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Cautionary Issues
Published in Lisa Zammit, Georgeanne Schopp, Relational Care, 2022
Lisa Zammit, Georgeanne Schopp
The “silver tsunami” has the potential to be a financial disaster. As seniors live longer, their health care and supportive needs are draining resources (personal, governmental, and institutional) at alarming rates. The majority of nursing home residents (60–70%) require long-term care because of some form of dementia (Robnett & Chop, 2015).
Thinking about the ageing population
Published in Heather Fillmore Elbourne, Andrée le May, Nursing Older People, 2019
Heather Fillmore Elbourne, Andrée le May
Many of you reading this chapter will have heard people talk about the “Silver Tsunami” metaphor. It is one of the most commonly used analogies associated with population ageing and is overtly ageist. The metaphor (with occasional variations e.g. “Gray/Grey Tsunami”, the “Senior Tsunami”, “Senior Wave”) initially made its debut in the late 1980s (Barusch 2013), suggesting that population ageing could be as devastating to our world as a seismic sea wave is to a seaside community. Rather than water the “silver tsunami” has been described by some as bringing a ‘wave’ of dependent, chronically ill older adults that will flood health- and social-care systems, destroy our economies, and wash away the quality of life as we know it (Charise 2012). Such talk is obviously offensive and ageist.
Why, How, and What in Leveraging the Value of Health
Published in James M. Rippe, Lifestyle Medicine, 2019
Over 150 million Americans are already fighting to survive in that river of illness—with one or more chronic diseases accounting for 75% of all healthcare costs and 70% of deaths in the United States. In fact, 96% of all Medicare expenditur es are spent on these chronic conditions, all of which have lifestyle health risk factors impacting their development. In addition, the silver tsunami of the aging workforce from the baby boomer generation has significant implications on the demands of our healthcare system and those associated total costs.1–7
Do we make progress in elderly patients with metastatic colorectal cancer?
Published in Acta Oncologica, 2018
The number of aged people is growing; some talk about a ‘silver tsunami’ that will create a great burden on health care around the world. Elderly patients, more and more today, are sometimes very fit. The randomised trials, however, likely only including a few per cent of all eligible patients, tell that they do as well, or at least almost as well (age above 60 years was included in a nomogram recently developed by the ARCAD group to predict outcome from chemotherapy in mCRC [28]), and should receive appropriate therapy. This also includes treatment in several lines [29]. Several studies, including the Danish retrospective study [21] have shown that elderly patients receive fewer lines, even when corrected for performance status and co-morbidity. Both the Danish [21] and the Australian [22] study give no information about non-referred patients but reveal that about 20% of referred patients are not treated. This may be as expected. They may have deteriorated while waiting, being sicker than the referring surgeon thought or having contraindications not recognized, but also that they, after more thorough information, choose not to be treated. Non-treated patients were more often living alone, previously reported to be a poor prognostic sign [30]. It is important to have very short waiting times, possibly even more relevant in older than in younger patients and that the patients are actively supported.
Drugs that target aging: how do we discover them?
Published in Expert Opinion on Drug Discovery, 2019
We live at a time of unprecedented demographic change, wherein the oldest age groups are the fastest-growing, a phenomenon aptly termed the ‘silver tsunami.’ Leading edge baby boomers are now in their 70s, and with this rising tide, we are presented with a new model of how to spend one’s golden years. Many of today’s seniors are engaged in active retirement, health activism, and generally staying active. Indeed ‘active’ appears to be the operative word, and with it comes a demand for healthier aging. We believe that the heightened self-awareness and expectations of this generation of seniors has driven and will continue to drive increased interest and investment of time, energy, and money into researching healthy aging.
Developing an Acuity Tool to Optimize Nurse Navigation Caseloads
Published in Oncology Issues, 2018
As the complexity of cancer care delivery has increased with each new therapy and treatment approved to market, the need for oncology nurse navigators has grown exponentially. The “silver tsunami,” also known as the quicklyb aging Baby Boomer population, will soon inundate the healthcare system. An estimated 72.1 million patients will be age 64 or older by 2030. Predictions of 26.1 million cancer survivors by 20403 speak to the advancement and efficacy of today's cancer therapies; though this is very good news, these numbers promise to challenge already strained healthcare systems, especially those providing oncology care services.4