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Following the success of the previous edition, the second edition of Geriatrics Models of Care is the definitive resource for systems-based practice improvement for the care of older adults. Several new models of care have been published in the last eight years, new outcomes have emerged to better understand the impact of existing models, and with the rise of the Age-Friendly Health Systems movement, promoting organized efforts to prepare our health care settings for older individuals is of more importance than ever. The second edition is organized based on the practice setting along a continuum of care: hospital, transitions from hospital to home, outpatient settings, and the emergency department. This book also highlights long-term care models, which is an important part of the continuum of care for older Americans. Further, this edition features models that address the needs of vulnerable populations. This new section will describe a spectrum of programs for older adults who have Alzheimer's disease or Parkinson's disease. Other models describe best practices for older adults undergoing surgery or those who want to remain functioning independently in their home. A defining feature of this book is that each chapter follows a standard template: 1) the challenge which led to the model; 2) the patient population served; 3) core components of the intervention; 4) the role of interdisciplinary health professionals; 5) evidence to support the intervention; 6) lessons learned in the implementation and dissemination of the model; 7) implications for family caregivers, and communities (particularly underserved and diverse communities); and 8) how each model will provide care across the continuum during an entire episode of care. In addition, each chapter features a “call out” box with practical tips for implementing the model.

Plant Bioactives as Natural Panacea Against Age-induced Diseases: Nutraceuticals and Functional Lead Compounds for Drug Development presents comprehensive information on the complications of aging and the bioactive phytochemicals that in specific herbal formulations, including beverages, can mitigate them. The book extensively describes the current information on the role of plant bioactive components in delaying or preventing the aging process and associated complications, while also covering different strategies and scientific evidence of possible synergistic effects of these studies, enabling the formulation of more effective natural drugs to intervene in aging and associated events. Chapters cover the broad areas of plant bioactive compounds in promoting healthy aging and longevity, including balancing glucose homeostasis, in cognitive impairments, age-related diseases, food trends and the anti-aging diet in Asia and other regions, as well as the social and economic impact of dietary patterns in aging interventions. Written by a team of global experts. - Describes plant bioactives for specific age disorders - Focuses on the discovery of new herbal origin drugs and potential druggable targets for the treatment of chronic diseases of world importance - Includes cutting-edge research information on cell senescence during aging and assesses the plant bioactive compounds

This book aims at disseminating information and knowledge in Gerontechnology, a topic that is still considered a specific area of interest for techno-experts (i.e. informatics, engineers, bio-engineers, bio-statistics, etc.) while there is a relatively low diffusion of technological expertise among clinicians and other health professionals who are involved in the care of older people. In many parts of the world, average life expectancy is rising consistently, and at the same time technology is developing at a dramatic pace. This means having completely new options for the diagnosis, treatment and follow-up of diseases and disabilities of older people but also a new challenge to improve the quality of life by promoting an active and healthy aging at population level. This book explores the technical developments that are beginning to change the management of diseases and disabilities of geriatric patients. These include advanced Information and Communication Technologies (ICT), i.e. the new online services in healthcare and electronic medical-health records, Assistive Technologies (AT), i.e. behavior and motility monitoring sensorial tools, smart homes tools and telemedicine tools as well as Human–Computer Interaction technologies (HCI), i.e. robots for supporting people with mobility or cognitive limitations, humanoid robots, exoskeletons and rehabilitation robots. The Work is divided into three main parts: 1) Technology in a world of aging people, 2) Clinical applications of technologies in older people, and 3) Older people and technologies interaction including privacy issues, acceptability of technologies by older people and education and training of healthcare professionals in gerontechnology. The book will be an invaluable tool for geriatricians and other health professionals who are involved in the care of older people.

Getting Old offers concise advice and practical suggestions for all readers interested in or worried about ageing, either in themselves or in someone they care about. With a focus on a positive view of ageing, it discusses central physical and mental aspects of getting old, as well as the social and psychological aspects such as choosing where to live and becoming more oneself. Rowan Bayne and Carol Parkes take a pragmatic approach to reviewing what is happening in many aspects of your life as you age. Essential topics covered include mobility; diet and digestion; understanding and improving sleep; memory problems and dementia; being an active participant in consultations about your own healthcare; attitudes to getting old; romantic relationships and loneliness; deciding where to live, moving house and choosing other types of living arrangements; and death and grief. They invite readers to focus on their own life and experience, to understand who they are and what they really want now. An important part of self-understanding is the application of personality theory to changes associated with getting old, and readers are encouraged to reflect on what might work for people with their personality characteristics, and how to improve their stress management, communication and decision making. With suggestions for further reading and useful organisations that offer support, Getting Old offers valuable, affirming guidance for all those and their relatives going through this life stage, as well as health, social care and counselling students and professionals.

