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Elderly Support in Mecosta County. Molly Bach-Bullen Sarah Delaat Jennifer Hales Kristin Stahl Stacey Swartzendruber.
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Elderly Support in Mecosta County Molly Bach-BullenSarah Delaat Jennifer HalesKristin StahlStacey Swartzendruber
As a vulnerable population in Mecosta County, Michigan, the elderly population may face unique health risks and barriers to care, requiring enhanced services and targeted strategies for outreach and case management.
ANALYSIS PRESENTATION TITLE Subtitle (Optional) Your Name Company Name DateLocation /Seminar Title http://www.countyhealthrankings.org/michigan/mecosta
Developmental Tasks of Aging • Adjustment to : • Retirement • Reduced income • Death of friends • Death of spouse • Physical changes • Loss of independence • Creating new friendships and relationships • Loss of vitality • Integrating life experiences • Preparation for death
Commission on Aging The purpose of the Mecosta County Commission on Aging (COA) is to improve the quality of life of the county's 60-plus population. The agency's goal is to support Seniors in their efforts to remain in their own homes, maintaining independence, health, dignity, and self-respect. Eligibility for services will be determined on a priority basis www.co.mecosta.mi.us/coa.asp
Health Promotion Programs in Mecosta County Evidence-based Health Promotion programs continue to be a region-wide focus as individuals and organizations begin to change the way we age by concentrating on disease prevention and healthy aging. http://www.aaawm.org
Evidence-based Health Promotion Programs In FY 2008 the following evidence-based programs were offered: • EnhanceFitness®- Ionia, Kent and Mecosta counties • A Matter of Balance - Allegan, Ionia, Kent, Lake, Mason, Mecosta and Montcalm counties • PATH - Ionia, Kent, Mason, Mecosta and Montcalm counties • Arthritis Foundation Exercise Program - Kent County http://www.aaawm.org
DIAGNOSIS Risk of ineffective health maintenance among the elderly population of Mecosta County related to inadequate resources and/or support.
Healthy Senior • A non-profit senior center that makes vaccines and appointments for cancer screenings available. Nearly 90% of Medicare beneficiaries visit a physician at least once a year and make an average of six visits during the year, many do not receive the full range of recommended covered preventive services.
Getting started • File Articles of Incorporation with the Secretary of State’s office to protect employees and board members of the Non-Profit agency. • File for 501(c)(3) status with the Internal Revenue Serviceto brand the non-profit entity as tax exempt on all revenues it earns. • Research local and state regulations in order to comply with codes. • Meet with experts in the field at meetings and conferences and learn from their knowledge and experience. • Find the best location for the center.
Clinical Preventive Services • The following slide presents recent state and national data on the use of eight clinical preventive services: two vaccinations that protect against influenza and pneumococcal disease; five screenings for early detection of breast cancer, colorectal cancer, diabetes, lipid disorders, and osteoporosis; and one counseling service for smoking cessation. • These Clinical preventive services are • recommended for adults aged 65 and older by the U.S. Preventive Services Task Force or by the Advisory Committee on Immunization Practices.
Vaccinations in Adults Aged 65 years Influenza Vaccination *85% of deaths and 63% of hospitalizations occur in person 65 years of age and older *Influenza vaccination of adults aged 65 to 79 reduces hospitalizations and lowers costs, while also averting deaths Pneumococcal Vaccination *Associated with improved survival, decreased chance of respiratory failure or other complications, and decreased length of stay among hospitalized patients with community-acquired pneumonia *Recent analyses indicate that pneumococcal vaccine is cost- effective and potentially cost-saving among adults aged 65 and older in the prevention of bacteremia.
Screenings in Adults Aged 65 years Breast Cancer Screening *Almost half of all new cases and nearly two-thirds of deaths from breast cancer occur in women 65 years of age and older. *Mammography screening every two years for women aged 65 to 74 has been shown to reduce mortality. Colorectal Cancer Screening *The number of people diagnosed with colorectal cancer is predicted to increase over 50% by the year 2020 due to the aging of the population. Currently, two-thirds of all new cases of colorectal cancer are in people aged 65 years and older. Diabetes Screening *Diabetes is very common in older adults, affecting almost 12 million adults aged 60 years and older. Having diabetes more than doubles a person’s risk of numerous complications, including vascular problems, geriatric syndromes, and disability. *Efficient detection of diabetes among older enables the provision of effective interventions that can prevent the progress of certain diabetes-related complications, improve glycemic control, and reduce vascular risk factors
Screenings continued Lipid Disorder Screening *High serum cholesterol is a major risk factor for heart disease and stroke. *Screening for lipid disorders can prevent premature mortality from coronary heart disease and avert substantial disability, distress, and pain. Osteoporosis Screening *At some point in their lifetime, 30 to 50% of women and 15 to 30% of men will experience an osteoporotic fracture. *Osteoporosis screening with hip DEXA scans and follow-up management in older adults has been shown in a large population-based cohort study to be associated with 36% fewer incident hip fractures over six years compared with usual medical care.
Fitting Together Pieces of the Puzzle • Support for Self-Care • Chronic Disease Prevention & • Management • Community Participation • Treating Acute & Episodic Illness • Health Promotion, Illness prevention • Community Resources
Public Policy Implications - Because the federal government has not jumped to deal with the child and elder care concerns - i.e., the problems of cost, quality and supply - many employers and state and local governments will sponsor more initiatives to help families. Decreasing public monies available for new initiatives and recessionary times, however, will make it increasingly difficult for local governments and Michigan businesses to do so. http://web1.msue.msu.edu/msue/imp/modii/ii493007.html
Programs for Seniors • Mecosta County Commission on Aging 12954 80th Ave. Mecosta, MI 49332 (231) 972-2884 This service is designed to provide social stimulation and health services to seniors who require supervised care • Barryton Senior Center 71 Northern Barryton, MI 49305 (989) 382-7244 This service offers organized daily activities in a community based setting along with personal care services for senior citizens.
RESOURCES • Area Agency on Aging of Western Michigan (AAAWM), http://www.aaawm.org • www.co.mecosta.mi.us/coa.asp • http://quickfacts.census.gov/qfd/states/00000.html • http://web1.msue.msu.edu/msue/imp/modii/ii493007.html • http://www.citymelt.com/county/Michigan/Mecosta+County-MI.html • http://www.countyhealthrankings.org/michigan/mecosta