Geriatric medicine Books

Book SynopsisLearn the art of growing old from the supercentenarians living life to the fullest.It's said that life begins at 40 - but that number is constantly revised upwards as we live longer and longer. With the number of centenarians having quadrupled in the last thirty years, more of us can now hope to reach the 100-year mark than ever before. But how can we navigate this journey with grace, dignity and style? In this charming and informative book, Daniela Mari - the Italian doctor caring for some of the oldest people on the planet - draws on her experiences as a renowned gerontologist to reveal the science behind a healthy, happy old age. It turns out that the world's centenarians can teach us a thing or two about ageing well. And the secrets are not always what you'd think. Informed by the latest medical studies and incredible stories of individual longevity, Mari shows how our lifestyles can far surpass the influence of our genetics and why a daily glass of liquor isn't the end of the world. From our sleeping habits and diet to the crucial importance of our passions and interests, Breakfast with the Centenarians is the essential handbook for a fruitful and fulfilling old age.

Read more less

a huge range and FREE tracked UK delivery on ALL orders.

Read more less

Book SynopsisAs more of us live longer, the fear of an old age devastated by brain diseases like dementia is growing. Many people are already facing the challenges posed by these progressive and terminal conditions, whether in person or because they are caring for loved ones. Dementia is now the fifth most common cause of death across the world. It is small wonder that understanding, preventing, and finally curing these illnesses is now a global priority. Recent advances in brain research have given scientists a better chance than ever of finding ways to help patients, carers, and clinicians dealing with dementia. Yet there is still no effective treatment. Why has progress been so slow? And what can we all do to reduce our chances of getting the disease? In this Very Short Introduction Kathleen Taylor offers a guide to the science of dementia and brain ageing. Never forgetting the human costs of brain disorders - movingly illustrated throughout the book - she also discusses their costs to society. Clearly explaining the research, she sets out the main ideas which have driven dementia science, and the new contenders hoping to make a breakthrough. Taylor also looks at risk factors, and how to lower our chances of succumbing to dementia. Assessing current and potential treatments, including both drugs and other approaches, she explains, clearly and gently, what help is available for someone who is diagnosed with dementia, and how to boost the chances of living well with the condition.ABOUT THE SERIES: The Very Short Introductions series from Oxford University Press contains hundreds of titles in almost every subject area. These pocket-sized books are the perfect way to get ahead in a new subject quickly. Our expert authors combine facts, analysis, perspective, new ideas, and enthusiasm to make interesting and challenging topics highly readable.Table of Contents1: The challenge of dementia 2: What causes dementia? 3: Beyond amyloid 4: Risk factors 5: Diagnosis and treatment 6: The future of dementia References Further reading Useful organisations and websites

Read more less

Book SynopsisOlder adults increasingly represent a significant portion of urgent, emergency, and ambulance service calls, making it more important than ever to foster a deeper understanding of older patients'' needs. Urgent and Emergency Care of the Older Person addresses the critical gap in prehospital education concerning the care of older patients, and demonstrates the principles underpinning improvements to the provision of care using the multidisciplinary team approach.A range of specialist authors provide the necessary knowledge, skills, and guidance for prehospital professionals, community clinicians, and advanced practitioners, emphasising a holistic, person-centred approach. It challenges stereotypes, urges clinicians to see beyond age and adapt communication and care strategies to individual needs and circumstances. Topics include ageing theories, frailty, common clinical scenarios, and the latest best practices to prepare paramedics and prehospital clinicians for the multifaceted nature of caring for the older person.Key features include: Case studies and targeted questions, to support clinicians in applying their knowledge to practice Aligned to key national health and social care priorities An ideal companion text for both undergraduate students and registered paramedics as well as specialists paramedics in frailty services or those working within the community such as primary care or Urgent Crisis Response teams In line with current UK guidelines and research

Read more less

Book Synopsis

Read more less

Book SynopsisWorried about memory loss and dementia risk? This new book will show you easy-to-follow steps to keep your brain healthy. Emily Clionsky, MD, and Mitchell Clionsky, PhD, are a physician and neuropsychologist couple who have cared for their own parents with dementia, created a test used by doctors to measure cognitive function, and treated more than 25,000 patients with cognitive impairment. In Dementia Prevention, they combine the most current scientific findings about Alzheimer's disease and other dementias with their experience to present a practical guide that empowers you to improve your brain's future. This book skips the fads, the unsupported claims of advertised products, and fringe theories. Instead, the authors guide you through a science-based tour of dementia, including how your brain works and how its function is affected by everything from blood circulation and blood pressure to sugar levels, medications, vision, and hearing. You will learn how your activity level, weighTable of ContentsIntroduction: An Ounce of PreventionSection 1: Nature and Origin of Dementia1. What is Dementia?2. Normal Cognitive AgingSection 2: Dementia Risk Model3. Genetics and Early Life Factors4. Midlife Medical Conditions Impacting Dementia Risk5. Lifestyle Factors of Smoking, Diet and Exercise6. Breathing, Sleeping, Breathing While Sleeping7. Metabolic and Vitamin Deficiencies8. Alcohol, Drugs, and Medications9. Sensory and Emotional Factors That Amplify Dementia Risk10. Putting It All Together in an Interactive Dementia Risk ModelSection 3: Where Do You Stand and What You Can Do About It11. Take the Test: Your Dementia Prevention Checklist12. Everybody Wants to Feel Better, But Nobody Wants to Change13. Use Your Brain to Save Your Brain14. Applying the Change Formula to Your LifeEpilogueBibliographyIndex

Read more less

Book SynopsisGeriatric Medicine at a Glance logically presents the core principles of geriatric medicine, including mechanisms of ageing, changes in physiology commonly seen in older adults, and the clinical management and treatment of the key medical presentations affecting older patients.Table of ContentsList of Contributors vi Preface vii Acknowledgements viii How to use your revision guide ix Part 1 Core Concepts 1 1. Why is geriatric medicine different? 2 2. Population ageing 4 3. Theories of ageing 6 4. Physiology of ageing 8 5. Frailty 10 6. Comprehensive geriatric assessment 12 7. The international classification of functioning, disability and health 14 8. Physiotherapy 16 9. Occupational therapy 18 10. Assessment scales – physical function 20 11. Assessment scales – mental health 22 12. Ethical issues 24 Part 2 Common problems in older adults 26 13. Polypharmacy 28 14. Osteoporosis 30 15. Falls 32 16. Gait 34 17. Dizziness 36 18. Syncope 38 19. Urinary incontinence 40 20. Constipation 42 21. Delirium 44 22. Dementia 1: causes and classification 46 23. Dementia 2: assessment and management 48 24. Stroke 50 25. Parkinsonism 52 26. Nutrition 54 27. Pressure ulcers 56 Part 3 CGA in practice 58 28. Elder abuse 60 29. Surgical care 62 30. Geriatrics at the interface 64 31. Care homes 66 32. End-of-life care 68 MCQ questions 70 MCQ answers 78 References 80 Index 81

Read more less

Book SynopsisThis book allows the movement disorder clinician or therapist access to concise, practical, comprehensive and expert information on movement disorder diagnosis and treatment, in a convenient handbook form.Trade ReviewReview from previous edition 'The individual segments are well-edited, illustrative, and accompanied by excellent narration.' * Neurology *'The book's clinical focus and detailed sections on theraputics are its biggest assets.' * Neeraj Kumar, MD, Neurology *'...a comprehensive, portable, and robust reference on Parkinson's disease and other movement disorders...a more useful way of accessing movement disorders-related information than even Google. Recommended.' * ACNR *Table of Contents1. Approach to patients with movement disorders ; 2. Anatomy and function of the basal ganglia ; 3. Parkinson's disease ; 4. Atypical parkinsonism ; 5. Tremor ; 6. Tics ; 7. Chorea ; 8. Myoclonus ; 9. Dystonia ; 10. Drug-induced movement disorders ; 11. Paroxysmal movement disorders ; 12. Movement disorders and ataxia ; 13. Movement disorders and sleep ; 14. Other dyskinetic syndromes ; 15. Functional (Psychogenic) movement disorders ; 16. Startle and stiff-person syndromes

Read more less

Book SynopsisStroke is the second most common cause of death worldwide. This fully-updated new edition provides clear facts and practical advice as to why strokes occur and how they can be prevented. Supplemented with case studies, the book concentrates on important facts, reliable evidence, practical advice, and up-to-date treatments.Trade ReviewReview from previous edition ... an interesting addition to the available material for patient information ... very comprehensive ... useful to anyone wanting to understand a long-term condition - and that would include medical staff. * Pulse GP Magazine *This isn't a 'soft' book on stroke that holds the hand of the reader from diagnosis to treatment - it's dry, full of medical studies and hits you with the facts. But don't let this put you off. Full of tips on how to recognise stroke and the latest in research into therapies, it's well worth persevering with. * Ros Holness in The Daily Mail *This engaging little book is highly readable and packed with up-to-date information ... it covers clearly, concisely and quite comprehensively the aspects of risk factor management, causes and pathology of stroke, ... and answers many questions that would benefit the patients themselves. ... It would be an invaluable aid to junior doctors working on a stroke unit, and it clearly deserves a space on the bookshelf. * Diane Ames, Age and Ageing *Table of Contents1: What is stroke? 2: How common is stroke? 3: Who gets strokes? 4: The causes of stroke 5: What can be done for people who have a stroke? 6: Rehabilitation after stroke 7: Living after stroke 8: How do you prevent stroke?

