American Dementia


Book Description

Have the social safety nets, environmental protections, and policies to redress wealth and income inequality enacted after World War II contributed to declining rates of dementia today—and how do we improve brain health in the future? Winner of the American Book Fest Health: Aging/50+ by the American Book Fest, Living Now Book Award: Mature Living/Aging by the Living Now Book Awards For decades, researchers have chased a pharmaceutical cure for memory loss. But despite the fact that no disease-modifying biotech treatments have emerged, new research suggests that dementia rates have actually declined in the United States and Western Europe over the last decade. Why is this happening? And what does it mean for brain health in the future? In American Dementia, Daniel R. George, PhD, MSc, and Peter J. Whitehouse, MD, PhD, argue that the current decline of dementia may be strongly linked to mid–twentieth century policies that reduced inequality, provided widespread access to education and healthcare, and brought about cleaner air, soil, and water. They also • explain why Alzheimer's disease, an obscure clinical label until the 1970s, is the hallmark illness of our current hyper-capitalist era; • reveal how the soaring inequalities of the twenty-first century—which are sowing poverty, barriers to healthcare and education, loneliness, lack of sleep, stressful life events, environmental exposures, and climate change—are reversing the gains of the twentieth century and damaging our brains; • tackle the ageist tendencies in our culture, which disadvantage both vulnerable youth and elders; • make an evidence-based argument that policies like single-payer healthcare, a living wage, and universal access to free higher education and technical training programs will build collective resilience to dementia; • promote strategies that show how local communities can rise above the disconnection and loneliness that define our present moment and come together to care for our struggling neighbors. Ultimately, American Dementia asserts that actively remembering lessons from the twentieth century which help us become a healthier, wiser, and more compassionate society represents our most powerful intervention for preventing Alzheimer's and protecting human dignity. Exposing the inconvenient truths that confound market-based approaches to memory enhancement as well as broader social organization, the book imagines how we can act as citizens to protect our brains, build the cognitive resilience of younger generations, and rise to the moral challenge of caring for the cognitively frail.




Handbook of Mental Health and Acculturation in Asian American Families


Book Description

Asian Americans are the fastest growing minority group in the United States. When Asian immigrants arrive in the United States, they regularly encounter a vast number of difficulties integrating themselves into their new culture. In Handbook of Mental Health and Acculturation in Asian American Families, distinguished researchers and clinicians discuss the process of acculturation for individuals and their families, addressing the mental health needs of Asian Americans and thoroughly examining the acculturative process, its common stressors, and characteristics associated with resiliency. This first-of-its-kind, multi-dimensional title synthesizes current acculturation research, while presenting those concepts within a clinical framework. In addition to providing an in-depth look at both past and present research and offering directions for future topics to explore, the book also offers a range of practical tools such as research scales to measure levels of acculturation, interview techniques, and clinical approaches for special populations including children, the elderly, and their families. Thought-provoking and informative, Handbook of Mental Health and Acculturation in Asian American Families will enhance the understanding of the clinical and sociocultural problems Asian Americans face, providing clinicians with all the necessary insights to better care for their patients.




Handbook of Asian American Health


Book Description

Asian Americans encounter a range of health issues often unknown to the American public, policy makers, researchers and even clinicians. National research often combines Asian Americans into a single category, not taking into account the differences and complexity among Asian ethnic subgroups. The definition of Asian American derives from the U.S. Census Bureau’s definition of Asian, which includes peoples from all the vast territories of the Far East, Southeast Asia and the South Asian Subcontinent. While Census classifications determine demographic measurements that affect equal opportunity programs, the broad rubric “Asian-American” can never describe accurately the more than 50 distinct Asian American subgroups, who together comprise multifaceted diversity across cultural ethnicities, socio-economic status, languages, religions and generations. This volume rectifies that situation by exploring the unique needs and health concerns of particular subgroups within the Asian American community. It consolidates a wide range of knowledge on various health issues impacting Asian Americans while also providing a discussion into the cultural, social, and structural forces impacting morbidity, mortality and quality of life. The volume is designed to advance the understanding of Asian American health by explaining key challenges and identifying emerging trends faced in specific ethnic groups and diseases/illnesses, innovative community-based interventions and the future needed areas of research.




