Community Based Interventions In Older Populations
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Social Isolation and Loneliness in Older Adults
Author: National Academies of Sciences, Engineering, and Medicine
language: en
Publisher: National Academies Press
Release Date: 2020-06-14
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.
Evidence-based Interventions for Community Dwelling Older Adults
A critical milestone in the evolution of evidence-based medicine Evidence-Based Interventions for Community Dwelling Older Adults presents an overview of significant evidence-based programs that can improve the health of seniors living in community-based settings. The book examines research conducted on a variety of health-related issues, including depression, care management, falls prevention, physical activity, and medications management. It also looks at research models that were translated into real-life practice settings, explores the benefits of implementing evidence-based models into care settings, and provides examples of how to adapt tested programs to meet local agency and population needs. The health care delivery system in the United States has embraced evidence-based medicine, largely based on its potential to reduce unwanted variations and keep a lid on escalating health care costs. But there are few resources available on how to gather information about model programs and even fewer on how to adapt them for practice. Evidence-Based Interventions for Community Dwelling Older Adults discusses how to effectively manage care beyond the hospital or clinic, as researchers, practitioners, policymakers, and academics provide an overview of evidence-based practice that works toward the best possible care for patients. The book also highlights the efforts of social workers, pharmacists, and case managers, and illustrates the importance of the leadership efforts of the Administration on Aging, National Council on Aging, and the Centers for Disease Control. Evidence-Based Interventions for Community Dwelling Older Adults examines: the effectiveness of geriatric care management medication management screening and intervention multifaceted intervention strategies to prevent and/or reduce falls among older adults physical fitness activities for the frail elderly population at home barriers to depression care and how to reduce them using Problem-Solving Therapy (PST) to address depression and other psychosocial issues using Diffusion of Innovation Theory to duplicate an end-of-life, in-home palliative care model and much more Evidence-Based Interventions for Community Dwelling Older Adults is an essential resource for anyone who works with seniors in medical and community-based settings, including case managers, geriatricians, social workers, pharmacists, and physical therapists. It's equally valuable as a professional aid for program directors, CEOs, and administrators of medical and community-based programs that target older adults.
Interprofessional Perspectives for Community Practice
Now more than ever health care professionals play an increased role in the promotion of health to populations. Unique and innovative, Interprofessional Perspectives for Community Practice: Promoting Health, Well-being and Quality of Life weaves everyday care into prevention, community, and population health, creating a new and more expansive vision of health for all without compromising traditional practices. Authors and editors Drs. Pizzi and Amir discuss and illustrate a client-centered preventive and health, well-being and quality of life approach rooted in best practice principles from interprofessional literature and firsthand experience. The text illustrates how allied health professionals implement those principles in their everyday and traditional practices with an emphasis on exploring health and well-being issues. Interprofessional Perspectives for Community Practice provides detailed guidance in program development and implementation. What’s included in Interprofessional Perspectives for Community: Clinical anecdotes on successful community practices A focus on primary and secondary prevention Assessments, interventions, and community practice examples Descriptions of community-based practice settings such as adult day care, independent living programs, hospice, and home health care Health and wellness across the lifespan Bonus chapters available online as PDFs for readers The first text of its kind to weave interprofessionalism, community practice, and health, well-being, and quality of life, Interprofessional Perspectives for Community Practice: Promoting Health, Well-being and Quality of Life is for all health care workers and students who wish to transfer practice skills from the clinical setting to a population-based program development model.