This incisive reference systematically reviews the diagnosis and treatment of common surgical and medical emergencies in elderly patients-thoroughly examining surgical interventions, drug therapies and drug prescribing protocols, life-threatening drug reactions, ethical issues, and methods of profiling patients for nursing care. Evaluates disease states and gauges optimal responses to each, supporting recommendations with valuable case studies. Written by over 40 distinguished medical experts, Acute Emergencies and Critical Care of the Geriatric Patient -describes ideal patient-physician relationships in critical care settings -highlights emergency management of myocardial infarction and cardiogenic pulmonary edema -illuminates ethical questions surrounding confidentiality, informed consent, surrogate decision making, and patient comfort -assesses special pharmacokinetic and pharmacodynamic conditions in geriatric patients -provides vital information on stroke, seizures, and spinal cord compression -investigates critical complications caused by pneumonia, meningitis, and endocarditis -explores acute lung disorders such as emphysema, chronic bronchitis, pneumonia, central nervous system dysfunction, and abnormal control of ventilation -clarifies preoperative procedures for emergency surgery -reviews anesthesia strategies for pulmonary, cardiovascular, renal, hepatic, and neurological conditions in the elderly -and more! Including over 1000 references, tables, and illustrations, Acute Emergencies and Critical Care of the Geriatric Patient is an indispensable resource for geriatricians, primary care physicians, internists, emergency medicine physicians, intensivists, hosptialists, surgeons, anesthesiologists, orthopedists, cardiologists, psychiatrists, neurologists, and internists/residents in these disciplines, as well as nurses, pharmacists, and medical students.

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 book provides an insight into advances in elder abuse in the areas of research, policy, practice and legislation. It provides readers with a broad understanding of the topic and considers the progress in elder abuse knowledge. The book explores the nexus of ageism and elder abuse, describes key social policies and their legislative manifestation, covers major policies and programs related to elder abuse, defines elder sexual abuse and much more. It offers the reader a comprehensive insight into new perspectives and approaches to both understanding and responding to elder abuse. As such it will be an asset to academics, students, healthcare practitioners, policy makers and the general public.

Contents: Aged care nursing; Nursing assessments; Skin and oral hygiene; Pressure ulcers and leg ulcers; Foot care; Nutrition; Enteral feeding; Incontinence; Falls; Manual handling and mobility; Wandering; Dysfunctional behaviour; Pain management; Palliative care; Care plans; Delirium and dementia; Medications; Complementary therapies; Cultural differences; Occupational health and safety; Elder abuse; Communicating in frustrating situations

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

This book discusses emerging issues concerning ageing in India, describes the multi-layered vulnerabilities of older adults in the context of health care and caregiving, and explores social, legal and economic perspectives. It also analyses the existing policies and programmes intended to address these age-related issues and assesses the importance of preventive geriatrics towards active ageing, as well as the current scenario of institutional care for the elderly in India. Gathering fifteen chapters written by leading researchers in the fields of geriatrics, social work, anthropology, sociology, psychiatry, economics, law and mental health, the book presents the latest findings on ageing-related topics such as elderly health, family change, old age homes, age friendly environments and the role of integrative medicine. Accordingly, it offers a valuable resource for researchers, academics, practitioners and policymakers in the areas of gerontology, demography and sociology, as well as all those interested in the study of ageing populations.

Sportive care can be thought of as an extension of palliative care so that the person with dementia receives good quality, holistic care that makes no distinctions between the dichotomies of care and cure from the time of diagnosis until, and beyond, death. It recognizes the need for an inter-disciplinary approach for continuity of care. Supportive care in dementia must, therefore, be broad in its scope and application.
Supportive Care of the Person with Dementia provides just such a broad and full perspective, drawing upon the experience and expertise of a wide range of internationally-based professionals to outline a model of supportive care that will provide good quality and holistic care for people with dementia. Making use of real-life reports from both patients and carers to help readers fully understand the reality of dementia, the book examines the key principles that guide the practice of supportive care. It looks at how supportive care can be used, and specific benefits a care model of this type can bring to the complex problems that are frequently encountered when treating this condition.
It is an ideal resource for all clinicians who are part of an interdisciplinary team caring for sufferers with this debilitating illness.

