Author:
Waldrop Deborah,Bern-Klug Mercedes,Cagle John G.,Gardner Daniel S.
Abstract
AbstractThe older population (65+) grew from 3 million to 52 million in 2018. Yet, as older adults live longer, they do so with more chronic conditions; 60% live with one, and 42% have two or more. The last two decades of life often involve an increasing burden of chronic illness, dependency, frailty, and cognitive decline, which call for an integrated approach that draws together geriatric and palliative care. Using a biopsychosocial-spiritual framework, this chapter describes the lived experience of older adults who live with serious illnesses and their caregivers. The multiple diverse factors that influence an older adult’s journey are illuminated, including race, ethnicity, gender, culture, and social support systems. The systemic challenges which create healthcare disparities and influence older adults’ access to care are presented. The implications for social work practice in geriatric palliative care, including comprehensive assessment, family-centered practice, and interprofessional collaboration, are highlighted.
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