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.

Dementia Care at a Glance is the perfect companion for health and social care professionals, nurses, students as well as family members and voluntary workers needing information and guidance about dementia care. Taking a person-centred and interpersonal approach, each chapter outlines an aspect of the experience of living with dementia and the steps that the nurse or healthcare professional can take to support them. This comprehensive book will assist readers to respond effectively, sensitively and with compassion to people living with dementia in acute settings, as well as in care environments and at home. It acknowledges the challenges that arise for people with dementia, family members and professionals and offers practical solutions based on current thinking and best practice. * Presented in the bestselling at a Glance format, with superb illustrations and a concise approach * Covers the common forms and manifestations of dementia, their causes, and how to address them * Addresses a wide range of topics including, interventions, communication, care planning, medication, therapy, leadership as well as ethical and legal issues * Takes a positive holistic approach, including not only physical and mental health issues but social and spiritual implications and a person-centred focus throughout * Suitable for students on a range of healthcare courses * Supported by a companion website with multiple-choice questions and reflective questions

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.

This innovative reference explores a wide selection of topics associated with aging, providing a solid understanding of the significance and molecular basis of the aging process and charting the course of future research in the area. Stresses the interplay of mitochondria, mitochondrial DNA, oxidants, and antioxidants! Featuring the research of over 55 experts in the area, Understanding the Process of Aging covers the functions of nitric oxide and peroxynitrite in mitochondria integrates several views on the role of mitochondria in the development of apoptosis gives a quantitative analysis of mutations of mitochondrial DNA during human aging highlights mitochondrial free radical production introduces new roles of ubiquinone in mitochondrial functions offers new antioxidant-based complementary therapeutic strategies details aspects of intact cells and whole organisms in health and disease and more! Featuring over 1800 references, tables, drawings, and photographs, Understanding the Process of Aging benefits nutritionists and dieticians, geriatricians, cell and molecular biologists, chemists and biochemists, pharmacologists, biotechnologists, neurologists, cardiologists, oncologists, dermatologists, and graduate and medical school students in these disciplines.

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.

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.

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.

Textbook of Dementia Care: An Integrated Approach gives an overview of dementia care at a level appropriate to health and social care students, as well as providing an update to experienced practitioners. Authors come from a variety of backgrounds including nursing, psychiatry, medicine, psychology and allied health professions. There is a good mix of content from experienced new authors, academics and practitioners. The book offers: a comprehensive list of contributors from different disciplines input from people living with dementia and their family carers relevant research to inform practice case examples to illustrate and inform the text. While directed primarily at a nursing and social care readership, the book also provides a readable general text appropriate for all involved in dementia care. It is written by expert practitioners in the field, many of whom are leaders in practice-based research. It incorporates the expertise of representatives of Alzheimer Scotland, but also includes accounts of people living with dementia, families, and carers, giving the reader a unique insight into the disease.

Introduces up and coming leaders to the skills and techniques needed to succeed in todays, and tomorrows, organizations. Covering areas such as networking, building teams, crisis management and the work/life balance, this is a practical and accessible guide. Written with 25 years of leadership experience, this is an invaluable guide for success.

The author argues that the successes and failures of D-Day, on both sides, cannot be explained by comparing the competing strategies of each side. Instead he provides an account of the battle through the overarching nature of the relationship between the leaders and their followers.

Ein Grossteil der chronischen Erkrankungen und deren Risikofaktoren kann durch persoenliches Verhalten, also durch den Lebensstil vermieden bzw. verhindert und insbesondere deren Progredienz minimiert werden. Aus unzahligen weltweit durchgefuhrten epidemiologischen Studien ist erwiesen, dass regelmassige koerperliche Aktivitat, eine entsprechende Ernahrung sowie soziale Eingebundenheit und damit Lebenszufriedenheit Schlusselfaktoren fur Lebensqualitat und Langlebigkeit sind. Das Buch geht diesem Phanomen auf den Grund und zeigt auf, welche gesundheitspolitischen Massnahmen sich im Kampf gegen eine Pflegebedurftigkeit im Alter bewahren. Denn durch gesundheitsfoerdernde, praventive und rehabilitative Massnahmen kann die Selbstandigkeit von alteren Menschen erhalten, gefoerdert oder sogar wiedergewonnen werden. Wesentliche Forderungen sind dabei eine strukturell, personell, finanziell und ausbildungstechnische Pflegereform und der flachendeckende Einsatz von anderen innovativen Werkzeugen, wie etwa Pflegekompetenzzentren und der Best Agers Bonus-Pass.

