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This open access book aims to provide a comprehensive but practical overview of the knowledge required for the assessment and management of the older adult with or at risk of fragility fracture. It considers this from the perspectives of all of the settings in which this group of patients receive nursing care. Globally, a fragility fracture is estimated to occur every 3 seconds. This amounts to 25 000 fractures per day or 9 million per year. The financial costs are reported to be: 32 billion EUR per year in Europe and 20 billon USD in the United States. As the population of China ages, the cost of hip fracture care there is likely to reach 1.25 billion USD by 2020 and 265 billion by 2050 (International Osteoporosis Foundation 2016). Consequently, the need for nursing for patients with fragility fracture across the world is immense. Fragility fracture is one of the foremost challenges for health care providers, and the impact of each one of those expected 9 million hip fractures is significant pain, disability, reduced quality of life, loss of independence and decreased life expectancy. There is a need for coordinated, multi-disciplinary models of care for secondary fracture prevention based on the increasing evidence that such models make a difference. There is also a need to promote and facilitate high quality, evidence-based effective care to those who suffer a fragility fracture with a focus on the best outcomes for recovery, rehabilitation and secondary prevention of further fracture. The care community has to understand better the experience of fragility fracture from the perspective of the patient so that direct improvements in care can be based on the perspectives of the users. This book supports these needs by providing a comprehensive approach to nursing practice in fragility fracture care.
By 2030, 20 percent of the world's drivers, 60 million in all, will be over the age of 65. Consequently, safe and efficient mobility for older adults is a complex and pressing issue. Maintaining Safe Mobility in an Aging Society addresses the complexities surrounding the booming number of aging drivers and practical solutions for sustaining safe tr
Outdoor mobility in old age is a complex phenomenon. On the one hand, it is a basic human need and means the physical ability to move. On the other, it means the realization of all types of trips out-of-doors, either by foot or by means of transportation. In addition, societal and individual necessities, modern values and economic interests mutually reinforcing each other have resulted in mobility as an ever more important precondition of ensuring the ability to lead an autonomous life and participate actively in society according to one's individual needs. Mobility also promotes healthy ageing, delays the onset of disabilities, and postpones frailty, thereby contributing to subjective well-being and life satisfaction. With advancing age, however, maintaining mobility may become jeopardized because of the increasing risk of physical and sensory impairments. This book includes information on older people's actual out-of-home mobility, on the transportation tools used, the prevalence of typical problems associated with out-of-home mobility, the impact of health, social networks, the home and neighbourhood environments, and psychological aspects on their mobility and activities, differences between urban and non-urban areas, and age and gender differences. In addition, a new model of mobility is suggested and the relation between mobility and quality of life is analysed. The book concludes with implications for social and transport policies, urban planning, and industrial pursuits for meeting the mobility needs of ageing adults.
Social isolation and loneliness are serious yet underappreciated public health risks that affect a significant portion of the older adult population. Approximately one-quarter of community-dwelling Americans aged 65 and older are considered to be socially isolated, and a significant proportion of adults in the United States report feeling lonely. People who are 50 years of age or older are more likely to experience many of the risk factors that can cause or exacerbate social isolation or loneliness, such as living alone, the loss of family or friends, chronic illness, and sensory impairments. Over a life course, social isolation and loneliness may be episodic or chronic, depending upon an individual's circumstances and perceptions. A substantial body of evidence demonstrates that social isolation presents a major risk for premature mortality, comparable to other risk factors such as high blood pressure, smoking, or obesity. As older adults are particularly high-volume and high-frequency users of the health care system, there is an opportunity for health care professionals to identify, prevent, and mitigate the adverse health impacts of social isolation and loneliness in older adults. Social Isolation and Loneliness in Older Adults summarizes the evidence base and explores how social isolation and loneliness affect health and quality of life in adults aged 50 and older, particularly among low income, underserved, and vulnerable populations. This report makes recommendations specifically for clinical settings of health care to identify those who suffer the resultant negative health impacts of social isolation and loneliness and target interventions to improve their social conditions. Social Isolation and Loneliness in Older Adults considers clinical tools and methodologies, better education and training for the health care workforce, and dissemination and implementation that will be important for translating research into practice, especially as the evidence base for effective interventions continues to flourish.
