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.

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.

Current projections indicate that by 2050 the number of people aged over 80 years old will rise to 395 million and that by this date 25-30% of people over the age of 85 will show some degree of cognitive decline. Palliative care for older people: A public health perspective provides a comprehensive account of the current state of palliative care for older people worldwide and illustrates the range of concomitant issues that, as the global population ages, will ever more acutely shape the decisions of policy-makers and care-givers. The book begins by outlining the range of policies towards palliative care for older people that are found worldwide. It follows this by examining an array of socio-cultural issues and palliative care initiatives, from the care implications of health trajectories of older people to the spiritual requirements of palliative care patients, and from the need to encourage compassion towards end-of-life care within communities to the development of care pathways for older people. Palliative care for older people: A public health perspective is a valuable resource for professionals and academics in a range of healthcare and public health fields to understand the current state of policy work from around the world. The book also highlights the social-cultural considerations that influence the difficult decisions that those involved in palliative care face, not least patients themselves, and offers examples of good practice and recommendations to inspire, support, and direct healthcare policy and decision-making at organisational, regional, national and international levels.

The 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.

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.

Gerontological nursing remains a critical specialty area for the profession of nursing, especially as the older adult population grows. The Fifth Edition of Gerontological Nursing: Competencies for Care takes a holistic approach and teaches students how to provide quality patient care for the older adult, preparing them to effectively care for this population. Students and faculty appreciate the practical approach as well as the author's logical organization of competency-based content both of which are a hallmark of this text. Following the framework outlined by the AACN's recommended baccalaureate competencies and curricular guidelines for the care of older adults, the text guides students through the core foundations of gerontological nursing as a specialty. The Fifth Edition emphasizes these essential competencies coupled with the management of geriatric syndromes that impact this population including falls, sleep disorders, depression/anxiety, and elder abuse. Key Features: * Practical information on dementia for nurses and caregivers * Expanded content on fall prevention * New content on COVID-19 and telehealth care * "Healthy Aging Tips" found throughout the text * Updated research highlights * Critical thinking and personal reflection exercises * Video case studies in the form of author-conducted interviews accessible via Navigate Premier Access

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.

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.

"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

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.

Die Digitalisierung durchzieht als Megatrend auch die Dienstleistungsbranchen Gesundheit und Pflege. Informations- und Kommunikationstechnologien setzen vermehrt Impulse, Gesundheits- und Pflegeleistungen zu unterstutzen: z.B. Televisite - Telekonsultation, Monitoring - KI - Entscheidungsunterstutzungssysteme, Medical Apps, digitale Patientenakte. Haufig wird die Notwendigkeit der technischen Unterstutzung mit dem Fachkraftemangel begrundet. Die Digitalisierung hat zudem das Potenzial, das Versorgungsgeschehen von der Arbeit am Klienten bis hin zu den Verwaltungsstrukturen grundlegend zu verandern. Wie der Einsatz von digital unterlegten Technologien insbesondere im sensiblen Bereich der Altenpflege erfolgreich umgesetzt werden kann und dabei auch stets den Menschen im Blick behalt, erlautern die Autoren dieses essentials anhand von Beispielen aus den Bereichen Augmented Reality, Robotik, Sturzsensorik und Pflegedokumentation. Dabei werden sie von dem Konzept Strategische Mensch-Maschine-Partnerschaft geleitet. Die neuen Anforderungen an die Qualifikation der handelnden Akteure werden ebenso diskutiert wie Fragen technologischer Voraussetzungen.

"Medication Management in Care of Older People" is an accessible introduction to medication management and its role in the management of older people and their medicines. It addresses key issues in medication management, evaluates professional roles and clinical practice initiatives and explores healthcare policy and prescribing initiatives.