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 aims to clarify the potential association between frailty and cardiovascular disease in older people. Covering the biological as well as the clinical point of view, it allows researchers and clinicians to discover the significance of this topic. The contributions cover the most important aspects in the potential relationship between frailty and cardiovascular disease. In particular, authoritative authors in this field have clarified the definition and the epidemiology of frailty and cardiovascular disease in older people. A large part of the volume is dedicated to the biological mechanisms of frailty and cardiovascular disease, trying to find those in common between these two conditions. Since this book is dedicated to both researchers and clinicians, we have proposed some chapters to the importance of comprehensive geriatric assessment in the evaluation and treatment of cardiovascular diseases and frailty. In this regard, the importance of geriatric evaluation in cardiac surgery for older people is well covered. Finally, the importance of cardiac rehabilitation and physical exercise is summarized, being, actually, the most important treatments for both frailty and cardiovascular disease. Written by many well-known and widely published experts in their respective fields, this book will appeal to a wide readership such as researchers in the field and clinicians, especially suited in geriatric medicine and cardiology who, every day, face frail older patients.

Awarded first place in the 2019 AJN Book of the Year Awards in the Gerontologic Nursing category second place in the Advanced Practice Nursing category. Gain expert primary care of older adults with a case-based approach to geriatric primary care and multimorbidity management Written by two leading academic and clinical experts in geriatric primary care, Case Studies in Geriatric Primary Care and Multimorbidity Management, 1st Edition uses detailed Exemplar Case Studies and Practice case studies to teach you how to think like an expert geriatric clinician. Because most older adults have more than one condition when seeking care, both Exemplar and Practice Case Studies place a strong emphasis on "multimorbidity" management, (the management of patients with a host of complex, interacting conditions). To provide extensive practice in learning how to think like an expert, case studies reflect the reality that care does not necessarily begin or end in the primary care setting, cases move fluidly from primary care to acute care to inpatient rehabilitation to assisted living to long-term care. Building on foundational introductory chapters, cases also call on you to develop interprofessional collaboration skills and reflect the diversity of today's older adults, in terms of age (young-old to old-old), gender, culture, ethnicity, sexuality, socioeconomic status, and more! As you work through both basic-level and advanced Practice Case Studies, you can make extensive notes in the printed book and then go online to submit answers for grading and receive expert feedback for self-reflection. NEW! Introductory unit on the core principles of caring for older adults gives you a strong foundation in the principles of geriatric primary care and multimorbidity management. NEW! and UNIQUE! Exceptionally detailed, unfolding Exemplar Case Studies demonstrate how an expert advanced practitioner "thinks clinically" to provide care to older adults with multiple conditions. NEW and UNIQUE! Exceptionally detailed, unfolding Practice Case Studies emphasize patient diversity and multimorbidity management across healthcare settings to help you develop advanced clinical reasoning skills for geriatric primary care. NEW and UNIQUE! Strong emphasis on multimorbidity management focuses on caring for older adults with multiple chronic conditions. NEW! Emphasis on the continuum of care across settings reflects the reality that care does not necessarily begin or end in the primary care setting but can move from primary care to acute care to inpatient rehabilitation to assisted living to long-term care, and so forth. NEW! Online answer submission for grading and expert feedback for self-reflection. NEW! Emphasis on patient diversity reflects the makeup of today's older adult, population in terms of age (young-old to old-old), gender, culture, ethnicity, sexuality, socioeconomic status, and more. NEW! Emphasis on interprofessional collaboration use Exemplar Case Studies and Practice Case Studies to allow you to demonstrate your interprofessional collaboration skills.

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.

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.

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 first lesson is that success looks like whatever your patient describes it as ... Some want to be pain free, to breathe a little easier, to make it to their grand-daughter's wedding ... to be with their cats. Some want me to do everything I can to cure them, while others want to die soon." Geriatric care and the frailty of old age can sometimes be reduced to a pain score chart rather than an inevitability that needs to be approached with humanity and empathy. Dr Riaz Dharamshi combines his expertise knowledge as a nationally recognised geriatrician with the relatable, deeply empathetic stories of his patients in order to reframe the way we approach care for our elderly population. This empowering and socio-politically conscious book delves into theoretical discussions around death and old age, drawing light on how many issues arise from social and political factors that take root decades earlier. It presents practical details of an integrated model of care allowing for expert, personalised healthcare to be delivered within our communities and outside of the hospital. This is a book that encourages the question 'Who is the person to whom this is happening?' rather than just 'What is the medical problem?'. It is ultimately this approach that imbues meaning, purpose, and justice into the work of geriatric medicine and care.

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.

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.

For the first time, those at the front lines of care have access to a single source for a comprehensive set of practical tools to effectively address distressing and harmful interactions between residents with dementia. This prevalent but under-recognized public health problem in long-term care homes results in serious consequences, including psychological harm, physical injuries, and even death. After examining the potential consequences and manifestations of these behavioral expressions, readers learn how to identify the contributing factors, causes, unmet needs, and triggering events that commonly lead to these episodes. With an emphasis on person-directed care practices, this book describes numerous psychosocial strategies to use for prevention and de-escalation prior to, during, and after episodes of harmful resident-to-resident incidents.This valuable resource will help inform training programs for direct care staff, interdisciplinary teams, and LTC administrators. In addition to cost savings from reduced resident-to-resident incidents, care providers will see significant improvements in resident and staff well-being.

