The Availability Of Care For Late Middle Aged Adults With Chronic Conditions

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The Availability of Care for Late-middle-aged Adults with Chronic Conditions

Author : Julie C. Lima,Susan Allen
Publisher : Unknown
Page : 178 pages
File Size : 40,7 Mb
Release : 2008
Category : Medical
ISBN : 1604975768

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The Availability of Care for Late-middle-aged Adults with Chronic Conditions by Julie C. Lima,Susan Allen Pdf

Among the most critical issues facing society today is the provision of community support for people of all ages who require assistance in performing daily living tasks. Researchers have documented the support systems and needs of older persons, children with special health care needs, and young persons transitioning into adulthood. While the United States may not yet have solved many of the challenges of providing adequate supports to these populations, researchers at least have a good sense of the nature of those challenges and are working toward that end. Somewhat surprising, then, is the nearly complete lack of knowledge about the support systems and needs of a rapidly growing population of adults who are not yet considered old but who nevertheless need help due to traumatic injury, the congenital illnesses of childhood and young adulthood, and/or the early onset of chronic diseases typically associated with later life (e.g., arthritis, heart disease and cancer). Specifically, researchers know little about the millions of Americans who require assistance during the period of late middle age, a transition phase between middle age and the older years, when activity limitations associated with a chronic condition escalate sharply. The largest generation in American history to date--the baby boom generation--has begun to enter late middle age, the oldest of whom turned sixty in 2006. While the research community looks ahead to the likely strains this generation will place on the formal long-term care system, Medicare, and the Social Security system in the near future, those who find themselves in need of personal care in late middle age must first pass through a particularly vulnerabletime before they are eligible to benefit from the safety net these systems afford. Because late-middle-aged adults are often considered the "carers" of society (many caring for dependent children or aging parents, and often both), we do not often think of this group as vulnerable and in need of help themselves. They, more than others, are left to rely on their own financial and family support systems to get through their difficult time, while at the same time planning and preparing for the possibility of living another 20 years or more with chronic illnesses and conditions. Up until now, we have known very little about how, and how well, they manage. In this first critical study of the availability and receipt of care for late-middle-aged adults, Julie Lima and Susan Allen uncover a host of vulnerabilities that challenge the wellbeing of those who find themselves in need of personal assistance at a critical point in their lives. Using a lifecourse approach, they outline the care needs of older adults in various stages of life, as well as the sociodemographic and policy trends that influence the amounts and types of care that are available, and that will likely be available in the near future. Since so little was known about the care needs of this group prior to this work, this book is largely descriptive in nature, and the authors intend for it to lay the groundwork for future work in this area. This is an important book for all gerontology, disability, and lifecourse collections.

Retooling for an Aging America

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 : 40,6 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.

Self Care in Later Life

Author : Gordon H. DeFriese,Marcia G. Ory, PhD, MPH
Publisher : Springer Publishing Company
Page : 294 pages
File Size : 43,6 Mb
Release : 1998-03-01
Category : Social Science
ISBN : 9780826196958

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Self Care in Later Life by Gordon H. DeFriese,Marcia G. Ory, PhD, MPH Pdf

"This volume is uncontestably the most comprehensive and authoritative work on the subject of self-care available to date. It should set the stage for a new policy perspective on building a health care system that incorporates self-care at its core."--Lowell S. Levin, Yale School of Public Health Practitioners and researchers who work with older adults are challenged to find ways to strengthen an elderly person's capacity to cope wiht age-related changes that threaten independence. This volume assesses the efficacy of self-care in maintaining autonomy. It applies a broad definition of self-care that includes a range of behaviors undertaken by individuals, families, and communities to enhance health, prevent disease, limit illness, and restore health.

Families Caring for an Aging America

Author : National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Committee on Family Caregiving for Older Adults
Publisher : National Academies Press
Page : 367 pages
File Size : 48,8 Mb
Release : 2016-11-08
Category : Medical
ISBN : 9780309448093

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Families Caring for an Aging America by National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Committee on Family Caregiving for Older Adults Pdf

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.

Social Isolation and Loneliness in Older Adults

Author : National Academies of Sciences, Engineering, and Medicine,Division of Behavioral and Social Sciences and Education,Health and Medicine Division,Board on Behavioral, Cognitive, and Sensory Sciences,Board on Health Sciences Policy,Committee on the Health and Medical Dimensions of Social Isolation and Loneliness in Older Adults
Publisher : National Academies Press
Page : 317 pages
File Size : 51,9 Mb
Release : 2020-05-14
Category : Social Science
ISBN : 9780309671033

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Social Isolation and Loneliness in Older Adults by National Academies of Sciences, Engineering, and Medicine,Division of Behavioral and Social Sciences and Education,Health and Medicine Division,Board on Behavioral, Cognitive, and Sensory Sciences,Board on Health Sciences Policy,Committee on the Health and Medical Dimensions of Social Isolation and Loneliness in Older Adults Pdf

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.

Patient Safety and Quality

Author : Ronda Hughes
Publisher : Department of Health and Human Services
Page : 592 pages
File Size : 48,7 Mb
Release : 2008
Category : Medical
ISBN : IOWA:31858055672798

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Patient Safety and Quality by Ronda Hughes Pdf

"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/

Living Well at the End of Life

Author : Joanne Lynn,David M. Adamson
Publisher : RAND Corporation
Page : 32 pages
File Size : 44,5 Mb
Release : 2003
Category : Medical
ISBN : UOM:39015056318580

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Living Well at the End of Life by Joanne Lynn,David M. Adamson Pdf

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.).

