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Aging is a complex biological phenomenon influenced by various processes that affect cellular and systemic functions. Several prominent theories attempt to explain its mechanisms, highlighting cellular limitations, oxidative damage, and hormonal changes as central factors in aging.
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Age-related pharmacokinetic changes are extensively documented, but understanding age-related pharmacodynamic alterations is relatively limited. This knowledge gap can be partly attributed to the complexity of developing appropriate measures of drug responses compared to bioanalytical methods for determining drug concentrations.Most information regarding age-related differences in human pharmacodynamics originates from cross-sectional studies. However, these studies assume that observed mean...
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Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
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Evidence-based programs for older persons in the Americas.

Patricia Morsch1, Martha Pelaez1, Enrique Vega1

  • 1Pan American Health Organization Washington, D.C. United States of America Pan American Health Organization, Washington, D.C., United States of America.

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Promoting healthy aging in older adults is crucial. Evidence-based self-management programs enhance abilities, improve quality of life, and can reduce healthcare costs.

Keywords:
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Area of Science:

  • Gerontology
  • Public Health
  • Health Services Research

Background:

  • Aging populations and increased chronic conditions necessitate improved health system support for older adults.
  • Healthy aging requires enhancing older adults' capacities, particularly self-management skills.
  • Evidence-based programs are effective in improving health outcomes and quality of life.

Purpose of the Study:

  • To describe the implementation history of a self-management program in the Region of the Americas.
  • To identify barriers and facilitators for implementing evidence-based programs for older adults.
  • To provide examples for disseminating self-management programs in the Region.

Main Methods:

  • Case study of a self-management program implementation.
  • Analysis of implementation history, barriers, and facilitators.
  • Qualitative and quantitative data collection on program effectiveness and adoption.

Main Results:

  • The report details the journey of a self-management program's rollout.
  • Key challenges and success factors influencing program adoption were identified.
  • Lessons learned offer insights for future evidence-based program dissemination.

Conclusions:

  • Self-management programs are vital for enabling healthy aging and improving older adults' well-being.
  • Understanding implementation dynamics is essential for successful program scaling.
  • The findings provide a roadmap for health systems in the Americas to foster self-management support.