Accommodating hearing impairedd classroom

The review comments and draft manuscript remain confidential to protect the integrity of the deliberative process. NOTES: Includes I famiily caregivers of Medicare beneficiariess age 65 and oolder who resided in comm munity or residen ntial care settin ngs (other thaan nursing ho omes) and receeived help wiith self-care, m mobility or household d activities forr health or fun nctioning reasons. S SOURCE: Daata from the 22011 NHATS and a the compaanion NSOC.

We wish to thank the following individuals for their review of this report: ELISABETH BELMONT, Maine Health CHRISTOPHER M. Assisting g with Houssehold Tasks, Self-Caree, Mobility, and Supervvision Nearly N all carregivers help p older adultts in need off care with hoousehold tassks such as shopping g, laundry, ho ousework, meals, m transp portation, billls, and moneey managem ment, and hom me maintenaance (NAC/A AARP Public Policy Insttitute, 2015; Spillman ett al., 2014; W Wolff et al., 2016).

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BERNARD, Deputy Director, National Institute on Aging, National Institutes of Health CLIFF BURT, Caregiver Specialist, Georgia Division of Aging Services CYNTHIA CALVERT, Founder and Principal, WORKFORCE 21C; Senior Counsel, Work Life Law MARIE-THERESE CONNOLLY, Director, Life Long Justice; Senior Scholar, Woodrow Wilson International Center for Scholars EILEEN CRIMMINS, AARP Professor of Gerontology, Davis School of Gerontology, University of Southern California TOM DELBANCO, Co-Director, Open Notes; Richard and Florence Koplow-James Tullis Professor of General Medicine and Primary Care, Harvard Medical School KAREN FREDRIKSEN-GOLDSEN, Professor and Director, Hartford Center of Excellence, University of Washington School of Social Work WINSTON GREENE, Family Caregiver KATHY KELLY, Executive Director, National Center on Caregiving, Family Caregiver Alliance KATHY KENYON, Family Caregiver NINA KOHN, Professor of Law, Syracuse University College of Law CAROL LEVINE, Director, Families and Health Care Project, United Hospital Fund SUSAN C. SOURCE: Data from the 2011 NHATS and the companion NSOC.

REINHARD, Senior Vice President and Director, AARP Public Policy Institute; Chief Strategist, Center to Champion Nursing in America ZALDY S. Caregivers providing care to “high-need” older adults—those who have at least two selfcare needs or dementia—are more likely to help with a wide variety of tasks, including helping with chores, helping the older adult get around the house, keeping track of medications, and making medical appointments. The critical role of caregivers in achieving patient-centered care.

ARANDA, Associate Professor, University of Southern California School of Social Work SUSAN BEANE, Vice President and Medical Director, Healthfirst Inc. Miller Professor and Scientific Director, Center on Aging, University of Miami Miller School of Medicine BRIAN DUKE, System Director, Senior Services, Main Line Health JUDY FEDER, Professor, Mc Court School of Public Policy, Georgetown University LYNN FRISS FEINBERG, Senior Strategic Policy Advisor, AARP Public Policy Institute LAURA N. The 2015 annual report of the Board of Trustees of the Federal Old-Age and Survivors Insurance and Federal Disability Insurance Trust Funds. Because virtually all of the data on distance caregivers is based on small and/or nonrepresentative samples, caution is warranted in drawing firm conclusions based on these findings (Cagle and Munn, 2012).

GITLIN, Director and Professor, Center for Innovative Care in Aging, Johns Hopkins University School of Medicine LISA GWYTHER, Director, Duke Family Support Program; Associate Professor, Department of Psychiatry and Behavioral Sciences, Duke University ROGER HERDMAN, Retired LADSON HINTON, Geriatric Psychiatrist and Professor, Department of Psychiatry and Behavioral Sciences, University of California, Davis PETER KEMPER, Professor Emeritus, Health Policy and Administration; Demography, Pennsylvania State University LINDA NICHOLS, Co-Director, Caregiver Center, Memphis Veterans Affairs Medical Center; Professor, Preventive and Internal Medicine, University of Tennessee Health Science Center CAROL RODAT, New York Policy Director, PHI 3DUDSURIHVVLRQDO HDOWKFDUH, QVWLWXWH , Inc. https://gov/oact/tr/2015/tr2015(accessed July 18, 2016). Better data are needed on the prevalence of long distance caregiving, identifying who they are, the tasks they perform, and the impact caregiving has on their lives.

