scholarly journals Older Adult Refugees’ Roles in Creating Partnerships for Culturally Responsive Healthcare

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 375-375
Author(s):  
Denise Lewis ◽  
Desiree Seponski ◽  
Amber Kelley
Keyword(s):  
Older Adults ◽  
Healthcare System ◽  
Health Beliefs ◽  
Culturally Responsive ◽  
Language Translation ◽  
Healthcare Providers ◽  
The United States ◽  
Community Members ◽  
Local Healthcare ◽  
Culturally Responsive Interventions

Abstract The aim of this presentation is to reveal the importance of engaging older refugee community members in creating partnerships with local healthcare providers to implement culturally responsive interventions. Such engagement invites older refugees’ participation and encourages continued connection to country of origin beliefs and culture, particularly within the sphere of healthcare and medical family therapy. Cambodian and Laotian refugee families in coastal Alabama were interviewed via qualitative community-based participatory research and ethnographic, in-depth interviews focused on familial and communal processes. Local healthcare providers engaged in focus group discussions regarding cultural processes associated with health beliefs and behaviors and in periodic outreach through culturally responsive health fairs. We found that older adults play important roles in refugee populations as community leaders, problem-solvers, and legacy-carriers upholding traditional values and cultural continuity. They also maintain and promote continuity by employing traditional, complementary, or alternative medicine (TCAM). Recursive processes also emerged as older individuals sought care from younger community members in times of sickness, including having younger generations provide language translation and transportation to local healthcare centers and hospitals and in navigating the United States healthcare system. In addition, community members joined with local healthcare providers to aide in health and healthcare literacy among refugees and to educate local physicians on culturally responsive interventions. Implications include the inclusion of older adults in health decisions and the promotion and maintenance of community partnerships with health agencies that both encourage TCAM utilization and also allow for access to ongoing, appropriate treatment within the US healthcare system.

scholarly journals Motivational Application of Standardized Antimicrobial Administration Ratios Within a Healthcare System

2020 ◽  
Vol 41 (S1) ◽  
pp. s321-s321
Author(s):  
Stephanie Shealy ◽  
Joseph Kohn ◽  
Emily Yongue ◽  
Casey Troficanto ◽  
Brandon Bookstaver ◽  
...  
Keyword(s):  
Patient Care ◽  
Healthcare System ◽  
Antimicrobial Stewardship ◽  
Broad Spectrum ◽  
Healthcare Providers ◽  
The United States ◽  
Antimicrobial Use ◽  
Gram Positive ◽  
Specific Patient ◽  
Antimicrobial Administration

Background: Hospitals in the United States have been encouraged to report antimicrobial use (AU) to the CDC NHSN since 2011. Through the NHSN Antimicrobial Use Option module, health systems may compare standardized antimicrobial administration ratios (SAARs) across specific facilities, patient care locations, time periods, and antimicrobial categories. To date, participation in the NHSN Antimicrobial Use Option remains voluntary and the value of reporting antimicrobial use and receiving monthly SAARs to multihospital healthcare systems has not been clearly demonstrated. In this cohort study. we examined potential applications of SAAR within a healthcare system comprising multiple local hospitals. Methods: Three hospitals within Prisma Health-Midlands (hospitals A, B, and C) became participants in the NHSN Antimicrobial Use Option in July 2017. SAAR reports were presented initially in October 2017 and regularly (every 3–4 months) thereafter during interprofessional antimicrobial stewardship system-wide meetings until end of study in June 2019. Through interfacility comparisons and by analyzing SAAR categories in specific patient-care locations, primary healthcare providers and pharmacists were advised to incorporate results into focused antimicrobial stewardship initiatives within their facility. Specific alerts were designed to promote early de-escalation of antipseudomonal β-lactams and vancomycin. The Student t test was used to compare mean SAAR in the preintervention period (July through October 2017) to the postintervention period (November 2017 through June 2019) for all antimicrobials and specific categories and locations within each hospital. Results: During the preintervention period, mean SAAR for all antimicrobials in hospitals A, B, and C were 0.69, 1.09, and 0.60, respectively. Notably, mean SAARs at hospitals A, B, and C in intensive care units (ICU) during the preintervention period were 0.67, 1.36, and 0.83 for broad-spectrum agents used for hospital-onset infections and 0.59, 1.27, and 0.68, respectively, for agents used for resistant gram-positive infections. After antimicrobial stewardship interventions, mean SAARs for all antimicrobials in hospital B decreased from 1.09 to 0.83 in the postintervention period (P < .001). Mean SAARs decreased from 1.36 to 0.81 for broad-spectrum agents used for hospital-onset infections and from 1.27 to 0.72 for agents used for resistant gram-positive infections in ICU at hospital B (P = .03 and P = .01, respectively). No significant changes were noted in hospitals A and C. Conclusions: Reporting AU to the CDC NHSN and the assessment of SAARs across hospitals in a healthcare system had motivational effects on antimicrobial stewardship practices. Enhancement and customization of antimicrobial stewardship interventions was associated with significant and sustained reductions in SAARs for all antimicrobials and specific antimicrobial categories at those locations.Funding: NoneDisclosures: None

