This book serves as the pillar for clinical care teams to improve health equity among homeless older adults. Interdisciplinary care teams are essential in complex homeless older population clinical practice, as all disciplines must work together to address medical, surgical, behavioral, nutritional, and social determinants of health. All clinicians who treat older adults, from the independent to the frail, should approach problem solving via an inclusive approach that includes social work, pharmacy, nursing, rehabilitation, administrative, and medicine inputs. The social determinants of health that contribute to the complexities of clinical care outcomes cannot be addressed within silos. The book reflects a holistic care model to assist clinicians in the complicated homeless population that is continuing to change in the instability of the homeless environment. The book is divided into 14 chapters. The chapters in are organized by problems most commonly faced by clinicians in servicing homeless populations: mental, social, medical, and surgical challenges. Chapter one presents definition and background of geriatric homelessness. Chapter two discusses chronic mental health issues (psychosis) in the geriatric homeless. Chapters three and four describe neurocognitive disorders, depression, and grief in the geriatric homeless population. The next two chapters explore ethical, legal, housing and social issues in the geriatric homeless. Chapters seven and eight discuss infectious diseases in homeless geriatrics population. Chapter nine is on cardiovascular disease in homeless older adults. Chapter 10 describes care of geriatric diabetic homeless patients. Chapter 11 discusses geriatric nutrition and homelessness. Chapter 12 presents barriers and applications of medication therapy management in the homeless population. Chapter 13 describes dermatologic conditions in the homeless population. Finally, the book addresses end-of-life considerations in homelessness and aging.
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This book covers the most advanced practices and techniques in early differential diagnosis, assessment, and treatment of cortical dementias, and is intended to advance clinical skills of professionals and trainees alike. It focuses on cortical dementias as opposed to also discussing subcortical dementias. The book discusses the foundations of neuropsychology in the assessment, diagnosis, and treatment of cortical dementias. Individual dementing processes are discussed in detail, from traditional presentations such as Alzheimer’s disease and Lewy body dementia to less commonly discussed entities such as primary progressive aphasia (PPA) and chronic traumatic encephalopathy. Advances in neuroimaging and the utilization of biomarkers in early detection are discussed. Additional chapters are dedicated to related topics including the role of caregivers and determination of capacity. The book is divided into three sections. Section I describes the neuropsychological, neuroanatomical, and neurophysiological features of several of the more common cortical dementias, provides a brief guide to the main brain imaging techniques and a quick look at future directions in neuroimaging, and presents an overview of the differential diagnostics techniques such as Mini-Mental State Examination (MMSE) and Clinical Dementia Rating scale (CDR). Section II covers the types of cortical dementias such as vascular dementias, dysexecutive impairment associated with vascular dementias, neurophysiological disturbances and frontotemporal dementia. The third section talks about interventions, pharmacological interventions including galantamine and memantine, non-pharmacological cognitive, the role played by caregivers, comorbidities, and some legal and ethical considerations.
Policy and Program Planning for Older Adults and People With Disabilities, 2nd Edition:Practice Realities and Visions
This book attempts to build students’ understanding of policy development through a critical analysis and review of policy frameworks, and the policy implementation process. The book is organized into four parts comprising twenty-one chapters. Part one of this book lays out a background as to the current and future demographic trends of older adults and makes the case for the reader that there are a variety of philosophical, political, economic, and social factors that affect public policy development. The chapters help the reader to explore a range of perspectives that define, shape, and impact the development and implementation of public policy. It intends to prepare the reader to critically analyze public policies related to aging. Part two provides an overview to major federal policies and programs that impact older adults and people with disabilities. It examines some historical developments leading up to the actual development and implementation of the policies. Policies include social security, medicare, the Older Americans Act, and the Americans with Disabilities Act, the Community Mental Health Centers Act, and Freedom Initiative. The last part of the book outlines specific programmatic areas that flow from aging policies, and specific components that flow from federally mandated policies. Each chapter contains same basic outline: an overview of the programs, specific features and strengths of the programs, gaps and areas for development, and challenges for the future.