Read more less

Book SynopsisWith her unmistakable compassion, humor, and wisdom, Mace has provided a much-needed guidebook for better teaching and better care.Table of ContentsAcknowledgementsPart I: Getting StartedChapter 1. Laying the Groundwork for ChangeChapter 2. Teaching Techniques That WorkChapter 3. Teaching Adult StudentsPart II: LessonsChapter 4. Helping the Person by Understanding the Problem Chapter 5. Helping the Person by Understanding How the Brain Affects BehaviorChapter 6. Facilitating Function by Treating Excess Disability Chapter 7. Facilitating Function by Treating StressChapter 8. Applying Skills in Activities of Daily LivingChapter 9. Helping the Person by Enriching CommunicationChapter 10. Helping the Person by Sustaining RelationshipsChapter 11. Caring for the Person by Meeting Emotional NeedsChapter 12. Helping the Person by Addressing MoodChapter 13. Restoring Enjoyment Through ActivitiesChapter 14. Thinking Through Challenging BehaviorsChapter 15. A Plan And a CelebrationPart III: Additional Information for EducatorsChapter 16. Evaluating Your TrainingChapter 17. Making the Best Use of Charting and Information-Based SystemsChapter 18. Using Assessment InstrumentsReferences and ResourcesIndex

Read more less

a huge range and FREE tracked UK delivery on ALL orders.

Read more less

Book SynopsisA leading expert answers your questions about how to live to your fullest with COPD. Significant lung damage from smoking, exposure in some jobs, or even diseases such as AIDS and tuberculosis can lead to COPD. Having chronic obstructive pulmonary disease can leave you feeling short of breath, sometimes reluctant to go shopping or for a walk because you are afraid of more difficulties. You may have wheezing, tightness in the chest, or frequent coughing. Although you see a doctor for your COPD, you often have questions and need answers. In this concise and practical guide, leading medical expert Donald A. Mahler answers some of the most pressing questions that he has been asked over 30 years of seeing patients with COPD, including Why am I short of breath? What medications can treat my COPD? Can surgery improve COPD? What are flare-upsand how can I prevent them? How can I stop smoking? What should I do if my breathing isn't getting better? Can exercise help? If so, which exercises areTable of ContentsPrefaceChapter 1. What Is COPD?Chapter 2. Why Am I Short of Breath?Chapter 3. Why Am I Coughing?Chapter 4. How Can I Quit Smoking?Chapter 5. Which Medications Can Help My COPD?Chapter 6. Can You Help Me Breathe Easier?Chapter 7. What Is a COPD Flare-Up? How Is It Treated? Can It Be Prevented?Chapter 8. Do I Need Oxygen? How Do I Travel with Oxygen?Chapter 9. Can Exercise Help? What Are the Benefits of Pulmonary Rehabilitation?Chapter 10. Can Surgery Help Me Breathe Easier?Chapter 11. Can I Be Sexually Active with COPD?Chapter 12. Will My COPD Get Worse? Will I Die From COPD?Chapter 13. How Does COVID-19 Affect COPD?Index

Read more less

Book SynopsisOsteopathy for the Over 50s provides a study of the biomechanics and physiology of somatic dysfunction as it relates to those who have reached the age of 50. Although textbooks on the subject of osteopathy have been available for over 100 years, there is little material specifically addressing the treatment of adults in this demographic group, despite the increase in their numbers. In this book the authors - describe the diagnosis of somatic dysfunction and the application of osteopathic manipulative treatment specifically as it relates to this age group. - consider the relevance of the somatic function and dysfunction in multiple clinical areas including cardiology, pulmonology, gastroenterology, urology, neurology and rheumatology. Osteopathy for the over 50s provides an invaluable approach for practitioners of osteopathy and osteopathic medicine to treat individuals in this age group.Table of ContentsSection 1: Osteopathy, fascia, fluid, and the primary respiratory mechanism. Fascia. The primary respiratory mechanism Section 2: Osteopathic assessment. Somatic dysfunction. Diagnosis of somatic dysfunction. History. Physical examination Section 3: Treatment of the patient. Osteopathic treatment. Procedures. Lower extremity procedures. Pelvic procedures. Lumbar procedures. Lumbopelvic muscular procedures. Thoracic procedures. Thoracoabdominal diaphragm procedures. Cervical procedures. Upper extremity procedures. Wrist and hand procedures. Visceral procedures. Cranial procedures. Vault procedures. Ocular procedures. Procedures to modulate the primary respiratory mechanism Section 4: Clinical considerations. 1. Musculoskeletal dysfunctions. Part 1: Axial system. The vertebral column. Spinal motions. Vertebral somatic dysfunction. Changes with aging. The osteopathic contribution to the physical examination and treatment. Advice to the patient Part 2: Appendicular system. Degenerative arthritis: osteoarthritis of the hip and knee. The osteopathic contribution to the physical examination and treatment. Advice to the patient. Overuse syndromes: rotator cuff syndrome. The osteopathic contribution to the physical examination and treatment. Advice to the patient. Entrapment syndromes: carpal tunnel syndrome. The osteopathic contribution to the physical examination and treatment. Advice to the patient. Conclusion 2.Postural imbalance. The vestibular sensory system. The visual sensory system. The somatosensory/proprioceptive sensory system. Age-related changes. The osteopathic contribution to the physical examination and treatment. Advice to the patient 3.Cardiovascular dysfunctions. Hypertension. Congestive heart failure. The osteopathic contribution to the physical examination and treatment. Advice to the patient 4. Respiratory dysfunctions. Lungs. Age-related changes. Obstructive pulmonary disease. Pneumonia. Obstructive sleep apnea. The osteopathic contribution to the physical examination and treatment. Advice to the patient 5. Gastrointestinal dysfunctions. Dysphagia. Gastroesophageal reflux. Hiatal hernia. Irritable bowel syndrome. Constipation. Visceroptosis. The osteopathic contribution to the physical examination and treatment. Advice to the patient 6. Urogenital dysfunctions. Pelvic floor disorders. Benign prostate disorders. The osteopathic contribution to the physical examination and treatment. Advice to the patient 7. Autonomic dysfunctions. Organization and components. Functions of the autonomic nervous system. Dysautonomia. Chronic fatigue syndrome. Fibromyalgia. Sleep disorders. Influence of the autonomic nervous system on menopause. The osteopathic contribution to the physical examination and treatment. Advice to the patient 8. Auditory and visual dysfunctions. Auditory dysfunctions. Visual dysfunctions. The osteopathic contribution to the physical examination and treatment. Advice to the patient

Read more less

Book SynopsisA dementia diagnosis can be terrifying and debilitating, but this unique book can provide caregiverswhether they are family members or professionalswith practical and simple tools to effectively address behavior and communication issues that may occur when providing care to those with dementia.

