Challenges In Long Term Geriatric And Palliative Care

Author : Jochanan E. Naschitz
Publisher : Nova Science Publishers
Page : 288 pages
File Size : 54,8 Mb
Release : 2020-08-26
Category : Older people
ISBN : 1536184381

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Challenges in Long-Term Geriatric and Palliative Care: Topics, Pictures, Case Histories by Jochanan E. Naschitz Pdf

Practice guidelines for management of conditions prevalent in long-term geriatric care are based, by and large, on expert consensus and rarely on controlled studies. Though enforced by tradition, some of the rules often applied in clinical practice fall short of scientific foundation. In lacking high-grade scientific evidence, geriatric practice might benefit from an 'evidence-balanced' approach. A step forward in this direction is by corroboration of observational data. In this book, we brought our share of observational data, input from our experience in geriatric care, to be merged with the profession's collective information base. Seventy-five case histories illustrate a variety of conditions met at the bedside, some of them challenging the clinician's expertise and judgement. We hope that illustrating clinical practice in the real-world might be a suitable addition for physicians.

Author : JEAN. HASELTINE GALIANA (WILLIAM.),William A. Haseltine
Publisher : Springer
Page : 218 pages
File Size : 45,9 Mb
Release : 2019-01-01
Category : Geriatric nursing
ISBN : 9789811321641

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Aging Well by JEAN. HASELTINE GALIANA (WILLIAM.),William A. Haseltine Pdf

"This open access book outlines the challenges of supporting the health and wellbeing of older adults around the world and offers examples of solutions designed by stakeholders, healthcare providers, and public, private and nonprofit organizations in the United States. The solutions presented address challenges including: providing person-centered long-term care, making palliative care accessible in all healthcare settings and the home, enabling aging-in-place, financing long-term care, improving care coordination and access to care, delivering hospital-level and emergency care in the home and retirement community settings, merging health and social care, supporting people living with dementia and their caregivers, creating communities and employment opportunities that are accessible and welcoming to those of all ages and abilities, and combating the stigma of aging. The innovative programs of support and care in Aging Well serve as models of excellence that, when put into action, move health spending toward a sustainable path and greatly contribute to the well-being of older adults."--Provided by publisher.

Author : Amy S. Kelley,Diane E. Meier
Publisher : Springer
Page : 245 pages
File Size : 40,8 Mb
Release : 2014-09-01
Category : Medical
ISBN : 9781493904075

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Meeting the Needs of Older Adults with Serious Illness by Amy S. Kelley,Diane E. Meier Pdf

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.

Author : Eleanor Sawyer,Marion Stephenson
Publisher : CHA Press = Presses de l'ACS
Page : 494 pages
File Size : 55,8 Mb
Release : 1995
Category : Medical
ISBN : PSU:000025781472

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Continuing the Care by Eleanor Sawyer,Marion Stephenson Pdf

Author : Jeanne Samson Katz,Sheila M. Peace
Publisher : OUP Oxford
Page : 216 pages
File Size : 55,7 Mb
Release : 2003-04-03
Category : Medical
ISBN : 9780191587276

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End of Life in Care Homes by Jeanne Samson Katz,Sheila M. Peace Pdf

In our society, the overwhelming majority of people die in later life. They typically die slowly of chronic diseases, with multiple co-existing problems over long periods of time. They spend the majority of their final years at home, but many will die in hospitals or care homes. This book explores the possibilities for improving the care of older people dying in residential care and nursing homes. It argues that there are aspects of palliative care that, given the right circumstances, are transferable to dying people in settings that are not domestic or hospice based. End of Life in Care Homes describes what happens in nursing and residential care homes when a resident is dying, how carers cope, and the practical, health and emotional challenges that carers face on top of their day-to-day work. Based on detailed research from both the UK and US, the book shows how the situation can be improved.