Senioři tvoří v klinické péči nadpoloviční většinu pacientské populace a jejich počet celosvětově progresivně roste. S narůstajícím počtem geriatrických pacientů se zvyšuje i prevalence nutričních poruch pro stáří typických, a tedy i nutnost lépe rozumět této specifické – především nutriční – problematice. Předkládaný učební text srozumitelnou a přehlednou formou čtenáře seznamuje s tímto aktuálním a složitým tématem. Obecná část se zaměřuje na geriatrii jako medicínský obor, demografické stárnutí populace, nemocnost, fyziologické změny ve stáří, geriatrické syndromy, funkční geriatrické hodnocení a problematiku multidisciplinární péče v geriatrii. Speciální část cílí na vyšetření a hodnocení nutričního stavu, diagnostiku nutričních poruch a konkrétní choroby, které mohou přímo či nepřímo ovlivňovat nutriční stav seniorů. Každá kapitola obsahuje klíčová slova, učební cíle a zkušební otázky, které slouží k ucelení a zopakování poznatků z jednotlivých kapitol. Učebnice je určena především studentům a absolventům nutriční terapie se zájmem o oblast geriatrické (léčebné) péče, základní literaturou se pak stávají pro studenty nutriční terapie ve specializačním programu.

介護職の「知識」を「実践力」に変えるシリーズ。本書では、発熱や頭痛など、介護職が苦手としがちな身体症状や疾患への対応、緊急時の対応について、「やってしまいがち」「不適切」な場面を取り上げ、観察のポイントや望ましい対応、予防の視点をわかりやすく示す。

Stroke is a condition that predominantly affects older people, often leading to death, disability and dependency as well as occupancy of hospital and nursing-home beds. Older stroke patients are similar in many ways to their younger counterparts, but at the same time exhibit several key differences. Their outcome and care are complicated by delayed diagnosis, polypharmacy, difficult rehabilitation, ageism, false assumptions of poor outcome, multiple co-morbidity, social issues including implications for independent living, ethical dilemmas, and many others. The proportion of older people is increasing every day and with it the burden of disease and disability. The implications this has for health services are immense, especially for long-term conditions. Despite this there is limited literature available to clinicians on stroke with a particular focus on this age group. Traversing the whole stroke pathway, Stroke in the Older Person brings together key discussions on every aspect of the disease as it affects the older person, including its general aspects and those very specific to the older populations. All chapters are written by highly experienced clinicians that offer up-to-date evidence-based information as well as practical tips to promote excellent, empathetic care to older patients. Over 30 chapters, this resource addresses the epidemiology, aetio-pathogenesis, clinical presentation, diagnostic work-up (including imaging), primary and secondary prevention, and rehabilitation of older people. There is a special focus on intracerebral haemorrhage, carotid re-vascularisation, transient ischaemic attack, cognitive impairment, research, ethical and moral dilemmas including DNAR, advanced directives and end-of-life care.