Read more less

Book Synopsis

Read more less

Book SynopsisThe Owner's Manual for Your Eyes: The most comprehensive guide to taking care of vision. Winner of the National Health Information Award (Consumer Decision-Making Information) by the National Health Information Awards, American Book Fest Best Book Social Change and Current Events by the American Book FestIn The Eye Book, specialist Dr. Gary H. Cassel presents readers with trusted, evidence-based information they can rely on to protect vision and learn more about how to treat any eye problems that come up. This easy-to-understand volume takes a step-by-step approach, providing an overview of the eye's anatomy, a tour of healthy vision, and an explanation of what steps readers and health care providers should take to address vision issues. Drawing on years of clinical experience with patients, Cassel also looks at eye complications associated with common medical conditions (for example, diabetes) along with the best treatments for eye conditions, such as cataracts and glaucoma. Now iTrade ReviewWhether you've been in the optical business for a week or a decade or two, The Eye Book is a great addition to your optical library.—The Optical Journal[The Eye Book] is clearly written and provides just the right amount of detail to be of interest to the reader looking to learn more about their vision health or for the family physician looking for ways to describe the basics of eye care to curious patients.—Family MedicineTable of ContentsList of Vision Myths and Common Eye QuestionsList of FiguresPrefacePart I. Introduction1. A Guide to Your Eyes2. How Our Vision Changes over Time3. Top Tips to Take Care of Your Eyes and Your VisionPart II. Getting to 20/204. The Eye Exam5. All about Eyeglasses6. Contact Lenses: Everything You Need to Know7. Refractive Surgery: Is This a Good Option for You?Part III. The Big Problems for Aging Eyes8. Cataracts9. Glaucoma, the "Silent Thief"10. Age-Related Macular DegenerationPart IV. Other Eye Problems: Diagnosis and Treatment11. The Eyelids12. The Cornea13. The Conjunctiva14. The Complicated World of Tears15. The Uvea: Iris, Ciliary Body, and Choroid16. The Retina and Vitreous17. The Optic NervePart V. Other Things You Need to Know18. Eye Trauma and Emergencies19. General Health Problems That Can Affect the Eyes20. Living Well with Low VisionWith Michelle Bianchi OTR/L, CLVT21. Common Medications That Affect the Eyes22. Cosmetics and the EyesAppendix A. Vision MythsAppendix B. A Guide to Eye Medications and Related DrugsSigns and Symptoms IndexGeneral Index

Read more less

Book SynopsisThe Owner's Manual for Your Eyes: The most comprehensive guide to taking care of vision. In The Eye Book, specialist Dr. Gary H. Cassel presents readers with trusted, evidence-based information they can rely on to protect vision and learn more about how to treat any eye problems that come up. This easy-to-understand volume takes a step-by-step approach, providing an overview of the eye's anatomy, a tour of healthy vision, and an explanation of what steps readers and health care providers should take to address vision issues. Drawing on years of clinical experience with patients, Cassel also looks at eye complications associated with common medical conditions (for example, diabetes) along with the best treatments for eye conditions, such as cataracts and glaucoma. Now in its second edition, this bestselling book continues to provide the interested reader, along with nurse practitioners, physician assistants, internists, and family doctors, with practical information about eyeglass Table of ContentsList of Vision Myths and Common Eye QuestionsList of FiguresPrefacePart I. Introduction1. A Guide to Your Eyes2. How Our Vision Changes over Time3. Top Tips to Take Care of Your Eyes and Your VisionPart II. Getting to 20/204. The Eye Exam5. All about Eyeglasses6. Contact Lenses: Everything You Need to Know7. Refractive Surgery: Is This a Good Option for You?Part III. The Big Problems for Aging Eyes8. Cataracts9. Glaucoma, the "Silent Thief"10. Age-Related Macular DegenerationPart IV. Other Eye Problems: Diagnosis and Treatment11. The Eyelids12. The Cornea13. The Conjunctiva14. The Complicated World of Tears15. The Uvea: Iris, Ciliary Body, and Choroid16. The Retina and Vitreous17. The Optic NervePart V. Other Things You Need to Know18. Eye Trauma and Emergencies19. General Health Problems That Can Affect the Eyes20. Living Well with Low VisionWith Michelle Bianchi OTR/L, CLVT21. Common Medications That Affect the Eyes22. Cosmetics and the EyesAppendix A. Vision MythsAppendix B. A Guide to Eye Medications and Related DrugsSigns and Symptoms IndexGeneral Index

Read more less

Book SynopsisCandidates can prepare with confidence for the Geriatric Medicine Specialty Certificate Examination with this revision guide designed specifically for the exam. Containing 300 Best of Five questions, the content is carefully mapped to the curriculum ensuring comprehensive preparation. The questions mirror the format of those candidates can expect to find in the exam, and cover all of the key topics, including dementia and delirium, palliative care, nutrition, and stroke. Explanatory answers include references to guidelines and other sources to enable further reading and study.The second edition addresses the latest clinical guidelines and supporting literature, Non-vitamin K Antagonist Oral Anticoagulants (NOACs), and changes in health and social care policy. This new edition is also suitable for candidates preparing for the Diploma in Geriatric Medicine exam. Providing a thorough assessment of the reader''s geriatric medicine knowledge, this is the only revision guide candidates will need to pass the Geriatric Medicine Specialty Certificate Examination first time.Table of Contents1: Exam 1 Questions and Answers 2: Exam 2 Questions and Answers 3: Exam 3 Questions and Answers

Read more less

Book SynopsisCarefully compiled and containing some of the most cutting-edge research and analysis available, this volume should be of interest to any specialist or policymaker concerned with ongoing changes in savings and retirement behaviors.

Read more less

978-0309302265

Read more less

Book SynopsisTable of ContentsSection I AGING 1 Biological and Physiological Change Theories 2 Normal Aging 3 Principles of Care 4 Ethical Issues in Care 5 Sexuality in Older Adults Section II HEALTH PROMOTION AND DISEASE PREVENTION 6 Preventive Screenings and Immunizations 7 Promotion of Healthy Aging 8 Medication Use in Older Adults 9 Complementary and Integrative Therapies for Older Adults Section III ASSESSMENT AND MANAGEMENT OF HEALTH PROBLEMS COMMON TO OLDER ADULTS 10 Clinical Assessment: Cognitive, Psychological, Social, Functional, and Medications 11 Common Geriatric Syndromes 12 Sensory Changes 13 Chronic Conditions 14 Infectious Diseases 15 Acute, Emergent, and Urgent Conditions 16 Musculoskeletal and Rheumatologic Conditions in the Older Adult 17 Cancer 18 Mental Health/Behavioral Health Section IV CARE SYSTEMS FOR PROBLEMS OF OLDER ADULTS 19 Home Care 20 Acute Care 21 Long-Term Care 22 Palliative Care and Hospice Appendix 1: Tools Appendix 2: IPEC Competencies Index

Read more less

Book SynopsisTable of ContentsThe Burden of Dementia Spectrum Disorders and Associated Comorbid and Demographic Features Office- and Bedside-based Screening for Cognitive Impairment and the Dementias:Which Tools to Use, Interpreting the Results, and What Are the Next Steps? Formal Neuropsychological Testing: Test Batteries, Interpretation, and Added Value in Practice Brain Networks, Clinical Manifestations, and Neuroimaging of Cognitive Disorders:The Role of Computed Tomography (CT), Magnetic Resonance Imaging (MRI), Positron Emission Tomography (PET), and Other Advanced Neuroimaging Tests Blood and Cerebrospinal Fluid Biomarkers in Vascular Dementia and Alzheimer's Disease: A Brief Review What Are the Key Diagnostic Cognitive Impairment and Dementia Subtypes and How to Integrate all of the Diagnostic Data to Establish a Diagnosis? Neuropathology of the Common Forms of Dementia Vascular and Nonvascular Mechanisms of Cognitive Impairment and Dementia The Role of Vascular Risk Factors in Cognitive Impairment and Dementia and Prospects for Prevention Treatment of Vascular and Neurodegenerative Forms of Cognitive Impairment and Dementias Brain Reserve, Resilience, and Cognitive Stimulation Across the Lifespan: How Do These Factors Influence Risk of Cognitive Impairment and the Dementias? Diagnostic and Management Strategies for Common Neurobehavioral and Psychiatric Disturbances Among Patients with Cognitive Impairment and the Dementias Harmonizing Ethno-Regionally Diverse Datasets to Advance the Global Epidemiology of Dementia

