Contents:
Part 1 Foundations and options for programme development: stages of dementia - an overview; palliative care for late-stage dementia; maintaining personhood - philosophy, goals, programme development and staff education; administration of a late-stage dementia programme in the nursing home setting. Part 2 Treatment approaches for common needs: medical care during late-stage dementia; treatment approaches to common physical care needs; strategies for eating, swallowing and dysphagia; a supportive environment for people with late-stage dementia; communications and fundamentals of care - bathing, grooming and dressing; behaviours associated with late-stage dementia; psychopharmacology and late-stage dementia behaviours; therapeutic activities for low- functioning older adults with dementia. Part 3 Special issues in care: working with the family; making change work - understanding concepts and strategies; legal and ethical issues; programme evaluation; future challenges and considerations.

One of the most pressing questions facing society today is how to care for its burgeoning elderly population. By the year 2050, experts predict that one-third of the world's population will be over 60 years old. Health promotion for the elderly is therefore becoming an increasingly important topic in public policy and planning. This book examines the challenges presented by an ageing global population, our varying expectations of healthy ageing, and the importance of exercise and physical activity for the elderly. Drawing on empirical research from around the world, it considers the factors that influence health and well-being in later life and compares practices and policies designed to promote healthy ageing. It presents case studies from 15 countries spanning Europe, North and South America, Africa and Asia, and sheds light on how attitudes to physical activity differ across nations, regions and cultures. Ageing, Physical Activity and Health: International Perspectives is important reading for all students, researchers and practitioners with an interest in physical activity, public health, exercise science or gerontology.

People with mid-stage dementia are served by special care units in long-term care facilities, although as these residents deteriorate, they are transferred out of the unit and into a general nursing home unit. These nursing homes are not equipped to deal with palliative needs of end-stage dementia care. The book addresses those needs. With this in mind, Part One examines the stages of dementia (end-stage in particular). Other chapters in this section provide background on the hospice movement and hospice concepts; the idea of maintaining personhood; and administration of a late-stage care unit. Part Two focuses on treatment approaches for common needs in end-stage dementia - medical and physical care; a supportive environment; the fundamentals of care; psychopharmacology; and therapeutic activities. Part 3 contains chapters on family-centred care; legal and ethical issues; programme evaluation; and future opportunities.

Rheumatoid arthritis (RA) is a major cause of disability affecting about 1% of the population. Although much effort has been expended on research into the causes and cures of RA, little progress has been made. The focus of treatment in RA is on reducing the disabling consequences of the disease and controlling the symptoms.
Understanding Rheumatoid Arthritis examines the nature of RA and its symptoms of pain and stiffness. The role of health care professionals and the individual's encounters with the doctor are important to understand as these experiences influence the individual's behaviour and understanding of their RA.
This book will be an invaluable aid to the considerable number of people who suffer from rheumatoid arthritis, their families, carers and all health professionals involved in its treatment.

The world is growing older and this is a historically unprecedented phenomenon. Negotiating such change, personally, socially and for governments and international organisations requires an act of cultural adaptation. Two key questions arise: What is the purpose of a long life? and How do we adapt to societies where generations are of approximately the same size? A number of pre-existing narratives can be identified; however, it is argued that contemporary policies have produced a premature answer which may eclipse the potential arising from lifecourse change. In this book Simon Biggs discusses ways of interrogating these questions and the adaptations we make to them. Four major areas, all of which have been suggested as solutions to population ageing, are critically assessed, including work as an answer, the relationship between work, ageing and health, narratives of spirit, belief and wisdom, the body and the natural, anti-ageing medicine, critical approaches to dementia, plus family and intergenerational relations. This book is particiularly useful for those trying to make sense of population ageing and negotiate solutions. It describes a number of concepts that can be used to assess what we are told about a long life and how generations can adapt together. With the cultural landscape moving away from traditional interpretations of old age, the question of adult ageing is of growing interest to a number of groups. This book is essential reading for social and health-care workers, other helping professionals, policy makers, social scientists and all who encounter the prospect of a long life.

