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Book Disability and Care Needs of Older Americans  an Analysis of the 2011 National Health and Aging Trends Study

Download or read book Disability and Care Needs of Older Americans an Analysis of the 2011 National Health and Aging Trends Study written by U.S. Department of Health and Human Services and published by CreateSpace. This book was released on 2015-02-17 with total page 30 pages. Available in PDF, EPUB and Kindle. Book excerpt: This report shows that late-life care needs are significant--nearly one-half of all adults in the United States over age 65, or 18 million people, have difficulty or receive help with daily activities. (This is for the total population over age 65, but disability increases with age. The percentage is lower for those aged 65-75 and higher for those over age 85.) At the same time, potential care networks among those receiving help are substantial--nearly 98% of older adults receiving help with daily activities have at least one close family member, household member, or close friend--and on average most older adults have four potential informal network members. Moreover, levels of informal assistance, primarily from family caregivers, are substantial not only for older adults in the community but also for those living in assisted living and other supportive care settings. Nearly all of those receiving help (irrespective of setting) receive informal care, and about three in ten receive some paid care. Those receiving assistance from paid, non-staff caregivers have especially high risk for adverse consequences related to unmet needs--nearly 60% had an adverse consequence in the last month. We also find a substantial proportion of the population--7% or nearly 3 million--receiving assistance with three or more self-care or mobility activities in settings other than nursing homes, exceeding the level of need typically associated with eligibility for benefits under either private insurance or public program eligibility. A disproportionate share of older persons at this level of assistance is in the lowest income quartile. Although publicly and privately paid care continues to be an important source of assistance to older adults with extensive needs, the higher level of adverse consequences linked to unmet need among those receiving paid care warrants further investigation. As individual preferences and public programs continue to support the shift of the locus of long-term care from nursing homes to the community and alternative residential care settings, a better understanding of unmet need can inform policies to promote safety and maximized functioning in the community and the well-being of older adults and their families.

Book DISABILITY and CARE NEEDS of OLDER AMERICANS by DEMENTIA STATUS  an Analysis of the 2011 National Health and Aging Trends Study

Download or read book DISABILITY and CARE NEEDS of OLDER AMERICANS by DEMENTIA STATUS an Analysis of the 2011 National Health and Aging Trends Study written by U.S. Department of Health and Human Services and published by CreateSpace. This book was released on 2015-02-17 with total page 34 pages. Available in PDF, EPUB and Kindle. Book excerpt: Studies of the prevalence of Alzheimer's disease and other dementia in the United States estimate that 14% of those over age 70 are affected, and that prevalence increases with age, exceeding one-quarter of persons over age 80 (Corrada et al. 2010; Hebert et al. 2013; Plassman et al. 2007). Alzheimer's disease accounts for close to three-quarters of persons with dementia (Plassman et al. 2007). Studies from United States and European populations find evidence for declines in the rate of cognitive impairment (Larson et al. 2013), but there is widespread agreement that the overall growth of the older population and increases in persons living into their 80s and 90s will result in more persons with dementia in the near future. The link between cognitive functioning and disability is well-established (McGuire et al. 2006). Recent research also supports cognitive change as a precursor to physical function declines (Atkinson et al. 2010). Memory, disorientation, and other features of dementia affect a person's ability to perform everyday activities and over time often lead to complete dependence on others. The implications of population aging for increases in older persons with dementia and the impact on families, which will be the mainstays in caregiving, have elevated the need for policy-relevant information worldwide on needs for care and consequences for care providers (WHO 2012). The purpose of this report is to describe disability and care needs, and some aspects of caregiving, for older people with dementia using 2011 data from the National Health and Aging Trends Study (NHATS) baseline and the National Survey of Caregiving (NSOC). Drawing on disability measures from NHATS (Freedman & Spillman 2013) and a measure developed for NHATS that classifies persons as probable, possible, and no dementia (Kasper et al. 2013a), we examine variation by dementia status for several topics: activity limitations and assistance; demographic characteristics and residence; caregiving resources; and support available to or sought by caregivers to individuals with dementia.

