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Absolute Geriatric Psychiatry Review

https://libcat.nshealth.ca/en/permalink/provcat46642
Rajesh Tampi, Deena Tampi, Juan Young, Rakin Hoq, Kyle Resnick. Springer , 2021.
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Location
Online
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Responsibility
Rajesh Tampi, Deena Tampi, Juan Young, Rakin Hoq, Kyle Resnick
Publisher
Springer
Date of Publication
2021
Physical Description
1 online resource (xii, 424 pages) : illustrations
ISBN
9783030586638
Specialty
Geriatrics
Psychiatry
Health Services for the Aged
Format
e-Book
Publication Type
Examination Questions
Location
Online
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Acute care for elders : a model for interdisciplinary care

https://libcat.nshealth.ca/en/permalink/provcat33881
Michael L. Malone, Elizabeth A. Capezuti, Robert M. Palmer, editors. --New York: Humana Press , c2014.
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Location
Online
Acute Care for Elders (ACE) is a model of care designed to improve functional outcomes and to improve the processes for the care of older patients. This model includes: an environment of care designed to promote improved function for older patients; an interdisciplinary team that works together to identify/address the vulnerabilities of the older patients; nursing care plans for prevention of disability; early planning to help prepare the patient to return home; and a review of medical care to …
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Other Authors
Malone, Michael L.
Capezuti, Liz
Palmer, Robert M.
Responsibility
Michael L. Malone, Elizabeth A. Capezuti, Robert M. Palmer, editors
Place of Publication
New York
Publisher
Humana Press
Date of Publication
c2014
Physical Description
1 online resource (xxiii, 259 pages)
Series Title
Aging medicine
ISBN
9781493910250 (electronic bk.)
9781493910243
Subjects (MeSH)
Acute Disease - therapy
Critical Care - methods
Geriatrics - methods
Health Services for the Aged
Subjects (LCSH)
Geriatrics
Older people - Health and hygiene
Nursing
Abstract
Acute Care for Elders (ACE) is a model of care designed to improve functional outcomes and to improve the processes for the care of older patients. This model includes: an environment of care designed to promote improved function for older patients; an interdisciplinary team that works together to identify/address the vulnerabilities of the older patients; nursing care plans for prevention of disability; early planning to help prepare the patient to return home; and a review of medical care to prevent iatrogenic illness. Acute Care for Elders: A Model for Interdisciplinary Care is an essential new resource aimed at assisting providers in developing and sustaining an ACE program. The interdisciplinary approach provides an introduction to the key vulnerabilities of older adults and defines the lessons learned from the Acute Care for Elders model. Expertly written chapters describe critical aspects of ACE: the interdisciplinary approach and the focus on function. The fundamental principles of ACE described in this book will further assist hospital leaders to develop, implement, sustain and disseminate the Acute Care for Elders model of care.
Contents
An Introduction to the Acute Care for Elders -- The Team Approach to Interdisciplinary Care -- Patient and Hospital Factors that Lead to Adverse Outcomes in Hospitalized Elders -- An Overview of Hospital-Based Models of Care -- The Acute Care for Elders Unit -- How to Develop, Start and Sustain an Acute Care for Elders Unit -- How to Disseminate the ACE Model of Care Beyond One Unit -- How to Use the ACE Unit to Improve Hospital Safety and Quality for Older Patients: From ACE Units to Elder-Friendly Hospitals -- ACE Unit Business Model -- Models of Care to Transition from Hospital to Home -- What is the Role of Hospitalists in the Acute Care for Elders? -- How to Improve Care for Seniors in the Emergency Department -- How to Improve Care for Older Patients in the Intensive Care Unit -- The Future of Acute Care for Elders.
Format
e-Book
Location
Online
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Aging Well : Solutions to the Most Pressing Global Challenges of Aging

https://libcat.nshealth.ca/en/permalink/provcat44280
Jean Galiana, William A. Haseltine. --Singapore: Palgrave Macmillan , 2019.
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Access
Open access
Location
Online
This open access book outlines the challenges of supporting the health and wellbeing of older adults around the world and offers examples of solutions designed by stakeholders, healthcare providers, and public, private and nonprofit organizations in the United States. The solutions presented address challenges including: providing person-centered long-term care, making palliative care accessible in all healthcare settings and the home, enabling aging-in-place, financing long-term care, improvin…
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Author
Galiana, Jean
Other Authors
Haseltine, William A.
Responsibility
Jean Galiana, William A. Haseltine
Place of Publication
Singapore
Publisher
Palgrave Macmillan
Date of Publication
2019
Physical Description
1 online resource (xvii, 218 p.) : 27 illus.
ISBN
9789811321641
9789811321634 (Print ed.)
9789811321658 (Print ed.)
Subjects (MeSH)
Aged
Aging
Community Networks
Geriatrics
Health Services for the Aged
Social Work
Specialty
Geriatrics
Health Services Administration
Abstract
This open access book outlines the challenges of supporting the health and wellbeing of older adults around the world and offers examples of solutions designed by stakeholders, healthcare providers, and public, private and nonprofit organizations in the United States. The solutions presented address challenges including: providing person-centered long-term care, making palliative care accessible in all healthcare settings and the home, enabling aging-in-place, financing long-term care, improving care coordination and access to care, delivering hospital-level and emergency care in the home and retirement community settings, merging health and social care, supporting people living with dementia and their caregivers, creating communities and employment opportunities that are accessible and welcoming to those of all ages and abilities, and combating the stigma of aging. The innovative programs of support and care in Aging Well serve as models of excellence that, when put into action, move health spending toward a sustainable path and greatly contribute to the well-being of older adults.
Contents
1. Demographics -- 2. Healthcare in the United States -- 3. Long -Term Care Financing -- 4. Person Centered Long-Term Care -- 5. Home-Based Palliative Care and Aging in Place and Community -- 6. Coordinated Primary Care -- 7. Emergency Medicine and Hospital Care in the Home and Community -- 8. Support for Those Living with Dementia and Their Caregivers -- 9. Merging Health and Social Services -- 10. Purpose and Social Inclusion -- 11. Eight Lessons for Social Inclusion and High-Quality Sustainable Elder Care.
Access
Open access
Format
e-Book
Location
Online
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A bitter pill : how the medical system is failing the elderly

https://libcat.nshealth.ca/en/permalink/provcat25091
Sloan, John. --Vancouver, BC: Greystone Books , c2009.
Call Number
WT 120 S634b 2009
Location
Halifax Infirmary
Call Number
WT 120 S634b 2009
Author
Sloan, John
Place of Publication
Vancouver, BC
Publisher
Greystone Books
Date of Publication
c2009
Physical Description
252 p.
ISBN
9781553654551
Subjects (MeSH)
Health Services for the Aged - Canada
Quality of Health Care - Canada
Health Policy - Canada
Aged - Canada
Format
Book
Location
Halifax Infirmary
Loan Period
3 weeks
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Care-Related Quality of Life in Old Age : Concepts, Models and Empirical Findings

