A Public Health Strategy for Living, Aging and Dying Well in America : Designing Elder-Centered and Palliative Systems of Care, Environments, Services and Supports

Content: Cover
 Title Page
 Copyright Page
 Dedication
 Contents
 Introduction
 Section Part One : The crisis of suffering for older Americans
 Chapter 1: Social ecology of aging
 I. Introduction
 II. Framing the social problem of elder suffering: Social ecological and environmental contexts
 III. Social ecology of aging and its ecosystems: Interaction of macro- and microsystems
 A. Social ecological perspective on human development
 B. Ecosystems in the social ecology of aging
 1. Macrosystem: Law, policy, structures, and barriers to accessing care
 a. Sociopolitical Movements and Paradigm Shifts B. Demographic Trendsi. Growth in older adult population According to the AoA Report, from 2005 to 2015, the older adult population, aged 65 and over, grew to 47.8 million people, a 30% increase since 2005. That number is projected to double by 2060 to 98.2 million (AoA et al
 ii. Racial and ethnic data Trends among older Americans in racial and ethnic minority groups are noteworthy. Racial and ethnic minority populations increased from 6.7 million in 2005, making up 18% of the older adult population, to 10.6 million in 2015, o Iii. Marital status and living arrangements Older men are more likely than older women to be married. Only 45% of older women are married, compared to 70% of men. Less than a third (29%) of the total number of noninstitutionalized older persons live aloneiv. Income and poverty data A Profile of Older Americans (AoA et al., 2016) also provides critical information about the income and poverty levels of older persons, as detailed below:
 c. Personal Health Status, Chronic Conditions, and Functional Limitations
 d. Caregiving Resources and Risks of Elder Abuse, Maltreatment, and Neglect E. Social and Economic Determinants of Health and Inequities in Access to Carei. Health care spending and social and economic determinants of health An overview of the macro health care environment within which older Americans must navigate, including trends in health care spending and escalating health care costs at the end of lif
 f. Inadequacy of Aging, Health, and Social Systems, and Community-Based Services and Supports
 g. Workforce Gaps
 h. Climate Ecology
 i. Assessment and Measurement of Suffering Among Older Adults
 2. Elder microsystem-frailty, multimorbidity, and dependency 3. MesosystemIV. Elder-centered care framework
 V. Public health and global public health strategies for aging comfortably and palliatively
 Thomas Frieden's public health impact pyramid
 Public health strategy for palliative care
 VI. Conclusion
 References
 Chapter 2: Philosophic science theory
 I. Introduction
 II. Phenomenology: Schutz's philosophic science theory-Theory of the cultural sciences
 A. Role of moral intuition in cultural science theories
 B. Moral experience and moral phenomenology
 C. Levinas's sociality and ethical relation