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The mental healthcare of older adults can lead to age specific challenges, however, many healthcare settings have limited access to expert geriatric psychiatric consultation. This compelling book provides a comprehensive compilation of real-life cases involving the psychiatric care of older adults in the long-term care setting. Providing practical guidance for healthcare professionals who work regularly with older adults, the chapters cover key topics such as neurocognitive disorders, mood disorders, anxiety disorders, psychotic disorders, end-of-life mental health care, and sexuality issues in older adults. Offering all the information necessary for the diagnosis and formulation of treatment plans for a wide variety of psychiatric presentations, the book covers pharmacologic and non-pharmacologic options for each disorder to assist healthcare professionals in providing well-rounded care. For all those involved in the prevention, assessment, diagnosis, and management of neuropsychiatric disorders in long-term care populations.
This essential new handbook provides practical and essential information on old age liaison psychiatry in the general hospital setting, for use in everyday practice. Covering the assessment and management of older people's mental health, it addresses the most common day-to-day clinical presentations and conditions. The book provides a unique and valuable insight into the emotional and psychological challenges that older people and their families face in hospital, when dealing with both physical health and social crises. Featuring contributions from a range of experts from diverse medical and psychiatric specialities on topics such as service development, use of technology, ethical issues, safeguarding procedures and evidence-based practice for effective management. The book shines a light on the integration of mental and physical health for older people and the importance of managing all aspects of care, alongside the impact of each on mental health. An essential guide for hospital clinicians across all specialties.
Award-winning authors Marcy Houle and Elizabeth Eckstrom have teamed up again following the success of their critically acclaimed book The Gift of Caring, winner of the 2016 National Christopher Award. This new book blends frontline science with inspirational stories and insights from wise elders for aging with health, joy, and purpose. The book explains how our bodies and brains age, defining what can be expected with aging and what is unusual. It demonstrates ways we can significantly increase our chances for a positive aging experience into our 80s, 90s and 100s. It offers key strategies for meeting the challenges of aging, informs us of issues of inclusion and equity, and advises on handling legal and financial affairs. The Gift of Aging illustrates how we can make the third act of our lives meaningful and fulfilling, ensuring we as elders can make a difference in our world.
There is no group of individuals more iconic of 1960s counterculture than the hippies – the long-haired, colorfully dressed youth who rebelled against mainstream societal values, preached and practiced love and peace, and generally sought more meaningful and authentic lives. These 'flower children' are now over sixty and comprise a significant part of the older population in the United States. While some hippies rejoined mainstream American society as they grew older, others still maintain the hippie ideology and lifestyle. This book is the first to explore the aging experience of older hippies by examining aspects related to identity, generativity, daily activities, spirituality, community, end-of-life care, and wellbeing. Based on 40 in-depth interviews with lifelong, returning, and past residents of The Farm, an intentional community in Tennessee that was founded in 1971 and still exists today, insights into the subculture of aging hippies and their keys to wellbeing are shared.
Aging is a subject of concern to everyone, but is widely misunderstood. If we view it as inevitable, we miss the fact that not everyone is able to grow to an old age. Realization of this reality helps us to understand that aging presents a wonderful opportunity - an opportunity to make choices about how we live which can enhance the aging process and offer a chance to live to our potential. This book clearly presents the four, multiple reserve, factors (cognitive, physical, psychological and social) which impact our ability to have healthy responses to the stresses of aging. By giving the biological basis for the advice given, you will learn the steps to take in your activities, diet and mental outlook to grasp the opportunity that aging offers. Everyone must know that what we do makes a difference.
This eighth edition of Dr Reichel's formative text remains the go-to guide for practicing physicians and allied health staff confronted with the unique problems of an increasing elderly population. Fully updated and revised, it provides a practical guide for all health specialists, emphasizing the clinical management of the elderly patient with simple to complex problems. Featuring four new chapters and the incorporation of geriatric emergency medicine into chapters. The book begins with a general approach to the management of older adults, followed by a review of common geriatric syndromes, and proceeding to an organ-based review of care. The final section addresses principles of care, including care in special situations, psychosocial aspects of our aging society, and organization of care. Particular emphasis is placed on cost-effective, patient-centered care, including a discussion of the Choosing Wisely campaign. A must-read for all practitioners seeking practical and relevant information in a comprehensive format.
Dementia is increasingly being recognised as a public health priority and poses one of the largest challenges we face as a society. At the same time, there is a growing awareness that the quest for a cure for Alzheimer's disease and other causes of dementia needs to be complemented by efforts to improve the lives of people with dementia. To gain a better understanding of dementia and of how to organize dementia care, there is a need to bring together insights from many different disciplines. Filling this knowledge gap, this book provides an integrated view on dementia resulting from extensive discussions between world experts from different fields, including medicine, social psychology, nursing, economics and literary studies. Working towards a development of integrative policies focused on social inclusion and quality of life, Dementia and Society reminds the reader that a better future for persons with dementia is a collective responsibility.
