front cover of Aging and Health for the US Elderly
Aging and Health for the US Elderly
A Health Primer for Ages 60 to 90 Years
Harold L. Kennedy
University of Missouri Press, 2021
Seniors today find themselves living in a time when rapid changes in health care delivery have made vital decisions about when and how best to obtain medical treatment difficult and confusing to navigate. At the same time, seniors proportionately need more health care services, have a higher incidence of chronic disease, and take more medications than any other demographic—and yet have the lowest rate of health literacy.

In this short, easy-to-read book designed as a concise but effective healthcare guide, Dr. Harold Kennedy, with more than 60 years of experience practicing medicine, guides readers through the healthcare maze faced by many seniors. While the information in this book is not intended to diagnose or treat ailments, it will give readers a valuable foundation of health literacy, crucial in making good decisions regarding their health and medical care services, and that of their loved ones.

Written expressly to help persons aged 60 years and older, Aging and Health for the US Elderly: A Health Primer for Ages 60 to 90 is essential reading for all older Americans. Chapter topics include health risk factors; social determinants of disease; best practices; and up-to-date prevention, surveillance, and wellness, with special chapters tailored specifically for women and for men. Coverage also includes an overview of the U.S. health care system, both its history and the current state of affairs.  Scientific validity of the evidence is provided by more than 180 references.
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Aging in the Church
How Social Relationships Affect Health
Neal M. Krause
Templeton Press, 2008

A growing number of studies indicate that older people in the church form social ties that have a significant positive impact on their physical and mental health. In Aging in the Church, Neal Krause comprehensively assesses the various relationships that stem from church involvement.

Among the many types of relationships Krause explores are close companion friendships, social-support structures (such as assistance provided by fellow church members during difficult times), and interactions that arise from Bible study and prayer groups. Through his thorough investigation of the underlying links between these relationships and the ways they relate to attributes like forgiveness, hope, gratitude, and altruism, the author hopes to explain why older adults who are involved in religious activities tend to enjoy better physical and mental health than those who are not engaged in religious communities. Going beyond merely reviewing the existing research on this subject, Aging in the Church provides a blueprint for taking research on church-based social relationships and health to the next level by identifying conceptual and methodological issues that investigators will confront as they delve more deeply into these connections.

Though these are complex issues, readers will find plain language and literature drawn from a wide array of disciplines, including sociology, psychology, public health, medicine, psychiatry, nursing, social work, gerontology, and theology. Literature, poetry, philosophy, and ethical ideas supplement the insights from these diverse fields. As a result, Aging in the Church takes on a genuinely interdisciplinary focus that will appeal to various scholars, researchers, and students.

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Choosing Medical Care in Old Age
What Kind, How Much, When to Stop
Muriel R. Gillick M.D.
Harvard University Press, 1994

You are old, ill, in pain, and your doctor asks you what you want to do about it. You may be uncertain but you're definitely not alone. By the year 2020, some 50 million Americans will be over sixty-five, and as the nation ages we must all ask what we ought to do about the health and medical care of our elderly. Our response will have profound consequences, not just for individuals and families, but for society as a whole. This book helps us start to form an answer.

To make decisions about medical care in old age, we need to know more about the reality of being elderly and sick, and Choosing Medical Care in Old Age gives us the opportunity. Muriel Gillick, a noted physician who specializes in the care of the elderly and in medical ethics, presents a panoply of stories drawn from her clinical experience. These encounters, with the robust and the frail, the demented and the dying, capture the texture of the experience of being old and faced with critical medical questions. From the stories of older people struggling to make choices in the face of acute illness, stories that are often poignant and sometimes tragic, Gillick develops broad guidelines for medical decision–making for the elderly. Within this framework, she confronts particular concerns and questions. When are certain procedures too burdensome to be justified? What are unacceptable risks? Should family members serve as exclusive spokespersons for relatives who can no longer speak for themselves? Gillick's bold and personal prescription for medical care for the elderly calls for a change in the way medicine is understood and practiced, as well as for changes in the institutions that serve the elderly, such as hospitals and nursing homes. An intelligent and deeply compassionate inquiry into the difficult issues and real–life dilemmas raised by current practices, her book offers a first step toward those changes.

