Viewing papers 1-30 of 48 for challenges AND and AND solutions: AND long term AND care AND for AND the AND disabled AND elderly

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Long-Term Care on the Family Term Paper

… Persons who must work fewer hours in order to care for a loved one lose more than the reduced income. They lose in terms of lost retirement savings, benefits and can lose healthcare benefits for themselves. This can place strain on the person giving the care in many ways.

Few public assistance programs exist to aid those who care for elderly patients. The Clinton administration enacted a tax credit of $3,000 for persons who care for persons needing assistance at home (Johnson and Lo Sasso, 2000). There are several emerging programs to provide respite and services to caregivers. The Omnibus long-term Care Act of 1999 (H.R. 2691) would provide Medicare benefits and Social Security credits to workers who leave their jobs to care for their…. [read more]

Challenges and Solutions: Long-Term Care for the Disabled Elderly Term Paper

… Long-Term Care for the Disabled Elderly

The elderly population, as Lecovich (2014) points out, is rapidly increasing; and this is not only an American problem -- it is a global phenomenon. In the words of the author, "ageing is connected with increased chronic morbidity and functional disabilities" (Lecovich, 2014, p. 21). According to the Robert Wood Johnson Foundation (2014), as the population ages, there will be an explosion in the demand for long-term care services. The all important question in this case remains, "who will pay for these services and how will they be delivered?" (Robert Wood Johnson Foundation, 2014).

Long-term care, particularly for the disabled, is an issue of concern for most governments from across the world. Sometimes in 2003, the Commission on Long-term…. [read more]

Public Policy and or Program Term Paper

… Home and Community-Based Care

Today, we face many challenges in society. Some of these relate to the costs of living, while others relate to political, social, educational, and a myriad of other issues. One major challenge facing society today, and for which we are somewhat ill prepared, is the increasing number of years an average human being might expect to live. Medical technology and greater attention to longevity-increasing lifestyle habits have created a major demographic shift towards what is referred to as an "aging" society. This means that most people alive today face a situation in which they will probably reach extreme old age. This, in turn, means that many more people than in the past will be in need of long-term care, either at…. [read more]

Health Care in the U.S Term Paper

… The Spanish System

The health care system in Spain is still reeling from the recent global recession. High unemployment rates are expected to continue, which places a strain on the ability to support the national health care system (OECD, 2011b). The ability of the national health care system in Spain to provide services depends on an inflow of taxes from the people. Anything that harms the economy also harms the national health care system. The same is true in the United States, only the impact is not as great, because the system is not entirely dependent upon government funds.

The national health care system and Spain is known as the SNS. It is operated by the National Ministry of Health and Social Policy. It is…. [read more]

Health Care A) the Different Forms Term Paper

… Health Care

a) the different forms of long-term care for elderly Americans provide choice for patients and their families and so give at least a sense of control to people in a time of need. These people face differing circumstances. Richardson (1995) points out that more than 70% of chronically disabled people receive long-term services in the home from family members and friends, but when circumstances warrant, they can use a formal care system such as home health, mental health programs, social services, nursing homes, rehabilitation facilities, and so on. One problem faced by the system is the difficulty in predicting needed levels and types of long-term care services for the future (Richardson, 1995, p. 195).

Similar issues are raised for the elderly population, noting…. [read more]

Federal Governments Healthcare Programs Term Paper

… Federal Government Healthcare Programs

The year 2005 is the 40th anniversary of Medicare and Medicaid, two of the most well-known federal healthcare programs in the United States. Both of the programs were instituted by the Social Security Act, with Medicare administered by Social Security Administration and the federal financing for Medicaid managed by the Social and Rehabilitation Service. Today, after a series of changes in administration, the CMS, the Center for Medicare and Medicaid Services, is the agency that oversees the programs ("40th Anniversary for Medicare and Medicaid" 1).

