'How long have I been gone?' 'Four years,' he said, moving his hands back to my arms. A sickening rush started at the top of my head and went down my entire body, leaving my knees weak as I turned my head, dropping my chin shamefully. I can't look at him! Vance kept his hands wrapped around the tops of my arms tightly. 'We've been trying to find you the whole time,' he said. 'We couldn't control it. It was only by chance I caught you. We had been trying to tunnel you to catch your attention. I saw you a couple times, but I couldn't get you to take it. I knew you didn't understand. I thought I had lost you forever, Beverly.' In 1812 Vikoyri, Norway, an injured stranger, respectfully referred to as the Elder, bestowed a gift on the people of a small village. Centuries later they are only beginning to understand its potential and its price. Living in modern day Montana and nearly untouched by the aging process, The Elder Effect is still a mystery to them. All they know is that they can tunnel through time and space. When a dangerous stranger begins stalking the group, they realize a powerful advantage. Will Vance and Beverly bring everyone back together in time to save them? Will they be able to defend themselves against him once and for all? With an uncertain future, the mysterious words spoken by the Elder so long ago begin to make sense. Could Beverly be permanently separated from her love, Vance? The key is where it all began in 1812. Will the stranger destroy their past, present, and future with one final blow? Can Beverly discover how to stop him before all is lost? Will they ever learn the reason for the gift?

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.

Print+CourseSmart

The majority of studies on the quality of life have been conducted in Western contexts and are based on Western participants. Comparatively speaking, there are only a few studies that have been conducted in different Chinese contexts. Also, there are fewer QOL studies based on children and adolescents, or studies that examine the relationship between QOL and economic disadvantage. In addition, more research is needed to address the methodological issues related to the assessment of quality of life. This volume is a constructive response to the challenges described above. It is the first book to cover research in Chinese, Western and global contexts in a single volume. It is a ground-breaking volume in which Chinese studies on the quality of life are collected. The book includes papers addressing family QOL, quality of life in adolescents experiencing economic disadvantage, and methodological issues in the assessment of QOL. It is written by researchers working in a variety of disciplines.

Focusing on the broad but practical notions of how to care for the patient, The Encyclopedia of Elder Care, a state-of-the-art resource features nearly 300 articles, written by experts in the field. Multidisciplinary by nature, all aspects of clinical care of the elderly are addressed. Coverage includes acute and chronic disease, home care including family-based care provisions, nursing home care, rehabilitation, health promotion, disease prevention, education, case management, social services, assisted living, advance directives, palliative care, and much more! Each article concludes with specialty web site listings to help direct the reader to further resources. Features new to this second edition: More extensive use of on-line resources for further information on topics Thoroughly updated entries and references Inclusion of current research in geriatrics reflecting evidence-based practice New topics, including Assisted Living, Nursing Home Managed Care, Self-Neglect, Environmental Modifications (Home & Institution), Technology, Neuropsychological Assessment, Psychoactive Medications, Pain--Acute and Chronic Still the only reference of it kind, The Encyclopedia of Elder Care will prove to be an indispensable tool for all professionals in the field of aging, such as nurses, physicians, social workers, counselors, health administrators, and more.

This book will help to advance understanding among policymakers, practitioners, and educators and prepare them to limit the negative consequences associated with victimization of older adults. This second edition builds on the earlier edition in five ways. First, new research has been added into each chapter. Second, the tables and figures have been updated, with applied critical thinking questions now included in order to make the tables and figures more interactive with readers. Third, various sections have been added in different chapters. Fourth, chapters 2-7 now include box inserts which include brief overviews written by professionals who are discussing some aspect of elder abuse. Finally, chapter 7 has been added. This new edition will help shed some light on what can be done to prevent elderly persons from being victimized, or at least minimize the consequences of victimization when abuse does occur. It will be of interest to those in several different disciplines, including criminology, gerontology, social work, social welfare, sociology, psychology, victimology, medicine and other social sciences.

Get the focused foundation you need to successfully work with older adults. Occupational Therapy with Elders: Strategies for the COTA, 4th Edition is the only comprehensive book on geriatric occupational therapy designed specifically for the certified occupational therapy assistant. It provides in-depth coverage of each aspect of geriatric practice — from wellness and prevention to death and dying. Expert authors Helene Lohman, Sue Byers-Connon, and René Padilla offer an unmatched discussion of diverse populations and the latest on geriatric policies and procedures in this fast-growing area of practice. You will come away with a strong foundation in aging trends and strategies for elder care in addition to having a deep understanding of emerging areas such as low-vision rehabilitation, driving and mobility issues, Alzheimer's disease and other forms of dementia, new technological advancements, health literacy, public policy, dignity therapy, and more. Plus, you will benefit from 20 additional evidence briefs and numerous case studies to help apply all the information you learn to real-life practice. It's the focused, evidence-based, and client-centered approach that every occupational therapy assistant needs to effectively care for today's elder patients. - UNIQUE! Focus on the occupational therapy assistant highlights the importance of COTAs to the care of elder clients. - Unique! Attention to diverse populations and cultures demonstrates how to respect and care for clients of different backgrounds. - UNIQUE! Discussion of elder abuse, battered women, and literacy includes information on how the OTA can address these issues that are often overlooked. - User resources on Evolve feature learning activities to help you review what you have learned and assess your comprehension. - Case studies at the end of certain chapters illustrate principles and help you understand content as it relates to real-life situations. - Multidisciplinary approach demonstrates the importance of collaboration between the OT and OTA by highlighting the OTA's role in caring for the elderly and how they work in conjunction with occupational therapists. - Key terms, chapter objectives, and review questions are found in each chapter to help identify what information is most important. - NEW! 20 Additional evidence briefs have been added to reinforce this book's evidence-based client-centered approach. - NEW! Incorporation of EMR prevalence and telehealth as a diagnostic and monitoring tool have been added throughout this new edition. - NEW! Expanded content on mild cognitive impairment, health literacy, and chronic conditions have been incorporated throughout the book to reflect topical issues commonly faced by OTs and OTAs today. - NEW! Coverage of technological advancements has been incorporated in the chapter on sensory impairments. - NEW! Other updated content spans public policy, HIPAA, power of attorney, advanced directives, alternative treatment settings, dignity therapy, and validation of the end of life. - NEW! Merged chapters on vision and hearing impairments create one sensory chapter that offers a thorough background in both areas.