Purpose of review To understand the current scope of training in geriatrics in rural areas for rural providers and teams, we reviewed current literature to identify training programs which pertain to geriatric education and training of the rural workforce. Recent findings Older adults are one of the fastest growing demographics in the United States and represent a higher share of the population in rural areas than in other counties. Older adults in rural areas often have complex health challenges and may benefit from care from healthcare teams with geriatrics training. However, there is a paucity of geriatrics workforce in the country and particularly in rural areas. Geriatric training programs targeting rural practitioners may serve to bridge this gap through providing training and support to rural teams taking care of older adults in rural areas. Summary Ten unique programs were identified which described efforts to introduce geriatrics to rural practitioners. Each used different methods of training at a distance, leveraging the use of telecommunications and the internet, or face to face training methods alone or in combination with distance training. Improvements in clinician knowledge, skills and other impacts were described. Current evidence demonstrates that providing training in geriatrics is feasible and may yield positive impacts on rural clinical teams and potential downstream effects on patient care.
There has been a growing awareness among academic and professional communities, as well as the general public, of the global rise in the number of aging prisoners across the world. Both the scholarly literature and social media have documented the high human, social, and economic costs of housing older adults with complex physical, mental health, legal, and social needs. It is imperative to explore the crisis and select correctional policies and practices that have contributed to the rise in the aging and the seriously and terminally ill populations in global prisons. A comparative framing and analysis across the globe show how some countries, such as the United States, have a higher per capita rate of incarcerating older adults in prisons compared to other countries, such as Northern Ireland. Variations in profiles and manifestations of personal and social conditions affect pathways to prison for some older adults. Explanatory perspectives describe why some individuals are at an increased risk of growing old in prison compared to other individuals. Indigeneity, globalization, race and ethnicity, power and inequality, and processes of development and underdevelopment have affected the growth of the aging prison population. Promising practices have the potential to disengage social mechanisms that have contributed to the mass incarceration of the elderly and engage a more compassionate approach to crime and punishment for people of all ages, their families, and communities.
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