Groger's Long-Term Care

The paper is based on an interview with a healthy, non-institutionalized elderly Latino man in relation to the current nursing techniques. The focus on this individual helps to investigate the relationship between the race/ethnicity, psychosocial characteristics and the United States nursing home utilization projections. Notably, focusing on the individual aged 65 years and above helps analyze the characteristics of the baby boom generation in its entrance to retirement age. Consideration of this group in the field of nursing helps to promote accommodation of this group in the general American society. Notably, the population of people aged 65 years and above, according to the statistical projection, is expected to increase from 40.2 million as per 2010 statistical findings to 72.1 million in 2030. The rapid population growth rate means that the number of people in need of health services assistance will increase over the years (Aranda & Bob, 1997).

The elderly population have challenges that other ages do not have to face. Elderly face some number situations. These issues arise once people reach a certain age and follow them till the day that they pass on. For example, there are certain health issues that come the age. The African American elderly deals with a lot of issues; ranging from health to financial. But the African American elderly have a big influence on their community. But also, it is very important for the health of the elderly. The relationship can keep the elders’ health and mental health in good standing. The elderly can face many issues as their lives and body grow older. The African American elderly population has significant challenges that they must deal with. To begin with, many have health issues. Some that can be very life threatening. As people get older your body just does not want to work the same way it used to when it was younger. Your body goes through changes. As people get older, the body begins to behave differently.

I plan to discuss Older African Americans and the disparity of the quality of care in nursing homes. In 2008, 3.2 older African Americans lived in the United States, making up 8.3% of the older population. (Administration on Aging) This number is expected to grow to 9.9 million by the year 2050, making African Americans account for 11% of the population. 50% of Black Elderly lived in 8 states, which were New York, Florida, California, Texas, Georgia, North Carolina, Illinois, and Virginia. (Administration on Aging) 12% of older African Americans had a bachelors degree or higher. (Administration on Aging) Also in 2008, over 12% of Black older persons had a bachelor’s degree or higher. (Administration on Aging) In 2008, 30% of older black men

There exist significant racial disparities in nursing home (NH) care quality. Although some improvements have been made in recent years, Blacks are still more likely to receive suboptimal care in this setting, compared to Whites (1). Blacks are also more likely to be admitted to poorer quality NH’s than Whites (2). There also tend to be racial disparities in psychosocial well-being among NH residents, as determined by lower social engagement among Blacks versus Whites (3). These findings are particularly alarming provided that the proportion of Blacks aged 65 and older who live in NH’s has increased dramatically, while the number of Whites in NH’s has declined (4).

The most frustrating thing about Ms. Goodman’s job is the lack of funding from the state of Tennessee. She says that, “Memphis is the poorest area of Tennessee, yet the state government gives the same amount of money to Memphis as they do Nashville and Knoxville. Those cities have many more resources available and a much lower population of individuals that are dependent on the government assistance” (J. Goodman, personal communication, September 15, 2016). According to Ms. Goodman, there is only one assisted living facility in Memphis that accepts Tennessee government healthcare (TennCare), and there is a very long waiting list. The only option that leaves available is to place people prematurely into nursing homes, or leave them in their homes where they often do not get the help that they need (J. Goodman, personal communication, September 15, 2016).

The group visited was females majorly of African-American origin. The majority were a blue color. The age of the group averaged at mid 30. The information on the demographic data was obtained from the social care providers, and through retrospective analysis of data from the center and some personal interviews conducted.

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.

Both of the gentlemen stated they had been in other homes and that this was the nicest home they had been in. Kenneth complained of his first home ¡°smelling more like a zoo than a nursing home.¡± John told me that his last home was on the South Side and that the neighborhood was filled with gang bangers and hoodlums. When his family visits here though, they wheel him through the Lincoln Park neighborhoods and it¡¯s nice. For all of the questions that I asked these two men, they had just as many questions for me. Heading in to this assignment, I hadn¡¯t really considered that someone would be asking ME questions. In the midst of all that happens in nursing homes, it¡¯s important to remember that these residents aren¡¯t just dependent, older people, but that they are still people just like you and I.

Borrayo, Salmon, Polivka, and Dunlop (2002) assert that fostering a closer connection with eldercare services and providers and the needs of the community will demonstrate the importance for policymakers regarding long-term care now and in the future as the aging population continues to increase. Byrd, Fletcher and Menifield (2007) state evidence supports that health disparities regarding minority older adults are a problem that can no longer be overlooked. The authors offer that individual healthcare providers must acknowledge that the problem exists and assess their practices concerning combating issues of disparities (Byrd et al., 2007). They posit that older adults in minority communities incur a higher percentage for missed diagnoses,

In 2004, a survey was done by Portland State University. This survey illustrates some important information about the difference between these two settings. Results compared with these surveys show ways in which these two services are intertwined and ways that they are different. It has been revealed that the resident populations that are being served in assisted living and nursing home settings are interestingly similar. This survey states nearly 76 percent of both institutions are women, and residents in an assisted living setting are more likely to be widowed (Portland State University).

The book As We Are Now, written by May Sarton, targets those concerned with the care of elderly individuals in nursing homes. In the book, Sarton artistically highlights the plethora of ongoing issues social workers face in their work as they attempt to provide quality care to the elderly population. The book is written as the memoirs of a very thoughtful elderly woman, Caroline Spenser, as she spent part of her life in a nursing home; and brings to light the lack of quality of care that elderly individuals received when living in such a facility in the 1970’s.

Sociological Phenomena - Women in Minnesota, particularly in the out-state areas, are starting their own businesses and entering the work force in response to the family farm crisis and personal need to express themselves. As women continue to enter the work force, this expands the need for alternatives to be developed to assist in providing care for aging family members. In addition, the decentralization and breakdown of the family structure is expected to have a far-reaching impact on the size and nature of the demand for long-term care options for the elderly.

The caregiving can impact income, and health of a caregiver. Gordon and Barrington (2016) mentioned that the female caregiver might fall into poverty because of the wage gap and career interruptions. Likewise, the time required to provide care can produce burden and cause stress. In addition, older adults themselves might be living in poverty, thus providing care with limited resources can be very challenging for family caregivers with low-income. For instance: the family with low-income may not afford home health care or assistance when needed as compare to their counterparts. The situation is worst for the minority family caregivers. Therefore, minority families and families with low-income will need support services to preserve their role as a caregivers. There is a need of a policy that will not only meet the demand of older adults and help them age in place with dignity and safely, but also provide supportive services to the family caregivers with low-income and color.

This paper is a homework assignment for the University of Southern Maine nursing students in the summer 2015 session of NUR 332: Nursing Care Older Adult Community class. The focus of the paper is based on a home visit conducted by a University of Southern Maine nursing student with a 76-year-old, white female. During the visit the nursing student will use evidence based screening tools and other assessment strategies to evaluate the older adult's over health status, feelings about aging, how they are dealing with the normal progress of aging and what influences nursing care could have on the older adults

Retirement in later life can present many obstacles Citation. This paper will be a reflection of three family’s view of the world from this stage of life. The learner will be comparing and contrasting common themes between the three families through the demographics, sociological, physiological, psychological, and cultural aspects.This paper explores the social factors of health and well-being, the communities most plagued as unequal recipients of those factors which result in reduced health outcomes, and how we as service leaders can intercede at the individual, community and, societal level. Run on Sentence Break it down