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Michael Malone, MD<\/strong><\/span> Two years ago, members of Milwaukee\u2019s Aurora Health Care geriatrics program where I work began doing something different for lunch. The geriatrics fellows (who are learning to be experts at caring for older persons with multiple chronic illnesses) started to share meals once a week with the nurses, social workers, and teaching doctors who also work with the patients we serve. The fellows and faculty enjoyed helping each other overcome struggles in providing \u201cbest care\u201d for vulnerable older individuals. Over shared meals, physicians started reaching out to social workers and others at the table to get input, feedback, and recommendations. This was particularly helpful, as many of the challenges our doctors have encountered centered on the social aspects of a patient\u2019s needs and where and how to find appropriate support.<\/p>\n Creating a Network to Achieve \u201cBest Care\u201d Importance of the Older Americans Act Among other objectives, the bill aims to address<\/p>\n These are topics I hope to discuss at lunch with colleagues for many years to come not only because they are important but also because they can be addressed\u2014effectively, reliably, and equitably\u2014through sustained support of the OAA. I\u2019d encourage you to do some digging of your own regarding legislation that supports older Americans<\/a>\u2014you might be surprised at just how expansive public support for healthy aging has become, but also how vital it will be to ensure this support not only remains constant but also shifts to reflect new realities as more and more of us turn 65.<\/p>\n The Older Americans Act Reauthorization Act of 2015 was approved by the U.S. Senate last week and has now been sent to the House of Representatives for a final vote.\u00a0 You can help support swift passage of this important legislation by writing to your Representative to encourage her to stand behind the important services that the OAA provides.\u00a0 Visit the Health in Aging Advocacy Center<\/a> for more details.<\/p>\n <\/em>About the Author<\/span> Michael Malone, MD Professor of Medicine\u00a0and\u00a0Section Head of Geriatrics University of Wisconsin School of Medicine and Public Health Medical Director Aurora Senior Services and Aurora at Home Two years ago, members of Milwaukee\u2019s Aurora Health Care geriatrics program where I … Continue reading
\n Professor of Medicine\u00a0and\u00a0Section Head of Geriatrics<\/strong><\/span>
\nUniversity of Wisconsin School of Medicine and Public Health
\nMedical Director<\/strong><\/span>
\nAurora Senior Services and Aurora at Home<\/strong><\/span><\/p>\n
\n<\/strong>Gradually, we started to use these lunches to discuss cases more formally. We would discuss patient needs in five specific areas: 1) medical needs, 2) medications, 3) social needs , 4) psychological needs, and 5) how patients understood and perceived their own illnesses. The in-person discussions have given our physicians, nurses, and social workers a chance to develop working relationships with one another. We\u2019ve all developed a better understanding of programs provided by the ADRC, and our patients are better served as we work together.<\/p>\n
\n<\/strong>As I reflect on how our clinic serves older individuals in Wisconsin, I\u2019m struck by the importance of integrating community programs into health care. The Older Americans Act (OAA), for example, provides for caregiver support, health promotion, meals, and transportation for vulnerable elders. Our sharing and learning together during lunch has resulted in a better understanding of the whole person (physical, mental, social needs), and how that person supports and is supported by a community shaped in one way or another by initiatives like the OAA. Reauthorizing the OAA represents an important opportunity to help modernize and improve the aging services network to meet the needs of our nation\u2019s older adults.<\/p>\n\n
\n<\/strong>Dr. Malone is the Chair of the AGS Public Policy Committee.<\/p>\n","protected":false},"excerpt":{"rendered":"