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Book Review: Functional performance in older adults

Functional Performance in Older Adults is the recently published fourth edition of Bette Bonder and Vanina Dal Bello-Haas’ edited book. As with previous editions, this book provides both an overview of and detailed information on working with older adults, with contributions from a range of authors. However, this edition covers expanded content and offers a more comprehensive picture of aging than previous versions, with the intention of providing occupational therapy students and practitioners alike with a useful resource for supporting older adults. Although this book presents an emphasis on occupational therapy perspectives of practice, it is written with an understanding of the importance of interprofessional practice as well, with a particular focus on physical therapy. This book is structured in four parts, each loosely based on the International Classification of Functioning, Disability and Health (World Health Organization, 2008). In Part I, “Global Health and Aging: Implications for Health and Participation,” a broad, global picture of aging is examined, with discussions on health, theories of aging, and growing older in different parts of the world. In Part II, “Aging: Body Structures and Body Functions,” the focus rests on the aging body, with chapters on “normal” age-related changes and several body systems. A variety of medical conditions are described within this section of the book, as are suggestions about relevant health and medical responses. Because of the breadth of these chapters, details about interventions are minimal within this section. In Part III, “Active Aging: Supporting Client Activities and Participation,” strategies for occupational therapists to support older adults are discussed, with chapters on self-care, leisure, work and retirement, environments, products and technology, driving, community mobility, relationships, spirituality, and learning in later life. A range of theories and interventions is addressed in these chapters, including strategies for working with individuals, families, and communities as well as for supporting broader systemic change. Last, in Part IV, “Service Delivery for the Aging Client,” service delivery is covered, with chapters on community-based services, primary care, home health, rehabilitation, long-term care, and end-oflife care that explore the nuances of occupational therapy practice in different contexts. Although global perspectives are emphasized within this book, with some practice case examples from countries around the world, many practice and context examples come from the United States. If this book is to be used by occupational therapy practitioners or students in Canada, attention must be given to supplementing the information in this book with additional information about the Canadian context. Overall, this book provides a holistic view of aging and the ways in which occupational therapists may support older adults. While some content overlap is expected with large texts of this nature, no glaring contradictions were noted. When taken as whole, this book provides a comprehensive understanding of occupation in later life as well as a practical resource for supporting not only older adults but also their families, their communities, and the societies in which they live.