Home- and Community-Based Services for Older Adults


Book Description

As older adults and their families opt out of nursing homes, a range of home and community-based services (HCBS) have risen up to provide care. HCBS span platforms and approaches, from home health care to assisted living to community-based hospice to adult day services. These models are, for most, preferable to nursing homes and allow older adults to “age in place”—live longer in their own homes and communities. Home- and Community-Based Services for Older Adults examines the existing and emerging models of HCBS, including the history, theory, research, policy, and practices across care settings. Emphasizing the multidisciplinary and interprofessional practice approaches used to deliver care, this book is an essential learning tool for students interested in medicine, nursing, social work, allied health professions, case management, health care administration, and gerontology. As the population of older adults grows, the authors ask, how can we best meet the needs of older adults and their families in the most effective, cost-conscious way while honoring their care choices?




Successful Aging in a Rural Community in Japan


Book Description

"This book discusses the aging populations in rural Japan. The plan of the book is as follows: In Chapter 1, we describe how rural Japan has changed socially and demographically. We explain how rural depopulation has led to political consolidation, and how the welfare system in Japan is placing more responsibility and autonomy on the municipalities. Some rural towns in Japan, such as Kawanehonchō, are actively responding to the demographic challenges initiated by municipal governments that have the advantage of developing unique programs reflecting the voices of local residents. Chapter 2 describes Kawanehonchō, explains how it became a rural depopulated town, and discusses why the town provides an important example to understand and discuss rural aging comparatively. In Chapter 3, we review theoretical frameworks (collective efficacy theory and social capital) to understand the inseparability of successful aging from the quality of neighborhoods and communities. We explain our research methods in Chapter 4. In Chapter 5, we examine Kawanehonchō with secondary data. Chapter 6 summarizes the findings based on observations of activities provided for the elderly in this town, and Chapter 7 sheds light on rural aging through the eyes and words of its leaders. Chapter 8 presents our findings from our survey of elders participating in two community programs developed locally and specifically for them. Finally, in Chapter 9, we discuss the possibility of net inmigration of older adults to Kawanehonchō, and Chapter 10 includes discussions on challenges in rural depopulation and healthy aging"--




The Global Age-Friendly Community Movement


Book Description

The age-friendly community movement is a global phenomenon, currently growing with the support of the WHO and multiple international and national organizations in the field of aging. Drawing on an extensive collection of international case studies, this volume provides an introduction to the movement. The contributors – both researchers and practitioners – touch on a number of current tensions and issues in the movement and offer a wide-ranging set of recommendations for advancing age-friendly community development. The book concludes with a call for a radical transformation of a medical and lifestyle model of aging into a relational model of health and social/individual wellbeing.




Providing Healthy and Safe Foods As We Age


Book Description

Does a longer life mean a healthier life? The number of adults over 65 in the United States is growing, but many may not be aware that they are at greater risk from foodborne diseases and their nutritional needs change as they age. The IOM's Food Forum held a workshop October 29-30, 2009, to discuss food safety and nutrition concerns for older adults.




Livable Communities for Aging Populations


Book Description

An innovative look at design solutions for building lifelong neighborhoods Livable Communities for Aging Populations provides architects and designers with critical guidance on urban planning and building design that allows people to age in their own homes and communities. The focus is on lifelong neighborhoods, where healthcare and accessibility needs of residents can be met throughout their entire life cycle. Written by M. Scott Ball, a Duany Plater-Zyberk architect with extensive expertise in designing for an aging society, this important work explores the full range of factors involved in designing for an aging population from social, economic, and public health policies to land use, business models, and built form. Ball examines in detail a number of case studies of communities that have implemented lifelong solutions, discussing how to apply these best practices to communities large and small, new and existing, urban and rural. Other topics include: How healthcare and disability can be integrated into an urban environment as a lifelong function The need for partnership between healthcare providers, community support services, and real-estate developers How to handle project financing and take advantage of lessons learned in the senior housing industry The role of transportation, access, connectivity, and building diversity in the success of lifelong neighborhoods Architects, urban planners, urban designers, and developers will find Livable Communities for Aging Populations both instructive and inspiring. The book also includes a wealth of pertinent information for public health officials working on policy issues for aging populations.




Creating Aging-friendly Communities


Book Description

Creating Aging-Friendly Communities examines the need to redesign America's communities to respond to our aging society. What differentiates it from other books is its breadth of focus, evidence-based consideration of key infrastructure characteristics, and examination of the strengths and limitations of promising approaches for fostering aging-friendly communities.




Families Caring for an Aging America


Book Description

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.




Disrupt Aging


Book Description

This book "sets out to change the current conversation about what it means to get older. In it, Jenkins chronicles her own journey, as well as those of others who are making their mark as disrupters, to show readers how we can all be active, financially unburdened, and happy as we get older. It's [a] ... narrative that touches on all the important issues facing people 50+ today, from caregiving and mindful living to building age-friendly communities and attaining financial freedom"--




Age-Friendly Cities and Communities


Book Description

This important book provides a comprehensive survey of different strategies for developing age-friendly communities, and the extent to which older people themselves can be involved in the co-production of age-friendly policies and practices.




Social Isolation and Loneliness in Older Adults


Book Description

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.