{"id":138,"date":"2024-03-06T01:11:50","date_gmt":"2024-03-06T06:11:50","guid":{"rendered":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/?post_type=chapter&#038;p=138"},"modified":"2024-04-10T08:54:08","modified_gmt":"2024-04-10T12:54:08","slug":"2-2","status":"publish","type":"chapter","link":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/chapter\/2-2\/","title":{"raw":"2.2 Comprehensive Primary Care","rendered":"2.2 Comprehensive Primary Care"},"content":{"raw":"<h2>Caring for Older Adults<\/h2>\r\nOver the next 20 years, Canada\u2019s seniors population, those age 65 and older, is expected to grow by 68%. The subset of seniors age 75 and older, is growing the fastest pace. Studies have shown that 91% of long-term care residents are over age 65, and 74% are over age 80.\r\n\r\nComprehensive primary care in LTC includes:\r\n<ul>\r\n \t<li>Primary prevention<\/li>\r\n \t<li>Immunizations<\/li>\r\n \t<li>Comprehensive Geriatric Assessment<\/li>\r\n \t<li>Chronic disease management<\/li>\r\n \t<li>Goals of Care\/End of Life planning[footnote]Canadian Geriatrics Society, 2022; Centre for Equality Rights in Accommodation, 2022[\/footnote][footnote]CGA Toolkit, n.d.-c[\/footnote][footnote]Canadian Institute for Health Information, n.d.-b[\/footnote][footnote]Frank et al., 2018[\/footnote][footnote]WHO, 2008[\/footnote]<\/li>\r\n<\/ul>\r\n<strong>Comprehensive Geriatric Assessment (CGA)<\/strong>: A multidisciplinary diagnostic and treatment process that\u00a0identifies medical, psychosocial, and functional capabilities of an older adult in order to develop a coordinated plan to maximize overall health with aging.\r\n\r\nIncludes:\r\n<ul>\r\n \t<li>Medical<\/li>\r\n \t<li>Function Assessment<\/li>\r\n \t<li>Psychological Assessment<\/li>\r\n \t<li>Social[footnote]Canadian Geriatrics Society, 2022[\/footnote][footnote]CGA Toolkit, n.d.-b[\/footnote][footnote]Frank et al., 2018[\/footnote][footnote]Ward &amp; Reuben, 2022[\/footnote]<\/li>\r\n<\/ul>\r\nCaregiver Burden:\r\n<ul>\r\n \t<li>One in four\u00a0Canadians is a caregiver;\u00a0one in two\u00a0will become one<\/li>\r\n \t<li>Caregivers spend\u00a05.7 billion hours\u00a0caring for people in their lives (4.2% of GDP)\u00a0valued at$97.1B\u00a0annually<\/li>\r\n \t<li>$1.3B\u00a0is lost in productivity per year. This is equivalent to\u00a0over half a million employees\u00a0dropping out of the labour force.<\/li>\r\n \t<li>26% of those caring for older adults and 45% of those caring for people with dementia note distress<\/li>\r\n \t<li>Studies show this distress does not fully resolve on LTC placement<\/li>\r\n<\/ul>\r\nWhat to do:\r\n<ul>\r\n \t<li>Educate<\/li>\r\n \t<li>Support<\/li>\r\n \t<li>Refer[footnote]Alzheimer\u2019s Society, 2023[\/footnote][footnote]Canadian Centre for Caregiving Excellence, 2022[\/footnote][footnote]Canadian Patient Safety Institute, 2014[\/footnote][footnote]Stall, 2019[\/footnote]<\/li>\r\n<\/ul>","rendered":"<h2>Caring for Older Adults<\/h2>\n<p>Over the next 20 years, Canada\u2019s seniors population, those age 65 and older, is expected to grow by 68%. The subset of seniors age 75 and older, is growing the fastest pace. Studies have shown that 91% of long-term care residents are over age 65, and 74% are over age 80.