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

With a key theme for every week of the year, this resource contains extended multi-sensory reminiscence group session plans for older adults. Written by experienced occupational therapists, it provides detailed session plans for running successful and therapeutically-valuable activities within group sessions, from remembering school days to celebrating the natural wonders of the British Isles. Each plan has been developed to be suitable for people with a variety of abilities, including for those with dementia, and help to support memory, sensory function, confidence, communication, connection, as well as overall physical and emotional wellbeing. Activities range from cognitive activities such as word games, food tasting, music and poetry to group discussions. Session plans are accompanied by downloadable colour photographs and word cards to be used as tools for discussion.

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.

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.

The demographic and social structure of most industrialized and developing countries are changing rapidly as infant mortality is reduced and population life span has increased in dramatic ways. In particular, the oldest-old (85+) population has grown and will continue to grow. This segment of the population tends to suffer physical and cognitive decline, and little information is available to describe how their positive and negative distal experiences, habits, and intervening proximal environmental influences impact their well-being, and how social and health policies can help meet the unique challenges they face. Understanding Well-Being in the Oldest Old is the outcome of a four-day workshop attended by U.S. and Israeli scientists and funded by the U.S.-Israel Bi-National Science Foundation to examine both novel and traditional paradigms that could extend our knowledge and understanding of the well-being of the oldest old. This volume engages social scientists in sharing methods of understanding, and thereby possibly improving, the quality of life of older populations, especially among the oldest old.

You and Your Aging Parent, originally published in 1976, was the first book to focus on the relationship between adult children and their aging parents. By noted gerontologist Barbara Silverstone and writer Helen Kandel Hyman, it turned the spotlight on the challenges faced by many adult children as they attempt to cope when elderly relatives need increasing support. Since the last edition of the book in 1989, numerous other books on the topic have entered the market, but most of them are superficial in the information and advice they provide to their readers and in the one-note assumptions about the parent-child relationship in the senior years. Moreover, programs and services for older people have changed significantly and become more comlex; a new generation of adult children and their parents are facing the challenges of aging, and recent research findings have deepened our understanding of the aging process and late life. This revised edition, marking its 30th anniversary, will address the changes that have taken place and revive its fundamental insight - that the difficulties and challenges of the aging process are as much a family affair as in any other phase of life and that the nature of the relationship between aging parents and their adult children will directly influence how the process is navigated. The size of the senior class is growing exponentially, including parents who are living longer than any older generation in history and baby boomers who are reluctantly entering the senior class, as well as countless younger sons and daughters wondering what's coming next. This new and updated edition will answer their need for authoritative, practical information about this major new phase of life. Playwright and New York Times columnist Bob Morris joins the book as commentator, adding his own entertaining insights as a member of the baby boom generation dealing with his own elderly parents' late life.

Contributors address aspects of presidential leadership in essays on how presidential values are determined or constructed, how they are condoned and criticized, how they are packaged and conveyed, and how they are interpreted and acted upon. Includes scholars from communication, history, law, philosophy, political science, and psychology

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.

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.

This quick-access clinical reference for nurses in adult health settings addresses the most prevalent and complex management challenges in caring for people with dementia. The second edition-completely updated with the newest guidelines for evidence-based, person-centered care-includes two new chapters on the Emotional Needs of People with Dementia and Self-Neglect and Elder Abuse, along with new information on cultural considerations and distinguishing between dementia and delirium. Quotes from people with dementia are included in this edition to give first-person accounts of their experiences. Fast Facts for Dementia Care, Second Edition delivers specific care strategies for all stages of dementia in a wide range of clinical settings, including acute care, long-term care, and home and community settings. Chapters introduce relatively simple dementia-specific interventions nurses can incorporate into their care plans to prevent or address problems before they escalate. Using bullet points and concise paragraphs, this streamlined resource discusses the issues faced by people with dementia and their care partners and what nurses can do. It addresses disease progression, assessment and management of pain, medications, safety concerns, communication strategies, ethical issues, and end-of-life care. New to the Second Edition: Completely updated with the newest guidelines for evidence-based, person-centered care of people with dementia New information of cultural considerations including culturally appropriate communication, considerations related to treatment goals, and more Chapters on Emotional Needs of People with Dementia and Self-Neglect and Elder Abuse Key Features: Helps identify and manage conditions associated with mental status, including delirium and dementia Provides clinical vignettes and quotes of real-life situations illustrating successful nursing interventions Discusses communication techniques for different stages of dementia Describes numerous interventions for addressing issues such as pain, safety, end-of-life care, and more Includes "Fast Facts" boxes for quick reference to essential information

Healthy Ageing and Aged Care takes an inter-disciplinary approach to supporting older people within the community and in care. It represents current Australian policies and practices and takes a holistic view of the older person, and emphasises the positive aspects of the ageing process, maintaining that people age in healthy ways and continue to be an integral part of their families and communities. This is one of the rewarding aspects of working with older people-assessing accurately and collaboratively putting in place strategies that can maintain the person's quality of life. The goal is for students to be able to develop those skills by engaging with the material in this book.

