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The Real Truth About Aging: A Survival Guide for Older Adults and Caregivers
 
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The Real Truth About Aging: A Survival Guide for Older Adults and Caregivers [Paperback]

Neil Shulman (Author), Michael Silverman (Author), Adam G. Golden (Author)
4.6 out of 5 stars  See all reviews (5 customer reviews)

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Book Description

June 12, 2009
As life expectancy continues to increase, millions of seniors are living well into their eighties and nineties. With the aging of the baby boomers, the population of senior citizens will swell dramatically in the coming decades. These statistics will inevitably draw more attention to the aging process. What should middle-aged people expect as they grow older? What should caregivers of the elderly know about normal aging? How can we all stay healthy despite the limitations of age?

In this authoritative, user-friendly guide, three experts in geriatric medicine provide the latest evidence on: healthy aging, an understanding of the modern and often confusing health care system, and information about the medical issues affecting frail older adults.

They begin with the basic facts of aging, distilling the current research on the underlying molecular mechanisms, organ system changes, and associated disease risks that occur as our bodies get older. They devote separate chapters to preventative medical testing, so-called anti-aging therapies, vitamin and herbal supplements, exercise, and medication problems.

In the next section, they present an overview of the American healthcare system, from making the most of a doctor's visit and an explanation of various healthcare professionals involved in elder care to guidelines for choosing a nursing home or assisted care facility. They also discuss the health risks of a stay in the hospital, including antibiotic-resistant infections, temporary delirium, and bedsores.

In the following section, they tackle the challenges of caring for a frail senior, covering a range of issues from falls, osteoporosis, and infections, to sleep difficulties, depression, and dementia. A chapter is also devoted to the last days of life and how hospice can help.

The authors also provide a section on the need to plan ahead. Among the questions considered are: When should an advance directive be written? How much money will be needed for the elder years? When should a senior give up driving?

At a time when geriatric medicine is becoming a rare specialty and doctors receive little training in this area, the wealth of information compiled in this outstanding volume is invaluable. Senior citizens, their families, and even healthcare professionals will find it to be an unparalleled resource.


Frequently Bought Together

Customers buy this book with Your Body's Red Light Warning Signals, revised edition: Medical Tips That May Save Your Life $7.99

The Real Truth About Aging: A Survival Guide for Older Adults and Caregivers + Your Body's Red Light Warning Signals, revised edition: Medical Tips That May Save Your Life


Editorial Reviews

Review

"..if .you are a senior citizen or have a patient who's getting older, you might want to pick up a copy. The chapters on caring for an aging parents, particularly one that's frail, are worth the price of the book. Having been through that for a mother who died at age 98, I wish I had been able to read this book during a long care giving period." -- Bookviews, September 2009 "Comprehensive and well-written, The Real Truth About Aging distills the basic facts, based on current research, into a language everyone can understand. Senior citizens, their families, and even healthcare professionals will find it to be an unparalleled resource." -- SirReadaLot.org, Issue 124, August 2009

About the Author

Neil Shulman, M.D. (Decatur, GA), is associate professor of medicine at Emory University School of Medicine. Among his many responsibilities, he was medical director of a nursing home for over 23 years. Dr. Shulman has published 21 books, including Your Body, Your Health (with Rowena Sobczyk, MD), Heallthy Transitions (with Edmund S. Kim, MD), and Your Body's Red Light Warning Signals (now in its ninth printing). He is also the author or coauthor of over 100 scientific papers.

Michael Silverman, MD, MPH (Miami Beach, FL), is the president of the Florida Geriatrics society and a voluntary professor of clinical medicine at the University of Miami Miller School of Medicine. He is the medical director of the Miami Jewish Home and Hospital for the Aged.

Adam G. Golden, MD, MBA (Miami Beach, FL), is an Investigator in the Miami Geriatric Research, Education, and Clinical Center (GRECC) and an assistant professor of clinical medicine at the University of Miami Miller School of Medicine.


