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Being Mortal By Atul Gawande

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In Being Mortal, Atul Gawande painted a little depressing picture of the realities faced by the elderly in the US nowadays: declining health status, economic insecurity, and loss of independence. It seems once the older people move into nursing homes or assisted living facilities, they lose autonomy, dignity and privacy as the institutions are not able to fully individualize care. Even though the situation has been improving, it still shocks me to see how unhappy some of the elderly are in these circumstances. Realizing senior care facilities often fail to address all aspects of well-being, I would like to explore the issues of promoting both objective and subjective component in quality of care for the older people. This paper examines the quality of care received by the elderly with an emphasis on measurements for care, recommending additional tools to be adopted to measure the overall well-being for the elderly in order to gain a more comprehensive understanding of the quality of care for those living in senior care facilities.
The fact that the American population is aging has raised concerns. In 2011, the number of adults over the age of 65 reached 41.4 million, which account for 13.3% of the population ("A Profile of Older Americans: 2012," 2012). It is estimated that there will be about 71 million older adults by 2030 ("Healthy Aging-Improving and Extending Quality of Life among Older Americans," 2009). Approximately 2.1 million elderly are currently living in

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