Geriatri

This book provides a comprehensive review of the assessment and management of older people's oral health care needs. Discussing recent initiatives to emphasize oral health promotion and prevention, the book describes improvements in pharmacological and non-pharmacological approaches for special populations in geriatrics and illuminates the role of barriers to oral health care for older people. Divided into three sections, the book first explores aging and oral health, including age-related changes, epidemiology, nutrition, dysphagia, aspiration pneumonia, xerostomia and hyposalivation, management of periodontal disease and caries, systemic diseases that influence oral health, and considerations for chronic orofacial pain. The second section illuminates the ways in which frailty and other geriatric syndromes influence oral health care in older adults with a special focus on frailty, dementia, delirium and depression, and the delivery of oral health care to vulnerable geriatric populations in long-term care, home care, palliative care, and hospice. Lastly, the book addresses inequalities in the oral health of older minority populations, the disproportionate burden of oral disease and tooth loss, the contribution of these issues to further complications in comorbidities, the association of extended health literacy and periodontal disease, and the social and cultural conditions that might be altered or improved by healthcare programs and health policies.Oral Health and Aging is a useful book written by an international group of experts and designed to educate geriatricians, primary care physicians, nurses, dentists, dental hygienists, speech and language pathologists, dietitians, and health policy advocates.

This book is a clinical manual that covers the whole spectrum of swallowing and its disorders. It starts with physiology of swallowing, pathophysiology of disordered deglutition, diagnostic methods (clinical and instrumental) and ends with an in-depth¿s and up-to-date presentation of current treatment options. The clinically most relevant topics of dysphagia management on the stroke unit and the intensive care unit are dealt with in separate chapters. Also the closely intertwined issue of nutritional management is specifically addressed. Most importantly, the book covers all obligatory topics of the Flexible Endoscopic Evaluation of Swallowing (FEES)-curriculum, an educational initiative that started in Germany in 2014 and is currently being extended to other European and non-European countries. The book is richly illustrated and an online video section provides a number of typical patient cases. FEES is probably the most commonly chosen method for the objective assessment of swallowing and its disorders. It is used in stroke units, intensive care facilities, geriatric wards but also in rehabilitation clinics and within dedicated outpatient services. This book on neurogenic dysphagia therefore addresses a wide range of different medical disciplines, such as neurologists, geriatricians, intensive care physicians, rehabilitation physicians, gastroenterologists, otolaryngologists, phoniatrists and also speech-language pathologists.

Clinical cases are a key component in modern medical education, assisting the trainee or recertifying clinician to work through unusual cases using best practice techniques and this title focuses on the management of exfoliative dermatitis, also known as "e;red man"e;. This is an important discipline in older patients as the recognition and appropriate management of these conditions requires the clinician to distinguish often very subtle differences in the presentation of patients. This practical case-based reference helps readers accurately define the diagnostic and management criteria to assist clinical decision-making. Clinical Cases in Geriatric Exfoliative Dermatitis highlights evidence-based best practice in managing erythroderma in older patients. It uses a thorough multidisciplinary case-based approach that is relevant to the scenarios that dermatologists face in clinical practice, while also providing insights for pharmacologists and pathologists that work with these cases.

Community-based integrated care (CBIC) is designed to keep older adults where they want to be - at home and out of hospitals and nursing homes. The Program of All-Inclusive Care for the Elderly (PACE) is an example of successful CBIC, established in 1985 as an innovative solution to pervasive issue: how to provide integrated care to a high-risk population of older adults that promotes community living (not a nursing home) in a cost-effective manner.This unique guide provides readers with a concise yet informative base of understanding of PACE as well as a "e;deep dive"e; into the components and job roles that will serve as a reference for existing PACE providers and will inform those who are considering the possibility of developing a new PACE program. Chapters are organized into five thematic sections. Part one presents both domestic and international perspectives on CBIC, with part two delving deeper into the US PACE model, including its history, policy evolution and effectiveness. Specifics regarding the organization and management of PACE and the essential roles and positions comprise parts three and four, respectively, from leadership and the involvement of the state to the roles of the social worker, nurse, nutritionist, rehabilitation specialist, and more. Care planning, coordination and end of life care round out part five. In addition to geriatricians and other clinical practitioners involved with the care of older patients, Community-Based Integrated Care for Older Adults is also a resource for scholars, policy makers and the general public who are interested in innovations in long-term care that provide older adults with alternatives to nursing homes.

As our population ages, practitioners find themselves working with older adults more frequently. Alcohol use problems among older adults are often underdiagnosed and undertreated, and there are few treatments designed specifically for this client group. This practical guide provides practitioners with up-to-date information on assessing and treating unhealthy alcohol use among older adults. With a focus on evidence-based treatments, it is highly relevant to practitioners working across a variety of settings. Through the author's expertise, we learn about the prevalence of alcohol use among older adults, the models for understanding unhealthy use, and the different screening and assessment options as well as the treatment possibilities relevant to health care and social service providers. Assessment and treatment options highlight the need to consider lifespan development when providing care as well as the relevance of common life transitions and generational differences. Clinical pearls and vignettes illuminate treatment approaches and further sections discuss pharmacological interventions and cultural considerations. Printable tools are available in an appendix. This book is a must for practitioners from diverse settings who work with older adults.The materials for this book can be downloaded from the Hogrefe website after registration.