Read more less

Book SynopsisPrescribing for elderly patients is complex and challenging for many reasons. Prescribing for Elderly Patients assists clinicians working with the elderly to make accurate diagnoses and safely prescribe the correct dose of the appropriate medication.Table of ContentsList of Contributors. Foreword. Preface. Acknowledgement. 1 Clinical Pharmacology of Ageing (Arduino Mangoni, Paul Jansen and Stephen Jackson). Epidemiology. Age-related changes in pharmacokinetics. Age-related changes in pharmacodynamics. Adverse drug reactions and drug interactions. Adherence. Polypharmacy versus appropriate prescribing. Over-the-counter medicines. Prescribing audit. Medication review. Undertreatment. References. 2 Dementia, Delirium, Agitation and Behavioural Problems (Catherine Bryant). Dementia. Delirium. Agitation and behavioural problems. References. 3 Depression in Elderly Patients (Richard Weeks, Ross Kalucy and Jo Hill). Introduction. Aetiology. Signs and symptoms. Diagnosis. Therapy. References. 4 Psychotic Illness in Elderly Patients (Ross Kalucy, Jo Hill and Richard Weeks). Introduction. Aetiology. Symptoms and signs. Diagnosis. Therapy. Key points. References. 5 Sleep Disorders in the Elderly: the Pros and Cons of Prescribing (R. Doug McEvoy and Karin S. Nyfort-Hansen). Insomnia. Restless legs syndrome and periodic limb movements of sleep. Nocturnal leg cramps. REM behaviour disorder. References. 6 Stroke (Joseph A. Harbison and Gary A. Ford). Introduction. Aetiology. Modifiable risk factors for stroke. Therapy. Key points. References. 7 Orthostatic Hypotension, Postprandial Hypotension and Syncope in Older Patients (René W.M.M. Jansen). Orthostatic hypotension in older patients. Key points. Postprandial hypotension in older patients. Key points. Syncope in older patients. Key points. Guidelines. References. 8 Parkinson’s Disease (Gerrit Tissingh and Erik Ch. Wolters). Introduction. Symptoms and signs of PD. Aetiology and pathology. Diagnosis. Therapy. Key points. Links. References. 9 Epilepsy (John O. Willoughby, Joseph Frasca and Emma M. Whitham). Introduction. Aetiology. Symptoms and signs. Diagnosis. Therapy. Newer anti-epileptic drugs. Safety of anti-epileptic drugs. Therapy scheme of the advised drugs. Clinically-important drug interactions within anti-epileptic drugs. Clinically-important drug interactions with other drugs. Important adverse effects. Drug withdrawal. Key points. References. 10 Hypertension (Sanjeev Khindri and Stephen Jackson). Introduction. Aetiology. Symptoms and signs. Diagnosis. Investigation. Therapy. Clinical pharmacology of antihypertensive therapy. Key points. Links. References. 11 Lipid-Lowering in the Elderly Patient (Anthony S. Wierzbicki). Introduction. Aetiology. Symptoms and signs. Diagnosis. Therapy. Statins. Fibrates. Nicotinic acid. Ezetimibe. Bile acid sequestrants. Omega-3 fatty acids. Guidelines. Key points. Links. References. 12 Acute Coronary Syndrome (Derek Yiu and Arduino Mangoni). Introduction. Aetiology. Symptoms and signs. Diagnosis. Therapy. Therapy scheme of the advised drugs. Key points. Guidelines. Acknowledgements. References. 13 Heart Failure (Arduino Mangoni). Introduction. Epidemiology. Aetiology. Clinical presentation. Diagnosis. Therapy. Key points. Guidelines. Acknowledgements. References. 14 Atrial Fibrillation and Other Rhythm Disturbances in the Elderly (Abhay Bajpai, Irina Savelieva and A. John Camm). Introduction. Atrial arrhythmias. The epidemiology and cost of AF. The mechanism of atrial tachyarrhythmias. Symptoms and signs. Diagnosis. Classification of AF. Causes of AF. Principles of management of AF. Treatment of acute onset AF. Suppression of paroxysms of AF. Strategies in persistent AF—rate versus rhythm control. Rate control in permanent AF. Risk of stroke and antithrombotic therapy in AF. Non-pharmacological techniques to prevent thrombus formation. Key points. References. 15 Valvular Heart Disease (Andrew T. Elder). Introduction. Infective endocarditis. Prevention of endocarditis. Diagnosis and treatment of endocarditis. Prevention of thromboembolism. Prevention of progression of degenerative valvular disease. References. 16 Anticoagulants for Thrombosis and Embolism in the Elderly (Alexander Gallus and Dolly Daniel). Introduction. The anticoagulants. Thrombosis in the elderly and indications for anticoagulants. References. 17 Haematological Disorders (Bryone J. Kuss and Sabria Alhashami). Introduction. Anaemia. Vitamin B12 and folic acid deficiencies. Thrombocytopenia. Myelodysplastic syndromes. Acute leukaemia. Lymphoproliferative conditions. Multiple myeloma. Key points. References. 18 COPD and Asthma in the Elderly (Martin Connolly and Tina L. Davies) Risk factors and triggers. Presentation and diagnosis. Objective tests. Differential diagnoses. Management of COPD and asthma. Acute asthma. Management of exacerbations of COPD. Management of stable COPD. Conclusion. Key Points. Learning Resources. Guidelines. References. 19 Pneumonia in the Elderly (Peter A. Frith and Karin S. Nyfort-Hansen). Introduction. Epidemiology. Aetiology and pathogenesis. Symptoms and signs. Diagnosis. Patient assessment. Therapy. Important considerations for drug usage. Prevention. References. 20 Therapeutic Aspects of Pulmonary Tuberculosis (Paul van den Brande). Introduction. Pathogenesis. Presentation of tuberculosis in the elderly. Diagnosis of tuberculosis. Treatment of tuberculosis. Treatment of latent tuberculosis infection. Key points. References. 21 Interstitial Lung Disease in the Elderly (Jeffrey Bowden). Introduction. Presentation of interstitial lung disease. Particular problems in the elderly. General comments with regard to therapy. Assessing the response to therapy. Drugs used in ILD. Treatment for specific forms of lung disease. Key points. Links. References. 22 Lung Cancer in the Elderly (Jeffrey Bowden). Introduction. Aetiology. Symptoms and signs. Diagnosis and staging. Goals of therapy. Chemotherapeutic agents. Treatment protocols for NSCLC. Non cytotoxic agents: EGFR Inhibitors. Treatment of small cell carcinoma. Treatment of mesothelioma. Anti-emetic therapy. Key Points. Guidelines. References. 23 Nutritional Disorders and the Older Person (Robert K. Penhall and Renuka Visvanathan). Introduction. Obesity and the older person. Nutritional frailty. Under-nutrition in older people. Screening and assessment of under-nutrition. The management of the under-nourished older person. Monitoring and change. Conclusion. References. 24 Mouth and Dental Disorders (Cees de Baat and Isaac van der Waal). Introduction. Periodontal disease. Dental caries. Odontogenic infections. Alveolar osteitis. Xerostomia and hyposalivation. Candidiasis. Angular cheilitis. Denture stomatitis. Burning mouth syndrome. Recurrent aphthous stomatitis. Recurrent herpes simplex. Oral lichen planus. 25 Swallowing Disorders and Medication in the Elderly (Eddy Dejaeger). Introduction. Normal deglutition. Changes with Age. Aetiology of deglutition disorders. Symptoms and signs. Diagnosis. Therapy. Deglutition disorders and medication. Key points. Links. References. 26 Upper Gastrointestinal Disorders (Geoffrey S. Hebbard). Gastrooesophageal reflux disease. Oesophageal motility disorders. Non-cardiac chest pain. Oesophageal infections. Pill-induced oesophagitis. Peptic ulcer disease. Gastritis. Non-ulcer dyspepsia. References. 27 Gastric Emptying in Older Patients (Robert J. Fraser). Introduction. Aetiology of disturbed gastric motor function in ageing. Symptoms and signs. Diagnosis. Therapy. Therapy scheme of advised drugs for gastroparesis. Key points. Guidelines. Effect of healthy ageing on appetite regulation—anorexia of ageing. References. 28 Lower Gastrointestinal Disorders (Daniel L. Worthley, Graeme P. Young and Robert J. Fraser). Malabsorption. Inflammatory bowel disease. Diverticulosis. Mesenteric ischaemia. Constipation. Diarrhoea and faecal incontinence. Haemorrhoids. References. 29 Abdominal Malignancies (Sarah Zaidi and Guy Chung-Faye). Introduction. Epidemiology. Aetiology. Symptoms and signs. Therapy. Chemotherapy. Key points. Links. References. 30 Liver Diseases in the Elderly (Réme Mountfield and Alan J. Wigg). Introduction. Physiological changes associated with ageing. Drug induced liver disease. Cirrhosis. Alcoholic liver disease. Non-alcoholic steatohepatitis (NASH). Hepatitis C. Hepatitis B. Liver transplantation. References. 31 Disorders of the lower urinary tract (Adrian Wagg). Pathophysiology. Incontinence subtypes. Treatment cessation. Assessment with a bearing on drug addition or withdrawal. Rectal examination. Vaginal examination. The pharmacological treatment of urinary incontinence. Cognition and antimuscarincs. Bladder outflow tract obstruction. Other pharmacological measures. Stress urinary incontinence. Summary. References. 32 Management of Benign Prostatic Hyperplasia in Elderly Men (Ming Liu and Gordon H. Muir). Assessment. Prostate specific antigen (PSA). Urinary retention. Nocturnal frequency. Treatment. References. 33 Management of Erectile Dysfunction in the Elderly (Kevin Dennison). Introduction. Prevalence and aetiology of ED. Physical or psychogenic? Diagnosis and assessment of ed in primary care. Treatment options. Key points. References. 34 Benign Gynaecological Disorders (Maria Vella, James Balmforth and Linda Cardozo). Urogenital atrophy. Prolapse. Traditional anatomical site prolapse classification. Urinary incontinence. Detrusor overactivity. Drug therapies. Lichen sclerosis. Lichen planus. References. 35 Breast Cancer in Elderly Patients (Bogda Koczwara). Introduction. Presentation and diagnosis—special considerations in elderly patients. Management of breast cancer. Management of early breast cancer. Treatment of advanced breast cancer. Supportive care during breast cancer treatment. Breast cancer therapeutics in an elderly patient. Conclusion. Key points. References. 36 Pharmacological Management of Endocrine Conditions in the Elderly Patient (Nikolai Petrovsky). Introduction. Diabetes aetiology. Diabetes symptoms and signs. Diabetes diagnosis. Type 2 diabetes management. Pharmacokinetic and pharmacodynamic data of diabetes medications in elderly patients. Clinically important drug interactions within diabetes drugs. General adverse effects of diabetes medications in elderly patients. Specific adverse effects and clinically-important drug interactions of diabetes drugs. Pituitary adenomas. Thyroid disease. Hyperparathyroidism. Hormone replacement. Endocrine disease in the elderly—key points. Further Reading. 37 Rheumatoid Arthritis, Osteoarthritis, Polymyalgia Rheumatica, Gout and Pseudogout (E. Michael Shanahan and Stephen Hedger). Rheumatoid arthritis. Key points in rheumatoid arthritis. Osteoarthritis. Key points in osteoarthritis. Polymyalgia rheumatica. Key points in PMR. Gout and calcium pyrophosphate disease (CPPD). Key points in gout and CPPD. Links. References. 38 Falls, Osteoporosis, Paget’s Disease and Osteomalacia (Harald J.J. Verhaar and Paul Jansen). Falls and osteoporosis. Paget’s disease. Osteomalacia. Key points. References. 39 Drugs and Falls (Nathalie van der Velde and Tischa J.M. van der Cammen). Introduction. Pathophysiology. Fall-risk-increasing drugs. Clinical approach. Treatment: drug withdrawal. Key points. References. 40 Pressure Ulcers (Rob J. van Marum). Introduction. The role of pressure in pressure ulcer development. The role of nutrition in pressure ulcer development. Risk assessment. Prevention. Local treatment. Key points. References. 41 Leg Ulceration (Gabrielle M. McMullin). Introduction. Aetiology. Symptoms and signs. Diagnosis. Therapy. Key points. Guidelines. References. 42 Xerosis and Asteatotic Eczema (Michael Yeung and Daniel Creamer). Xerosis. Actinic keratoses and Bowen’s disease. Bullous pemphigoid Candidiasis. Erysipelas and cellulitis. Contact dermatitis. Herpes zoster (shingles). Lichen planus. Malignant melanoma. Mycosis fungoides. Basal cell carcinoma and squamous cell carcinoma. Psoriasis. Scabies. Tinea. Urticaria and angio-oedema. Venous eczema and the dependency syndrome. 43 Age-Related Eye Diseases (Genevieve Larkin). Cataract. Glaucoma. Age related macular degeneration. Diabetic retinopathy. References. 44 Ear Disorders (Wynia Derks and Gerrit Hordijk). Introduction. Hearing loss. Tinnitus. External otitis. Drugs causing hearing problems. References. 45 Pain (Albert J.M. van Wijck). Introduction. Aetiology. Diagnosis. Therapy. Key points. References. 46 Palliative Care in the Elderly (Alexander de Graeff and Saskia Teunissen). Introduction. Symptoms. Palliative care in the elderly. Treatment of common symptoms in elderly patients. References. Index.

