderly. This text provides an up-to-date guide to all facets of geriatric forensic pathology, with contributions from experts from a variety of disciplines. Packed with color illustrations and case examples, chapters cover inflicted, self-inflicted, and accidental trauma, as well as natural conditions leading to unexpected death. In addition, specific chapters cover a wide range of difficult and topical areas, from elder abuse, dementias, and nutrition to pharmacology and toxicology issues, long-term care facilities, and scene investigation. Topics such as euthanasia are also explored to provide the reader with a rich, contemporary understanding of medicolegal issues. This is an invaluable resource not only for pathologists, but also for medical practitioners and lawyers dealing with geriatric cases. The book comes packaged with online access to the text and high-resolution images.

Beim Umgang mit dem Alter stehen wir mehr als in anderen Lebensphasen vor der Frage, inwieweit wir es mitgestalten koennen und inwieweit wir den Vorgaben fremder Architektur unterworfen sind. Diese Frage ist nicht nur fur uns als Individuen, sondern auch fur uns als Mitglieder einer bestimmten Gruppe, als "Gesellschaft" oder als "Menschheit" jeweils von Bedeutung. Der Band untersucht die medizinische, technische, sozialwissenschaftliche und normative - rechtliche und ethische - Sicht auf diese Problematik. Dabei prasentiert er die aktuellen fachspezifischen Diskussionen mit dem Ziel, das Gesprach zwischen den mit der Altersthematik befassten Disziplinen und mit der interessierten OEffentlichkeit zu foerdern.

A guide for doctors to quickly choose the right drugs in the right dose for the most important clinical problems in the elderlyPrescribing medications for elderly patients is complex - this book gives clear advice on treatment regimes, drug interactions, adverse effects, and recommended dose changesProvides practical help with the problems that can arise in reaching an accurate diagnosis in the elderly, recommends clear treatment options, lists key drug interactions and side effects, and advises when to amend doses

Nach dem erfolgreichen Werk "Seniorenspielbuch - Reaktivierung Dementer in Pflege und Betreuung" widmet sich Ursula Stoehr diesmal dem wichtigen Thema Ressourcen in der Pflege. In der Hinfuhrung und dem umfangreichen Hauptteil der erprobten Spiele mit Variationen und Erlebnisberichten werden nach Kategorien geordnet viele Beispiele der Ressourcenaktivierung beschrieben. Damit koennen Pflegepersonen, Betreuer und Begleiter Menschen verstandnisvoll und gewinnbringend durch ausgewahlte Spiele fuhren. Der Koerper ist die wichtigste Ressource des Menschen. Hier liegen noch viele Potenziale verdeckt. Als Einzelne und in der Gruppe erfahren sich die Menschen dabei im eigenen Denken, Fuhlen und Handeln oftmals ganz neu. Ein Ressourcenpool oeffnet sich. Vergessene Fahigkeiten werden als bereichernde Starken erlebt. Pflegekrafte nutzen diese Erfahrungen fur die Selbstpflege und schoepfen daraus wieder Kraft und Energie fur ihre tagliche Arbeit. Die Autorin berichtet aus ihrer jahrelangen spieltherapeutischen Erfahrung mit Senioren. Sie zeigt Pflegepersonal, Altenpfleger, Betreuer, Begleiter, Auszubildende und Angehoerige wie sie durch spielerisches UEben vorhandene Ressourcen entdecken, starken und erhalten koennen um somit wieder mehr Freude am Leben zu haben.

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.