<\/p>\n<p>Comprehensive primary care in LTC includes:<\/p>\n<ul>\n<li>Primary prevention<\/li>\n<li>Immunizations<\/li>\n<li>Comprehensive Geriatric Assessment<\/li>\n<li>Chronic disease management<\/li>\n<li>Goals of Care\/End of Life planning<a class=\"footnote\" title=\"Canadian Geriatrics Society, 2022; Centre for Equality Rights in Accommodation, 2022\" id=\"return-footnote-138-1\" href=\"#footnote-138-1\" aria-label=\"Footnote 1\"><sup class=\"footnote\">[1]<\/sup><\/a><a class=\"footnote\" title=\"CGA Toolkit, n.d.-c\" id=\"return-footnote-138-2\" href=\"#footnote-138-2\" aria-label=\"Footnote 2\"><sup class=\"footnote\">[2]<\/sup><\/a><a class=\"footnote\" title=\"Canadian Institute for Health Information, n.d.-b\" id=\"return-footnote-138-3\" href=\"#footnote-138-3\" aria-label=\"Footnote 3\"><sup class=\"footnote\">[3]<\/sup><\/a><a class=\"footnote\" title=\"Frank et al., 2018\" id=\"return-footnote-138-4\" href=\"#footnote-138-4\" aria-label=\"Footnote 4\"><sup class=\"footnote\">[4]<\/sup><\/a><a class=\"footnote\" title=\"WHO, 2008\" id=\"return-footnote-138-5\" href=\"#footnote-138-5\" aria-label=\"Footnote 5\"><sup class=\"footnote\">[5]<\/sup><\/a><\/li>\n<\/ul>\n<p><strong>Comprehensive Geriatric Assessment (CGA)<\/strong>: A multidisciplinary diagnostic and treatment process that\u00a0identifies medical, psychosocial, and functional capabilities of an older adult in order to develop a coordinated plan to maximize overall health with aging.<\/p>\n<p>Includes:<\/p>\n<ul>\n<li>Medical<\/li>\n<li>Function Assessment<\/li>\n<li>Psychological Assessment<\/li>\n<li>Social<a class=\"footnote\" title=\"Canadian Geriatrics Society, 2022\" id=\"return-footnote-138-6\" href=\"#footnote-138-6\" aria-label=\"Footnote 6\"><sup class=\"footnote\">[6]<\/sup><\/a><a class=\"footnote\" title=\"CGA Toolkit, n.d.-b\" id=\"return-footnote-138-7\" href=\"#footnote-138-7\" aria-label=\"Footnote 7\"><sup class=\"footnote\">[7]<\/sup><\/a><a class=\"footnote\" title=\"Frank et al., 2018\" id=\"return-footnote-138-8\" href=\"#footnote-138-8\" aria-label=\"Footnote 8\"><sup class=\"footnote\">[8]<\/sup><\/a><a class=\"footnote\" title=\"Ward &amp; Reuben, 2022\" id=\"return-footnote-138-9\" href=\"#footnote-138-9\" aria-label=\"Footnote 9\"><sup class=\"footnote\">[9]<\/sup><\/a><\/li>\n<\/ul>\n<p>Caregiver Burden:<\/p>\n<ul>\n<li>One in four\u00a0Canadians is a caregiver;\u00a0one in two\u00a0will become one<\/li>\n<li>Caregivers spend\u00a05.7 billion hours\u00a0caring for people in their lives (4.2% of GDP)\u00a0valued at$97.1B\u00a0annually<\/li>\n<li>$1.3B\u00a0is lost in productivity per year. This is equivalent to\u00a0over half a million employees\u00a0dropping out of the labour force.<\/li>\n<li>26% of those caring for older adults and 45% of those caring for people with dementia note distress<\/li>\n<li>Studies show this distress does not fully resolve on LTC placement<\/li>\n<\/ul>\n<p>What to do:<\/p>\n<ul>\n<li>Educate<\/li>\n<li>Support<\/li>\n<li>Refer<a class=\"footnote\" title=\"Alzheimer\u2019s Society, 2023\" id=\"return-footnote-138-10\" href=\"#footnote-138-10\" aria-label=\"Footnote 10\"><sup class=\"footnote\">[10]<\/sup><\/a><a class=\"footnote\" title=\"Canadian Centre for Caregiving Excellence, 2022\" id=\"return-footnote-138-11\" href=\"#footnote-138-11\" aria-label=\"Footnote 11\"><sup class=\"footnote\">[11]<\/sup><\/a><a class=\"footnote\" title=\"Canadian Patient Safety Institute, 2014\" id=\"return-footnote-138-12\" href=\"#footnote-138-12\" aria-label=\"Footnote 12\"><sup class=\"footnote\">[12]<\/sup><\/a><a class=\"footnote\" title=\"Stall, 2019\" id=\"return-footnote-138-13\" href=\"#footnote-138-13\" aria-label=\"Footnote 13\"><sup class=\"footnote\">[13]<\/sup><\/a><\/li>\n<\/ul>\n<hr class=\"before-footnotes clear\" \/><div class=\"footnotes\"><ol><li id=\"footnote-138-1\">Canadian Geriatrics Society, 2022; Centre for Equality Rights in Accommodation, 2022 <a href=\"#return-footnote-138-1\" class=\"return-footnote\" aria-label=\"Return to footnote 1\">&crarr;<\/a><\/li><li id=\"footnote-138-2\">CGA Toolkit, n.d.