Meeting the Needs of Older Adults with Serious Illness

Meeting the Needs of Older Adults with Serious Illness

Author: Amy S. Kelley

Publisher: Springer

Published: 2014-09-01

Total Pages: 245

ISBN-13: 1493904078

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Meeting the Needs of Older Adults with Serious Illness: Challenges and Opportunities in the Age of Health Care Reform provides an introduction to the principles of palliative care; describes current models of delivering palliative care across care settings, and examines opportunities in the setting of healthcare policy reform for palliative care to improve outcomes for patients, families and healthcare institutions. The United States is currently facing a crisis in health care marked by unsustainable spending and quality that is poor relative to international benchmarks. Yet this is also a critical time of opportunity. Because of its focus on quality of care, the Affordable Care Act is poised to expand access to palliative care services for the sickest, most vulnerable, and therefore most costly, 5% of patients- a small group who nonetheless drive about 50% of all healthcare spending. Palliative care is specialized medical care for people with serious illnesses. It focuses on providing patients with relief from the symptoms, pain, and stress of a serious illness—whatever the diagnosis or stage of illness. The goal is to improve quality of life for both the patient and the family. Research has demonstrated palliative care’s positive impact on health care value. Patients (and family caregivers) receiving palliative care experience improved quality of life, better symptom management, lower rates of depression and anxiety, and improved survival. Because patient and family needs are met, crises are prevented, thereby directly reducing need for emergency department and hospital use and their associated costs. An epiphenomenon of better quality of care, the lower costs associated with palliative care have been observed in multiple studies. Meeting the Needs of Older Adults with Serious Illness: Challenges and Opportunities in the Age of Health Care Reform, a roadmap for effective policy and program design, brings together expert clinicians, researchers and policy leaders, who tackle key areas where real-world policy options to improve access to quality palliative care could have a substantial role in improving value.


Aging and God

Aging and God

Author: William M Clements

Publisher: Routledge

Published: 2014-03-05

Total Pages: 579

ISBN-13: 1317822838

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This important book examines the relationship between religion and mental health throughout the life cycle, with a special emphasis on later life. It asserts that successful aging is possible regardless of physical health or environmental circumstances, and that religious beliefs and behaviors may facilitate successful aging. Aging and God thoroughly examines the effects of religion and mental health on aging and provides a centralized resource of up-to-date references of research in the field. It focuses on recent findings, theoretical issues, and implications for clinical practice and contains ideas for further research. In Aging and God, you’ll also find information on project design that can help you develop grant applications and carry out studies. Aging and God is a helpful book for both mental health and religious professionals. It helps mental health specialists better understand the spiritual needs of older adults and the impact that religion can have on facilitating mental health. It also describes how religion can be utilized in clinical practice and integrated into psychotherapeutic approaches to older patients. The book brings religious professionals current knowledge of the major psychological problems that older adults face and how religion can be used to help alleviate these problems. Full of pertinent information, Aging and God addresses theoretical aspects of human development, focusing on cognitive, moral, and religious faith development examines situations and disorders of particular concern to older persons and looks at how religion can be used as a resource applies research findings to the problem of meeting the spiritual and mental health needs of elders with chronic or acute health problems provides an in-depth look at end-of-life issues such as physician-assisted suicide Hospital and nursing home chaplains will find this book informative and encouraging, as will gerontologists, hospital administrators, and community clergy faced with increasingly older congregations. It gives mental health professionals new strategies to help improve the later years of older adults, and makes an excellent text for courses on religion, mental health, and aging. Middle-aged and older adults, as well as their families, will also find Aging and God enjoyable and inspiring as they attempt to grapple with the myriad adjustment and coping problems associated with aging.