As the Baby Boomers age, concerns over healthcare systems'abilities to accommodate geriatric patients grow increasingly challenging. This is especially true with the population deemed to be “the oldest of the old,” specifically those over the age of 85. Unlike any other time in history, this demographic is the fastest growing segment of most developed countries. In the United States the oldest old is projected to double from 4.3 million to 9.6 million by 2030. The increased life expectancy of the population since the early 1900s has been built on the improvement of living conditions, diet, public health and advancement in medical care. With this we have seen a steady decline in the age-specific prevalence of vascular and heart diseases, stroke and even dementia. Older persons are healthier today than their counterparts decades ago. More importantly than in any other age group, the care of the oldest old must be individualized; management decisions should be made taking into consideration the older persons'expressed wishes, quality of life, function and mental capacity. The inevitable consequence is that there will be an increase in the prevalence of older persons with chronic diseases, multiple co-existing pathologies and neuro-degenerative diseases. The oldest of the aging population are often excluded from drug trials and their treatments are largely based on findings extrapolated from that of the younger old. Furthermore, among the oldest old, physiologically they are more diverse than other segments of the population. Their demographic characteristics are unparalleled and different compared to that of the younger old. Several studies have drawn attention to the differing attitudes among health professionals towards elderly people and many show prejudice because they are old. As a result, the use of age as a criteria in determining the appropriateness of treatment is of very limited validity, yet there are limited resources that guide physicians through these challenges. This book creates a greater awareness of these challenges and offers practical guidelines for working within the infrastructures vital to this demographic. This book is designed for geriatricians, primary care physicians, junior medical officers, specialty geriatrics nurses, and gerontologists. It is divided into 3 sections: General Considerations, Chronic diseases and Geriatric Syndromes. Each chapter provides a summary of important and essential information under the heading of Key Points. Case studies are included in some of the chapters to highlight the principles of management.

Durch die steigende Lebenserwartung und das Anwachsen der Gruppe älterer und hochbetagter Menschen steigt auch der Anteil derer, die an einer Multimorbidität, also mehreren chronischen Erkrankungen gleichzeitig leiden. Multimorbidität kann als eine bedeutsame Facette der zunehmend komplexer werdenden Arbeit im Gesundheitsbereich betrachtet werden und unterliegt den Besonderheiten komplexer Problemstellungen. Sie hat große Auswirkungen auf diagnostische Strategien und auch therapeutische Maßnahmen wie z.B. die Pharmakotherapie, wird aber aktuell noch unzureichend wahrgenommen und diskutiert. Das Buch zeigt theoretische Aspekte dieses Phänomens mit dem Schwerpunkt auf geriatrische Multimorbidität auf und gibt hierzu eine aktuelle Definition. Es gibt außerdem anhand von Fallbeispielen praktische Hilfestellung für die klinische Arbeit.

Current Challenges and Management of Disease in the Elderly Population is a comprehensive insight into the diseases and their management in elderly population during ageing. The book provides information on the development in understanding, diagnosis and management of major diseases through biological and technological interventions. Non-communicable diseases currently infesting old age population will have a huge epidemiological burden on the health care system in near future. Middle- and high-income countries warrant sincere efforts to provide information on the current challenges and management of disease in elderly population in health care professionals and social organizations related to the health of society. The book is a holistic approach by international authors from different fields on major diseases, which are predominantly increasing at an alarming rate in old age population around the globe. The first chapter provides information on stem cells involved in the regulation of cell homeostasis by process of DNA-based methylation/demethylation and regulating gene expression involved in cell fate to undergo apoptosis. The second chapter emphasizes the immunological decline in innate and adaptive immunity in ageing cells, which leads to decreased activity of T-cell and T-regulatory cells. The third, fourth and fifth chapters deal with chronic diseases like Type 2 Diabetes mellitus based neuropathy, different bone diseases in old age and involvement of Vitamin D in women's bone health in elderly population. The problem of Type 2 Diabetes mellitus based neuropathy is the result of unattended or poor medical interventions, therefore emphasis on this problem and its prevention is dealt with in detail. Further disease like osteoporosis, Paget disease, and Arthritis, which are very common in old age population and deficiency of Vitamin D, calcium, phosphorous in elderly women after menopause, where estrogen based hormonal deabsorbtion of Vitamin D lead to poor bone health, is detailed from mechanism, diagnosis, current challenges and future perspective of preventions. Ageing eye problems and associated challenges are incorporated with in depth information on dry eyes and vitreous detachment, glaucoma, age-related macular degeneration, and diabetic retinopathy, which leads to irreversible visual impairment or blindness, the details information on detection, treatment and prevention are discussed in Chapter 6. The task of detecting specific diseases is paramount for the treatment of neurodegenerative disease. Chapter 7 & 8 on biomarkers using omics technology and metalobomics provides complete information on the recent development in identification and analysis of metabolites and biomolecules using different technology platforms to detect the disease condition at an early stage. They also highlight challenges in the field that need to be addressed to overcome the problem of disease diagnosis for timely intervention. The majority of neurodegenerative disorders influencing the population above the age of 65 is mainly related to neurodegeneration and oxidative stress. Tthe last two chapters, 9 &10, of this book have tried to provide information related to mechanism of neurodegeneration in various neuronal disorders and the role of various plant flavanoids in prevention of disease onset, the effect on the choice of nutraceuticals and their role in brain heath and prevention from old age neuronal problems.

