Chronic Illness and Disability Treatment of Common Life Stage Problems of Older Adults

chronic illness and disability
Most older adults adapt successfully to the multiple developmental and social changes and late life depression that are common in late life. For those who experience distress or develop psychological symptoms, Cognitive-behavioral therapy offers an ideal treatment modality. The emphasis in cognitive-behavioral therapy on the acquisition of coping skills provides older adults with concrete strategies for dealing with areas of problematic adjustment. (more…)

Anxiety Symptoms Treatment of Psychiatric Disorders with Cognitive-Behavioral Interventions

anxiety symptoms treatment
Research indicates that anxiety symptoms are more prevalent in elderly people than in any other age group, occurring at about twice the rate of younger adults. The types of anxiety disorders most common among the older population include generalized anxiety, mixed anxious-depressive syndrome symptoms, and phobias (often characterized by exaggerations of rational concerns). More rare are late-life onset of obsessive compulsive disorders (OCD) and panic disorders. (more…)

Cognitive-Behavioral Interventions Effectiveness with Older Adults

cognitive behavioral older adults
Cognitive-Behavioral Interventions Research documenting the efficacy of Cognitive-Behavioral Interventions in treating the psychological problems of older adults is encouraging. Cognitive-Behavioral Interventions has been shown to reduce symptoms of depression, anxiety, and somatic complaints (e.g., chronic pain elderly, insomnia) in multiple controlled studies. However, research also has indicated that there may be multiple variables to consider in determining whether Cognitive-Behavioral Interventions is the best approach to use with a specific patient and a specific problem. For example, differential effectiveness of Cognitive-Behavioral Interventions compared to other forms of psychotherapy is less certain. (more…)

Jobs for Older Workers and the Implication of Technology

jobs for older workers
Given the widespread use of technology in most occupations, one important issue concerns how the influx of technology will affect jobs for older workers and employment opportunities and the productivity for them. This issue is particularly important for today’s cohort of older workers, as they have not had the same exposure to technology that younger people have had. However, despite cohort differences, technology will continue to be a pertinent issue for future generations of older adults, as technology is dynamic and continuing to develop at an unprecedented rate. (more…)

Speech-Language Pathology: Specific Therapy Services for Elderly

speech-language pathology
Beneficiaries of the Medicare program have three rehabilitation-related benefits established by federal statute: physical therapy rehabilitation, occupational therapy, and speech-language therapy (speech-language pathology). All therapists, who must be graduates of accredited programs, must pass a national examination and be licensed, certified, or registered in their respective professions within the state in which the services are furnished. Medicare covers services that are necessary and likely to result in improvement in a reasonable period of time. Medicare does not currently regard prevention services provided by therapists as falling under therapy benefits and will not cover services intended to maintain a current level of function. (more…)

Geriatric Rehabilitation: Physical Therapy and Principles of Rehabilitation


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The proportion of elderly at any age without any chronic conditions is small, and disease can trigger a cascade of events resulting in functional deficits and disability. An increase in the number of activities with which an elder has difficulty increases linearly with comorbidity, that is, coexistent medical conditions that further complicate not only the genesis of a functional deficit but also its treatment. For example, rehabilitation for a stroke for an individual who also has painful, degenerative changes in the foot and a low tolerance for stressful activity secondary to angina with exertion would present a particular rehabilitation challenge. Yet, this example encapsulates geriatric rehabilitation specialist’s emphasis on care and function, not cure and disease. (more…)

Elder Maltreatment Risk Factors and Statistics

Elder Maltreatment
Elder maltreatment and abuse of the elderly is found in almost all countries of the world. According to the World Health Organization, elderly abuse is expected to continue to increase, particularly as many countries experience rapidly aging populations. Throughout the world, both elderly men and women are at high risk of abuse, neglect, and exploitation. Although older men are at risk of abuse in about the same proportion as women, elderly women are at higher risk of abuse, neglect, and exploitation in cultures where women are devalued. (more…)

Community-Based Care and Fillial Support: Gerontological Practise

Community-Based Care
To meet the needs of older people most countries have moved toward community-based care as a means of providing adequate and cost-effective care. Community-based care focuses around an integrated and more comprehensive approach to the special needs of older persons, their families, and the community. This type of model involves and requires inter-organizational collaboration and interdisciplinary cooperation. A community-based approach in social services and in health care is a strategic approach to meet the mounting demands for integrated health and social services for the elderly. Community health care usually includes both the health and social services sectors. (more…)

Weight Loss with Calorie Restriction and Exercise

Weight Loss Calorie Restriction
Weight loss improves many of the adverse health outcomes associated with obesity, including preventing or delaying the onset of diabetes, improving blood sugar control in those with diabetes, reducing low-density lipoprotein (bad cholesterol), raising high-density lipoprotein (good cholesterol), improving hypertension, improving symptoms of osteoarthritis, and providing an improved sense of well-being. (more…)

Bradyarrhythmia and Cardiac Pacemaker Therapy in The Elderly

Aging is associated with progressive fibrosis of the sinoatrial node and AV conduction system, resulting in bradycardia, which may be further exacerbated by disease and medications, resulting in symptoms requiring permanent pacemaker implantation. More than 80% of pacemaker recipients in the United States are older than 65 years, and the median age is 75 years. As the population ages, it is anticipated that the number of older persons requiring permanent cardiac pacemakers, as well as the associated costs, will continue to rise. (more…)

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