Care Of Vulnerable Older People

Author by : Paul Buka
Languange : en
Publisher by : Macmillan International Higher Education
Format Available : PDF, ePub, Mobi
Total Read : 27
Total Download : 913
File Size : 52,9 Mb
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Description : It is reasonable to expect that most people will live a relatively healthy life as they age, with their dignity intact and rights guaranteed. For many, however, reality may be quite different: the findings of key reports highlight the need to raise awareness of the failures in health and social care systems to safeguard vulnerable older people. In this important text, a team of expert authors brings the focus to how legislation, ethics and national policy can be applied to the context of protecting 'at risk' older adults. Clear and accessible, the book will improve nurses' skills in safeguarding vulnerable older people, aided by the use of such helpful features as: • Detailed case studies to link theory with practice • Explicit 'Thinking Points' to encourage readers to reflect on how law, policy and ethics can be applied to their own practice • In-depth discussion of statutory and case law, and analysis of relevant Serious Case Reviews An essential read for students and qualified nurses alike, this text provides the reader with a solid foundation for clinical decision-making and safeguarding vulnerable older people, as well as a forum for discussion and reflection.


Developing Quality Of Care Indicators For The Vulnerable Elderly The Acove Project

Author by : Anonim
Languange : en
Publisher by : Unknown
Format Available : PDF, ePub, Mobi
Total Read : 14
Total Download : 686
File Size : 52,7 Mb
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Description : Far more people are surviving to old age than at any time in our history. Medical interventions can now prevent or postpone many of the health problems traditionally associated with old age. Furthermore, the goal of medical care for the elderly has progressed beyond survival to maximizing quality of life, yet little attention has been paid to the overall quality of medical care that older people receive. In fact, existing measures of quality or health status are often inappropriate for the elderly. RAND Health has collaborated with Pfizer, Inc. to create the first quality-of-care assessment system for older persons. The goals of the Assessing Care of Vulnerable Elders (ACOVE) project were to define the population of vulnerable elderly, identify important medical conditions that affect this group, develop a set of evidence-based indicators of quality of care for this population, and design a tool to assess quality of care at the health system level. To develop the system, a national panel of geriatrics experts identified the medical conditions prevalent among older adults that contribute most to morbidity, mortality, and functional decline; that could be measured; and for which effective methods of treatment or prevention are available. Using these criteria, the advisory committee chose 22 topics, including diseases, syndromes, physiological impairments, and clinical situations, for which quality-of-care indicators could be developed. For each topic, the RAND team developed quality-of-care indicators that could be measured using processes of care. The expert panel assessed the evidence supporting links between each care process and improved outcomes in older adults, which resulted in 236 ACOVE quality indicators. These indicators can be used to assess whether health plans are delivering care that meets minimum standards for quality.


Vulnerable Older Adults

Author by : Patricia M. Burbank, DNSc, RN
Languange : en
Publisher by : Springer Publishing Company
Format Available : PDF, ePub, Mobi
Total Read : 77
Total Download : 653
File Size : 47,7 Mb
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Description : Winner of an AJN Book of the Year Award! Named an Outstanding Academic Title for 2007 by Choice! "Well organized, extensively referenced, and illustrated with figures/tables, this work represents a unique, multipurpose, interdisciplinary approach to elder care...Highly recommended." --CHOICE Based on the concept that vulnerability in the older populace encompasses those who are at increased risk for physical and psychosocial health problems, this book takes a closer look at vulnerability and how it affects five specific populations within the elderly: Those incarcerated in prisons The homeless Gay, lesbian, bisexual, and transgender people Those who are HIV positive or living with AIDS The frail Both physical and psychosocial health care issues and needs are addressed as well as interventions and resources that can be implemented to care for these very specific populations and their requirements for successful physical and mental health care. The unique challenges of hospice care in prisons; the lack of services that cater to homeless older people; and the overall attitude towards helping elderly gay, lesbian, bisexual or transgender people are some of the increasingly important issues covered. Unique features include: The latest research and theoretical approaches are summarized to give health professionals a concise picture of health care needs of these older adults Themes of interdisciplinary approach to care, cultural considerations, and neglect and abuse are integrated throughout Strategies and resources for caring for older adults with dementia are discussed for each vulnerable population


