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Health care disparity among ethnic groups essay
Economic disparities and access to healthcare
Reflection on health care disparities
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Unmet older adult needs, lack of the proper of adequate services is called an unmet need. Unmet needs can refer to ADL’s, services, transportation, supports, and other needs a homebound adult may have. Careers’ experiencing frequent unmet needs were found to require higher nursing and institutionalized care quicker than those with their needs being met at an adequate level. (Gaugler, Kane, Kane & Newcomer, 2005). A primary need that has been previously identified is the access and availability of health care services (Ryvicker, Gallo & Fahs, 2012). There is a need for transportation assistance, again either through a service or a family member (Ryvicker, Gallo & Fahs, 2012). Transportation within itself has many issues that arise. If transportation
Mollie is the patient in our case study. Mollie lives with her daughter and son in law, both in their 70’s. A home health aide assists Mollie five days a week for three hours each day. At age 94, Mollie is an older adult, considered to be part of a vulnerable population, at risk for hearing, visual and mobility deficits. This at risk population can experience changes in cognitive or physical status making the activities of daily living difficult to perform (Meiner, 2011). As people like Mollie age, gradually becoming less able to function independently, their grown children, potential caregivers, may be preoccupied with the demands of their own lives and not prepared to care for an older
Another focus for change is that over the years the demand for home and community care over hospital care has continued to grow, as stated by the Queens nursing institute “Recent health policy points to the importance of improving and extending services to meet the health and care needs of an increasingly older population and provide services which may have previously been provided in hospital within community settings”.
Successful Aging Elderly (SAE) Introduction In the elderly population most of the research carried out so far emphasizes on the functional problems and diseases. When it comes to successful aging elderly (SEA), it has been recommended that health status should be used to distinguish between elderly subgroups and disease-free people who can describe successful aging elderly (SAE). The research papers aims to describe a transitory overview of successful aging elderly research, illustrated in their chief sections: cognitive aspects, psychological and social aspects. It is proposed that future studies will unemployment an extensive demonstration of SAE, where the emphasis will be more on biological, health and cognitive perspectives.
One of the issues which those involved with social services are faced with is excessive expectations from the adult service user stemmed from the presumption that adulthood refers to the ability to meet their own needs, be financially independent and more capable rather than a stage in the life course.
In conclusion there needs to be an increase in government funding for long term care facilities to convey maximum ability to provide quality of care to elders and equal accessibility too homes and care. Ways that can produce this outcome are increases in staff funding for training and recruitment, as well as for equipment to help increase care. Government funding should also help elders decrease the cost of living in nursing homes and allow equal accessibility to homes and care in homes.
Long-term care (LTC) covers a wide range of clinical and social services for those who need assistance due to functional limitations. These limitations usually result from complications associated with age related chronic conditions, from disabilities related to birth defects, brain damage, or mental retardation in children; or from major illnesses or injuries suffered by adults (Shi L. & Singh D.A., 2011). LTC encompasses a variety of services including traditional clinical services, social services and housing. Unlike acute care, long-term care is much more complicated and has objectives that are much harder to measure. Acute care mainly focuses on returning patients to their previous functional level and is primarily provided by specialty providers. However, LTC mainly focuses on preventing the physical and mental deterioration of an individual and promoting social adjustments to suit the different stages of decline. In addition the providers of LTC are more diverse than those in acute care and is offered in both formal and informal settings, which include: hospitals, physicians, home care, adult day care, nursing home care, assisted living and even informal caregivers such as friends and family members. Long-term care services have been dominated by community based services, which include informal care (86%, about 10 to 11 million) and formal institutional care delivered in nursing facilities (14%, 1.6 million) (McCall, 2001). Of more than the 10 million Americans estimated to require LTC services, 58% are elderly and 42% are under the age of 65 (Shi L. & Singh D.A., 2011). The users of LTC are either frail elderly or disabled and because of the specific care needs of this population, the care varies based on an indiv...