Engaging and Working with African American Fathers


Book Description

Engaging and Working with African American Fathers: Strategies and Lessons Learned challenges traditional and historic practices and policies that have systematically excluded fathers and contributed to social and health disparities among this population. With chapters written primarily by African American women – drawing on years of research, interviews, and practical experience with this demographic – each section explores current evidence on engagement approaches, descriptions of agencies/programs addressing specific issues fathers face, and case studies documenting typical clients and approaches to addressing their diverse needs. Offering an expansive overview of issues affecting African American fathers, the book explores such important topics as public, child and mental health, education, parenting, employment, and public initiatives among others. Engaging and Working with African American Fathers is a key resource for social work, public health, education students, researchers, practitioners, policymakers, and members of communities who are challenged by meeting the diverse needs of African American fathers.




Excellence in Dementia Care: Research into Practice


Book Description

This scholarly yet accessible textbook is the most comprehensive single text in the field of dementia care. Drawn from research evidence, international expertise and good practice guidelines, the book has been crafted alongside people with dementia and their families. Case studies and quotes enrich every chapter, illustrating the realities of living with dementia and bringing theory to life. Fully updated with 10 brand new chapters, this landmark textbook has enormous breadth and gives an authoritative overview of dementia care. The 2nd edition now includes chapters on the following topics: • Dementia friendly communities • Representations of dementia in the media • Younger people with dementia • The arts and dementia • Enhancing relationships between families and those with dementia • Whole person assessment • Dementia friendly physical design • Transitions in care This compelling new edition is a must purchase for those working or volunteering in health and social care, undergraduate and postgraduate students across a range of disciplines in health and social work, and anyone interested in the field of dementia care including people with dementia and their families. “While we have made significant advances in the care for people with dementia and their families, there is much work yet to be done. This book provides a fantastic framework in which to set our understanding of dementia and to take things forward.” Alistair Burns, Professor of Old Age Psychiatry, Faculty of Medical and Human Sciences, University of Manchester, UK “Bravo to the authors of Excellence in Dementia Care! They have created a must read guidebook for those providing care to persons experiencing cognitive changes and their families. This collaborative effort focuses on successful provider strategies encompassing topics across the dementia journey and is filled with spot on, relevant, and timely information. Best of all, this work is loaded with real case studies to help translate knowledge to practice, making it a true resource for all practitioners.” Suzanne Bottum-Jones, MA, Wisconsin Alzheimer's Institute, School of Medicine & Public Health, University of Wisconsin-Madison, USA




Challenges of Latino Aging in the Americas


Book Description

This book examines one of the most important demographic changes facing the United States: an overall aging population and the increasing influence of Latinos. It also looks at the changing demographics in Mexico and its impact on the health and financial well-being of aging Mexicans and Mexican Americans. The book provides a conceptual and accessible framework that will educate and inform readers about the interconnectedness of the demographic trends facing these two countries. It also explores the ultimate personal, social, and political impact they will have on all Americans, in the U.S. as well as Mexico. Challenges of Latino Aging in the Americas features papers presented at the 2013 International Conference on Aging in the Americas, held at the University of Texas at Austin, September 2013. It brings together the work of many leading scholars from the fields of sociology, demography, psychology, anthropology, geography, social work, geriatric medicine, epidemiology, and public affairs. Coverage in this edited collection includes working with diverse populations; culturally compatible interventions for diverse elderly; the health, mental health, and social needs and concerns of aging Latinos; and the policy, political, and bi-lateral implications of aging and diversity in the U.S. and Mexico. The book provides a rich blend of empirical evidence with insightful, cutting-edge analysis that will serve as an insightful resource for researchers and policy makers, professors and graduate students in a wide range of fields, from sociology and demography to economics and political science. ​




