The concept of "successful aging" is a contested discourse in gerontology. Two conflicting paradigms dominate the discussion: a health promotion activity model, and a model critical of the concept of successful aging. However, this study takes a different perspective and proposes that perhaps we have been striving for the wrong goal. The true…

Explores the reasons that dementia is poorly understood and managed and suggests ways in which obstacles to optimal management of dementia can be overcome through research and through development of evidence-based services. (Author/JOW)

Notes that, as American population ages and mental health counselors focus services on older adults, the identification, diagnosis, assessment, and treatment of dementia will become valuable clinical skill. Presents nontechnical information regarding dementia, including Alzheimer's disease, multi-infarct dementia, testing, and therapeutic…

Discusses ethical issues surrounding health care for independent elders, those in long-term care, and those with cognitive impairments, as well as death, dying, euthanasia, and assisted suicide. Suggests that nurses should focus on older adults' choice, autonomy, and personal control. (SK)