Group Work and Aging

Group Work and Aging

Author: Roberta K Graziano

Publisher: Routledge

Published: 2013-09-13

Total Pages: 270

ISBN-13: 1135429731

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Get a wealth of information about the theory and practice of social work with older adults, their families, and their caregivers! Although there is a considerable amount of writing on both group work and social work with the elderly, there is surprisingly little about applying this practice method to this specific age group. Group Work and Aging: Issues in Practice, Research, and Education fills this gap by presenting penetrating articles about a mutual aid approach to working with diverse groups of older adults with varied needs. Respected experts and gifted researchers provide case studies, practice examples, and explanation of theory to illustrate this practice method with aging adults, their families, and their caregivers. Group Work and Aging: Issues in Practice, Research, and Education discusses in-depth information on group work with gay and lesbian elders, caregivers, elders with Alzheimer’s disease, service providers, special populations such as Vietnamese and Latino/a elders, and provides information on the use of expressive therapies like art, drama, and dance. Each well-referenced chapter presents high quality, up-to-date social group work practice strategies to prepare practitioners for the needs of the growing population of elderly in the near future. Group Work and Aging: Issues in Practice, Research, and Education discusses: the adaptation of group work practice approaches when working with older group members the use of a Record of Service as an analytical tool in group work with aging lesbians a chronicle of a student’s field placement at a drop-in center for homeless senior citizens the sociocultural reality of the Asian immigrant elderly residential substance abuse treatment for older adults mutual aid groups for older persons with mental illness the relationship between caregiver support groups and the marker framework of family caregiving telephone caregiver support groups group work interventions with elderly parents of adults with severe mental illness a program for the development and implementation of an intergenerational singing group support groups as an effective therapy at end-of-life the use of a mutual aid group with home attendants and much more! Group Work and Aging: Issues in Practice, Research, and Education reveals the latest examples of good group work practice with aging adults and their support systems, perfect for practitioners, educators, and anyone interested in and/or work with older adults.


Families Caring for an Aging America

Families Caring for an Aging America

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2016-12-08

Total Pages: 367

ISBN-13: 0309448069

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Family caregiving affects millions of Americans every day, in all walks of life. At least 17.7 million individuals in the United States are caregivers of an older adult with a health or functional limitation. The nation's family caregivers provide the lion's share of long-term care for our older adult population. They are also central to older adults' access to and receipt of health care and community-based social services. Yet the need to recognize and support caregivers is among the least appreciated challenges facing the aging U.S. population. Families Caring for an Aging America examines the prevalence and nature of family caregiving of older adults and the available evidence on the effectiveness of programs, supports, and other interventions designed to support family caregivers. This report also assesses and recommends policies to address the needs of family caregivers and to minimize the barriers that they encounter in trying to meet the needs of older adults.


Keep Fit for Life

Keep Fit for Life

Author: World Health Organization

Publisher: World Health Organization

Published: 2002-09

Total Pages: 129

ISBN-13: 9241562102

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Given the impact that good nutrition and keeping fit have on health and well-being in later life WHO in collaboration with the Tufts University USDA Human Nutrition Research Center on Aging organized a consultation to review the scientific evidence linking diet and other factors - especially exercise - affecting nutritional status disease prevention and health promotion for older persons. The consultation focused primarily on practical issues including the establishment of explicit recommendations to improve the health and nutritional status of older persons in a wide variety of socioeconomic and cultural settings. During the production of a comprehensive report representing the outcome both of the preparatory work and of the consultation itself it was recognized that new information emerging in several key areas should also be included. The combined results presented here are intended as an authoritative source of information for nutritionists general practitioners gerontologists medical faculties nurses care providers schools of public health and social workers. The specific recommendations concerning nutrient intakes food-based dietary guidelines and exercise and physical activity should also interest a larger audience including the general reader. The main body discusses the epidemiological and social aspects of ageing health and functional changes experienced with ageing the impact of physical activity assessment of the nutritional status of older persons and nutritional guidelines for healthy ageing. Additional material covers food-based dietary guidelines for older adults - with particular emphasis on healthy ageing and prevention of chronic noncommunicable diseases - and guidelines for promoting physical activity among older persons. ...This report is significant representing an authoritative consensus related to the epidemiological and social aspects of ageing health and functional changes experienced with age and the impact of physical activity. This valuable source of information is relevant to a wide range of health professionals; the clear and specific recommendations concerning food/nutrient consumption and physical activity for older adults should also interest a larger audience. - The Journal of the Royal Society for the Promotion of Health ...The book is a timely publication which provides an exhaustive review of studies... This publication will certainly serve as a reference manual for all those involved in nutrition gerontology and geriatrics. - Indian Journal of Medical Research


Living Well at the End of Life

Living Well at the End of Life

Author: Joanne Lynn

Publisher: RAND Corporation

Published: 2003

Total Pages: 32

ISBN-13:

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Self-care deficits and a slowly dwindling course to death, which usually results from frailty or dementia. Effective and reliable care for persons coming to the end of life will require changes in the organization and financing of care to match these trajectories, as well as compassionate and skillful clinicians. (Available from the publisher or libraries holding the journal.).