The fifth edition of this widely used book by caregivers brings to you updated and revised content, built on the basic understanding that medicine does not work in a vacuum, but rather alongside other disciplines to provide the environment for a healthy and fulfilling long life. Edited by alumni and senior faculty at McGill University, with international contributions, this book advocates the achievement of better, longer, satisfying, and more productive lives for older persons. It is a helpful resource for physicians, professional caregivers, therapists, students, and residents in medical and nursing disciplines, who care for our burgeoning older population and need to know what to look for and when to consult specialists. Key Features: 1. Follows a uniform structure with many chapters having a hypothetical vignette for instructional purposes and with the clinical chapters detailing the features and diagnosis of given conditions, along with possible management protocols specific to afflicted older individuals. 2. Builds on the success of the previous four editions to provide high-quality content from international experts for physicians and other caregivers in the field. 3. Provides possible management for pressing problems, including the nursing home challenge, pandemics such as COVID, and precision therapy for cancer.

This book presents stories to offer the multiple lessons of living and dying for trainees and practicing nurses. It is helpful for caregivers to reach beyond the confines of the settings of illness and become an active and involved participant in the world of the patient.

With neo-liberal resource rationing, and the onus of cost shifting from the state to individuals, families, and communities, migration issues can add a further layer of complexity to the question of caring for the elderly. By presenting examples from a variety of contexts and countries, this book will stimulate readers into considering new approaches to their own local situation in an attempt to find sustainable social work responses, and in helping to build intergenerational solidarity and social capital. Contributions to the book focus on patterns of migration: older migrants, migrating families and migrant carers. Facilitating and supporting social solidarity both locally and internationally requires social workers to understand the different contexts for elderly social work both within their own country, and internationally. Central to this area of work is the promotion of values that respect differences and uphold the principles of human rights and social justice. This book highlights the need to consider migration as a driver for social change, offering the opportunity for new forms of social solidarity that can adapt and support people inter-generationally and sustainably in later life. This book was originally published as a special issue of the European Journal of Social Work.

Increasingly, scholars from many disciplines have begun to incorporate various modalities from the humanities and arts - novels, films, artwork, and other forms of expression - to help connect students with the experience of aging in deeply meaningful and person-centered ways. This collection examines how these approaches are incorporated into gerontology and geriatrics education. Rather than focusing solely on measurable outcomes, such as changes in learning over time - which is the purview of empirical pedagogy - chapters focus on strategies for successfully incorporating a specific work into the classroom, descriptions of humanities and/or arts exercises with students or older adults, and other ways that explore how the humanities and arts can be applied successfully and meaningfully in educational settings. This book was originally published as a special issue of Geronotology & Geriatrics Education.

Dementia: The Basics provides the reader with a clear and compassionate introduction to dementia and an accessible guide to dealing with different parts of the dementia journey, from pre-diagnosis and diagnosis to post-diagnostic support, increasing care needs and end of life care.

Co-authored by an academic, a person living with dementia and a family carer, the book endeavours to raise awareness of dementia, challenge stereotypical and negative ideas about what it means to have dementia and champion a society where people living with dementia can be active as they wish for as long as possible. The authors present an overview of current research at each step of the dementia journey as well as including knowledge from lived experience, enhancing understanding and challenging thinking about what it might be like to live with a diagnosis or to care for a loved one. As a whole, the book emphasises the importance of prioritising the person living with dementia, as well as considering the impact of what any initiative or action might mean for them, their families and their care supporters.

Offering both an accessible introduction to dementia and practical tools, this book will be ideal for health and social care professionals, students of social care, health care and nursing, people with dementia, carers and anyone wanting to understand more about the condition.

Table of Contents

Section 1 Introduction

Chapter 1: Introduction

Chapter 2: Pre-diagnosis

Chapter 3: Diagnosis of dementia

Section 2 Introduction

Chapter 4: Post-diagnostic support for the person living with dementia

Chapter 5: The post-diagnostic support needs of family members and friends who provide care and support

Chapter 6: Supporting the person living with dementia and their care supporter together

Section 3 Introduction

Chapter 7: Care need transitions in the journey with dementia

Chapter 8: End of Life Care

Chapter 9: Conclusion

Focusing on under-researched aspects of social, economic and political change, this volume offers fresh insights into aging, older people and their families. It combines an international and interdisciplinary approach. Chapters explore the contexts in which family roles, institutional practices, public policies and social and cultural discourses evolve, connecting analyses of aging issues and policy development with sound research practices, as well as previously-ignored gaps in professional practice. Topics covered include politics and policy, health and social care, culture and migration, urban and rural sociology, gender studies, technology and economics. The book will be of particular interest to students and researchers in gerontology, community development, geography and population studies, along with researchers and professionals in physiotherapy, nursing and social work.