End-of-Life Preferences in Afro-Caribbean Older Adults: A Systematic Literature Review

2014 ◽  
Vol 69 (3) ◽  
pp. 271-282 ◽  
Author(s):  
Karen O. Moss ◽  
Ishan C. Williams
Keyword(s):  
Older Adults ◽  
Cultural Identity ◽  
End Of Life ◽  
Healthcare Providers ◽  
Black Population ◽  
The United States ◽  
Future Research ◽  
End Of Life Decisions ◽  
Caribbean Immigrants ◽  
The Cost

Research suggests that older Blacks tend to prefer more aggressive treatment as they transition toward the end of life. African and Afro-Caribbean immigrants and their offspring are the fastest growing segments of the Black population in the United States. With the increasing population of Black older adults, the cost of end-of-life care is rising. This article presents a review of the literature on the end-of-life preferences of Afro-Caribbean older adults. Findings suggest that Afro-Caribbean older adults make end-of-life decisions with a significant emphasis on family structure, religion/spirituality, cultural identity, migration, and communication. Concerns regarding the meaning of end-of-life preparation and hospice are often viewed in ways that differ from that of healthcare providers. Future research is needed to investigate this process in the Afro-Caribbean older adult subset.

LGBT OLDER ADULTS, CHOSEN FAMILY, AND CAREGIVING

2016 ◽  
Vol 31 (2) ◽  
pp. 150-168 ◽  
Author(s):  
Nancy J. Knauer
Keyword(s):  
United States ◽  
Older Adults ◽  
Elder Care ◽  
The United States ◽  
Lessons Learned ◽  
Community Members ◽  
Policy Makers ◽  
Lgbt Community ◽  
Bisexual And Transgender ◽  
High Level

AbstractIn the United States, informal elder care is principally the responsibility of younger relatives. Adult children perform the majority of elder care and non-relatives perform only 14 percent of care. Caregiving in the lesbian, gay, bisexual, and transgender, or LGBT, community follows a very different pattern that reflects the importance of “chosen family” in the lives of LGBT older adults. Instead of relying on relatives, LGBT older adults largely care for each other. Relatives provide only 11 percent of all elder care. This article explores the high level of caregiving by non-relatives in the LGBT community. It asks what motivates friends, neighbors, and community members to provide care for someone whom the law considers a legal stranger. It also asks what steps policy makers can take to facilitate and encourage this type of caregiving. Finally, it asks what lessons can be learned from LGBT older adults about the nature of both caregiving and community. As the aging population becomes more diverse, aging policies will have to become more inclusive to address the differing needs of various communities, including LGBT older adults. The potential lessons learned from the pattern of elder care in the LGBT community, however, extend far beyond a simple commitment to diversity.

Efficacy of a System for Tracking and Managing Osteoarthritis Pain for Both Healthcare Providers and Older Adults

2014 ◽  
Vol 3 (1) ◽  
pp. 108-111 ◽  
Author(s):  
Laura H. Barg-Walkow ◽  
Sara E. McBride ◽  
Michael J. Morgan ◽  
Tracy L. Mitzner ◽  
Ellen E. Clarke ◽  
...  
Keyword(s):  
Older Adults ◽  
Pain Management ◽  
Financial Burden ◽  
Healthcare Providers ◽  
The United States ◽  
Self Management ◽  
The Past ◽  
Osteoarthritis Pain ◽  
Mediating Factors ◽  
Factors Influencing

Osteoarthritis is a leading cause of chronic pain, affecting approximately one-third of older adults in the United States and imposing a financial burden on the healthcare system. Pain management for osteoarthritis is complex; there is a need for a technology to support people with osteoarthritis to capture, integrate, and display information on pain and mediating factors critical for pain management. We developed a system that can support self-management of osteoarthritis pain, including identification of factors influencing pain. The efficacy of this system was tested with seven older adults— who reported experiencing osteoarthritis pain for at least three years—and three healthcare providers—who reported experience assisting older adults in managing osteoarthritis pain within the past year. For both groups, our system improved their ability to answer comprehension questions about osteoarthritis pain. Overall, this system for tracking and managing pain supported users’ understanding of osteoarthritis pain and its mediators, which could ultimately lead to improved management of osteoarthritis pain.

scholarly journals A Systematic Review of Telemedicine for Older Adults With Dementia During COVID-19: An Alternative to In-person Health Services?