https://libcat.nshealth.ca/en/permalink/provcat28158
edited by Marja Vaarama, Richard Pieper, Andrew Sixsmith. --New York, NY: Springer-Verlag , c2008.
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Location
Online
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Author
Vaarama, Marja
Other Authors
Pieper, Richard
Sixsmith, Andrew
Responsibility
edited by Marja Vaarama, Richard Pieper, Andrew Sixsmith
Place of Publication
New York, NY
Publisher
Springer-Verlag
Date of Publication
c2008
ISBN
9780387721699
Subjects (MeSH)
Geriatrics - methods
Health Services for the Aged
Quality of Life
Subjects (LCSH)
Geriatrics
Quality of Life
Format
e-Book
Location
Online
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Centers for Ending : The Coming Crisis in the Care of Aged People

https://libcat.nshealth.ca/en/permalink/provcat40892
Seymour B. Sarason. --New York, NY: Springer , c2011.
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Location
Online
As people live longer and health care costs continue to rise and fewer doctors choose to specialize in geriatrics, how prepared is the United States to care for its sick and elderly? According to veteran psychologist Seymour Sarason's eloquent and compelling new book, the answer is: inadequately at best. And rarely discussed among the grim statistics is the psychosocial price paid by nursing home patients, from loneliness and isolation to depression and dependency. In Centers for Ending, Dr. Sa…
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Author
Sarason, Seymour B
Responsibility
Seymour B. Sarason
Place of Publication
New York, NY
Publisher
Springer
Date of Publication
c2011
Physical Description
1 online resource (xi, 109 p.)
Series Title
Caregiving: Research, Practice, Policy
ISBN
9781441957252
9781441957245 (print ed.)
Subjects (MeSH)
Aged - psychology
Health Policy
Health Services for the Aged
Long-Term Care
Nursing Homes
Other Subjects
United States
Abstract
As people live longer and health care costs continue to rise and fewer doctors choose to specialize in geriatrics, how prepared is the United States to care for its sick and elderly? According to veteran psychologist Seymour Sarason's eloquent and compelling new book, the answer is: inadequately at best. And rarely discussed among the grim statistics is the psychosocial price paid by nursing home patients, from loneliness and isolation to depression and dependency. In Centers for Ending, Dr. Sarason uses his firsthand experience as both practitioner and patient in senior facilities to reveal wide-ranging professional and moral issues affecting this seemingly familiar terrain. Insensitive medical personnel, poorly trained nurses and aides, indifferent administrators, and a prevailing culture content with treating "bodies" instead of human beings are identified as contributing factors. Drawing on America's rich history of large-scale solutions to social problems, Dr. Sarason offers penetrating insights and bold suggestions in such areas as: The widening care gap between haves and have-nots. Why professional caregivers fail to understand patients. The nursing home resident as immigrant. Why previous reform efforts have not worked. The need for a Presidential commission for the elderly. The scenario if conditions are allowed to remain as they are or worsen. This concise volume is essential reading for researchers, graduate students, professionals, practitioners, and policy makers across such fields as geriatric medicine, health psychology, social work, public health, and public policy. Centers for Ending is a clarion call to be ignored at great cost to our elders and ourselves.
Contents
Themes of the Book -- Becoming a Resident in a Total Care Facility -- Residents as Immigrants -- Some Aspects of Organizational Craziness -- Two Months in the Nursing Home -- Planning Programs: Social Security and Head Start -- The Haves and the Have Nots -- The Need for a Presidential Commission: Some Caveats -- On the Uses of History.
Format
e-Book
Location
Online
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Creating a Value Proposition for Geriatric Care : The Transformation of American Healthcare

https://libcat.nshealth.ca/en/permalink/provcat41861
James S. Powers. --Cham: Springer , 2017.
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Location
Online
This book creates a value proposition in geriatric care - a promise of value to be delivered to improve care and to provide specific benefits to healthcare systems. It describes strategies and understanding of the incentives, barriers encountered in promoting changes in the healthcare systems, and discusses numerous examples and outcomes. Drawn from many fields such as medicine and science, sociology, politics, business and economics, the book helps guide the introduction of geriatric principle…
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Author
Powers, James S.
Responsibility
James S. Powers
Place of Publication
Cham
Publisher
Springer
Date of Publication
2017
Physical Description
1 online resource (vii, 54 pages) : 3 illus.
Series Title
SpringerBriefs in health care management and economics
ISBN
9783319622712
9783319622705 (print ed.)
ISSN
2193-1704
Subjects (MeSH)
Geriatrics - trends
Health Services for the Aged - economics
Health Services for the Aged - organization & administration
Long-Term Care - economics
Other Subjects
United States
Abstract
This book creates a value proposition in geriatric care - a promise of value to be delivered to improve care and to provide specific benefits to healthcare systems. It describes strategies and understanding of the incentives, barriers encountered in promoting changes in the healthcare systems, and discusses numerous examples and outcomes. Drawn from many fields such as medicine and science, sociology, politics, business and economics, the book helps guide the introduction of geriatric principles into mainstream medical care with the goal of improving the care and quality of life of older persons in all healthcare systems.
Contents
1. Introduction -- 2. US Geriatrics, A Historical Perspective -- 3. Incentives -- 4. Strategies -- 5. Development of VA Geriatrics Programs -- 6. Development of University Geriatrics Programs -- 7. Selling to Management : Outpatient Care and Community Programs -- 8. Selling to Management : Inpatient Care -- 9. Selling to Management : Transitions f Care, Home Health and Nursing Home Care -- 10. Epilogue
Format
e-Book
Location
Online
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Dementia in Nursing Homes

