Apr 242014
 
Very Old Adults Will Need Enhanced Social Services to Balance Medical Care

Another in our series to build the MediCaring book. Judith R. Peres contributed significantly to this post. Please feel free to comment, expand, tell us what we’ve got right, and what we have missed. For decades, older adults have relied on the medical system to cure or treat what ails them; but those aging into [...]

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Apr 212014
 
The Very, Very Old: The Challenges of Increased Longevity

A new entry for our forthcoming book on the MediCaring model for care for frail elders.  Living to be very, very old–advanced old age, the oldest of the old–is not just middle age with gray hair.  It is not. And yet even though we know what is ahead,  very old age will come as a [...]

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Apr 182014
 
Sink or Swim: We Urgently Need Better Care for Frail Elders

This post is the first in a series aimed at describing MediCaring, a new, better, and more affordable model for providing medical care and social services to frail elders and their families. In the next several weeks, we plan to post dozens of articles describing why we need such change, and how to make it [...]

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Mar 282014
 
Resources for Advance Care Planning include Handbook for Mortals

The following post first appeared on March 27 as “New Chapters” via www.mydirectives.com.  Starting productive conversations with your loved ones about your life decisions is not always easy. It takes a great deal of strength and initiative to take that first step. One of the best ways to take initiative is to find inspiration, so [...]

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Mar 242014
 
Care Planning: Promising Practices in Minnesota

Two very different programs in Minnesota have been improving care plans for frail elderly clients. Coherent and effective care plans, so essential to good care for frail elders, are simply missing from most clinical practices. Medicaid recently issued regulations requiring care plans in home-based primary care. Care plans are centrally important in the work of [...]

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Mar 202014
 
Senate Works to Advance Care Plans: Listen to Senator Mark Warner's Take

Senators Mark Warner (D-VA) and Johnny Isakson (R-GA) introduced bipartisan legislation to promote advance care planning, a small step, Warner told participatns in a February meeting of the Center for Practical Bioethics, to begin to address major challenges in improving care for people with advanced illness and those near the end of life. While the [...]

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Mar 132014
 

Family caregivers make long-term services and supports work, and yet the risks and challenges to their own health and well-being are often unseen or disregarded. The March 12 issue of the Journal of the American Medical Association showcases articles on such risks and burdens, as well as an editorial by Dr. Joanne Lynn on strategies [...]

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Feb 272014
 
40 Years and Counting: What's Next for Advance Care Planning

Social worker and health policy expert, Judy Peres, describes the trajectory of advance care planning, its relevance to current news stories on the failure to honor patient and family wishes, and where policy might head. She joined in a panel on advance care planning at an event hosted by the Center for Practical Bioethics. Peres [...]

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Feb 252014
 

Improving frail elder care lies at the heart of our MediCaring model for comprehensive reform. Our own Dr. Joanne Lynn will be part of the core faculty for the Institute for Healthcare Improvement’s (IHI) two-day training seminar on Frail Older Adults: Building a Care System, on April 9-10, 2014, in Chicago. The meeting will cover [...]

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Feb 252014
 
Federal Leaders Must Address Palliative Care: Kathy Greenlee Promotes Awareness

The aging services network must act to ensure that its programs address palliative care needs among people it serves: vulnerable older adults, and people with disabilities, Asst. Secretary Kathy Greenlee said in remarks to a group convened by the Center for Practical Bioethics.  Her opening remarks for a meeting on the State Of Palliative Care [...]

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