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front cover of Don't Send Me Flowers When I'm Dead
Don't Send Me Flowers When I'm Dead
Voices of Rural Elderly
Eva J. Salber
Duke University Press, 1983
"This extraordinary book is yet another example of a growing tradition—a literature of compelling and edifying oral history. Dr. Salber has worked for years in one of North Carolina's rural areas, and doing so, has come to know certain elderly people rather well. She has attended their physical complaints, but she has also wanted to know how they live, what they hope for, and what they worry about. She has asked them to speak on the record, to declare to others what occurs to them in the waning hours of their particular lives. The result is a series of American voices reminding us what it has been like for relatively vulnerable, if not defenseless, southern country folk in this rapidly disappearing 20th century.
"They are men and women, blacks and whites, Dr. Salber's teachers. The North Carolinians in this book have no trouble giving us a good measure of open-eyed social comment, not to mention intelligent self-scrutiny and astute moral reflection. These pages glow with all that. . . . This book represents an intense and unyielding ethical as well as medical and literary commitment by a most impressive physician."—Robert Coles
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The future of anticoagulation management in atrial fibrillation in Europe
An assessment of today's challenges with recommendations for the future
Catherine A. Lichten
RAND Corporation, 2015
As heart arrhythmia atrial fibrillation (AF) is becoming more prevalent, we explored current and future landscapes for AF-related stroke prevention. Our recommendations target awareness, education and maintaining engagement across health services.
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Growing Old in a New China
Transitions in Elder Care
Rose K. Keimig
Rutgers University Press, 2021
Growing Old in a New China: Transitions in Elder Care is an accessible exploration of changing care arrangements in China. Combining anthropological theory, ethnographic vignettes, and cultural and social history, it sheds light on the growing movement from home-based to institutional elder care in urban China. The book examines how tensions between old and new ideas, desires, and social structures are reshaping the experience of caring and being cared for. Weaving together discussions of family ethics, care work, bioethics, aging, and quality of life, this book puts older adults at the center of the story. It explores changing relationships between elders and themselves, their family members, caregivers, society, and the state, and the attempts made within and across these relational webs to find balance and harmony. The book invites readers to ponder the deep implications of how and why we care and the ways end-of-life care arrangements complicate both living and dying for many elders.
 
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Health at Older Ages
The Causes and Consequences of Declining Disability Among the Elderly
Edited by David M. Cutler and David A. Wise
University of Chicago Press, 2009
Americans are living longer—and staying healthier longer—than ever before. Despite the rapid disappearance of pensions and health care benefits for retirees, older people are healthier and better off than they were twenty years ago. In Health at Older Ages, a distinguished team of economists analyzes the foundations of disability decline, quantifies this phenomenon in economic terms, and proposes what might be done to accelerate future improvements in the health of our most elderly populations.

This breakthrough volume argues that educational attainment, high socioeconomic status, an older retirement age, and accessible medical care have improved the health and quality of life of seniors. Along the way, it outlines the economic benefits of disability decline, such as an increased rate of seniors in the workplace, relief for the healthcare system and care-giving families, and reduced medical expenses for the elderly themselves. Health at Older Ages will be an essential contribution to the debate about meeting the medical needs of an aging nation.
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Improving Dementia Long-Term Care
A Policy Blueprint
Regina A. Shih
RAND Corporation, 2014
In 2010, 15 percent of Americans older than age 70 had dementia. By 2050, the number of new dementia cases among those 65 and older is expected to double. This blueprint outlines policy options to help decisionmakers improve dementia long-term services and supports (LTSS) by promoting earlier detection, improving access to LTSS, promoting person- and caregiver-centered care, supporting caregivers, and reducing dementia LTSS costs.
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The Meanings of Age
Selected Papers
Bernice L. Neugarten
University of Chicago Press, 1996
One of the most distinguished psychologists of the century, Bernice L. Neugarten is best known for her groundbreaking contributions to the study of adult development and aging. Covering more than forty years of scholarship, this volume brings together Neugarten's most important contributions in four areas: Age as a Dimension of Social Organization; The Life Course; Personality and Adaptation; and Social Policy Issues. Each section is introduced by an eminent authority in the area, including George L. Maddox, Gunhild O. Hagestad, David L. Gutmann, Robert H. Binstock, and Dail A. Neugarten, who explains and highlights Neugarten's contributions in light of the most recent research.

