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Health Literacy and Older Adults

Health Literacy and Older Adults
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 103
Release: 2018-10-16
Genre: Medical
ISBN: 0309479495

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Adults age 65 and older make up the fastest-growing segment of the U.S. population. At the same time, the complexity of health care delivery continues to grow, creating challenges that are magnified for older adults, given that age is one of the highest correlates of low health literacy. This creates a shared obligation between health care and the health care team to use the principles, tools, and practices of health literacy so that patients and families of older adults can more easily navigate discussions related to chronic disease, polypharmacy, long-term care, palliative care, insurance complexities, the social determinants of health, and other factors that create challenges for older adults, particularly among underserved populations nationwide. To gain a better understanding of the health communication challenges among older adults and their professional and family caregivers and how those challenges affect the care older adults receive, the National Academies of Sciences, Engineering, and Medicine's Roundtable on Health Literacy convened a 1-day public workshop featuring presentations and discussions that examined the effect of low health literacy on the health of older adults. This publication summarizes the presentations and discussions from the workshop.


Exploring Functional Health Literacy in Older Adults with Age-related Macular Degeneration

Exploring Functional Health Literacy in Older Adults with Age-related Macular Degeneration
Author: Jennifer K. Fortuna
Publisher:
Total Pages: 97
Release: 2020
Genre: Health literacy
ISBN:

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This three-paper dissertation explores functional health literacy (i.e., the ability to access, process and understand health information) in older adults with vision loss caused by age-related macular degeneration (AMD). This research builds scholarship that explores the unique patient education needs of older adults with AMD. The specific aims of this research are to: (1) explore associations between functional health literacy and severity of visual impairment; (2) determine the general readability, suitability and comprehensibility of online patient education materials (PEMs) designed for older adults with AMD; and, (3) assess the overall quality of one PEM that has been simplified based on recommended guidelines for patients with low health literacy and low vision. Lack of existing research evidence on these topics creates a great need for additional studies to explore the unique health information needs of this population. This research aims to inform clinical practice about factors that may influence functional health literacy in older adults with AMD. Low health literacy is a significant problem in the United States. In general, there is a disconnect between the readability (i.e., grade level) of PEMs and the average reading ability of American adults. The gap is even wider for older adults and people with visual impairment. Evidence-based guidelines and strategies are readily available to assist with modifying PEMs for patients with low health literacy and low vision (NIH, 2014; NIH 2018; Kitchel, 2011). Health care providers can apply these guidelines to develop appropriate PEMs for specific patient populations. Providing PEMs patients can access, process and understand is essential for promoting health literacy in older adults with AMD. The findings gleaned from these studies have important implications for clinical practice. In general, visual impairment may be an under-recognized barrier to both health literacy and the self-management of chronic health conditions. Learning to self-manage AMD is essential for achieving health outcomes, including slowing the progression of vision loss. Older adults with AMD have unique educational needs. In general, readily available PEMs designed for older adults with AMD have suboptimal readability and suitability. Health care providers should apply the evidence-based guidelines for developing PEMs. Providing PEMs that are easy to access, process and understand is essential for patients with low health literacy and low vision may promote health literacy and improve patient outcomes. Additional research is needed to ensure health condition-specific PEMs become the standard of care in the future. Several audiences including researchers, policymakers and health care providers (i.e., occupational therapists, optometrists and ophthalmologists) will benefit from the information gleaned from these studies. Most importantly, older adults with AMD will benefit from health care providers who understand their challenges and educational needs.


Social Isolation and Loneliness in Older Adults

Social Isolation and Loneliness in Older Adults
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 317
Release: 2020-05-14
Genre: Social Science
ISBN: 0309671035

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Social isolation and loneliness are serious yet underappreciated public health risks that affect a significant portion of the older adult population. Approximately one-quarter of community-dwelling Americans aged 65 and older are considered to be socially isolated, and a significant proportion of adults in the United States report feeling lonely. People who are 50 years of age or older are more likely to experience many of the risk factors that can cause or exacerbate social isolation or loneliness, such as living alone, the loss of family or friends, chronic illness, and sensory impairments. Over a life course, social isolation and loneliness may be episodic or chronic, depending upon an individual's circumstances and perceptions. A substantial body of evidence demonstrates that social isolation presents a major risk for premature mortality, comparable to other risk factors such as high blood pressure, smoking, or obesity. As older adults are particularly high-volume and high-frequency users of the health care system, there is an opportunity for health care professionals to identify, prevent, and mitigate the adverse health impacts of social isolation and loneliness in older adults. Social Isolation and Loneliness in Older Adults summarizes the evidence base and explores how social isolation and loneliness affect health and quality of life in adults aged 50 and older, particularly among low income, underserved, and vulnerable populations. This report makes recommendations specifically for clinical settings of health care to identify those who suffer the resultant negative health impacts of social isolation and loneliness and target interventions to improve their social conditions. Social Isolation and Loneliness in Older Adults considers clinical tools and methodologies, better education and training for the health care workforce, and dissemination and implementation that will be important for translating research into practice, especially as the evidence base for effective interventions continues to flourish.