Rely on this resource to help you navigate confidently in both common and complex clinical situations. Mastering patient care skills will ground you in fundamental rehabilitation principles; help you establish a culture of patient-centered care; and teach you to foster habits of clinical problem solving and critical thinking. YouÕll also learn how to help your patients progress toward greater mobility and independence. Over 750 full-color photographs and illustrations make every concept crystal clear.
Live pain free and maximize your training potential! The Modern Art and Science of Mobility is a striking visual guide to releasing muscle tension and activating muscles for functional motion. It goes beyond traditional training methods that focus on performance and aesthetics and asks these simple questions: Are you truly reaping the full benefits of training if it does not include mobility exercises? Why are the vast majority of people, even the most athletic individuals, unable to perform basic motor tasks without pain or difficulty? Why are physically active people still dealing with lack of mobility and chronic injury? Whether you are a casual exerciser or an elite athlete, you will learn how to preserve and maintain your body with over 300 exercises designed to improve mobility, facilitate recovery, reduce pain, and activate muscles. Utilize the self-tests to assess your current level of mobility, and then choose from over 50 prescriptive training routines that can be used as is or customized to target specific functional chains. You’ll find exercise recommendations based on body region, activity, and primary goal, and you’ll learn to incorporate a variety of techniques and popular equipment, including resistance bands, foam rollers, massage balls, and stability balls. The Modern Art and Science of Mobility provides a stunning visual presentation with over 1,200 photos and 100 original illustrations by Stéphane Ganneau. His illustrations highlight the muscles with precision, and his avant-garde style and the harmony of colors give this book a unique graphic signature. Mobility is the foundation for training your best and feeling your best. The Modern Art and Science of Mobility will help you do just that by helping you to alleviate pain, improve posture, and release muscle tension for a more comfortable and enjoyable quality of life.
Pain is an epidemic. It prevents you from performing at your best because it robs you of concentration, power, and peace of mind. But most pain is preventable and treatable, and healing is within your grasp. Hundreds of thousands of people around the globe have taken life “by the balls” and circumvented a dismal future of painkillers, surgeries, and hopelessness by using Jill Miller’s groundbreaking Roll Model Method. The Roll Model gives you the tools to change the course of your life in less than 5 minutes a day. You are a fully equipped self-healing organism, and this book will guide you through easy-to-perform self-massage techniques that will erase pain and improve your performance in whatever activities you pursue. The Roll Model teaches you how to improve the quality of your life no matter your size, shape, or condition. Within these pages you will find: • Inspiring stories of people just like you who have altered the course of their lives by using the Roll Model Method • Accessible explanations of how and why this system works based on the science of your body and the physiological effects of rolling • Step-by-step rolling techniques to help awaken your body’s resilience from head to toe so that you have more energy, less stress, and greater performance Whether you’re living with constant discomfort, seeking to improve your mobility, or trying to avoid medication and surgery, this book provides empowering and effective solutions for becoming your own best Roll Model.
Stretching is an important part of elderly and seniors' flexibility and will help offset the effects of normal decline in the flexibility of your joints and help you remain active and independent. As we age muscles become shorter and lose their elasticity. Aging can affect the structure of your bones and muscles causing pain and decreased range of motion in the shoulders, spine, and hips. Stretching is an excellent way to relax and relieve tension if you incorporate breathing exercises and good posture in your stretching program. This course mainly focuses on how to use stretching as a way to maintain limberness and flexibility regardless of how old you are. The truth is it's never too late to get to start doing something about your body.
Family caregiving affects millions of Americans every day, in all walks of life. At least 17.7 million individuals in the United States are caregivers of an older adult with a health or functional limitation. The nation's family caregivers provide the lion's share of long-term care for our older adult population. They are also central to older adults' access to and receipt of health care and community-based social services. Yet the need to recognize and support caregivers is among the least appreciated challenges facing the aging U.S. population. Families Caring for an Aging America examines the prevalence and nature of family caregiving of older adults and the available evidence on the effectiveness of programs, supports, and other interventions designed to support family caregivers. This report also assesses and recommends policies to address the needs of family caregivers and to minimize the barriers that they encounter in trying to meet the needs of older adults.