Carefully edited by Dail Neugarten, each chapter presents the reader with Bernice Neugarten's original formulations on topics such as age norms and age constraints, the changing meanings of age, and age neutral social policy. Including four previously unpublished papers, The Meanings of Age will be of interest to scholars, students, and practitioners of psychology, education, law, medicine, social policy, and gerontology.
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Old Age, New Science
Gerontologists and Their Biosocial Visions, 1900-1960
Hyung Wook Park
University of Pittsburgh Press, 2016
Between 1870 and 1940, life expectancy in the United States skyrocketed while the percentage of senior citizens age sixty-five and older more than doubled—a phenomenon owed largely to innovations in medicine and public health. At the same time, the Great Depression was a major tipping point for age discrimination and poverty in the West: seniors were living longer and retiring earlier, but without adequate means to support themselves and their families. The economic disaster of the 1930s alerted scientists, who were actively researching the processes of aging, to the profound social implications of their work—and by the end of the 1950s, the field of gerontology emerged.
Old Age, New Science explores how a group of American and British life scientists contributed to gerontology’s development as a multidisciplinary field. It examines the foundational “biosocial visions” they shared, a byproduct of both their research and the social problems they encountered. Hyung Wook Park shows how these visions shaped popular discourses on aging, directly influenced the institutionalization of gerontology, and also reflected the class, gender, and race biases of their founders.
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Our Aging Bodies
Merrill, Gary F
Rutgers University Press, 2015
People in developed countries are living longer and, just as the aged population around the world is steadily growing, the number of adults eighty-five and older in the United States is projected to quadruple to twenty-one million people by 2050. The aging of our population has huge implications for baby boomers and their children, and has generated a greater interest in the causes and effects of aging.

Our Aging Bodies provides a clear, scientifically based explanation of what happens to all the major organ systems and bodily processes—such as the cardiovascular and digestive systems—as people age. The first section is an overview of secondary aging—changes that occur with age that are related to disease and the environment—and include the effect of such things as diet, humor, and exercise. Readers will also learn about primary aging—intrinsic changes that occur with the aging of specific organs and body systems (including the prostate, the heart, the digestive system, and the brain). Throughout the book, Gary F. Merrill weaves in personal anecdotes and stories that help clarify and reinforce the facts and principles of the underlying scientific processes and explanations. Our Aging Bodies is accessible to a general reader interested in the aging phenomenon, or baby boomers wanting to be more informed when seeing their doctor and discussing changes to their bodies as they age.
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The Shapes of Memory Loss
Stories, Poems and Essays from the University of Michigan Medical School and Health System
nan Barbas
Michigan Publishing Services, 2013
“Shapes of Memory Loss” is a collection of poetry, fiction, and narrative written by and about people with cognitive impairment or dementia. The authors, all affiliated with the University of Michigan Health System, come forward to share their personal experience as they “navigate this unknown territory”. These pieces offer the reader a view into the often isolated and not fully understood journey that those with memory loss and cognitive impairment are on. The book serves as an educational and support tool for anyone who has been touched by dementia, memory loss, and other related disorders. Healthcare professionals will gain information and insight about these disorders presented from the perspective of patients and families affected by them.
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Speaking for the Dying
Life-and-Death Decisions in Intensive Care
Susan P. Shapiro
University of Chicago Press, 2019
Seven in ten Americans over the age of age of sixty who require medical decisions in the final days of their life lack the capacity to make them. For many of us, our biggest, life-and-death decisions—literally—will therefore be made by someone else. They will decide whether we live or die; between long life and quality of life; whether we receive heroic interventions in our final hours; and whether we die in a hospital or at home. They will determine whether our wishes are honored and choose between fidelity to our interests and what is best for themselves or others. Yet despite their critical role, we know remarkably little about how our loved ones decide for us.
             