Strategies to Reduce Hospital Mortality in Lower and Middle Income Countries (LMICs) and Resource-Limited Settings

Strategies to Reduce Hospital Mortality in Lower and Middle Income Countries (LMICs) and Resource-Limited Settings
Author: Jasneth Mullings
Publisher: BoD – Books on Demand
Total Pages: 90
Release: 2019-09-25
Genre: Medical
ISBN: 1838809333

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This book examines experiences in resource-limited settings, including Low- and Middle-Income Countries (LMICs) and covers a mix of strategies to reduce hospital mortality in these settings. These include population-level and clinical interventions such as health literacy; clinical management guidelines around nutrition; guidelines and protocols for a multi-disciplinary team approach for surgical care; and improving hospital outcomes for elderly patients. The authors argue that robust quality-of-care systems, driven by evidence-based models/frameworks, are relevant in the matrix of solutions. Clinicians, health administrators, policy makers, academics, and students of public health and related disciplines should critically examine these strategies, inclusive of policy and programmatic interventions to reduce hospital mortality across the demographic spectrum in LMICs and other resource-limited settings.


Falls in Older People

Falls in Older People
Author: Stephen R. Lord
Publisher: Cambridge University Press
Total Pages: 408
Release: 2007-03-01
Genre: Medical
ISBN: 9780521680998

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Since the first edition of this very successful book was written to synthesise and review the enormous body of work covering falls in older people, there has been an even greater wealth of informative and promising studies designed to increase our understanding of risk factors and prevention strategies. This second edition, first published in 2007, is written in three parts: epidemiology, strategies for prevention, and future research directions. New material includes recent studies covering: balance studies using tripping, slipping and stepping paradigms; sensitivity and depth perception visual risk factors; neurophysiological research on automatic or reflex balance activities; and the roles of syncope, vitamin D, cataract surgery, health and safety education, and exercise programs. This edition will be an invaluable update for clinicians, physiotherapists, occupational therapists, nurses, researchers, and all those working in community, hospital and residential or rehabilitation aged care settings.


Innovations in Health Literacy

Innovations in Health Literacy
Author: Roundtable on Health Literacy
Publisher:
Total Pages: 110
Release: 2011-03-07
Genre:
ISBN: 9780309384322

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Nearly nine out of 10 adults have difficulty using everyday health information to make good health decisions. The Institute of Medicine (IOM) Roundtable on Health Literacy held a meeting on May 27, 2010, to explore areas for research in health literacy, the relationship between health literacy and health disparities, and ways to apply information technology to improve health literacy.


International Handbook of Health Literacy

International Handbook of Health Literacy
Author: Ullrich Bauer
Publisher: Policy Press
Total Pages: 768
Release: 2019-07-31
Genre: Medical
ISBN: 1447344537

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Available Open Access under CC-BY-NC licence. Health literacy addresses a range of social dimensions of health, including knowledge, navigation and communication, as well as individual and organizational skills for accessing, understanding, evaluating and using information. Particularly over the past decade, health literacy has globally become a major public health concern as an asset for promoting health, wellbeing and sustainable development. This comprehensive handbook provides an invaluable overview of current international thinking about health literacy, highlighting cutting edge research, policy and practice in the field. With a diverse team of contributors, the book addresses health literacy across the life-span and offers insights from different populations and settings. Providing a wide range of major findings, the book outlines current discourse in the field and examines necessary future dialogues and new perspectives.


Gerotechnology

Gerotechnology
Author: David C. Burdick, PhD
Publisher: Springer Publishing Company
Total Pages: 321
Release: 2004-10-04
Genre: Medical
ISBN: 0826197531

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Two "megatrends" of modern culture are rapid population aging and the inexorable advances in various technologies encountered by the population at large. This comprehensive volume explores the intersections of technology with aging and serves as both a primer and reference for educators, students, researchers, and practitioners. It includes concepts from the basics of gerotechnologyóperson-environment fitóto the core activity fieldsócomputer and assistive devices and their practical applicationsóto models, or prototypes for technical development and its application to everyday life. Thought-provoking concluding chapters address ethical concerns for the future as well as offer new perspectives or context to ideas and innovations explored earlier.


Environmental Health Literacy

Environmental Health Literacy
Author: Symma Finn
Publisher: Springer
Total Pages: 344
Release: 2018-09-12
Genre: Medical
ISBN: 3319941089

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This book explores various and distinct aspects of environmental health literacy (EHL) from the perspective of investigators working in this emerging field and their community partners in research. Chapters aim to distinguish EHL from health literacy and environmental health education in order to classify it as a unique field with its own purposes and outcomes. Contributions in this book represent the key aspects of communication, dissemination and implementation, and social scientific research related to environmental health sciences and the range of expertise and interest in EHL. Readers will learn about the conceptual framework and underlying philosophical tenets of EHL, and its relation to health literacy and communications research. Special attention is given to topics like dissemination and implementation of culturally relevant environmental risk messaging, and promotion of EHL through visual technologies. Authoritative entries by experts also focus on important approaches to advancing EHL through community-engaged research and by engaging teachers and students at an early age through developing innovative STEM curriculum. The significance of theater is highlighted by describing the use of an interactive theater experience as an approach that enables community residents to express themselves in non-verbal ways.