Author : Angela Georgia Catic
Publisher : Springer
Page : 172 pages
File Size : 41,9 Mb
Release : 2017-01-31
Category : Medical
ISBN : 9783319440842

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Ethical Considerations and Challenges in Geriatrics by Angela Georgia Catic Pdf

This book is designed to present an overview of common geriatrics ethical issues that arise during patient care and research activities. Each chapter includes a case example and practical learning pearls that are useful in day-to-day patient care. Coverage includes a brief overview of geriatric epidemiology, highlighting the high rates of dementia, use of surrogate decisions makers at the end-of-life, relocation from home to long-term care facilities, and low health literacy in the geriatrics population. Sections are devoted to issues around capacity, surrogate decision making, end-of-life care, hemodialysis in the elderly, and futility as well as challenges presented by independence questions, such as dementia care, driving, feeding, and intimacy in nursing homes. The text also addresses questions around recognizing, reporting, and treating elder abuse and self-neglect, ethics related to research and technology in the geriatric population, and the use of e-mail, Facebook, and open notes. Written by experts in the field, Ethical Considerations and Challenges in Geriatrics is a valuable tool for trainees at a variety of levels including medical students, residents, and fellows. In addition, it provides practical guidance and a useful reference for practicing geriatricians, primary care physicians, geriatric nurses, social workers, nursing home workers, hospice care employees, and all medical health professionals working with the elderly.

Author : Edward T. Zawada Jr.
Publisher : BoD – Books on Demand
Page : 120 pages
File Size : 42,7 Mb
Release : 2016-10-12
Category : Medical
ISBN : 9789535126645

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Challenges in Elder Care by Edward T. Zawada Jr. Pdf

This work is intended as a brief but focused compilation to assist with diagnosis and management of the most common serious medical problems in the rapidly growing geriatric population. The geriatric population recently expanded by the fact that the baby boomers have reached the milestone of 65 years of age in the past 5 years. Tips for diagnosis, medication administration, and logistics of cost-effective management in the health-care continuum are presented in this book. The latter often consists of a journey from home to medical office to emergency room to hospital bed to intensive care unit to long-term acute care hospital to skilled nursing facility to long-term residential facility and/or back home, which is also reviewed in the book Geriatrics.

Author : Suzanne Goldhirsch
Publisher : Oxford University Press
Page : 624 pages
File Size : 52,6 Mb
Release : 2014-03-21
Category : Medical
ISBN : 9780199874897

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Geriatric Palliative Care by Suzanne Goldhirsch Pdf

The growing geriatric population in the United States has created an increasing need for palliative medicine services across the range of medical and surgical specialties. Yet, palliative medicine lacks the resources to carry such a workload itself. Geriatric Palliative Care addresses this need by encouraging individual specialties to "own" the management of elderly with the same vigor as they "own" other key management competencies within their specialty. This clinically focused and highly practical handbook, which compliments the more comprehensive text Geriatric Palliative Care by Sean Morrison and Diane Meier (Oxford University Press, 2003), encourages this process of learning and ownership across many medical specialties. Designed to be readable and easily accessible to a range of health care providers, Geriatric Palliative Care outlines specific strategies for caring for specific palliative care issues common in elderly patients. The handbook also provides evidence based advice for helping patients, relatives, and staff cope with such issues as polypharmacy, dementia and consent, multiple pathologies, home care, elderly caregivers, and supporting the elderly in the place where they would like to be.

Author : Miguel A. Paniagua
Publisher : Elsevier Health Sciences
Page : 240 pages
File Size : 49,7 Mb
Release : 2011-07-22
Category : Medical
ISBN : 9781455712458

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Update in the Medical Management of the Long Term Care Patient, An Issue of Clinics in Geriatric Medicine - E-Book by Miguel A. Paniagua Pdf

This issue brings the geriatrician up to date on topics in Longer-Term-Care such as: Doing Dementia Better: Anthropological Insights, Update on teaching in the Long-Term Care Setting, Pneumonia in the Long-Term Resident, Palliative Care for Patients with Dementia in Long Term Care, Urinary Tract Infections in Long-Term Care Residents, and Nausea and Other Non-Pain Symptoms in Long-term Care.

Author : Lieve Van Den Block
Publisher : Oxford University Press, USA
Page : 323 pages
File Size : 47,8 Mb
Release : 2015
Category : Hospice care
ISBN : 9780198717614

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Palliative Care for Older People by Lieve Van Den Block Pdf

The ageing of society is becoming a major public health issue, posing challenges to social and health care structures in many countries. This book demonstrates the added value of palliative care which, although traditionally focused on cancer and the very end of life, can play a role in strengthening and complementing the care of older people. The book outlines the current state of worldwide policy work, research, and innovations in the field of public health and palliative care for older people and concludes with recommendations for policy and decision makers, at international and national level.