Welche Relevanz haben religioese Migrantengemeinden fur die alltagliche Unterstutzung und Pflege von alteren Menschen mit Migrationserfahrung? Professionelle Dienstleistungen der Altenhilfe werden in der genannten Bevoelkerungsgruppe bislang nur unterdurchschnittlich genutzt. Gleichzeitig ist bekannt, dass migrantische Religionsgemeinschaften vielfaltige soziale Dienstleistungen erbringen. Das Buch verbindet Erkenntnisse und Perspektiven aus Gerontologie, Migrations- und Religionssoziologie, Soziologie des Alter(n)s, Sozialer Arbeit und Sozialpolitikforschung sowie aus den theologischen Wissenschaften verschiedener Religionsgemeinschaften. Zahlreiche Gemeinden positionieren sich als Akteure einer offenen Altenarbeit oder stellen Anschlusse zur professionellen Altenpflege her.

For the increasing number of people diagnosed with dementia each year, treatment in the early stages can make a significant difference to their quality of life. This book provides examples of psychosocial interventions: taking into consideration the individual, social and environmental aspects of the person's life. It looks at ways of providing support at the time of diagnosis and goes on to explore a variety of interventions and services for the treatment of early dementia. Bringing together the knowledge and experiences of professionals from both the UK and Europe, the contributors describe interventions for both psychological and practical problems with case examples such as memory support groups, art therapies and assistive technologies for use in the home. This accessible book will be essential reading for practitioners and carers working with those with early dementia and will be extremely useful in both professional development and for those new to dementia care.

Eine beginnende Demenz wird oft verdrangt. Die Frage ist immer wieder: Ist das schon dement oder doch nur tudelig? Die Menschen wollen diese Krankheit nicht wahrhaben und doch nimmt sie ihren weiteren Verlauf. Es fehlt dabei oft die Zeit und die Musse sich umfassend uber Hilfsmoeglichkeiten und Erleichterungen zu informieren. Dieses Buch ist ein Leitfaden fur Angehoerige und Betreuende und will Mut machen fur einen wurdevollen Umgang mit den Betroffenen. Es werden Moeglichkeiten aufgezeigt, dieser Krankheit durch eine gezielte und begleitende Unterstutzung im eigenen Zuhause oder einer Pflegeeinrichtung zu begegnen. Unterschiedliche Stationen werden anhand von Fallerzahlungen anschaulich dargestellt und durch aktuelle medizinische und psychologische Informationen erganzt. Praktische Tipps und Hilfsangebote fur Angehoerige und Betreuende runden diesen Leitfaden ab.

Focusing on the content that students need to know for effective practice, this text offers evidence-based coverage of the aging process, factors contributing to healthy aging, and unique aspects of disease presentation and management in older adults. Content is logically organized in five units that provide a concise yet comprehensive overview of the aging process and guide students through the complexities of gerontological care. The tenth edition retains the text's acclaimed holistic approach through insightful coverage of the psychosocial, legal, ethical, and spiritual elements of patient care, with updated content throughout to help students meet the challenges of a changing healthcare environment and an increasingly diverse population. This edition also includes Next Generation NCLEX (R)-Style Case Studies and Questions, which help students review important concepts and practice for the next generation NCLEX (R), as well as Unfolding Patient Stories that correlate directly to simulated patient scenarios in vSim (R) for Nursing | Gerontology, which equip students with a consistent, realistic experience in patient interaction and enhanced preparation for practice. UPDATED! Revised content throughout reflects the latest research findings and emphasizes relevant nursing implications. NEW! Next Generation NCLEX (R)-Style Case Studies and Questions related to chapters on clinical topics help students review important concepts and practice for the next generation NCLEX (R). NEW! Unfolding Patient Stories, written by the National League for Nursing, engage students in meaningful conversations on patient care and tie into corresponding patient scenarios in vSim (R) for Nursing | Gerontology and Lippincott (R) DocuCare for enhanced preparation for practice. Concept Mastery Alerts improve students' understanding of potentially confusing topics, as identified by Lippincott's Adaptive Learning Powered by PrepU. Bringing Research to Life features highlight the clinical relevance of current, evidence-based research. Consider This Case, Practice Realities, and Critical Thinking Exercises demonstrate the real-life applications of concepts in the text. In-text learning aids - including Chapter Outlines, Learning Objectives, Terms to Know, Communication Tips, Points to Ponder, Key Concepts, and Chapter Summaries - help students master important material. Nursing Problem Highlights provide overviews of common nursing problems, covering causes to interventions in an easy-to-understand manner. Nursing Care Plans outline nursing problem, goal, and action for selected health conditions, giving students practical models for effective health care planning. Assessment Guides walk students through general observation, the history-taking interview, and the physical examination. Engaging, open design makes content approachable and retains students' interest. Focus on caring for the whole person helps nurses across the spectrum of care confidently and effectively care for older adults in any setting.

Running a clinic for seniors requires a lot more than simply providing medical care. In Stories from the Tenth-Floor Clinic, Marianna Crane chases out scam artists and abusive adult children, plans a funeral, signs her own name to social security checks, and butts heads with her staff-two spirited older women who are more well-intentioned than professional-even as she deals with a difficult situation at home, where the tempestuous relationship with her own mother is deteriorating further than ever before. Eventually, however, Crane maneuvers her mother out of her household and into an apartment of her own-but only after a power struggle and no small amount of guilt-and she finally begins to learn from her older staff and her patients how to juggle traditional health care with unconventional actions to meet the complex needs of a frail and underserved elderly population.