Medicaid is a program that helps low-income individuals and families pay for their medical expenses. The states and Federal government share the costs of this program. There are eligibility requirements for this program and these vary…. [read more]

Health Care Reform Term Paper

… Health Care Reform:

For quite some time, the debate on the health care reforms has been centered on a number of key issues. These key issues have included the question on whether there is an essential right to health care, who should have access to health care, the circumstances that grant access to health care, the method of government support for health care, the quality achieved for the figures spent, the sustainability of the expenditures and the role of the federal government in bringing about such change.

Given the fact that health care in the United States is offered by many separate legal entities, health care facilities are mostly owned and managed by the private sector. Apart from programs such as Medicaid, Medicare, TRICARE, Children's…. [read more]

Management L. Jones Basic Principles in Today Term Paper

… ¶ … Management

L. Jones

Basic Principles

In today's world, healthcare is increasingly being administered by a "team approach." This is especially true in long-term and in-patient environments, as well as concerning the care delivered to patients with complex or chronic health conditions. Within this team approach, it is necessary to successfully "manage" all of the components that go into the treatment and care of the patient. This is where the concept of "case management" comes in.

In simple terms, case management is a process of health care. It involves helping the patient find, access, and benefit as much as possible from the medial procedures, treatments, and lifestyle solutions available to his or her particular needs. Further, case management (usually administered under the centralized direction…. [read more]

National Health Care Reform the History Term Paper

… National Health Care Reform

The history of national health care legislation is one that is mired with political controversy and frustration since as long ago as the 19th century. Healthcare, mildly stated, is a very personal issue -- especially when, in this day and age, about half of the bankruptcies filed are a consequence of medical bills; of those, 75% of filers had health insurance (Pibel 2006). In the last year and a half, Americans have seen the controversy and the frustration, but national health -- or universal health care as it's been aptly named -- has been a topic for over 150 years. In 1854, the Bill for the Benefit of the Indigent Insane, was proposed and it proclaimed that it would set up…. [read more]

Rural vs. Urban Health Care Disparities Dissertation

… Health Care Disparity in Maryland

Context of the Problem

Unsettling Disparities Occur

Approximately 1,600,000 individuals who live in Maryland either do not have access to healthcare as they cannot afford insurance and/or are underinsured.

In "Health care reform: a vital issue for Maryland's nurses," Anne S. Kasper and Leni Preston (2008) stress this unsettling fact, as they point out that Maryland ranks number 24 in the United States in the number of uninsured residents. Fifteen percent of Maryland's population, almost 800,000 people, in fact, is not insured. The significance of the fact relating to those who do not have access to healthcare, Kasper, and Preston (2008) assert, increases as this magnificent number of individuals without access to healthcare does…. [read more]

Nationalized Health Care Do Men and Women Thesis

… Nationalized Health Care

Do Men and Women working in the Healthcare Industry Differ in their Views Regarding Government Subsidized Health Care?

Economic pressures have many issues on the minds of American citizens. Making ends meet can be difficult enough. However, just one trip to the emergency room can put an entirely new meaning on one's financial woes. With rising healthcare costs, many cannot afford to obtain the medical care that they need. Private insurance costs have risen disproportionately to wages, creating a financial strain that everyone can feel.

One of the most recently proposed solutions to the healthcare crisis in America is to institute some form of government subsidized healthcare program, similar to what Canada and other countries already have in place. There are proponents…. [read more]

Future Implications of Improving Health Term Paper

… Future Implications of Improving Health

In the past few decades, technological progress and economic growth have led to improvements in human health, causing a rise in the average age of the population as well as population growth. The rapid growth of the elderly in the population has emerged as a significant concern among taxpayers, elderly people, and government agencies alike, as social security and pension plans are no longer consuming the majority of incurred elderly debt. In the past, social security and pension plans were devised at a time when relatively few people reached the age of sixty-five, and these plans covered their support. However, this is no longer the case, as younger people are now required to pay the costs of their support, since…. [read more]

Environmental Design Environmental and Interior Term Paper

… Hearing-impaired persons will appreciate a reduction of 'white noise' that further impairs their ability to listen (Kopec 2006: 174).