With an increasing global ageing population, the psychiatry of old age has become increasingly important. This revised second edition remains a succinct manual on the practice of psychiatry of old age, providing an up-to-date summary of existing knowledge, best practice and future challenges for the specialty, from a global perspective. Written by four leading clinicians, teachers and researchers, the book offers a much-needed international focus and is designed for use in a wide variety of countries and settings. Chapters are presented in a clear and practical way, enhanced by current and comprehensive further reading sections as well as tables and diagrams for quick assimilation and reference. The new edition is updated to incorporate new developments in assessment, investigation, classification, treatment and care since the publication of the first edition, including the ICD-11 and DSM-5. Essential reading for practising psychiatrists and geriatricians, as well as trainees, nurses and medical students.
Globally, EDs face new challenges as the world's population ages. Visits from older people are predicted to rise for the next 20 years. This practical and accessible book provides essential guidance on assessing the ED care of older patients - and improving it. It assists ED teams to implement changes tailored to their unique environments, providing guidance across all settings regardless of size, location or resources. Experience- and evidence-based elements combine to guide best practices for older patient flow, staff and patient satisfaction, and improving patient health outcomes. The book features proven ideas for creating a geriatric ED such as specific staff training, modifying job roles, implementing new care processes, and adapting physical spaces. An invaluable resource for practising ED clinicians, leaders, administrators, educators, and system change leaders.
This third edition of a trusted resource brings together the latest literature across multiple fields to facilitate the understanding and prevention of falls in older adults. Thoroughly revised by a multidisciplinary team of authors, it features a new three-part structure covering epidemiology and risk factors for falls, strategies for prevention and implications for practice. The book reviews and incorporates new research in an additional thirteen chapters covering the biomechanics of balance and falling, fall risk screening and assessment with new technologies, volitional and reactive step training, cognitive-motor interventions, fall injury prevention, promoting uptake and adherence to fall prevention programs and translating fall prevention research into practice. This edition is an invaluable update for clinicians, physiotherapists, occupational therapists, nurses, researchers, and all those working in community, hospital and residential or rehabilitation aged care settings.
Psychotherapy in Later Life is a practical how-to-guide for psychiatrists, psychologists and mental health workers on choosing and delivering evidence-based psychological therapies to older adults. It covers all the main evidence-based psychological therapies such as cognitive behavioural therapy (CBT) and interpersonal psychotherapy (IPT), as well as specialist topics such as combining psychotherapy with pharmacological treatments, working with diverse populations and individual versus group therapy. The World Health Organization estimates that over the next four decades, the proportion of the world's older adults will nearly double, from twelve percent to twenty-two percent, and that one in five older adults has a diagnosable mental health disorder. Given the increasing number of older adults requiring mental health treatment, incorporating talking therapies into treatment plans is key to tackling issues related to polypharmacy, medication interactions and side effects. Written by experts in geriatric mental health, this book provides the most authoritative information on the use of psychotherapy in older adults.
By 2050, the number of people aged sixty years and older with schizophrenia is expected to double and affect about 10 million people worldwide. Psychoses are among the most common experiences in later life, with a lifetime risk of 23 percent. As a result, there is a looming crisis in mental health care. Schizophrenia and Psychoses in Later Life is the first major multidisciplinary reference on these important disorders. The book provides guidelines for clinical care, research and policy that are consistent with the emerging paradigmatic changes occurring with respect to schizophrenia in later life. This book features multidisciplinary contributions from experts in the fields of biological psychiatry, social psychiatry, sociology, anthropology, social work, psychology, and neuropsychology that will help professionals to integrate services and attain the best outcomes. The text will guide psychiatrists, psychologists, gerontologists, policymakers, and social scientists in creating innovative new programs to help this underserved and growing population.
Recent studies show that more people than ever before are reaching old age in better health and enjoying that health for a longer time. This Handbook outlines the latest discoveries in the study of aging from bio-medicine, psychology, and socio-demography. It treats the study of aging as a multidisciplinary scientific subject, since it requires the interplay of broad disciplines, while offering high motivation, positive attitudes, and behaviors for aging well, and lifestyle changes that will help people to stay healthier across life span and in old age. Written by leading scholars from various academic disciplines, the chapters delve into the most topical aspects of aging today - including biological mechanisms of aging, aging with health, active and productive aging, aging with satisfaction, aging with respect, and aging with dignity. Aimed at health professionals as well as general readers, this Cambridge Handbook offers a new, positive approach to later life.
The proportion of the population of octogenarians and elderly patients presenting for intensive care is rapidly increasing thus exacerbating the need to modify our critical care management to cater for this patient group. This book will provide practical guidance on all issues related to the critical care of elderly patients, incorporating physiological and epidemiological information, clinical guidance, ethical and end-of-life issues and advice about optimal use of drugs and new technologies. Complications of polypharmacy, high-risk surgery and increased recovery times are also discussed. Chapters are concise, each including a list of key points and summary of available data, making this a quick reference for experienced consultants, as well as a useful resource for trainees preparing for exams.
