Pima Medical Institute Tucson Aging Population and Impact on Long Term Care System Paper

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Overview of Long-Term Care Over time in the United Kaiser Tutorials and Presentations: States, Long-Term Care caregivers for the elderly and the disabled were generally family, friends, and community organizations such as religious groups and volunteers. Many generations lived together up through the mid-20th century and the family was accountable for providing care of family members in need. Individuals and families did not actively seek governmental or community help and at times, did not share the care needs or illnesses of their loved ones. The few institutional resources available were there for the poor and provided by the local, county and state agencies. They were really seen in a negative light by society. However, after the Great Depression of the 1930s, there were far too many individuals in need of help and with the implementation of Social Security in 1935, the government became involved in funding longterm care. Over the next few decades, Medicare (Title XVIII) and Medicaid (Title XIX) were passed which provided a resource for patients, a new source of revenue for hospitals and doctors, and continued stress for the government—to find enough financial resources to fund the growing numbers of the elderly and disabled in the United States. Medicare and Medicaid provide the funding for approximately ¾ of the expenses in long-term care. This growth in the population is a result of the growing elderly in the US as well as the advances in health care. Americans are living longer due to advances in technology, medical interventions and pharmaceuticals. Institutional settings such as nursing homes have historically been the site of the majority of the services and care provided until the last five years. Today, the diversity of services, settings and programs in longterm care are all growing. These include nursing facilities, subacute care, assisted living/residential care, elderly housing options, and community-based services. This continuum of care represents a variety of levels of care as well as differences in cost. The challenge becomes identifying the appropriate level of care for the individual as well as optimizing their abilities to care for themselves independently. Today’s long-term system is in a state of change with the need to respond to the dynamic changes in the health care marketplace. Long-term care has become part of the system—versus its historical position of a stand-alone part of the health care delivery system. Today’s long-term care system is fragmented, reimbursed upon care provided versus quality measures, the most regulated segment of the health care delivery system, and perceived as a negative care delivery system for the elderly and disabled. Today’s long-term care system is positioned to pilot and evaluate various types of care delivery models such as aging in place, continuum of care environments, and adult day care. Overview of the Long-Term Care System There are over 11 million Americans in need of long-term care with over 50% over the age of 65 (Kaiser Foundation, 2013). This is expected to continue and to grow, with the demographic majority being people over age 62. Every day for the next 20 years, 10,000 “baby boomers” will turn age 62 and there will be 77 million individuals collecting Social Security—about twice as many as we have today (Pratt, 2010). The current long-term care system in the United States is not prepared for this growing population in need of service and care. In addition, this population will expect to be involved in their health care decisions and to have choices about where, how, and when to receive any of the wide variety of longterm services available in the marketplace. This lesson will provide the background on the development of the long-term system along with its key strengths and its weaknesses. Consumers and providers of long-term care services will be discussed along with the various venues in which long-term care is provided across the continuum of care. Additional guidance will be covered on the standards and characteristics for a “best-practice” long-term system. Lastly, the urgent need for workforce development and the types of professionals needed will be discussed with strategies for growth. Kaiser Foundation. (2013). Long-Term-Care in the United States. Retrieved from http://www.kaiseredu.org/tutorials-and-presentations.aspx Pratt, J.R. (2010). Long-Term Care: Managing across the continuum. Jones & Bartlett: Sudbury, MA. Level 1 Level 2 . . . . . . Short answers: Follow assignment directions. Write answers in your own words, no copying and pasting from websites or other sources. Use complete sentences and well- formed paragraphs with appropriate syntax. Avoid using contractions and personal pronouns. Proofread, check spelling and grammar prior to submission. Use correct punctuation and capitalization. Informal essays or projects: Incorporate all Level 1 guidelines. Use effective paragraph transitions Include a clear introduction, body, and conclusion. Use Arial or Times 12-point font Double-space your text Set page margins to one inch Use reliable sources, cited properly within the text and listed on a references page when indicated. .

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