Geriatric populations

Even persons over the age of 80 can lead vibrant and active lives, and the environment must be orchestrated to allow them to accomplish daily tasks. Compensating, asking for help from others, restricting some activities and optimizing (planning the most effective way to perform the activity) are all ways for the elderly to cope with the challenges of aging (Kopec 2006: 175). Design improvements can better enable elderly persons to maintain an active lifestyle by compensating for age-related challenges, such as deterioration of balance (Kopec 2006: 176). Something as simple as an L-shaped kitchen that allows for greater maneuverability (given that elderly persons often…. [read more]

Aging in Alaska Options for In-Home Support Term Paper

… Aging in Alaska Options for in-Home Support


The Aging Population Swells

population aged 65 years and older was projected to increase from 35 million in 2000 to roughly 71 million in 2030 (Goulding & Rodgers, 2003; Gelfand, 2003; Gillespie & Sloan, 1990). Those aged 80 and over were expected to increase from 9.3 million in 2000 to 19.5 million in 2030. In those years, the older population among racial minority groups would increase from 11.3% to 16.5%.These minority groups are the Blacks, Indian/Alaska Natives and Asian/Pacific Islanders. The bloating of the aging American population aligns with that of the world population. The global decline in fertility, the 20-year increase in the average life span in the second half of the 20th…. [read more]

Medicare and Medicaid: Government-Sponsored Programs Term Paper

… However, current discussion surrounds the transformation of Medicaid into a block grant program, which would result in states providing additional funding to Medicaid programs or the elimination of certain services (Ettner 252). In other words, access to Medicaid programs may be threatened by governmental influence in the coming years.

The Importance of Medicare and Medicaid to the Elderly Population

Based upon the previous discussion, it is evident that millions of American elderly and disadvantaged persons depend on government-sponsored Medicare and Medicaid programs in order to obtain necessary health care services. Depending upon age and financial situation, a person may qualify for one or both programs. Both offerings provide patients with a number of quality services and relatively simple access to healthcare providers results in extremely…. [read more]

Assisted Living Term Paper

… Assisted Living

An Analysis of Current and Future Trends in Assisted Living Facilities in the United States

A substantial numbers of older adults will experience a decline in independence and an increased reliance on caregivers; in fact, today, of those people aged 80 or older, fully 25% will eventually become institutionalized because of needing assistance with day-to-day activities (Westburg, 2003). Assisted-living facilities offer a relatively new way to care for seniors who can't manage on their own. A cross between an apartment building with services and a nursing home, these facilities offer residential units, which sometimes include a kitchen, housekeeping services, meals, transportation to doctors and activities, and various levels of personal assistance -- all for a monthly rental fee. The promotional literature for assisted-living…. [read more]

Policy Analysis on the Oregon Death With Dignity Act Term Paper

… Policy Analysis of Oregon's Death With Dignity Act

David Gil's writings have helped the public understand the true scope of the new Oregon Assisted Suicide law, and as a result, the percentage of Americans who say that doctors should be allowed to help with suicide when the patient and the patient's family request it has doubled to 70%.

The fact that Oregon's law was a citizen's initiative that passed and other facts concerning physician-assisted suicides that have surfaced recently signal a renaissance of activism on the part of citizens who wish to change existing law on that topic. Even with the new Oregon law, it is not easy to participate, as there are requirements that make it difficult to obtain permission.

David Gil's Policy Analysis…. [read more]

Client Autonomy in Community Health Term Paper

… Therefore, this factor should also be addressed by the nurse in conjunction with community and health officials.

Nurses should recognize the need to address organizational, social, economic and political factors influencing health. They should participate with their colleagues, professional associations, colleges and other groups to present nursing views in ways that are consistent with their professional role, responsibilities and capabilities and which are in the interests of the public.