Read more less

Book Synopsis

Read more less

Book SynopsisZeldes, Columbia University.Trade ReviewPresents a comprehensive array of writings about the economic, social, and policy issues facing the United States in maintaining a social insurance program for the elderly into the 21st century. The book covers aging policy broadly and in depth, and the text provides good explanations for the technical concepts discussed in the book. -- Peggy A. Gallup Inquiry The authors and editors have created a timely, readable, and thought provoking text. The reader is drawn into the debate and leaves hoping that our leaders use such an approach to find long-term solutions for the healthcare and retirement needs of our increasingly aging population. -- Anna Maio, M.D. Doody's Rating This important book is distinguished by its careful attention to all three major programs affording retirement security to the elderly (Social Security, Medicare, and Medicaid), by its admirable insistence on the need to bring both historical and international perspectives to bear on contemporary American welfare state topics, and by its balanced treatment of the political and economic dimensions of critical policy issues. -- Eric M. Patashnik Journal of Health Politics, Policy and LawTable of ContentsPrefaceAcknowledgmentsContributorsPart I: Introduction Chapter 1. Overview: Issues and Options for an Aging PopulationChapter 2. An International Perspective on Policies for an Aging SocietyPart II: The Economic FrameworkChapter 3. Budget Estimates: What We Know, What We Can't Know, and Why It MattersChapter 4. Long-Run Budget Projections and Their Implications For Funding Elderly EntitlementsChapter 5. Increased Public Spending on the Elderly: Can We Afford It?Chapter 6. The Economic Consequences of Funding Growing Elderly EntitlementsChapter 7. The Entitlements Crisis That Never Existed Part III: Policy AlternativesChapter 8. The Case for Universal Social InsuranceChapter 9. The Moral Imperative of Limiting Elderly Health EntitlementsChapter 10. The Merits of Changing to Defined Contribution ProgramsChapter 11. The Case for Retaining Defined Benefit Programs Chapter 12. Private Accounts, Prefunding, and Equity Investment Under Social Security Chapter 13. Changing Retirement Trends and Their Impact on Elderly Entitlement ProgramsChapter 14. Aligning Incentives For a National Retirement PolicyPart IV: Political Realities Chapter 15. Enacting Reform: What Can We Expect in the Current Political Context?Chapter 16. The Politics of Enacting ReformChapter 17. The Financial Problems of the Elderly: A Holistic ViewIndex

Read more less

Book SynopsisWith her unmistakable compassion, humor, and wisdom, Mace has provided a much-needed guidebook for better teaching and better care.Table of ContentsAcknowledgementsPart I: Getting StartedChapter 1. Laying the Groundwork for ChangeChapter 2. Teaching Techniques That WorkChapter 3. Teaching Adult StudentsPart II: LessonsChapter 4. Helping the Person by Understanding the Problem Chapter 5. Helping the Person by Understanding How the Brain Affects BehaviorChapter 6. Facilitating Function by Treating Excess Disability Chapter 7. Facilitating Function by Treating StressChapter 8. Applying Skills in Activities of Daily LivingChapter 9. Helping the Person by Enriching CommunicationChapter 10. Helping the Person by Sustaining RelationshipsChapter 11. Caring for the Person by Meeting Emotional NeedsChapter 12. Helping the Person by Addressing MoodChapter 13. Restoring Enjoyment Through ActivitiesChapter 14. Thinking Through Challenging BehaviorsChapter 15. A Plan And a CelebrationPart III: Additional Information for EducatorsChapter 16. Evaluating Your TrainingChapter 17. Making the Best Use of Charting and Information-Based SystemsChapter 18. Using Assessment InstrumentsReferences and ResourcesIndex