-c <a href=\"#return-footnote-138-2\" class=\"return-footnote\" aria-label=\"Return to footnote 2\">&crarr;<\/a><\/li><li id=\"footnote-138-3\">Canadian Institute for Health Information, n.d.-b <a href=\"#return-footnote-138-3\" class=\"return-footnote\" aria-label=\"Return to footnote 3\">&crarr;<\/a><\/li><li id=\"footnote-138-4\">Frank et al., 2018 <a href=\"#return-footnote-138-4\" class=\"return-footnote\" aria-label=\"Return to footnote 4\">&crarr;<\/a><\/li><li id=\"footnote-138-5\">WHO, 2008 <a href=\"#return-footnote-138-5\" class=\"return-footnote\" aria-label=\"Return to footnote 5\">&crarr;<\/a><\/li><li id=\"footnote-138-6\">Canadian Geriatrics Society, 2022 <a href=\"#return-footnote-138-6\" class=\"return-footnote\" aria-label=\"Return to footnote 6\">&crarr;<\/a><\/li><li id=\"footnote-138-7\">CGA Toolkit, n.d.-b <a href=\"#return-footnote-138-7\" class=\"return-footnote\" aria-label=\"Return to footnote 7\">&crarr;<\/a><\/li><li id=\"footnote-138-8\">Frank et al., 2018 <a href=\"#return-footnote-138-8\" class=\"return-footnote\" aria-label=\"Return to footnote 8\">&crarr;<\/a><\/li><li id=\"footnote-138-9\">Ward &amp; Reuben, 2022 <a href=\"#return-footnote-138-9\" class=\"return-footnote\" aria-label=\"Return to footnote 9\">&crarr;<\/a><\/li><li id=\"footnote-138-10\">Alzheimer\u2019s Society, 2023 <a href=\"#return-footnote-138-10\" class=\"return-footnote\" aria-label=\"Return to footnote 10\">&crarr;<\/a><\/li><li id=\"footnote-138-11\">Canadian Centre for Caregiving Excellence, 2022 <a href=\"#return-footnote-138-11\" class=\"return-footnote\" aria-label=\"Return to footnote 11\">&crarr;<\/a><\/li><li id=\"footnote-138-12\">Canadian Patient Safety Institute, 2014 <a href=\"#return-footnote-138-12\" class=\"return-footnote\" aria-label=\"Return to footnote 12\">&crarr;<\/a><\/li><li id=\"footnote-138-13\">Stall, 2019 <a href=\"#return-footnote-138-13\" class=\"return-footnote\" aria-label=\"Return to footnote 13\">&crarr;<\/a><\/li><\/ol><\/div>","protected":false},"author":517,"menu_order":15,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"chapter-type":[],"contributor":[],"license":[],"class_list":["post-138","chapter","type-chapter","status-publish","hentry"],"part":3,"_links":{"self":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/chapters\/138","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/wp\/v2\/users\/517"}],"version-history":[{"count":3,"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/chapters\/138\/revisions"}],"predecessor-version":[{"id":922,"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/chapters\/138\/revisions\/922"}],"part":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/parts\/3"}],"metadata":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/chapters\/138\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/wp\/v2\/media?parent=138"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/chapter-type?post=138"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/wp\/v2\/contributor?post=138"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/wp\/v2\/license?post=138"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}