scholarly journals Community-Based Supports and Services for Older Adults: A Primer for Clinicians

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Eugenia L. Siegler ◽  
Sonam D. Lama ◽  
Michael G. Knight ◽  
Evelyn Laureano ◽  
M. Carrington Reid

Although 20% of adults 60 years and older receive community-based supports and services (CBSS), clinicians may have little more than a vague awareness of what is available and which services may benefit their patients. As health care shifts toward more creative and holistic models of care, there are opportunities for CBSS staff and primary care clinicians to collaborate toward the goal of maintaining patients’ health and enabling them to remain safely in the community. This primer reviews the half-century history of these organizations in the United States, describes the most commonly used services, and explains how to access them.

Author(s):  
Fadi Saleh

This first-person activist reflection discusses the author’s experience immigrating to Canada as a queer AIDS activist. The author situates his experience navigating HIV-positive-exclusionary immigration policies where the only avenue for immigrating while HIV-positive is through gay marriage. Canada maintains a draconian set of discriminatory laws regarding the so-called “excessive demand” HIV-positive immigrants put on the publicly funded health care system in Canada. This piece briefly looks at the history of HIV travel and immigration bans as well as proposed HIV quarantine legislation across Canada. While Canada is often regarded as more progressive than the United States in many ways, its HIV immigration ban and high prosecution and conviction rate for HIV nondisclosure make Canada one of the most legally precarious countries for HIV-positive people in the west.


2017 ◽  
Vol 15 (1) ◽  
pp. 51-55 ◽  
Author(s):  
Amanda Harrawood ◽  
Nicole R. Fowler ◽  
Anthony J. Perkins ◽  
Michael A. LaMantia ◽  
Malaz A. Boustani

Objectives: To measure older adults acceptability of dementia screening and assess screening test results of a racially diverse sample of older primary care patients in the United States. Design: Cross-sectional study of primary care patients aged 65 and older. Setting: Urban and suburban primary care clinics in Indianapolis, Indiana, in 2008 to 2009. Participants: Nine hundred fifty-four primary care patients without a documented diagnosis of dementia. Measurements: Community Screening Instrument for Dementia, the Mini-Mental State Examination, and the Telephone Instrument for Cognitive Screening. Results: Of the 954 study participants who consented to participate, 748 agreed to be screened for dementia and 206 refused screening. The overall response rate was 78.4%. The positive screen rate of the sample who agreed to screening was 10.2%. After adjusting for demographic differences the following characteristics were still associated with increased likelihood of screening positive for dementia: age, male sex, and lower education. Patients who believed that they had more memory problems than other people of their age were also more likely to screen positive for dementia. Conclusion: Age and perceived problems with memory are associated with screening positive for dementia in primary care.


2018 ◽  
Vol 4 (3) ◽  
pp. 172-177
Author(s):  
Whitney Boling ◽  
Kathryn Berlin ◽  
Rhonda N. Rahn ◽  
Jody L. Vogelzang ◽  
Gayle Walter

The institutional review board (IRB) process is often protracted and can be a source of frustration, especially when you want your research and publications to move apace. However, because of historical events, the IRB is an important requirement for conducting research with human participants and is regulated by federal oversite. When conducting research as part of a pedagogical study, it is important to identify which level of IRB review (exempt, expedited, or full board) is required. The purpose of this article is to highlight IRB basics within the United States for pedagogy research. Although there are guidelines internationally, this article specifically focuses on U.S. IRBs, including a brief history of the IRB, pedagogical and community-based participatory research, IRB review, tips for IRB submissions, and example case studies.


2008 ◽  
Vol 83 (11) ◽  
pp. 1021-1029 ◽  
Author(s):  
Ardis K. Davis ◽  
P Preston Reynolds ◽  
Norman B. Kahn ◽  
Roger A. Sherwood ◽  
John M. Pascoe ◽  
...  

2017 ◽  
Vol 65 (4) ◽  
pp. 180-180
Author(s):  
Jennan A. Phillips ◽  
Stephanie Hammond

Preventing Clostridium difficile, the most common cause of health care–associated infections in hospitals and infectious disease death in the United States, is a national priority. Increased rates of infection among low-risk individuals in the community call for community-based prevention efforts to halt the increasing spread of this highly contagious opportunistic infection.


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