https://libcat.nshealth.ca/en/permalink/provcat41630
Sandra Schüssler, Christa Lohrmann, editors. --Cham: Springer , 2017.
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Location
Online
Written by leading international experts, this book discusses the latest advances in the field of dementia in nursing homes. The topics and findings covered are based on their survey and on a scientific literature review. Dementia is spreading worldwide, placing a growing burden on healthcare systems and caregivers, as well as those affected. With increasing and complex care needs, nursing home admission is often necessary. Globally, over half of nursing home residents suffer from dementia. The…
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Other Authors
Schüssler, Sandra
Lohrmann, Christa
Responsibility
Sandra Schüssler, Christa Lohrmann, editors
Place of Publication
Cham
Publisher
Springer
Date of Publication
2017
Physical Description
1 online resource (vi, 248 pages) : 13 illus., 9 illus. in color
ISBN
9783319498324
9783319498300 (print ed.)
Subjects (MeSH)
Dementia - nursing
Health Services for the Aged
Nursing Homes
Abstract
Written by leading international experts, this book discusses the latest advances in the field of dementia in nursing homes. The topics and findings covered are based on their survey and on a scientific literature review. Dementia is spreading worldwide, placing a growing burden on healthcare systems and caregivers, as well as those affected. With increasing and complex care needs, nursing home admission is often necessary. Globally, over half of nursing home residents suffer from dementia. The book provides essential information on the most important issues in dementia in nursing homes today, including meaningful activities, patient-/person-centered care, psychosocial interventions, challenging behavior, inclusion and support of family members, pain, staff training and education, communication, polypharmacy, quality of life, end-of-life care and advanced care planning, depression, delirium, multidisciplinary approaches, physical restraints and care dependency. Each topic is covered by an international expert in dementia. As such, the book will appeal to professional nurses, nursing scientists, nursing students, other healthcare professionals, and to a broad readership, and will provide a valuable resource for those working in nursing homes, as well as researchers in the field.
Contents
1. Introduction -- 2. Meaningful Activities -- 3. Patient-/Person-Centered Care -- 4. Psychosocial Interventions -- 5. Challenging Behavior in Nursing Home Residents with Dementia -- 6. Inclusion and Support of Family Members in Nursing Homes -- 7. Pain in Dementia -- 8. Staff Training and Education -- 9. Communication in Dementia -- 10. Polypharmacy in Nursing Home Residents with Dementia -- 11. Quality of Life of People with Dementia in Nursing Homes -- 12. End-of-Life Care and Advance Care Planning in Dementia -- 13. Depression in Nursing Home Residents with Dementia -- 14. Delirium -- 15. Dementia Care in Nursing Homes Requires a Multidisciplinary Approach -- 16. The Prevention and Reduction of Physical Restraint Use in Long-Term Care -- 17. Care Dependency.
Format
e-Book
Location
Online
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Elder Abuse : Research, Practice and Policy

https://libcat.nshealth.ca/en/permalink/provcat41580
XinQi Dong, editor. --Cham: Springer , 2017.
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Location
Online
This book provides a global comprehensive and systematic state-of-the review of this field that fills the gaps between research, practice, and policy. The book addresses the epidemiology of the issue and the global prevalence of elder abuse in both developed and developing countries, which synthesizes the most up-to-date data about risk factors and protective factors associated with elder abuse and consequences of elder abuse; clinical assessment and management of elder abuse, including screeni…
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Other Authors
Dong, XinQi
Responsibility
XinQi Dong, editor
Place of Publication
Cham
Publisher
Springer
Date of Publication
2017
Physical Description
1 online resource (xxi, 725 pages) : 32 illus., 18 illus. in color
ISBN
9783319475042
9783319475028 (print ed.)
Subjects (MeSH)
Cultural Characteristics
Elder Abuse - diagnosis
Elder Abuse - prevention & control
Geriatric Assessment
Health Services for the Aged
Abstract
This book provides a global comprehensive and systematic state-of-the review of this field that fills the gaps between research, practice, and policy. The book addresses the epidemiology of the issue and the global prevalence of elder abuse in both developed and developing countries, which synthesizes the most up-to-date data about risk factors and protective factors associated with elder abuse and consequences of elder abuse; clinical assessment and management of elder abuse, including screening, detection, management of elder abuse, and the role of decision making capacity and forensic approaches; practice and services that describe adult protective services, legal justice, elder court systems, and guardianship system; elder abuse and culture, which provides more in-depth anthropological and ethnographic experiences; policy issues, which highlights the elder justice movement, GAO reports, elder justice act, older American act and elder justice coordinating council; and future directions, which explores translational research, practice, education/training and policy issues surrounding elder abuse. Elder Abuse: Research, Practice and Policy is a useful resource for aging researchers, social services, general internists, family medicine physicians, social workers, nurses, and legal professionals interested in the issues of elder abuse.
Contents
Toward Definitions of Elder Mistreatment -- Theorizing Elder Abuse -- Global Prevalence of Elder Abuse in the Community -- Elder Abuse in Long Term Care and Assisted Living Settings -- Risk Factors of Elder Abuse -- The Consequences of Elder Abuse -- Epidemiology of Elder Self- Neglect -- Financial Exploitation of Older Adults -- Screening for Elder Abuse: Tools and Effectiveness -- The Role of Technology in Elder Abuse Research -- A Multidisciplinary Approach to the Clinical Management of Elder Mistreatment -- Medical Decision-Making Capacity and Ethical Considerations -- Physician Quality Reporting System (PQRS) quality measure: The Elder Maltreatment -- Screen and Follow-Up Plan -- The Aging Network -- Adult Protective Services and the Long-term Care Ombudsman Program -- Elder Abuse Victims' Access to Justice: Roles of the Civil, Criminal, and Judicial Systems in Preventing, Detecting, and Remedying Elder Abuse -- Guardianship Systems -- Elder Abuse Forensics: The Intersection of Law and Science -- Elder Abuse Multidisciplinary Teams -- Elder Abuse Prevention Interventions -- Elder Abuse and Culture: African Americans -- Elder Abuse and Neglect in Asia -- Elder Abuse and Culture: Latino Anthropological and Ethnographic Experiences -- Disrespect: Native American Elder Abuse -- Coping with Abuse Inside the Family and Out: LGBT and/or Male Victims of Elder Abuse -- Role of the Community and Community- Based Participatory Research in Elder Abuse -- History of the Elder Justice Movement -- Senate Special Committee on Aging Hearings and GAO Reports -- Shades of Charles Dickens: Elder Abuse Policy Past, Present, and Yet to Be -- The Elder Justice Coordinating Council: Bridging the Gap between Health and Public Policy -- Department of Justice: Elder Maltreatment Initiatives -- Centers for Disease Control and Prevention: An Overview of Elder Abuse Prevention Initiatives -- Future Directions: Translational Research in Elder Abuse -- Elder Abuse: Education and Training -- Future Directions in Public Policy Relating to Elder Abuse.
Format
e-Book
Location
Online
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Ethical Considerations and Challenges in Geriatrics