Product Details

  • Paperback: 368 pages
  • Publisher: Prometheus Books; 1 edition (June 12, 2009)
  • Language: English
  • ISBN-10: 1591027195
  • ISBN-13: 978-1591027195
  • Product Dimensions: 8.9 x 6.1 x 0.9 inches
  • Shipping Weight: 1.2 pounds (View shipping rates and policies)
  • Average Customer Review: 4.6 out of 5 stars  See all reviews (5 customer reviews)
  • Amazon Best Sellers Rank: #1,254,660 in Books (See Top 100 in Books)

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6 of 6 people found the following review helpful:
5.0 out of 5 stars What it's really going to be like, June 27, 2010
This review is from: The Real Truth About Aging: A Survival Guide for Older Adults and Caregivers (Paperback)
I read one of these books every five years or so just to keep up on the latest. This really is the nitty-gritty on the very vexing subject of aging (but "consider the alternative" *). Doctors Shulman, Silverman, and Golden remove our rose colored glasses and reveal the real world process that is known as "growing old" in depressing detail, leading to the well known conclusion that aging is not for the faint of heart.

They go from the troubles, trials and tribulations of the relatively young old to the senescence of the old old and tell us what we can and cannot do to rage against the dying of the light. They are guiding not just the elderly but those who are responsible for the elderly--physicians, caretakers, family and friends. They point out scams and false hopes while making it clear which medicines and procedures are likely to help and which will not. They are more candid than most people who write books on aging. They make the reader smell the urine in the nursing homes and feel the aching of the frail bones and see the curved spines and the sunken cheeks, and most of all they make vivid and immediate the hopelessness and depression that so many people experience near the end of their lives. And they offer some ways of alleviating the suffering.

After reading this book you'll have a good idea about what to expect if you develop any of the complaints of old age and what it will be like to be hospitalized or in a nursing home or other care facility. On the actual experience of aging vis-à-vis the medical establishment, the authors are thorough while serving up no pie in the sky and, to be blunt, very little fattening pie on the plate either. They discuss costs and how much of those costs Medicare and Medicaid can be expected to cover. They discuss various drugs and their effectiveness while giving the reader some idea of what it's like for both doctor and patient to juggle four or five medicines for several different ailments and why there is no magic pill.

There is a sense of the political correct to their views. They tell the truth (as I know it anyway) about vitamins, supplements, alternative medicine, exercise etc. They represent the establishment view which is an important reason for reading this book even if you are of an alternative persuasion. In short this is NOT a feel good, uplifting, inspiration volume likely to make it to the bestseller list. Instead this is a candid report on the state of the art in geriatrics from a professional and experiential point of view.

To be honest I found it a bit depressing. Bedpans, dementia, bedsores, weakened bones, compromised immune systems, pain and suffering: these are the horsemen of the apocalypse that await us one and all. And so in reading this I am re-inspired to exercise regularly, eat properly, and to avoid any sort of compromise to my health.

The book is in four parts: Part 1: "Fighting the Aging Clock," which covers understanding what it means to grow old and why it happens, and what preventive measures are likely to achieve; Part 2: "The Twenty-First Century Healthcare System," (what to expect from the medical and care-giving establishment); Part 3 :"Caring for the Frail Senior" (everything you really would like to avoid experiencing); and finally Part 4: "Planning Ahead before It's Too Late" which covers such issues as expenses, last wills and testaments, when should you give up driving, whether to travel for pleasure, preparations for hurricanes and other natural disasters, and finally the dying process itself. I have some familiarity with this experience having watched my mother and wife go through it. Watching helplessly while a loved one dies is also not for the faint of heart.

This terrible fact of life, of decline, disability and death is made real in this book in a way that most publishers dare not. Prometheus Books and the very learned authors are to be commended for telling it like it is and sparing us the syrupy anodynes.

*The authors give credit to Maurice Chevalier (1888-1972) for this witticism. Of course it was first uttered in the prehistory. (Yes, I was there and heard it.)


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4 of 4 people found the following review helpful:
5.0 out of 5 stars Dr. Amy Okpaku, Miami, FL, July 8, 2009
This review is from: The Real Truth About Aging: A Survival Guide for Older Adults and Caregivers (Paperback)
Finally a book that I can recommend to patients and family members. The title says it all....this book gives a balanced view of what people have to look foward to and what they need to prepare for. It is very readable and well organized. A must for both baby boomers and anyone taking care of elderly parents.
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1 of 1 people found the following review helpful:
5.0 out of 5 stars Teaches how to navigate the healthcare system, November 12, 2009
This review is from: The Real Truth About Aging: A Survival Guide for Older Adults and Caregivers (Paperback)
THE REAL TRUTH ABOUT AGING; A SURVIVAL GUIDE FOR OLDER ADULTS AND CAREGIVERS teaches how to navigate the healthcare system, learning what new approaches and research affect quality of life, how to understand the latest research results, and how to prevent common injuries that affect one's life. From basic facts on the aging process to chapters on preventative medical testing, this is an essential acquisition.
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