{"id":935,"date":"2024-04-10T09:03:03","date_gmt":"2024-04-10T13:03:03","guid":{"rendered":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/?post_type=chapter&#038;p=935"},"modified":"2024-04-10T09:06:59","modified_gmt":"2024-04-10T13:06:59","slug":"2-2-4","status":"publish","type":"chapter","link":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/chapter\/2-2-4\/","title":{"raw":"2.2.4 Care for Individuals Experiencing Homelessness","rendered":"2.2.4 Care for Individuals Experiencing Homelessness"},"content":{"raw":"Definition: individual without stable, safe, permanent, appropriate housing, or the immediate means and ability to acquire it\r\n\r\nHomeless individuals admitted in LTC are often more medical complex with history of limited access to primary care, screening and prevention. Homeless persons are at heightened risk of premature frailty.\r\n\r\nCommon Geriatric Concerns in those with Homelessness:\r\n<ul>\r\n \t<li>40% of participants had difficulty performing 1 or more activities of daily living<\/li>\r\n \t<li>33% reported one or more falls in the past 6 months<\/li>\r\n \t<li>26% cognitively impaired<\/li>\r\n \t<li>45% vision impairment<\/li>\r\n \t<li>48 % urinary incontinence[footnote]Brown et al., 2017[\/footnote][footnote]Gaetz et al., 2016[\/footnote][footnote]City of Toronto, 2018[\/footnote][footnote]Sussman et al, 2020[\/footnote]<\/li>\r\n<\/ul>\r\nSpecial concerns:\r\n<ul>\r\n \t<li>Address physical illnesses, mental illnesses, and addictions<\/li>\r\n \t<li>Screen\/Treat for communicable disease<\/li>\r\n \t<li>Recognizing and Treating Geriatric Needs:\r\n<ul>\r\n \t<li>Cognitive Impairment<\/li>\r\n \t<li>Geriatric Care Essentials<\/li>\r\n \t<li>Comprehensive Care Considerations:<\/li>\r\n \t<li>Nutritional and swallowing issues<\/li>\r\n \t<li>Foot care and wound management<\/li>\r\n \t<li>Medication management<\/li>\r\n<\/ul>\r\n<\/li>\r\n<\/ul>","rendered":"<p>Definition: individual without stable, safe, permanent, appropriate housing, or the immediate means and ability to acquire it<\/p>\n<p>Homeless individuals admitted in LTC are often more medical complex with history of limited access to primary care, screening and prevention. Homeless persons are at heightened risk of premature frailty.<\/p>\n<p>Common Geriatric Concerns in those with Homelessness:<\/p>\n<ul>\n<li>40% of participants had difficulty performing 1 or more activities of daily living<\/li>\n<li>33% reported one or more falls in the past 6 months<\/li>\n<li>26% cognitively impaired<\/li>\n<li>45% vision impairment<\/li>\n<li>48 % urinary incontinence<a class=\"footnote\" title=\"Brown et al., 2017\" id=\"return-footnote-935-1\" href=\"#footnote-935-1\" aria-label=\"Footnote 1\"><sup class=\"footnote\">[1]<\/sup><\/a><a class=\"footnote\" title=\"Gaetz et al., 2016\" id=\"return-footnote-935-2\" href=\"#footnote-935-2\" aria-label=\"Footnote 2\"><sup class=\"footnote\">[2]<\/sup><\/a><a class=\"footnote\" title=\"City of Toronto, 2018\" id=\"return-footnote-935-3\" href=\"#footnote-935-3\" aria-label=\"Footnote 3\"><sup class=\"footnote\">[3]<\/sup><\/a><a class=\"footnote\" title=\"Sussman et al, 2020\" id=\"return-footnote-935-4\" href=\"#footnote-935-4\" aria-label=\"Footnote 4\"><sup class=\"footnote\">[4]<\/sup><\/a><\/li>\n<\/ul>\n<p>Special concerns:<\/p>\n<ul>\n<li>Address physical illnesses, mental illnesses, and addictions<\/li>\n<li>Screen\/Treat for communicable disease<\/li>\n<li>Recognizing and Treating Geriatric Needs:\n<ul>\n<li>Cognitive Impairment<\/li>\n<li>Geriatric Care Essentials<\/li>\n<li>Comprehensive Care Considerations:<\/li>\n<li>Nutritional and swallowing issues<\/li>\n<li>Foot care and wound management<\/li>\n<li>Medication management<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<hr class=\"before-footnotes clear\" \/><div class=\"footnotes\"><ol><li id=\"footnote-935-1\">Brown et al., 2017 <a href=\"#return-footnote-935-1\" class=\"return-footnote\" aria-label=\"Return to footnote 1\">&crarr;<\/a><\/li><li id=\"footnote-935-2\">Gaetz et al., 2016 <a href=\"#return-footnote-935-2\" class=\"return-footnote\" aria-label=\"Return to footnote 2\">&crarr;<\/a><\/li><li id=\"footnote-935-3\">City of Toronto, 2018 <a href=\"#return-footnote-935-3\" class=\"return-footnote\" aria-label=\"Return to footnote 3\">&crarr;<\/a><\/li><li id=\"footnote-935-4\">Sussman et al, 2020 <a href=\"#return-footnote-935-4\" class=\"return-footnote\" aria-label=\"Return to footnote 4\">&crarr;<\/a><\/li><\/ol><\/div>","protected":false},"author":517,"menu_order":19,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"chapter-type":[],"contributor":[],"license":[],"class_list":["post-935","chapter","type-chapter","status-publish","hentry"],"part":3,"_links":{"self":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/chapters\/935","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\/935\/revisions"}],"predecessor-version":[{"id":938,"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/chapters\/935\/revisions\/938"}],"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\/935\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/wp\/v2\/media?parent=935"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/chapter-type?post=935"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/wp\/v2\/contributor?post=935"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/wp\/v2\/license?post=935"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}