Care Of Vulnerable Older People

Author by : Paul Buka
Languange : en
Publisher by : Bloomsbury Publishing
Format Available : PDF, ePub, Mobi
Total Read : 74
Total Download : 541
File Size : 49,8 Mb
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Description : The findings of key reports highlight the need to raise awareness of the failures in health and social care systems to safeguard vulnerable older people. In this important text, a team of expert authors brings the focus to how legislation, ethics and national policy can be applied to the context of protecting 'at risk' older adults. Clear and accessible, the book will improve nurses' skills in safeguarding vulnerable older people. An essential read for students and qualified nurses alike, this text provides the reader with a solid foundation for clinical decision-making and safeguarding vulnerable older people, as well as a forum for discussion and reflection.


Research Highlights Developing Quality Of Care Indicators For The Vulnerable Elderly The Acove Project

Author by : Anonim
Languange : en
Publisher by : Unknown
Format Available : PDF, ePub, Mobi
Total Read : 35
Total Download : 318
File Size : 49,8 Mb
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Description : Far more people are surviving to old age than at any time in our history. Medical interventions can now prevent one many of the health problems traditionally associated with old age. Furthermore, the goal of medical care for the elderly has progressed beyond survival to maximizing quality of life, yet little attention has been paid to the overall quality of medical care that older people receive. In fact, exist ing measures of quality or health status are often inappropriate for the elderly. RAND Health has collaborated with Pfizer, Inc. to create the first quality-of-care assessment system for older persons. The goals of the Assessing Care of Vulnerable Elders (ACOVE) project were to define the population of vulnerable elderly, identify important medical conditions that affect this group, develop a set of evidence-based indicators of quality of care for this population, and design a tool to assess quality of care at the health system level.


Oxford Desk Reference Geriatric Medicine

Author by : Margot Gosney
Languange : en
Publisher by : OUP Oxford
Format Available : PDF, ePub, Mobi
Total Read : 29
Total Download : 355
File Size : 47,8 Mb
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Description : With an ageing population, there is little doubt that the majority of hospital-based consultants and their teams will care for older patients and the many complications this presents. This book provides an evidence-based guide for both trainees and consultants in geriatric medicine and those interested in geriatric medicine. Designed in line with the core Royal College curriculum, it provides a comprehensive and relevant guide to the issues seen in everyday geriatric medicine practice across the world. Presented in an easy-to-use double page spread format, highly bulleted and concise, Oxford Desk Reference: Geriatric Medicine is ideal for quick referral for both trainees and consultants. Contributions from the leading figures in geriatric medicine throughout the world make this book indispensable for all those working in the field, and for all those who have to deal with older patients.


Dementia 3ed

Author by : David Ames
Languange : en
Publisher by : CRC Press
Format Available : PDF, ePub, Mobi
Total Read : 18
Total Download : 394
File Size : 41,8 Mb
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Description : The rising prevalence of dementia in the population continues to pose a serious public health challenge in both the developed and the developing world. Previous editions of Dementia have become acknowledged as a key 'gold standard' work in this field, and have had a genuinely international approach. The third edition has been fully revised and updated to reflect the most recent advances in the rapidly developing field of dementia research, adding further important detail to this already authoritative and detailed text. New material on mild cognitive impairment has been included, and the latest developments in areas such as service development and carer research are also covered. All the chapters have been revised to include the most up-to-date research in their field. This is an essential work of reference for specialists in old age psychiatry, neurology, and health care of the elderly. It should also be a useful resource for others working with patients with dementia, including general practitioners, nurses, psychologists, and other allied health professionals.