( Kikuchi, J. 2002)


Aulisio M. The Home Setting: Posing Ethical Challenges to Clients and Caregivers. Retrieved may 16, 2005 fropm Community Ethics. Web site:

Ellis. J. ( 2003) The Client's Right to Know Their Nurse and Question Care vs. The Nurse's Right to be Protected from Harm. Retrieved May 15, 2005 from RNABC.…. [read more]

Mental Health and Primary Care the World Term Paper

… Mental Health and Primary Care

The World Health Organization has no one official or strict definition of mental health in that cultural differences, subjective assessments and professional theories combine to determine what mental health is (Wikipedia 2006). Most experts, however, agree that it refers to how effectively and successfully a person functions. If he feels capable and competent, is able to handle normal levels of stress, maintains satisfying relationships, leads a relatively independent life and can recover from difficult situations, he is said to be mentally healthy. Primary care, on the other hand, is extended by a health care provider, who acts as the first point of consultation for patients. It is usually provided by primary care physicians at community health centers as opposed to…. [read more]

Community Analysis: Columbus, Ohio Research Paper

… They promise to bring a higher standard of living, attract residents with higher incomes, and lead to the establishment of more services for all of the residents.

Community Resources

An assessment of community resources for help and family's to achieve the optical level of wellness focus is on Mount Carmel Health System. Their won the largest hospitals in Central Ohio and there are few services, either general or specialty that cannot be found on the campus. Residents who have Health Insurance or who receive assistance by way of Medicare or Medicaid have easy access to the services at this facility and will not be the focus of the study. The study will address resources that are available for those who do not have access to…. [read more]

Treatment of Women Diagnosed With Dysthymia Term Paper

… Treatment of Women Diagnosed With Dysthymia

This proposal for a clinical case study of the treatment of a woman diagnosed with dysthymia employs a cognitive behavioral approach to identifying effective treatment modalities for patients with depressive disorders. In cognitive behavioral sessions, psychotherapists seek to help a patient identify his or her harmful thinking patterns in order to develop better coping strategies and social skills. The focus of the research in this study is on how people in general think, behave, and communicate in the present rather than on their early childhood experiences.

Proposal for a Clinical Case Study Dissertation - Doctor of Psychology in Clinical Psychology

Chapter One. Introduction

Statement of the Problem



Chapter Two: Review of the Relevant Literature

Background and Overview…. [read more]

Benefit Plan Design Analysis Select Research Paper

… The number also included people who were self-employed. It also benefited around fifty million individuals including people who were suffering from a disability or were old. The program also stretched to benefit the employees' dependents (Fronstin, 2008).

Access to Important Services

The employee benefit scheme of U.S. also aims to offer the employees (and their households in America) assurance of basic services, such as health care. A number of employees in America take part in programs related to health insurance that is provided for on their own by the employer organizations. However the coverage provided may vary from organization to organization with certain employers only offering health care coverage when acute care is required while some may also incorporate routine visits to the doctor.

A…. [read more]

Evaluation of Home Care and Community Care in Canada Research Paper

… Home Care and Community Care in Canada

The commitment towards reducing, eliminating and reducing inequities aims at extending the prevention timeline and modalities to victims of any disease. Health promotion promotes good health and sanitation to citizens. It also aims at providing and creating conducive environments that enable the society to be self-reliant in forming a robust community that can offer all aspects of a healthy care (Epp, 1986).

Communities are encouraged to participate in forming a health society through creating good health systems. This can be achieved by the active participation of communities in obtaining the desired community health policies and suggestions. There have been many efforts recently to bring the community on board in health participation. This is seen as the only way…. [read more]

Elder Abuse Phenomenon Correlating Relationship to Elder Mortality Term Paper

… Elder Abuse Phenomenon Correlating Relationship to Elder Mortality

Elder abuse has received increased scrutiny from the law enforcement and healthcare community in recent years. This increased attention is due in part to the increasing number of elderly in the United States and the passage of various laws designed to improve the reporting of such episodes of abuse as well as the prosecution of those who abuse the elderly. Unfortunately, elder abuse is particularly difficult to detect in some cases and studies have shown time and again that many elderly people are highly reluctant to admit to such abuse for fear of reprisals from the abuser or the possibility of being institutionalized if existing domestic living arrangements are disrupted. The purpose of this study was to…. [read more]

Aging and Health Technologies Theoretical Term Paper

… In general, the researchers found that people were receptive to the concept of healthcare technology, as long as it continues to provide them with a sense of control and empowerment. The elderly want to retain control over their lives and be involved in decision-making about their care. (Intel, 2008:3).

