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

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

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

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

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

Polymyalgia rheumatica (PMR) and giant cell arteritis (GCA) are related conditions occurring almost exclusively in older people. Polymyalgia rheumatica is considered to be the rheumatic disease that is subject to the widest variations of clinical practice, partially due to the considerable uncertainty related to diagnosis and outcomes. Giant cell arteritis, an inflammatory form of vasculitis, may present with a broad spectrum of clinical manifestations and can be complicated by acute ischemic events, the most serious of which is permanent blindness. Early recognition and adequate treatment of the condition is thus necessary to prevent patients' loss of independence and to maintain their quality of life. Part of the Oxford Rheumatology Library series, Polymyalgia Rheumatica and Giant Cell Arteritis provides quick and practically relevant information on several aspects of the diseases, particularly on diagnosis and management, with the ultimate aim of improving the patient's care. Chapters highlight current concepts of pathogenesis, recent advances of diagnostic and therapeutic approaches, and the ongoing research into the identification of new biomarkers and corticosteroid-sparing medications. Each chapter is complemented with key message boxes highlighting the most relevant information for clinical practice. This concise but comprehensive reference is particularly suited for rheumatologists, general practitioners, and other professionals caring for patients with PMR and GCA.

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

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

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

Part of the What Do I Do Now? Psychiatry series, Geriatric Psychiatry offers comprehensive expertise for clinicians seeking answers for how to manage complex situations in geriatric psychiatry, with a focus on individuals with Alzheimer's disease and other neurocognitive disorders. This volume addresses conditions common to all psychiatric settings as well as features that must be factored into diagnosis and treatment in later life for anxiety, depression, psychosis, apathy, and agitation. Chapters feature brief clinical case vignettes and further resources for topics in neurocognitive disorders, anxiety disorders, mood disorders, psychotic disorders, and substance use in elderly patients. An authoritative guide for clinicians facing an aging population, Geriatric Psychiatry provides clear answers to some of the most complex situations in geriatric psychiatric care.

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

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

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

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

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

Older people have complex and unique primary care needs. The frequent occurrence of co-morbidities, polypharmacy, psychological, social and functional impairments can impact on the way problems present making the diagnosis and treatment more challenging for the primary care physician. The provision of healthcare is becoming more community-based and national service frameworks have highlighted the special healthcare needs of older people. This means that treating older patients will become an even larger proportion of the daily work of the general practitioner. Packed full of practical and down to earth advice for clinicians specialising in the care of older people, this book examines real problems that present on a day-to-day basis in the primary care environment. It provides GPs with specific advice and guidance to help them in the management of the often complex conditions that present in older people. Written by practising clinicians who are experts in the field, this book covers a diverse range of subjects from stroke medicine to incontinence to the role that the voluntary sector plays in the care of older people. It includes clinical case scenarios throughout and colour photographs in chapters on areas such as ophthalmology and dermatology enable readers to effortlessly understand the points being made. Easy to read and with most chapters co-authored by a specialist and a general practitioner, this book provides GPs, community and practice nurses, and those specialising in the care of older patients with an indispensable resource they can use to find practical advice from specialists in the field, including tips on differential diagnosis and summaries of the existing evidence-base and guidelines on treatment.

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.

Dementia can be a distressing condition, for the sufferer, and for families and other carers. Management of dementia is never easy, and involves facing some unpleasant problems and difficult choices. The right approach and expertise can minimise the unpleasantness and make dementia manageable, while inexperienced or inexpert management has the potential to cause unnecessary distress and disability, mis-directed resources, frustrated care staff, unduly long periods spent in hospital and premature care home placement.
Dementia Care is a practical manual for health and sociacare professionals in their encounters with people with dementia. It covers a wide range of information in a short, easily-accessible handbook format and broadly follows the journey of a person with dementia from first presentation to health or social services, through problems and their management, to the final stages of the illness. The book is rooted in the extensive experience of the authors in managing dementia in the community, in hospital and care homes and hopes to make the necessary expertise available and accessible in a form that will be useful to the whole range of medical, health and social care staff looking after people with dementia and their families.

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.

Although the perceptions and realities of ageing have changed markedly over the last few decades, for practitioners working with older people, emotional problems remain a major factor of health and happiness in later life. This handbook provides a concise, authoritative and up to date guide to best practice in therapy for older people, for a wide range of mental health professionals.
The editors bring together chapters by experienced trainers and clinicians that cover all the significant problems and issues in the assessment and treatment of emotional disorders in later life. The introductory chapters examine the individual, social, cultural and physical experience of ageing, and provide an essential background for a caring and professional understanding of related emotional disorders and their effective treatment. Throughout the book, key research and clinical experience is reported as underlying evidence based treatment, but the emphasis is on practical guidance for assessment and interventions, rather than detailed discussion of methodological issues. With each chapter written by a specialist in their field, a range of expertise is provided in a single source, making this book an invaluable resource for anyone dealing with the mental health needs of older people.

Pain in later life is both quite common and disabling, and it differs significantly in terms of its aetiology, diagnosis and treatment from pain in the general adult population. Older people often have complicated co-morbidities, have a high prevalence of mental health problems (e.g. anxiety, cognitive impairment, and depression) and respond to treatment in different ways compared to younger people. Their specific needs are rarely discussed specifically in more general texts.
Part of the "Oxford Pain Management Library," this pocketbook will serve as a concise companion for healthcare professionals who manage older patients suffering with pain. Concise chapters will summarize up-to-date reserach literature in a practical style that will have direct relevance to busy clinicians. Introductory chapters will include the epidemiology of pain in older people as well as the proper assessment of older patients with pain conditions. Later chapters will focus on specific painful conditions common in the elderly, including arthritis and rheumatism, osteoporosis, abdominal pain, and cancer.
The book will appeal to a wide variety of health care professionals in both primary care and secondary care services such as geriatric medicine, rheumatology, orthopedics, surgery, pain management and palliative medicine. The book will also be of relevance to nurses, physiotherapists, occupational therapists, clinical psychologists, pharmacists and other health care providers.

The third edition of the best-selling Cognitive Assessment for Clinicians provides readers with an up-to-date, practical guide to cognitive function and its assessment to ensure readers have a conceptual knowledge of normal psychological function and how to interpret their findings. Organized into 8 chapters, this resource offers a framework in which various aspects of cognition are considered. This includes the representation of cognition in the brain (such as attention and memory), focal representation (such as language, praxis and spatial abilities), detailed descriptions of the major syndromes encountered in clinical practice, and discussions on taking a patient's history and performing cognitive testing. To ensure readers are aware of the latest developments in patient assessment and neuropsychological practice all content has been carefully revised by John R. Hodges to include essential updates on areas such as the pathology and genetics of frontotemporal dementia, and social cognition and major syndromes encountered in clinical practice such as delirium. This useful resource offers a theoretical basis for cognitive assessment at the bedside or in the clinic, and a practical guide to taking an appropriate history and examining patients presenting with cognitive disorders. This edition also includes the latest version of Addenbrooke's Cognitive Examination III (ACE-III), and 16 case histories on a variety of cognitive disorders illustrating the method of assessment and how to use the ACE-III in clinical practice. In addition, the appendix outlines the range of formal tests commonly used in neuropsychological practice.

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.