The Art And Science Of Mental Health Nursing

Author by : Ian Norman
Languange : en
Publisher by : McGraw-Hill Education (UK)
Format Available : PDF, ePub, Mobi
Total Read : 56
Total Download : 271
File Size : 41,5 Mb
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Description : This comprehensive nursing text has been fully and extensively updated for this third edition, and offers students a complete guide to the art and science of mental health nursing. The book combines theory and practice to look in-depth at: Different 'types' of mental health problems ; Different therapeutic interventions ; The practical tools of nursing such as risk, assessment, problem solving ; Key themes such as ethics, law and professional issues.


The Art And Science Of Mental Health Nursing Principles And Practice

Author by : Norman, Ian
Languange : en
Publisher by : McGraw-Hill Education (UK)
Format Available : PDF, ePub, Mobi
Total Read : 14
Total Download : 295
File Size : 47,8 Mb
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Description : A comprehensive core student text which combines theoretical foundations of mental health nursing with practical skills and interventions.


Safeguarding Older People From Abuse

Author by : Angie Ash
Languange : en
Publisher by : Policy Press
Format Available : PDF, ePub, Mobi
Total Read : 73
Total Download : 693
File Size : 47,9 Mb
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Description : This critical and challenging book makes a strong case for the development of ethically-driven, research-informed policy and practice to safeguard older people from abuse.


United States Code

Author by : United States
Languange : en
Publisher by : Unknown
Format Available : PDF, ePub, Mobi
Total Read : 52
Total Download : 686
File Size : 53,7 Mb
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Description :


Vulnerabilities Care And Family Law

Author by : Julie Wallbank
Languange : en
Publisher by : Routledge
Format Available : PDF, ePub, Mobi
Total Read : 83
Total Download : 890
File Size : 50,8 Mb
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Description : While in the past family life was characterised as a "haven from the harsh realities of life", it is now recognised as a site of vulnerabilities and a place where care work can go unacknowledged and be a source of social and economic hardship. This book addresses the strong relationships that exist between vulnerability and care and dependency in particular contexts, where family law and social policy have a contribution to make. A fundamental premise of this collection is that vulnerability needs to be analysed in a way that gets at the heart of the differential power relationships that exist in society, particularly in respect of access to family justice, including effective social policy and law targeted at the specific needs of families in mutually dependent caring relationships. It is therefore crucial to critically examine the various approaches taken by policy makers and law reformers in order to understand the range of ways that some families, and some family members, may be rendered more vulnerable than others. The first book of its kind to provide an intersectional approach to this subject, Vulnerabilities, Care and Family Law will be of interest to students and practitioners of social policy and family law.


Issues In Aging

Author by : Mark Novak
Languange : en
Publisher by : Routledge
Format Available : PDF, ePub, Mobi
Total Read : 22
Total Download : 851
File Size : 45,8 Mb
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Description : Opportunities and optimism in Aging. Issues in Aging, 3rd edition takes an optimistic view of aging and human potential in later life. This book presents the most up-to-date facts on aging today, the issues raised by these facts, and the societal and individual responses that will create a successful old age for us all. Mark Novak presents the full picture of aging--exhibiting both the problems and the opportunities that accompany older age. The text illustrates how generations are dependent on one another and how social conditions affect both the individual and social institutions. Learning Goals -Upon completing this book, readers will be able to: -Understand how large-scale social issues--social attitudes, the study of aging, and demographic issues--affect individuals and social institutions -Identify the political responses to aging and how individuals can create a better old age for themselves and the people they know -Separate the myths from the realities of aging -Recognize the human side of aging -Trace the transformation of pension plans, health, and opportunities for personal expression and social engagement to the new ecology of aging today


Aging Social Policies

Author by : Robbyn R. Wacker
Languange : en
Publisher by : SAGE
Format Available : PDF, ePub, Mobi
Total Read : 63
Total Download : 674
File Size : 55,5 Mb
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Description : Due to population explosion and a global increase in average life expectancies, an unprecedentedly high percentage of the world’s population is aging. By the middle of this century there will be up to 2 billion individuals over the age of 65, a demographic shift never before experienced in our human history. In addition, declining birth rates in industrialized countries means a decrease in the number of adults under 64. In Aging Social Policies: An International Perspective the authors consider how policy – domestic and international – affects and will continue to affect the lives of our aging population.