The need to address the many health care needs of an ageing population increases daily. This text should give nurses an insight into using complementary therapies safely with older people.

It is divided into four parts. Part 1 considers the implications for safe practice. Part 2 gives an overview of the four main therapies: massage, aromatherapy, reflexology and flower remedies. Part 3 is the heart of the book and looks at practical applications of the therapies. There is a sound theoretical component to inform safe practice and realistic examples of the integration of such therapies into orthodox care.

In a changing world where nurses are reaching out and incorporating different approaches to enhance their practice, this comprehensive resourse should be a useful tool in the care of the older person.

In an attempt to challenge the prevailing attitudes and images of nursing homes in America, the authors have written a touching book about the people and the relationships that are a part of nursing home care. Their extensive study of and experience with nursing home residents and caregivers reveal that our negative and often painful thoughts about nursing homes are not always well-founded. The authors effectively use monologue and dialogue to take the reader into the world of the nursing home to observe the work of the nursing home staffs, from administrators to housekeepers, as they become surrogate families and friends of the patients. Most moving are the thoughts and words of the residents themselves, especially as they describe their initial horror and anger at being in the nursing home, and their feelings of abandonment and loss of self-esteem. Valuable for both undergraduate and graduate courses in nursing, social work, psychology, death and dying, pastoral care and counseling, this comprehensive volume is useful as a primary or supplementary text.BACKCOVER COPY In an attempt to challenge the prevailing attitudes and images of nursing homes in America, David Oliver and Sally Tureman have written a touching book about the people and the relationships that are a part of nursing home care. Their extensive study of and experience with nursing home residents and caregivers reveal that our negative and often painful thoughts about nursing homes are not always well-founded. The authors effectively use monologue and dialogue to take the reader into the world of the nursing home to observe the work of the nursing home staffs, from administrators to housekeepers, as they become surrogate families and friends of the patients. Most moving are the thoughts and words of the residents themselves, especially as they describe their initial horror and anger at being in the nursing home, and their feelings of abandonment and loss of self-esteem. The Human Factor in Nursing Home Care provides a new and refreshing perspective of those who provide care in nursing homes and those who receive it. And, in the end, it challenges the reader to consider his or her own images of aging and of dying.

This open access book outlines the challenges of supporting the health and wellbeing of older adults around the world and offers examples of solutions designed by stakeholders, healthcare providers, and public, private and nonprofit organizations in the United States. The solutions presented address challenges including: providing person-centered long-term care, making palliative care accessible in all healthcare settings and the home, enabling aging-in-place, financing long-term care, improving care coordination and access to care, delivering hospital-level and emergency care in the home and retirement community settings, merging health and social care, supporting people living with dementia and their caregivers, creating communities and employment opportunities that are accessible and welcoming to those of all ages and abilities, and combating the stigma of aging. The innovative programs of support and care in Aging Well serve as models of excellence that, when put into action, move health spending toward a sustainable path and greatly contribute to the well-being of older adults.

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

As the world population ages and people live longer, nurses and healthcare workers, no matter what area they work in, will encounter older people. This pocket-sized (120x80mm), spiral-bound guide in the popular Nursing & Health Survival Guide series aims to provide you with the basic but fundamental knowledge you will need to care for older people. All you need to know on: Ageism Assessment Core gerontology conditions Care planning End of life care And much more...

Christine Bryden was 46 years old when she was diagnosed with dementia, and in this book she describes her remarkable emotional, physical and spiritual journey in the three years immediately following. Offering rare first-hand insights into how it feels to gradually lose the ability to undertake tasks most people take for granted, it is made all the more remarkable by Christine's positivity and strength, and deep sense, drawn in part from her Christian faith, that life continues to have purpose and meaning. Originally published in Australia in 1998, the book is brought up-to-date with a new Foreword, Preface and Appendix, in which Christine explains how the disease has progressed over the years, and how she is today. It also contains many previously unseen photographs of Christine and her family, from around the time of her diagnosis up to the present day. Inspirational and informative in equal measure, Who will I be when I die? will be of interest to other people with dementia and their families, as well as to dementia care professionals.

