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Social and medical programs and facilities intended for the care and maintenance of the aged.


Providing health care and assistance with activities of daily living for older adults, either at home or in care facilities. Family members usually provide most of the needed assistance, although friends, professional agencies, or volunteers often participate.

Patient care

Although all patients benefit from respectful, dignified, and professional care, and generalizations about older patients’ needs may not apply to every patient, some special needs of some older patients are addressed here. Sensory problems (self-reported) are fairly prevalent in older adults. For example hearing impairments are present in about a third of 65 to 74 year olds and half those 75 and older, and vision problems are present in a seventh of those age 65 to 74, and in a fifth age 75 and older. Tooth loss, which influences both chewing and clarity of speech, occurs in more than a fifth of individuals over the age of 65. Age-related changes in heart and kidney function make older adults more vulnerable to shifts in water balance that can result in dehydration, e.g., in hot weather, when left alone, or while waiting for medical or surgical procedures. In older adults, adequate fluid intake is associated with fewer falls, less constipation, lower rates of laxative use, and better rehabilitation outcomes in orthopedic patients. In older adults dehydration can precipitate emergency hospitalization and increase mortality. The decline in renal function that occurs with aging means that the kidneys are less able to concentrate urine, so more water is lost in an older person than would be in a younger individual. Institutionalized adults should be ensured of access to something to drink at all times, with fluid offered regularly since thirst may not prompt older individuals to drink. Fasting should be minimized. Ambulatory adults should be reminded to increase their fluid intake during exercise, hot weather, and illness, and healthy older adults should be taught to monitor urine color as one indicator of dehydration — darker urine often represents incipient dehydration, while clear, watery urine is seen in well-hydrated adults. Individuals with urinary incontinence should be advised not to limit their intake in an effort to prevent incontinence episodes; 1500 to 2000 ml (1½ to 2 quarts) of fluid daily is required to maintain hydration for most individuals.

When communicating with the elderly, caregivers in all settings should remember to encourage the patient’s use of hearing aids and/or eyeglasses; use the patient’s name, make eye contact, and use touch as appropriate; enunciate clearly; allow time for the patient to respond; ask only one question at a time, develop a signaling system for “yes” and “no” answers, and post it clearly for all caregivers and visitors to see and use; use gestures that relate to the information being conveyed verbally; and write questions/options so that the patient can see them as they are read aloud for the patient to hear. Other critical elements of the care of the elderly include providing physical therapy to improve balance and prevent falls; limiting the use of medications that may contribute to cognitive dysfunction, confusion or delirium; ensuring adequate nutrition; screening for cancers, dementia, depression, and other diseases that become more common with advancing age; remaining aware of “atypical” presentations of illnesses and infections; protecting the skin from ulceration; and maintaining healthful participation in the community.

References in periodicals archive ?
In assessing the offering of Eldercare services, an accountant should consider whether or not there is a qualified financial planner on his or her staff.
AN ELDERCARE PRACTITIONER PROVIDES a combination of consulting and direct and assurance services.
Eldercare Navigators was started by Heather Eacker, who studied gerontology in college, and worked in long term care for 19.
Other Eldercare homes to receive inadequate ratings were: Ingwood Nursing Home, Greetland; Ashleigh Care Home, Newsome; Cowlersley Court, Cowlersley; and Parklands House, Rochdale.
Huon Eldercare is a respected provider of aged care and community services, so this announcement is a positive outcome for the Tasman community, as it will bolster the sustainability of locally provided health services on the Tasman Peninsula.
Humana did not specify how much it would pay for American Eldercare, which operates in the state of Florida.
Country: USASector: HealthcareTarget: American Eldercare IncBuyer: Humana Inc Type: Corporate acquisitionStatus: Agreed
Eldercare commonly refers to the informal or unpaid care that family members or friends provide aging adults, although it can sometimes include formal or paid care.
UK health secretary, Andrew Lansley, said that the proposed plan would allow people to pay into an insurance system that would effectively cap eldercare costs.
O'Day, D-West Boylston, presented citations to FCHP President and CEO Patrick Hughes and Summit ElderCare Executive Director Karen Longo.
NZNO has started negotiations with the newly-minted aged-care provider Oceania, a merger between ElderCare and QualCare.
The answer is the Eldercare Emergency Visitation Travel program, for when an elderly parent needs personal care or placement in a care facility, and the Medical EVT program, for when a parent is dying.