Annual Review of Gerontology & Geriatrics

Annual Review of Gerontology & Geriatrics is a magazine focusing on Medicine

Articles from Vol. 31, 2011

A Contextual Conceptualization on Transitions of Care for Older Persons: Shaping the Direction of Care
ABSTRACTA contextual conceptualization is discussed in this chapter to help frame and direct the discussion on health care transitions for older adults. This approach emphasizes individual characteristics of older adults (e.g., race, ethnicity, gender,...
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Advance Care Planning and End-of-Life Decision Making
ABSTRACTMaking critical treatment decisions when faced with life-threatening illness is often a very difficult, emotionally charged experience for individuals, families, and health care providers across various settings of care. Clinicians, researchers,...
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Coming Full Circle: Planning for Future Pathways of Transitions of Care for Older Adults
ABSTRACTThe advent of transitional care represents one part of a larger movement in health services delivery to improve quality of care and health outcomes and to reduce costs. Related efforts include the development of other chronic care coordination...
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Comorbidities and Their Impact on Transitions of Care
ABSTRACTThe existence of one or more comorbidities is common among older adults. These comorbidities can complicate both the treatment of an acute condition and the transitions of care. Examples of such comorbidities include altered mental status, vision...
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Conclusions and Recommendations
We conclude with an observation made in the Foreword of this book. Eric Coleman wrote:Complex problems are rarely remedied by simple solutions. Improving the quality of transitional care is no exception. Trial and error has served only to reinforce the...
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Educating Direct Care Workers on Transitions of Care
ABSTRACTThis chapter explores the potential role direct care workers can play in ensuring appropriate and safe transitions across settings. Direct care workers are critical to the transitional care process and outcomes because they provide the majority...
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Family Involvement in Care Transitions of Older Adults: What Do We Know and Where Do We Go from Here?
ABSTRACTFamily members have historically been and will continue to be, now and into the future, involved in the health and care of older adults (Institute of Medicine, 2008; B. C. Spillman & K. J. Black, 2005). Family involvement is a global phenomenon...
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Introduction
Throughout the chapters in this book, several themes emerge as being critical to the pathways through the transitions of care, such as the role of the family in caregiving, education and training of the health care workforce, health care system fragmentation,...
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Physical Health Problems: Shaping Transitions of Care
ABSTRACTIn this chapter, we use the ecology of care model to provide a broader view for an older adults transition out of the hospital after a complex illness. Hospitals are required to provide care to various age groups. This requirement is sometimes...
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Planning and Decision Making for Care Transitions
ABSTRACTThe need to plan for future health care and residential adjustments increases with age, growing frailty, and restrictions in coverage of long-term care and will continue to grow with population aging. Older adults' lack of financial preparation...
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Public Policy Implications for Pathways through Transitions: The Rise of the Transitional Care Concept
ABSTRACTThis chapter highlights why and how policy makers have directed their attention to transitional care models, some of the barriers to transitional care adoption, and, ultimately, the adoption of several important policy initiatives supporting...
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The Interdisciplinary Team and Improving Transitions of Care
ABSTRACTPoor communication across care settings, fragmentation, and siloed approaches to care often fail to meet the needs of providers, patients, and their family caregivers. Improving communication and building interdisciplinary teams (IDTs) is not...
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The Older Person in Transition: Implications for Pathways of Transitions of Care
ABSTRACTOlder adults face many care transitions and often have difficulty navigating a complex, fragmented health care system. Health care providers, older adults, and their caregivers face challenges in communicating effectively during care transitions....
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What Will It Take to Ensure High-Quality Transitional Care?
ForewordComplex problems are rarely remedied by simple solutions. Improving the quality of transitional care is no exception. Trial and error has served only to reinforce the humbling observation that there are no quick fixes. Rather, our response will...
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