The Impact of Patient-Centered Care

Author : Hailun Liang
Publisher : Unknown
Page : 0 pages
File Size : 48,5 Mb
Release : 2022
Category : Electronic
ISBN : 9811639698

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The Impact of Patient-Centered Care by Hailun Liang Pdf

This book investigates the impact of patient-centered care (PCC) for older adults with chronic conditions and presents new evidence concerning its effects on the care process and health outcomes. The book highlights the impact of PCC on elderly chronic disease patients' health experiences and demonstrates that PCC is associated with better performance in delivering care to this group of patients. The PCC approach also provides opportunities for improving the delivery of cancer care, although patient-centered oncology care is still in its infancy and evidence on its effectiveness is scant. The book also includes a systemic review and meta-analysis of connections between PCC and cancer patients' adverse healthcare utilization, costs, patient satisfaction, and quality of care. This book is unique in terms of the measures' comprehensiveness and provides ample evidence that the implementation of PCC is associated with better healthcare performance. The intended readers include researchers in related fields, graduate students, and healthcare providers. It is hoped the book offers further evidence for meaningful practice and have many policy and research implications in PCC.

The Role of Human Factors in Home Health Care

Author : National Research Council,Division of Behavioral and Social Sciences and Education,Committee on Human-Systems Integration,Committee on the Role of Human Factors in Home Health Care
Publisher : National Academies Press
Page : 322 pages
File Size : 49,8 Mb
Release : 2010-11-14
Category : Medical
ISBN : 9780309156295

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The Role of Human Factors in Home Health Care by National Research Council,Division of Behavioral and Social Sciences and Education,Committee on Human-Systems Integration,Committee on the Role of Human Factors in Home Health Care Pdf

The rapid growth of home health care has raised many unsolved issues and will have consequences that are far too broad for any one group to analyze in their entirety. Yet a major influence on the safety, quality, and effectiveness of home health care will be the set of issues encompassed by the field of human factors research-the discipline of applying what is known about human capabilities and limitations to the design of products, processes, systems, and work environments. To address these challenges, the National Research Council began a multidisciplinary study to examine a diverse range of behavioral and human factors issues resulting from the increasing migration of medical devices, technologies, and care practices into the home. Its goal is to lay the groundwork for a thorough integration of human factors research with the design and implementation of home health care devices, technologies, and practices. On October 1 and 2, 2009, a group of human factors and other experts met to consider a diverse range of behavioral and human factors issues associated with the increasing migration of medical devices, technologies, and care practices into the home. This book is a summary of that workshop, representing the culmination of the first phase of the study.

Aging, Health, and Behavior

Author : Marcia G. Ory,Ronald P. Abeles,Paula D. Lipman
Publisher : SAGE Publications, Incorporated
Page : 394 pages
File Size : 54,5 Mb
Release : 1992
Category : Medical
ISBN : UOM:39076001141808

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Aging, Health, and Behavior by Marcia G. Ory,Ronald P. Abeles,Paula D. Lipman Pdf

Drawing from both European and North American experiences, this volume presents basic and applied research on ageing, health and behaviour. It points out the important role of individual behaviours, societal conditions and public policies for determining the health of older people today - and in the future. The contributors explore: the influence of age and ethnicity on health and behaviour; coping with chronic illness and disability; the effect of stress on illness; disease prevention and health promotion; and the implications for public policy.

Care Without Coverage

Author : Institute of Medicine,Board on Health Care Services,Committee on the Consequences of Uninsurance
Publisher : National Academies Press
Page : 213 pages
File Size : 54,9 Mb
Release : 2002-06-20
Category : Medical
ISBN : 9780309083430

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Care Without Coverage by Institute of Medicine,Board on Health Care Services,Committee on the Consequences of Uninsurance Pdf

Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.

Unequal Health

Author : Grace Budrys
Publisher : Rowman & Littlefield
Page : 296 pages
File Size : 51,5 Mb
Release : 2010
Category : Health behavior
ISBN : 0742565076

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Unequal Health by Grace Budrys Pdf

Unequal Health asks why some individuals are living longer and enjoying better health than others. By considering popular beliefs about the relevance of such factors as sex, race, poverty, and health habits, Grace Budrys moves beyond factors that receive a great deal of media attention-such as smoking, diet, exercise, and even genetic inheritance-and examines those factors that are far more difficult to identify and track, such as relative income and relative social status.

Health Policy

Author : Charlene Harrington,Carroll L. Estes
Publisher : Jones & Bartlett Learning
Page : 452 pages
File Size : 47,5 Mb
Release : 2004
Category : Health care reform
ISBN : 0763707538

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Health Policy by Charlene Harrington,Carroll L. Estes Pdf

Harrington (sociology and nursing, University of California-San Francisco) and Estes (sociology, University of California-San Francisco) look at policy issues at the forefront of modern health care delivery in an effort to persuade health professionals to add political work to their lives. Contributors overview health policy and the political proce

Lubkin's Chronic Illness

Author : Larsen
Publisher : Jones & Bartlett Learning
Page : 622 pages
File Size : 43,8 Mb
Release : 2017-12
Category : Medical
ISBN : 9781284128857

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Lubkin's Chronic Illness by Larsen Pdf

Lubkin's Chronic Illness, Tenth Edition is an essential text for nursing students who seek to understand the various aspects of chronic Illness affecting both patients and families. Important Notice: The digital edition of this book is missing some of the images or content found in the physical edition.

Improving the Quality of Long-Term Care

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 : 48,5 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.