Author : Mercedes Bern-Klug
Publisher : Columbia University Press
Page : 377 pages
File Size : 51,9 Mb
Release : 2010-02-12
Category : Social Science
ISBN : 9780231507073

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Transforming Palliative Care in Nursing Homes by Mercedes Bern-Klug Pdf

The teacher and gerontological social work scholar Mercedes Bern-Klug joins experts on nursing, law, medicine, sociology, and social work to provide a thorough understanding of nursing home palliative care. Their broad definition of palliative care treats comfort care as appropriate across the illness experience, not just at the end of life. Because a majority of nursing home residents are older adults facing multiple, advanced chronic conditions, this book is grounded in the provision of palliative care-especially palliative psychosocial care. Yet its practice recommendations can also be applied to other long-term care settings, such as assisted living. The contributors combine scholarship with practical wisdom in each chapter, mixing reviews of scholarly literature with insights gleaned from clinical practice. Chapter topics comply with the eight domains of palliative care developed by the National Consensus Project for Quality Palliative Care. Some focus on care of the resident, while others concern the resident's family. A special section addresses self-care for nursing home staff members, and another discusses nursing home rituals to mark the death of a resident. Bern-Klug concludes with an overview of the factors that will shape the future of palliative care for advanced chronic illness.

Author : Institute of Medicine,Board on Health Care Services,Committee on the Future Health Care Workforce for Older Americans
Publisher : National Academies Press
Page : 317 pages
File Size : 47,8 Mb
Release : 2008-09-27
Category : Medical
ISBN : 9780309115872

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Retooling for an Aging America by Institute of Medicine,Board on Health Care Services,Committee on the Future Health Care Workforce for Older Americans Pdf

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.

Author : Rolfe Sean Morrison,Diane E. Meier,Carol Capello
Publisher : Medicine
Page : 461 pages
File Size : 54,8 Mb
Release : 2003
Category : Medical
ISBN : 9780195141917

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Geriatric Palliative Care by Rolfe Sean Morrison,Diane E. Meier,Carol Capello Pdf

Geriatric Palliative Care covers a broad spectrum of issues characterizing care for older adults living with complex and serious illness. Beginning with the social and cultural context of old age and frailty, this volume details specific aspects of palliative care relevant to particular disorders, individual symptoms, communication skills, and health systems.

Author : Institute of Medicine,Division of Health Care Services,Committee on Improving Quality in Long-Term Care
Publisher : National Academies Press
Page : 344 pages
File Size : 40,6 Mb
Release : 2001-02-27
Category : Medical
ISBN : 9780309132749

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Improving the Quality of Long-Term Care by Institute of Medicine,Division of Health Care Services,Committee on Improving Quality in Long-Term Care Pdf

Among the issues confronting America is long-term care for frail, older persons and others with chronic conditions and functional limitations that limit their ability to care for themselves. Improving the Quality of Long-Term Care takes a comprehensive look at the quality of care and quality of life in long-term care, including nursing homes, home health agencies, residential care facilities, family members and a variety of others. This book describes the current state of long-term care, identifying problem areas and offering recommendations for federal and state policymakers. Who uses long-term care? How have the characteristics of this population changed over time? What paths do people follow in long term care? The committee provides the latest information on these and other key questions. This book explores strengths and limitations of available data and research literature especially for settings other than nursing homes, on methods to measure, oversee, and improve the quality of long-term care. The committee makes recommendations on setting and enforcing standards of care, strengthening the caregiving workforce, reimbursement issues, and expanding the knowledge base to guide organizational and individual caregivers in improving the quality of care.

Author : Merryn Gott,Christine Ingleton
Publisher : OUP Oxford
Page : 551 pages
File Size : 53,8 Mb
Release : 2011-05-12
Category : Medical
ISBN : 9780191621109

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Living with Ageing and Dying by Merryn Gott,Christine Ingleton Pdf

Ageing populations mean that palliative and end of life care for older people must assume greater priority. Indeed, there is an urgent need to improve the experiences of older people at the end of life, given that they have been identified as the 'disadvantaged dying'. To date, models of care are underpinned by the ideals of specialist palliative care which were developed to meet the needs of predominantly middle-aged and 'young old' people, and evidence suggests these may not be adequate for the older population group. This book identifies ways forward for improving the end of life experiences of older people by taking an interdisciplinary and international approach. Providing a synergy between the currently disparate literature of gerontology and palliative care, a wide range of leading international experts contribute to discussions regarding priority areas in relation to ageing and end of life care. Some authors take a theoretical focus, others a very practical approach rooted in their clinical and research experience. The issues covered are diverse, as are the countries in which discussions are contextualised. Those working in both palliative care and gerontology will find the issues and advice discussed in this book hugely topical and of real practical value.