Palliative Care for Advanced Alzheimer's and Dementia


Book Description

2010 AJN Book of the Year Award Winner in both Gerontologic Nursing and Hospice and Palliative Care! "This book...provides important information on best practices and appropriate ways to care for a person with Alzheimer's and advanced dementia. Drs. Martin and Sabbagh have assembled a team of experts to help craft recommendations that should ultimately become standards that all professional caregivers adopt." -Michael Reagan Son of former President Ronald Reagan President, Reagan Legacy Foundation This book testifies that caregivers can have a monumental impact on the lives of persons with advanced dementia. Through specialized programming and a renewed effort toward patient-centered care, caregivers can profoundly enrich the quality of life for these persons. Providing guidelines for health care professionals, caregivers, and family members, this book introduces palliative care programs and protocols for the treatment of people with advanced dementia. The book is designed to guide professional caregivers in meeting the needs of patients and their families, providing insight into the philosophy, assessment, planning, implementation, and evaluation measures involved in interdisciplinary palliative care. The chapter authors offer guidelines and standards of care based on contributions from nurses, physical therapists, social workers, dietitions, psychologists, family caregivers and pastors. An exhibit at the end of every chapter clearly articulates the standards of care appropriate for all advanced dementia facilities and health care staff. This book helps caregivers: Enhance the physiological, psychological, social, and spiritual well-being of the patient and the patient's family Anticipate and meet the patient's basic human needs: hunger, thirst, body positioning, hygiene, continence, and management of any pain Ensure that the patient's surroundings are safe, comfortable, and homelike Address health care decisions that will support the patient's right to self-determination until the end of life




Racial and Ethnic Differences in the Health of Older Americans


Book Description

Older Americans, even the oldest, can now expect to live years longer than those who reached the same ages even a few decades ago. Although survival has improved for all racial and ethnic groups, strong differences persist, both in life expectancy and in the causes of disability and death at older ages. This book examines trends in mortality rates and selected causes of disability (cardiovascular disease, dementia) for older people of different racial and ethnic groups. The determinants of these trends and differences are also investigated, including differences in access to health care and experiences in early life, diet, health behaviors, genetic background, social class, wealth and income. Groups often neglected in analyses of national data, such as the elderly Hispanic and Asian Americans of different origin and immigrant generations, are compared. The volume provides understanding of research bearing on the health status and survival of the fastest-growing segment of the American population.




Dementia


Book Description

Person-centered care for persons with dementia has been developed and expanded over the last few decades. Speech-language pathologists are uniquely positioned to understand the striking impact that communication challenges have on persons with dementia and their caregivers, and can lead the charge to improve access to communication and participation. This volume serves as a starting point and reference manual for those who want to provide person-centered and life-enhancing services to persons with dementia, and to inspire the continued generation of quality research to demonstrate the value of cognitive-communication, behavioral, and caregiver interventions. It serves as a call to action for an interprofessional team of healthcare providers across healthcare settings to promote meaningful life engagement in persons with dementia using evidence-based assessment and intervention approaches. This volume provides background on the evolution of caring for persons with dementia, as well as a description of the diagnostic process for dementia syndromes and the cognitive and communication characteristics of dementias with an emphasis on Alzheimer’s dementia. Its chapters cover the person-centered assessment process for persons with cognitive and communicative disorders of dementias; intervention approaches for the wide variety of cognitive, communicative, eating/swallowing, and behavioral symptoms and consequences of dementia syndromes; reimbursement and documentation issues for various settings in which persons with dementia are seen; and issues and challenges of quality of life and end-of-life care.




Aging and Diversity


Book Description

As the older population in the United States is becoming more racially and ethnically diverse, it is important to understand the characteristics, the potential, and the needs of this population. In this new and fully revised edition of Aging and Diversity, Chandra Mehrotra and Lisa Wagner address key topics in diversity and aging, discussing how the aging experience is affected by not only race and ethnicity but also gender, religious affiliation, social class, rural-urban community location, and sexual orientation and gender identity. Taking this broad view of human diversity allows the authors to convey some of the rich complexities facing our aging population – complexities that provide both challenges to meet the needs of a diverse population of elders and opportunities to learn how to live in a pluralistic society. Mehrotra and Wagner present up-to-date knowledge and scholarship about aging and diversity in a way that engages readers in active learning, placing ongoing emphasis on developing readers’ knowledge and skills, fostering higher order thinking, and encouraging exploration of personal values and attitudes.