Globally, EDs face new challenges as the world's population ages. Visits from older people are predicted to rise for the next 20 years. This practical and accessible book provides essential guidance on assessing the ED care of older patients - and improving it. It assists ED teams to implement changes tailored to their unique environments, providing guidance across all settings regardless of size, location or resources. Experience- and evidence-based elements combine to guide best practices for older patient flow, staff and patient satisfaction, and improving patient health outcomes. The book features proven ideas for creating a geriatric ED such as specific staff training, modifying job roles, implementing new care processes, and adapting physical spaces. An invaluable resource for practising ED clinicians, leaders, administrators, educators, and system change leaders.

Of interest to all academics and researchers in gerontology, social work, psychology and nursing, as well as those interested in visual and innovative creative arts-based research methods. Uses innovative qualitative research methods in action, including participatory photography and poetry, to show what it is like to live in an aged care home. Stimulates debate and discussion about current practice, and the future of aged care in the context of rapid population ageing and automation.

This classic text-more relevant than ever as our population rapidly ages-delivers comprehensive and up-to-date knowledge about aging services in the U.S. Written for both students and practitioners of gerontology, along with all professionals involved in the well-being of older adults, this highly accessible book provides a current and detailed description and analysis of local to global services for older people with or without cognitive, physical, or social needs. The Ninth Edition is updated to reflect critical changes to legislation, health care, and recent trends. It focuses on the strengths and diversity of older adults and the role our multilayered aging networks play in advocacy, community independence, and engagement. Commentary and critical thinking challenges from policymakers, program directors, and educators facilitate high-level reasoning and independent analysis of aging networks past, present, and future. The ninth edition also offers enhanced resources including a Test Bank, Instructor's Manual, PowerPoint slides, and links to video. Additionally, the print version of the book includes free, searchable, digital access to the entire contents. New to the Ninth Edition: Fully updated to reflect historical context, recent trends and challenges, and future considerations Addresses the effects of our current political and ideological landscape on aging networks including a Call to Action Examines the current status of Medicare and Medicaid, Meals-on-Wheels, and the impact of the ACA Discusses long-term services and supports, disaster preparedness and climate change, caregiving as a human right, and LBGTQ services and support Presents new case studies providing evidence-based best-practice initiatives and new innovations Delivers enhanced instructor resources including Test Bank, Instructor's Manual, Power Point slides, and video links Includes eBook format Key Features: Focuses on the strengths of older adults and the role our multilayered aging networks play in advocacy, community independence, and engagement Provides commentary and critical thinking challenges from policy-makers, program directors, and educators to facilitate high-level analysis Addresses changing demographics and future challenges Offers "Voices from the Field" boxes and "Critical Thinking" topics and questions to encourage reflection and discussion

A Story of a Marriage Through Dementia and Beyond is the extraordinary, unflinching account from sociologist Laurel Richardson of her love and caregiving through the last period of her husband Ernest Lockridge's life - from his transient amnesia to his death from Lewy Body Dementia. Focusing on the lived experience of the caregiver through the loved one's journey from mild cognitive impairment to death, the book gives the reader the experience of what the medical diagnoses mean and what has led up to the loss. It shows the complex, nuanced lives of a couple both living with the worst effects of a disease like Lewy Body Dementia, while maintaining, sometimes with hope and laughter, their loving connection nourished through a 40-year marriage. Dementia is a 'silver tsunami' - the third leading cause of death amongst senior populations. Richardson's beautifully written book gives on-the-ground emotional support to those already in service as caregivers and helps prepare others for such service. Hospices, book clubs, and medical and allied professionals will find this book extraordinarily valuable. Weaving in autoethnographic and sociological methods and scholarship, as well as a list of reading and further resources for caregivers and scholars, this book will also appeal to courses in a wide range of disciplines and fields, including health communication, nursing and allied health, courses covering death and dying, end-of-life, and illness care, and, of course, scholars pursuing autoethnography, creative non-fiction, and qualitative methods.

Collaborative Practice in Palliative Care explores how different professions work collaboratively across professional, institutional, social, and cultural boundaries to enhance palliative care. Analysing palliative care as an interaction between different professionals, clients, and carers, and the social context or community within which the interaction takes place, it is grounded in up-to-date evidence, includes global aspects of palliative care and cultural diversity as themes running throughout the book, and is replete with examples of good and innovative practice. Drawing on experiences from within traditional specialist palliative care settings like hospices and community palliative care services, as well as more generalist contexts of the general hospital and primary care, this practical text highlights the social or public health model of palliative care. Designed to support active learning, it includes features such as case studies, summaries, and pointers to other learning resources. This text is an important reference for all professionals engaged in palliative care, particularly those studying for post-qualification programmes in the area.

