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

""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

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.

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 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.

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.

Geriatric Notes is an essential quick reference for the advanced practice provider (APP) who provides care to elders in the outpatient setting, such as nursing homes, family practice, or home health. With a practical, accessible, and concise approach, it offers an easy to understand overview of the most common diagnoses, topics, and symptoms encountered in the aging population. Designed to offer access to the basics, this guide provides tables and bullet points for easy reference. Sections include health promotion, neurology and psychiatry, cardiovascular, pulmonary, gastroenterology, genitourinary, rheumatology, dermatology, endocrinology, labs, Beers list, and common presentations.

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.

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.

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 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.

The CLEAR Dementia Care (c) model is an effective method of assessing behaviour that challenges, through an understanding that such behaviour may be a way of communicating unmet needs. This book explains the many factors that contribute to challenging behaviour and how a greater understanding of this can enhance quality of life and lead to better care for the person with dementia in both hospital and residential settings. Discussing how people with dementia have the same needs as everyone else, the book helps to understand dementia from the perspective of the person experiencing it. It features case studies with examples of how to interpret signs of distress and develop an appropriate intervention plan. The model includes person-centred assessment of cognition, life story and personality, emotional and physical wellbeing, activity and environment, and relationships. Also included are easy-to-use photocopiable assessment tools, proven to facilitate a more accurate understanding of behaviour.

"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

AJN Book of the Year 2016 First-Place Winner in Gerontological Nursing! The newest edition of this distinguished reference in geriatric nursing delivers updated guidelines, new illustrative case studies, and the latest evidence-based protocols developed by leading researchers, educators, and practitioners in each topic area. The sixth edition includes new approaches devoted to supporting LGBTQ elders, persons living with dementia and their families, and older adults living with HIV. New operational strategies provide guidance in using the electronic health record, implementing improved person-centered care approaches, and maintaining age-friendly atmospheres.Using evidence derived from all levels of care, this text offers developed guidelines for improving both quality and outcomes when caring for older adults in multiple disciplines, including interprofessional team members, long-term care and other staff educators, social workers, dietitians, and physicians. Chapters provide assessment and management principles, clinical interventions, specialty practice, and models of care. They consistently feature chapter objectives, annotated references, evidence ratings for each protocol, and resources for further investigation. Each protocol is embedded within the chapter content to provide context and detailed evidence. The protocols consistently include an overview, evidence-based assessment, intervention strategies, and a supporting case study with discussion. PowerPoint presentations and a test bank are available as instructor's resources. New Chapters: Informational Technology: Embedding CPGs Organizational Approaches to Promote Person-centered Care Environmental approaches to support aging friendly care HIV and the Older Adult LGBTQ Perspectives Key Features: Evidence-based geriatric protocols for best practices for in-patient, in-home, and long-term care settings Case studies with discussions in each chapter to illustrate application of clinical practice and related Nursing Standard of Practice Protocol Guidelines that are developed by experts on the topics of each chapter and are based on the best available evidence The AGREE systematic method was used to evaluate each protocol and validate this book's content Instructor's resources including PowerPoints and a Test Bank

The innovative Newcastle Challenging Behaviour Model for dementia care has recently been updated, leading to new advances in the field. This revised second edition guide to assessment and treatment of behaviours that challenge associated with dementia includes these latest developments along with new sections on what have traditionally been considered controversial topics. The new chapters cover issues including: - End of life care - Use of therapeutic dolls - Lies and deception - Physical restraint during personal care - Racism towards care staff With a particular emphasis on non-pharmacological approaches, this book details the range of behaviours common in individuals with dementia, along with the most effective assessment and treatment techniques for health care professionals.

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.

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.

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.