Therapeutic Activities Successful Aging

Author by : Susan Brhel
Languange : en
Publisher by : Goals Seminars and Consulta
Format Available : PDF, ePub, Mobi
Total Read : 16
Total Download : 694
File Size : 51,8 Mb
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Description : We now embrace a shift from medically not just prolonging life to ensuring that a prolonged life is worth living. Susan Brhels helpful book gives us a recipe that demonstrates why decline is not inevitable. She carefully compiles components of successful aging. These are outlined as good health, how to avoid risk of disease and disability, high mental and physical functioning and ultimately how to actively engage with life. The book is important as it dispels the aging myths by promoting function.-Susan Henderson, R.P., LCSW/SAP, Clinical Coordinator, Counselor


The Sage Handbook Of Qualitative Research Ethics

Author by : Ron Iphofen
Languange : en
Publisher by : SAGE
Format Available : PDF, ePub, Mobi
Total Read : 18
Total Download : 343
File Size : 55,8 Mb
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Description : This handbook is a much-needed and in-depth review of the distinctive set of ethical considerations which accompanies qualitative research. This is particularly crucial given the emergent, dynamic and interactional nature of most qualitative research, which too often allows little time for reflection on the important ethical responsibilities and obligations Contributions from leading international researchers have been carefully organised into six key thematic sections: Part One: Thick Descriptions Of Qualitative Research Ethics Part Two: Qualitative Research Ethics By Technique Part Three: Ethics As Politics Part Four: Qualitative Research Ethics With Vulnerable Groups Part Five: Relational Research Ethics Part Six: Researching Digitally This Handbook is a one-stop resource on qualitative research ethics across the social sciences that draws on the lessons learned and the successful methods for surmounting problems – the tried and true, and the new.


The Good Retirement Guide 2013

Author by : Frances Kay
Languange : en
Publisher by : Kogan Page Publishers
Format Available : PDF, ePub, Mobi
Total Read : 49
Total Download : 258
File Size : 49,8 Mb
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Description : Retirement is a time of opportunity. Without the routine demands of working life, new ambitions can be realized and experiences enjoyed. Yet with so much to consider, people are often unsure how best to plan for their future. Furthermore, with rising retirement ages, the closure of many final salary pension schemes, poor annuity rates and uncertainty regarding universal benefits, the scope for concern and confusion is even greater. The Good Retirement Guide is essential reading for all those looking forward to making the most of their retirement, and offers clear and concise suggestions and advice on a broad range of retirement-related subjects, including finance (investments, pensions, annuities, benefits and tax), housing, health, holidays, starting a business and looking after elderly parents.


Aging

Author by : Anonim
Languange : en
Publisher by : Unknown
Format Available : PDF, ePub, Mobi
Total Read : 80
Total Download : 882
File Size : 45,8 Mb
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Description :


Developments In Aging

Author by : United States. Congress. Senate. Special Committee on Aging
Languange : en
Publisher by : Unknown
Format Available : PDF, ePub, Mobi
Total Read : 90
Total Download : 825
File Size : 47,6 Mb
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Description :


Safeguarding Older People From Abuse

Author by : Angie Ash
Languange : en
Publisher by : Policy Press
Format Available : PDF, ePub, Mobi
Total Read : 63
Total Download : 701
File Size : 40,7 Mb
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Description : This critical and challenging book makes a strong case for the development of ethically-driven, research-informed policy and practice to safeguard older people from abuse.


Researching Older People S Nursing

Author by : Christine Smith
Languange : en
Publisher by : Macmillan International Higher Education
Format Available : PDF, ePub, Mobi
Total Read : 90
Total Download : 965
File Size : 44,8 Mb
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Description : Nursing older people is often considered the 'Cinderella' service. This ground-breaking new book seeks to rectify that, bringing discussion of elderly care to the forefront of research and critical practice. Based on the author's own ethnographic research, it explores the gap between theory (what nurses know) and practice (what nurses actually do), including: ■ key theories of older people's nursing ■ day-to-day practices on an elderly care ward ■ the essential skills of caring, nurturing and supporting ■ the importance of critical reflective practice. Researching Older People's Nursing links the realities of practice with the key principles from 'on the ward' research. It is a fascinating read for nursing students, practitioners and researchers alike.


