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Roles and responsibilities of nurse practitioners
Nurse's role in healthcare delivery
Nurse's role in healthcare delivery
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Literature Review
Between 1946 and 1964, the United States experienced a drastic increase in birth rate and these individuals became known as the baby boomers (Smith, 2007, pg. 2). Now, the baby boomers are turning 50 and each day 10,000 baby boomers are becoming eligible for Medicare (Barr, 2014b, p. 1). The staggering numbers of eligibility is beginning to impose a financial burden on Medicare, and healthcare providers, policy makers and others are trying to come up with new models of care and concepts to improve quality, cut healthcare costs, and withstand the onslaught of acute and chronic illnesses (Barr, 2014b, p.1). The baby boomers have a desire for wellness that promotes “youthful and healthy aging”, a thirst for knowledge and information
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3). Many elderly people rely on family members to take care of them but this is becoming less common (Siegal & Rimsky, 2015, p.2). In addition, many boomers have no idea how much money they should have saved to support their intended lifestyle after their retirement and medical expenses are not always taken into account (Barr, 2014a, p. 2). Boomers who may need long-term nursing care may not have the financial means when the time comes, and this can create a threat to Medicaid programs (Barr, 2014a, p. 2). Furthermore, Edlund, Lufkin, & Franklin (2003), states that “Medicare has been the traditional healthcare insurance for the elderly” but was never designed to pay for long-term care and custodial services (n.p). It has become evident that the national approach to long-term care, which relies on unpaid family caregivers and Medicaid coverage for nursing home care is not enough to satiate the needs of the baby boomers (Siegal & Rimsky, 2015, p. 3). Many older adults prefer home and community-based care to nursing home care, and while the average cost is lower in a home setting than in a nursing home, the majority of Medicaid money is spent on long-term services in nursing home care (Siegal & …show more content…
Among one of the various topics that was brought up in class was the healthcare topic on baby boomers. I am currently a health science major with the option of pre-clinical. I want to become a nurse with the possibility of earning my masters and becoming a Nurse Practitioner (N.P). As a Nurse Practitioner and with the generation of baby boomers becoming a healthcare trend in addition to Medicare, I chose this healthcare topic to further my education and research on. These two topics are intertwined as Medicare is for people over the age of 65. I did my research by using CSUEB’s school library’s database Academic Search Premier to look up information regarding baby boomers, health care, nursing homes, and Medicare. The interviewee I chose is a Nurse Practitioner who has worked in the air force as an LVN, in a hospital setting at San Leandro Hospital and Alta Bates Summit hospital, and now owns and runs her own nursing home business for 8 years. Family Nurse Practitioner Olivia Rusu has experienced first-hand the difficulties of managing a nursing home business and the difficulties of providing services and keeping up with the changing and developing medical advances and technologies of healthcare. Olivia Rusu is the mother of a close friend of mine who is a nursing student at Samuel Merritt University. I emailed Mrs. Rusu informing her of my class and assignment, and upon
Miller, E. A. (2012). Journal of Aging and Social Policy . The Affordable Care ACT and Long Term Care .
The long-term care system consists of an integrated continuum of many institutional and non-institutional providers who deliver extended care when needed. Long-term care providers deliver a variety of care to individuals with chronic, mobility and/or cognitive impairments/limitations. These providers include: nursing facilities, sub acute care, assisted living, residential care, elderly housing options and community based adult services (Pratt, 2010). A great majority of these providers are already taking care of the many baby boomers that are present today and will be present in the future. “Baby boomers” are individuals who were born between the years 1946-1964. Since 2011, every day 10,000 baby boomers turn 65 years old (Pratt, 2010). This
Certain cultures that live at or below the poverty line prefer this type of assistance for their elderly family members because it allows them to have someone meet them at their home. This convenience is a big factor and provides the elderly with a way to fulfill their communal culture by living out their time at home among family, while still receiving any necessary assistance for health checks or IADL’s. This improves their quality of life by meeting their needs in a different way. These alternative methods to older adult care are more popular among minorities and cultural groups (Bookman & Kimbrel, 2011). Bookman and Kimbrel acknowledge the gap between financial status as well as culture and race, they stated, “...because elders are widely diverse by race and socioeconomic status, their families attach differing cultural meanings to care and have widely different resources with which to accomplish their care goals” (2011). Thus, creating the large gap seen in nursing home facilities. Specifically, cultures like the Chinese who maintain traditions like filial piety, in which the adult children must care for their elderly parent (Li & Buechel, 2007). This type of culture defines the line between those who view nursing homes as ideal and those who prefer a separate
African American senior citizens face a health care crisis too. They have worked all of their lives to secure retirement, but their retirement has been threatened because of the rising cost of long-term medical care. Insurance companies have failed to provide affordable long-term care, protection that most senior citizens need. This lack of long term care and affordability has been a serious problem for the health care system. In some cities, the shortage of hospital beds is so serious that it is common for patients to stay in emergency rooms before they can be admitted to an inpatient room (Drake 109). More than one thousand hospital beds are occupied by people who could be better care for in nursing homes or through home health care (Drake 110). Of the disabled elderly 1.3 million reside in nursing homes (Drake 10). These patients are unable to perform two or more of the basic activities of daily living without assistance.
are forced to live off of. What happens if there is not enough to go
For years now, after realizing that there is scope in targeting the actual ‘moms’ of the world than the perfect model as the façade of the ordinary women, marketing groups have over abused this category of women with a typical image of a middle aged mom with a hatchback or station wagon driving her 2.5 kids to soccer games.