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 practical guide helps student and practising nurses to understand the impact of their care when working with older people. With stories from older people who have had varied experiences of health care and nursing, chapters are underpinned by five key principles: providing patient-centered and dignified care, shared decision-making involving family and friends, multidisciplinary care, improving well-being through companionship and a sense of value, and an appreciation of both the challenges and rewards of working with older people. This book offers: Stories which reflect the complexity of care and health experienced by older people and their journeys. Topic-oriented chapters which provide a series of evidence-based readings which use the most up-to-date research evidence merged with national and international policy and practitioner experience. Practical tips and key messages for working with older people. The volume can be used to help nursing students and practising nurses to understand better how their care might impact positively on older people's health and well-being. This situates the reader within the world as experienced by older people.

The challenges faced by individuals and families at the end of life are still incredibly diverse, and many behavioural interventions and clinical approaches have been developed to address this great diversity of experiences in the face of dying and death, helping providers to care for their clients. Perspectives on Behavioural Interventions in Palliative and End-of-Life Care is an accessible resource that collates and explores interventions that can be used to address a wide range of behavioural, psychological, social and spiritual issues that arise when people are facing advanced chronic or life-limiting illness. With perspectives from experienced clinicians, providers, and caregivers from around the world, this book offers a strong foundation in contemporary evidence-based practice alongside seasoned practice insights from the field. Its chapters explore: Interventions to enhance communication and decision making The management of physical and mental health symptoms Meaning-Centred Psychotherapy for cancer patients Dignity Therapy Interventions embracing cultural diversity and intersectionality. Together with Perspectives on Palliative and End-of-Life Care: Disease, Social and Cultural Context, the book provides a foundation for collaborative international and interprofessional work by providing state-of science information on behavioural interventions addressing mental health and wellness. It is of interest to academics, researchers and postgraduates in the fields of mental health, medicine, psychology and social work, and is essential reading for healthcare providers and trainees from psychosocial and palliative medicine, social work and nursing.

Older patients carry some of the highest risks of suffering an adverse event or death following anesthesia and surgery. They are inherently vulnerable, presenting with numerous comorbidities and reduced physiological reserve, requiring 'gero-centric' perioperative care for everything from routine eye surgery to major cardiac surgeries. Dementia, frailty, and the need for palliative care and pain management for the orthopedic patient are important areas requiring special consideration in this group. This book provides a general overview of these topics for those healthcare providers who may not have extensive knowledge of this patient population, while at the same time offering practical tips for the more experienced clinician. Chapters cover the spectrum of perioperative care including preoperative management of comorbid conditions, intraoperative anesthetic management, postoperative pain control, and a primer on advanced directive discussions. This book is appropriate not only for anesthesiologists but for any perioperative physician caring for the older patient.

Evidence Based Treatment with Older Adults: Theory, Practice, and Research provides a detailed examination of five research-supported psychosocial interventions for use with older adults: cognitive behavioral therapy, motivational interviewing, life review/reminiscence, problem solving therapy, and psychoeducational/social support approaches. These interventions address the diversity of mental health conditions and late-life challenges that older adults and their family members experience. Detailed explanations of the approaches, skills, and strategies employed in each intervention are provided, as are adaptions for use of the interventions with older adults. Vignettes are also used to demonstrate the use of specific practice skills and techniques with older clients. The theory undergirding each approach and the historical development of the interventions is explained, and provides the reader with a rich understanding of background and context of each therapy. In addition, the distinct issues such as depression, anxiety, substance abuse/misuse for which evidence exists are highlighted. Research support for application of the interventions in community-based, acute care, and long-term care settings and in individual and group formats is also discussed. Finally, implementation issues encountered in therapeutic work with older adults are described as are accommodations to enhance treatment efficacy. In sum, this book provides a comprehensive overview of evidence based psychosocial interventions for older adults; it is ideal for students and mental health professionals interested in clinical work with older adults and their families.

This book provides practical evidence-based strategies that will help clinicians across a broad range of disciplines to address and discuss the main issues an aging person is likely to face and overcome if they are to maintain a sense of well-being as they age. Based on an extensive body of research, the relevant up-to-date knowledge for each topic is concisely presented, followed by practical, concrete, evidence-based suggestions as to how a healthcare provider might acknowledge and create a partnership with their clients to help the person increase their sense of well-being. Each chapter contains a list of key terms, a summary, and case examples that illustrate in realistic and humanistic ways how a person might present the concern being addressed and intervene. The specific challenges associated with aging that are addressed include: anxiety attached to an increasing awareness of mortality; retirement; the increasing number of losses of significant others; regrets; memory loss; the arrival of old-old age and feelings of loneliness, mattering insufficiently, and a loss of purpose; and finally, dealing with imminent death. This book is suitable for all health professionals who provide clinical services or advice to older adults including physicians (i.e. particularly in the specialties of internal medicine, family medicine, geriatrics, and geriatric psychiatry), nurses, social workers, psychologists, physical therapists, occupational therapists, and audiologists.

