The realities and misconceptions of long-term care and the challenges it presents for the ethics of autonomy are analyzed in this perceptive work. While defending the concept of autonomy, the author argues that the standard view of autonomy as non-interference and independence has only a limited applicability for long-term care. He explains that autonomy should be understood as a comprehensiveness that defines the overall course of a person's life rather than as a way of responding to an isolated situation. Agich distinguishes actual and ideal autonomy and argues that actual autonomy is better revealed in the everyday experiences of long-term care than in dramatic, conflict-ridden paradigm situations such as decisions to institutionalize, to initiate aggressive treatments, or to withhold or to withdraw life-sustaining treatments. Through a phenomenological analysis of long-term care, he develops an ethical framework for it by showing how autonomy is actually manifest in certain structural features of the social world of long-term care. Throughout this timely work, the rich sociological and anthropological literature on aging and long-term care is referenced and the practical ethical questions of promoting and enhancing the exercise of autonomy are addressed.

The concept of elder abuse and neglect as a social problem continues to remain illusive. A major impediment has been the absence of research and clear definition of the problem, and a book which summarizes what is known about elder abuse has been needed for a long time. Drawing on examples from the US and the UK, this book is a contribution to research and information currently available.

In few places in American society are adults so dependent on others as in nursing homes. Minimizing this dependency and promoting autonomy has become a major focus of policy and ethics in gerontology. Yet most of these discussions are divorced from the day-to-day reality of long-term care and are implicitly based on concepts of autonomy derived from acute medical care settings. Promoting autonomy in long-term care, however, is a complex task which requires close attention to everyday routines and a fundamental rethinking of the meaning of autonomy.
This timely work is based on an observational study of two different types of settings which provide long-term care for the elderly. The authors offer a detailed description of the organizational patterns that erode autonomy of the elderly. Their observations lead to a substantial rethinking of what the concept of autonomy means in these settings. The book concludes with concrete suggestions on methods to increase the autonomy of elderly individuals in long-term care institutions.

This thoughtful and compassionate account addresses some of the difficult ethical and medical issues raised in the provision of health care for the dependent elderly patient. Care of the dependent elderly is subject to conflicting priorities arising from the demands of patients, their relatives, the fair allocation of medical and financial resources, and the medical ethos to prolong life. A distinguished team of contributors, selected from the fields of medicine, philosophy, ethics, and law, discuss and critically evaluate these issues. This volume will provide a focus for further debate and interest in this important subject.

Renowned experts in adult development and aging, Manfred Diehl and Hans-Werner Wahl synthesize decades of psychological research into a comprehensive volume that considers later life in the context of lifespan development, social and physical environmental factors, and historical-cultural influences. In so doing, they review important research on cognitive functioning, behavioral processes, personality and identity development, and overall well-being in middle- to late-adulthood. Diehl and Wahl's framework helps readers better understand that the development process is influenced by many facets and can take many different trajectories. Through this contextualized perspective, they examine the influence that previous life experiences, beginning in early childhood, can have on the aging process in older adults. This includes social relations, technological developments, societal perspectives on aging, and education. The authors also examine the challenges and opportunities of aging, using a strengths-based approach to promote a diverse, nuanced understanding on successful, healthy aging. Chapters also conclude with dialogues from other experts in the field, offering multiple different perspectives on the research.

Erstmals im deutschsprachigen Raum wird die Lebenswirklichkeit von Menschen, deren AElterwerden mit gesundheitlichen und gesellschaftlichen Stigmata verbunden ist, systematisch in den Blick genommen. Menschen mit Migrationshintergrund oder Behinderung, mit chronischen Erkrankungen wie HIV/Aids, mit langjahriger Drogen- oder Psychoseerfahrung, schwul, lesbisch oder trans* lebende Menschen weisen im Alter aufgrund ihrer Zugehoerigkeit zu einer stigmatisierten Gruppe spezifische psychosoziale Bedarfe auf. In dem Sammelband werden diese Bedarfe anhand aktueller Forschungs- und Praxisbefunde adressiert und innovative Perspektiven eines selbstbestimmten Alterns aufgezeigt.