https://libcat.nshealth.ca/en/permalink/provcat41509
Angela Georgia Catic. --Cham: Springer , 2017.
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Location
Online
This book is designed to present an overview of common geriatrics ethical issues that arise during patient care and research activities. Each chapter includes a case example and practical learning pearls that are useful in day-to-day patient care. Coverage includes a brief overview of geriatric epidemiology, highlighting the high rates of dementia, use of surrogate decisions makers at the end-of-life, relocation from home to long-term care facilities, and low health literacy in the geriatrics p…
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Other Authors
Catic, Angela Georgia
Responsibility
Angela Georgia Catic
Place of Publication
Cham
Publisher
Springer
Date of Publication
2017
Physical Description
1 online resource (viii, 172 pages) : 6 illus., 2 illus. in color
ISBN
9783319440842
9783319440835 (print ed.)
Subjects (MeSH)
Geriatrics - ethics
Health Services for the Aged - ethics
Abstract
This book is designed to present an overview of common geriatrics ethical issues that arise during patient care and research activities. Each chapter includes a case example and practical learning pearls that are useful in day-to-day patient care. Coverage includes a brief overview of geriatric epidemiology, highlighting the high rates of dementia, use of surrogate decisions makers at the end-of-life, relocation from home to long-term care facilities, and low health literacy in the geriatrics population. Sections are devoted to issues around capacity, surrogate decision making, end-of-life care, hemodialysis in the elderly, and futility as well as challenges presented by independence questions, such as dementia care, driving, feeding, and intimacy in nursing homes. The text also addresses questions around recognizing, reporting, and treating elder abuse and self-neglect, ethics related to research and technology in the geriatric population, and the use of e-mail, Facebook, and open notes. Written by experts in the field, Ethical Considerations and Challenges in Geriatrics is a valuable tool for trainees at a variety of levels including medical students, residents, and fellows. In addition, it provides practical guidance and a useful reference for practicing geriatricians, primary care physicians, geriatric nurses, social workers, nursing home workers, hospice care employees, and all medical health professionals working with the elderly.
Contents
Geriatric Epidemiology -- Evaluating Capacity for Safe and Independent Living among Vulnerable Older Adults -- Surrogate Decision Making and Advance Care Planning -- End of Life Care of Older Adults -- Special Considerations in Older Surgical Patients -- Ethical Issues of Renal Replacement Therapy in the Elderly -- Ethical Considerations for the Driver with Dementia -- Medical Futility -- Feeding Issues in Advanced Dementia -- Intimacy in the Long-Term Care Setting -- Elder Abuse and Neglect -- Hospital and Physician Rating Web Sites: Ethical Challenges without Context -- Considerations and Challenges in Information and Communication Technology -- Ethical Issues in Geriatric Research.
Format
e-Book
Location
Online
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Ethnogeriatrics : Healthcare Needs of Diverse Populations

https://libcat.nshealth.ca/en/permalink/provcat41258
Lenise Cummings-Vaughn, Dulce M. Cruz-Oliver, editors. --Cham: Springer , 2017.
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Location
Online
This title is divided into five parts that discuss ethnogeriatric foundations, research issues, clinical care in ethnogeriatrics, education and policy. Expertly written chapters present a systematic approach to recognizing, analyzing and addressing the challenges of meeting the healthcare needs of a diverse population and authors discuss ways in which to engage the community by increasing research participation and by investigating the most prevalent diseases found in ethnic minorities. Ethnoge…
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Other Authors
Cummings-Vaughn, Lenise
Cruz-Oliver, Dulce M
Responsibility
Lenise Cummings-Vaughn, Dulce M. Cruz-Oliver, editors
Place of Publication
Cham
Publisher
Springer
Date of Publication
2017
Physical Description
1 online resource (xii, 265 pages) : 12 illus., 9 illus. in color
ISBN
9783319165585
9783319165578 (print ed.)
Subjects (MeSH)
Cultural Competency - education
Culturally Competent Care
Geriatrics
Health Services for the Aged
Abstract
This title is divided into five parts that discuss ethnogeriatric foundations, research issues, clinical care in ethnogeriatrics, education and policy. Expertly written chapters present a systematic approach to recognizing, analyzing and addressing the challenges of meeting the healthcare needs of a diverse population and authors discuss ways in which to engage the community by increasing research participation and by investigating the most prevalent diseases found in ethnic minorities. Ethnogeriatrics: Healthcare Needs of Diverse Populations discusses issues related to working with culturally diverse elders that tend not to be addressed in typical training curricula and is essential reading for geriatricians, hospitalists, advance practice nurses, social workers and all others who provide high quality care to older patients.
Contents
Part I: Ethnogeriatric Foundations -- 1. Why Ethnogeriatrics is Important.--2. Historical and Conceptual Foundations of Ethnogeriatrics -- 3. Demographic Trends in Aging -- 4. Impact of Immigration: Disease Exposure and Health Maintenance -- Part II: Research Issues on Ethnogeriatrics -- 5. How to Study Ethnogeriatrics from the Global to the Local -- 6. Trial Participation and Inclusion -- Part III: Clinical Care in Ethnogeriatrics -- 7. Health Disparities: Access and Utilization -- 8. Epidemiology of Aging: Racial/Ethnic Specific Disease Prevalence -- 9. Caregivers: Roles in Health Management -- 10. Hospice/Palliative Care: Concepts of Disease and Dying -- 11. Geriatric Psychiatry: Perceptions, Presentations and Treatments -- Part IV: Education in Ethnogeriatrics -- 12. Incorporating Ethnogeriatrics into Training Competencies -- 13. Assessments for the Practicing Clinicians: Practical Tools -- Part V: Policy and Economics -- 14. Policy: Impact on Delivery and Access -- 15. The Future of Ethnogeriatrics.
Format
e-Book
Location
Online
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Geriatric Home-Based Medical Care : Principles and Practice

https://libcat.nshealth.ca/en/permalink/provcat39914
Jennifer L. Hayashi, Bruce Leff, editors. (1st ed.) --Cham: Springer , c2016.
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Location
Online
This book is a practical reference for any clinician who has struggled to care for an older adult in a home setting. The volume is written by experts in the field who describe fundamental principles and clinical approaches of geriatric home-based care and their application to specific diseases and conditions, including delirium, incontinence, falls, and chronic pain and disability. The book also details house calls for special populations, from the developmentally disabled to those afflicted wi…
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Other Authors
Hayashi, Jennifer L
Leff, Bruce
Responsibility
Jennifer L. Hayashi, Bruce Leff, editors
Edition
1st ed.
Place of Publication
Cham
Publisher
Springer
Date of Publication
c2016
Physical Description
1 online resource (xiv, 296 p. : 14 illus., 13 illus. in color)
ISBN
9783319233659
9783319233642 (print ed.)
Subjects (MeSH)
Health Services for the Aged
Home Care Services
Abstract
This book is a practical reference for any clinician who has struggled to care for an older adult in a home setting. The volume is written by experts in the field who describe fundamental principles and clinical approaches of geriatric home-based care and their application to specific diseases and conditions, including delirium, incontinence, falls, and chronic pain and disability. The book also details house calls for special populations, from the developmentally disabled to those afflicted with neurologic or psychiatric diseases. The volume explores house calls within the context of the US healthcare system. Geriatric Home-Based Medical Care: Principles and Practice is a valuable resource for geriatricians, geriatric nurses, primary care physicians, social workers, public health officials, and all medical professions who need tools to provide timely, compassionate, and high-quality care for their older adult patients.
Contents
Part I. Fundamentals -- 1. Introducing Home-Based Medical Care -- Part II. House Calls in the Health Care Ecosystem -- 2. Getting Started with Home-Based Medical Care -- Part III. Clinical Approach to Caring for Patients at Home -- 3. Care Planning and Coordination of Services --- 4. How to Perform a House Call -- 5. Common Cognitive Issues in Home- Based Medical Care -- 6. Common Neurologic Issues -- 7. Adult Psychiatric Care in the Home -- 8. Common Functional Problems -- 9. Common Infections -- 10. Wound Care in Home-Based Settings -- 11. Social and Ethical Issues in Home-Based Medical Care -- 12. Palliative Care -- 13. Caregiving.
Format
e-Book
Location
Online
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Geriatric mental health ethics : a casebook

https://libcat.nshealth.ca/en/permalink/provcat23814
Bush, Shane S. --New York, NY: Springer Publishing Company , 2009.
Call Number
WT 150 B978g 2009
Location
Halifax Infirmary
Call Number
WT 150 B978g 2009
Author
Bush, Shane S
Place of Publication
New York, NY
Publisher
Springer Publishing Company
Date of Publication
2009
Physical Description
184 p.
ISBN
9780826103192
Subjects (MeSH)
Mental Health Services - ethics
Health Services for the Aged - ethics
Geriatric Psychiatry - ethics
Format
Book
Location
Halifax Infirmary
Loan Period
3 weeks
Less detail