Critical Hospital Social Work Practice sheds light on the fast-paced, high pressure role of the hospital social worker. At a time of public concern over the state of the NHS and the needs of a growing older population, the hospital social worker's job is more important than ever. Yet, it is poorly understood and often overlooked by policy makers, managers and other professionals. Employing social theory to make sense of the contemporary context of health and social care, this book highlights the vital role played by social workers in planning complex hospital discharges. It provides an in-depth account of the activities of a typical hospital social work team in the UK, drawn from rigorous ethnographic fieldwork, and contrasts this with research evidence on hospital social work practices around the world. The author points towards exciting new directions for health-related social work and social work's potential to develop critical gerontological practice. This book will be useful to social work students and practitioners working in hospital settings and with older people in general. It will also be of significant value to policy makers and academics who are interested in developing innovative approaches to meeting the needs of the ageing population.

Across the spectrum of psychopathology in later life, psychotic symptomatology has been the most neglected, and although literature in this area is increasing, this is the first book to address the need for an overarching framework to examine and understand late-life psychotic phenomena. Exploring the practical and ethical issues that arise when managing psychotic elderly patients in the community, as well as the sequelae of stigmatisation and carer stress, this text brings together the latest research findings on schizophrenia as it presents in later life covers the frequent comorbidity of psychotic symptoms with cognitive impairment, mood disturbance and physical illness highlights the diversity of late-life psychotic symptomatology, discussing both aetiological considerations and management strategies

This book examines the concepts of preventive care and health promotion specifically in the context of the elderly. It adopts a broad concept of health and defines a number of goals around this theme. Thereafter it provides a succinct, up-to-the-minute critique of the worth, risks and costs of preventive care and health promotional strategies for older people. A broad range of such strategies are considered including cancer prevention, the prevention of non-cancer health problems and strategies aimed at enhancing functional status and strengthening the social support network. Principles for tailoring these strategies to the varied needs and wishes of elderly people are outlined. Likewise, practical measures are discussed for integrating these preventive strategies into the existing health care system. In particular, the role of screening, case-finding and targeting strategies in primary care are reviewed in detail. The book concludes with a wider look at the cost implications of preventive care for the purchasers of health and health care services.

This book serves as a comprehensive reference for the basic principles of caring for older adults, directly corresponding to the key competencies for medical student and residents. These competencies are covered in 10 sections, each with chapters that target the skills and knowledge necessary for achieving competency. Each of the 45 chapters follow a consistent format for ease of use, beginning with an introduction to the associated competency and concluding with the most salient points for mastery. Chapters also includes brief cases to provide context to the clinical reasoning behind the competency, strengthening the core understanding necessary to physicians of the future. Written by expert educators and clinicians in geriatric medicine, Geriatric Practice is key resource for students in geriatric medicine, family and internal medicine, specialties, hospice and nursing home training, and all clinicians studying to work with aging patients.

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.

The first study guide for the CHPN (R) certification exam! This must-have study guide for nurses seeking to obtain Certified Hospice and Palliative Nurse (CHPN (R)) status provides state-of-the-art information about all aspects of this specialty. It features 300 carefully selected Q&As that offer a detailed rationale for each question, along with tips and strategies to promote exam mastery and frequently asked questions about the exam. Additional questions are arranged in chapters mirroring the exam blueprint and the number of questions for each category correlates with the exam matrix. Case-based scenarios embodied within the questions facilitate the application of knowledge in a problem-solving format. A complete practice exam is included as well. Brief topical reviews address hospice and palliative care nursing practice in all of its dimensions, including physical, spiritual, and psychosocial. The resource highlights information that forms the basis of end-of-life care, such as communication and family-centered care. Additionally, high-level skills used by hospice and palliative care nurses, such as drug and dosage conversion and the use of infusion therapy, are covered as well. Key Features: Delivers the first study guide for hospice and palliative nurses seeking CHPN (R) certification Provides concise, up-to-date knowledge on all aspects of the specialty Includes information about the exam, answers to commonly asked questions, and tips and strategies for exam mastery Includes practice questions and answers following each chapter Provides a final comprehensive practice exam that offers 300 Q&As with detailed answer rationales that mirror the exam format Presents case-based scenarios within the questions that facilitate the application of knowledge

