This book aims to be a single point of reference for advances in the care of geriatric populations across medical and surgical specialties. The aging population is a unique demographic with its own health challenges. Geriatricians are specifically trained to address these challenges but few medical students or residents enter geriatrics, even as the demand for geriatric expertise increases. The practices of many medical and surgical specialists are dominated by older patients who may themselves see many specialists but rarely visit geriatricians. This updated edition elucidates the most common medical conditions seen in aging patients and translates approaches to those conditions for physicians across specialties. Divided into three sections that assemble crosscutting issues, medical specialties, and surgical and related specialties, this book serves as a guide for clinicians of all backgrounds who will work with older patients as the demographic ages further. This second edition of Geriatrics for Specialists expands the number of specialist chapters to reflect growth in research in aging and clinical care for older people in dermatology, plastic surgery, and behavioral neurology. All original chapters from the first edition are extensively revised and updated to reflect the rapid growth of new knowledge in the field.

The award-winning PEARL (Positively Enriching and enhancing Residents' Lives) programme was developed to enable care homes to move from providing good fundamental care to excellent person-centred dementia care. Trialled extensively by one of the UK's largest care providers, it has been proven to dramatically increase the quality of life of people with dementia living in care homes, significantly reducing the use of antipsychotics and the incidence of stress-related behaviours. This concise and accessible guide, written by the Director of Dementia Care at the care provider which trialled and developed PEARL, describes the key criteria of the programme, and provides best practice guidelines for dementia care practitioners wishing to use the approach in their own care home. With an emphasis on the practical, achievable elements of the programme, and drawing on many useful examples, the author and contributors provide guidelines on, amongst many things, getting the fundamentals of person-centred care right; enabling decision-making; reducing stress-related behaviours; psychosocial treatments; safeguarding; supporting staff; and involving relatives.

Dementia is increasingly being recognised as a public health priority and poses one of the largest challenges we face as a society. At the same time, there is a growing awareness that the quest for a cure for Alzheimer's disease and other causes of dementia needs to be complemented by efforts to improve the lives of people with dementia. To gain a better understanding of dementia and of how to organize dementia care, there is a need to bring together insights from many different disciplines. Filling this knowledge gap, this book provides an integrated view on dementia resulting from extensive discussions between world experts from different fields, including medicine, social psychology, nursing, economics and literary studies. Working towards a development of integrative policies focused on social inclusion and quality of life, Dementia and Society reminds the reader that a better future for persons with dementia is a collective responsibility.

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.

With an increasing global ageing population, the psychiatry of old age has become increasingly important. This revised second edition remains a succinct manual on the practice of psychiatry of old age, providing an up-to-date summary of existing knowledge, best practice and future challenges for the specialty, from a global perspective. Written by four leading clinicians, teachers and researchers, the book offers a much-needed international focus and is designed for use in a wide variety of countries and settings. Chapters are presented in a clear and practical way, enhanced by current and comprehensive further reading sections as well as tables and diagrams for quick assimilation and reference. The new edition is updated to incorporate new developments in assessment, investigation, classification, treatment and care since the publication of the first edition, including the ICD-11 and DSM-5. Essential reading for practising psychiatrists and geriatricians, as well as trainees, nurses and medical students.

This book offers an extensive review of the most recent data on the pathophysiological role of structural and functional alterations in the microcirculation, particularly focusing on hypertension and diabetes. It covers several relevant and innovative aspects, including the possible mechanisms involved in the development of microvascular remodeling and rarefaction, the technical approaches available for the detection of microvascular alterations, including non-invasive evaluations, the prognostic role of changes in small resistance artery structure, the possibility of preventing or regressing such alterations with appropriate treatment, and the potential clinical advantages of such intervention. A number of innovative areas of research are considered, including the role of the immune system, inflammation and oxidative stress in the development of microvascular alterations. Lastly, it examines the availability of recent non-invasive methods for the evaluation of small resistance artery morphology in the retina, which in the near future may provide a useful tool for the stratification of cardiovascular risk and even for clinical decisions regarding drug treatment, thus providing physicians with a clinically relevant instrument for improving and optimizing the management of hypertensive and diabetic patients. The book provides valuable, clinically relevant information for specialists (cardiology, internal medicine, and endocrinology) and general practitioners, and also offers novel and stimulating data to basic and clinical researchers.