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

An in-depth and wide-ranging approach to the study of older adults in society Taking a holistic approach to the study of aging, this volume uses biological, archaeological, medical, and cultural perspectives to explore how older adults have functioned in societies around the globe and throughout human history. As the world's population over 65 years of age continues to increase, this wide-ranging approach fills a growing need for both academics and service professionals in gerontology, geriatrics, and related fields. Case studies from the United States, Tibet, Turkey, China, Nigeria, and Mexico provide examples of the ways age-related changes are influenced by environmental, genetic, sociocultural, and political-economic variables. Taken together, they help explain how the experience of aging varies across time and space. These contributions from noted anthropological scholars examine evolutionary and biological understandings of human aging, the roles of elders in various societies, issues of gender and ageism, and the role of chronic illness and "successful aging" among older adults. This volume highlights how an anthropology of aging can illustrate how older adults adapt to shifting life circumstances and environments, including changes to the ways in which individuals and families care for them. The research in Anthropological Perspectives on Aging can also help researchers, students, and practitioners reach across disciplines to address age discrimination and help improve health outcomes throughout the life course.

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

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

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.

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.

A text for upper-undergraduate and graduate courses in physical activity and aging or gerontology; also a reference for physical activity instructors, fitness specialists, personal trainers, activity directors, activity assistants, and therapeutic recreation specialists working with older adults.

Historically, clinicians and researchers have focused on depression and dementia in older people, paying little attention to anxiety except as a complication of these disorders. However, increased research into late-life anxiety has seen a growth in scientific literature and clinical interest. This important book brings together international experts to provide a comprehensive overview of current knowledge in relation to anxiety in older people, highlighting gaps in both theory and practice, and pointing towards the future. Early chapters cover the broader aspects of anxiety disorders, including epidemiology, risk factors, diagnostic issues, association with insomnia, impaired daily functioning, suicidality, and increased use of healthcare services. The book then explores cross-cultural issues, clinical assessment, and pharmacological and psychological interventions across a variety of settings. An invaluable resource for mental health professionals caring for older people including researchers, psychiatrists, psychologists, specialist geriatric nurses and social workers.

This new edition of the Oxford Handbook in Geriatric Medicine has been expanded and updated to reflect the substantial changes in clinical practice since the previous edition, including the Francis report and the impact on care for the older patient, the National Dementia Strategy and screening, and the evolution of the role of Geriatricians in other specialities. It includes new material on risk scoring management of TIA, and a new chapter on the older surgical patient. With an ageing population, geriatric medicine is increasingly central to emergency and internal medicine in hospital settings and in general practice. Diseases are more common in the older person, and can be particularly difficult to assess and to treat effectively in a field that has limited evidence, yet makes up a substantial proportion of the work of most clinicians. Using clinical vignettes and how-to boxes to provide practical advice on common problems, this is a practical, accessible, and essential handbook for all medical staff who manage older patients.

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

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

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

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

In diesem Buch finden Sie Antworten zu folgenden Fragen. Welche Prinzipien leiten therapeutische Entscheidungen am Lebensende? Was sind die medizinethischen Grundlagen solcher Entscheidungen und wie sind sie entstanden? Welche Besonderheiten gibt es bei geriatrischen Patienten mit chronischen Erkrankungen, insbesondere der COPD? Fur welche Therapieschiene (intensivmedizinisch, konservativ oder palliativ) entscheiden sich AErztInnen bei einem geriatrischen Endstage-COPD Patienten mit akutem respiratorischem Versagen? Eine Querschnittsuntersuchung unter verschiedenen Fachrichtungen zeigt dabei deutliche Unterschiede in der initialen Therapieentscheidung.