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This book examines the worldwide growth of elderly populations and its consequences for future care, and the associated costs for this sector of the population. Living a longer life does not necessarily imply an improvement in the quality of life. Important issues concerning the overall quality of additional years gained through increase in life expectancy are addressed in this book. Progress in specific dimensions of wellbeing are described. Recent gains in knowledge are reviewed, together with advances in our understanding of falls, sensory disorders, mental health in old age, osteoporosis, incontinence, drug therapy and iatrogenic disorders. The book extends outside medical care to encompass the family, which is the key issue in developing countries, community care, nursing home and hospice care; health care services that are particularly appreciated by older people are described. It will provide readers with a knowledge base for developing policies and programs that will advance the wellbeing of the elderly people of the world.

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• 1 Perceived Progress in Aging. The Results of a Delphi Survey of International Experts
• Part I Health and Function
• 2 Introduction
• 3 International Demographic Trends
• 4 Compression of Morbidity: Issues and Irrelevancies
• 5 How are the Elderly Different?
• 6 Assessment of Health and Functional Status: An International Comparison
• 7 Aging, Quantitative Health Status Assessment and the Effectiveness of Medical Care
• 8 Social Factors Affecting the Health of the Elderly
• Part II Progress in Specific Areas
• 9 Introduction
• 10 Progress in the Biology of Aging
• 11 Osteoporosis
• 12 Stroke
• 13 Drugs and Old People: Recent Advances in Geriatric Pharmacology
• 14 Iatrogenic Disorders
• 15 Hearing Disorders of Aging: Identification and Management
• 16 The Effectiveness of Intervention for the Mental Health of the Elderly
• 17 The Efficacy of Continence Treatment
• 18 Falls in Later Life
• 19 Prevention in the Aging
• 20
• Part III Health Care Introduction
• 21 Role of Primary Health Care for the Elderly
• 22 The Role of the Family in the Care of the Elderly in Developing Countries
• 23 The Role of the Family in Developed Countries
• 24 Case Management and Assessment of the Elderly
• 25 The Efficacy of Geriatric Assessment Programmes
• 26 The Role of Geriatric Medicine
• 27 Home Care and Day Care for the Elderly
• 28 Nursing Home Care for the Elderly
• 29 Hospice Care for the Elderly
• 30 Housing for Older People: the North American Approach
• 31 Technology Development and Use for Elderly People
• 32 Assessing the Impact of Introducing New Technologies and Interventions for the Elderly
• Part IV Education and Personnel Needs
• 33 Introduction
• 34 Educating Lay Persons About the Care of the Elderly
• 35 Educating Health Professionals in the Care of the Elderly
• 36 Planning for Health Personnel Needed to Serve Elderly Persons
• Part V Health and Social Policy Issues in Aging
• 37 Introduction
• 38 Planning More Suitable Environments for the Elderly
• 39 Economic Factors Affecting the Health of the Elderly
• 40 The Role of Aging in Establishing Social Priorities: an Economic Perspective
• 41 Contribution of Social Security to the Well-Being of the Elderly
• 42 Ethical Issues and Care of the Elderly

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CHOICE Review

Solicited by the World Health Organization, and written by international experts, these papers on health and aging "summarize current knowledge, highlight progress, and identify significant future issues" in the areas of gerontological demographics, function/dysfunction, disease processes, health care delivery, education and personnel needs, and social policy. Although chapters meet the goals as stated, the same information can be found in most current geriatric health texts. The unique contribution of this book could have been a more thorough analysis of health and aging in less developed countries (LDCs). The foreword states that issues are presented in a "global context"; however, a true world perspective is lacking. Most chapter authors are from Western countries, and their papers reflect the gerontological concerns of the developed world. Although the book acknowledges that in the near future, the greatest impact of an increasingly aged population will fall upon LDCs, only 6 of the 42 chapters give more than passing reference to aging issues in these countries. Recommended for libraries seeking a concise review of health and aging issues in the developed world. Those desiring more information on aging in the LDCs would best refer to publications of the UN or the International Association of Gerontology. Upper-division and graduate collections. -M. A. Thompson, Saint Joseph College