Book Families Caring for an Aging America

    Book Details:
  • Author : National Academies of Sciences, Engineering, and Medicine
  • Publisher : National Academies Press
  • Release : 2016-11-08
  • ISBN : 0309448093
  • Pages : 367 pages

Download or read book Families Caring for an Aging America written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2016-11-08 with total page 367 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Book Social Isolation and Loneliness in Older Adults

Download or read book Social Isolation and Loneliness in Older Adults written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2020-05-14 with total page 317 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Book Aging and the Macroeconomy

Download or read book Aging and the Macroeconomy written by National Research Council and published by National Academies Press. This book was released on 2013-01-10 with total page 230 pages. Available in PDF, EPUB and Kindle. Book excerpt: The United States is in the midst of a major demographic shift. In the coming decades, people aged 65 and over will make up an increasingly large percentage of the population: The ratio of people aged 65+ to people aged 20-64 will rise by 80%. This shift is happening for two reasons: people are living longer, and many couples are choosing to have fewer children and to have those children somewhat later in life. The resulting demographic shift will present the nation with economic challenges, both to absorb the costs and to leverage the benefits of an aging population. Aging and the Macroeconomy: Long-Term Implications of an Older Population presents the fundamental factors driving the aging of the U.S. population, as well as its societal implications and likely long-term macroeconomic effects in a global context. The report finds that, while population aging does not pose an insurmountable challenge to the nation, it is imperative that sensible policies are implemented soon to allow companies and households to respond. It offers four practical approaches for preparing resources to support the future consumption of households and for adapting to the new economic landscape.

Book Retooling for an Aging America

Download or read book Retooling for an Aging America written by Institute of Medicine and published by National Academies Press. This book was released on 2008-08-27 with total page 316 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Book Policy and Program Planning for Older Adults and People with Disabilities

Download or read book Policy and Program Planning for Older Adults and People with Disabilities written by Elaine T. Jurkowski, MSW, PhD and published by Springer Publishing Company. This book was released on 2019-01-14 with total page 543 pages. Available in PDF, EPUB and Kindle. Book excerpt: The second edition of this landmark textbook is distinguished by its pioneering approach to encompassing disability and aging policies under one umbrella, in response to the newly developed Administration on Aging and Disability. It addresses policy changes impacting health and disability services resulting from the Affordable Care Act (ACA) and other new legislation, and offers a pioneering approach to transforming policy into practice applications. New to the second edition is current census data and new legislative mandates from the ACA and other policy organizations impacting aging adults and/or disabled populations. Also included is new coverage on Social Media, Motivational Interviewing, Health Literacy, Underrepresented Groups, LGBT, and Rural Communities. Podcasts, available as downloads, present the messages of advocates, lobbyists, policy experts, and consumers who address various aspects of relevant policies and policy development. Unlike other texts, the book focuses on triangulating skills, policies, and programs for graduate students in social work, public health, gerontology, and rehabilitation. It aims thus to enhance understanding of policy development through a critical analysis and review of policy framework, and promotes development of skills in shaping programs and implementing policy. The text lays out tools that facilitate policy and program development to include the media, coalition building, the use of an evidence base, and how each mandated policy addresses these programs and services. Chapters include learning objectives, case studies, review/discussion questions, and resources for additional information. An Instructors Manual, Test Bank, and PowerPoint slides facilitate the teaching process. New to the Second Edition: Addresses both disability and aging policies Includes updated census data Presents new legislation and mandates for the ACA, Veterans and the Military, Caregivers/Caregiver Support Act, Alzheimer Support, Health Lifestyles, Aging and Disability Resource Centers, Elder Justice Act, and Substance Use and Misuse Provides new coverage on Social Media, Motivational Interviewing, Health Literacy, Minorities, Incarcerated Individuals, Immigrants/Refugees, LGBT, and Rural Communities Offers podcasts of interviews with key consumers and policy experts Key Features: Lays out tools that facilitate policy and program development Examines major service areas for older adults Addresses philosophical, historical, and demographic challenges Enhances understanding of policy development through critical analysis Includes learning objectives, case studies, review questions, and instructor package

