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Aging: The Health Care Challenge : An Interdisciplinary Approach to Assessment and Rehabilitative Management of the Elderly,9780803600423
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Aging: The Health Care Challenge : An Interdisciplinary Approach to Assessment and Rehabilitative Management of the Elderly


Edition: 3rd
Author(s): Lewis; Lewis, Carole Bernstein
ISBN10:  0803600429
ISBN13:  9780803600423
Format:  Hardcover
Pub. Date:  8/1/1995
Publisher(s): F a Davis Co

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SummaryTable of Contents
When one enters the realm of geriatric rehabilitation, the treatment strategy changes; this book provides a strong foundation for clinical expertise in this area, as well as information for further study. The topic of geriatrics can confuse students because so much information must be extrapolated to the needs of the older person.
Introduction xxiii
SECTION ONE: Theories and Psychosocial Aspects of Aging 1(44)
Theories of Aging
3(15)
Linda C. Campanelli
Basic Assumptions
4(1)
Genetic Theories
5(4)
Nongenetic Theories
9(6)
Theoretical Implications of the Aging Process for Personal Health
15(1)
Summary
15(1)
References
16(2)
Psychosocial Aspects of Aging
18(27)
Carol M. Davis
The Role of Rehabilitation with All Elderly People
19(1)
Normal Psychologic Aging
20(7)
Rehabilitation and Abnormal Psychologic Aging
27(8)
Sociologic Theories of Normal Aging
35(4)
Care for the Well Elderly: Prevention and Fitness
39(1)
Spiritual Considerations
39(1)
Psychoneuroimmunology
40(1)
Group Forms of Treatment
41(1)
The Importance of the Family
41(1)
Summary
41(1)
References
42(3)
SECTION TWO: Physical Aspects of Aging 45(232)
Activities of Daily Living
47(32)
Gail Hills Maguire
Measuring Independence
49(10)
Screening
59(2)
Maguire Trilevel ADL Assessment
61(10)
Common Functional Problems for the Elderly
71(4)
Practical Suggestions for ADL Problems
75(1)
References
76(1)
Bibliography
77(2)
The Effects of Aging on Communication
79(27)
Leora Reiff Cherney
Communication Changes Associated with Normal Aging
80(9)
Pathologic Age-Related Communication Disorders
89(10)
Summary
99(1)
References
99(7)
Appendix: Strategies for Approving Communication
102(4)
Leisure Skills
106(20)
Jerome F. Singleton
Environmental Factors
107(1)
Development of Leisure Patterns
108(3)
Planning Recreational Opportunities for the Elderly
111(2)
Theoretical Framework for Program Planning
113(1)
Activity Analysis
114(2)
Activity Analysis: Bowling
116(1)
Modified Activities
117(1)
Application of Activity Process to People with Alzheimer's Disease
117(3)
Volunteers
120(1)
Summary
121(1)
References
122(4)
The Changing Realm of the Senses
126(21)
Gail Hills Maguire
Vision
128(9)
Hearing
137(5)
Modification of the Clinical Setting for Hearing and Vision Problems
142(1)
Taste and Smell
142(1)
Touch
143(1)
Summary
144(1)
References
144(3)
Musculoskeletal Changes with Age: Clinical Implications
147(30)
Carole Bernstein Lewis
Loss of Flexibility
149(5)
Loss of Strength
154(4)
Poor Posture
158(7)
Changes in Gait
165(5)
Pain
170(4)
Summary
174(1)
References
174(3)
Clinical Implications of Neurologic Changes during the Aging Process
177(19)
Richard W. Bohannon
Deterioration of Neurologic and Functional Performance with Age
178(3)
Further Deterioration of Neurologic and Functional Performance after Stroke
181(2)
Treatment of Neurologic and Functional Limitations Resulting from Age and Stroke
183(5)
Summary
188(1)
References
188(8)
Cardiopulmonary Rehabilitation of the Geriatric Patient
196(31)
Cynthia Coffin Zadai
Scot C. Irwin
Anatomic and Physiologic Changes in Oxygen Transport with Age
198(4)
Pathologic Changes in the Pulmonary System
202(1)
Pathologic Changes in the Cardiac System
203(1)
Cardiopulmonary Response to Exercise: Alterations with Age
204(1)
Patient Examination
205(8)