Sharing and evaluating a series of relationship-centred approaches to dementia care, this book enables practitioners to have hands-on involvement in improving the quality of this care. Fostering a critical approach to our understanding of how we do relationship-centred dementia care, Reid shows how experiences of living with dementia, family awareness of dementia, professional knowledge of providing dementia care, and the health, social care and housing system are linked, and how good dementia care arises from the relationships between these groups. The book encourages thinking about the stigma attached to dementia, and how a focus on living well with dementia helps shape policies about people with dementia, with their voices included. Practical steps for carrying out relationship-centred dementia care are also explained, with examples of common obstacles and how to overcome them.

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.

Your best tool to optimize patient care by minimizing restraint use Frontline nurses face fraught decisions every day about whether and how to use restraints in dementia care. They need to consider many complicated issues: legislation governing the use of restraints, the policies of health-care facilities, the expectations of families, and--most importantly--the well-being, dignity, and safety of patients and care providers. Frontline nurses need the right support to navigate decisions about restraint use. Dr. Atul Sunny Luthra and his colleagues have developed an algorithm to provide that support. Their work comes from focus-group consultations with frontline staff, a review of current literature on restraint use, and a clear summary of key legislation. The algorithm's systematic approach ensures restraints are a last-resort measure, and puts the right steps in place when restraints are necessary. This short guide includes: A review of nurses' perspectives on restraint use. Alternatives to restraints in patient management and assessment of clinical indicators for restraint use. Procedures to ensure informed consent when restraints are necessary. A reference on appropriate and inappropriate restraint use in everyday clinical situations.

""I regard this as a long overdue and highly relevant addition to the literature on dementia care. Its grounding in the reality of practice and realistic approach will make it a very valuable workbook for a wide range of car workers. The book will play a large part in helping to improve dementia care by presenting a vision and manual for 'best fit' realistic practice."
Danny Walsh, University of Nottingham, UK"

""This is an excellent text for both undergraduate and postgraduate students. The strong emphasis on person centred approaches and relationships permeates throughout the book and the activities presented provide the reader with the opportunity to reflect upon their own practice and the best fit options identify interventions for consideration."
Sandra Fleming, School of Nursing and Midwifery, Trinity College Dublin, Ireland"

""I thought this book was a very useful and detailed text exploring the world of the person with dementia and their carer."
Dr Alisoun Milne, Reader in Social Gerontology, School for Social Policy, Sociology and Social Research, University of Kent, UK"

""Excellent text which provides a number of useful case studies which helps to demonstrate the application of evidence to practice. Well written, informative chapters."
Val Howatson, Pathway Leader in Mental Health, Glasgow Caledonian University, UK"

This workbook builds upon the person-centred approach to dementia care, and gives students, practitioners and carers a new way of looking at dementia and the people who live with it. The authors reflect upon the reality of working within dementia care and the importance of working positively with others to achieve the best care possible. The workbook is full of exercises and activities to try, all designed to help you engage and connect with the person with dementia, empowering both them and their families/carers. Key topics explored by the workbook includes: Understanding how it feels to live with dementia. Recognising the issues and feelings involved for family carers or healthcare professionals when caring for individuals with dementia Questioning your own care approach and attitudes to encourage more compassionate person-centred care Throughout the workbook, vignettes featuring two fictional characters living with dementia, provide examples of good and realistic practice and encourage you to examine your own practice and explore ways in which the care you give can be enhanced.