Dying In America

Author by : Institute of Medicine
Languange : en
Publisher by : National Academies Press
Format Available : PDF, ePub, Mobi
Total Read : 35
Total Download : 831
File Size : 43,6 Mb
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Description : For patients and their loved ones, no care decisions are more profound than those made near the end of life. Unfortunately, the experience of dying in the United States is often characterized by fragmented care, inadequate treatment of distressing symptoms, frequent transitions among care settings, and enormous care responsibilities for families. According to this report, the current health care system of rendering more intensive services than are necessary and desired by patients, and the lack of coordination among programs increases risks to patients and creates avoidable burdens on them and their families. Dying in America is a study of the current state of health care for persons of all ages who are nearing the end of life. Death is not a strictly medical event. Ideally, health care for those nearing the end of life harmonizes with social, psychological, and spiritual support. All people with advanced illnesses who may be approaching the end of life are entitled to access to high-quality, compassionate, evidence-based care, consistent with their wishes. Dying in America evaluates strategies to integrate care into a person- and family-centered, team-based framework, and makes recommendations to create a system that coordinates care and supports and respects the choices of patients and their families. The findings and recommendations of this report will address the needs of patients and their families and assist policy makers, clinicians and their educational and credentialing bodies, leaders of health care delivery and financing organizations, researchers, public and private funders, religious and community leaders, advocates of better care, journalists, and the public to provide the best care possible for people nearing the end of life.


Caring For The Older Adult

Author by : Lynn Basford
Languange : en
Publisher by : Nelson Thornes
Format Available : PDF, ePub, Mobi
Total Read : 15
Total Download : 289
File Size : 40,8 Mb
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Description : This is an introductory text providing comprehensive grounding for health professionals caring for the older adult. Issues such as communication, the ageing process and needs of the older adult are addressed in a wide range of settings. The role of the health professional and their methods of practice are considered as well as issues such as learning and practice styles, legislation, teamwork and the changing roles of health practices.


Textbook Of Family Medicine E Book

Author by : David Rakel
Languange : en
Publisher by : Elsevier Health Sciences
Format Available : PDF, ePub, Mobi
Total Read : 29
Total Download : 160
File Size : 43,7 Mb
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Description : Edited by Robert E. Rakel, MD and David P. Rakel, MD, Textbook of Family Medicine remains your #1 choice for complete guidance on the principles of family medicine, primary care in the community, and all aspects of clinical practice. Ideal for both residents and practicing physicians, it includes evidence-based, practical information to optimize your patient care and prepare you for the ABFM exam. The full-color format features a clean, quick-reference layout that makes it easy for you to put information to work immediately in your practice. You can also access the complete contents online at www.expertconsult.com, plus 30 videos of common office procedures, additional chapters on timely topics, and figures, tables, and photographs that supplement the text. Prepare for success on the ABFM exam with complete coverage of all aspects of family medicine. Access information quickly with an efficient, full-color layout that makes it easy to apply the latest knowledge in your practice. Take advantage of today’s most useful online resources with a convenient list of outstanding clinical websites. Quickly spot "Best Evidence Recommendations" with special boxes located throughout the text. Glean helpful tips on diagnosis and therapy from "Key Points" boxes found on every page. Access the complete contents and illustrations online at www.expertconsult.com - fully searchable – plus additional figures, tables, and photographs online, as well as online-only chapters that cover topics such as prescribing nutritional supplements and botanicals. View 30 videos online covering common office procedures such as vasectomy, the proper use of today’s diabetic equipment, and endometrial biopsy. Gain a new understanding of the patient-centered medical home and how to achieve this status in outpatient clinics. Make the most effective care decisions with help from "Evidence vs. Harm" icons that guide you through key treatments of common medical conditions.