Care of Older Adults is a comprehensive introduction to aged care for the nursing profession in clinical practice. By taking a strengths-based approach, the book encourages practice with a focus on individuals' potential and capacities rather than their limits. Theories of ageing are linked with the older individual's strengths to ensure the text is well framed from an evidence base, as well as a clinical orientation. The book presents the topic from a healthy ageing perspective through to chronic illness, frailty and end of life. Each chapter includes discussion and reflective questions, and concludes with a list of key points summarising the central content. Case studies combine evidence-based knowledge with practical examples in a number of aged-care settings. Written by internationally renowned authors with extensive practical experience in aged care, Care of Older Adults provides undergraduate students in Australia and New Zealand with local content with a nursing focus.

This book provides unique and powerful insights into what it takes to succeed as a chairman leading a modern organization. Based on global research, the authors unveil the six disciplines of world-class chairmen. Leading the Board will become the standard work of reference and inspiration for the world's chairmen and would-be chairmen alike.

Current projections indicate that by 2050 the number of people aged over 80 years old will rise to 395 million and that by this date 25-30% of people over the age of 85 will show some degree of cognitive decline. Palliative care for older people: A public health perspective provides a comprehensive account of the current state of palliative care for older people worldwide and illustrates the range of concomitant issues that, as the global population ages, will ever more acutely shape the decisions of policy-makers and care-givers. The book begins by outlining the range of policies towards palliative care for older people that are found worldwide. It follows this by examining an array of socio-cultural issues and palliative care initiatives, from the care implications of health trajectories of older people to the spiritual requirements of palliative care patients, and from the need to encourage compassion towards end-of-life care within communities to the development of care pathways for older people. Palliative care for older people: A public health perspective is a valuable resource for professionals and academics in a range of healthcare and public health fields to understand the current state of policy work from around the world. The book also highlights the social-cultural considerations that influence the difficult decisions that those involved in palliative care face, not least patients themselves, and offers examples of good practice and recommendations to inspire, support, and direct healthcare policy and decision-making at organisational, regional, national and international levels.

The challenges faced by individuals and families at the end of life are still incredibly diverse, and many behavioural interventions and clinical approaches have been developed to address this great diversity of experiences in the face of dying and death, helping providers to care for their clients. Perspectives on Behavioural Interventions in Palliative and End-of-Life Care is an accessible resource that collates and explores interventions that can be used to address a wide range of behavioural, psychological, social and spiritual issues that arise when people are facing advanced chronic or life-limiting illness. With perspectives from experienced clinicians, providers, and caregivers from around the world, this book offers a strong foundation in contemporary evidence-based practice alongside seasoned practice insights from the field. Its chapters explore: Interventions to enhance communication and decision making The management of physical and mental health symptoms Meaning-Centred Psychotherapy for cancer patients Dignity Therapy Interventions embracing cultural diversity and intersectionality. Together with Perspectives on Palliative and End-of-Life Care: Disease, Social and Cultural Context, the book provides a foundation for collaborative international and interprofessional work by providing state-of science information on behavioural interventions addressing mental health and wellness. It is of interest to academics, researchers and postgraduates in the fields of mental health, medicine, psychology and social work, and is essential reading for healthcare providers and trainees from psychosocial and palliative medicine, social work and nursing.

The growing geriatric population in the United States has created an increasing need for palliative medicine services across the range of medical and surgical specialties. Yet, palliative medicine lacks the resources to carry such a workload itself. Geriatric Palliative Care addresses this need by encouraging individual specialties to "own" the management of elderly with the same vigor as they "own" other key management competencies within their specialty. This clinically focused and highly practical handbook, which compliments the more comprehensive text Geriatric Palliative Care by Sean Morrison and Diane Meier (Oxford University Press, 2003), encourages this process of learning and ownership across many medical specialties. Designed to be readable and easily accessible to a range of health care providers, Geriatric Palliative Care outlines specific strategies for caring for specific palliative care issues common in elderly patients. The handbook also provides evidence based advice for helping patients, relatives, and staff cope with such issues as polypharmacy, dementia and consent, multiple pathologies, home care, elderly caregivers, and supporting the elderly in the place where they would like to be.

America is quickly going grey. There are more Americans alive today over the age of 80 than ever before in our history; by 2030, that number is expected to almost triple. But when we discuss how long people live, we must also consider how well they live. Aging Our Way follows the everyday lives of 30 elders (ages 85-102) living at home and mostly alone to understand how they create and maintain meaningful lives for themselves. Through extensive interviews, Meika Loe explores how elders navigate the practical challenges of living as independently as possible while staying healthy, connected, and comfortable. Aging Our Way celebrates these men and women as they really are: lively, complicated, engaging people finding creative ways to make their aging as meaningful and manageable as possible. Written with remarkable warmth and depth of understanding, Aging Our Way offers a vivid look at a group of people who too often remain invisible-those who have lived the longest - and all they have to teach us.