Written and compiled by gerontological nursing leaders, NGNA Core Curriculum for Gerontological Advanced Practice Nurses provides a broad overview of advanced elder care nursing. In easy-to-read form, the book presents not only thorough coverage of practice and illness management but also a wide range of professional information: + Theoretical foundations, including aging and developmental theories as well as nursing and health promotion models + Role development issues such as educational preparation, credentialing, standards of practice, and role functions + Patient education, educational program development, and staff development + Gerontological advanced practice nursing in collaboration, consulting, and research + Leadership and health service delivery issues + Health policy and legal and ethical topics + Professional issues As a basis for curriculum development or departmental standards of practice, an organizing framework for preparing for gerontological nursing certification, or simply as a shelf reference, NGNA Core Curriculum for Gerontological Advanced Practice Nurses is a must-have for advanced clinicians and students in gerontological nursing.

At a time when the incidence of Alzheimer's Disease is increasing dramatically, this accessible account revolutionizes our stereotypes of people with Alzheimer's Disease and their care. Written to appeal to general readers as well as professionals and students, it shows what sufferers can still do despite the loss of certain cognitive abilities, and offers constructive ways to improve the relationship between sufferers and healthy others.

Rather than focusing on the etiology or treatment of Alzheimer's Disease, the author helps the reader to understand the psychology behind it. Getting away from a traditional scientific-medical focus on symptoms, the book brings to life the experience of suffering the disease, and the ways in which caregivers can identify and support the intact abilities of those afflicted.

'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.

When an adult or elderly patient presents with a change in condition, nurses must know what questions to ask the patient and what signs to look for. Then nurses must analyze that information to figure out the appropriate actions to take to ensure that patient gets the proper
treatment. This book introduces a step by step process that will help nurses make these crucial nursing assessments and prevent missing critical changes in their patients.
In this book, you will learn:
Ways to explain what nurses doWhy LPNs can't assessChanges in the nursing processTips about writing practical nursing diagnoses and care plans3 types of acute changes in condition nurses encounterHow to avoid 10 common nursing assessment mistakesHow to present a nursing assessment and recommendationsA 6-step process to effective assessmentTo apply critical thinking skilsHow to assess 10 acute symptoms in adults and the elderly9 strategies to improve physical examination skillsIn addition, you will get:
Exercises to apply the knowledge in real life situationsTemplate for presenting your nursing assessmentsClinical Decision Diamonds to stick in your pocket as a quick reference

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.

"Clinically accurate and artfully poignant, these stories provide another way of knowing. I wish I had read this book when I was a nursing student. The Bell Lap is ready made for the classroom of medical students, nursing students, and other healthcare givers. Patients and family members as well as the general public can learn something from it too. There is a community inside and outside the door of the patient's room. The nurse, more than any other healthcare giver, is a member of both communities and an advocate for the patient in both. Murch has elevated advocacy to an art form in The Bell Lap." - Judy Schaefer, Hospital Drive The Bell Lap has been awarded third place in the 2016 AJN Book of the Year Awards in the Palliative Care and Hospice Category. The Bell Lap explores, with great insight, the multiple lessons of living and dying. These stories offer engaging and invaluable insights for trainees, practicing nurses, and other health professionals working in the field. Through these stories, the author has laid the ground for caregivers to reach beyond the confines of the settings of illness, whether home, hospital, or long-term care and become an active and involved participant in the world of the patient.