Read more less

Book SynopsisOrganized into three parts-creating awareness, increasing understanding, and taking action-this book will be a key resource for professionals involved in creating and maintaining effective adult day services centers.Trade ReviewA thought-provoking book that illustrates a holistic approach to architectural design and provides a welcome addition to the literature on adult day-care services. -- Julienne Hanson Journal of Aging and Society 2007 An excellent contribution... should be read by students and teachers of architecture, practicing architects, facility programmers, administrators, board members, staff members - everybody who wishes to be involved in creating better ADCs. -- Zachary Rosenfield Journal of Long Term Home Health Care 2008Table of ContentsAcknowledgmentsIntroduction: Setting the Stage for a Better DayAdult Day Centers: An Emerging Place TypeSome Important TermsHow This Book Is OrganizedPart I: Creating Awareness1. Putting ADCs in ContextThe Historical and Societal Origins of ADCsAdult Day Services TodayCharacter Profiles of Three Common Day Centers2. The Social/Spatial Structure Approach: Diagnostic Patterns in ADCsPattern SeekingPatterns and PlacesDiagnosing Prevalent ADC Types3. The Experiential Approach: Attributes of Place ExperienceA Vocabulary of Place ExperienceAttributes of Place ExperienceExperiencing ADCsConclusionPart II: Increasing Understanding4. ADCs, Places, and SystemsA Model of PlaceThe Placemaking ProcessConclusionPart III: Taking Action5. The Process of Adult/Dementia Day Center DevelopmentA Guiding Image: Your Project VisionWhere to Operate? Site CriteriaMoving from Vision to Project ConceptConclusion6. Determining Feasibility of an Adult/Dementia Day Center ProjectFinancial Feasibility Statement: The Pro FormaNeeds Assessment: If You Build It,Will They Come?7. Developing an Activity ProgramValuing Strengths, Abilities, and ChallengesGiving the Activities Program Direction: Strategic OrientationsLife as ActivityHealth and RehabilitationChoreographing the Daily ProgramConclusion8. Prescriptive Patterns to Facilitate Life as ActivityIntegrating Program and SettingRealm of Activity: Coming and GoingRealm of Activity: Walking and ExploringRealm of Activity: Daily Life ActivitiesRealm of Activity: Cooking and DiningRealm of Activity: Being OutsideConclusion9. Prescriptive Patterns to Facilitate Health and RehabilitationRealm of Activity: Personal Care: ToiletingRealm of Activity: Personal Care: BathingRealm of Activity: Physical and Health Support ActivitiesConclusion10. Evaluating Adult/Dementia Day Centers as PlacesConclusionPeopleProgramPhysical SettingReferencesIndex

Read more less

Book SynopsisThe book features an appendix detailing the research process involved in creating the profiles.Trade ReviewIt can illuminate in depth many of the issues in assisted-care living. Publishers Weekly 2009 An excellent introduction for anyone who needs to acquaint himself or herself with assisted living in anticipation of having to choose assisted care for a parent or other loved one. -- Barbara Petty Boom! 2009 Candid and honest... Inside Assisted Living helps to heighten the awareness of the need for psychological services to this currently major and rapidly growing population. -- Richard H. Cox PsycCRITIQUES 2010Table of ContentsList of ContributorsForeword, by Bill Thomas, M.D.Preface1. Introduction2. Miss Helen at Valley Glen Home3. Opal at Franciscan House4. Karen at Huntington Inn5. Mrs. Koehler at Middlebury Manor6. Dr. Catherine at the Chesapeake7. Mr. Sidney at Laurel Ridge8. Everyday Life in Assisted Living9. Aging in Places10. Aging in PlacesAppendix: Technical Description of the Research ProjectNotesReferencesIndex

Read more less

Book SynopsisDemographic trends confirm what clinicians already know - they are spending increasing amounts of time dealing with older people. This new ABC provides an introduction to the new and increasing challenges of treating older patients in a variety of settings. ABC of Geriatric Medicine provides an overview of geriatric medicine in practice.Table of ContentsContributors vi Preface vii Acknowledgements viii 1 Introducing Geriatric Medicine 1Nicola Cooper & Graham Mulley 2 Prescribing in Older People 5Jon Cooper & Julia Howarth 3 Delirium 11John Holmes 4 Falls 16Nicola Cooper 5 Bone Health 23Katrina Topp 6 Syncope 28Raja Hussain 7 Transient Ischaemic Attack and Stroke 34Jon Cooper 8 Dementia 39John Wattis & Stephen Curran 9 Urinary Incontinence 43Eileen Burns & Anne Siddle 10 Peri-operative Problems 48Kirsty Forrest 11 Rehabilitation 53Lauren Ralston & John Young 12 Palliative Care 59Lucy Nicholson & Suzanne Kite 13 Discharge Planning 64Mamoun Elmamoun & Graham Mulley 14 Intermediate Care 69Nicola Turner & Catherine Tandy 15 Benefits and Social Services 73John Pearn & Rosemary Young Index 77

Read more less

Book SynopsisThe ultimateand fun!guide to maintaining vibrant sexual health with aging. In Never Too Late, Shannon Dowler, MD, a family physician who is also an expert on sexually transmitted diseases (STD), provides a refreshing overview of sexual education for people over 55. With the advent of dating apps, vibrant 55+ retirement communities, and sexual enhancement drugs, adults are sexually active well into their golden years. Unfortunately, the rates of STDs are dramatically increasing in older adults. In entertaining, accessible language, Dr. Dowler presents relatable patient stories and hilarious rhymes that make for an easy and fun way to learn about safe sex. This guide covers important topics, including: How to identify the signs and symptoms of different STDs, including newer infections The importance of regular screening Best sexual practices, including guidance on medications Preventative measures, tests, and treatments Guidance on how to broach difficult conversations with romantic Table of ContentsIntroduction: You May Be Wondering Why I Have Called You Together Today1. Sex in the Twenty-First Century2. The Biology of Aging and Sexually Transmitted Diseases3. The Good, the Bad, and the Ugly4. Treatable, Curable STDs5. Treatable, Not Curable STDs6. Treatable, Incurable, Potentially Life-Limiting STDs7. The Great Mimics: Things That Are Probably Not STDs8. Staying on Top of Things (So to Speak)9. Playing It Safe: An Ounce of Prevention10. Ready, Set, SexAcknowledgmentsAppendixReferencesIndex

Read more less

Book SynopsisScience is on the cusp of a revolutionary breakthrough. We now understand more about ageing - and how to prevent and reverse it - than ever before. In The Telomerase Revolution, Dr Michael Fossel, who has been at the cutting edge of ageing research for decades, describes how telomerase will soon be used as a powerful therapeutic tool, with the potential to intervene in age-related disease, dramatically extend life spans and even reverse human ageing. Telomerase-based treatments are already on offer, and have shown early promise, but much more potent treatments will become available over the next decade.This is the definitive work on the latest science of human ageing, covering both the theory and the clinical implications, taking readers to the forefront of one of the most remarkable advances in human medicine.Trade ReviewThe Telomerase Revolution is a remarkable book, telling a fascinating story that pulls together at last a single coherent theory of how and why growing old leads to so many different forms of illness. * Matt Ridley, author of Genome and The Rational Optimist *Dr Fossel's exciting book is opening doors to extended healthspan that can change human history, and it's all grounded in solid scientific research. * Noel Patton, founder and chairman of TA Sciences *Michael Fossel's compelling argument for the telomere approach to reversing aging isn't just worth a look - it's like reading the words of Virgil as he leads us along the mysteries of aging. * Alexey Olovnikov, PhD, Institute of Biochemical Physics and Russian Academy of Sciences *

Read more less

Book Synopsis"The first lesson is that success looks like whatever your patient describes it as ... Some want to be pain free, to breathe a little easier, to make it to their grand-daughter's wedding ... to be with their cats. Some want me to do everything I can to cure them, while others want to die soon."Geriatric care and the frailty of old age can sometimes be reduced to a pain score chart rather than an inevitability that needs to be approached with humanity and empathy. Dr Riaz Dharamshi combines his expertise knowledge as a nationally recognised geriatrician with the relatable, deeply empathetic stories of his patients in order to reframe the way we approach care for our elderly population.This empowering and socio-politically conscious book delves into theoretical discussions around death and old age, drawing light on how many issues arise from social and political factors that take root decades earlier. It presents practical details of an integrated model of care allowing for expert, personalised healthcare to be delivered within our communities and outside of the hospital.This is a book that encourages the question 'Who is the person to whom this is happening?' rather than just 'What is the medical problem?'. It is ultimately this approach that imbues meaning, purpose, and justice into the work of geriatric medicine and care.Trade ReviewA practising doctor in the field of medicine for older people, Dr Dharamshi gives an informed and deeply compassionate view of the art of medicine for those in later life, why we so often get it wrong and dares to suggest how we might get right. Recommended for anyone thinking of entering the field, and a tonic for those who are in it. -- Dr Nick Kosky, consultant psychiatrist

