Exercise for Frail Elders, Second Edition, emphasizes balance and features over 150 photos illustrating the design and implementation of a safe and effective exercise program to improve range of motion, strength, and aerobic endurance for frail elders and older adults with special needs.

Older adults are liable to resist exercise, yet remaining active is crucial in enabling them to retain or regain a reasonable quality of life. This text is an illustrated guide for activity professionals working with mature adults over the age of 65, especially those who have reduced quality of life.

The exercise programming guidelines provided in this book focus on functional fitness training and safety and demonstrate how physical activities supervised by activities personnel can strongly benefit participants’quality of life. Exercise Programming for Older Adults guarantees that exercise programming attains a balance between the three major physical components--aerobic, strength, and flexibility training--and that each component is properly administered. The techniques and applications described are geared toward those with prevalent conditions of aging such as arthritis, osteoporosis, joint replacement, cardiovascular disease, stroke, and chronic obstructive pulmonary disease. This essential handbook arms the reader with a multidisciplinary approach to exercise management for elderly populations. The chapter authors are experts from the fields of fitness instruction, nursing, physical therapy, medicine, research, and exercise physiology. As they address the theory and practice of providing sound exercise programming, specific exercises are described and illustrated, with emphasis on functional fitness outcomes, safety precautions, fall prevention, and practical adaptations for low-fit and physically limited participants. Chapter discussions include: aerobic exercise strength training flexibility training the administration of mild posture and breathing exercises for debilitated individuals with poor prognoses positioning and transfer techniques essential for optimal activities management of neurologically impaired patients warm water exercise programs designed for persons with low tolerance of conventional training methods Exercise Programming for Older Adults serves as a vital resource for activity coordinators in long-term care settings and for group fitness instructors and personal trainers who serve older adult and frail elderly clientele. Readers will discover alternative techniques and applications for maximizing the physical and mental therapeutic benefits of exercise and developing the functional fitness of even the most physically challenged participants.

As the older adult population increases, so does the demand for fitness professionals who understand the capabilities and special needs of seniors with illnesses, disabilities, chronic disorders, and sedentary lifestyles. Exercise for Frail Elders, Second Edition, is the only exercise fitness guidebook that focuses on working with frail elders and adults with special conditions. It is an invaluable resource for improving functional fitness, maintaining aspects of independent living, and enhancing quality of life. With Exercise for Frail Elders, Second Edition, readers will gain a deeper understanding of 14 medical conditions common to older adults, how these conditions may affect participants’ ability to perform activities of daily living, and what exercises can help them maintain and increase functional fitness. This book focuses on special needs stemming from conditions including arthritis, cardiovascular disease, diabetes, hypertension, orthopedic issues, osteoporosis, Parkinson’s disease, and Alzheimer’s disease. The updated second edition provides a broader focus on balance, a critical component of any functional fitness program, to aid in designing classes that incorporate various stability exercises. Exercises that provide significant benefits to balance are indicated with a symbol to ensure effective program design. Additional features of this edition include the following: · Learning objectives at the beginning and review questions at the conclusion of each chapter provide a framework for understanding. · Reproducible forms provide readers with easy-to-use appraisals, questionnaires, and exercise logs for evaluating clients. · Checklists and reference charts highlight key areas of concern and consider specific needs when planning functional fitness programs for clients. · Guidelines and safety precautions for special conditions and how they apply to range-of-motion exercises, resistance training, aerobic exercise, and stretching have been updated. · Specific exercise instructions, including variations and progression options, show professionals how to add interest and challenge for participants. · Suggested resources encourage exercise leaders to continue their education. To enhance learning and program development, the text is divided into two parts. Part I covers planning an exercise program for frail elders or adults with special needs, including knowing the needs of class participants, motivating students to exercise, and keeping them safe while participating. It also offers strategies for success, including basic class structure creating a sense of fun and community. Part II covers implementation of a successful program, including course design, warm-up and cool-down, and exercises for range of motion, resistance training, aerobic training, and stretching, with their variations. Over 150 photos illustrate safe and effective execution of the exercises. Exercise for Frail Elders, Second Edition, is an easy-to-follow resource for working with elderly individuals in assisted living and nursing homes, rehabilitation facilities, hospitals, day centers, senior centers, recreation and community centers, and home health care environments. This unique guide has the hands-on information necessary for creating safe and effective exercise programs and understanding medical disorders, safety precautions for specific disorders, and implications for exercise. Readers will learn to design and teach a dynamic fitness program for older adults—and keep it fun, safe, and functional—with Exercise for Frail Elders.

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.

The progressive growth in the number of older adults worldwide has led to a modification of the current healthcare scenario and a parallel increase in the use of public resources. In this book, we propose a conceptual framework within which aging, frailty, and care are analyzed through the lens of complexity medicine. Therefore, we present a multidimensional perspective that takes into account biomedical, (neuro)psychological, and socio-ecological vulnerability. The theses presented are the result of an inductive approach, based on many years of experience in the field, which has made it possible to identify strategies for frailty recognition and effective responses even in complicated clinical settings. The book is intended to be a tool of concrete and easy consultation, rich in reflections and suggestions.

This new edition of the comprehensive and renowned textbook Principles and Practice of Geriatric Medicine offers a fully revised and updated review of geriatric medicine. It covers the full spectrum of the subject, features 41 new chapters, and provides up-to-date, evidence-based, and practical information about the varied medical problems of ageing citizens. The three editors, from UK, USA and France, have ensured that updated chapters provide a global perspective of geriatric medicine, as well as reflect the changes in treatment options and medical conditions which have emerged since publication of the 4th edition in 2006. The book includes expanded sections on acute stroke, dementia, cardiovascular disease, and respiratory diseases, and features a new section on end-of-life care. In the tradition of previous editions, this all-encompassing text continues to be a must-have text for all clinicians who deal with older people, particularly geriatric medical specialists, gerontologists, researchers, and general practitioners. This title is also available as a mobile App from MedHand Mobile Libraries. Buy it now from Google Play or the MedHand Store. Praise for the 4th edition: "...an excellent reference for learners at all clinical and preclinical levels and a useful contribution to the geriatric medical literature." —Journal of the American Medical Association, November 2006 5th edition selected for 2012 Edition of Doody's Core TitlesTM