Resilience in Aging

1. Front Matter

   Pages i-xx

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2. Resilience: Definitions, Ambiguities, and Applications

   • Rebecca S. Allen, Philip P. Haley, Grant M. Harris, Stevie N. Fowler, Roopwinder Pruthi

   Pages 1-13

3. Successful Aging and Resilience: Applications for Public Health and Health Care

   • Angela K. Hochhalter, Matthew Lee Smith, Marcia G. Ory

   Pages 15-29

4. Resilience and Personality Disorders in Older Age

   • Erlene Rosowsky

   Pages 31-50

5. What Do We Know About Resilience in Older Adults? An Exploration of Some Facts, Factors, and Facets

   • Phillip G. Clark, Patricia M. Burbank, Geoffrey Greene, Norma Owens, Deborah Riebe

   Pages 51-66

6. Psychological Resilience

   • Michelle E. Mlinac, Tom H. Sheeran, Bryan Blissmer, Faith Lees, Diane Martins

   Pages 67-87

7. Physiological Resilience

   • Gregory Hicks, Ram R. Miller

   Pages 89-103

8. Using the Arts to Promote Resiliency Among Persons with Dementia and Their Caregivers

   • Robert E. Roush, Michelle Braun, Anne Davis Basting, Jerald Winakur, Francesca Rosenberg, Susan H. McFadden

   Pages 105-120

9. Promoting Worker Resilience Over the Lifecourse

   • Christopher McLoughlin, Philip Taylor, Philip Bohle

   Pages 121-132

10. Resilience in Aging: Cultural and Ethnic Perspectives

    • Darlene Yee-Melichar

    Pages 133-146

11. Civic Engagement: Policies and Programs to Support a Resilient Aging Society

    • Nancy Morrow-Howell, Greg O’Neill, Jennifer C. Greenfield

    Pages 147-162

12. Strengthened by the Spirit: Religion, Spirituality, and Resilience Through Adulthood and Aging

    • Carol Ann Faigin, Kenneth I. Pargament

    Pages 163-180

13. Resilience in Chronic Illness

    • Ranak B. Trivedi, Hayden B. Bosworth, George L. Jackson

    Pages 181-197

14. The Relationship Between Resilience and Motivation

    • Barbara Resnick

    Pages 199-215

15. The Association Between Resilience and Survival Among Chinese Elderly

    • Ke Shen, Yi Zeng

    Pages 217-229

16. Fostering Resilience in Dementia Through Narratives: Contributions of Multimedia Technologies

    • Barbara Purves, Marie Y. Savundranayagam, Elizabeth Kelson, Arlene Astell, Alison Phinney

    Pages 231-243

17. Building Resilience in Mild Cognitive Impairment and Early-Stage Dementia: Innovative Approaches to Intervention and Outcome Evaluation

    • Linda Clare, Glynda J. Kinsella, Rebecca Logsdon, Carol Whitlatch, Steven H. Zarit

    Pages 245-259

18. African American Caregivers Finding Resilience Through Faith

    • Joseph G. Pickard, M. Denise King

    Pages 261-271

19. The Age-Friendly New York City Project: An Environmental Intervention to Increase Aging Resilience

    • Julie Netherland, Ruth Finkelstein, Paula Gardner

    Pages 273-287

20. Promoting Resilience in Small-Scale, Homelike Residential Care Settings for Older People with Dementia: Experiences from the Netherlands and the United States

    • Hilde Verbeek, Rosalie A. Kane, Erik van Rossum, Jan P. H. Hamers

    Pages 289-304

The many significant technological and medical advances of the 21^st century cannot overcome the escalating risk posed to older adults by such stressors as pain, weakness, fatigue, depression, anxiety, memory and other cognitive deficits, hearing loss, visual impairment, isolation, marginalization, and physical and mental illness. In order to overcome these and other challenges, and to maintain as high a quality of life as possible, older adults and the professionals who treat them need to promote and develop the capacity for resilience, which is innate in all of us to some degree. The purpose of this book is to provide the current scientific theory, clinical guidelines, and real-world interventions with regard to resilience as a clinical tool. To that end, the book addresses such issues as concepts and operationalization of resilience; relevance of resilience to successful aging; impact of personality and genetics on resilience; relationship between resilience and motivation; relationship between resilience and survival; promoting resilience in long-term care; and the lifespan approach to resilience.

By addressing ways in which the hypothetical and theoretical concepts of resilience can be applied in geriatric practice, Resilience in Aging provides inroads to the current knowledge and practice of resilience from the perspectives of physiology, psychology, culture, creativity, and economics. In addition, the book considers the impact of resilience on critical aspects of life for older adults such as policy issues (e.g., nursing home policies, Medicare guidelines), health and wellness, motivation, spirituality, and survival. Following these discussions, the book focuses on interventions that increase resilience. The intervention chapters include case studies and are intended to be useful at the clinical level. The book concludes with a discussion of future directions in optimizing resilience in the elderly and the importance of a lifespan approach to aging.

