Wick Jeannette Y
Consult Pharm. 2017 Oct 1;32(10):566-574. doi: 10.4140/TCP.n.2017.566.
As 10,000 American baby boomers turn 65 years of age every day between 2017 and 2030, society needs to help our aging population find ways to handle the restrictions and limitations that come with increasing age: visual impairment, hearing loss, osteoarthritis, dementia, and other conditions common in older adults. Institutional or long-term care for elderly individuals costs an average of $82,000 to $92,000 per person per year and varies by location. Care in an assisted living facility costs $43,500 per person annually. Living in a personal home or residential setting-aging in place-by contrast, costs an average of $23,000 per person per year. Successful aging in place encompasses safety, health, and economic security. Numerous aging-in-place programs exist in contained geographic areas (towns and counties) or in areas that promote community living (e. g., cohousing or homesharing) or focus on special interests like the arts. Two such programs, the naturally occurring retirement community (NORC) model and the Village model, seem to have had the most success. Elderburbs-older, age-unfriendly communities not focused on residents' health care and mobility needs-remain and can present unique problems. Handheld technology or that integrated into housing can improve the standard of living, help elders improve their functioning, and even monitor medication. The aging-in-place movement presents numerous opportunities for consultant pharmacists.
在2017年至2030年期间，每天有1万名美国婴儿潮一代步入65岁，社会需要帮助我们的老年人口找到应对随着年龄增长而出现的限制和局限的方法：视力障碍、听力丧失、骨关节炎、痴呆症以及老年人常见的其他病症。为老年人提供机构或长期护理的费用平均每人每年8.2万美元至9.2万美元，且因地点而异。在辅助生活设施中的护理费用为每人每年4.35万美元。相比之下，在私人住宅或居住场所养老——就地养老——平均每人每年花费2.3万美元。成功的就地养老包括安全、健康和经济保障。在特定地理区域（城镇和郡县）或促进社区生活的区域（如共同住房或合住房屋），或专注于艺术等特殊兴趣领域，存在许多就地养老项目。其中两个项目，即自然形成的退休社区（NORC）模式和乡村模式，似乎最为成功。老年郊区——那些老旧、对老年人不友好、不关注居民医疗保健和出行需求的社区依然存在，并且可能会带来独特的问题。手持技术或融入住房的技术可以提高生活水平，帮助老年人改善身体机能，甚至监测用药情况。就地养老运动为顾问药师带来了众多机会。
