By Asenath LaRue

It is a privilege to be requested to write down the foreword for thus first-class a publication, so well timed and quite a bit wanted through the sector. not just is it most original nowadays to have a unmarried­ authored quantity on so large a subject, yet Dr. los angeles Rue has performed an outstanding activity of supplying either a scholarly treatise and a pragmatic guide. With a burgeoning aged inhabitants and the corresponding raise in geriatric psychopathology, the wishes of psychological wellbeing and fitness providers are exceeding by means of some distance the availability of applicable services. with a view to meet this desire, psychiatry, medication, neurology, pharmacology, psychology, nursing, and social paintings have all made the availability of educating in geriatrics and gerontology a excessive priority-but I worry we're wasting the race. for instance, multidisciplinary groups that check, diagnose, and deal with psychological overall healthiness problems in aged sufferers are incomplete with out medical psychologists and neuropsy­ chologists, and but there's slightly a handful of medical psychologists educated in facing geriatric sufferers. we will anticipate our hands the extra ones graduated every year. In hospitals, clinics, and personal practices around the kingdom, differently expert psychologists are unprepared to reply to the distinct psychological health and wellbeing wishes of the aged. a couple of CME courses are aiding to handle this want, yet they're sincerely no longer enough.

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A final, humbling, result was that for II % of the clinically demented subjects, there was no evidence on autopsy of Alzheimer-type pathology or other cerebral pathology that might have been the cause of poor performance. This study illustrates that a broad range of neuropathological findings can be 32 CHAPTER 2 observed in older people with normal cognitive performance. How some function well despite having Alzheimer-type brain changes is a question that needs to be explored. Studies of plaque counts may yield variable outcomes because of the use of different histological stains.

The values in this table portray a broad spectrum of psychiatric problems in older patients, but they also demonstrate that cognitive and depressive disorders are especially common. The high frequency of cognitive impairment is in agreement with the larger literature on mental disorders of aging (see Chapters 6 through 12). 2. 0 aGeneral categories of illness are reported because specific diagnostic breakdowns varied from study to study. Zero scores may reflect limitations in measurement instruments.

Population. S. Special Senate Committee on Aging, 1987-1988). However, because of recent immigration and increased life expectancy, a rapid increase in minority elderly is predicted, with nonwhites expected to constitute about 30% of the older population in the 21st century. Health Problems and Medical Care The likelihood of suffering from a chronic or disabling medical condition increases rapidly with age. More than four out of five people over the age of 65 years have at least one chronic medical illness, and many have multiple conditions.

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