"The Dementia Care Workbook" is a valuable companion and learning tool for all those working with people with dementia

As the aging population continues to increase, so does the need for a text specific to the specialized care of the elderly patient as it applies to the physical therapist assistant student, faculty, and clinician. Geriatric Rehabilitation: A Textbook for the Physical Therapist Assistant, recognizes the growing role of the PTA in a variety of heath care settings from acute to home to long-term care settings, to name a few. Inside Geriatric Rehabilitation, Dr. Jennifer Bottomley, along with her contributors, focuses on the clinically relevant assessment, treatment, and management of the geriatric population. Pathological manifestations commonly seen in the elderly patient are addressed from a systems perspective, as well as a focus on what is seen clinically and how it affects function. Each pathological area covered includes: Screening, assessment, and evaluation Treatment prescription Goal setting Modification of treatment Anticipated outcomes Psychosocial, pharmacological, and nutritional elements The organization and presentation of the practical, hands-on components of interventions, assessments, and decision-making skills make this a go-to text for the PTA to administer comprehensive geriatric care at each point along the continuum of care. Some of the features inside include: Emphasis on treatment interventions-techniques, tips, and options Focus on how assessment tools and treatments are applied and modified to benefit the geriatric population, and what the expected outcomes are Clear and outlined chapter objectives User-friendly summary tables in the nutritional and pharmacology chapters Pearls that highlight important chapter information Appendices and study aids Geriatric Rehabilitation: A Textbook for the Physical Therapist Assistant answers the call for a text that focuses on the management of geriatric patients across the spectrum of care for the PTA, from students to those practicing in geriatric populations.

Uniquely bridging a gap in the gerontology literature between the biological and psychosocial aspects of aging, the second edition of this interdisciplinary text provides key updates on an abundance of cutting edge research, expands information on diversity issues in aging, and examines in greater depth the physiology of aging, theories of biological aging, and methodological issues. Instructors will also welcome the addition of an Instructor's Manual and PowerPoint slides. Written for upper-level undergraduate and graduate students, and invigorated by the addition of new coauthors, the text integrates findings in biology, psychology, and the social sciences to provide comprehensive, multidisciplinary coverage of the aging process. Included is key information on age-related changes and disease-related processes, the demography of the aging population worldwide, aging theories, and how to promote optimal aging. From a psychosocial perspective, the book examines mental health, stress and coping, spirituality, and caregiving in later years. Also included is crucial information on longitudinal design and statistics as they relate to aging research, promising new trends in gerotechnology, Green Houses, and information on health promotion programs. Real life examples throughout the text help students to understand practical applications of the material. New to the Third Edition: Abundant new cutting-edge research Expands information on diversity issues Updated theories of biological aging: microRNA, proteasomes, and gut microsomes Psychology of aging: how variability in responses to stress affect health and mortality, Blue Zones Aging and public policy: How the recent recession has affected poverty rates resulting in increases in mortality among poor, middle-aged whites Gerontechnology: The "internet of things," assistive devices, and the potential of robots Includes the research of new authors Instructor's Manual and PowerPoint slides Key Features: Integrates cutting-edge information on biological and psychosocial aspects of aging Examines age-related changes, disease-related processes, aging theories, and how to promote optimal aging Encompasses mental health, stress and coping, spirituality, and caregiving in later years Provides information on aging-related longitudinal design and statistics Covers promising new trends such as gerontechnology and Green Houses

The experiences and needs of residents and patients in nursing and care homes are very different at night, and this is particularly true for those with dementia. Yet nursing and care homes are not always inspected with the same rigour at night as they are during the day, and night staff do not always receive the same levels of training, resources and supervision as day staff. This book provides night staff, their managers and anyone else with an interest in care homes during the night with the information, knowledge and practical skills they need to deliver positive and appropriate care at night. The authors look at all of the issues that are particularly pertinent in caring for older people at night, including nutrition and hydration, continence, challenging behaviour, medication, night time checking, pain management and end of life care. They also look at the impact that working at night has on care staff, and offer practical suggestions to help them to safeguard their own health. The final chapter provides a set of night time care guidelines for inspectors that can also be used by managers to evaluate night time practices in their homes. This book is essential reading for night staff and their managers and employers, as well as inspectors of services, policy makers, and anyone else with an interest in the provision of care for older people.