Meeting the Dietary Needs of Older Adults

Meeting the Dietary Needs of Older Adults

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2016-08-13

Total Pages: 155

ISBN-13: 0309442273

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Older adults are a growing demographic group in the United States, and a range of physical, social, financial, and cultural factors affect their nutritional status. Metabolic and physiologic changes that accompany normal aging modify the nutritional requirements of older adults. An examination of evidence is needed to better understand how nutritional status is associated with aging and risk of mortality or chronic disease among older adults. Underpinning many, if not most, nutritional problems in older adults is socioeconomic status. Therefore, understanding access challenges to healthy food, including geographic, financial, and transportation barriers, also is needed to better understand how to meet the nutritional needs of older adults. On October 28-29, 2015, the Food and Nutrition Board convened a workshop, Meeting the Dietary Needs of Older Adults, in Washington, DC. Participants examined factors in the physical, social, and cultural environment that affect the ability of older adults to meet their daily dietary needs. This report summarizes the presentations and discussions from the workshop.


Retooling for an Aging America

Retooling for an Aging America

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2008-08-27

Total Pages: 316

ISBN-13: 0309131952

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As the first of the nation's 78 million baby boomers begin reaching age 65 in 2011, they will face a health care workforce that is too small and woefully unprepared to meet their specific health needs. Retooling for an Aging America calls for bold initiatives starting immediately to train all health care providers in the basics of geriatric care and to prepare family members and other informal caregivers, who currently receive little or no training in how to tend to their aging loved ones. The book also recommends that Medicare, Medicaid, and other health plans pay higher rates to boost recruitment and retention of geriatric specialists and care aides. Educators and health professional groups can use Retooling for an Aging America to institute or increase formal education and training in geriatrics. Consumer groups can use the book to advocate for improving the care for older adults. Health care professional and occupational groups can use it to improve the quality of health care jobs.


Practical Strategies in Geriatric Mental Health

Practical Strategies in Geriatric Mental Health

Author: Laura B. Dunn, M.D.

Publisher: American Psychiatric Pub

Published: 2019-09-24

Total Pages: 516

ISBN-13: 1615371486

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This book provides practical, up-to-the-minute information and tools for clinicians working with older adults. A roster of expert authors offers the most practical clinical and research insights across the most relevant, frequently encountered diagnostic and treatment problems. Each chapter is organized in a logical, easy-to-follow structure tha


Social Isolation and Loneliness in Older Adults

Social Isolation and Loneliness in Older Adults

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2020-05-14

Total Pages: 317

ISBN-13: 0309671035

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Social isolation and loneliness are serious yet underappreciated public health risks that affect a significant portion of the older adult population. Approximately one-quarter of community-dwelling Americans aged 65 and older are considered to be socially isolated, and a significant proportion of adults in the United States report feeling lonely. People who are 50 years of age or older are more likely to experience many of the risk factors that can cause or exacerbate social isolation or loneliness, such as living alone, the loss of family or friends, chronic illness, and sensory impairments. Over a life course, social isolation and loneliness may be episodic or chronic, depending upon an individual's circumstances and perceptions. A substantial body of evidence demonstrates that social isolation presents a major risk for premature mortality, comparable to other risk factors such as high blood pressure, smoking, or obesity. As older adults are particularly high-volume and high-frequency users of the health care system, there is an opportunity for health care professionals to identify, prevent, and mitigate the adverse health impacts of social isolation and loneliness in older adults. Social Isolation and Loneliness in Older Adults summarizes the evidence base and explores how social isolation and loneliness affect health and quality of life in adults aged 50 and older, particularly among low income, underserved, and vulnerable populations. This report makes recommendations specifically for clinical settings of health care to identify those who suffer the resultant negative health impacts of social isolation and loneliness and target interventions to improve their social conditions. Social Isolation and Loneliness in Older Adults considers clinical tools and methodologies, better education and training for the health care workforce, and dissemination and implementation that will be important for translating research into practice, especially as the evidence base for effective interventions continues to flourish.