Healthy People 2000 Citizens Chart the Course (1990) / Chapter Skim
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5 Older Adults
5 Older Adults
Pages 40-50
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From page 40... ...
Some witnesses spoke primarily about health promotion activities for older people, including health education; modifying risk factors such as smoking and 40 Healthy People 2000: Citizens Chart the Course alcohol; reducing the misuse of medication; improving mental health; and increasing physical and recreational activity. Other testifiers addressed the prevention of specific diseases and health problems faced by older adults, including cancer, heart disease, osteoporosis, infectious diseases, dental problems, and hearing or communication problems.
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From page 41... ...
Qualityadjusted life years measure the functional and social dependence caused by a particular disease or medical treatment, he says, thus allowing a determination of the efficacy and cost-effectiveness of a particular intervention. To improve the quality of life for older people, Patrick suggests four health promotion and disease prevention strategies for the elderly: early identification of risk factors for which there are efficacious interventions to modify the onset or course of disease, disability, and dependency; modification of physical and social environments; maintenance and improvement of desirable health habits; and enhancement of personal autonomy.
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From page 42... ...
They also proposed a range of activities to make nonsmoking the norm in environments that older people frequent and to encourage smoking cessation programs. (#799J Alcohol Richards reports estimates that one in twelve elderly men will develop a drinking problem.4 She recommends that reimbursement be expanded for treatment of drug and alcohol problems in the elderly, citing recent research showing that older people are more likely to complete such treatment successfully and to 42 Healthy People 2000: Citizens Chart the Course remain free of the abused substance for longer periods of time than are young people.5 (#183)
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From page 43... ...
The cost of the morbidity (both direct medical costs and indirect costs such as subsequent institutionalization or missed work by care givers) should be compared to the cost of providing preventive services directed at known risk factors for falls.
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From page 44... ...
More family care givers should be enrolled in support or self-help groups. In addition, more emphasis should be placed on stress identification and control 44 Healthy People 2000: Citizens Chart the Course by private, voluntary, and public health organizations, as well as on the provision of education on community resources by employers.
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From page 45... ...
(#428) Rosalie Young of Wayne State University agrees and says that, jUSt as for other chronic diseases, the most effective strategy for controlling heart disease, postponing disability, and preventing progression of chronic conditions is risk factor reduction.
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From page 46... ...
(#069) 46 Healthy People 2000: citizens Chart the Course Hearing and Communication According to James Lovell of the National Hearing Aid Society, it is important to recognize the high prevalence of untreated hearing impairment in older people and to include greater awareness of agerelated hearing loss and its remedies in the objectives.
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From page 47... ...
Somers and Weisfeld suggest that all health professionals devote more time and attention to prevention, and that their schools and certifying bodies move toward facilitating and ensuring this. They propose that insurance companies and employers move to adopt a full range of preventive services in the health packages they provide, and that employers implement worksite wellness programs and flexible retirement policies.
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From page 48... ...
(#062; #074; #336; #612) Richards states, "Unfortunately, a very tidy summary of the preventive services most needed REFERENCES in this age group can be found in a publication, The Medicare Handbook, under a category entitled 'What Medicare Does Not Cover'.nt6 Richards suggests that the following items should be reimbursable: dental services; nutritionist's services, especially for those with multiple health problems; home care pharmacists to monitor multiple medications; mental health services; long-term care costs; periodic health and screening examinations; the costs of eyeglasses and examinations to prescribe them; breast examinations; mammography; and Pap smears.
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From page 49... ...
cit., reference 9 TESTIFIERS CITED IN CHAPTER 5 012 Baker, Milton; Syracuse Developmental Services Office 062 Ettinger, Ronald; American Society for Geriatric Dentistry 066 Fox, Claude Earl; Alabama Department of Public Health 074 Grigsby, Sharon; The Visiting Nurse Foundation 079 Halamandaris, Vat; National Association for Home Care 110 Angelo, Dolores; University of Colorado Health Sciences Center 142 Markstrom, Mae; Lake Superior State University, and Baker, Mary and Stanley Light, Dixie; Wellness C.AR.E. Center (Sault Sainte Marie, Michigan)
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From page 50... ...
409 Lovell, James; National Hearing Aid Society 428 Somers, Anne; University of Medicine and Dentistry of New Jersey, and Weisfeld, Victoria; Robert Wood Johnson Foundation 451 Bennett, Ruth; Columbia University 459 Ostfeld, Adrian; Yale University 468 Miner, John; Massachusetts Mental Health Center 478 Young, Rosalie; Wayne State University 482 Newcomer, Robert and Pasick, Rena; University of California, San Francisco 508 Bortz, II, Walter; Palo Alto Medical Foundation 535 Lurie, David; Minneapolis Health Department 574 Smith, Marie; American Society of Hospital Pharmacists 575 Reveal, Marge; American Dental Hygienists' Association 612 Hunter, Paul; American Medical Student Association/Foundation 637 Adams, Gordon, Moses, Dennis and Baubman, James; Chapman College (San Diego) 670 Griffith, Patrick; Morehouse School of Medicine 686 Hollers, Kay; National Association for Home Care 714 Barkauskas, Violet; University of Michigan 738 Wagner, Edward; Group Health Cooperative of Puget Sound 766 Cornman, John; The Gerontological Society of America 767 Hurst, Victor; American Association of Retired Persons 768 Sykes, James; The National Council on the Aging 769 Sugarman, James; National Association of Retired Senior Volunteer Program Directors 770 Goldberg, Sheldon; American Association of Homes for the Aging 772 Ferguson, Wilda; Virginia Department for the Aging 776 Fainsinger, Ann; Alliance for Aging Research 777 Karlin, Steve; National Recreation and Park Association 793 Scitovsly, Anne; Palo Alto Medical Foundation 794 Katzman, Robert; University of California, San Diego 795 Haviland, James; Seattle, Washington 799 Surgeon General's Workshop on Health Promotion and Aging 50 Healthy People 2000: Citizens Chart the Course
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