The mental health needs of older people are all too often overlooked or put down to the inevitable consequences of ageing. This textbook will make it much easier for health, social care and third sector workers to identify, treat and support the needs of this population. The book takes an interdisciplinary team approach and sets the scene by looking at different practice contexts in the United Kingdom and the increasingly important role played by social care in addressing the mental health needs of older people. A number of more clinically focused chapters then cover: mental health promotion anxiety and depression ageing and psychosis alcohol and dual diagnosis dementia later life liaison services complex and enduring mood disorders. Each clinical chapter makes use of extended and detailed case studies which illuminate the team's role in the assessment-intervention-evaluation cycle and ensure the text's application to practice. Service user and family perspectives are drawn on throughout and current practice exemplars outlined. The final chapter distils key messages from the book and sets a number of key challenges. Mental Health and Later Life highlights the rewards and complexity of working with older people with mental health needs and their families. It is invaluable reading for all those learning about, or working with, this population.

This book studies communication in institutional eldercare. It is based on audio-recorded interactions between residents and staff in a Japanese care facility. The focus is on the morning care routines, which include getting the residents out of bed and ready for the day. Combining quantitative and qualitative methods, the analysis explores the characteristics of care communication as they become manifest in the interactional small print. Topics include the use of terms of address and formal speech, the basic organisation of openings and closings, the difficulties of talking while working-and, at times, working while talking-and tempo differences between residents and staff as they move along between bed and breakfast. The research findings are contextualised with results from previous studies, tracing significant features and explanation for deviant cases. The author is a trained linguist and certified nursing assistant with first-hand working experience in institutional eldercare.

This unique, concise ready reference for daily use collates for the first time the most useful, practical and simple assessment scales used in geriatric settings. It provides tools to identify clinical conditions and health outcomes objectively and reliably. It is essential as a clinical primer and everyday reference guide for all practising and training members of multidisciplinary teams, including consultants and doctors in specialist training, career grade doctors and general practitioners, and medical students; nurses, health visitors, dieticians, and social workers; allied health professionals such as physiotherapists, occupational therapists, speech and language therapists; and managers of elderly care services.'Assessment is central to the practice of Geriatric Medicine. All members of the multidisciplinary team require a sound knowledge of the basic principles of measurement scales. We need to be competent in using and selecting appropriate scales, understanding which scales are valid and fit for purpose. Unfortunately, up to now, this has been a difficult task often requiring reference to original papers. Dr Gupta's scholarship has come to the rescue. He has trawled through the many hundreds of scales available selecting those most useful for the specialty.This book will be valuable to all members of the multidisciplinary team. Dr Gupta has done an excellent job outlining the theory and practice of measurement scales. He has put together an extremely useful compendium of scales. I congratulate him and wish his publication every success. I can foresee this publication becoming an essential text for every unit library and valuable book for individual clinicians.' - Dr Jeremy Playfer in his Foreword. 'This book summarises the most commonly used validated assessment scales which can be used by medical students, postgraduate trainees, consultants and the multi-disciplinary team members. I hope a copy of this book will be kept on every ward, outpatient department and GP practice for daily use and reference' - Professor Bim Bhowmick OBE in his Foreword.

Psychological, social, and spiritual care is as important as physical care at the end of life. Yet caregivers often feel ill-equipped to give that nonphysical care. This book shows how to do it. The book addresses all caregivers who attend dying patients: doctors, nurses, chaplains, clergy in the pastorate, social workers, clinical psychologists, family caregivers, and others. It covers such topics as the functional and emotional trajectories of dying; the varied approaches of patients and caregivers to end-of-life decisions; culturally based beliefs about dying; the differences between depression and grief; and people's views about the right time to die, the death experience itself, and the afterlife. For each topic the book introduces core concepts and summarizes recent research about them. The book presents much of its material in readable tables for easy reference; applies the material to real-life cases; lists the main "take home" points for each chapter; and gives references for additional reading. The book helps caregivers anticipate the reactions of patients and survivors to end-of-life traumas and suggests how caregivers can respond insightfully and compassionately. At the same time the book challenges caregivers to think through their own views about death and dying. This book, therefore, is a must-read for all caregivers professional and nonprofessional alike who strive to give their patients comprehensive, high-quality end-of-life care.

