current trends and issues in the care of elderly
TRANSCRIPT
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CURRENT TRENDS and
ISSUES in the CARE ofELDERLY
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Older adult demographic trend watchers
tell us that older adults are the fastestgrowing age cohort in the U.S. And,within the group of older adults, thoseaged 80 and older are the fastestgrowing subgroup (Pew Research).
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People are living longer, according to older
adult demographic trends. They arebecoming frail and in need of care for
more years than was the case 10 or 20
years ago. Many states are reporting anincreased incidence of Alzheimers disease
and dementia among older adults, both in
terms of raw numbers and as a ratio to theoverall population.
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Ninety-five percent of people 75 andolder say they want to stay in their homes
indefinitely.
This desire for independence is perfectly
natural, but for their children, it's also a
recipe for worry -- that they'll fall, forgetto take their meds, or just need
assistance.
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You can make your parents' home far
safer and more comfortable by
investing in some of the new devicesaimed at elders who have made the
choice to "age in place."
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Today, 89 percent of the elderly want
to be cared for at home for as long as
possible.
Most caregivers are women, but menare increasingly becoming caregivers,
too.
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All this points to steady increases in
demands for home-based care. It also
means more people will enter the
industry to provide care, oversee it,
broaden services, advocate for legislation
to protect individuals receiving care,
adjust labor laws to reflect the needs of
caregivers andthe industry, and providemore ways to pay for long-term home-
based care.
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Trends in Health Status and Health Care
Use Among Older Women
by Kristen Robinson, Ph.D., Office of
Analysis and Epidemiology
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Women are the majority in the older
population.
The large majority of older women are non-
Hispanic white, but the share of other racial
and ethnic groups will grow.
A large percentage of older women are livingalone.
Overall life expectancy continues to improve,
and the gap between men and women isnarrowing.
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Leading causes of death among older women
differ by race and ethnicity.
Some chronic conditions are more prevalent
among older women than men.
Osteoporosis is a silent threat to women.
A higher percentage of older women needed
help with personal care and routine care
needs than older men.
Less than 10 percent of older women are
current smokers.
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Older women are less likely than older men
to be heavy drinkers.
Like the rest of the population, older men
and women are heavier now than they were
a decade ago.
Older women and men have low levels ofphysical activity.
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OLDER WOMEN HAVE HOSPITAL STAYS
LESS OFTEN THAN OLDER MEN.
In 2005, 97 percent of
noninstitutionalized women aged 65
years and over said they had a usualplace to go for medical care, whereas less
than 3 percent said they failed to obtain
needed medical care during the past 12months due to financial barriers. Older
men reported similar rates (21).
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Older women have hospital stays less
often than older men.
Older women also visited office-based
physicians at about the same rate as older men.
In 20032004, women aged 65 years and over
had 674 office-based physician visits per 1,000(age adjusted), compared with 679 visits per
1,000 for men (11). But in 2004, men aged 65
years and over had higher hospital dischargerates (4,820 per 10,000) (age adjusted) than
women (4,036 per 10,000) (11).
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OLDER MEN AND WOMEN RELY ON
DIFFERENT SOURCES OF PAYMENT FOR
THEIR HEALTH CARE.
Although most older people are covered byMedicare, that program pays for only slightly
over one-half (53 percent) (23) of the health
care costs incurred by older Americans. The
remaining costs are paid for by other sources.
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In 2003, out of pocket payments (paymentsare for coinsurance amounts, co-payments,
deductibles, balance billings and charges for
non-Medicare covered services not paid for by
public or private insurance plans) for personalhealth care were $2,445 and Medicaid
payments were $1,272 for women aged 65
years and over (age adjusted), compared with$1,953 and $722 for men (11).
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OLDER WOMEN UTILIZE MORE HOME
HEALTH CARE AND LONG-TERM CARE
THAN OLDER MEN
Older women have higher average
expenditures for home health care servicesand long-term care than men because they
make up a higher proportion of the older and
frailer population, need more help with both
personal care needs and routine needs, and
are less likely to have a spouse available to
help them.
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Conclusion
Because women live longer and experiencemore functional limitations than men, the
financing and provision of their health care,
and specifically long-term care, is a particularly
important issue for older women.
With fewer older women than men having a
spouse they can rely on as a primary caregiver,
older women are more dependent upon other
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Conclusion
informal (unpaid) caregivers (i.e., adult children,
other family members, and friends); have a
stronger need for community-based services
(i.e., senior centers and convenienttransportation); and a greater reliance on
formal (paid) care services (i.e., home health
care and nursing home care).
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Top Trends in Elderly Care That NurseGina is Watching
by FirstLight HomeCare
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Seniors will have to rethink the
longevity of their assets
Modern medical advances have allowed us to
live longer, healthier lives than ever
before. However, as we begin to live longer, it
becomes more difficult to sustain our assets.
These assets are not just monetary, but
physical assets as well.
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Increased integration of technology
New life-saving devices are beingintegrated into homes throughout the
country that help monitor patients and
send alerts to medical professionalswhen needed. This technology allows for
nurses to monitor the health and
medications of an individual without
actually being present at the home.
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Shift from traditional nursing homes
to community-based care
Rather than reside in a nursing home, seniors
desire a more personalized approach to care
that allows
them to remain in their homes andcommunities.
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Senior Citizen Housing: A Growing
Trend in The SocietyBy Thilo Best
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It has been found that many seniors are
technology freaks and want it to be part
of their old age.