Counselling And Psychotherapy With Older People In Care

Author by : Felicity Chapman
Languange : en
Publisher by : Jessica Kingsley Publishers
Format Available : PDF, ePub, Mobi
Total Read : 53
Total Download : 932
File Size : 47,9 Mb
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Description : The global population is ageing rapidly yet there is a shortage of skilled professionals able to support the wellbeing of older people in care. Older people can be more vulnerable to mental health issues such as loneliness, anxiety, grief, loss, and cognitive changes, and need therapeutic support that addresses their specific needs and conditions. This supportive guide for psychotherapists, counsellors and other professionals working with older people, addresses the growing demand for mental health services for older adults. It covers a range of issues that arise within this demographic including residential living, the referral process, assessment and engagement, and attitudes towards ageing, while contextualising these issues within larger social and political frameworks. The author describes specific interventions such as Narrative Therapy, Reminiscence Therapy, Acceptance and Commitment Therapy and Cognitive Behavioural Therapy with practical case studies woven in throughout the book.


The Mistreatment Of Elderly People

Author by : Peter Decalmer Frank Glendenning
Languange : en
Publisher by : SAGE
Format Available : PDF, ePub, Mobi
Total Read : 33
Total Download : 374
File Size : 55,8 Mb
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Description : "A review of the First Edition... "Read it in medicine, nursing, social work and all health-care settings. It informs and illustrates by case examples, and the interface with the law, social work, nursing and general practice are usefully highlighted. It looks to the future' -" The Lancet " This completely revised and extended edition of The Mistreatment of Elderly People presents a comprehensive overview of research and theoretical explanations of elder abuse, as well as practical guidance for practitioners in the field. The new edition updates themes covered in the First Edition including: the clinical implications of abuse; sociological perspectives; issues for social workers, nurses, clinicians and general practitioners; legal implications; and prevention models. In addition, new research findings and further topics have been included. The new edition evaluates the implications of the NHS and Community Care Act, and the application of care management systems in cases of elder abuse. It also offers suggestions for good practice for interagency working and addresses questions of social policy, family and kinship networks, gender and the public response to the plight of vulnerable elderly people. The book looks at abuse in both domestic and residential settings and includes case examples of sexual, physical, psychological and material abuse and forms of neglect.