Speaking for the Dying
tells their story, drawing on daily observations over more than two years in two intensive care units in a diverse urban hospital. From bedsides, hallways, and conference rooms, you will hear, in their own words, how physicians really talk to families and how they respond. You will see how decision makers are selected, the interventions they weigh in on, the information they seek and evaluate, the values and memories they draw on, the criteria they weigh, the outcomes they choose, the conflicts they become embroiled in, and the challenges they face. Observations also provide insight into why some decision makers authorize one aggressive intervention after the next while others do not—even on behalf of patients with similar problems and prospects. And they expose the limited role of advance directives in structuring the process decision makers follow or the outcomes that result.
           
Research has consistently found that choosing life or death for another is one of the most difficult decisions anyone can face, sometimes haunting families for decades. This book shines a bright light on a role few of us will escape and offers steps that patients and loved ones, health care providers, lawyers, and policymakers could undertake before it is too late.
 
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The Strategic Perspective and Long-Term Socioeconomic Strategies for Israel
Key Methods with an Application to Aging
Steven W. Popper
RAND Corporation, 2015
RAND researchers supported a high-level Israeli government team tasked with improving long-term socioeconomic strategy for the state. This report highlights selected inputs made to the government team to summarize the essential mechanics and roles for bringing a strategic perspective to policy consideration. To show how one can use a strategic perspective in an analysis of policy choices, the report uses the example of an aging population.
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Successful Aging as a Contemporary Obsession
Global Perspectives
Lamb, Sarah
Rutgers University Press, 2017
In recent decades, the North American public has pursued an inspirational vision of successful aging—striving through medical technique and individual effort to eradicate the declines, vulnerabilities, and dependencies previously commonly associated with old age. On the face of it, this bold new vision of successful, healthy, and active aging is highly appealing. But it also rests on a deep cultural discomfort with aging and being old.
 
The contributors to Successful Aging as a Contemporary Obsession explore how the successful aging movement is playing out across five continents. Their chapters investigate a variety of people, including Catholic nuns in the United States; Hindu ashram dwellers; older American women seeking plastic surgery; aging African-American lesbians and gay men in the District of Columbia; Chicago home health care workers and their aging clients; Mexican men foregoing Viagra; dementia and Alzheimer sufferers in the United States and Brazil; and aging policies in Denmark, Poland, India, China, Japan, and Uganda. This book offers a fresh look at a major cultural and public health movement of our time, questioning what has become for many a taken-for-granted goal—aging in a way that almost denies aging itself.
 
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front cover of Transnational Aging and Reconfigurations of Kin Work
Transnational Aging and Reconfigurations of Kin Work
Dossa, Parin
Rutgers University Press, 2017
Transnational Aging and Reconfigurations of Kin Work documents the social and material contributions of older persons to their families in settings shaped by migration, their everyday lives in domestic and community spaces, and in the context of intergenerational relationships and diasporas. Much of this work is oriented toward supporting, connecting, and maintaining kin members and kin relationships—the work that enables a family to reproduce and regenerate itself across generations and across the globe.
 
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What Every Senior Needs To..
J Nora
University Press of Colorado, 2004
At a time when astonishing medical advances appear in the media almost daily, access to even the most routine health care and satisfactory doctor-patient relationships is becoming increasingly difficult to find. Moreover, the rapidly growing population of
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With Shaking Hands
Aging with Parkinson's Disease in America's Heartland
Solimeo, Samantha
Rutgers University Press, 2009
Far from celebrity media spotlight, ordinary individuals, many older and less advantaged, suffer the disabling pain of Parkinson's disease (PD), an illness whose progressive symptoms often mimic old age and cause mobility impairment, communication barriers, and social isolation.

At the heart of With Shaking Hands is the account of elder Americans in rural Iowa who have been diagnosed with PD. With a focus on the impact of chronic illness on an aging population, Samantha Solimeo combines clear and accessible prose with qualitative and quantitative research to demonstrate how PD accelerates, mediates, and obscures patterns of aging. She explores how ideas of what to expect in older age influence and direct interpretations of one's body.

This sensitive and groundbreaking work unites theories of disease with modern conceptions of the body in biological and social terms. PD, like other chronic disorders, presents a special case of embodiment which challenge our thinking about how such diseases should be researched and how they are experienced.

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