This new need has resulted in theformation ofunique senior living facilities
which offer state-of-the-art systems for
the computer savvy senior people.
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Health Care Services for Elders in New
York CityBy Regina Sass
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There is also a trend toward day care
centers where the patient spends time in a
structured setting, with his/hers peers. The patients get to go on trips, get meals and
health care and their family members/care
givers get a break.
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5 Elder Care Trends You Can Watch For
Personal Support Worker CourseFiled under Medical & Healthcare Jobs
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1. Ethnic-focused Old Age Homes
Yee Hong Centre for Geriatric Care in Ontario It is one of the few old age homes in the
Greater Toronto Area that caters
specifically to Chinese Canadians. A recent job posting states that the
Centre is seeking a graduate of an
approved Personal Support Workercourse with a knowledge of Chinese.
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2. Chair Yoga
Many assisted living facilities offer this gentle
form of yoga, which is practiced while seated
in a chair.
It is a way for seniors with limited
mobility to experiment with yogic
breathing and relaxation in a safe,supported setting.
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3. Local Food in Institutional Food Services
According to Foodservice and Hospitality, a
Canadian hospitality business magazine, a
company called the 100 Mile Market in
Kitchener, Ontario helps large institutional
food services in hospitals and other
healthcare facilities access locally grown
food. Perhaps in the future, graduates of
PSW courses will choose their employer
based on the provenance of its veggies!
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4. Pet Therapy
It is meant to encourage bonds, promote
healing and activate pleasant memories:all goals that are in line with what you
will learn in your PSW courses.
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5. Kindergarten Classes in Nursing Homes
In these programs, children typically
spend one to two days a week at the
nursing home, where the residents help
them learn their letters, etc.
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Trends in Senior Care Leading Backto Their Homes
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Remote monitoring is a new
development which can take the need for
a sitter or even a nurse to provide daily
monitoring out of the equation.
This could dramatically cut the cost of in-home care making it more feasible for
the aging generation.
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REMOTE MONITORING SCALES
daily weight monitoring; if a patient needs to have their eating patterns
monitored, a device can be attached to their
refrigerator in order to record the amount oftimes the patient visited it during the day.
There are even monitors available to be able
to record whether or not a patient is takingtheir medication daily.
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Another service available is the ability to
have a senior citizens home tested to besure that it is fall proof.
This is done by a certified home-care
service provider who will come and
survey the house to be sure that there
are not areas that are accident prone for
an aging adult
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MEALS ON WHEELS is a great service
that is offered in some communities inorder to take away the risk of having
senior citizens to drive. Some
communities have a transportationservice for the elderly in order to get
them to and from the store safely. Other
senior adults opt for a home care workerto shop for them.
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Finally, some states are beginning to pay
family members to care for seniorcitizens in their homes; however, this
person cannot be the seniors spouse.
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10 Hot Trends in Senior CareServices
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Over 1.4 million seniors are currently
receive in-home care, and those numbers
will double by 2030.
1. For Profit Social WorkersTypically costing $80 to $100 per hour, they
provide senior assistance for doctor
appointments, supervise medicationand research various care options for
you.
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2. Peer Care
Seniors volunteer and are matched toprovide elderly assistance through a
nonprofit organization. Senior care
services include everything fromcompanionship to overnight stays,
housekeeping to transportation.
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3. Luxury Care Products
From gold-plated canes to leather liftchairs, in-home care products are getting
a makeover.
4. Senior Fitness ProgramsAccording to the American College of
Sports Medicines (ACSMs) worldwide
fitness trend survey published in 2008,
Senior Fitness ranks #6 in the top 10
trends.
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5. ElderGadgets
From infrared blood circulation food massagersto disposable hearing aids and bionic gloves,
you can find a gadget sure to occupy (or
befuddle) your elderly parent.6. Parent Sitters
Nurses by day frequently take jobs by night to
provide in home care for elderly patients.
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7. Elderlaw
With an aging population that is expected to
double over the next 20 years, you can betthat the legal world is preparing. Accordingto SimpyHired.com elderlaw jobs haveincreased by 121% since July of 2007.
8. Electronic Alert DevicesFrom GPS-enabled devices to necklaces that can
be pressed in case of emergency, senior
assistance is getting a big boost in remoteapplications that allow you to regain freedomin home care for the elderly
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9. Senior Transportation
The National Center on Senior
Transportation was formed for the expresspurpose of increasing senior assistance with
transportation, enhancing their ability to live
more independently within theircommunities.
10. Big Brother
Granny cams, monitors and motion detectorsthat first entered the market for childcare are
being
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.in the PHILIPPINES
Social dynamics demonstrate that even if
a health center is accessible, a Filipino
elderly rarely go to these facilitiesbecause they feel powerless with the
long queue of younger people.
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.in the PHILIPPINES
Oftentimes, they would ignore mild signs
and symptoms like cough because they
do not want to disturb their children
from their work to tag along with them
to the center. Especially in a working city,
elderly are left alone in their homes
because the family members need to go
to school or work.
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.in the PHILIPPINES
How can we address this issue? The use ofTELEHEALTH is a cost-effective
intervention that has increased the
access of the population to health,developed educational opportunities,
improved the quality and equity of care
and enhanced the quality of life andsocial support (Legare et al, 2010).
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.in the PHILIPPINES
Philippine Plan of Action for Older
Persons (PPAOP, 19992004) was
formulated to ensure the development of
a milieu that would meet the present and
future needs of the growing number of
older persons.
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THANK YOU!!!!!