scholarly journals FOLLOWING IN THE FOOTSTEPS OF A GREAT APPLIED GERONTOLOGIST (WHILE SIMULTANEOUSLY FORGING YOUR OWN PATH)

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S427-S428
Author(s):  
Carol Whitlatch
Keyword(s):  
Older Adults ◽  
Quality Of Care ◽  
Best Practices ◽  
Early Stage ◽  
Well Being ◽  
Model Of Care ◽  
Physical Discomfort ◽  
Centered Care ◽  
Family Centered

Abstract Dr. M. Powell Lawton was an inspirational and productive scholar whose work had application for improving personal care and well-being for older adults and their families. He held strong to the principles of Person- and Family-Centered Care long before this terminology and model of care was commonly practiced. He was a living example of PFCC always wearing comfortable clothes and shoes to ensure his unique creativity was not obstructed by physical discomfort. Dr. Lawton’s work has inspired countless gerontologists who have taken the next steps towards ensuring quality of care by understanding personal preferences, activities, and care values. Dr. Whitlatch will discuss Dr. Lawton’s ongoing influence on care and best practices focusing on her own research that gives voice to the care values, preferences, and activities of families facing early-stage dementia. Dr. Whitlatch encourages attendees to wear their most comfortable shoes to the lecture in honor of Dr. Lawton.

scholarly journals Ready for prime time: role for geriatric assessment to improve quality of care in hematology practice

Hematology ◽  
2019 ◽  
Vol 2019 (1) ◽  
pp. 53-58 ◽  
Author(s):  
Heidi D. Klepin
Keyword(s):  
Older Adults ◽  
Quality Of Care ◽  
Geriatric Assessment ◽  
Hematologic Malignancies ◽  
Patient Centered ◽  
Functional Reserve ◽  
Centered Care ◽  
Assessment Measures

Abstract Older adults represent the growing majority of patients diagnosed with hematologic disorders, yet they remain underrepresented on clinical trials. Older patients of the same chronologic age differ from one another with varying comorbidity and functional reserve. The concepts of frailty and resilience are important to patient-centered care and are patient and setting specific. The use of geriatric assessment to inform tailored decision making and management can personalize care for older adults with hematologic malignancies. This article will highlight available evidence to support the role of geriatric assessment measures to enhance quality of care for older adults diagnosed with hematologic malignancies.

Family Care before and after Bereavement

2008 ◽  
Vol 56 (1) ◽  
pp. 21-32 ◽  
Author(s):  
David Kissane ◽  
Wendy G. Lichtenthal ◽  
Talia Zaider
Keyword(s):  
Hospice Care ◽  
Controlled Trial ◽  
Family Care ◽  
Model Of Care ◽  
The Family ◽  
Before And After ◽  
Centered Care ◽  
Therapy Model ◽  
Family Centered

Distress reverberates throughout the family during palliative care and bereavement, inviting consideration of a family-centered model of care. Targeting families thought to be “at risk” has merit. The Family Focused Grief Therapy model was tested in a randomized controlled trial of 81 families (353 individuals) and bereavement outcome is reported here for treatment completers compared to controls. There were no significant baseline differences between treatment completers and non-completers. Significant reduction in distress occurred at 13 months post death for the families completing treatment, with further improvements for the 10% of individuals most distressed at baseline. A preventive model of family-centered care applied to those at greatest risk is meritorious and in keeping with the aspirations of Cicely Saunders for improving the quality of hospice care.

Appraising the International College of Person Centered Medicine's Ten Years Promoting Healthy Lives and Well-Being for All

2019 ◽  
Vol 7 (4) ◽  
Author(s):  
James Appleyard
Keyword(s):  
Health Promotion ◽  
Quality Of Care ◽  
Well Being ◽  
Good Opportunity ◽  
Health And Wellbeing ◽  
Self Sufficiency ◽  
Centered Care ◽  
Prevention And Health Promotion ◽  
International College

The International College of Person-centered Medicine (ICPCM) developed from a network of persons who shared the willingness and determination to contribute to the promotion of health and wellbeing through the person-centered perspective. This approach places the person as the center of health and the goal of health actions. In spite of impressive advances in technology, the quality of care and especially prevention and health promotion have not progressed to the desired extent. It was realized that in everyday clinical practice the person was not receiving the attention he or she deserved. The completion of ten years of consistent work and advocacy with institutional independence and self-sufficiency is a definite accomplishment in itself. This milestone provides a good opportunity to pause and consider what the College has managed to achieve so far. The meaning and implication of person-centered medicine have been clarified with the development of the Person-centered Care Index and the Person- centered Integrative Diagnosis model. From a series of Declarations arising from the Geneva Conferences and the International Congresses held in different regions of the world, an interconnected matrix of practical policies is emerging and the International College feels that the person-centered perspective can contribute to the reestablishment of medical practice with strong ethical commitments and focused on the needs of individual persons as members of the wider population. Person centered medicine restores the equilibrium from the impersonal and reductionist scientific and technological dogma, which by focusing on objects rather than subjects devalues the time for interpersonal interaction, and creates a rift between the person seeking medical care and the damaging demands of over-compartmentalized and commercialized health systems, whereby the quality of care and especially prevention and health promotion have been neglected. The ICPCM believes that these issues need to be seriously addressed and redressed.