In this issue, guest editors bring their considerable expertise to this important topic.Provides in-depth reviews on the latest updates in the field, providing actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize

When is it time to stop driving? Are you dreading "the talk" with your parents or grandparents regarding their safety and the safety of others on the roads? Then this book is for you! Did you know that by 2025, drivers 65 and older will represent 25% of the driving population? A 10% increase since 2001! Scientific studies show that physical and cognitive degeneration at older ages compromises driving abilities. Dr. Bernstein delves into the topic of senior driving dilemmas with real life patient experiences...written as an informational guide to families to understand the complexities of senior driving, and unravel the nuances of the problems that might be faced as they cautiously transition their loved one from behind the wheel providing lifesaving strategies.

Written by NPs and PAs who have a wealth of experience in the care of older adults across all practice settings, Gerontology and Geriatrics for NPs and PAs takes an evidence-based approach to both gerontology and geriatrics, incorporating the latest national and international guidelines and standards of care. This first-of-its-kind text takes an interprofessional, teamwork-based approach that reflects Interprofessional Education Collaborative (IPEC) core competencies, as well as the unique perspectives that NPs and PAs each bring to the collaborative care of older adults. Covers both primary care and acute care of older adults and fully addresses both graduate-level and practitioner core competencies necessary for optimal care of older adults.  Places a strong emphasis on wellness (including nutrition and the Healthy People 2030 targets), normal aging, common syndromes of aging, disease management, patient safety (particularly in acute care settings), and a patient-centered care approach.  Features vibrant, full-color illustrations, a full-color design for ease of navigation, and graduate-level learning features that include Key Points at the end of each chapter for quick reference and exam preparation.  Addresses a wide range of topics specifically focused on the common medical problems of older adults, with chapters logically organized for efficient study and quick clinical reference.  An eBook version is included with purchase. The eBook allows you to access all of the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud.  Evolve Instructor site with an image collection and test bank is available to instructors through their Elsevier sales rep or via request at https://evolve.elsevier.com.

The fifth edition of this widely used book by caregivers brings to you updated and revised content, built on the basic understanding that medicine does not work in a vacuum, but rather alongside other disciplines to provide the environment for a healthy and fulfilling long life.

Explore effective ways to enhance the wellness and independence of older adults across the wellness-illness continuum. From an overview of the theories of aging and assessment through the treatment of disorders, including complex illnesses, this evidence-based book provides comprehensive gerontological coverage.

Choose the best options to live your later years to the fullestNavigating Your Later Years For Dummies, Portable Edition, provides expert advice to help you make smart decisions as you age. Should you stay in your familiar surroundings or move somewhere with planned activities, transportation, and prepared meals? What should you do with your stuff accumulated over a lifetime? What are the signs that it s time to stop driving? What end-of-life documents do you need? The answers to these and other questions are deeply personal, and the friendly, practical advice you find here will help you plan for a fulfilling future.Inside. . . Thinking about your future yearsTalking through your decisions with family membersStaying in your home safelyCleaning out items you no longer needEvaluating independent- and assisted-living communitiesManaging your medications

Follow the Way of Love: 40 Devotional Stories for Caregivers - Includes 6 pages of proven methods for helping people with Dementia Riveting testimonies of enjoyed adventures in the field of caregiving! Lively accounts when help from God was recognized while on the job as Spiritual Leaders, Dementia Care Providers, Certified Nursing Assistants, Long Term Care Staff, Activity Leaders, Therapists, and Child Care Workers.>Alzheimer's Disease has been more prevalent in our communities for the last few decades. Follow the Way of Love brings honor to God by describing narratives that reveal His Divine intervention when helping people with dementia. The book is filled with examples of how God answered prayer during some typical situations the author and others experienced while caring for people. With influence from the Holy Spirit and the evidence of God's love present, the writers in this devotional book have witnessed treasured moments unfold during some very trying circumstances. Included in this book, are stories testifying of God's help when providing care for children. To all Caregivers: enjoy reading and relating to these heartwarming stories of care giving. Build a foundation of faith and scripture and move toward a more intimate walk with God. Discover that our God is alive, active, and approachable every day! Throughout the book, find 6 pages each entitled: Activity Ideas for People with Dementia. They provide many proven methods the author has found valuable for increasing the quality of life for people with dementia: In the back of book are 135 written out care-related Bible verses to use in prayer. Added Material: 25 creative pastime ideas you can use to encourage people with dementia.