Prakitscher Wegweiser und Entscheidungshilfe fur die passende Betreuung von Menschen mit Demenz Die Auswahl der passenden Betreuung fur Menschen mit einer Demenz stellt nicht nur Angehoerige sondern auch Pflegende in der Beratung und im UEberleitungs und Casemanagement vor grosse Herausforderungen. Sie mussen bei der Wahl viele Aspekte beachten: die Bedurfnisse des Hilfebedurftigen, das Budget, bestimmte Umstande, das Angebot im Umkreis. Dieses Buch ist ein praktischer Wegweiser durch die bereits vielfaltigen ambulanten und stationaren Versorgungsangebote fur Menschen mit Demenz. Neben den klassischen Versorgungsformen werden auch die Verhinderungspflege, Tages- und Nachtpflege, alternative Wohnformen, Betreuungsgruppen, die Haushaltshilfe oder der Hausnotruf dargestellt. Es gibt neben einem schnellen UEberblick auch erste Vergleichsmoeglichkeiten zwischen einzelnen Versorgungsformen, die bei der Entscheidungsfindung hilfreich sein koennen. Zahlreiche UEbersichten, Vor- und Nachteile und Kriterien, fur wen sich welche Betreuungsform besonders eignet, bieten eine solide Arbeitshilfe fur die Beratung und den Entscheidungsprozess. Zusatzliche Hilfsangebote fur Pflegende Angehoerige und die Beantragung werden ebenfalls erlautert. Einen weiteren Fokus setzt das Buch auf die Beratung von Menschen mit Demenz und deren Familien, denn hier gibt es durchaus Besonderheiten, die ein Berater kennen und berucksichtigen sollte. Nach dem Blick uber den Tellerrand in andere Lander und Ihre Betreuungskonzepte fur Menschen mit Demenz bilden zwei ausfuhrlich geschilderte Fallbeispiele den Abschluss. Fur Pflegefachkrafte in Beratungsstellen, Pflegestutzpunkten, ambulanten Diensten, im UEberleitungsmanagement, im Sozialdienst der Krankenhauser und Case Manager. Aber auch fur Mitarbeiter der Pflegekassen und Selbsthilfegruppen ist es ein nutzbringendes Nachschlagewerk.

Essen hat über die Nährstoffzufuhr hinaus großen sozialen Stellenwert; Riechen, Schmecken und das gemeinsame Erlebnis sind Mittel der Kommunikation und Stimulation. Krankheits- oder altersbedingte Einschränkungen beeinträchtigen diese sozialen Aspekte, besonders in Pflegeeinrichtungen kommen sie oft zu kurz. Hier setzt das interdisziplinäre Autorenteam an: Auf Basis wissenschaftlicher und medizinisch-pflegerischer Grundlagen geben ihre Vorschläge dem Essen auch mit Einschränkungen auf einfache Weise mehr Genuss und Lebensfreude zurück. Neuartige Kombinationen und Zubereitungen von Zutaten und ihre störungsspezifische Konsistenzveränderung liegen den Ideen zugrunde. Die dargestellten Maßnahmen können im stationären Setting einfach umgesetzt werden und erleichtern auch Pflegekräften die anspruchsvolle Arbeit. Rezeptvorschläge regen zum Nachmachen und Ausprobieren an. Das Buch richtet sich an Pflegekräfte in Praxis und Management, aber auch an Angehörige zu Hause, die Pflegebedürftigen mehr Lebensfreude durch Genuss ermöglichen möchten.

Dieser Band bietet einen informativen UEberblick uber die Symptomatik bei demenziell bedingten Sprachstoerungen, eine praxisorientierte Anleitung zur Durchfuhrung sprachlicher Foerdermassnahmen und linguistisch fundierte UEbungen, die in der klinischen und ambulanten Praxis entwickelt wurden. Mit Foerderubungen zur sprachlichen Aktivierung von Betroffenen, zum sprachlichen Erfassen von Gegenstanden und Sachverhalten und zur Versprachlichung praktischer Alltagshandlungen werden die zentralen Bereiche beginnender demenzieller Sprachstoerungen erfasst. Die Materialien aus vielen Bereichen von Sprache und Grammatik eignen sich gleichermassen fur sprachtherapeutisches Fachpersonal und engagierte Laienhelfer, die als Demenzberater oder -begleiter tatig sind. Formulare zur Verlaufsbeobachtung und -bewertung erganzen das UEbungsmaterial.

Die standige Zunahme der Lebenserwartung und des Anteils alterer Menschen an der Gesamtbevolkerung sowie die sprunghafte Entwicklung auf dem Gebiet der Alterspsychiatrie haben die Herausgeber veranlasst, die neuesten Ergebnisse dieser Wissenschaft in einem Handbuch zusammenzufassen. Angesichts der Tatsache, dass die Alterspsychiatrie eine interdisziplinare Wissenschaft ist, wird das Thema durch eine grossere Zahl von Beitragen kompetenter Autoren dargestellt. In den einzelnen Beitragen werden physiologische und psychopathologische Veranderungen, die sich aufgrund des Alterns ergeben, ebenso ausfuhrlich behandelt wie Diagnostik, Therapie und Rehabilitation gerontopsychiatrischer Erkrankungen. Dieses Handbuch stellt eine umfassende Informationsquelle auf dem Gebiet der Alterspsychiatrie dar."