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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.
"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/
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.
There are 65.7 million caregivers in America, making up 29 percent of the U.S. adult population. Where does the caregiver turn when dealing with their own need for encouragement and renewal?
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.
It's scary and stressful when it happens ... noticing changes in your parent and becoming increasingly worried about their health and safety. Maybe it's Mom leaving the stove on, Dad getting lost on his way home, or unpaid bills that trigger this realization. Or perhaps there have been falls or emergency room visits. Whatever it is, you know something's wrong. You wonder about a diagnosis. And you want your aging parent to accept help, or perhaps move. Helping an older parent can be gratifying. But it's especially hard if they're blowing off your concerns, refusing to make changes, or otherwise resisting your efforts. You want them to listen, but they get upset or withdraw when you try to talk about this. What to do? You don't have to remain stuck in conflict with your parent (or other family members). You don't have to keep getting the runaround from doctors or feel stumped about next steps. Instead, use an expert's clear plan on how to help your aging parent. In this practical, step-by-step guide, geriatrician Leslie Kernisan, MD, walks you through what to do and what to say in order to offer respectful assistance and intervention to a declining elderly parent. Full of actionable advice and insider tips, When Your Aging Parent Needs Help provides practical and flexible steps that move concerned families toward effective elder care action, while respecting a parent's dignity and autonomy. You'll discover: How to communicate with your aging parent to reduce conflicts and enhance cooperation The A-B-C-D-E assessment framework for Alzheimer or other dementia concerns, safety issues, or independent living - and steps to implement change Strategies to overcome parental resistance, health provider reluctance to share information, and family disagreement How to get a medical evaluation for memory loss and, if applicable, a diagnosis for Alzheimer's or another dementia What to know about possible mental "incompetence," powers of attorney, HIPAA, and other options for gaining legal authority as a caregiver How to find geriatric care managers and other eldercare professionals to assist Downloadable worksheets, symptom checkers, and checklists to bring to doctor visits "What this looks like" family stories that show you what these action steps look like in real-world situations Transform good intentions into workable solutions and improved relationships. If you're concerned about an aging parent's health, wellbeing, or safety, you'll find encouragement and direction for this next life stage in When Your Aging Parent Needs Help.
The purpose of restorative care nursing is to take an active role in helping older adults maintain their highest level of function, thus preventing excess disability. This book was written to help formal and informal caregivers and administrators at all levels to understand the basic philosophy of restorative care, and be able to develop and implement successful restorative care programs. The book provides a complete 6-week education program in restorative care for caregivers, many suggestions for suitable activities, and practical strategies for motivating both older adults and caregivers to engage in restorative care. In addition, the book provides an overview of the requirements for restorative care across all settings, the necessary documentation, and ways in which to complete that documentation.
One in four American adult face the challenges of caring for an adult friend or relative. Although caregiving can be a richly rewarding and joyful experience, the role comes with enormous responsibilities-- and pressures. This gentle guide provides practical resources and tips that are easy to find when you need them, whether you're caregiving day to day, planning for future needs, or in the middle of a crisis. Goyer offers insight, inspiration, and poignant stories and experiences of caregivers, including her own as a live-in caregiver for her parents.
Completely revised with new chapters and sections covering everything the health-care provider needs to know when working with the older adult either at home or in nursing and long-term care facilities. Chapters cover factors affecting nutrition, nutrition and disease, nutritional assessment, dining challenges and regulatory compliance. This scientifically sound and practical resource for new and experienced nutrition professionals includes new forms, resources, the food guide pyramid for older adults and an index of tales.