2021 ◽  
Vol 12 ◽  
Author(s):  
Sasha Elbaz ◽  
Karin Cinalioglu ◽  
Kerman Sekhon ◽  
Johanna Gruber ◽  
Christina Rigas ◽  
...  
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Older Adults ◽  
Web Of Science ◽  
Mental Health Problems ◽  
Service Providers ◽  
Healthcare Providers ◽  
The United States ◽  
Remote Consultation ◽  
Health Assessments

Introduction: Older adults with dementia have been significantly at more risk for not receiving the care needed and for developing further mental health problems during COVID-19. Although the rise in telemedicine adoption in the healthcare system has made it possible for patients to connect with their healthcare providers virtually, little is known about its use and effects among older adults with dementia and their mental health.Objective: This systematic review aimed to explore the use, accessibility, and feasibility of telemedicine in older adults with dementia, as well as examine the potential mental health impacts of these technologies, through reviewing evidence from studies conducted during COVID-19.Methods: PubMed, Scopus, and Web of Science databases were searched with the following keywords: (COVID* OR SARS-CoV-2 OR Coronavirus) AND (“mental health” OR Depression OR Stress) AND (Dementia OR Multi-Infarct Dementia OR Vascular Dementia OR Frontotemporal Dementia) AND (elder OR Aging OR Aging OR Aged) AND (Telemedicine OR “Remote Consultation” OR telehealth OR technology).Results: A total of 7 articles from Asia, Europe, and the United States were included in this review. Throughout the studies cognitive and mental health assessments (e.g., MoCA, FAST, etc.) were performed. Despite the barriers, telemedicine was noted as a feasible approach to assist individuals with dementia in connecting with their service providers and family while reducing complications related to travel (e.g., difficulty moving, traffic, distance).Conclusions: Due to the COVID-19 pandemic, finding alternative ways to provide services to older adults with dementia through technology may continue to become more necessary as time goes on.

scholarly journals Multicultural-Social Justice Leadership Strategies: Counseling and Advocacy with Immigrants

2011 ◽  
Vol 3 (1) ◽  
pp. 86-102 ◽  
Author(s):  
Rita Chi-Ying Chung ◽  
Fred Bemak ◽  
Tomoko Kudo Grabosky
Keyword(s):  
Culturally Responsive ◽  
The United States ◽  
Leadership Strategies ◽  
Migrant Populations ◽  
The Past ◽  
Immigrant Populations ◽  
Political Debates ◽  
Changing Demographics ◽  
Migrant Groups ◽  
Culturally Responsive Interventions

Immigration in the United States has been steadily increasing. Accompanying the largest influx of migrants into the U.S. during the past 20 years have been stereotypes and myths about immigrant populations. Growing concern about the shifting demographics has resulted in political debates on immigration, discrimination, hate crimes, and escalating controversy about undocumented people, all of which has caused strong proponents for and strong opponents against stringent migrant policies and legislation. Changing demographics, policies, and falsehoods about migrants have led to increased mental health concerns within the migrant groups that require counselors and psychologists to understand and effectively work with the unique needs of migrants in culturally responsive ways. This article dispels some of the myths about immigrants and provides examples of culturally responsive interventions specifically targeting the distinctive experiences of migrant populations. Recommendations on advocacy activities and strategies for this group are also provided.

scholarly journals Optimizing COVID-19 Health Campaigns: A Person-Centered Approach

2020 ◽  
Author(s):  
Rachel Smith ◽  
Jessica Gall Myrick ◽  
Robert P. Lennon ◽  
Molly A. Martin ◽  
Meg L. Small ◽  
...  
Keyword(s):  
Public Health ◽  
Latent Class ◽  
Healthcare Providers ◽  
The United States ◽  
Good Effect ◽  
Health Campaigns ◽  
Public Health Campaigns ◽  
Effective Public Health ◽  
Person Centered Approach ◽  
Local Healthcare