• Aging
• Aging and religion
• Aging and spirituality
• Cognitive impairment
• Creative resilience
• Economic resilience
• Emotional resilience
• Lifespan
• Medicaid
• Medicare
• Older adults
• Physiological resilience
• Psychological resilience
• Quality of life
• Resilience
• Successful aging

From the reviews:

“Provide a wealth of information regarding emerging trends in the area of resilience and aging as well as important insights regarding areas of need for future research. … offer a broad range of material for researchers and other professionals who want to keep abreast of emerging developments in the area of resilience and aging as well as those interested in enhancing their breadth of knowledge regarding the topic.” (Molly M. Perkins, The Gerontologist, Vol. 54 (1), 2014)

“Provides an interesting account of resilience–an important concept with respect to understanding the outcomes of human aging. … Resilience in Aging: Concepts, Research, and Outcomes represents a unique account of the multiple aspects of resilience as they relate to the aging process. … it offers readers ample opportunity to form their own views of this term and of how it may apply to them personally. As such, the book is a valuable addition to the literature on resilience in aging.” (Ross Andel, Journal of the American Medical Association, May, 2011)

“This multiauthored book explores the concept of resilience in old age. … The audience is primarily gerontologists. … This book is timely. It has a thorough discussion of many aspects of the developing concept of resiliency in old age. … Even if the notions of resiliency evolve and change somewhat with time, this seems to be a significant idea in contemporary gerontology, making this book well worth reading.” (David O. Staats, Doody’s Review Service, January, 2010)

"Resilience is a topic in the aging literature that has for the most part been overlooked, as it has been discussed mainly in relationship to child and young adult development. Resilience is also a difficult theoretical construct to define, measure, and apply, which can limit its scientific use. Yet, geriatric practitioners everyday see clinical evidence of the resilience process , as they work with older adults, who are dealing with chronic physical health care problems, dementia, loss of meaningful relationships, and changes in activities of daily living. This book is the first collective comprehensive effort to apply the concept of resilience to older adults and such a scientific endeavor is long overdue. It examines resilience from theoretical, physiological, emotional, psychological, social, spiritual, and cultural perspectives in a variety of different contexts, and examines interventions to support and nurture resilience in older adults. It reminds us that the resilience of the human spirit, the human capacity to adapt and survive in the face of adversity, is possible at any age." (Phyllis Braudy Harris, Ph.D., Professor & Chair, Department of Sociology, and Director of the Aging Studies Program, John Carroll University; Co-editor Dementia: The International Journal of Social Research & Practice)

• University of Maryland School of Nursing, Baltimore, USA

  Barbara Resnick

• Center for the Study of Aging and Human, Duke University, Durham, USA

  Lisa P. Gwyther

• Virginia Polytechnic Institute and State, Center for Gerontology, Blacksburg, USA

  Karen A. Roberto

Barbara Resnick, PhD, CRNP, FAAN, FAANP is a Professor in the Department of Organizational Systems and Adult Health at the University of Maryland School of Nursing, holds the Sonya Ziporkin Gershowitz Chair in Gerontology at the School of Nursing, and does clinical work at Roland Park Place, a Lifecare community. Dr. Resnick holds a BSN from the University of Connecticut, an MSN from the University of Pennsylvania, and a PhD from the University of Maryland. Research interests and expertise focus on: health promotion and disease prevention; outcomes following rehabilitation, functional performance, motivation related to function and exercise, testing outcomes of restorative care nursing programs and other innovative long-term care projects, and dissemination and implementation of innovative approaches to health care across a variety of clinical settings. Dr. Resnick has over 150 published articles, numerous chapters in nursing and medical textbooks, and books on Restorative Care and Assisted Living Nursing. She has also presented on these topics nationally and internationally. Dr. Resnick's professional activities include membership in numerous nursing and interdisciplinary organizations and she has served as a board member in many of these organizations and serves on many editorial boards, is the editor of a journal, Geriatric Nursing, and serves on boards of organizations focused on care of the older adult. Dr. Resnick has been recognized through receipt of numerous awards such as the University of Connecticut Researcher of the Year Award, 2001, University of Pennsylvania 2003 Award for Clinical Excellence, the 2003 Founders Week Researcher award at the University of Maryland, 2004 Distinguished Scholar Award from University of Connecticut, 2004 Springer Geriatric Nursing Research Award, the Doris Schwartz award in 2008, and the 2009 Nurse Leader in Gerontology award among others. Dr. Resnick’s clinical practice involves providing primary medical management to older adults in a variety of settings, and she bases her work on over 35 years of experience in providing care to older adults. Karen A. Roberto, PhD is Professor and Director of the Center for Gerontology and the Institute for Society, Culture and Environment at Virginia Polytechnic Institute and State University, Blacksburg, Virginia. Her research examines the intersection of health and social support in later life. Her primary interests include older women's adaptation to chronic health conditions, family relationships and caregiving, and elder abuse and mistreatment. She is the author of over 140 scholarly articles and book chapters and the editor or author of 8 books, including Pathways of Human Development: Explorations of Change (with J. Mancini, 2009). Dr. Roberto is past-chair of the Behavioral and Social Sciences section of the Gerontological Society of America. She is a fellow of the Association for Gerontology in Higher Education, the Gerontological Society of America, the National Council on Family Relations, and the World Demographic Association. Dr. Roberto is a recipient of the Gordon Streib Academic Gerontologist Award from the Southern Gerontological Society and the Virginia Tech University Alumni Award for Excellence in Research. Lisa P. Gwyther, MSW, LCSW is a social worker with more than 38 years of experience in aging, Alzheimer’s disease and family caregiver research and services. She is an associate professor in the Department of Psychiatry and Behavioral Sciences at the Duke University School of Medicine, a senior fellow of the Duke Center for the Study of Aging, founder and director of the Duke Aging Center Family Support Program, and education director of the Bryan Alzheimer's Disease Research Center at Duke. She was the 2008 president of the Gerontological Society of America. Her annual meeting theme, "Resilience in an Aging Society: Risks and Opportunities" was the genesis for this book. Ms. Gwyther was the first John Heinz Senate Fellow in Aging and Health in 1993. She served as a member of the health staff of former Senate Majority Leader, George J. Mitchell. In May 2003, she was inducted into the National Academies of Practice as a Distinguished Practitioner in Social Work. Ms. Gwyther has published over 114 peer-reviewed journal articles, book chapters and books, the latest of which, The Alzheimer's Action Plan: A Family Guide(2009) won two consumer health awards and a coveted star rating from the Library Journal.

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