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The reported population of American Indians and Alaska Natives has grown rapidly over the past 20 years. These changes raise questions for the Indian Health Service and other agencies responsible for serving the American Indian population. How big is the population? What are its health care and insurance needs? This volume presents an up-to-date summary of what is known about the demography of American Indian and Alaska Native populationâ€"their age and geographic distributions, household structure, employment, and disability and disease patterns. This information is critical for health care planners who must determine the eligible population for Indian health services and the costs of providing them. The volume will also be of interest to researchers and policymakers concerned about the future characteristics and needs of the American Indian population.
Elder Abuse and Its Prevention is the summary of a workshop convened in April 2013 by the Institute of Medicine's Forum on Global Violence Prevention. Using an ecological framework, this workshop explored the burden of elder abuse around the world, focusing on its impacts on individuals, families, communities, and societies. Additionally, the workshop addressed occurrences and co-occurrences of different types of abuse, including physical, sexual, emotional, and financial, as well as neglect. The ultimate objective was to illuminate promising global and multisectoral evidence-based approaches to the prevention of elder maltreatment. While the workshop covered scope and prevalence and unique characteristics of abuse, the intention was to move beyond what is known about elder abuse to foster discussions about how to improve prevention, intervention, and mitigation of the victims' needs, particularly through collaborative efforts. The workshop discussions included innovative intervention models and opportunities for prevention across sectors and settings. Violence and related forms of abuse against elders is a global public health and human rights problem with far-reaching consequences, resulting in increased death, disability, and exploitation with collateral effects on well-being. Data suggest that at least 10 percent of elders in the United States are victims of elder maltreatment every year. In low- and middle-income countries, where the burden of violence is the greatest, the figure is likely even higher. In addition, elders experiencing risk factors such as diminishing cognitive function, caregiver dependence, and social isolation are more vulnerable to maltreatment and underreporting. As the world population of adults aged 65 and older continues to grow, the implications of elder maltreatment for health care, social welfare, justice, and financial systems are great. However, despite the magnitude of global elder maltreatment, it has been an underappreciated public health problem. Elder Abuse and Its Prevention discusses the prevalence and characteristics of elder abuse around the world, risk factors for abuse and potential adverse health outcomes, and contextually specific factors, such as culture and the role of the community.
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.
This essential reference work enables a deeper understanding of contemporary challenges in the lives of American Indians and Alaskan Natives today, carefully reviewing their unique problems and proposing potential solutions. American Indians face problems in their lives on a daily basis that most other Americans never contend with, and their challenges—which in some cases are similar to those of other minority groups in the United States—are still qualitatively unique. American Indians at Risk gives readers a broad overview of what life in Indian country is like, addressing specific contemporary social issues such as alcoholism, unemployment, and suicide. The author goes beyond detailed descriptions of the problems of American Indians to also present solutions, some of which have been effective in addressing these challenges. Each chapter includes a "Further Investigations" section that presents helpful ideas for additional research.
Essential information for anyone involved in palliative care programs for deprived patients! In this comprehensive resource, leading healthcare professionals describe pioneering work on the front lines of pain and palliative care service planning and implementation for underserved populations. Pain and Palliative Care in the Developing World and Marginalized Populations: A Global Challenge explores the challenges and barriers preventing satisfactory pain management for patients who urgently need it. This book provides you with true accounts of palliative care programs from around the world to help you meet the needs of disadvantaged clients. This essential volume includes a Foreword written by a world leader in palliative care—Jan Stjernsward, Former Chief of the Cancer and Palliative Care Program of the World Health Organization and currently International Director of the Oxford International Centre for Palliative Care in the United Kingdom. Pain and Palliative Care in the Developing World and Marginalized Populations: A Global Challenge addresses issues of vital importance for the global health care community, such as: Why do so many people in the developing world suffer excruciating pain for months and years, when simple inexpensive medication could make them comfortable? They get MRI scans; why don’t they have access to palliative care? Why do some palliative care programs fail to reach the needy? How could a palliative care delivery system be adapted to local needs? Why are medical and nursing students not taught the fundamentals of pain management? What direction should palliative care education take? Could health care resources be channeled to deliver care in a more just and equitable manner? This book chronicles the efforts of ambitious pain management care professionals to confront these questions, working toward an end to needless, preventable pain and suffering. It examines their programs, and acknowledges their successes and failures to date, with commentaries by international experts. This indispensable manual discusses palliative care programs in developing countries such as India, Chile, Argentina, Saudi Arabia, Thailand, Hong Kong, Malaysia, and others. Pain and Palliative Care in the Developing World and Marginalized Populations also offers an important look at pain management programs geared toward several specific underserved populations in both developing and developed countries, including Native Americans and inmates in a New Zealand prison. Illustrated with figures, graphs, and tables, this book is essential for practitioners and officials in both palliative and public health care. All proceeds from sales of this book will be used to support the growth of palliative care programs in India.
Comprehensive multidisciplinary encyclopedia dealing with aging processes and older adults. Intended for "the educated inquirer who needs a brief authoritative introduction to key topics and issues in aging." Signed entries contain cross references. Contains lengthy bibliography. General index.