Read more less

Book SynopsisThis book assembles many of the great leaders of the senior living and care industry to discuss their paths to and views on leadership. Each chapter provides readers with ideas, information, and inspiration on how to achieve leadership in this dynamic, mission-focused industry. It includes various strategies for success, such as promoting meaning and purpose in corporate culture, making decisions in the absence of perfect information, managing your personal assets of relationships and reputation, and finding competitive advantages through technology, training, and team-building. These leaders also share their experiences responding to COVID-19 and discuss how the pandemic may change the future of leadership in the industry. Whether your path starts in gerontology, nursing, social work, design, real estate, finance, law, operations, or technology, and whether one pursues work in the private, nonprofit, or government sectors, this volume provides a valuable resource for all aspiring and developing leaders in the senior living industry.Table of ContentsChapter 1. Introduction.- Chapter 2. How an Innovator Thinks: Applied Evangelism.- Chapter 3. The Founder.- Chapter 4. Pioneer in Assisted Living.- Chapter 5. A Revolutionary in Aging.- Chapter 6. Changing the World: From Government to Assisted Living.- Chapter 7. Memory Care Futurist.- Chapter 8. From Pro Athlete to Senior Living to Pro Sports. Chapter 9. Leading the Way, South of the Border.- Chapter 10. Competition channeled into Leadership. Chapter 11. A Social Entrepreneur.- Chapter 12. Hippie at the Helm.- Chapter 13. Breaking the Mold.- Chapter 14. Innovating Senior Living.- Chapter 15. Making Decisions Without All the Information.- Chapter 16. Marketing My Way into Senior Living.- Chapter 17. Transforming an Organization.- Chapter 18. Financial Leadership.

Read more less

Book SynopsisThis book, part of the European Society of Intensive Care Medicine (ESICM) textbook series, provides detailed up-to-date information on the care of the critical ill very old (≥80 years) patients in the ICU.The very old are expanding fast in our populations, and this is mirrored in our hospitals and ICUs as well. During the last decade, a lot more information about the group of critical ill elderly has been published, and several large networks cooperate in performing multinational studies in this field, one of them with roots in the ESICM. This book will give readers knowledge about the current epidemiology of elderly ICU patients, in patients centered outcomes and factors affecting these outcomes. A large part is devoted to age related changes in vital organ functions, and the specific geriatric “syndromes” like frailty, cognitive decline, reduced activity of daily living, sarcopenia and immunosenecence. This is all important for the practicing intensivists to know about. In addition, specific groups of the elderly in the ICU are also described like the elderly patients with trauma or sepsis.The book is written jointly by intensivists and geriatricians, often working in teams and originating from many different countries. This herald a new era in the collaboration between these two groups in order to improve care and rehabilitation. We have a lot to learn from each other, as both groups have a holistic view of our patients although with different perspectives. This book should be of value for all working in adult ICUs, physicians as well as nurses. It will hopefully lead to a better understanding of the particular challenges posed by this important sub-group of ICU patients and how to manage his group in a way that combine respect for life as well as death and includes patients and caregivers in this process.Table of ContentsPart 1. Introduction: the very old ICU patients.- Chapter 1. The demography of ageing and the very old critical ill patients.- Chapter 2. Objectives of ICU management for very old patients.- Part 2. Age-related physiological changes.- Chapter 3. Aged related physiological changes CNS function.- Chapter 4. Age-related physiology changes- cardiovascular function in the very old critically ill patient.- Chapter 5. Age-related changes physiological changes.- Chapter 6. Immunological changes.- Chapter 7. The Very Old Critically Ill Patient.- Part 3. Geriatric syndroms.- Chapter 8. Multimorbidity.- Chapter 9. MULTIPHARMACY ON THE OLDER ADULT.- Chapter 10. Sarcopenia: an overview.- Chapter 11. Geriatric syndromes: Frailty.- Chapter 12. The Very Old Critically Ill Patients.- Chapter 13. Functional status and older age.- Chapter 14. Comprehensive Geriatric Assessment (CGA).- Part 4. Triage.- Chapter 15. Pre-ICU triage - The very old critically ill patient.- Chapter 16. Decision-making under resource constraints.- Chapter 17. Risk scores for the very old, achievable?.- Part 5. Usual ICU procedures.- Chapter 18. Ventilation.- Chapter 19. Vasoactive drugs.- Chapter 20. Acute KidneyInjury and Renal Replacement Therapy in the Very Old Critically Ill Patient.- Chapter 21. Sedation and analgesia.- Chapter 22. Nutrition.- Part 6. Withhold and withdraw therapy.- Chapter 23. Limitation of life-sustaining treatments.- Part 7. Outcomes after intensive care.- Chapter 24. Outcomes after intensive care: Survival.- Chapter 25. Outcomes after intensive care: Functional Status.- Chapter 26. Cognitive Disorders: outcomes after intensive care.- Chapter 27. Rehabilitation.- Chapter 28. The Caregiver.- Part 8. Specific diseases & conditions.- Chapter 29. Acute Respiratory Failure.- Chapter 30. Sepsis in older adults.- Chapter 31. Chapter Acute Kidney Injury.- Chapter 32. Neuro intensive care.- Chapter 33. Postoperative patients: planned surgery.- Chapter 34. Post-operative patients: urgent surgery.- Chapter 35. DELIRIUM.- Chapter 37.Logistic Challenges and Constraints in Intensive Care during a Pandemic.- Part 9. Future developments.- Chapter 37. Future challenges for geriatric intensive care.

Read more less

a huge range and FREE tracked UK delivery on ALL orders.

Read more less

Book Synopsis

Read more less

Book SynopsisMost patients in developed nations with medical problems requiring hospital care are elderly. Increasingly the dividing line between general internal medi­ cine and acute geriatric medicine is becoming more blurred. It is, nevertheless, apparent that some elderly patients on medical or sub-specialty hospital wards become 'bed blockers'. Why? Also, why are 'bed blockers' less of a problem on an acute geriatric ward? Many clinicians believe this is related to a faster access to the long-stay beds of the geriatric unit. Even a brief study of hospital operating statistics will show this is not and cannot be the case. When geria­ tricians are asked to see elderly 'bed blockers' on colleagues' wards they approach with anxiety because these patients often have to be placed on a long waiting list for these scarce and very expensive continuing care beds. Do geria­ tricians see different acute medical problems compared with their colleagues? The answer is not immediately obvious, though geriatricians are likely to receive more potential 'bed blockers' than their general medical colleagues. How is it then, that geriatricians seem to cope better than their colleagues? All geriatricians have experience of general internal medicine but the opposite unfortunately does not hold. This book is written in the hope of redressing the imbalance.Table of Contents1 Bronchopneumonia and respiratory failure.- 2 Drugs in cardiac failure.- 3 Acute stroke illness in the elderly.- 4 Preventing electrolyte problems in acute illness.- 5 Hypothermia.- 6 Acute thyroid disorders.- 7 Acute confusion.

Read more less

Table of Contents1 Ageing.- 2 Special features of disease in old age.- 3 Mental disorders.- 4 The central nervous system and special senses.- 5 Autonomic nervous system.- 6 Cardiovascular system.- 7 Respiratory system.- 8 Alimentary system.- 9 Nutrition.- 10 Urogenital system.- 11 Endocrine disorders.- 12 Blood disorders.- 13 Skin diseases.- 14 Musculoskeletal system.- 15 Rehabilitation with special reference to stroke.- 16 Principles of drug therapy.- 17 Care of the dying patient.

