Senior Care: Change Theory For Social Change

Creating new support for modernizing multipurpose senior centers including a plan to use the skills and services of older individuals in pain and unpaid

Current numbers show substantial growth from the eighties, and estimates suggest that the demand for long term care among the elderly will more than double in the next thirty years. (Feder, Komisar, and Niefeld) This growth will exacerbate concerns about balancing institutional and noninstitutional care, assuring quality of care, and most importantly adopting and sustaining financing mechanisms that equitably and adequately protect the elderly who need long-term care.

The purpose of this paper is to give an overview of two federally and/or state funded programs. The programs that will be discussed are Medicare and Medicaid. In this paper will be information about who receives Medicaid/Medicare, the services offered by these programs, and those long term services that are not.

Experience working in the field of health care lends insight to the growing needs of the older adult population, and the barriers which impede our capacity to meet them. As the Baby Boomer age is approaching older adulthood, the rise for financial,

It is important that the patient is aware not only of their rights, but of their individual responsibilities.

Long-term care is vital in the United States health care system. As the population ages, more people will need assistance to recover from illness or injury, and others will need end of life care to ease their passing. People who use long-term care are all ages. From young to old, people can receive it if they cannot care for themselves because of a condition, an illness, or an injury that requires assistance for a period of 90 days or more. The concern people face when looking at long-term care is the funding. Medicaid will likely be drained of funds long before the country’s aging population is past its peak and while there are some options of insurance coverage, not everyone may afford them.

Over the last 8 years especially, the national spotlight has been focused on government programs, specifically Medicare and Medicaid, whether these opinions be positive or negative. Although many people believe that these governmental acts only include negative aspects, this is in fact wrong, as there are many positives. Medicare, the commonly known health insurance program for people 65 and older, has positively contributed to the American society for the past 50 years. Medicare has helped elders financially , increased the quality of care we give to elders, and provided more jobs throughout its existence.

Long-term care healthcare delivery will be a great/popular option for many of these senior citizens. The long-term care healthcare delivery system falls within the continuum of care. The continuum of care is a series of heath care services that are provided to a great number of older adults who are in need of them throughout the course of their life/older life. The care ranges from: personal care, custodial care, restorative care, skill nursing care, and sub acute care (Shi & Singh, 2012). Different providers work together within the continuum to provide the right care to those in need. The continuum of care, as stated in Long Term Care: Managing Across the Continuum, is “comprehensive, integrated, and client-oriented”(Pratt, 2010). All the services offered should be client-based and cater to the client’s needs and suitable care. The client should be able to obtain services when it is needed from the provider, making it comprehensive. All the different long-term care providers should be interconnected between one another, because their goal is all the same, which is to care for the client’s needs. The continuum of care consists of: nursing facilities, sub acute care, assisted living, residential care, elderly housing, and a variety of community-based services (Pratt, 2010). All these different providers work together to care for the individuals within the health care industry, creating the continuum and making it integrated. As the future progresses and a great amount of

As the government’s role in public health remains, major changes have been put into effect, precisely dealing with long-term care. Before the 1930’s, providing care for the elderly was exclusively a local and state run industry. However, after the great depression, a growing demand was placed on providing some type of insurance for that population. The Social Security Act of 1935 was established to assist with “Federal old-age benefits” and was signed into effect by President Roosevelt on August 15, 1935. (Home, 2015) Another major impact to long-term care has been the creation of Medicaid that went into effect in 1965 and was an amendment to the Social Security Act of 1935. “Title XIX of the Social Security Act is a federal and state entitlement program that pays for medical assistance for certain individuals and families with low incomes and resources” Medicaid is a collective effort between state and the government to help provide insurance for eligible citizens. Among those covered under this insurance, are the elderly, disabled and pregnant. Medicaid is the largest source of funding for medical care. The new changes to Medicaid are ongoing and will be put into effect as part of Obamacare.

Even though long-term organizations are creating new services, many individuals continue to lack the quality of care they deserve and because of that Congress is stepping in. “As Congress and the Obama administration consider broad-based health reform, efforts to restructure long-term care are taking on greater urgency and policy experts have put forward several reform plans aimed at improving access to care“(Gleckman, 2009).

The objective of this study is to examine the evolution of programs and services for aging population over the last fifty years. Toward this end, this brief study will conduct a review of literature that addresses these shifts and changes in policy. The timeline of the history of the services and pogroms for the aging population in the United States is shown in the following timeline and an explanation for these develops will next follow the timeline.

census discloses that the county age group is rapidly increasing and the trend will continue grow from a 99,086 to 140,000 by the year 2030 (Maryland Department of Aging, 2014). Research has shown that social inequalities are inter-reliant in the society and the impacts on health are present in all ages, however, it is predominant with the seniors leaving in the community. As it indicates, to reduce these disparities, it requires multi-interventional and collaborative approaches in addressing the various factors of health, it services and it cost. Although the United States has had some effective policies and few good health programs, however, providing a stable and adequate income for most of the seniors and providing a good public health care system goes a long way in improving their health and also increasing life expectancy. Much can and should be done to reduce inequalities that exist among the seniors and public health should take led in addressing the various aspect that affects the seniors. This paper has discussed the barriers to healthcare among the seniors and it has provided innumerable recommendations that would help improve their

Our text discusses the importance of funding long term care. In this day and age the average lifespan is expanding which means the demand for long term care facilities may increase. The longer we live, the more likely we are to need long term health care services and supports. Quadagno (2014) notes that here in the United States, long term care facilities and nursing home organizations are funded primarily by Medicaid. While Medicaid and Medicare services are beneficial to the aging population, the funding does not adequately allow residents of nursing homes the best of care.

The Older adult population needs more health services and mobility resources from the government and private or community organizations due to their emerging and increasing healthcare needs. This attention to the older adult population reduces the chances of them being isolated, mistreated, and experiencing poor health. Two of the most influential laws that impact the older adult population are the Social Security Act Title XVIII and The Older Americans Act of 1965. These two pieces of legislation provide our elderly community with some form of financial stability and the ability to get around their community.

A big change in Medicaid, the largest public program that finances long-time care, will be much needed. Medicaid strongly favorites nursing homes and care centers. After the Congress passed a waiver in 1981, states had the option to fund home and community- based services. Once an elder reached the requirements for Medicaid for nursing home care, then he to shall receive medicaid in his own home. Even after realizing this option saves more money and improves the quality of life of the elder, nursing homes are still the top care