Geriatric Practice : A Competency Based Approach to Caring for Older Adults

https://libcat.nshealth.ca/en/permalink/provcat44939
Audrey Chun, editor. --Cham: Springer , c2020.
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Location
Online
This book serves as a comprehensive reference for the basic principles of caring for older adults, directly corresponding to the key competencies for medical student and residents. These competencies are covered in 10 sections, each with chapters that target the skills and knowledge necessary for achieving competency. Each of the 45 chapters follow a consistent format for ease of use, beginning with an introduction to the associated competency and concluding with the most salient points for mas…
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Other Authors
Chun, Audrey
Responsibility
Audrey Chun, editor
Place of Publication
Cham
Publisher
Springer
Date of Publication
c2020
Physical Description
1 online resource (xvi, 580 p.) : 102 illus., 96 illus. in color
ISBN
9783030196257
9783030196240 (Print ed.)
9783030196264 (Print ed.)
9783030196271 (Print ed.)
Subjects (MeSH)
Aged
Aging
Geriatric Assessment
Geriatrics
Health Services for the Aged
Specialty
Geriatrics
Abstract
This book serves as a comprehensive reference for the basic principles of caring for older adults, directly corresponding to the key competencies for medical student and residents. These competencies are covered in 10 sections, each with chapters that target the skills and knowledge necessary for achieving competency. Each of the 45 chapters follow a consistent format for ease of use, beginning with an introduction to the associated competency and concluding with the most salient points for mastery. Chapters also includes brief cases to provide context to the clinical reasoning behind the competency, strengthening the core understanding necessary to physicians of the future. Written by expert educators and clinicians in geriatric medicine, Geriatric Practice is key resource for students in geriatric medicine, family and internal medicine, specialties, hospice and nursing home training, and all clinicians studying to work with aging patients.
Contents
I. Introduction and Approach to Caring for Older Adults -- History and Trends -- Identifying the Unique Needs of the Aging Population -- Education of Current and Future Providers -- II. Disease Presentations in Older Adults -- Physiology of Aging -- Normal vs. Abnormal Physical Exam -- Testing in the Elderly -- Differential Diagnoses in the Setting of Advanced Age and Multiple Conditions -- Common Acute Illness -- III. Multi-morbidity (Multiple Conditions) -- Patient-Centered Care for Persons with Multiple Conditions -- Geriatric Pre-Operative Evaluation of the Older Adult -- Common Chronic Conditions -- Geriatric Considerations in Common Surgical Conditions -- IV. Medication Management (MEDICATIONS) -- Prescription Selection and Dosing -- High-Risk Prescriptions for Aging Patients -- Dietary Botanicals and Supplements -- Understanding the Medication List and Addressing Polypharmacy in Older Adults -- V. Cognitive and Behavioral Disorders (MENTATION) -- Depression in Older Adults: Principles of Diagnosis and Management -- Behavioral and Psychiatric Symptoms in Dementia (BPSD) -- Diagnosis and Management of Delirium -- Assessment of Memory and Function -- Non-pharmacologic Management of BPSD: Agitation and Behavioral Problems in Dementia -- VI. Functional Assessment/Self-Care Ability (MOBILITY) -- Assessment of Capability and Capacity -- Developing a Management Plan Safety and Risk Assessment -- Falls Screening, Differential Diagnosis, Evaluation, and Treatment -- Driving -- Individualized Decision-Making for Preventive Medicine in Older Adults -- VII. Health Promotion and Advance Care Planning (MATTERS) -- Advance Care Planning for Older Adults -- Patient Preference, Prognosis, and Decision-Making in Screening and Treatment -- VIII. Special Considerations for Sites/Models of Care -- Sites of Care for the Older Adult – Hospice, Clinic and Home-based Care -- Acute Care in the Home Setting: Hospital at Home -- Hazards of Hospitalization -- Prevention of the Hazards of Hospitalization -- Managing Medications and Addressing Polypharmacy -- Foley Catheter Use and Management of Urinary Symptoms -- High-Risk Pressure Ulcers -- IX. Transitions of Care, Population Health -- Discharge Planning -- Interprofessional Care: Why Teamwork Matters -- Chronic Care Management -- Registries/Data in Population Health Management -- X. Palliative Care and End of Life -- Management of Pain Symptoms -- Non-Pain Symptoms -- Psychosocial, Social, and Spiritual Needs of Geriatric Patients -- Introduction to Palliative Care.
Format
e-Book
Location
Online
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Geriatrics for Specialists