As the United States continues to be ravaged by COVID-19, it becomes increasingly important to implement effective public health campaigns to improve personal behaviors that help control the spread of the virus. To design effective campaigns, research is needed to understand the current mitigation intentions of the general public, diversity in those intentions, and theoretical predictors of them. COVID-19 campaigns will be particularly challenging because mitigation involves myriad, diverse behaviors. This study takes a person-centered approach to investigate data from a survey (N = 976) of Pennsylvania adults. Latent class analysis revealed five classes of mitigation: one marked by complete adherence with health recommendations (34% of the sample), one by complete refusal (9% of the sample), and three by a mixture of adherence and refusal. Statistically significant covariates of class membership included relatively negative injunctive norms, risk due to essential workers in the household, personal knowledge of someone who became infected with COVID-19, and belief that COVID-19 was a leaked biological weapon. Additionally, trait reactance was associated with non-adherence while health mavenism was associated with adherence. These findings may be used to good effect by local healthcare providers and institutions, and also inform broader policy-making decisions regarding public health campaigns to mitigate COVID-19.

Tuberculosis Prevention and Control in Long-Term–Care Facilities for Older Adults

2004 ◽  
Vol 25 (12) ◽  
pp. 1097-1108 ◽  
Author(s):  
Lauri Thrupp ◽  
Suzanne Bradley ◽  
Philip Smith ◽  
Andrew Simor ◽  
Nelson Gantz ◽  
...  
Keyword(s):  
Older Adults ◽  
Prevention And Control ◽  
Long Term Care ◽  
Healthcare Providers ◽  
The United States ◽  
Disease Diagnosis ◽  
Term Care ◽  
Care Facilities ◽  
And Control

AbstractIn the United States, older adults comprise 22% of cases of tuberculous disease but only 12% of the population. Most cases of tuberculosis (TB) occur in community dwellers, but attack rates are highest among frail residents of long-term–care facilities. The detection and treatment of latent TB infection and TB disease can pose special challenges in older adults. Rapid recognition of possible disease, diagnosis, and implementation of airborne precautions are essential to prevent spread. It is the intent of this evidence-based guideline to assist healthcare providers in the prevention and control of TB, specifically in skilled nursing facilities for the elderly.

scholarly journals Impact of COVID-19 Pandemic on Cancer Screening in the United States

Esculapio ◽  
2021 ◽  
Vol 17 (1) ◽  
pp. 3-4
Author(s):  
Sonikpreet Aulakh ◽  
Asher Chanan Khan
Keyword(s):  
United States ◽  
Cancer Screening ◽  
Healthcare System ◽  
Healthcare Delivery ◽  
Healthcare Providers ◽  
Healthcare Services ◽  
The United States ◽  
Healthcare Systems ◽  
Systematic Evaluation ◽  
The Us

COVID-19 pandemic has exposed vulnerabilities all across the global healthcare systems including those within the United States. A systematic evaluation of these soft spots has been crucial in order to reengineer the healthcare system for enhanced competences and superior quality of care. One area that has been undoubtedly affected is the diagnosis and management of neoplastic diseases. The healthcare system in the US witnessed an instantaneous implementation of a “social distancing” strategy, which was implemented in an effort to flatten the infectivity “curve”. This required an urgent modification in the general administration of healthcare delivery, independent of COVID-19 infection status of a patient. For the non-COVID patients, it meant a shift from in-person to a virtual administration platform.''(Royce et al., 2020) Neither the healthcare providers, nor the patients, or the hospital management were adequately prepared for this sudden transition. Various healthcare services offered through these healthcare systems were required to be triaged based upon patients' assessment of needs into either emergent, urgent or routine/non- urgent. Patients seeking services that fell in the non- urgent/routine clinical visits were encouraged to stay home until the pandemic simmered down/resolved. This strategy was erroneously predicated on a rather short anticipated duration of the pandemic. As expected, cancer screening visits were deemed non- urgent and thus most healthcare facilities in and outside the US suspended these services, inadvertently compromising the timely diagnosis of neoplastic disorders.

Advancing Social Work with Older Adults

2005 ◽  
Vol 86 (3) ◽  
pp. 424-430 ◽  
Author(s):  
Frank R. Baskind ◽  
Katherine Briar-Lawson
Keyword(s):  
United States ◽  
Older Adults ◽  
Social Work ◽  
Rapid Growth ◽  
Healthcare Providers ◽  
The United States ◽  
Older Population ◽  
The Social ◽  
Work Education ◽  
Transformative Impact

The rapid growth in the older population of the United States and the related increasing needs for services and healthcare providers reveal a crisis confronting U.S. society and the profession of social work. This article highlights the strategic investments of the John A. Hartford Foundation and its geriatric social work education initiatives to address the crisis. The transformative impact of the foundation is seen in the capacity of the social work profession to sustain the initiatives.

Sign in / Sign up

Export Citation Format

Share Document