No one ever expects to live out his or her later years in life in a nursing home. When people are young they may not realize the obstacles in life that may cause them not to have a place or person to spend their older years in life with. Regrettably, many of the elderly are not treated with the care and respect they deserve. “Poor quality of care is endemic in many nursing homes” (Fernandez, 2011). It is the responsibility of the younger generation to make sure that the elderly are taken care of and that neglect does not happen. Nursing homes have too many patients and not enough care-givers compared to home care that has familiar one on one care. Home-based
The two major components of Medicare, the Hospital Insurance Program (Part A of Medicare) and the supplementary Medical Insurance program (Part B) may be exhausted by the year 2025, another sad fact of the Medicare situation at hand (“Medicare’s Future”). The burden brought about by the unfair dealings of HMO’s is having an adverse affect on the Medicare system. With the incredibly large burden brought about by the large amount of patients that Medicare is handed, it is becoming increasingly difficult to fund the system in the way that is necessary for it to function effectively. Most elderly people over the age of 65 are eligible for Medicare, but for a quite disturbing reason they are not able to reap the benefits of the taxes they have paid. Medicare is a national health plan covering 40 mi...
With the creation of Medicare in 1966 in order to expand access for the elderly to the American healthcare system, the ways in which medicine and its corresponding industries were conducted were irrevocably changed. Prior to its inception, only 65% of people over 65 actually had proper health insurance, as the elderly paid three times as much for healthcare as young people (Stevens, 1998). The private medical sector had much more control over who they would treat, how much they would charge, and more; the passing of Medicare freed up the elderly to have reasonable access to healthcare as a consequence of a lifetime of paying into the system.
By the year 2020, there is expected to be over 54 million senior citizens age 65 years or older. Despite medical technology and advanced medications, seniors older than age 65 have four times the number of hospitalizations days as compared to younger age groups (Curtain, 2007). Health care demands are increasing due to the aging United States population, and the present-day Medicare system is not capable of funding this. Health insurance emphasis is now on efficiency, profits, customer satisfaction, ability to pay, and competition (Curtin, 2007). Social and political aspects are major influencers of our health care. The shift of focus from patient care to a business model has caused hospitals to maintain a tight budget, often affecting nursing staff ratios. Lean staffing ratios is associated with an increase in malpractice suits due to adverse events (Curtin, 2007).
From the baby Boomer generation, to the young adults just entering the work force for their first time, everyone will have the opportunity to access health care, some for the first time in their lives. Obama Care is an affordable choice for those who need it. When choosing a plan that is right for you, several options are available. “The marketplace allows individuals and small businesses to compare health plans on a level playing field.” (Key Features of ACA by year) With these baseline individuals are able to pick a plan, which is affordable for their lives. In addition to those who select their coverage, there is a separate plan for the population of Americans who are 65 years or older. This plan is known as Medicare. As with every insurance company, Medicare has separate breakdowns plans, to which coverage is not determined by your income. Medicare is an insurance plan for the baby Boomer generation. Robert B. Reich addresses the baby Boomer generation in his essay “Why the Rich Are Getting Richer and the Poor, Poorer” In the essay Reich was able to address the growth of our nation as a metaphor of boats rising and falling. This quote describes how workers in the twenty first century will be responsible for the Baby Boomer’s standard of living. He
The existing U.S. population is over 315 million and rising. In the year 2030, 72 million Americans will be 65 or older, a 50 percent change in age demographics since the year 2000. The change is primarily due to the aging baby boomers, who were born at the end of World War II. Americans are living longer than ever befo...
The future of healthcare will largely be affected by the changing demographics in the United States. Halaweish & Alam (2015), suggest by 2050 1 in 5 Americans will be 65 years or older, an increase from the current 1 in 9 Americans. In addition to the increase in aging adults, the oldest Americans, those 85 and older will also demonstrate a significant
As the population of the United States ages and lifespan increases, the U.S. is being faced with challenges that could either hurt the country or benefit it if plans are executed correctly. By the year 2050, more than thirty-two million Americans will be over the age eighty and the share of the 80-plus generation will have doubled to 7.4 percent. Health care and aging population has become a great deal considering the impact it is having on the U.S. The United States is heading into another century with an outstanding percentage of people within the aging population. Today’s challenges involving health care and the aging populations are the employees of health professions being a major percentage of the aging population, the drive into debt, and prevention and postponement of disease and disability.
Today, the world’s population is aging at a very fast pace and the United States is no exception to this demographic change. According to the U.S Census Bureau, senior citizens will account for 21% of the American population in 2050 (Older Americans, 2012). Although living longer lives may not seem like a negative sign, living longer does not necessarily mean living healthier. Older adults of today are in need of long-term health care services more than any generation before them (Older Americans, 2012). Because of the growing need for senior care, millions of families are facing critical decisions on how to provide care for their parents.