https://libcat.nshealth.ca/en/permalink/provcat41309
John R. Burton, Andrew G. Lee, Jane F. Potter, editors. --Cham: Springer , 2017.
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This book focuses on the circumstances that lead to the marked increased vulnerability of seniors and are most challenging to clinicians including the presence of multiple chronic medical conditions, variable losses of physiological function, and heterogeneity among individuals. Written by the experts who lead the initiative to deliver high quality surgical and medical care to the elderly, Geriatrics for Specialists is the first book of its kind to provide the comprehensive knowledge specialist…
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Other Authors
Burton, John R
Lee, Andrew G
Potter, Jane F
Responsibility
John R. Burton, Andrew G. Lee, Jane F. Potter, editors
Place of Publication
Cham
Publisher
Springer
Date of Publication
2017
Physical Description
1 online resource (xv, 350 pages) : 44 illus., 35 illus. in color
ISBN
9783319318318
9783319318295 (print ed.)
Subjects (MeSH)
Aging - physiology
Geriatrics - methods
Health Services for the Aged
Abstract
This book focuses on the circumstances that lead to the marked increased vulnerability of seniors and are most challenging to clinicians including the presence of multiple chronic medical conditions, variable losses of physiological function, and heterogeneity among individuals. Written by the experts who lead the initiative to deliver high quality surgical and medical care to the elderly, Geriatrics for Specialists is the first book of its kind to provide the comprehensive knowledge specialists and associated generalists need to deliver quality health care to seniors. With topics on important cross cutting issues like frailty, delirium and polypharmacy and specialty chapters on emergency medicine, anesthesia, many surgical and medical disciplines and rehabilitation, this book provides clinicians the knowledge and tools needed to evaluate, treat and manage the unique needs of seniors. Geriatrics for Specialists was created as a resource for specialist, generalists and allied health professionals and their students and trainees who care for elderly patients.
Contents
Part I: Cross-Cutting Issues -- 1. Frailty -- 2. Delirium -- 3. Preoperative Evaluation -- 4. Psychiatric Disorders in Older Adults -- 5. Medication Management -- 6. Palliative Care and End-of-Life Issues -- 7. Hospital Medicine -- 8. Screening Tools for Geriatric Assessment by Specialists -- Part II: Surgical and Related Specialties -- 9. Anesthesia for the Older Patient -- 10. Cardiothoracic Surgery -- 11. Emergency Medicine -- 12. Geriatric Trauma and Emergency General Surgery -- 13. Special Evidence-Based Considerations in Geriatric Gynecologic Care: Pelvic Floor Disorders -- 14. Geriatric Cross-Cutting Issues in Ophthalmology -- 15. Geriatric Orthopedic Surgery -- 16. Otolaryngology Head and Neck Surgery -- 17. Rehabilitation -- 18. Urology -- 19. Vascular Surgery -- Part III: Medical Specialties -- 20. Rheumatology -- 21. Cardiovascular Disease -- 22. Endocrinology -- 23. Gastroenterology -- 24. Infection and Immunity -- 25. Kidney Disease -- 26. Evaluation and Management of Older Adults with Multimorbidity and Cancer: A Geriatric Perspective on Oncology Care -- 27. Pulmonary and Critical Care Medicine.
Format
e-Book
Location
Online
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Geriatrics Models of Care : Bringing 'Best Practice' to an Aging America

https://libcat.nshealth.ca/en/permalink/provcat39240
Michael L. Malone, Elizabeth A. Capezuti, Robert M. Palmer, editors. --Cham: Springer , c2015.
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This book describes geriatrics practice models that are used to guide the care of older adults, allowing seniors to remain at home, prevent functional disability, and preserve their quality of life. The models include specific interventions which are performed by health care teamsáto address the needs of older persons and their caregivers. These models respect patient values, consider patient safety, and appreciate psychosocial needs as well. The book is presented to readers based on the settin…
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Other Authors
Malone, Michael L
Capezuti, Elizabeth A
Palmer, Robert M
Responsibility
Michael L. Malone, Elizabeth A. Capezuti, Robert M. Palmer, editors
Place of Publication
Cham
Publisher
Springer
Date of Publication
c2015
Physical Description
1 online resource (xxii, 319 p. : 52 illus., 40 illus. in color)
ISBN
9783319160689
9783319160672 (print ed.)
Subjects (MeSH)
Geriatric Assessment
Geriatrics
Health Services for the Aged
Patient-Centered Care
Other Subjects
United States
Abstract
This book describes geriatrics practice models that are used to guide the care of older adults, allowing seniors to remain at home, prevent functional disability, and preserve their quality of life. The models include specific interventions which are performed by health care teamsáto address the needs of older persons and their caregivers. These models respect patient values, consider patient safety, and appreciate psychosocial needs as well. The book is presented to readers based on the setting of the care of the older individual: the hospital, the outpatient setting, the transition from one site of care to the next, and the emergency department. The editors further present additional models which address the needs of vulnerable populations, and community- based models of care. Finally, this book describes several promising and innovative programs which represent best practice strategies for older persons. Geriatric Models of Care is an excellent resource for health care leaders who must implement these programs to address the needs of the patients in their communities.
Contents
Part I. Hospital based models of care -- 1. Acute Care for Elders -- 2. Hospital Elder Life Program -- 3. The ACE Consult program -- 4.The Advanced Dementia Consult program -- 5. Acute Care for Elders (ACE) Tracker and "e-Geriatrician" telemedicine program -- 6. The NICHE program to prepare the workforce to address the needs of older patients -- Part II. Models to address the needs of seniors in transition from hospital to home -- 7. Care Transitions Intervention -- 8. The Mary Naylor Advanced Practice Nurse model -- 9. Project BOOST -- Part III. Outpatient-based models of care -- 10. The GRACE model -- 11. The Guided Care model -- 12. The Stanford Chronic Disease Self-Management program -- 13. Patient Centered Medical Home -- 14. Hospital at Home model -- 15. The Physician Home Visit program -- 16. Geriatrics Evaluation and Management (GEM) program -- Part IV. Emergency Department models of care -- 17. Geriatrics Emergency Department: the GEDI WISE program -- Part V. Models which address the needs of vulnerable populations -- 18. The Evercare program to care for vulnerable elders in skilled nursing facilities -- 19. The UCLA Dementia coordinator program -- 20. The Wisconsin Alzheimer's Institute memory assessment program -- 21. Memory Care Connections and LEEPS program for early memory assessment -- Part VI. Community related models of care: 22. Stepping On-falls prevention program -- 23. Program of All-Inclusive Care of Elders (PACE model) -- 24. Wisconsin Family Care social model to support seniors in their homes -- 25. Wisconsin’s family care model -- Part VII. Promising programs -- 26. Hospital care of individuals with advanced dementia -- 27. The delirium room: a restraint-free model of care for older hospitalized patients with delirium -- 28. OPTIMISTIC: a Program to Improve Nursing Home Care and Reduce Avoidable Hospitalizations -- 29 High-Intensity Telemedicine: Enhanced Acute Care for Elders Model -- 30. Comfort Care for People with Dementia: The Beatitudes Campus Model -- 31. Path Clinic: Palliative and Therapeutic Harmonization.
Format
e-Book
Location
Online
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Healthcare Changes and the Affordable Care Act : A Physician Call to Action