Care of the Person with Dementia responds to the urgent need for health practitioners to take an innovative approach to the challenge of dementia. The first Australian text of its kind, it combines evidence-based resources with interprofessional education and practice, exploring the ethical, social and environmental repercussions of dementia to provide a comprehensive overview of dementia care in an Australian context. The text is structured around a model of interprofessional education and practice (IPE) tailored to dementia care. This model incorporates the context of care, an important element missing from other recognised models of IPE. Throughout the book, principles of IPE are explained within the context of dementia, drawing on exemplars from a body of current, well-researched and evaluated dementia practice. Written by experienced academics, and providing national and international perspectives, this is a unique and crucial resource to develop collaborative skills and professional knowledge in the management of dementia.
Building on the first edition, Psychiatric Consultation in Long-Term Care has been fully revised and updated, integrating DSM-5 classification throughout. It delivers an essential resource for psychiatrists, neurologists, geriatricians, palliative care physicians, primary care physicians, nurse practitioners, pharmacists, and physician assistants involved in prevention, assessment, diagnosis, and management of neuropsychiatric disorders in long-term care (LTC) populations, as well as for nurses, social workers, and other professionals involved in important day-to-day care. The book provides comprehensive descriptions of practical, strengths-based, individualized, psychosocial, spiritual, and environmental approaches, and high-quality mental healthcare utilizing pharmacological interventions when appropriate to improve the emotional and spiritual well-being of LTC residents. It details key elements in creating genuine person-centered long-term care: the reduction of inappropriate medications and counter-therapeutic staff approaches, treating serious psychiatric disorders with evidence-based interventions, and a road-map for owners and administrators of LTC facilities.
This fully updated seventh edition remains the pioneering text for practicing physicians and allied health staff confronted with the unique problems of an increasing elderly population. Dr Reichel's formative text is designed as a practical and useful guide for all health specialists. Emphasizing the clinical management of the elderly patient with simple to complex problems, this is a must-read for all practitioners who need practical and relevant information in a comprehensive format. Chapters have been updated and re-organized to reflect the clinical approach to aging, beginning with a general approach to the management of older adults, followed by a review of common geriatric syndromes, and proceeding to an organ-based review of care. The final section addresses principles of care, including care in special situations, psychosocial aspects of our aging society, and organization of care. Particular emphasis is placed on cost-effective, patient-centered care, including a discussion of the Choosing Wisely campaign.
More than thirty-five years ago, a longitudinal study was established to research the health and well-being of older people living in an English city. Self and Meaning in the Lives of Older People provides a unique set of portraits of forty members of this group who were interviewed in depth from their later seventies onwards. Focusing on sense of self-esteem and, especially, of continued meaning in life following the loss of a spouse and onset of frailty, this book sensitively illustrates these persons' efforts to maintain independence, to continue to have a sense of belonging and to contribute to the lives of others. It examines both the psychological and the social resources needed to flourish in later life and draws attention to this generation's ability to benefit from strong family support and from belonging to a faith community. In conclusion, it questions whether future generations will be as resilient.
Movement disorders affect a growing patient population, but providing comprehensive care is extremely difficult. Several of these conditions are progressive and incurable; the basal ganglia has a complex role in movement control, with many potential malfunctions. This book focuses on rehabilitation approaches that have been developed and utilized internationally in an attempt to minimize impairment and maximize participation amongst these patients. Each chapter is written by movement disorder experts, rehabilitation specialists and health care professionals, giving a broad overview of current interventions and emphasizing the need for interdisciplinary management, focussing on deliverable outcomes. Common conditions such as Parkinson's disease, cerebral palsy, dystonia and Huntington's disease are comprehensively covered. This book gives neurologists, geriatricians and rehabilitation specialists an up-to-date, theoretically-based approach to managing movement disorders related to basal ganglia malfunction. Also valuable for physiotherapists, occupational therapists, speech pathologists, nurses and social workers seeking to develop and plan appropriate interventions.
The risk of cancer increases with age, and the number of older adults seeking treatment is increasing dramatically in line with the aging population. The care of older patients differs from that of younger adults because of differences in the biology of the tumor, age-related differences in host physiology, comorbidity burden and psychosocial issues, which might impact the efficacy and side effects of cancer therapy. Practical Geriatric Oncology is a comprehensive, evidence-based text that synthesizes the growing literature in this field and provides practical guidelines to the care of older adults with cancer. Coverage includes patient assessment, management of solid tumors and hematologic malignancies, the impact of age on the pharmacology of cancer therapy, surgical oncology and radiation oncology in the older adult, symptom management and supportive care. In addition to serving as core reading for oncologists and hematologists, the book will also be a useful work for other healthcare professionals who provide oncology care, including surgeons, radiation oncologists, palliative care doctors, primary care providers, geriatricians and nurses.