Both elder self-neglect and abuse have become increasingly prominent public health issues. The association of either or with mortality remains unclear.To examine the relationship reported to social services agencies all-cause among a community-dwelling elderly population.Prospective, population-based cohort study (conducted from 1993 2005) residents living in geographically defined community 3 adjacent neighborhoods Chicago, Illinois, who were participating Chicago Health Aging Project...

The unprecedented changes happening in the American healthcare system have many on high alert as they try to anticipate legislative actions. Significant efforts move from volume value, along with changing incentives and alternative payment models, will affect practice health budget. In tandem, growth population aged 65 older is celebratory daunting. John A. Hartford Foundation partnering Institute for Healthcare Improvement envision an age-friendly of future. Our current prototyping new ways...

By 2030 more people in the United States will be older than age sixty-five younger five. Our health care system is unprepared for complexity of caring a heterogenous population adults—a problem that has been magnified by coronavirus disease 2019 (COVID-19) pandemic. Here, as part National Academy Medicine’s Vital Directions Health and Care: Priorities 2021 initiative, we identify six vital directions to improve quality life all Americans. The next administration must create an adequately...

Objectives: An expert panel reviewed and summarized the literature related to evidence for 4Ms—what matters, medication, mentation, mobility—in supporting care older adults. Methods: In 2017, geriatric experts health system executives collaborated with Institute Healthcare Improvement (IHI) develop 4Ms framework. Through a strategic search of IHI database recent literature, was compiled in support framework’s positive clinical outcomes. Results: Asking what matters from outset planning...

This Viewpoint from the National Academy of Medicine's 2016 Vital Directions initiative recommends ways to improve health and care older persons, including development new delivery models for people with chronic conditions strengthening elder workforce.

To evaluate physicians' views on advance care planning, goals of care, and end-of-life conversations.Random sample telephone survey.United States.Physicians (primary specialists; pulmonology, cardiology, oncology subspecialists) actively practicing medicine regularly seeing patients aged 65 older (N=736; 81% male, 75% white, 66% ≥50.A 37-item survey constructed by a professional polling group with national expert oversight measured attitudes perceptions barriers facilitators to planning....

The designation of “age friendly” has clearly engaged the attention scholars and leading experts in field aging. A search PubMed references citing term produced 15 results 5‐year period from 2006 to 2011; that number increased 572 2015 2019. work, notably led by World Health Organization with initiation age‐friendly cities communities, now sparked a movement for creation health systems public systems. Now more than ever, an era pandemics, it seems wise create ecosystem where each initiatives...

Abstract Background and Objectives The public health system in America—at all levels—has relatively few specialized initiatives that prioritize the well-being of older adults. And when does address needs adults, it is often as an afterthought. In consultation with leaders health, care, aging, innovative Framework for Age-Friendly Public Health System (Framework) was developed outlining roles could fulfill, collaboration aging services, to challenges opportunities society. Research Design...

OBJECTIVES: To compare the effects of nurse case management with usual care provided to community‐dwelling frail older people in regard quality life, satisfaction care, functional status, admission hospital, length hospital stay, and readmission emergency department. DESIGN: Randomized controlled trial. SETTING: University two proximal community health centers. PARTICIPANTS: 427 (>70 years age at risk for repeated admissions) discharged home from INTERVENTIONS: Experimental: Nurse...

Purpose: Neglect of older adults accounts for 60% to 70% all elder-mistreatment reports made adult protective services. The purpose this article is report data from research, using a risk-and-vulnerability model, that captures the independent contributions both elder and caregiver as they relate outcome neglect. Methods: Between February 2001 September 2003, were screened recruited through four emergency departments in New York Tampa. diagnosis neglect was by an expert neglect-assessment...

As many as 20 to 25 percent of American adultsa or one in every four peoplea have been victimized by, witnesses of, perpetrators family violence their lifetimes. Family affects more people than cancer, yet ita (TM)s an issue that receives far less attention. Surprisingly, assume health professionals are deliberately turning a blind eye this traumatic social problem. The fact is, very little is being done educate about violence. Health often the first encounter victims abuse and neglect,...

Purpose: To identify risk factors for the investigation of elder abuse, neglect, self‐neglect, exploitation, and abandonment in a population‐based observational cohort community living elders. Study Population: Population‐based sample 2,812 community‐living men women New Haven, Connecticut who were over age 65 1982. Methods: Matching process whereby members investigated by Connecticut's State Ombudsman on Aging 1985 or 1986 identified. Analysis: Relative risks ombudsman calculated based...

Geriatric interdisciplinary team training has long been a goal in health education with little progress. In 1997, the John A. Hartford Foundation funded eight programs nationally to create Interdisciplinary Team Training (GITT) programs. Faculty trained 1,341 professions students. The results of evaluation, including presentation new measures developed assess knowledge, are presented, and implications program as model discussed. Evaluation data from 537 student trainees presented. At...

Abstract Delirium is a significant geriatric condition associated with adverse clinical and economic outcomes. The cause of delirium usually multifactorial, person‐centered multicomponent approaches for proper management are required. In 2017, the John A. Hartford Foundation Institute Healthcare Improvement (IHI) launched national initiative, Age‐Friendly Health System (AFHS), promoting use framework called 4Ms (what matters, medication, mentation, mobility). framework's primary goal to...

To describe the structure and implementation of Yale Geriatric Care Program, an innovative, nursing-centered model for developing geriatric nursing expertise throughout acute-care hospital.Descriptive study intervention in a prospective cohort patients.University teaching hospital.Two hundred forty four patients aged 70 years older on non-intensive care units during period (July 9, 1990 to July 31, 1991).The Program involved integrated primary nurses, specially trained unit-based resource...

Nurses Improving Care to Health System Elders (NICHE) is a comprehensive program that hospitals use foster system-wide improvements in the care of older patients. The authors report on survey 103 NICHE determine perceptions program, adoption models and protocols, educational outcomes, policy changes, benchmarks related patients established by participating hospitals.

Purpose: To test the relationship between nurses' perceptions of geriatric nurse practice environment (GNPE) and geriatric‐care delivery, nursing knowledge. Design: A secondary analysis data collected by New York University Hartford Institute Benchmarking Service staff using a retrospective, cross‐sectional, design. Methods: Responses 9,802 direct‐care registered nurses from 75 acute‐care hospitals in US that administered GIAP (Geriatric Institutional Assessment Profile) January 1997 to...

Abstract Background The Age‐Friendly Health Systems (AFHS) aims to improve the experience of care for adults aged 65 years and older through 4Ms framework, an evidence‐based approach planning that emphasizes what matters most person, mentation, mobility, medication. aim this study was examine clinicians' attitudes, knowledge, practices concerning AFHS 4Ms. Methods We surveyed U.S.‐based health providers randomly identified from Medscape database. sample weighted based on sex, U.S. Census...