current trends and issues in the care of elderly

7/27/2019 Current Trends and Issues in the Care of Elderly

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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!!!!!

current trends and issues in the care of elderly

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