scholarly journals Patient-Centered Outcomes Research and Patient-Centered Care for Older Adults

2017 ◽  
Vol 3 ◽  
pp. 233372141770075 ◽  
Author(s):  
Ravishankar Jayadevappa
Keyword(s):  
Older Adults ◽  
Outcomes Research ◽  
Well Being ◽  
Clinical Decision ◽  
Patient Centered Care ◽  
Patient Centered ◽  
Health Decision ◽  
Centered Care ◽  
Value Based Care

Patient-centered care that reflects consumer-driven health care decision of an individual as opposed to collective or social choice–based health decision has many implications for clinical decision and resource allocation. With possession of required information and faced with appropriate assessment of preferences, older adults make better choices for their own health. However, one must acknowledge that patient-centered approach for older adults should effectively integrate tenets of value-based care to improve overall quality of care and societal well-being. In this perspective, I present the importance and challenges of patient-centered care and patient-centered outcomes research among older adults.

scholarly journals A Preference-Based Model of Care: An Integrative Theoretical Model of the Role of Preferences in Person-Centered Care

2019 ◽  
Vol 60 (3) ◽  
pp. 376-384 ◽  
Author(s):  
Kimberly Van Haitsma ◽  
Katherine M Abbott ◽  
Annabelle Arbogast ◽  
Lauren R Bangerter ◽  
Allison R Heid ◽  
...  
Keyword(s):  
Older Adults ◽  
Theoretical Model ◽  
Positive Emotions ◽  
Positive Impact ◽  
Well Being ◽  
Cognitive Capacity ◽  
Model Of Care ◽  
Person Centered Care ◽  
Centered Care ◽  
Services And Supports

Abstract Knowledge of individuals’ everyday preferences is a cornerstone of person-centered care (PCC). Initial evidence demonstrates the positive impact of honoring preferences in care for older adults receiving long-term services and supports (LTSS). Yet, the mechanisms through which preference-based care affects individual well-being remain poorly understood. This article proposes a theoretical model of PCC entitled the Preference-Based Model of Care that integrates the Theory of Human Motivation, Self-determination Theory, the Competence-Press Model of person and environment fit, the Living Systems Framework, and the Broaden-and-Build theory of positive emotions to deepen our understanding of the processes through which preference-based care affects well-being among older adults receiving LTSS. The Preference-Based Model of Care illustrates how goal-directed behaviors facilitate need fulfillment through the expression of individual preferences and how these behaviors mediate the relationship between person–environment fit and affect balance within a particular social, cultural, and political context. The Preference-Based Model of Care can advance research on PCC in LTSS and can inform LTSS clinical practice guidelines for older adults, regardless of functional or cognitive capacity.

scholarly journals CAREGIVERS OF OLDER ADULTS: AN ANALYSIS OF THE PCORI FUNDED RESEARCH PORTFOLIO

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S855-S855
Author(s):  
Marissa Rurka ◽  
Carly P Khan ◽  
Rachel Witsaman ◽  
Steven Susana-Castillo ◽  
Sindhura Gummi ◽  
...  
Keyword(s):  
Older Adults ◽  
Multidisciplinary Care ◽  
Well Being ◽  
Clinical Decision ◽  
Caregiver Training ◽  
Patient Centered ◽  
Decision Tools ◽  
Centered Care ◽  
Family Centered ◽  
Evaluation Of Care

Abstract A family-centered approach to care is vital, and caregivers play an important role in patient-centered care for older adults. This analysis of the Patient-Centered Outcomes Research Institute’s (PCORI) portfolio of clinical comparative effectiveness research (CER) trials explores the extent to which caregiving for older adults is a focus within our funded studies and examines how these studies incorporate interventions and outcomes related to caregivers. Of 116 studies in the portfolio with a caregiving component, only 35 studies focus on caregivers of older adults. Approximately half of these studies (16) were not focused on a specific disease, but rather included older adults with a variety of diseases. Caregivers were the target of a delivered intervention in 18 studies. Among these studies, all but one included caregivers as part of a multicomponent intervention. The most common intervention components were caregiver training (14 studies) and inclusion of caregivers in the delivery of health services, notably coordination of care (17), home visits (9), integrated care (9), multidisciplinary care teams (9), and clinical decision tools (8). Caregiver-focused outcomes were assessed in 26 studies. The most frequently assessed domains include measures of health and well-being (most commonly psychosocial status; n=20), evaluation of care (most commonly satisfaction; n=8), and health behavior (most commonly attitudes; n=6). In general, given stakeholder interest in family-centered research on older adults, future CER research should include caregivers and/or compare interventions focused solely on the unique needs of caregivers of older adults. Inclusion of caregiver-related outcomes should also be promoted.

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