https://libcat.nshealth.ca/en/permalink/provcat39100
James S. Powers, editor. --Cham: Springer , c2015.
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Location
Online
Healthcare Changes and the Affordable Care Act: A Physician Call to Action provides guidance, examples, and information on processes and timelines for physicians based on the implementation of The Affordable Care Act (ACA) that was established in 2010. This volume focuses on how geriatricians and other healthcare professionals can be engaged in responding to the roll-out of the ACA in their communities, and through this engagement assume leadership roles in local hospitals, healthcare organizat…
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Other Authors
Powers, James S
Responsibility
James S. Powers, editor
Place of Publication
Cham
Publisher
Springer
Date of Publication
c2015
Physical Description
1 online resource (xvi, 227 p. : 7 illus. in color)
ISBN
9783319095103
9783319095097 (print ed.)
Subjects (MeSH)
Health Care Reform
Health Services for the Aged
Quality of Health Care
Other Subjects
United States
Abstract
Healthcare Changes and the Affordable Care Act: A Physician Call to Action provides guidance, examples, and information on processes and timelines for physicians based on the implementation of The Affordable Care Act (ACA) that was established in 2010. This volume focuses on how geriatricians and other healthcare professionals can be engaged in responding to the roll-out of the ACA in their communities, and through this engagement assume leadership roles in local hospitals, healthcare organizations, and medical societies to advance quality improvement and new models of care for older adults. In-depth chapters provide an update on quality improvement efforts at the state level as well as changes in Medicaid financing and the significant impact this will have for older adults, particularly dual-eligibles. Many elements of the ACA are yet to be rolled out and many healthcare decisions are yet to be made. Healthcare Changes and the Affordable Care Act: A Physician Call to Action will guide healthcare decision makers and help them to play a leadership role in advancing quality care for older adults in our changing healthcare environment.
Contents
Geriatricians Involvement in Healthcare Changes -- Quality Improvement Organizations -- Leadership Opportunities for Physicians -- The ABCs of ACOs -- Our Failing System: A Reasoned Approach Toward Single Payer -- Geriatric and Primary Care Workforce Development -- Medicare and Medicaid Coordination: Special Case of the Dual Eligible Beneficiary -- Care Management: From Channeling to Grace -- Program Evaluation: Defining and Measuring Appropriate Outcomes -- Targeting Interventions and Populations -- Accountable Care Organizations: A Case Study in the Use of Care Coordination: Montefiore Medical Center -- University of Michigan Case Study: The Physician Group Practice Demonstration.
Format
e-Book
Location
Online
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Healthy Aging : A Complete Guide to Clinical Management

https://libcat.nshealth.ca/en/permalink/provcat44319
Patrick P. Coll, editor. --Cham: Springer , 2019.
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Online
This book highlights both biomedical and psychosocial interventions, including lifestyle changes that promote healthy aging. The text begins with an introduction to the principles of disease prevention and health promotion with an emphasis on the impact of age on life expectancy, disease and disability. Written by experts who have an interest in healthy aging, the text highlights steps that patients and their healthcare providers can take to promote healthy aging. There is an emphasis on mainta…
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Other Authors
Coll, Patrick P.
Responsibility
Patrick P. Coll, editor
Place of Publication
Cham
Publisher
Springer
Date of Publication
2019
Physical Description
1 online resource (xv, 399 p.) : 84 illus., 73 illus. in color
ISBN
9783030062002
9783030061999 (Print ed.)
9783030062019 (Print ed.)
Subjects (MeSH)
Aged
Aging
Geriatrics
Health Behavior
Health Promotion
Health Services for the Aged
Healthy Lifestyle
Specialty
Geriatrics
Abstract
This book highlights both biomedical and psychosocial interventions, including lifestyle changes that promote healthy aging. The text begins with an introduction to the principles of disease prevention and health promotion with an emphasis on the impact of age on life expectancy, disease and disability. Written by experts who have an interest in healthy aging, the text highlights steps that patients and their healthcare providers can take to promote healthy aging. There is an emphasis on maintaining function and preventing disability with increasing age. Common biomedical interventions including exercise, nutrition, sleep and cancer prevention are addressed in detail. The text then shifts to address the psychosocial determinant of healthy aging including, housing, relationships, intimacy, work and spirituality. The text then outlines steps that healthcare systems and public policy agencies should adopt to promote healthy aging, both for those who are older now and for those who will be older in the future. Healthy Aging is an important resource for those working with older patients, including geriatricians, family medicine physicians, nurses, gerontologists, students, public health administrators, and all other medical professionals.
Contents
Healthy Aging: Definition & Scope -- Disease, Disability & Frailty with Increasing Age -- The Principles of Disease and Disability Prevention & Health Promotion with Increasing Age -- The Interface between Healthy Aging, Longevity, Disease & Disability -- Cardiovascular Health & Healthy Aging -- Musculoskeletal Health &Healthy Aging -- Gastrointestinal Health & Healthy Aging -- Pulmonary Health & Healthy Aging -- Urogenital Health & Healthy Aging -- Skin Health & Healthy Aging: Cosmetics -- Skin Health & Healthy Aging: Diseases -- Preventing Falls & Injuries, & Healthy Aging -- Sensory Health & Healthy Aging: Hearing, Taste & Smell -- Sensory Health & healthy Aging: Vision -- Cognition & Healthy Aging -- Preventing Infections & Healthy Aging -- Preventing Cancer & Healthy Aging -- Endocrine Health & Healthy Aging -- Oral Health & Healthy Aging -- Exercise & Healthy Aging: Preventing Disease & Disability -- Exercise & Healthy Aging: Preventing Disease & Disability -- Nutrition & Healthy Aging -- Sleep & Healthy Aging -- Promoting Healthy Aging Through Recognition and Treatment of Psychiatric Disorders in Older Adults -- Sexuality, Intimacy & Healthy Aging -- Pain & Healthy Aging -- Creativity, Personal Fulfillment & Healthy Aging -- Relationships & Healthy Aging -- Resilience, Adapting to Change & Healthy Aging -- Mindfulness, Spirituality & Healthy Aging -- Cultural & Socio-Economic Determinants of Healthy Aging -- Employment & the Workplace Supporting Healthy Aging -- Urban Planning, Housing &Transportation Supporting Healthy Aging -- Health Care Systems & Health Care Funding Supporting Healthy Aging -- Government Policy Supporting Healthy Aging.
Format
e-Book
Location
Online
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Longer Life and Healthy Aging