El texto que presentamos es un completo compendio que abarca las principales áreas vinculadas al envejecimiento, analizando en su primera parte los distintos aspectos del envejecimiento biológico, psíquico y social. En la segunda sección toda la temática de asistencia sanitaria, en la tercera los derechos a los mayores, finalizando con una cuarta parte sobre organización y gestión de centros de mayores.Un texto que facilita una serie de conocimientos que todo profesional del campo de la Gerontología debe conocer como primer paso; el segundo consistirá en la propia experiencia a través de los años de ejercicio; y el tercer paso llegará cuando estemos ya cercanos a la jubilación: entonces entenderemos que los conocimientos adquiridos, la experiencia acumulada corresponde a unos paradigmas que deben constantemente actualizarse sobre los imprescindibles cimientos adquiridos, que nuestra experiencia siempre es limitada a una época a los cohortes generacionales con las personas mayores o dependientes con las que hemos trabajado, y que humildemente debemos admitir que nunca seremos un profesional que dé respuesta a todo a nivel mundial, pero que el intentar serlo valió la pena. Que, como decía Rabindranath Tagore, nunca alcanzaremos las estrellas, pero seguir su luz tuvo sentido para guiar nuestro camino, el sentido de este libro es despertar el interés por una importante disciplina: LA GERONTOLOGÍA. (…) Extraído de la introducción

This book provides an overview of recent advances in the study of aging and aging related diseases, discussing the topics at individual, organ, tissue, cell, and molecular levels. It also presents studies on the biomarkers of aging and anti-aging interventions. Aging has been becoming a global health problem. However it was not possible to determine aging as we usually diagnose a disease because there are few biomarkers for age estimation. Since ancient times, people have been seeking anti-aging substances and methods for achieving immortality, while the scientific study of aging has only existed for 100 years. This book appeals to researchers both in institutes and in pharmaceutical companies interested in further studies in this field.

This issue of Clinics in Geriatric Medicine, Guest Edited by Dr. Karen Kost, is devoted to Geriatric Otolaryngology. Articles in this issue include: Hearing Loss in the Elderly; Balance Disorders in the Elderly; Dysphagia in the Older Patient; The Aging Voice; Sleep-disordered Breathing; Rhinosinusitis and Allergies; Head and Neck Cancer in the Elderly; Cutaneous Malignancies; Thyroid Disorders; Anesthetic considerations in Geriatric Otolaryngology; and Frailty in Geriatric Otolaryngology.

This volume provides a comprehensive overview of the unique clinical entities of diseases in older patients. The book arranges the organ systems in 21 sections, which include over 100 collective chapters on various age-related diseases in these organ systems. The text is specifically designed for ease-of-use and include learning tools that include multiple choice, short answer, and extended matching questions, case vignettes, self-assessments, and rich tables and illustrations. Each section includes a review of the anatomy, physiology and pathology that are specific to aging patients. The text covers the complex factors that present diagnosis challenges, including the interaction of the disease process with co-existing morbidities, aged- related physiological changes and pre-existing functional challenges and psychosocial circumstances. The text also works with the previously published text Diseases in the Elderly: Age-Related Changes and Pathophysiology, which is tailored to complement this resource.Written by experts in the field, Geriatric Diseases: Clinical Expression, Management and Impact is the ultimate guide on clinical expression and management of diseases in the elderly for medical students, residents, fellows, geriatricians, gerontologists, primary care physicians, internal medicine specialists, emergency room physicians, specialist nurses, and all other physicians and medical professionals treating older patients.