vii PREPUBLICATION COPY: UNCORRECTED PROOF6 Copyright © National Academy of Sciences. Families Caring for an Aging America Copyright © National Academy of Sciences. Families Caring for an Aging America Acknowledgments The committee and staff are indebted to a number of individuals and organizations for their contributions to this report. Spousal suffering and partner’s depression and cardiovascular disease: The Cardiovascular Health Study. Self-care activities are bathing, dressing, eating, toileting or getting in and out of bed.

The following individuals provided testimony to the committee: DONNA BENTON, Director, Older Adults Pacific Clinic MARIE A. The American Journal of Geriatric Psychiatry 17(3):246-254. “Probable dementia” includes individuals whose doctor said they had dementia or Alzheimer’s disease and individuals classified as having probable dementia based on results from a proxy screening instrument and several cognitive tests. Yet the need to recognize and support caregivers is among the most significant overlooked challenges facing the aging U. However, little action has been taken to prepare the health care and LTSS systems for this unprecedented demographic shift. In less than 15 years, nearly 3 in 10 older Americans will identify as a member of a minority group. Patient suffering and caregiver compassion: New opportunities for research, practice, and policy. Conversely, relationship changes may occur suddenly, as with a stroke. Family involvement in residential and long-term care: A synthesis and critical review. Differences in culture, along with differences in income, education, neighborhood environments, lifetime access to health care, and occupational hazards will have a significant impact on the need for care, the availability and willingness of family caregivers to provide it, and the most effective and appropriate ways to provide caregiver support. For example, among stroke caregivers, the most stressful problems are in the caregiver stroke survivor relationship (including poor communication, frustration with role reversal, and intimacy issues) (King et al., 2010). 2013-247 from The Retirement Research Foundation, Contract No. Samuels Foundation, May and Stanley Smith Charitable Trust, The Rosalinde and Arthur Gilbert Foundation, Santa Barbara Foundation, and Tufts Health Plan Foundation. PREPUBLICATION COPY: UNCORRECTED PROOFS Copyright © National Academy of Sciences. Families Caring for an Aging America The National Academy of Scien nces was esttablished in 1863 by an A Act of Congress, signed by mental instittution to advvise the natiion on issuess President Lincoln, ass a private, nongovernm t science an nd technology. The National Academy of Engin neering was established d in 1964 und der the charrter of the o bring the practices p of engineeringg to advisingg the nation. PR REPUBLIC CATION CO OPY: UNCOR RRECTED PROOFS Copyright © National Academy of Sciences. Families Caring for an Aging America Reports document the evidence e-based conssensus of an authoring ccommittee o of experts. How caregivers manage these tasks depends on their values, preferences, knowledge, and skills, as well as the accessibility, affordability, and adequacy of health care, LTSS, and other resources, as described further in Chapter 6. Department of Veterans Affairs, and grants from Alliance for Aging Research, Alzheimer’s Association, an anonymous donor, The Fan Fox and Leslie R. Members are elected by their peers ffor distinguiished contributions to e and health h. Learn mo ore about th he National Academies A of o Sciences, Engineeringg, and Mediccine at Cutting across these domains are ongoing cognitive and interpersonal processes in which caregivers engage including, for example, continual problem solving, decision making, communicating with others (family members and health and human service professionals), and constant vigilance over the care recipient’s well-being (Gitlin and Wolff, 2012). CALLAHAN, Indiana University Center for Aging Research and Regenstrief Institute, Inc. As A indicated in i Figure 3-2 2, these respo onsibilities aare often daiily ones if thhe older adullt needs hellp because of o health or functional f lim mitations: 444 percent of caregivers rreported helpping with chorres every daay or most daays.

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