Application Of Interrai Assessments In Disaster Management

Author by : Alexandra Van Solm
Languange : en
Publisher by : Unknown
Format Available : PDF, ePub, Mobi
Total Read : 16
Total Download : 346
File Size : 50,8 Mb
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Description : Background: Several studies have shown the increased vulnerability and disproportionate mortality rate among frail community dwelling older adults as a result of disasters. Parallel to an escalating number of disasters, Canada is faced with an aging demographic and a policy shift emphasizing aging at home. This results in a greater vulnerability of this group of high needs community dwelling individuals to the effects of events that lead to interruption of home health care services and/or displacement. Despite the growing vulnerability it has proven to be difficult to identify those most vulnerable older adults and their characteristics. This makes it challenging for emergency managers, first responders and health care providers to develop targeted preparedness, response and recovery strategies aimed at the most vulnerable older adults living at home. Relatively recent developments in electronic health records provide an unprecedented opportunity to use comprehensive assessment information collected as part of routine clinical practice in the home care sector to identify vulnerable community dwelling older adults. In Ontario, the Resident Assessment Instrument for Home Care (RAI-HC) is the mandated primary assessment tool for long-stay home care clients. Objective: The three specific objectives of this dissertation are to examine: 1. The application of the New Zealand Priority Algorithm used during the Christchurch earthquake to the Ontario Home Care Client database. 2. Determinants of Emergency Response Level (ERL) designation within CCACs. 3. The person-level factors that contribute to increased vulnerability of home care clients to power interruptions through examining the health effects of the power outage that occurred as a result of the December 2013 Ice Storm including emergency department (ED) visits, hospitalization and service utilization. Conceptual Framework: The person-environment fit model is used as the conceptual framework for this dissertation. This model views individual vulnerability as a product of the interaction between individual competence, adaptive behavior and the strength of the environmental stress (the emergency or disaster). Where the demands of an emergency or disaster exceed the ability of the older adult to cope, a person- environment misfit may lead to negative health outcomes. Methodology: All research questions were addressed using RAI-HC datasets in combination with other datasets. Chapter three used the RAI-HC database by selecting unique home care clients with assessments closest to December 31st 2014 (N=275,797). For chapter four Emergency Response Level (ERL) codes were provided by the Hamilton Niagara Haldimand Brant (HNHB) and Toronto Central (TC) Community Care Access Centre (CCAC) and matched with a RAI-HC assessment in both CCACs (N=70,292 and N=8,996 respectively). In addition, linkages were made with data regarding death, hospitalization and long term care (LTC) admission. Lastly, chapter five uses information on Toronto Hydro power outages and an estimation of outage areas based on outage mapping in addition to the HC database. The exposure group (N=10,748) was compared to two comparison groups. Group one included clients with HC assessments in the same period and receiving services during the same week but were unaffected by the hydro outage (N=12,072). The second comparison group was comprised of clients residing in the same area as the hydro outage one year prior to the storm (N=10,886). Service utilization was collected from the Client Health Related Information System (CHRIS). Statistical analyses were done using SAS version 9.4 and methods used include frequency tabulation, bivariate logistic regression, multivariate logistic regression as well as Kaplan-Meier survival plotting and Cox proportional hazards ratios calculations. Results: When comparing four decision support algorithms (University of Waterloo, Canterbury, Vulnerable Persons at Risk (VPR) and VPR Plus) to identify high priority clients, the VPR and VPR Plus were most predictive of mortality, LTC admission and hospitalization. The high priority groups were significantly more impaired than lower priority clients with both the VPR and VPR Plus. They had higher levels of health instability, experienced more falls, required more assistance with Activities of Daily Living (ADL), were more cognitively impaired and had higher levels of depression ratings. When comparing the chosen algorithms, the VPR and VPR Plus, with ERL levels assigned by care coordinators the analysis showed considerable overlap in predictive variables. The ERL was highly predictive of mortality and LTC admission, but less predictive of hospitalization. C-stats of logistic regression modeling with ERL and VPR/VPR Plus in predicting mortality showed that the VPR and VPR Plus models were a better or equal fit as models with the ERL. Finally, when examining the characteristics of clients that were affected by the 2013 power outage with the two comparison groups, a significant difference was found for the non-exposed group in the year of the outage in relation to numbers of nursing and personal support worker (PSW) visits, hospital admission and emergency department (ED) visits as well as mortality, LTC admission and hospitalization rates. The analysis showed that clients in the non-affected areas in the year of the outage were more likely to decline in Depression Rating Scale (DRS), Changes in Health, End-Stage Disease, Signs and Symptoms Scale (CHESS) and Instrumental Activities of Daily Living (IADL). This is consistent with the higher rates of LTC admission and hospitalization within six months after the outage for non-exposed clients as well as higher frequency of nursing and PSW visits during and 30 days after the outage. In contrast to the expectation that exposed clients would do worse during and after the outage, the analysis showed that exposed clients showed in fact less health decline than non-exposed clients. However, when looking at those clients that would have been considered high and medium risk clients based on the VPR and VPR Plus, the analysis showed that those clients in areas with hydro outages were more likely to die and to be admitted to long term care (LTC) than the high and medium risk clients living in unaffected areas. Conclusions: The analyses in this dissertation have shown the usefulness of information collected as routine clinical practice using interRAI assessment tools. The current system of designating Emergency Response Levels (ERL) by care coordinators is highly dependent on consistent updating of the ERLs in the system whenever a new home care assessment is completed. The analyses showed that this is not consistently done, and may render the ERL code obsolete overtime. The VPR and VPR Plus have been shown to be valid and reliable alternatives to ERL codes and they are kept up to date as new assessments are completed on home care clients. Incorporating these decision support algorithms into the RAI-HC assessment system software enables an automatic and up to date vulnerability assessment of clients. This can make it possible for emergency managers, first responders and health care providers to use a comprehensive priority system before, during and after emergency, ultimately preventing unnecessary death or health deterioration.