Los adultos mayores siguen siendo el mayor consumidor de recursos de salud. Para un número creciente de personas mayores en la sociedad, que está disponible de inmediato para ayudar a la persona mayor en crisis las 24 horas del día los 7 días a la semana. En Educación geriátrica para servicios de emergencias médicas, segunda edición, se abordan con detalle todas las necesidades de la población de más edad para ayudar a tener la seguridad de que los adultos mayores reciban el tratamiento especializado que requieren de los profesionales de emergencias y de salud móvil cuando más se necesitan las destrezas de capacitación geriátrica.La segunda edición ahora aborda plenamente todos los objetivos de aprendizaje específicos de la geriatría en las Normas Nacionales de Educación en SME además de ser la fuente más confiable y completa de la información médicaprehospitalaria para la población de mayor edad. El texto presenta contenido ampliado y temas críticos nuevos, incluyendo el cuidado integrado de salud móvil y la respuesta a desastres. Al reconocer que las llamadas geriátricas son de las más complejas, el contenido del curso tiene un enfoque “superior al alcance” y reta a los estudiantes a clases más profundas, estudios de caso y escenarios realistas y complicados, análisis moderados, y una formación práctica de las destrezas.Para ordenar estos títulos en México, favor de llamar al: 01 800 134 6720. Para ordenar en América Central y del Sur, favor de comunicarse con Intersistemas al 011800 134 6720 o visitar: www.rcp-dinsamex.com.mx.

Der demographische Trend zur älteren Gesellschaft wird sich fortsetzen und wird in absehbarer Zeit entscheidenden Einfluss auf die Medizinlandschaft haben. Ältere Menschen leiden öfter an allgemeinen Funktionseinschränkungen, zu denen noch spezielle Störungen von Organsystemen kommen, der Gastrointestinaltrakt ist dabei häufig betroffen. Einige gastroenterologische Erkrankungen wie z. B. die Obstipation kommen im Alter häufiger vor, der geriatrische Gesichtspunkt tritt immer mehr in den Vordergrund. Aber auch die Komorbidität (z. B. Herz, Niere) ist zu berücksichtigen. Weitere Einschränkungen sind durch den Verlust der Sehkraft und des Hörvermögens sowie der zunehmenden Gebrechlichkeit mit Fallneigung und der Inkontinenz zu erwarten. Eine altersgerechte Ernährung unter Berücksichtigung der veränderten Funktionen des Gastrointestinaltraktes ist notwendig. Ältere Menschen sind vermehrt auf Medikamente angewiesen. Die medikamentöse Therapie mehrerer Krankheitsentitäten führt dabei häufig zu einer Polypharmazie mit entsprechenden Arzneimittelnebenwirkungen. Arzneimittelnebenwirkungen bei älteren Patienten manifestieren sich häufig als gastroenterologische Symptome. Hier sind z. B. Obstipation, Durchfall, Magengeschwüre mit gastrointestinaler Blutung und Refluxösophagitis zu nennen. Bei älteren Patienten erfordern vielfältige interagierende medizinische Probleme also ein multidimensionales Management, das Gastroenterologen, Geriater, Ernährungsmediziner aber auch Pharmakologen einschließt. Das physiologische Alter und der „Funktionszustand“ des Patienten müssen mehr als das chronologische Alter berücksichtigt aber auch richtig eingeschätzt werden. Interdisziplinär müssen diagnostische und therapeutische Abläufe unter Berücksichtigung der Physiologie und Pathologie älterer gastroenterologischer Patienten angepasst und optimiert werden. Dazu zählen z. B. auch endoskopische Untersuchungen. Die abgestimmte Zusammenarbeit von Krankenhausärzten und niedergelassenen Kollegen ist zur reibungslosen Überleitung in die häusliche Betreuung der Patienten erforderlich.

This issue of Clinics in Geriatric Medicine, guest edited by Drs. James D. Katz and Brian Walitt of the NIH, is devoted to Rheumatic Diseases in Older Adults. Articles in this outstanding issue include Rheumatology Pharmacotherapy Pearls for the General Practitioner; Sarcopenia - Pathogenesis and Management; Osteoporosis and Metabolic Bone Diseases; Osteoarthritis; Regional Rheumatic Disorders and Rehabilitation in Older Adults; Rheumatological Manifestations of Malignancy; Sjögren's Syndrome; Cardiovascular Disease Risk in Patients with Rheumatic Diseases; Gaps in Aging Research as it Applies to Rheumatological Clinical Care; and Update on Crystal-induced Arthritides.