What is meant by "control and empowerment" becomes relevant. Comparing the types of technologies that these types of materials highlight indicates a bias in many ways toward assuming what the elderly want when they turn to technology. Roupa et al. (2010:119) looked quite literally at everything from everyday electrical appliances to TVs to ATMS, PCs and mobile phones and noticed a lack of interest almost across the board (something that is no longer the case). Intel…. [read more]

Elderly Care Thesis

… Elder Care

The baby generation has begun the march into their silver years, their retirement years. These years in a person's life represent, too, the years when the body's betrayal of the mind, or vice versa, often result in an individual's inability to care his or her self during the post retirement years. These years have come to be referred to as the elder care years, because the care for the elderly often becomes the responsibility of the younger family members, children, or involves the institutionalization of loved ones. In either situation, the problems family members are faced with and the choices they must consider in resolving those problems concerning the care of their loved ones can be difficult and emotionally overwhelming. In some cases,…. [read more]

Parent Caregiving: The Emotional Term Paper

… Socialization and social learning theory are alternative models that stress how parents condition, teach, and set examples for their kids. In the matter of intergenerational assistance, these theories intimate that a generation that assists and supports its parents serves as a role model for the following generation. (Ribar, 2003)

Separating these paradigms is critically integral for the following three reasons. First, exchange theory has not been subjected to a level of testing commensurate with its prominence as a paradigm for intergenerational assistance; few studies discuss alternative explications or submit the paradigm to possible falsification. Second, because coresidence and financial assistance are important familial responses to poverty among the elderly (Rendall and Speare 1995), understanding which paradigm undergirds the willingness to help older parents is critical…. [read more]

Assistive Technology What Is the Definition Term Paper

… Assistive Technology

What is the definition of assistive technology and rehabilitation technology? What are the commonalities and difference between these two types of technology?

For people with incapacities and who are not able to do work that are difficult or not possible to them, a technology is used to help these people. This technology is called Assistive technology. Assistive technology is inclusive of movable devices like wheelchairs, walkers and some software and hardware that help people with incapacities in using computers or other information technologies. (What is assistive technology?)

For people with physical and cognitive disabilities, assistive technology is redefining what is possible for them. This technology helps them to be more independent, self-confident, and productive at home, workplace, and community and helps them mix…. [read more]

Home and Community-Based Waiver Services Program Essay

… Home and Community-Based Waiver Services Program in Alaska

Needs Statement.

According to Goins and Spencer (2005), the provision of services to specific populations, particularly those groups who face barriers to equity in healthcare, has always been an important focus of public health. The public health perspective outlines a societal approach to protecting and promoting health, which emphasizes prevention, macro-level interventions, and the reshaping of public policy. A primary difference between public health and the more biomedical model is that the government often subsidizes care providers in public health, with a focus on preventing, rather than curing, disease (Goins & Spencer, 2005).

Older American Indians and Alaska Natives (AI/ANS) life expectancy has increased dramatically since the early 1970s. This increase, from 63.5 years in 1972 to…. [read more]

Social Security Reform Term Paper

… According to the press release, the president believes that, "Personal accounts give younger workers the opportunity to receive higher benefits than the current system can afford to pay, and provide ownership, choice, and the opportunity for workers to build a nest egg for their retirement and to pass it on to their spouse or their children" (Social Security 4). As his second terms begins, the president has stated that he wants to work with Congress to develop an alternative framework wherein taxpayers would have a choice between using the personal investment accounts or to simply continue to draw their benefits as they do now. Finally, the White House press release on Social Security notes that, "Any proposal will include limitations on the risk of investments…. [read more]

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