Health of Older People
The population of Americans aged 60 and older has been increasing from 35 million and at 12% in 2000 (Rodgers: (2002) (Online) (Accessed 18 August 2009). This was projected to leap to more than twice at 20% or 54 million in 2050. The population of those aged 85 and older is also faster-growing than any other age group. This older group is living longer, better educated and enjoys better fortune than earlier generations. Despite the advantage, disparities exist on account of gender, race and income. As of 2000, 1.1% of those aged 65-74; 4.7% of those aged 75-84; and 18.2% of those 85 and older were found living in nursing homes. Most of the older population is found in the South, which currently has 12 million persons aged 65 and older. They represent almost 20% of the rural population and 15% of the urban population. Rural dwellers, however, have different needs in health care delivery, transportation and access to social services. Rural areas have limited health care resources. Those who need more comprehensive and updated resources must travel to far-flung metropolitan centers to obtain these resources.
These facts and figures are of specific relevance and significance to decision-makers in the health care system. Those aged 85 and older tend to develop poorer health and need more health care than those who are younger (Rodgers). Are their health requirements adequately met?
Risks of developing certain diseases and disorders increase with age (Rodgers: (2002) (Online) (Accessed 18 August 2009). Many older Americans develop chronic conditions, such as arthritis, diabetes and heart disease. These conditions hamper physical functioning, exact financial costs and affect the diet and nutritional requirements of older people. Heart disease and cancer have been the leading causes of death among Americans aged 65 and older for the last two decades. Health care expenses required especially in this age bracket include the cost of physician services, hospitalizations, home health care, nursing home care, medications and other products and services for treatment and prevention. Expenditures and services for older people depend on age and their level of disability. Health care is a major expense for them and a financial drain on those who have limited income. Older people need long-term care obtained in nursing homes, home health care and assistance in their own homes. Nursing home care has recently been increasingly replaced by other forms of health care and service, such as assisted-living facilities and home health care. These facilities do not provide skilled nursing care but assist in daily activities, such as bathing, dressing and movements (Rodgers).
Inadequate Nutrition and Poor Dietary Habits
Poor nutritional status and improper dietary habits are common among community-dwelling and hospitalized elderly (Marshall (2001). (Online) (Accessed 18 August 2009). A recent study was conducted to determine the dietary habits and nutrient intakes of a sampling of 420 respondents, 79 years and older rural dwellers in Iowa. The Food and Nutrition Board of the National Academy of Science compared their nutrient intakes with their ages and gender and based on the minimum requirements of the Food Guide Pyramid. Of the total number of respondents, 22 said they complied with these minimum requirements. Male respondents ate more energy food than female. The intake of protein, fiber and fat was comparable between the genders. About 20% of them took nutrient supplements. These were multivitamins with minerals in 11%; multivitamins in 2%; and single, multiple or combination supplements. Less than 20% of them consumed 16 or more of the 19 nutrients. While supplements increased their intake of nutrients, the intake of 34% of them remained low with only 13 or more nutrients (Marshall).
The study revealed that the nutrient intake of rural, community-dwelling older population was inadequate ((Marshall (2001). (Online) (Accessed 18 August 2009). The respondents did not meet the requirements for folate, vitamin D, Vitamin E, calcium or magnesium at 60%. More than 25% of them consumed insufficient vitamin B6, vitamin C or zinc. Many of the respondents did not take supplements, although they could have benefited from these. The study concluded and recommended the use of multivitamin/mineral supplements with additional nutrients for older people in order to attain adequate nutrient intake (Marshall).
Year 2000 statistics showed that 354, 000 un-insured persons 65 years old and older did not have insurance coverage (Champlin (2004). (Online) (Accessed 18 August 2009). They represented 1.1% of the national population. They were mostly aged 65 to 74; unmarried, divorced or widowed; and African-American, Asian-American or Hispanic.
The false assumption was that the Medicare program provided health insurance coverage to older Americans. The truth was that, as far back as 2000, 72.3% of the un-insured belonged to the 65-74 age bracket; 24.3% were in the 75-84 age group; and 3.4% were aged 85 and older. Of the un-insured were 55.5% women and 57.5% men. They were more likely to be widowed or never married at 40.1%. Figures also reflected that 60.8% were Caucasian; 35.8% were Hispanic; 16.6% African-American; and 13.4% were Asian and Pacific Islanders. More than half of them at 55.8% were born outside the U.S., 51.3% were U.S. citizens. These un-insured were less likely to use office-based care, home health care, and phone advice and hospital admission. About 16.1% of them did not receive or seek out needed medical care on account of cost (Champlin).
The lack of insurance among the older old of the population has been attributed to the large number of un-insured children and working adults in addition to the assumption that Medicare covers those 65-year-old and older persons (Champlin (2004). (Online) (Accessed 18 August 2009). Unfortunately, these older persons are those most in need of medical care resources and also the fastest growing sector in the population. Researchers urged policy makers to review decisions affecting the increasing numbers of disenfranchised Americans, older people in particular (Champlin).