Publikace je společným dílem téměř čtyř desítek autorů – zkušených lékařů. Přináší základní poznatky o prevenci a podpoře zdraví ve stáří, o zdravém způsobu života a psychologii stáří i důležité informace z oblasti sociálního zabezpečení. Text je rozdělen do tří částí. Seznamuje čtenáře se základy fungování lidského těla, nejčastějšími onemocněními staršího věku s důrazem na prevenci a sociálními a demografickými tématy. Všechny kapitoly zohledňují současné vědecké poznatky a kladou důraz na prevenci a podporu zdraví ve stáří. Kniha může být spolehlivým průvodcem pro všechny, kteří přistupují ke svému stárnutí aktivně a konstruktivně – rozvíjejí své zájmy, přijímají svůj věk a vyrovnávají se s potížemi vědomi si svých omezení, ale i možností.

This book provides a comprehensive overview of the two important issues relating to disease in elderly: the age-related changes and the pathophysiology of the diseases. The book contains 19 chapters that are arranged by organ system and structured to cover the specific areas for a quick but in-depth understanding of diseases in aging patients. Unlike any other book on the market, this text is concise and yet thorough in approach to the stipulated areas. This book includes multiple-choice questions that reinforce the concepts that are most vital to understanding and treating geriatric patients, making it an outstanding resource on its own or as a companion to larger geriatric texts. Diseases in the Elderly is the ultimate resource for geriatricians, medical students, primary care physicians, hospital doctors, geriatric nurses, and all other medical professionals treating and diagnosing diseases in elderly patients.

Whether increasing life expectancy leads to better health remains still controversial. Three topics are explored: (1) vanguard groups which inform about possible levels of health if the general social and environmental conditions were to approach those of the vanguard group; (2) the social and behavioral determinants of health differentiated into proximal and distal factors; (3) vulnerable groups such as migrants and the health differences between migrant groups. Newly available population-based data as well as new study designs and advanced statistical modelling form the basis for the empirical analyses.

This issue of Medical Clinics of North America, edited by Drs. Jeffrey Wallace and Susan Merel, is devoted to Gerontology. Articles in this issue include: Preventative care in geriatrics; Geriatric syndromes and assessment in the outpatient setting; Assessment and management of fall risk; Drug interactions and side effects; Evaluation and management of elderly patients presenting with cognitive complaints; Pain management in the elderly; Diabetes management in the elderly; Hypertension in the elderly; End-of-life care; Urinary incontinence; Nutrition in the elderly; Anti-thrombotic management in the elderly; and Sleep problems in the elderly.

This book describes geriatrics practice models that are used to guide the care of older adults, allowing seniors to remain at home, prevent functional disability and preserve quality of life. The models include specific interventions which are performed by health care workers to address the needs of older persons and their caregivers. These models respect patient values, consider patient safety and appreciate psychosocial needs as well. Divided into six parts that discuss hospital-based models of care, transitions from hospital to home, outpatient-based models of care and emergency department models of care, this text addresses the needs of vulnerable patients and the community.Geriatric Models of Care is an excellent resource for health care leaders who must translate these programs to address the needs of the patients in their communities.

