Preventive Care for Elderly PeopleCambridge University Press, 1993 M10 28 - 321 pages This book examines the concepts of preventive care and health promotion specifically in the context of the elderly. It adopts a broad concept of health and defines a number of goals around this theme. Thereafter it provides a succinct, up-to-the-minute critique of the worth, risks and costs of preventive care and health promotional strategies for older people. A broad range of such strategies are considered including cancer prevention, the prevention of non-cancer health problems and strategies aimed at enhancing functional status and strengthening the social support network. Principles for tailoring these strategies to the varied needs and wishes of elderly people are outlined. Likewise, practical measures are discussed for integrating these preventive strategies into the existing health care system. In particular, the role of screening, case-finding and targeting strategies in primary care are reviewed in detail. The book concludes with a wider look at the cost implications of preventive care for the purchasers of health and health care services. |
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Contents
Acknowledgements page xiii | 1 |
Primary secondary and tertiary prevention | 9 |
The goals of health promotion for elderly people | 19 |
References | 28 |
Cancer prevention | 36 |
The prevention of noncancerous health problems | 77 |
Enhancing functional status | 171 |
Strengthening support systems | 217 |
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Common terms and phrases
Adapted from ref age group Amer Geriatr Soc Amer Med Assoc Annals Intern annual aspirin assessment associated asymptomatic atrial fibrillation bacteriuria benefit breast cancer Brit carcinoma caregivers carers cent cervical cancer Clinics in Geriatric colorectal cancer death dementia detection manoeuvres diabetes disability disease drugs Effectiveness efficacy elderly individuals elderly patients elderly persons elderly population elderly women endometrial cancer Engl estimated evaluation evidence exercise Geriatric Medicine glaucoma health problems health promotional health promotional strategies high risk hip fracture hospital hypertension hypothermia iatrogenic iatrogenic insult impact impairment Importance improve incidence incontinence increase institutionalised intervention Lancet morbidity mortality myocardial infarction nursing home oestrogen old age osteoporosis ovarian cancer Pap smear physicians prevalence preventive strategies primary prevention prostatic randomised controlled trial rates recent reduce relatively reported risk factors screening programmes shown sigmoidoscopy significant smoking social stroke survey targeting therapy treatment urinary urinary incontinence