This text focuses on the under-recognized and undertreated problem of addiction in later life. The widespread lack of clinical knowledge about this patient population can be traced to several sources: the systematic exclusion of older individuals from clinical trials; their reluctance to seek medical help owing to stigma and shame; the fact that additive disorders may be disguised by concurrent medical conditions; a lack of screening instruments tailored to an older population; and the low sensitivity of standard diagnostic criteria for detecting addiction in middle-aged and elderly adults who do not display the occupational and legal "red flags" seen in younger individuals. This volume provides the reader with a clear sense of the surprisingly high prevalence of alcohol and substance use disorders in older adults. For each of the major classes of addictive substances, both prescribed and illicit, this book highlights the key clinical issues that can complicate successful diagnosis. The authors describe strategies for initial engagement with the patient, including screening instruments, brief interventions which can be adapted to a primary care setting, emerging web-based and mobile technologies, and treatment strategies which are tailored to the age-appropriate needs of older adults, including older women - who have been found to be especially vulnerable to prescription drug misuse. With the aging of the baby boomers, a generation arriving in middle-age with greater exposure to alcohol and drugs than any previous cohort, the need for successful identification and effective treatment of alcohol and substance use disorders in later life has become a clinical imperative. Addiction in the Older Patient, whose editors bring more than 40 years of combined research and clinical experience in the field of addiction treatment, offers a comprehensive introduction to this underexplored and timely topic. This text synthesizes current clinical evidence to support the most effective strategies for discovering and treating addictive disorders in our older patients.

Vivid case examples help to guide nurses in developing appropriate interventions that include complementary and alternative health therapies and provide a basis for evaluating outcomes. Exercises interspersed throughout each case study include numerous open-ended and multiple-choice questions to facilitate learning and critical thinking. The text is unique in that some of the presented cases focus on psychosocial issues such as gambling addiction, hoarding behaviour, emergency preparedness, and long-distance caregiving. Cases also depict geriatric clients who are living healthy, productive lives to counter myths and negative attitudes about older adults. Scenarios demonstrating ethical dilemmas prepare students to appropriately respond to "gray area" situations. The text is geared for AACN and NLN Accreditation and is organized according to the needs of actual clinical settings. With cases that take place in the home and community or within primary, acute, and long-term care facilities, this book will be useful for courses specific to gerontology nursing or across any nursing curriculum. New to the Second Edition: A completely new section of Aging Issues Affecting the Family New cases addressing Healthcare Disparities, Aging in Place, and Prevention of Catheter Associated Urinary Tract Infection Additional contemporary case studies Additional video clips and animations embedded throughout the text The addition of Quality for Safety in Nursing Education (QSEN) Initiatives A greater focus on prioritization and delegation of client's needs infused throughout exercises

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.

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 second edition of this engaging text reflects a welcome new paradigm for aging-that of aging as a positive stage of life. Written for undergraduate and masters-level students, it provides an interdisciplinary perspective on the wide variety of subject areas within gerontology, and combines research with engrossing narratives, new trends, and controversial topics. Substantially updated, the second edition features integrated content on the diversity of the aging population. State-of-the-art information includes new science on the biology of aging; chronic conditions; integrated care; changing roles for older adults; new demographics; and critical policy issues. The second edition examines career opportunities in gerontology and includes Practical Applications and Activities for Students, new scenarios, and many more charts and graphs. The book also includes PowerPoint slides, a test bank and an instructor's manual. Key Features: Conceptualizes a positive approach to aging, with an emphasis on the advantages and opportunities presented by the large and growing number of older Americans Delivers comprehensive, interdisciplinary coverage of aging topics Dispels negative myths about aging Engages the reader with vivid narratives and thought-provoking activities Offers a broad range of subject areas in the field, from biological aging processes, to economics and living arrangements Provides Instructor's Manual, PowerPoint slides, and multiple resources for additional learning New to the Second Edition: Presents a new chapter on careers in aging, which explores expanding opportunities Explores new and updated demographics Includes new information on personality, palliative care, age-friendly communities, homelessness, social networks, Medicaid and more Presents a new approach to elder abuse focusing on solutions to social isolation, a major cause of abuse Includes coverage of policies throughout the book, as they apply to their role in an aging society, in the workplace and retirement, in providing opportunities for older people to give and receive support, and in health care Uses Bloom's latest taxonomy for Learning Objectives