Exercise Testing and Functional Assessment
213(5)
Setting Goals
218(1)
Training Program
219(4)
Additional Therapeutic Measures
223(1)
Summary
224(1)
References
224(3)
Implications of Oncology in the Aged
227(34)
Stephen A. Gudas
Cancer in the Elderly
228(4)
Primary and Secondar Lung Cancer
232(4)
Head and Neck Cancer
236(5)
Breast Cancer
241(6)
Sarcomas Common to the Geriatric Age Group
247(3)
Non-Hodgkin's Lymphoma and Chronic Lymphatic Leukemia
250(1)
Cancer of the Prostate
251(2)
Myeloma, Colon Cancer, and Skin Cancer
253(2)
Summary
255(1)
References
256(5)
Health Promotion for the Elderly
261(16)
Mary Ferguson Livingstone Belmont
Kristin N.Koehler
Alona Harris
Evolving Forms of Health Promotion
262(1)
Cost of Health Care
263(1)
Definitions of Individual Health
264(1)
National Health Goals for the Year 2000
265(2)
Special Health-Promotion Concerns of the Aged
267(5)
A Plan for Promoting Healthy Behaviors
272(2)
The Ethics of Health Promotion
274(1)
References
275(2)
SECTION THREE: External Aspects of Aging: The Current Status 277(204)
Stress and Aging
279(26)
Z. Annette Iglarsh
Stress and the Stress Response
280(3)
Stressors: The Source of Stress
283(6)
Coping Mechanisms and Adjustment to the Stressors of Aging
289(3)
Stress Management in the Clinical Setting
292(9)
Summary
301(1)
References
302(3)
Nutritional Rehabilitation and the Elderly
305(20)
Ronni Chernoff
Assessment of Nutritional Status
306(4)
Nutritional Needs of the Elderly
310(4)
Weight Loss and Cachexia
314(3)
Protein Energy Malnutrition
317(2)
Cancer: A Chronic Disease
319(1)
Other Chronic Conditions
320(1)
Summary
321(1)
References
322(3)
Medication Management and Appropriate Substance Use for the Elderly
325(39)
Barbara W.K. Yee
Betty J. Williams
Internal Factors
326(7)
External Factors
333(5)
Common Drug Therapies
338(10)
Compliance Issues
348(4)
Alcohol Use among the Elderly
352(3)
References
355(4)
Bibliography
359(5)
Appendix 14-1: Checklist for Elderly Consumers and Their Caregivers
359(1)
Appendix 14-2: Resources
360(4)
Sexuality and the Elderly
364(28)
Molly Laflin
Role of Rehabilitation Specialists
367(1)
Menopause and Estrogen Replacement Therapy
368(2)
Age and Sexual Response
370(2)
Lack of Partner
372(1)
Sex and Illness
372(12)
Sex and Drug Use
384(1)
Sex in Nursing Homes
384(4)
Summary
388(1)
References
388(4)
Appendix: Student Assignments and Experimental Classroom Exercises
390(2)
Working with the Dying Older Patient
392(11)
Linda C. Campanelli
Overview
393(1)
When an Older Adult is Dying
394(1)
The Process of Dying
395(1)
Grieving
396(1)
Determining the Grieving Process
397(1)
Communicating with the Dying Person
398(1)
Coping with the Stress of Giving Care
398(1)
Alternative Terminal Care Settings
399(1)
Support for the Health Professional
400(1)
Summary
400(1)
References
401(2)
Clinical Research in Geriatrics
403(22)
Richard W. Bohannon
Previously Published Research
404(4)
Researchable Questions
408(4)
Research Methods
412(8)
Research Dissemination
420(2)
Summary
422(1)
References
422(3)
Medicare Documentation: The Paperwork Challenge
425(25)
Lynn M. Phillippi
The Development of Medicare
426(1)
Basics of the Medicare Program
426(8)
Components of Successful Documentation
434(8)
The Denial
442(1)
The Appeal
443(2)
Summary
445(2)
References
447(1)
Bibliography
447(3)
Appendix: Outpatient Services Covered under Medicare Part B
447(3)
The Frail Elderly and the Health Care Environment
450(31)
Kathleen Kline
Carole Bernstein Lewis
Comprehensive Assessment of the Elderly and the Minimum Data Set
451(5)
Maximizing Motivation and Learning Skills
456(3)
Continuum of Care
459(2)
Physical Restraints
461(2)
The Future of Providing Care to the Frail Elderly
463(1)
Resources for the Aging Individual
464(1)
Summary
465(1)
References
466(15)
Appendix: Resources for Aging Persons
467(14)
Index 481

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