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Vulnerable Older Adults

Health Care Needs and Interventions

By: Patricia M. Burbank (Editor)

Hardcover

Published: 28th January 2011
Ships: 5 to 9 business days
$79.95


Winner of an "AJN" Book of the Year Award

Named an Outstanding Academic Title for 2007 by "Choice "

Based on the concept that vulnerability in the older populace encompasses those who are at increased risk for physical and psychosocial health problems, this book takes a closer look at vulnerability and how it affects five specific populations within the elderly: Those incarcerated in prisons The homeless Gay, lesbian, bisexual, and transgender people Those who are HIV positive or living with AIDS The frail

Both physical and psychosocial health care issues and needs are addressed as well as interventions and resources that can be implemented to care for these very specific populations and their requirements for successful physical and mental health care. The unique challenges of hospice care in prisons; the lack of services that cater to homeless older people; and the overall attitude towards helping elderly gay, lesbian, bisexual or transgender people are some of the increasingly important issues covered. Unique features include:
The latest research and theoretical approaches are summarized to give health professionals a concise picture of health care needs of these older adults Themes of interdisciplinary approach to care, cultural considerations, and neglect and abuse are integrated throughout Strategies and resources for caring for older adults with dementia are discussed for each vulnerable population

Contributorsp. xiii
Prefacep. xv
Forewordp. xvii
Introductionp. xviii
Frail Older Adults
Health Issues of Frail Older Adultsp. 3
Defining Frailtyp. 4
Comorbidities of Frailtyp. 9
Fallsp. 10
Adverse Effects of Polypharmacyp. 11
Depressionp. 13
Dementiap. 14
Deliriump. 15
Caregiver Issuesp. 17
Abuse and Neglectp. 18
Summaryp. 19
Health Care Strategies for Frail Older Adultsp. 25
Comprehensive Geriatric Assessmentp. 26
Descriptionp. 26
Outcomes of Comprehensive Geriatric Assessmentp. 28
Components of the Comprehensive Geriatric Assessmentp. 28
Historyp. 28
Physical/Functional Assessmentp. 29
Mental Status Assessmentp. 29
Depressionp. 30
Social and Spiritual Assessmentp. 31
Screening and Immunizationsp. 31
Frailty Indicesp. 32
Problem-Centered Strategiesp. 33
Fallsp. 33
Polypharmacyp. 34
Depressionp. 35
Deliriump. 36
Dementiap. 38
Caregiver Issues, Abuse, and Neglectp. 38
Syndrome-Centered Strategiesp. 39
Exercisep. 39
Nutritionp. 40
Pharmacotherapy Interventionsp. 42
Systems of Carep. 42
Hospital Carep. 43
Long-Term Carep. 43
Advance Directivesp. 44
Summaryp. 46
Aging Prisoners
Health Issues of Aging Prisonersp. 57
The U.S. Correctional Systemp. 58
Demographicsp. 58
Politics of the Criminal Justice Systemp. 60
Subcultures Within the Correctional Environmentp. 62
Prisoner Subculturep. 62
Administrative Subculturep. 63
Health Care Subculturep. 64
Profile of the Aging Offenderp. 65
Health Problems of the Aged Offenderp. 66
Summaryp. 70
Aging Prisoners: Strategies for Health Carep. 75
Prison Health Care Costsp. 77
Conflict in Goals and Valuesp. 77
Prison Health Servicesp. 79
Traditional Approachp. 79
Treatment of Infectious Diseasesp. 81
National Standards and Guidelinesp. 82
Approaches for Improving Health Care for Older Inmatesp. 83
Primary Prevention Programsp. 83
Specialty Units for Older Inmatesp. 84
Prison-Based Long-Term Carep. 86
Hospice and End-of-Life Carep. 87
Early Release and Compassionate Release Programsp. 89
Telemedicinep. 91
Joining Correctional Systems and Academic Institutionsp. 91
Geriatric Education for Prison Health Providersp. 92
Interdisciplinary Teamsp. 92
Summaryp. 93
Homeless Older Adults
Health Issues of Homeless Older Adultsp. 101
Defining Homelessnessp. 102
Prevalence of Homelessness Among Older Adultsp. 102
Sociodemographic Risk Factorsp. 103
Racep. 105
Poverty and Lack of Housingp. 105