'Dr Anna Dixon has written a must-read for anyone interested in the future of ageing. Learn from one of the best informed about an issue, and opportunity, that is facing us all.' Andy Briggs, Head of FTSE 100 life insurer Phoenix Group 'A very important book' Sir Muir Gray The Age of Ageing Better? takes a radically different view of what our ageing society means. Dr Anna Dixon turns the misleading and depressing narrative of burden and massive extra cost of people living longer on its head and shows how our society could thrive if we started thinking differently. This book shines a spotlight on how as a society we're currently failing to respond to the shifting age profile - and what needs to change. Examining key areas of society including health, financial security, where and how people live, and social connections, Anna Dixon presents a refreshingly optimistic vision for the future that could change the way we value later life in every sense.

This book is about the "leadership illusion"; the habit of writers, researchers and leaders, when considering causes of success or failure, to focus mainly on the individual and often the context but rarely both. This book argues that context and individual are inextricably linked and we first must make sense of the context in which leaders operate.

As the baby boom generation ages, the number of people requiring long-term care will grow dramatically in developed nations. A majority of them will become increasingly frail and suffer from dementia and associated neuropsychiatric symptoms.
Against this backdrop, Psychiatry in Long-Term Care, Second Edition (first published under the title Psychiatric Care in the Nursing Home) comprehensively reviews the present state of knowledge on how to identify the major psychiatric disorders affecting residents of long-term care facilities and how to intervene. Edited and written by some of the world's foremost authorities, the book provides in-depth coverage of topics such as these:
- General approaches to assessment and treatment of behavioral disturbances
- Depression
- Anxiety
- Dementia
- Sleep impairment
- Psychosis
- Substance use disorders
- Contemporary strategies for successful psychopharmacological and psychotherapeutic interventions
Complementing these chapters with clinical guidelines on specific disorders are chapters on medicolegal considerations, ethics, and education of care staff.
The new edition is an important resource for care providers from all disciplines devoted to improving the well being of people in long-term care facilities and for students and scholars of mental health and aging.

Most aged in India are experiencing a highly protracted death in hospitals, entangled in tubes and machines. Such 'medicalised death' entails huge psychological, social and financial costs for both patients and their caregivers. There are also many who are dying in abject neglect. However, Government response to end-of-life care has been almost negligible and there is an acute information deficit on dying matters. This book examines different settings where elderly die, including hospitals, family homes and palliative set-ups. The discourse is set in the backdrop of international attempts to restructure and reconfigure the health delivery system for ageing population. It makes critical commentaries on global developments, offers state-of-art reviews of recent advances, substantiates and corroborates facts by personal narratives and case histories. The book overcomes a segmental understanding of the field by weaving various sociological, medical, legal and cultural issues together. Finally, the authors critically examine biomedicine's potential to meet the complex needs of the dying elderly. In an attempt to bring cultural sensitivity in end-of-life care, they explore the lost Indic 'art of dying' which has the potential to de- medicalise death. Increasing public sensitivity to poor dying conditions of the elderly in India and facilitating changes to improve care systems, this book also demonstrates the limitations of the western specialization of death. It will be of interest to academics in the field of Medical Sociology/Anthropology, Medicine, Palliative care, Public Health and Social Work, Social Policy and Asian Studies.

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.

Underscores the complexity of prescribing drugs for older adults while providing state-of-the-art guidelines for safe patient care.An evidence-based, quick-access reference for adult gerontology nurse practitioners and related health care providers, this text describes a holistic, patient-centered approach to prescribing drugs to older adults. Comprehensive yet concise writing distills timely guidance on the complexities of safely prescribing to this unique population. This book opens with physiologic changes and assessment considerations for older adults, followed by a discussion of pharmacokinetics and pharmacodynamics, then a final section on guidelines for drug selection, drug interactions, and multimorbidities. Each chapter presents information in a consistent, easy-to-read template. Patient Care Pearls alert readers to crucial information and relevant case studies with examples of inappropriate medical prescribing provide context for drug delivery. Key points and chapter summaries help reinforce information. Additional features include the provision of guidelines for psychotropic medications in LTC facilities, special considerations for frail older adults, and the role of pharmacists as a resource for other practitioners. Key Features: Decision-making guidance on prescribing practices in varied settings Discusses in depth physiological considerations including multimorbidity and poly pharmacy Presents Beer's Criteria and its implications Guidelines for psychotropic medications in LTC facilities Special considerations for frail older adults Patient care pearls, case studies, key points, and chapter summaries