Des outils pour aider les personnes âgées à affronter la démence et les maladies mentales.Les prédictions concernant le nombre de personnes âgées qui souffriront de démence en 2050 suscitent de fréquentes annonces alarmistes, prévoyant un « tsunami » de cas qui submergerait les familles et les soignants et qui imposerait un fardeau économique insupportable à la société.Afin de prévenir cette « crise de la démence », la position biomédicale dominante considère qu'il faut placer un maximum de moyens sur la recherche neurobiologique, le diagnostic et les traitements pharmacologiques, afin d'essayer de différer et, finalement, de guérir la démence.Ce livre vise tout d'abord à expliquer le contexte social et culturel dans lequel s'est développée cette approche biomédicale de la démence, qui a conduit à une médicalisation croissante du vieillissement. Il a également pour objectif de décrire les limites de cette approche et de montrer en quoi le vieillissement cérébral et cognitif semble être modulé par de multiples facteurs (biomédicaux, psychologiques, sociaux, culturels, etc.), intervenant tout au long de la vie.Les implications de ce changement de perspective sont ensuite identifiées. Pour les auteurs, il convient d'allouer davantage de ressources à la prévention et de développer des pratiques d'évaluation et d'intervention psychosociales qui prennent en compte les personnes âgées dans leur individualité. L'objectif? Aider ces personnes à maintenir un sens à leur vie, un sentiment de bien-être et de dignité, ainsi qu'une véritable place dans la société. Ils préconisent également un changement de culture dans les structures d'hébergement à long terme pour personnes âgées.Cet ouvrage engagé, qui défend une approche humaniste du vieillissement, se termine par un ensemble de réflexions sur les droits et la citoyenneté des personnes âgées.Destiné aux professionnels de la santé, cet ouvrage de référence permet d'appréhender d'un point de vue éthique et psychologique les troubles cognitifs de la vieillesse.CE QU'EN PENSE LA CRITIQUE Un humanisme face au vieillissement et une clarté de vue, qui pourrait élargir le modèle-même de la maladie dite d'Alzheimer. - Françoise Laeckmann, Wolvendael MagazineOn va retrouver dans leur ouvrage, et c'est sans surprise, et avec plaisir, l'humanisme face au vieillissement et une clarté de vue qui fait fi du modèle restreint de la maladie d'Alzheimer réduit à une atteinte cognitive dégénérative. - Philippe Thomas, La revue de gériatrieCe livre, qui au premier abord pourrait paraître polémique, constitue une présentation certes sélective, mais très riche, pour mieux comprendre la question du vieillissement cérébral, notamment au cours du très grand âge. - Emmanuel Monfort, Santé publiqueÀ PROPOS DES AUTEURSMartial Van der Linden est docteur en psychologie et professeur aux Universités de Genève et de Liège. Il possède une longue expérience clinique, puisqu'il a examiné pendant plus de quinze ans des patients cérébro-lésés dans le service de Neuropsychologie de l'Hôpital de Bavière à Liège. Il dirige également l'unité de psychopathologie et neuropsychologie cognitive de l'Université de Genève ainsi que le secteur de psychopathologie cognitive de l'Université de Liège.Anne-Claude Juillerat Van der Linden est docteure en psychologie, neuropsychologue clinicienne et chargée de cours à l'Université de Genève. Elle a pendant vingt ans été neuropsychologue responsable à la consultation mémoire des Hôpitaux universitaires de Genève.

Includes 29 chapters, divided into chronic illness both physical and emotional, cover only the most common illnesses of older adults. The chapters are consistent in their framework and are embedded with current treatment modalities. This text incorporates the holistic framework that comprises geriatric care in partnership with physicians, gerontologists and nurses. The multiple contributions address these partnerships and illustrate the need for APN practice within multiple professional modalities. The uniqueness of this text is not only in these identified partnerships, but also in addressing the Healthy People 2020 objectives that all practitioners must incorporate into their practice.

A guide to herbal remedies that promote longevity, restore the body's systems, treat chronic conditions, and maintain natural health • Offers herbal remedies for many conditions associated with aging, such as prostate enlargement, hot flashes, hypertension, insomnia, and arthritis • Provides herbal treatments to restore and maintain function in each of the body's major systems • Explores more than 150 herbs and their actions on the body and mind, preparation methods, and recommended dosages In this herbal guide to healthy aging, medical herbalist David Hoffmann discusses how to maintain the body's vitality as we age and how to treat and prevent the health concerns brought about by aging. He provides herbal treatments to restore and protect each of the body's major systems--from the muscles, bones, and digestive system to the pulmonary, cardiovascular, and reproductive organs--as well as herbal remedies for specific ailments such as prostate enlargement, hot flashes, hypertension, insomnia, bronchitis, varicose veins, and arthritis. He shows how herbs can help minimize dependence on conventional medical treatments and provide a safe and welcome alternative to the unpleasant and sometimes dangerous side effects of synthetic drugs. In the materia medica, Hoffmann details more than 150 health-promoting herbs and their actions on the body and mind, preparation methods, and recommended dosages. This authoritative guide to herbal preventive medicine offers holistic treatments designed not only to promote vibrant health but also to provide a way to age with grace.

Introduction Chapter 1 - Dementia Chapter 2 - Late Life Depression Chapter 3 - Stroke Chapter 4 - Parkinson's Disease Chapter 5 - Urinary Incontinence Chapter 6 - Hypertension Chapter 7 - Heart Failure Chapter 8 - Myocardial Infarction Chapter 9 - Osteoporosis