Read more less

Book SynopsisThe fact that there are special problems in the care of the elderly in the community is ample justification for writing a separate volume on the subject. The knowledge that there are increasing numbers of older people in virtually every country in the world makes it all the more important that the family physician should have sympathy with and understanding of the problems of them, since they are lilcely to make up a significant part of his worlcload and, increasingly, will take up more of his time and energy. There is a progressive amount of disability with advancing years, and this is particularly true of those aged 75 years and over. Increasing age is associated with serious impairment of hearing and vision, senses which younger people take for granted. Old age sees the arrival of major diseases of middle age with much greater frequency, such as ischaemic heart and cerebrovascular disease, diabetes mellitus and osteoarthritis. There are other disorders that are virtually confined to the elderly, such as fractures of the femoral neck, Paget's disease and myeloma. We now know that the disintegration of the con­ ducting tissue of the heart is largely an age-related phenomenon. Ageing processes affect every major organ system in the body and the impairment of physiological perfor­ mance resulting from these affects the elderly individual's response to infections, disease and environmental changes in complex ways that are not seen in younger people.Table of Contents1 Demographic and social factors.- 2 Disorders of the cardiovascular system (I) Myocardial and valvular disease; blood pressure.- 3 Disorders of the cardiovascular system (II) Disorders of cardiac rhythm and conduction; pacemakers.- 4 Disorders of the cardiovascular system (III) Diseases of the arteries.- 5 Strokes.- 6 Fits, faints and falls.- 7 Failing mobility (‘gone off his feet syndrome’).- 8 Incontinence.- 9 Memory, confusion and sleep.- 10 The use and misuse of drug treatment.- 11 Bone disease and fractures.- 12 Disorders of the blood.- 13 Endocrine diseases.

Read more less

Book SynopsisDDDDDDDDDDDD Effective management logically follows accurate diagnosis. Such logic often is difficult to apply in practice. Absolute diagnostic accuracy may not be possible, particularly in the field of primary care, when management has to be on analyis of symptoms and on knowledge of the individual patient and family. This series follows that on Problems in Practice which was concerned more with diagnosis in the widest sense and this series deals more defini­ tively with general care and specific treatment of symptoms and diseases. Good management must include knowledge of the nature, course and outcome of the conditions, as well as prominent clinical features and as­ sessment and investigations, but the emphasis is on what to do best for the patient. Family medical practitioners have particular difficulties and advantages in their work. Because they often work in professional islation in the com­ munity and deal with relatively small numbers of near-normal patients their experience with the more serious and more rare conditions is restricted. They find it difficult to remain up-to-date with medical advances and even more difficult to decide on the suitability and application of new and rela­ tively untried methods compared with those that are 'old' and well proven. Their advantages are that because of long-term continuous care for their patients they have come to know them and their families well and are able to become familiar with the more common and less serious diseases of their communities.Trade Review`...this book should be considered as a "must" for all doctors interested in better understanding and care of the elderly. It is worthy of being included in any practice library and any potential Diploma of Geriatric Medicine candidate would be well advised to read it.' Journal of the Royal College of General PractitionersTable of ContentsSection 1 The Nature of the Problem.- Epidemiology.- Special factors in the management of disease in the elderly.- Ageing changes.- The causes and prevention of disability and disease.- Attitudes to management.- Principles of prescribing.- The nature of some common diseases.- Organization of care for the elderly.- Section 2 Symptoms and their Differential Diagnosis.- Palpitations.- Breathlessness.- Cough.- Swollen legs.- ‘Going off his feet’ syndrome.- Fits, faints and falls.- Aches and pains.- Constipation and diarrhoea.- Failing eyesight and hearing.- Incontinence.- Confusion.- Misery, apathy and sleep problems.- Collapse.- Section 3 Specific Disease Complexes.- Abnormalities of blood pressure.- Ischaemic heart disease.- Cardiac dysrhythmias.- Heart failure.- Bone disease of ageing.- Diseases affecting muscles and joints.- Strokes.- Parkinsonism and tremor.- Incontinence.- The elderly disabled.- Pain relief.- Anaemia.- Thyroid disorders.- Diabetes mellitus.- Psychiatric disorders.

Read more less

Book SynopsisThis book is the first one to examine the cause and effect of elderly people’s healthy life expectancy, providing models that are easy to understand. The novel point is the success achieved in constructing a single structural model of cause and effect of healthy life expectancy. In the final models of the authors’ studies, it was possible to clearly point out that it is not the case that lifestyle habits including an ideal diet directly provide for healthy life expectancy.This book is made up of published studies based on scientific evidence, using a vast amount of data based on about 8,000 in-home elderly people tracked longitudinally from 3 to 6 years, three times in all including baseline research, in a specific region of Japan. Therefore, health policy makers will be able to use this book as scientific evidence for creating area programs to promote good health that are focused on healthy longevity as the central issue. Academic researchers whose special fields are mainly public health will be able to learn both theory and practice to structurally analyze cause and effect of health factors.Table of Contents1. Introduction.- 2. Population aging trend of the world.- 3. SES, physical health, and long-term care needs.- 4. SES, comorbidity, activity limitations, and healthy life expectancy.- 5. SES, mental health, and need for long-term care.- 6. SES, social interaction, and health status.- 7. SES, dietary and lifestyle habits, and three health-related dimensions.- 8. SES, dietary and lifestyle habits, three health-related dimensions, and healthy survival days.- 9. SES, dietary quality, emotional well-being, and a five-year subjective health in middle-age.- 10. Causal relationships among three health-related dimensions.- 11. SES, environmental condition, three health-related dimensions, and healthy life expectancy.- Afterword.- Index.

Read more less

Book SynopsisA leading expert answers your questions about how to live to your fullest with COPD. Significant lung damage from smoking, exposure in some jobs, or even diseases such as AIDS and tuberculosis can lead to COPD. Having chronic obstructive pulmonary disease can leave you feeling short of breath, sometimes reluctant to go shopping or for a walk because you are afraid of more difficulties. You may have wheezing, tightness in the chest, or frequent coughing. Although you see a doctor for your COPD, you often have questions and need answers. In this concise and practical guide, leading medical expert Donald A. Mahler answers some of the most pressing questions that he has been asked over 30 years of seeing patients with COPD, including Why am I short of breath? What medications can treat my COPD? Can surgery improve COPD? What are flare-upsand how can I prevent them? How can I stop smoking? What should I do if my breathing isn't getting better? Can exercise help? If so, which exercises areTable of ContentsPrefaceChapter 1. What Is COPD?Chapter 2. Why Am I Short of Breath?Chapter 3. Why Am I Coughing?Chapter 4. How Can I Quit Smoking?Chapter 5. Which Medications Can Help My COPD?Chapter 6. Can You Help Me Breathe Easier?Chapter 7. What Is a COPD Flare-Up? How Is It Treated? Can It Be Prevented?Chapter 8. Do I Need Oxygen? How Do I Travel with Oxygen?Chapter 9. Can Exercise Help? What Are the Benefits of Pulmonary Rehabilitation?Chapter 10. Can Surgery Help Me Breathe Easier?Chapter 11. Can I Be Sexually Active with COPD?Chapter 12. Will My COPD Get Worse? Will I Die From COPD?Chapter 13. How Does COVID-19 Affect COPD?Index

Read more less

Book SynopsisTopics that receive special attention include communicating with persons who have language deficits and coping with problem behaviors-two critical problems in dementia care.Trade ReviewJitka Zgola uses many examples of real life situations to enhance the book, and those examples are amusing and touching, adding a very personal dimension. Canadian Journal of Occupational Therapy Jitka Zgola balances hard knowledge, outstanding research, and years of experience with writing that reflects great warmth and understanding. I find it impossible to read her books without a highlighter in hand. Alzheimer's Care Quarterly Zgola outlines a tolerant and imaginative approach which deserves a wide readership. Her tea group for severely demented residents has elements of genius. Age and AgeingTable of ContentsPreface and AcknowledgmentsChapter 1. Relationships Chapter 2. Dementia: Definition and ConsequencesChapter 3. Getting the Facts: History and Personal InformationChapter 4. Ongoing Appraisal of the Person's Cognitive AbilitiesChapter 5. Functional AssessmentChapter 6. Preventing Challenging BehaviorChapter 7. Using Well That Which Remains: But I thought You Said He Can't Remember?Chapter 8. Responding to Problematic Behavior: A ProcessChapter 9. Communication: The Heart of RelationshipsChapter 10. Alzheimer's Disease and the Home: Issues in Environmental DesignChapter 11. Programming Activities Chapter 12. Why Groups?Chapter 13. When is Breakfast? Any Time You Want ItChapter 14. I Have Him Dressed – What Now?: Organizing A Day At Home With A Cognitively Impaired PersonChapter 15. Visiting WellChapter 16. Some Lessons That Come From CaringReferencesIndex

Read more less