This book describes how assistive technology can help handicapped, elderly and acutely sick people to manage their daily lives better and stay safe in the home. It discusses how safety is understood from an ethical, technical and social perspective, and offers examples of the problems that users, their helpers and professional carers have with assistive technology in everyday situations. The book provides insights from user-centred research and uses photographs to illustrate the main topic: how users and technology can work together to ensure safety. User-focused and combining experience with research, the book will interest users of these kinds of technology, health professionals who might introduce and/or prescribe them, engineers who develop and sell assistive technological gadgets, and architects who build safe homes - as well as researchers and students who work in these fields. It provides an overview of the existing technology, examines ways to test its effectiveness from the point of view of users, health professionals and researchers from different fields (architecture, education, engineering, facility management, medicine, nursing, occupational therapy, rehabilitative medicine, physiotherapy, social science and speech therapy), and lists useful addresses, websites and literature

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.

The way in which dementia is understood and treated is changing, with a growing focus on the individual's experience and person-centred approaches to care. Introducing a new model of dementia care that reflects on the role of a person with dementia within a community and their relationships, this guide for professional and family caregivers demonstrates how to facilitate positive relationships for peaceful living. By understanding the cognitive and physical challenges that older adults with dementia face, caregivers can practice empathic care that affords people with dementia increased freedom of expression and independence. Included here are techniques for conflict resolution that enable people with dementia to be active and self-initiating in times of distress and disruption. Looking at the basics of respect, empathy, and mindfulness, this book also provides hands-on training for employing these virtues in practice with a number of exercises to help achieve the goal of peaceful independent living.

There are many activity manuals on the market today but this publication is the first to offer a clear guideline on exactly what constitutes good practice in activity provision. Written by the National Association for Providers of Activities for Older People (NAPA), a charity whose remit is to set standards and disseminate knowledge of good practice in activity provision and to support activity providers who work in care settings for older people, this guide offers: a model of good practice in one concise volume; a benchmark against which activity providers can measure and evaluate their practice; clear links to current national standards; guidance for care home owners and managers who wish to respond to the recent government initiatives on providing activities for their clients; and a call for clinical governance in the emerging 'profession' of activity provision.

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.

Detailed knowledge and specific awareness of delirium is crucial in elderly care, due in part to the overlap with delirium and dementia. This introductory reference guide can be used by professionals and students to expand their understanding and skills in delirium care to better respond to the needs of people under their care. There are also detailed chapters on quality improvement and educational initiatives which will be of great help to the delirium workforce in delivering improved care. Setting out clear and accessible learning objectives, Rahman provides the essential information needed to improve care for those with delirium. Showing how to identify and correctly diagnose delirium, this book addresses different aspects of care including the management of delirium and the various interventions available, as well as ethics and safeguarding. It will also empower patients and carers to better understand delirium, and engage in the discourse of their care. As a widespread yet underrepresented issue, this book is a vital and much-needed resource.

Older adults represent the largest and fastest growing segment of the population and are among those who access the health care system to the greatest extent. These trends call for health care professionals, such as nurses, to be well prepared to care for the specialised and often complex needs of the older adult cohort. This preparation often begins in basic nursing educational programs when nursing students are introduced formally to the care of older adults. However, nursing students do not enter their professional programs unaffected by their socio-cultural context and especially societal attitudes toward ageing and the older adult. This book provides a synthesis and critique of this research to identify what is known, to uncover gaps in knowledge, to make recommendations for practice, and to consider directions for future research.

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.

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.

"Nursing Care for the Hospitalized Older Patient" is a comprehensive, quick-reference resource for registered and advanced practice nurses working with older patients in a hospital setting. Organized in user-friendly format, the book provides vital information on all aspects of hospital care and the full range of health issues encountered by elderly patients.The book is organized into four major sections. The first section provides an overview of the aging patient, including demographics, normal aging changes, and the general impact of hospitalization. The second section covers proper health assessment, providing guidance on history taking and evaluating laboratory values. The third section is the largest part of the book and is made up of short, similarly-structured chapters dedicated to individual clinical issues ranging from burns to depression. These chapters are organized by body system to maximize ease of use. The book concludes with a section on special considerations that cross common clinical areas, such as palliative care, pain management, fall prevention, and discharge planning.