This text explores the biology and neurobiology of ageing, pathological conditions such as Parkinson's and Alzheimer's disease, medication errors, issues of concordance, long term conditions and the older person, the principles of applied pharmacology and its relationship to older people. "Medication Management in Care of Older People" will be of interest to health care professionals who either have an interest in medication management and older people, or who are qualified independent or supplementary prescribers, and will enable them to comprehend the principles of applied pharmacology and medication management to enable them to use this knowledge in their daily practice.Illustrates the current issues, concerns and approaches used to manage older people and their medicines. Builds on pertinent current policy and research initiatives including the NSF for Older People and 'Building a Safer NHS for Patients: the role of medication safety' Each chapter features case studies, learning outcomes and implications for practice

"I found this book to be interesting and highly relevant to OT practice. I would recommend this book as a learning resource to inform, review and support clinical therapy practice. Occupational Therapists could well appreciate many of the contributory factors relating to medication problems with Older People, using this resource could raise own standards, but also assist with reducing the negative impacts of medication issues on older people." - "Sarah Montgomery, A&E Occupational Therapist and Communications Officer, (COT Specialist Section Older People), London, UK"

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.

This issue of Physical Medicine and Rehabilitation Clinics, edited by Dr. David A. Soto-Quijano, will cover the Promotion of Health and Wellness in the Geriatric Patient. Topics discussed in the volume include, but are not limited to: Benefits of Exercise in the Older Population; Alternative Exercise Modalities and Its Effect in Older Populations; Neurocognitive Decline of the Elder Patient; Effects of Spirituality in the Quality of Life of the Elderly; Clinical Pharmacology and the Risks of Polypharmacy in the Geriatric Patient; The Competitive Senior Athlete; Rehabilitation Needs of the Elderly patient with Cancer; and Aging with Spinal Cord Injury, among others.

Top experts from Vanderbilt University School of Nursing have put together an excellent issue devoted to Geriatric Syndromes that will prepare the reader for treatment and patient care of geriatric patients. Top authors have written reviews in the following areas: Cognitive Issues; GI Disturbances; Urinary Incontinence; Frailty; Impaired Mobility and Functional Decline; Risk for Injury (Falls); Nutritional Risks; Pain Management; Polypharmacy Management; Impairments in Skin Integrity; and Sleep Disorders. Nurses will come away with a current view of the clinical management for these clinical issues in geriatric population.

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.

The Health Services Executive (HSE (TM)): Tools for Leading Long-Term Care and Senior Living Organizations serves as a contemporary and comprehensive resource that addresses each of the core professional domains of practice and leadership essentials for long-term care administration students and professionals. With sections dedicated to post-acute care settings, operations, leadership and management, this textbook covers information pertinent to the spectrum of senior living service lines - from inpatient rehab facilities, long term acute care hospitals, nursing homes, assisted living and residential care communities to home-and-community-based services. It is a practical reference for both undergraduate and graduate students preparing to enter the field of long-term care administration and leadership, for professionals transitioning to another line of post-acute service. The textbook begins with a thorough history of the field, including the development of senior services in the United States. Section I then describes the components of customer care, supports, and services before transitioning into Section II, which addresses operations, including the core practice domains of effectively managing human resources, finances, and the environment. Section III offers a framework for leadership, covering strategic thinking and innovation, marketing and public relations, critical thinking and operation practice, working with people throughout the long-term care team, customer service, and personal development. Case examples, discussion questions, leadership essentials, high-impact practices, key points, and NAB domain competencies conclude each chapter. Written by two highly experienced long-term care administrators, this textbook is intended for those preparing for the examinations administered by the National Association of Long-Term Care Administrator Boards (NAB) for the HSE (TM) qualification or licensure for individual lines of service, such as for Nursing Home Administration (NHA), Residential Care and Assisted Living (RC/AL) and Home-and-Community-based Services (HCBS). Key Features: Provides best practices for leadership and management across the continuum of long-term care and senior living services Covers all five NAB professional practice domains - Customer Care, Supports and Services, Human Resources, Finance, Environment, and Leadership and Management Includes case problems, discussion questions and more to foster critical thinking and decision-making skills Offers coverage of the most unique differences among service lines that are part of the HSE (TM) initiative Insightful quotes from industry leaders woven throughout chapters for practical tips and words of wisdom Comes with access to a fully downloadable eBook, as well as a full suite of instructor resources including PowerPoint slides and a test bank