Disruptive Childhood and Life Experiencesp. 106
Substance Abuse/Addictionsp. 106
Mental Illnessp. 107
Health Problems of Older Homeless Adultsp. 108
Physical Health Problemsp. 109
Hypothermiap. 19
Dehydrationp. 110
Urinary Incontinencep. 110
Sleep Deprivationp. 111
Infectious Diseasesp. 111
Musculoskeletal Ailmentsp. 112
Foot and Lower Leg Problemsp. 113
Accidents and Assaultsp. 114
Chronic Diseases Among Homeless Older Adultsp. 114
Diabetes Mellitusp. 114
Cardiovascular Diseases: Hypertension, Hyperlipidemia, and Heart Failurep. 115
Mental Health Disordersp. 116
Summaryp. 118
Health Care Strategies for Homeless Older Adultsp. 123
Interventions and Service Delivery for Older Adults Who Are Homelessp. 124
Downstream Strategiesp. 125
Multipurpose Centersp. 125
Shelter Programsp. 126
Food Service Programsp. 126
Health Service Programsp. 127
Social Service Programsp. 129
Emergency Elder Sheltersp. 130
Small Day Program for Eldersp. 130
Large Day Program for Homeless Eldersp. 130
Outreach Programsp. 131
Establishing Homeless/Provider Relationshipsp. 131
Midstream Strategiesp. 132
Empowerment of the Older Adultp. 132
Temporary Housing Programsp. 134
Upstream Strategiesp. 134
Policy Implicationsp. 135
Permanent Supportive Housingp. 135
Identify Early Warning Symptoms for Evictionp. 136
Intervention Program Models for Interdisciplinary Professional Practicep. 136
The Dwelling Placep. 137
Pathways from Street to Resettlement Modelp. 137
Ending Elder Homelessness: The Committee to End Elder Homelessnessp. 139
CEEH Interdisciplinary Case Management Modelp. 140
Summaryp. 141
Lesbian, Gay, Bisexual, and Transgender Older Adults
Health Issues of Lesbian, Gay, Bisexual, and Transgender Older Adultsp. 149
Definitions of Termsp. 150
Stigma and Biasp. 152
Internalized Homophobiap. 153
Demographic Profilep. 154
Physical Health Issuesp. 156
Older Lesbian/Bisexual Womenp. 156
Older Gay/Bisexual Menp. 158
Older Transgender Adultsp. 158
Psychosocial and Spiritual Health Issuesp. 159
Adjustmentp. 159
Substance Abusep. 160
Violence and Sexual Assaultp. 162
Older Lesbian/Bisexual Womenp. 163
Older Gay/Bisexual Menp. 163
Older Transgender Adultsp. 164
Spiritual Issuesp. 164
Health Care Issuesp. 165
Summaryp. 165
Health Care Strategies for Lesbian, Gay, Bisexual, and Transgender Older Adultsp. 177
Strategies for Caring for LGBT Eldersp. 179
Communicating with LGBT Eldersp. 179
Assessment Guidelinesp. 180
Physical Environmentp. 186
Resources for Care of LGBT Eldersp. 186
Housing and Long-Term Carep. 190
Multipurpose Community Resourcesp. 191
Strategies for Health Care Providersp. 191
Cultural Competencep. 192
Education on LGBT Issuesp. 192
Consciousness Raising About Attitudesp. 195
Policy and Legal Issuesp. 197
Health Policyp. 197
Legal Issuesp. 198
Summaryp. 199
Older Adults with HIV/AIDS
Health Issues of Older Adults with HIV/AIDSp. 209
Genderp. 211
Race/Ethnicityp. 214
Sexual Orientationp. 216
Older Injection-Drug Usersp. 217
Health-Related Issuesp. 218
Age-Related Changesp. 218
Diagnosis Issues and Testingp. 221
Symptom Management and Comorbiditiesp. 221
Cognitive Dysfunctionp. 223
Medication Issuesp. 223
Psychosocial Issuesp. 224
Caregiving and Affected Older Adultsp. 226
Summaryp. 229
Health Care Strategies for Older Adults with HIV/AIDSp. 235
Identifying the Scope of the Problemp. 236
Primary Prevention and Educationp. 237
Testing and Diagnosisp. 239
Health Care Interventionsp. 239
Systems of Carep. 241
AIDS Service Organizationsp. 242
Health/Medical Sectorp. 243
Behavioral Health Treatment Sectorp. 244
Public Health Sectorp. 245
Aging Services Sectorp. 245
Components of an Integrated System of Carep. 247
Summaryp. 247
Epiloguep. 251
Indexp. 255
Table of Contents provided by Ingram. All Rights Reserved.

ISBN: 9780826102089
ISBN-10: 0826102085
Series: SPRINGER
Audience: Professional
Format: Hardcover
Language: English
Number Of Pages: 272
Published: 28th January 2011
Dimensions (cm): 23.876 x 16.104  x 2.108
Weight (kg): 0.531