There exist historical and current methods in which technology is used to improve transitions of care across the continuum. These programs include applications, software, and electronic tools that can improve transitions between providers in the inpatient and outpatient settings. This chapter provides the background, describes the many transitions of care that patients encounter, and identified some challenges created by the transitions. It focuses on the ways electronic health records (EHR) and cloud-based systems have thus far improved transitions and review any data related to read missions, patient safety, and patient quality of care. Additionally, it explores ways in which technology is expected to be integrated into transitions into the future. Technology will play a critical role in making transitions of care as safe and efficient as possible.
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Perhaps end-of-life considerations for homeless elderly could be considered a topic of fictional creation, a sociomedical unicorn. Because, depending on one’s perspective, the curse or blessing of homelessness is the failure to even reach an age that is generally acknowledged as “geriatric”. Advance care planning is the process by which one decides what types of treatment one prefers at the end of life, but also who can speak on his or her behalf should the person become unable to speak for himself or herself. This chapter discusses advance care planning with aging homeless at end of life. It provides brief description on challenges in accessing healthcare for homeless aging, perceptions of dying of the aging homeless, and spiritual and religious consideration at end of life. The chapter then discusses palliative and hospice care delivery for the geriatric homeless. It also discusses innovative palliative care delivery models.
- Go to chapter: Infectious Diseases in Homeless Geriatrics Population: Part II: Bacterial Infections, Tuberculosis, and Arthropods Infestation
Infectious Diseases in Homeless Geriatrics Population: Part II: Bacterial Infections, Tuberculosis, and Arthropods Infestation
Homelessness is a rising healthcare problem. Secondary to poor living situations and limited access to healthcare services, homeless people are at increased risk for exposure to various communicable diseases, including viral and bacterial infections, tuberculosis, and arthropod carried diseases. This chapter briefly discusses infectious diseases such as bacterial infections, tuberculosis, and arthropods infestation in homeless geriatrics population. The bacterial infections covered in the chapter are urinary tract infections, bacterial pneumonia, and foot infections. The arthropods infestations include lice, scabies mites, bed bugs, delusional parasitosis. There are other causes of bites and lesions aside from lice, scabies mites, and bed bugs. Spiders, mosquitoes, ticks, fleas, and ants also pose risks for homeless people, particularly those who live outdoors. Homeless people can have a difficult time avoiding bites from mosquitoes and ticks, which can carry diseases.
Homelessness is a rising healthcare problem. Secondary to poor living situations and limited access to healthcare services, homeless people are at increased risk for exposure to various communicable diseases. The diseases found in the homeless population include viral infections, hepatitis A, hepatitis B, hepatitis C, HIV/AIDS, and influenza. Homelessness, on one hand, increases the prevalence of infectious diseases, and aging, on the other hand, makes the elderly more vulnerable to infections. Homelessness is associated with numerous behavioral, social, and environmental risks that expose persons to many communicable diseases, including viral infections, which may spread among the homeless, and aside from posing a threat to individuals’ health can lead to outbreaks that can become serious public health concerns. Homeless populations may be at higher risk for West Nile virus and other mosquito-borne diseases due to their increased exposure to the outdoors and their limited access to preventive measures.
Health education technology has advanced from basic informational websites to fully immersive interactive systems which can now provide dynamic learning experiences, social interactivity, and realistic, automated scenarios that mimic clinical events with live patients. These improvements can be attributed to increased processing power of computing tools, proliferation of high-speed Internet connectivity, and innovative new tools such as virtual reality (VR) devices. This chapter explores why technology is needed in health education, reviews examples of different types of technology in use today, and examines how these tools may be used to support training of clinical professionals as well as educating patients. Health technology is constantly advancing and health care practitioners must be ready to adapt as new tools are created. We must ensure our professions are well represented during the development of these tools and utilize them throughout our education.