Nursing in Care Homes is a practical guide for nurses of all levels working in care homes. It is directly relevant to everyday practice and covers clinical issues such as continence care, wound care, infection control, and nutrition, as well as information on a wide range of issues including legal requirements, care home standards, and liasing with social and health care services. The revised and updated second edition includes new chapters on maximising abilities, risk management, stroke, and diabetes and calls upon the recommendations of the National Service Framework for Older People and the requirements of the Care Standards Act (2002).

Concise and easy to follow, Nursing in Care Homes is an essential guide to skilled professional care for all nurses in care homes. It will also be invaluable to nursing students undertaking their placements in care homes.

Provide holistic, compassionate nursing care for older adults! Based on evidence-based protocols, Toward Healthy Aging, 11th Edition helps you master gerontological nursing skills with an approach that focuses on health, wholeness, and the potential in aging. In promoting healthy aging, the text emphasizes caring and respect for the person. Special sections provide an honest look at the universal experience of aging. Written by gerontological nursing experts Theris A. Touhy and Kathleen F. Jett, this classic text helps you learn to apply scientific research, build critical thinking skills, and prepare for success on the NCLEX (R) exam and in clinical practice. Promoting Healthy Aging: Implications for Gerontological Nursing sections help you apply concepts to assessments and interventions. A Student Speaks and An Elder Speaks sections at the beginning of every chapter provide perspectives of older people and nursing students. Nursing Studies provide practice examples designed to assist you in assessment, planning, interventions, and outcomes to promote healthy aging. Learning objectives in every chapter introduce important content and define learning goals and expectations. Key concepts provide a concise review of the most important points found in each chapter. Critical Thinking Questions and Activities help you apply concepts and build clinical judgment skills. Safety Alerts emphasize QSEN competencies and safety issues related to care of older adults. Tips for Best Practice boxes summarize evidence-based nursing interventions for practice. Research Highlights boxes summarize important research studies in the field of gerontology Research Questions include suggestions and ideas for pursuing nursing research. Healthy People boxes reference the goals cited in Healthy People 2020. NEW! Next Generation NCLEX (R) (NGN) examination-style case studies at the end of chapters include questions to help you prepare for the NGN exam. NEW! Completely updated content helps you develop clinical judgment skills, identified by the NCSBN and the AACN as a key attribute of professional nursing. NEW! Updated topics include COPD guidelines, theories of aging, medication use and misuse, palliative care, wound care guidelines, genomic research, and LGBT family relationships and sexualty in older adults.

Abuse, although often not detected or reported, existed in every facility we surveyed. It is a serious problem. Old, weak, and often cognitively impaired, nursing home patients can be easy targets for physical, psychological, material, and financial mistreatment at the hands of those entrusted with their care, safety, and well-being. Maltreatment of Patients in Nursing Homes: There Is No Safe Place examines the dark side of nursing homes, where not every employee has the commitment of Mother Theresa. This groundbreaking book applies criminological theory to help develop practical methods of controlling abuse and presents the results of the first and only nationwide study on the theft of patients' belongings, a form of abuse too often ignored by the nursing home industry. Maltreatment of Patients in Nursing Homes surveys employees, administrators, and family members of patients in 47 nursing homes throughout the United States. Their responses provide invaluable insights on a wide range of topics, including the social and psychological factors that cause different types of abuse, characteristics of nursing home patients and employees, the bureaucracy of nursing homes, victimization rates, workforce issues of nursing home aides, and federal regulations for nursing homes. The information gained from the surveys forms the basis for detailed recommendations for creating a safer environment and reducing all forms of abuse, including theft-prevention training programs, background checks and improved screening of potential employees, education and advocacy for current staff, and the reform of federal regulations. Maltreatment of Patients in Nursing Homes examines: types of physical abuse (restraints, sexual abuse, neglect) the who, what, and why of nursing home theft types of financial abuse (trust accounts, bank accounts, improper charges for services and drugs, identity theft) types of psychological abuse (abandonment, segregation, childlike treatment, verbal abuse) effects of psychological abuse (depression, learned helplessness, psychiatric disorders) reasons for abuse by employees (staff turnover, job burnout, job dissatisfaction, caregiver stress) One of the few books to deal with abuse of the elderly outside a domestic setting, Maltreatment of Patients in Nursing Homes: There Is No Safe Place interprets and analyzes abuse to provide new ways of thinking about this growing problem and new methods of preventing it from growing any more widespread.