Book Families Caring for an Aging America

    Book Details:
  • Author : National Academies of Sciences, Engineering, and Medicine
  • Publisher : National Academies Press
  • Release : 2016-12-08
  • ISBN : 0309448069
  • Pages : 367 pages

Download or read book Families Caring for an Aging America written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2016-12-08 with total page 367 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Book Improving Data on America s Aging Population

Download or read book Improving Data on America s Aging Population written by Committee on National Statistics and published by National Academies Press. This book was released on 1996-12-04 with total page 64 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Committee on National Statistics and the Committee on Population, at the request of the NIA, convened a workshop in March 1996 to discuss data on the aging population that address the emerging and important social, economic, and health conditions of the older population. The purposes of the workshop were to identify how the population at older ages in the next few decades will differ from the older population today, to understand the underlying causes of those changes, to anticipate future problems and policy issues, and to suggest future needs for data for research in these areas. The scope of the workshop was broader than that of the 1988 CNSTAT report, including not only data on health and long-term care, but also actuarial, economic, demographic, housing, and epidemiological data needs for informing public policy.

Book Aging and Disability

Download or read book Aging and Disability written by Michelle Putnam and published by Springer Publishing Company. This book was released on 2007 with total page 297 pages. Available in PDF, EPUB and Kindle. Book excerpt: Print+CourseSmart

Book Health Literacy and Older Adults

    Book Details:
  • Author : National Academies of Sciences, Engineering, and Medicine
  • Publisher : National Academies Press
  • Release : 2018-10-16
  • ISBN : 0309479495
  • Pages : 103 pages

Download or read book Health Literacy and Older Adults written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2018-10-16 with total page 103 pages. Available in PDF, EPUB and Kindle. Book excerpt: Adults age 65 and older make up the fastest-growing segment of the U.S. population. At the same time, the complexity of health care delivery continues to grow, creating challenges that are magnified for older adults, given that age is one of the highest correlates of low health literacy. This creates a shared obligation between health care and the health care team to use the principles, tools, and practices of health literacy so that patients and families of older adults can more easily navigate discussions related to chronic disease, polypharmacy, long-term care, palliative care, insurance complexities, the social determinants of health, and other factors that create challenges for older adults, particularly among underserved populations nationwide. To gain a better understanding of the health communication challenges among older adults and their professional and family caregivers and how those challenges affect the care older adults receive, the National Academies of Sciences, Engineering, and Medicine's Roundtable on Health Literacy convened a 1-day public workshop featuring presentations and discussions that examined the effect of low health literacy on the health of older adults. This publication summarizes the presentations and discussions from the workshop.

Book Elderly Americans

    Book Details:
  • Author : United States. General Accounting Office
  • Publisher :
  • Release : 1992
  • ISBN :
  • Pages : 48 pages

Download or read book Elderly Americans written by United States. General Accounting Office and published by . This book was released on 1992 with total page 48 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Aging with a Disability

