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Nancy Oliva: USF school of nursing Elderly: not used as a term as much as it used to be; can connote a negative/marginalized

population group Seniors: a term that some generations like; a lay term used in literature Elders: not used in healthcare...used in community ASK: what term do you prefer? AGE RANGE TERMS: used to refer to age-range, not a person. These are like census terms. They are as follows: Young Old: 65-74 Old: 75-84 Old-Old: 85+ Old Entities: 90+ GERONTOLOGY vs. GERIATRICS Gerontology: multiple discipline study of aging and older adults. Concerns mental, physical and social aspects of life. Considers biological, physiologycal and social perspecitive. Geriatrics: a speciality within a field that include the study of health and diseases in later life and the care and treatment of older persons. Gerontology and geriatrics have differing emphases, they both have the goal of understanding aging to that people can be helped to maximize their function and achieve the highest quality of life. TODAYS OLDER ADULTS: High quality care of older adults, many of whom have multiple complex chronic conditions, requires a diverse range of skills for addressing their physical, mental, cognitive and behavioural needs. Todays older adults receive a high-volume health care services in many settings. Within 20 yrs, in in 5 Americans will be over 65 yrs old, and an estimated 90% of those Americans will have one or more chronic conditions. By 2050 the number of Americans over 85, who make up the highest rates of chronic illness, poverty, and need for assistance with living, will quadruple to 19 million. IMPORTANT. WHICH STATES HAVE HIGHEST % of OLDER ADULTS: 1. Florida

2. 3. 4. 5.

West Virginia Pennsylvania Maine Iowa

T/F: 50% of people over 65+ have lost all their teeth....TRUE HEALTH CARE UTILIZATION & OLDER ADULTS Adults over 65 account for nearly 26% of all physical visits, 47% of all hospital stays, 34% of all prescriptions, 34% of all physical therapy patients and 90% of all nursing homes stays. 7.1 million people will have Alzheimers diseases in 2030, up from 4.9 million in 2007 -NOTE: Alzheimer's is only one form of dementia...there are several types. Some types of dementia hit patients in their 40s and 50s

Older Adults continued: In 2011, the first baby boomers turned 65 yrs old. By 2029 all boomers will be at least 65. This group...totalling ~70 million will have a significant impact on the US health system The combination of the aging baby boom population, an increase in life expectancy, and a decrease in the relative number of younger persons, will mean that older adults make up a much larger percentage of US population than ever before. NOTE: there is a decrease in younger people; we have a lower life expectancy than people in other countries, even though we are a world leader The current healthcare workforce overall is not large enough to meet older pateints needs. The scarcity of workers specializing in teh care of older adults-the eldercare workforce-is even more pronounced. It is estimated that ..... (SEE SLIDES ON HANDOUT)

Institute of Aging (IOM: Institute of Medicines landmark report, retooling for aging America: Building the Health Care workforce -action is needed to be taken (SEE NOTES ON SLIDES) Holistic Health Definition of health and wellness:

Balance is achieveable bxn one environment, internal and external, and one emotional, spiritual, social, cultu.,.... -see slides Healthy People 2020 Generally this aspires to procide national objectives for improving the health of all Americans. For 3 decaes, health people has established benchmarkrs and monitored progress over time in toder to: o Encourage collaborations across communities and sectors o Empower individuals toward marking informed health decisions o Measure the impact of prevention activities The more you include people in caring for chronic disease, the more efficient and less costly treatment/care will be