\u3010\u6587\u732e\u540d\u3011
\n\u00a0
\n\u8457\u8005\u540d\uff1aRichchard J. Ham et al.
\n\u6587\u732e\u30bf\u30a4\u30c8\u30eb\uff1aPrimary Care Geriatrics.
\n\u96d1\u8a8c\u540d\u30fb\u66f8\u7c4d\u540d\uff1a5th Ed. MOSBY.
\n\u767a\u884c\u5e74\uff1a2007.<\/p>\n
\u3010\u8981\u7d04\u3011
\nChapter1\u3000Caring for Older Patients and an Aging Population<\/p>\n
\uff1cOBJECTIVES\uff1e
\n\u30fbDescribe the demographic changes resulting from the ageing population of US (Japan)
\n\u30fbExplain how demographic changes occurring among rural population, minorities, and women will affect health care.
\n\u30fbDiscuss primary care as it pertains geriatrics
\n\u30fbDescribe two features that make up the foundation of geriatrics medicine
\n\u30fbDescribe the newest trends and programs in geriatric care\u00a0<\/p>\n
\uff1cPOPURATION DEMOGRAPHICS\uff1e
\n\u3000In 2003, nearly 36 million people age 65 and over live in the US
\n\u00a0 Women make up 58% of those over age 65 and almost 70% of those over 85
\n\u00a0 A common myth in America is that older people are “dumped” into nursing home<\/p>\n
\uff1cRURAL ELDERS\uff1e
\nRural elderly living on farms are more likely than urban elderly to be married and living with their\u3000spouse.
\n\u00a0These limitations affect rural elder’s use of health care services, especially owing to limited access to health maintenance visits and prevent care.<\/p>\n
\uff1cECONOMICS OF AGING\uff1e
\n\u00a0Social Security income has provided the largest share of income for older Americans since the early 1960s<\/p>\n
\uff1cDEMOGRAPHY AS IT AFFECTS HEALTH CARE\uff1e
\n\u00a0Childhood mortality has been significantly reduced\u00a0
\n\u00a0Changes in public health
\n\u00a0Changes of Causes of death (1940s;infections,trauma\u2192Now; chronic disease )<\/p>\n
\uff1cCHANGES IN LONG-TERM CARE AND THE INFLUENCE OF THE BABY BOOMERS\uff1e
\n\u00a0One of the greatest shifts in long-term care culture is currently within the nursing home setting.<\/p>\n
\uff1cPROVIDERS OF GERIATRIC CARE\uff1e
\n\u00a0All clinicians see older persons
\n\u00a0All health care providers to have substantial geriatrics training\u00a0<\/p>\n
\uff1cPRIMARY CARE\uff1e
\n\u00a0Successful primary care for the frail\/complex older adult is based both on a special knowledge set and on a philosophy of care.<\/p>\n
\u00a0-Geriatrics as a Philosophy of Care-
\n\u00a0 Treatment decisions should be evaluated in terms of the potential benefit of enhancing or maintaining function versus the potential risk of causing a loss independence<\/p>\n
\u00a0-Ethical Decision Making-
\n\u00a0 There is much that we can do in medicine, but key question in geriatric care is what we should do.
\n\u00a0 Geriatric clinicians need to be aware of their own values toward disease and disability
\n-Patient-centered care-
\n\u00a0 The clinician can utilize the questions in the acronym FIFE to explore the meaning and impact of changes in the patient’s life<\/p>\n
\uff1cRECOGNIZING AND AVOIDING AGEISM\uff1e
\n\u00a0 Ageism refers to the unfair judging of elderly adults simply because of their advanced age
\n\u00a0 This stereotype can be so prevalent in society that it is almost invisible, but it can perpetuate negative behavior.<\/p>\n
\uff1cFUTURE TRENDS\uff1e
\n\u00a0-Collaborative Practice-
\n\u00a0 Effective care of the older adults in highlighted by collaboration between multiple health care providers<\/p>\n
-Prevent Care-
\n\u00a0 Research has shown that health promotion and disease prevention activities are beneficial in any age\u00a0
\n\u00a0-Chronic Disease Self-Management-
\n\u00a0-Special Programs for Organizing, Funding, and Providing Geriatric Care-
\n\u30fbthe complexity involved in providing comprehensive geriatrics care has led to the development of number of special programs to improve quality and reduce risks.
\n\u00a0-Program of all-inclusive care of the elderly-
\n\u30fbThe example of a managed capitates approach to improving the care for the frail elderly the Program of all-inclusive care of the elderly(PACE)….The two cost medical care components are hospital and nursing home care…PACE program are able to expand the range of covered service<\/p>\n
\uff1cSUMMARY\uff1e
\n\u00a0The aging population will mean that all primary care clinicians will spread a significant portion of their time providing care to older persons.
\n\u00a0Clinicians must be aware that “Older persons” is very diverse and each patients likely to present with special needs and challenges.
\n\u00a0Geriatric care involves both a specific knowledge base and a particular approach to problems.
\n\u00a0The foundation of that approach is attention to the patient’s function capabilities and an appreciation for the ethical questions that underline all medical decisions.
\n\u00a0Because of complexity involved in caring for this diverse population, interdisciplinary teams and special programs are often necessary.\u00a0<\/p>\n
\u3010\u958b\u50ac\u65e5\u3011
\n2012\u5e744\u670818\u65e5<\/p>\n","protected":false},"excerpt":{"rendered":"
\u3010\u6587\u732e\u540d\u3011 \u00a0 \u8457\u8005\u540d\uff1aRichchard J. Ham et al. \u6587\u732e\u30bf\u30a4\u30c8\u30eb\uff1aPrimary Care Geriatrics. \u96d1\u8a8c\u540d\u30fb\u66f8\u7c4d\u540d\uff1a5th Ed. MOSBY. \u767a\u884c\u5e74\uff1a2007. \u3010\u8981\u7d04\u3011 Chap … \u7d9a\u304d\u3092\u8aad\u3080 \u9ad8\u9f62\u8005\u3092\u30b1\u30a2\u3059\u308b\u3068\u3044\u3046\u3053\u3068<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-436","post","type-post","status-publish","format-standard","hentry","category-11"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/436","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=436"}],"version-history":[{"count":1,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/436\/revisions"}],"predecessor-version":[{"id":437,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/436\/revisions\/437"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=436"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=436"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=436"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}