Public health and antiseptic measures, vaccination and antibiotics, have all contributed to the reduction in the incidence and impact of diseases due to infections in younger age groups. Unfortunately, however, infections remain a very important cause of both morbidity and mortality in the elderly. The reasons for the continued effect of infection on the older person are multifactorial. Firstly, the immune response alters with age and may result in opportunistic infections. Secondly, while the diagnosis and management of some infections in the elderly can present little problem, altered signs and symptoms in other older patients, especially the old elderly, can cause considerable diagnostic difficulties with resulting delays in definitive treat­ ment. Thirdly, a degree of complacency can develop because some infec­ tions are seldom seen and, consequently, may not be considered in the differential diagnosis. The presence of other, more common, diseases serve only to distract attention and confuse the diagnosis. Since the number of elderly people is increasing, the need for continued high standard of skill in diagnosis and management is emphasized. These factors are considered in this book by contributors who are experi­ enced in their fields. The altered immune response with age, the appropriate use of antibiotics in older people and the latest developments of therapy are reviewed. Infections in various body systems are considered, with emphasis on differing presentations and diagnostic difficulties, ways of improving diagnostic skills as well as management and treatment.

In this new color handbook, the authors deal systematically with those skin conditions that are particular to or more common in the elderly covering testing, diagnosis and treatment options. Given ageing populations the need for such a book is urgent. More and more elderly patients will seek care for a variety of skin conditions, ranging from eczem

This book takes a thematic look at the historical roots of the debate surrounding old age and disease.

Alle Pflegenden, die mit älteren Menschen arbeiten, brauchen Informationen zu spezifischen, komplexen Krankheitsbildern des Alters. Da ist schnelles Nachschlagen gefragt - am besten in den „Checklisten Krankheiten im Alter''. Hier finden Sie: die wichtigsten geriatrischen Krankheitsbilder, wertvolle Hinweise zur Verlaufsform beim älteren Menschen, sowie das Wesentliche auf einen Blick: Ursachen, Symptome, Therapie, krankheitsspezifische Pflegehinweise für Ihren Arbeitsalltag.Und das in der bewährten Form unserer Checklisten: Das Wesentliche auf einen Blick sowie klare Informationen in Stichpunkten: Kein langes Lesen und Suchen!

This book presents a practically orientated survey of major problems of a clinical picture and therapeutic pitfalls in critically ill elderly patients from the point of view of a geriatrician. A growing number of patients of advanced age represent a highly heterogeneous group with very different health problems. For the ICU admitted elderly patients, there are valuable general pitfalls of modern medicine connected with: atomization of medicine; absence of holistic approach and contemporary multi-morbidity when they belong to miscellaneous medical branches according to principal somatic diagnosis or seemingly nowhere

La malattia diabetica nel paziente anziano non è facile da gestire per la sua elevata prevalenza, la sua lunga durata, l'ampia varietà di complicanze e i coinvolgimenti emotivi e psicologici tipici delle malattie croniche. Nato dalla collaborazione e dal confronto fra medici impegnati a diverso livello nella gestione del paziente diabetico anziano, il libro identifica compiti e competenze di ciascun professionista che interviene nel processo di cura, individuando periodicità e modalità di interazione.

Features that characterize the aging process include the gradual accumulation of cell damage after prolonged exposure to oxidative and inflammatory events over a lifetime. In addition to the accretion of lesions, the intrinsic levels of pro-oxidant and aberrant immune responses are elevated with age. These adverse events are often further enhanced by the chronic and slow progressing diseases that characterize the senescent brain and cardiovascular system. The incidence of some disorders such as Alzheimer's disease and vascular diseases are sufficiently prevalent in the extreme elderly that these disorders can arguably be considered'normal'. Aging and Aging-Related Disorders examines the interface between normal and pathological aging, and illustrates how this border can sometimes be diffuse. It explores and illustrates the processes underlying the means by which aging becomes increasingly associated with inappropriate levels of free radical activity and how this can serve as a platform for the progression of age-related diseases. The book provides chapters that examine the interactive relationship between systems in the body that can enhance or sometimes even limit cellular longevity. In addition, specific redox mechanisms in cells are discussed. Another important aspect for aging discussed here is the close relationship between the systems of the body and exposure to environmental influences of oxidative stress that can affect both cellular senescence and a cell's nuclear DNA. What may be even more interesting to note is that these external stressors are not simply confined to illnesses usually associated with aging, but can be evident in maturing and young individuals. A broad range of internationally recognized experts have contributed to this book. Their aim is to successfully highlight emerging knowledge and therapy for the understanding of the basis and development of aging–related disorders.