Download or read book Aging with a Disability written by Bryan J. Kemp and published by JHU Press. This book was released on 2004-06-15 with total page 332 pages. Available in PDF, EPUB and Kindle. Book excerpt: With advances in medical care, technology, and rehabilitation, people with disabilities are now living longer. Many, in fact, have near-average life expectancies. Research has shown, however, that the changes and problems associated with aging often occur 10–20 years earlier in the lives of people with disabilities than in the lives of people without disabilities. These changes pose significant challenges for health care professionals. Because research in this field is relatively recent, few practitioners and students are aware of these findings. Aging with a Disability provides clinicians with a complete guide to the care and treatment of persons aging with a disability. Divided into five parts, this book first addresses the perspective of the person with a disability and his or her family. Chapters in the second section address the physiological and functional changes people will face as they grow older, and how these changes may affect quality of life and caregiver requirements. In the third part, contributors discuss treatment considerations such as maintaining employment and managing pain and fatigue. The book's fourth section focuses on specific conditions: spinal cord injury, polio, cerebral palsy, and developmental disabilities such as mental retardation. In the concluding section, the authors present research needs and discuss policy issues for future consideration. Paying special attention to the feelings, attitudes, and needs of people with disabilities—three chapters are written by authors who have a disability—Aging with a Disability gives students and clinicians a reliable and compassionate handbook for the treatment of this growing population.

Book A Generation of Change

Download or read book A Generation of Change written by Jacob S. Siegel and published by Russell Sage Foundation. This book was released on 1993-02-18 with total page 684 pages. Available in PDF, EPUB and Kindle. Book excerpt: A Generation of Change is an exceptional study of the nation's elderly, a population that has undergone profound changes in the years since World War II. As modern medicine extends the average life span and the baby boom generation begins to approach middle age, the number of older Americans is expected to more than double in the next century. Currently, 75 percent of U.S. health care expenditures go toward the elderly. But as national trends toward early retirement and low birthrate continue, an aging American population could face crises in meeting their financial and physical needs. According to Jacob S. Siegel in A Generation of Change, astute public planning must be informed by an understanding of the demographic, social, and economic characteristics of the older population, as it is today and as it will be in the coming years. Siegel employs census and survey data from 1950 through the mid-1980s to describe a population constantly shifting in its ethnic and gender composition, geographic distribution, marital and living arrangements, health, employment, and economic status. Surprisingly, there is tremendous disparity in the quality of life among the elderly. Although their average poverty rate is below that of the general population, there are dramatic levels of poverty among older women, who are far more likely than men to live alone or in institutions. As the elderly progress from the "young old" to the "aged old"—those over 85—sharp differences emerge as income and employment decrease and degrees of chronic illness increase. In addition, residential location influences the quality of health care and public assistance available to the elderly, an effect that may account for the marked migration of older people to Florida and Arizona. Siegel analyzes the full range of characteristics for this heterogenous population and, through comparisons with other age groups as well as with the elderly of the previous decades, portrays the crucial influence of social and economic conditions over the life course on the quality of later life. With our elderly population growing more numerous and long lived, accurate information about them is increasingly essential. A Generation of Change will serve as a valuable resource for policymakers seeking more effective solutions in critical areas such as housing, long-term health care, and the funding of Social Security and retirement programs. A Volume in the Russell Sage Foundation Census Series

Book Health Data on Older Americans

    Book Details:
  • Author : National Center for Health Statistics (U.S.)
  • Publisher : Department of Health and Ers for Disease Con
  • Release : 1993
  • ISBN :
  • Pages : 330 pages

Download or read book Health Data on Older Americans written by National Center for Health Statistics (U.S.) and published by Department of Health and Ers for Disease Con. This book was released on 1993 with total page 330 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Demography of Aging

    Book Details:
  • Author : National Research Council
  • Publisher : National Academies Press
  • Release : 1994-02-01
  • ISBN : 0309050855
  • Pages : 424 pages

Download or read book Demography of Aging written by National Research Council and published by National Academies Press. This book was released on 1994-02-01 with total page 424 pages. Available in PDF, EPUB and Kindle. Book excerpt: As the United States and the rest of the world face the unprecedented challenge of aging populations, this volume draws together for the first time state-of-the-art work from the emerging field of the demography of aging. The nine chapters, written by experts from a variety of disciplines, highlight data sources and research approaches, results, and proposed strategies on a topic with major policy implications for labor forces, economic well-being, health care, and the need for social and family supports.