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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.
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.
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.
An outspoken centrist, Senator Snowe stunned Washington in February 2012 when she announced she would not seek a fourth term and offered a sharp rebuke to the Senate, citing the dispiriting gridlock and polarization. After serving in the legislative branch at the state and federal levels for 40 years, including 18 years in the U.S. Senate, she explained that Washington wasn’t solving the big problems anymore.In this timely call to action, she explores the roots of her belief in principled policy-making and bipartisan compromise. A leading moderate with a reputation for crossing the aisle, Senator Snowe will propose solutions for bridging the partisan divide in Washington, most notably through a citizens’ movement to hold elected officials accountable. Senator Snowe recounts how the tragedies and triumphs of her personal story helped shape her political approach. Born in Augusta, Maine, Senator Snowe was orphaned at nine, and raised by an aunt and uncle. When she was twenty-six, her husband, a Maine state representative, was killed in an auto accident. Already dedicated to public service, she ran for and won her husband’s seat.The book will include anecdotes from throughout her career, and address her working relationships with Presidents Reagan through Obama, Senator Ted Kennedy, Majority Leader Bob Dole, and many others. As a senior member of the powerful Senate Finance Committee, the high-profile Commerce and Intelligence Committees, and the Senate Small Business Committee, Senator Snowe has been directly involved with the most talked-about legislative challenges of recent decades: the country’s response to 9/11; the 2008 financial crisis; the Affordable Healthcare Act; the debt ceiling debacle, and much more.Her new book will draw on the lessons she's learned as a policymaker, and the frustration she shares with the American people about the government’s dwindling productivity. Senator Snowe passionately argues that the government has now lost its way, shows how this happened, and proposes ways for the world’s greatest deliberative body to, once again, fulfill its mission.