According to the US Census Bureau, the US population aged 65+ years is expected to nearly double over the next 30 years, from 43.1 million in 2012 to an estimated 83.7 million in 2050. These demographic advances, however extraordinary, have left our health systems behind as they struggle to reliably provide evidence-based practice to every older adult at every care interaction. Age-Friendly Health Systems is an initiative of The John A. Hartford Foundation and the Institute for Healthcare Improvement (IHI), in partnership with the American Hospital Association (AHA) and the Catholic Health Association of the United States (CHA), designed Age-Friendly Health Systems to meet this challenge head on. Age-Friendly Health Systems aim to: Follow an essential set of evidence-based practices; Cause no harm; and Align with What Matters to the older adult and their family caregivers.
This comprehensive volume examines the gradual reduction of mobility in the elderly. The authors first review the physiological and psychological changes that occur as we age, and go on to illustrate how this gradual decrease in adequate mobility can lead to an increase in automotive accidents. They also review the limitations that mass transportation systems and driving individual vehicles present for the elderly, and discuss different assistive devices that have been and should be implemented to help improve mobility. Each chapter ends with insightful commentaries by specialists in the gerontology field. This book is a must read for gerontologists as well as policy makers and educators on courses in organizational structures of social policy.
Outdoor mobility in old age is a complex phenomenon. On the one hand, it is a basic human need and means the physical ability to move. On the other, it means the realization of all types of trips out-of-doors, either by foot or by means of transportation. In addition, societal and individual necessities, modern values and economic interests mutually reinforcing each other have resulted in mobility as an ever more important precondition of ensuring the ability to lead an autonomous life and participate actively in society according to one's individual needs. Mobility also promotes healthy ageing, delays the onset of disabilities, and postpones frailty, thereby contributing to subjective well-being and life satisfaction. With advancing age, however, maintaining mobility may become jeopardized because of the increasing risk of physical and sensory impairments. This book includes information on older people's actual out-of-home mobility, on the transportation tools used, the prevalence of typical problems associated with out-of-home mobility, the impact of health, social networks, the home and neighbourhood environments, and psychological aspects on their mobility and activities, differences between urban and non-urban areas, and age and gender differences. In addition, a new model of mobility is suggested and the relation between mobility and quality of life is analysed. The book concludes with implications for social and transport policies, urban planning, and industrial pursuits for meeting the mobility needs of ageing adults.
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.
The guide is aimed primarily at urban planners, but older citizens can use it to monitor progress towards more age-friendly cities. At its heart is a checklist of age-friendly features. For example, an age-friendly city has sufficient public benches that are well-situated, well-maintained and safe, as well as sufficient public toilets that are clean, secure, accessible by people with disabilities and well-indicated. Other key features of an age-friendly city include: well-maintained and well-lit sidewalks; public buildings that are fully accessible to people with disabilities; city bus drivers who wait until older people are seated before starting off and priority seating on buses; enough reserved parking spots for people with disabilities; housing integrated in the community that accommodates changing needs and abilities as people grow older; friendly, personalized service and information instead of automated answering services; easy-to-read written information in plain language; public and commercial services and stores in neighbourhoods close to where people live, rather than concentrated outside the city; and a civic culture that respects and includes older persons.
Does a longer life mean a healthier life? The number of adults over 65 in the United States is growing, but many may not be aware that they are at greater risk from foodborne diseases and their nutritional needs change as they age. The IOM's Food Forum held a workshop October 29-30, 2009, to discuss food safety and nutrition concerns for older adults.
This report on the mobility needs and safety problems of ageing populations dispels many of the myths and misperceptions commonly held regarding elderly road users, and offers policy and research recommendations to provide for their safe, lifelong mobility.
The age-friendly community movement is a global phenomenon, currently growing with the support of the WHO and multiple international and national organizations in the field of aging. Drawing on an extensive collection of international case studies, this volume provides an introduction to the movement. The contributors – both researchers and practitioners – touch on a number of current tensions and issues in the movement and offer a wide-ranging set of recommendations for advancing age-friendly community development. The book concludes with a call for a radical transformation of a medical and lifestyle model of aging into a relational model of health and social/individual wellbeing.
The Task Force was established under the NSTC Committee on Technology to examine the potential of technology to maximize the independence of aging Americans by increasing opportunities for social engagement and connectivity as well as reducing the impact of any cognitive and physical limitations.This report identifies a range of emerging technologies that have significant potential to assist older adults with successfully aging in place, each categorized by their role in supporting a set of primary capabilities. It identifies a number of focus areas that could support each capability and provides recommendations for research and development (R&D) that are required to develop key technology solutions over the coming decade. Cross-cutting topics that affect multiple capabilities are also discussed. These recommendations are offered as a guide for both public and private sector R&D. The overall goal is to improve the quality of life, enhance individual choice, reduce the financial and emotional burden of care to individuals and families, and reduce the burden of providing care on the American healthcare infrastructure.
This book contains a collection of studies that have been conducted among older residents in Singapore. Different methods, from surveys to crowd sourcing, have been used to investigate the older adults’ lived experiences and social participation in the residential environment. The findings reveal that older residents interact with the built environment in ways that reflect their changing capabilities and lifestyles. Since the built environment – where we live and go – can have an important impact on our daily lives, especially among older people, understanding these experiences and perceived needs is important to help older individuals age within their community.