Knight, K. E. (2011). Federally qualified health centers minimize the impact of loss of frequency and independence of movement in older adult patients through access to transportation services. Journal of Aging Research, 1-6. doi:10.4061/2011/898672
The current living situation of the children and family members and their access to health care services including transportation method, health insurance, financial concerns, and other economic constraints.
Taking care of the individuals that are getting older takes many different needs. Most of these needs cannot be given from the help of a family. This causes the need of having to put your love one into a home and causing for the worry of how they will be treated. It is important for the family and also the soon to be client to feel at home in their new environment. This has been an issue with the care being provided for each individual, which has lead to the need of making sure individuals have their own health care plan.
A. Determination of the feasibility of one of the proposed service lines in the attached “Service Line Development Case Study”. Trinity Community Hospital is based in an economically sound community. Structured 25 years ago, in a prime location, this 150-bed, non-for-profit hospital offers to the community residents a broad range of general medical, surgical, and support services. The Patient Protection and Affordable Care Act (PPACA) of 2010 signed into law requires a non-profit hospital to conduct a community needs assessment. To justify their tax exemption every three years, a thorough analysis of community assessments will be widely publicized.
This week I visited the Adult Day Care in Bowling Green KY. It was very interesting to find out what goes on there. The Adult Day Care center is a place for families to drop off their parents or any older adult they are looking after for the day. If you think about it almost like a child daycare but for adults and the activities they do there are more geared towards adults. The activities they do are supposed to be for adults but most of the adults there don’t have the capacity to do those adult things so most of them color, play games or do child level activities because that’s what they enjoy doing. At the center they have a couple of different rooms that the adults go in. One room is for the adults that have a higher functioning in daily
It is my duty to conduct outreach in populations that are hard to reach like in rural and urban communities. In the rural communities, individuals have little to no access to computers and social interactions as well as limited public transportation; which limits their ability to receive resources that are beneficial for their lives. Meanwhile, in urban communities, individuals have access to computers and social interactions and access to public transportation, but lack the finances to obtain these valuable resources. Both communities experience these barriers interchangeably none of which is excluded. It is also my duty, to assist and enroll individuals in public health services such as: The Affordable Care Act (ACA), Medicaid, and
One study investigated transit accessibility to health care by either public transit or by foot in various low-income countries in the Bay Area. Results revealed that transit accessibility to a hospital, defined as getting to a hospital or clinic in 30 min or less by public transit or ½ mile by foot, varied from 0 to 28 %. Additionally, 55 % of missed appointments or late arrivals were due to transportation problems.Collectively, these studies suggest that lack or inaccessibility of transportation may be associated with less health care utilization, lack of regular medical care, and missed medical appointments, particularly for those from lower economic backgrounds (www.ncbi.nlm.nih.gov/pmc/articles).
One of the truths in the world is that everyone gets older. It doesn’t matter what gender or race a person is, everyone gets old and with age comes the decline of the physical form that one might have been celebrated for when they were in their youth. According to Access to Disability Date, over half of the people that are 65 and higher are disabled in some way or another. The definition of being “disabled” is one that has a physical or mental condition that limits movements, senses, or activities. The misconception that people have today is that all disability is a condition that one is born into or something that is wrong with the human brain. However, we never stop to realize that more than half of the people in the world will become disabled as they age. Knowing this fact, America needs to start thinking about the elderly disabled. Even though 2/3 of the America’s healthcare budget goes into Medical, Medicare, and Medicaid, there seems to be a lack of specific attention towards the elderly disabled. Similar to the healthcare system in America, the church seems to be less interested in caring not just for the elderly but the elderly disabled. This is a chronic issue that needs to be address and fixed. I have experienced this problem as well while working in this field. Scripture clearly commands us to care for the elderly, “Do not sharply rebuke an older man, but rather appeal to him as a father…” (1 Tim 5:1-2). The trend for the Christian church today is all about changing the way we do church by having a younger group or more contemporary worship. However, the elderly disabled cannot change that well with the times. If we are to be part of the body of Christ, aren’t we supposed to welcome everyone to the house ...
“The secret that all old people share is that you really haven’t changed in seventy or