Generations | American Society on Aging

Developing leadership, knowledge, and skills to address the challenges and opportunities of a diverse aging society

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Generations

Monthly Archive (Generations)

Improving Long-Term-Care Supports Means Advocating Inside and Out

posted 04.12.2012

A first-person peek at state-level advocacy, from someone wedged between lobbyists and legislators. By Herb Sanderson Pushing a boulder uphill: that’s what it often feels like when advocating for improvements to long-term-care services and supports in the community at the... Read More

Reflections of a Disability Activist: A Conversation with Bob Kafka

posted 04.12.2012

Bob Kafka is a disability activist and organizer for ADAPT, an advocacy organization for and by people of all ages and disability types. Long a person with quadriplegia, he is also older than sixty-five. Generations Guest Editor Rosalie Kane recently spoke with Kafka about his work and... Read More

Spring 2012 Generations: Thirty Years of HCBS

posted 04.11.2012

Thirty Years of HCBS: Moving Care Closer to Home Rosalie Kane, Guest Editor It’s hard to believe Home- and Community-Based Services (HCBS) have been around for thirty years. Our Spring issue of Generations celebrates that milestone with an in-depth perspective, and is dedicated to Dick Ladd... Read More

Channeling: What We Learned, What We Didn’t—and What It All Means Twenty-Five Years Later

posted 04.11.2012

Channeling points to a basic question about care: What is the best way to provide long-term services and supports for an aging America? By Robert Applebaum Despite long-standing concerns about quality, by the early 1970s, nursing homes had become the dominant mode of publicly funded... Read More

Thirty Years of Home- and Community-Based Services: Getting Closer and Closer to Home

posted 04.11.2012

By Rosalie A. Kane We are progressing to where the norm for long-term services and supports is that they are based at home and in the community—with nursing homes being the rare-choice alternative. In 1982, the first Medicaid Home- and Community-Based Services (HCBS) waiver... Read More

The Pharmacist’s New Role as Part of an Interdisciplinary Care Team

posted 02.21.2012

A case scenario demonstrates the effectiveness of the pharmacist’s role in improving patient outcomes. By Lisa C. Hutchison and Ashley Castleberry Prescribing medications for elderly patients is complex and challenging. Of the several ways to improve prescribing in this age group, the... Read More

Medication Use in Late Life and at End of Life: A Slow Medicine Approach

posted 02.16.2012

Slow Medicine is a philosophy and a set of principles and practices meant to help elders, families, friends, and caregivers face aging and decline in late life. By Dennis McCullough A scene in Leo Tolstoy’s Anna Karenina, written more than a century ago, illustrates... Read More

Winter 2011−12 Generations: Medications and Aging

posted 02.08.2012

Medications and Aging Thomas Clark, Generations Guest Editor Medications play critical roles in older people's lives. They can prolong life, help manage chronic disease, and improve quality of life. But as older adults age, their chronic conditions frequently increase. This can lead to... Read More

A Primer on Medication Use in Older Adults for the Non-Clinician

posted 01.30.2012

The benefits and risks of drug therapy are different for older people. This primer explains how and why. By Emily P. Peron and Christine M. Ruby Medications are among the most common types of therapy used by older adults. The goals of medication use in older adults are ... Read More

Till Death Us Do Part? A Look at Marriage Rituals When a Partner Has Alzheimer’s Disease

posted 11.18.2011

By Rabbi Richard F. Address As you read this, somewhere a man or woman is sitting alone in their car, having just left their spouse—a life partner who resides in a long-term-care facility for people with Alzheimer’s Disease. Navigating traffic, he or she decides the time has come to... Read More