https://libcat.nshealth.ca/en/permalink/provcat40519
edited by Zeng Yi, Eileen M. Crimmins, Yves Carrière and Jean-Marie Robine. --Dordrecht: Springer Netherlands , c2006.
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A fundamental issue facing the global community is meeting the challenges of population aging and achieving healthy aging to maintain an active older population and reduce the number of disabled people. The focus of this book is on theoretical issues and empirical findings related to trends and determinants of healthy aging, including factors related to "healthy longevity" of the oldest-old, aged 80 and over. The group is the most rapidly increasing elderly sub-population and is most likely to …
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Other Authors
Yi, Zeng
Crimmins, Eileen M
Carrière, Yves
Robine, Jean-Marie
Responsibility
edited by Zeng Yi, Eileen M. Crimmins, Yves Carrière and Jean-Marie Robine
Place of Publication
Dordrecht
Publisher
Springer Netherlands
Date of Publication
c2006
Physical Description
1 online resource (x, 354 p.)
Series Vol.
v. 2
Series Title
International Studies in Population
ISBN
9781402040320
9781402040245 (print ed.)
Subjects (MeSH)
Geriatric Assessment
Health Services for the Aged
Life Expectancy
Needs Assessment
Population Dynamics
Abstract
A fundamental issue facing the global community is meeting the challenges of population aging and achieving healthy aging to maintain an active older population and reduce the number of disabled people. The focus of this book is on theoretical issues and empirical findings related to trends and determinants of healthy aging, including factors related to "healthy longevity" of the oldest-old, aged 80 and over. The group is the most rapidly increasing elderly sub-population and is most likely to need assistance in daily living in all countries. Chapters include both longitudinal and cross-sectional data from North America, Europe, and Asia in country-specific studies and cross-national comparisons. Part I focuses on the definition, components, concepts, measurements, and determinants of healthy aging, and discusses the trends and patterns of disability and healthy life expectancy at the macro level. Part II addresses individual healthy aging, including its biological and socio-demographic aspects. Part III focuses on issues concerning the family and healthy aging, and Part IV explores formal and informal care for healthy aging through governmental policy interventions and community service programs.
Contents
Part I. Disability and Healthy Life Expectancy -- Can We Live Longer, Healthier Lives? -- Aging and Disability in Taiwan: Prevalence and Transitions from a Panel Study -- Disability Patterns for Us Elderly Nursing Home Residents Over Two Decades: Findings from the 1973 to 1997 National Nursing Home Surveys -- A Method for Correcting the Underestimation of Disabled Life Expectancy, with an Empirical Application to Oldest-Old in China -- Effects of Diabetes on Healthy Life Expectancy: Shorter Lives with More Disability for Both Women and Men -- Increasing Longevity: Causes, Consequences, and Prospects -- Part II. Individual Healthy Aging -- Age Differences in Allostatic Load: An Index of Frailty -- Aging without Dementia -- Does Apolipoprotein E Polymorphism Determine the Survivability of Vascular Accidents at Advanced Ages? Implications for Mortality Differentials -- The Danish Longitudinal Centenarian Study -- Gender and Healthy Aging -- Female Disadvantages Among the Elderly in China -- The Relationship Between Occupational Status, Mobility, and Mortality at Older Ages -- Part III. The Family and Healthy Aging -- Impact of Longer Life on Care Giving from Children -- Living Arrangement of the Oldest Old in China -- Longevity Among Chinese Consanguines -- Part IV. Community Effects on Healthy Aging -- Socio-Demographic Factors Associated with the Use of Formal and Informal Support Networks among Elderly Canadians -- Variation in Cohort Size and Lower Mortality in the Elderly: Implications for Pay-As-You-Go Healthcare Systems -- Successful Aging Amongst the Very Old: Evidence from a Longitudinal Study of Aging -- Needs, Provision, and Financing of Care for Elderly.
Format
e-Book
Location
Online
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Meeting the needs of older adults with serious illness : challenges and opportunities in the age of health care reform

https://libcat.nshealth.ca/en/permalink/provcat33913
Amy S. Kelley, Diane E. Meier, editors. --New York: Springer , c2014.
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Meeting the Needs of Older Adults with Serious Illness: Challenges and Opportunities in the Age of Health Care Reform provides an introduction to the principles of palliative care, describes current models of delivering palliative care across care settings, and examines opportunities in the setting of healthcare policy reform for palliative care to improve outcomes for patients, families and healthcare institutions. The United States is currently facing a crisis in health care marked by unsusta…
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Other Authors
Kelley, Amy S.
Meier, Diane E.
Responsibility
Amy S. Kelley, Diane E. Meier, editors
Place of Publication
New York
Publisher
Springer
Date of Publication
c2014
Physical Description
1 online resource (xiii, 240 pages)
Series Title
Aging medicine
ISBN
9781493904075 (electronic bk.)
9781493904068
Subjects (MeSH)
Health Care Reform
Health Services for the Aged
Insurance, Health
Palliative Care - economics
Quality of Health Care
United States. Patient Protection and Affordable Care Act
Subjects (LCSH)
Older people - Medical care
Older people - Hospice care
Palliative treatment
Terminal care
Other Subjects
United States
Abstract
Meeting the Needs of Older Adults with Serious Illness: Challenges and Opportunities in the Age of Health Care Reform provides an introduction to the principles of palliative care, describes current models of delivering palliative care across care settings, and examines opportunities in the setting of healthcare policy reform for palliative care to improve outcomes for patients, families and healthcare institutions. The United States is currently facing a crisis in health care marked by unsustainable spending and quality that is poor relative to international benchmarks. Yet this is also a critical time of opportunity. Because of its focus on quality of care, the Affordable Care Act is poised to expand access to palliative care services for the sickest, most vulnerable, and therefore most costly, 5% of patients- a small group who nonetheless drive about 50% of all healthcare spending. Palliative care is specialized medical care for people with serious illnesses. It focuses on providing patients with relief from the symptoms, pain, and stress of a serious illness--whatever the diagnosis or stage of illness. The goal is to improve quality of life for both the patient and the family. Research has demonstrated palliative care's positive impact on health care value. Patients (and family caregivers) receiving palliative care experience improved quality of life, better symptom management, lower rates of depression and anxiety, and improved survival. Because patient and family needs are met, crises are prevented, thereby directly reducing need for emergency department and hospital use and their associated costs. An epiphenomenon of better quality of care, the lower costs associated with palliative care have been observed in multiple studies. Meeting the Needs of Older Adults with Serious Illness: Challenges and Opportunities in the Age of Health Care Reform, a roadmap for effective policy and program design, brings together expert clinicians, researchers and policy leaders, who tackle key areas where real-world policy options to improve access to quality palliative care could have a substantial role in improving value.
Contents
Part I. Current Needs of Older Adults with Serious Illness -- 1. When More Is Less: Overuse of Medical Services Harms Patients -- 2. Disparities in Access to Palliative Care -- 3. Family Caregiving and Palliative Care: Aligning Theory, Practice, and Policy -- Part II. Settings for the Care of the Seriously Ill -- 4. This Is Your Life: Achieving a Comprehensive, Person-Centered Model of Care at the Intersection of Policy, Politics, and Private Sector Innovation -- 5. Hospice and Healthcare Reform: What Is the Optimal Path? -- 6. Palliative Care in the Long-Term Care Setting -- Part III. Measuring Quality and Paying for the Care of the Seriously Ill -- 7. Quality and Outcome Measures -- 8. Palliative Care’s Impact on Utilization and Costs: Implications for Health Services Research and Policy -- 9. Long-term Services and Supports: A Necessary Complement to Palliative Care -- 10. The Manifest Destinies of Managed Care and Palliative Care -- Part IV. Platforms for Improvement -- 11. Models of Care Delivery and Coordination: Palliative Care Integration Within Accountable Care Organizations -- 12. Implementing a Care Planning System: How to Fix the Most Pervasive Errors in Health Care -- 13. Igniting Action to Integrate Palliative Care in Our US Health System: The Role of Disease-Specific Advocacy Groups—A Cancer Advocacy Case Study -- 14. What Do You Mean You Don’t Also Offer Palliative Care? Effective Public Engagement to Harness Demand to Improve Care for Serious Illness -- 15. Research Priorities in Palliative Care for Older Adults -- 16. Medical and Nursing Education & Training.
Format
e-Book
Location
Online
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