Conceptual Framework For Addressing Functional Decline

1531 Words Oct 10th, 2015 7 Pages
Conceptual framework for addressing functional decline in elderly
Health is probably the most significant aspect of human life as it allows individuals to properly experience the nature of one’s existence and surroundings. World Health Organization (WHO) defines health as a state of physical and psychosocial wellness and not simply the absence of diseases or illnesses (Callahan, 1973). On a personal level, health can be defined as an ability to carry out day-to-day activities without loss of independence and functioning and wellness as the subjective perception of one’s health. Thus, in the continuum of wellness to illness, health can be defined in terms of functionality (McMahon & Fleury, 2012).
Decline in physical and cognitive
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health care expenditures (De Nardi, French, Jones, & McCauley, 2015). Elderly are considered vulnerable population as a majority of them have physical and mental impairments and a significant proportion of them lack the ability to perform necessary activities of daily living (ADLs) (Fineman, 2012). Currently, 1.5 million U.S. seniors live in nursing homes and ¾ of them depend on Medicaid to pay the steep cost of nursing homes. The average annual cost of nursing home is $83,000 and with the inflation rate of 4% per annum it will continue to rise as more than 10,000 baby boomers turns 65 every day (Rahman, Applebaum, Schnelle, & Simmons, 2012).
Despite the expensive arrangement for accommodation and availability of nursing care, residents of nursing homes have a high rate of hospitalizations and readmissions. According to V. Mor, Intrator, Feng, and Grabowski (2010), the re-hospitalization rates among nursing home residents were as high as 28.1% and over 78% of them were preventable. The Centers for Medicare and Medicaid Services reported that the cost of hospitalization of nursing home residents in the year 2006 was $10,352 per admission with an aggregate of $4.34 billion. This was $3.39 billion in excess cost paid by the government, which was completely avoidable (Ouslander & Berenson, 2011). Research analyses have suggested that hospitalization of the nursing home resident is influenced by the structure and processes involved in the

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