Preventive Care for Elderly People

Front Cover
Cambridge 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
Summary of problems and strategies
242
Tailoring strategies to individuals
265
Targeting screening and surveillance in primary care
271
Practical aspects of implementation
290
The costs of preventive care and health promotion
303
Index
315
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