Aging and Chronic Disorders
What impact does chronic disease have on aging, and what can we do about it? Aging and Chronic Disorders brings the most up-to-date answers into clear, readable focus. Focusing on the most prevalent conditions affecting older adults (diabetes, cardiovascu
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Aging and Chronic Disorders
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Stephen J. Morewitz Mark L. Goldstein
Aging and Chronic Disorders
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Stephen J. Morewitz, PhD Stephen J. Morewitz, PhD & Associates Buffalo Grove, IL 60089 USA [email protected]
Mark L. Goldstein, PhD Northbrook, IL 60062 USA [email protected]
Library of Congress Control Number: 2007922445
ISBN-10: 0-387-70856-1 ISBN-13: 978-0-387-70856-0
e-ISBN-10: 0-387-70857-X e-ISBN-13: 978-0-387-70857-7
Printed on acid-free paper. © 2007 Springer Science + Business Media, LLC All rights reserved. This work may not be translated or copied in whole or in part without the written permission of the publisher (Springer Science + Business Media, LLC, 233 Spring Street, New York, NY 10013, USA), except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed is forbidden. The use in this publication of trade names, trademarks, service marks and similar terms, even if they are not identified as such, is not to be taken as an expression of opinion as to whether or not they are subject to proprietary rights. 9 8 7 6 5 4 3 2 1 springer.com
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This book is dedicated to Dad and Lora, Sharone, Lisa, Ashley, and Jonathan
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Preface
Five of the six leading causes of death among older Americans in 2004 were chronic diseases, such as cardiovascular disease, cancer, cerebrovascular disease (stroke), chronic pulmonary disease, and diabetes mellitus. All of these diseases negatively affect quality of life, contributing to reduced functioning and the increased eventuality of having to move to a nursing home or retirement community. The increased birth rate after World War II and the significant increase in life expectancy since the early twentieth century have resulted in an increased prevalence of disabling and costly chronic diseases. There are many questions still to be addressed in the fields of aging and chronic disease. What are the risk factors associated with the increased prevalence of chronic diseases in older populations? What are the major complications that contribute to disability and increased health care utilization and costs? What impact do chronic diseases have on disability and quality of life? What are the most effective treatments and rehabilitation programs? What steps can be taken to avoid overuse and/or misuse of drugs? How can patient education and self-management activities be improved to help these patients and their caregivers better understand and cope with their conditions? How can caregiver burden be reduced? This book addresses these questions by focusing on how major chronic disorders, such as diabetes, arthritis, cardiovascular disease, and cancer, affect health care utilization, costs, coping, disability, an
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