Health Promotion for the Community-Living Older Adult

Markle‐Reid, Maureen; Keller, Heather; Browne, Gina

doi:10.1016/b978-1-4160-6231-8.10098-4

Cited by 4 publications

(3 citation statements)

References 111 publications

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“…This corresponds to recommendations for future models of care for older people. The assessment of function abilities so that older people's functions might be restored is also recommended and constitutes a clear individual health resource perspective (Fagerströ m et al, 2009;Butler & Volkov, 2010;Markle-Reid et al, 2010).…”

Section: Discussionmentioning

confidence: 99%

Top‐level managers’ and politicians’ worries about future care for older people with complex and acute illnesses – a Nordic study

Finnbakk¹,

Skovdahl²,

Blix³

et al. 2012

Int J Older People Nursing

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Section: Discussionmentioning

confidence: 99%

Top‐level managers’ and politicians’ worries about future care for older people with complex and acute illnesses – a Nordic study

Finnbakk¹,

Skovdahl²,

Blix³

et al. 2012

Int J Older People Nursing

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“…7 Most (92%) Canadian older adults live at home in the community; aging at home optimizes older adults’ health, independence, sense of well-being, and social connectedness. 8 Home and community-based services have emerged as a viable and cost-effective solution to delivering a broad range of acute, chronic, rehabilitative, long-term, and palliative care services. 9 Technological advances have enabled the delivery of increasingly complex, specialized care in the home, with most Canadians preferring to receive care in the comfort and familiarity of this setting compared to institutional settings.…”

Section: Introductionmentioning

confidence: 99%

Protocol for a program of research from the Aging, Community and Health Research Unit

et al. 2018

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Background:The goal of the Aging, Community and Health Research Unit (ACHRU) is to promote optimal aging at home for older adults with multimorbidity (≥2 chronic conditions) and to support their family/friend caregivers. This protocol paper reports the rationale and plan for this patient-oriented, cross-jurisdictional research program.Objectives:The objectives of the ACHRU research program are (i) to codesign integrated and person-centered interventions with older adults, family/friend caregivers, and providers; (ii) to examine the feasibility of newly designed interventions; (iii) to determine the intervention effectiveness on Triple Aim outcomes: health, patient/caregiver experience, and cost; (iv) to examine intervention context and implementation barriers and facilitators; (v) to use diverse integrated knowledge translation (IKT) strategies to engage knowledge users to support scalability and sustainability of effective interventions; and (vi) to build patient-oriented research capacity.Design:The research program was informed by the Knowledge-to-Action Framework and the Complexity Model. Six individual studies were conceptualized as integrated pieces of work. The results of the three initial descriptive studies will inform and be followed by three pragmatic randomized controlled trials. IKT and capacity building activities will be embedded in all six studies and tailored to the unique focus of each study.Conclusions:This research program will inform the development of effective and scalable person-centered interventions that are sustainable through interagency and intersectoral partnerships with community-based agencies, policy makers, and other health and social service agencies. Implementation of these interventions has the potential to transform health-care services and systems and improve the quality of life for older adults with multimorbidity and their caregivers.Trial registration:NCT02428387 (study 4), NCT02158741 (study 5), and NCT02209285 (study 6).

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“…Realignment of these services from silos to coordinated collaborations across providers, settings and sectors is pivotal to providing patient-centred care that supports older adults to age in place and reduces system costs. Although many chronic diseases have a common basis that is preventable or manageable by lifestyle changes, most interventions happen at a tertiary prevention level, focusing on illness and episodic acute care, and largely ignore health promotion and secondary prevention (Cohen et al., 2007; Markle-Reid, Keller, & Browne, 2016).…”

mentioning

confidence: 99%

Nurse-Led Interventions to Promote Optimal Aging at Home for Older Adults With Multimorbidity and Their Caregivers

Markle‐Reid

Ploeg

2016

Can J Nurs Res

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As the population ages and life expectancy increases, the Canadian health-care system is increasingly challenged to address the complex care needs of older adults with multimorbidity (two or more chronic conditions) in primary care and community settings (Boyd & Fortin, 2010; Smith, Wallace, Dowd, & Fortin, 2016). One in three (33%) Canadian seniors have multimorbidity and account for 40% of health-care use. Older adults with multimorbidity report poorer health-related quality of life, higher use of health services and costs, and are at higher risk for adverse events (e.g., hospitalization, falls), compared with those with a single condition (Canadian Institute of Health Information, 2011). These seniors use a patchwork of costly services and programs that fail to meet their unique needs (Donner et al., 2015). Although health service use in older adults with multimorbidity is largely driven by the number of chronic conditions they have, not their age (Canadian Institute of Health Information, 2011), the number of chronic conditions alone does not reflect the complex care needs of older adults with multimorbidity. Instead, it is the context of people's lives that determine their health. Thus, a person-centred approach to address the needs of this population is required. Person-centred care, or 'the right care for the right person at the right time' (Canadian Institutes of Health Research, 2014) must be informed not only by one's collection of diseases but also by the complex interaction between individuals' social, cultural, ethnic, economic, geographical, gender and sex needs, health goals, and priorities. Community-living older adults with multimorbidity rely heavily on informal caregivers for support. In 2012, approximately 8.1 million Canadians provided care to a family member or friend with a chronic health condition or aging-related needs. Caregivers, particularly women, provide up to 80% of care for

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Health Promotion for the Community-Living Older Adult

Cited by 4 publications

References 111 publications

Top‐level managers’ and politicians’ worries about future care for older people with complex and acute illnesses – a Nordic study

Top‐level managers’ and politicians’ worries about future care for older people with complex and acute illnesses – a Nordic study

Protocol for a program of research from the Aging, Community and Health Research Unit

Nurse-Led Interventions to Promote Optimal Aging at Home for Older Adults With Multimorbidity and Their Caregivers

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