Depression and Functional Impairment among Older Persons
Contrary to previous assumptions, elderly persons living in urban areas were more prone to depression than those in the rural areas (Schulman, et al. (2002).(Online) (Accessed 18 August 2009). Rural-dwelling elders could be finding more challenges, which produced a more enduring attitude towards negative life developments. They became better accepting of problems and limitations as normal part of aging (Schulman, et al.). Depression is the most common mental health problem at this time of life and afflicts 20% of those 65 years old and older in the U.S. (Cummings, et al. (2003) (Online) (Accessed 18 August 2009). Previous studies showed that the condition is highest among institutionalized older people at 15% of community dwellers. Other studies revealed up to 30% of those who were not institutionalized, according to reports of significant depressive symptoms. Depression complicates the treatment of physical illnesses, makes the person more vulnerable to other illnesses and increases the use of health resources intended for the medical condition under treatment (Cummings, et al.).
Further consequences of advanced old age include functional impairment and chronic illnesses ((Cummings, et al. (2003) (Online) (Accessed 18 August 2009). As far back as 1995, studies said 37.2% of those 65 years old and older found difficulty in carrying out everyday activities because of chronic conditions and illnesses. The disability adversely affects them physically and emotionally. These activities included shopping, meal preparation, housekeeping and daily activities, such as bathing, dressing, and using the toilet. These frustrations increase the levels of their depressive symptoms. Negative emotions were found to remain in them even after their medical conditions were controlled (Cummings, et al.).
Satisfaction with Community-Based Health Care Services
Less frail elders receiving long-term care services found satisfaction when they could discuss their health problems with those rendering the services (Kolodinsky, et al. (2001). (Online) (Accessed 18 August 2009). The more frail elders, however, mostly showed satisfaction towards prompt delivery of care and the behaviors of the caregiver or agency. These were categorized into three aspects, which the care provider could control for the benefit of the patients. These were satisfaction with the punctuality of the caregiver; the quality of interaction between the patient and the caregiver; and the overall dependability of health care. Promptness or punctuality with care or service was rated most highly by both groups. Being on time affected their functioning and comfort throughout the day, specifically with dressing, bathing and daily activities. Promptness was considered the easiest and most controllable aspect for the provider. The quality of interaction made the patients feel safe, respected and valued. And satisfaction with the overall dependability of health care mostly involved the caregiver’s following through with the patient’s suggestions, especially those by the more frail patients. This last aspect was also well within the control of the health care provider (Kolodonsky, et al.).#
Champlin, L., (2004), surprising number of U.S. elders do not have health insurance coverage — not even Medicare (Online). American Academy of Family Physicians.
http://www.aafp.org/online/en/home/media/releases/2004/uninsured-elders-4-1-04 (Accessed 18 August 2009).
Cummings, S.M.; Neff, J.A.; and Husaine, B.A. (2003), functional impairment as a predictor of depressive symptomatology: the role of race, religiosity and social support (Online). Health and Social Work, National Association of Social Workers. http://findarticles.com/p/articles/mi_hb138/is_1_28/ai_n28983552 (Accessed 18 August 2009)
Kolodinsky, J.; Junghun, N.; Lee, J.K.; and Dorzewiczewski, M. (2001). Degree of frailty and elderly satisfaction with personal care services in a community setting (Online). Journal of Consumer Satisfaction, ProQuest Information and Learning Company. http://www.findarticles.com/p/articles/mi_qa5516/is_200101/ai_n21465985. Accessed 18 August 2009).
Marshall T.A. (2001). Inadequate nutrient intakes in elderly — nutrient & body composition in the elderly (Online), Frost & Sullivan. http://findarticles.com/p/articles/mi_m0887/is_11_20/ai_81102742. (Accessed 18 August 2009).
Rodgers, C.C. (2002). America’s older population (Online), Food Review, U.S. Department of Agriculture. http://findarticles.com/p/articles/mi_m3765/is_2_25/ai_9291403. (Accessed 18 August 2009).
Are you busy and do not have time to handle your assignment? Are you scared that your paper will not make the grade? Do you have responsibilities that may hinder you from turning in your assignment on time? Are you tired and can barely handle your assignment? Are your grades inconsistent?
Whichever your reason is, it is valid! You can get professional academic help from our service at affordable rates. We have a team of professional academic writers who can handle all your assignments.
Students barely have time to read. We got you! Have your literature essay or book review written without having the hassle of reading the book. You can get your literature paper custom-written for you by our literature specialists.
Do you struggle with finance? No need to torture yourself if finance is not your cup of tea. You can order your finance paper from our academic writing service and get 100% original work from competent finance experts.
While psychology may be an interesting subject, you may lack sufficient time to handle your assignments. Don’t despair; by using our academic writing service, you can be assured of perfect grades. Moreover, your grades will be consistent.
Engineering is quite a demanding subject. Students face a lot of pressure and barely have enough time to do what they love to do. Our academic writing service got you covered! Our engineering specialists follow the paper instructions and ensure timely delivery of the paper.
In the nursing course, you may have difficulties with literature reviews, annotated bibliographies, critical essays, and other assignments. Our nursing assignment writers will offer you professional nursing paper help at low prices.
Truth be told, sociology papers can be quite exhausting. Our academic writing service relieves you of fatigue, pressure, and stress. You can relax and have peace of mind as our academic writers handle your sociology assignment.
We take pride in having some of the best business writers in the industry. Our business writers have a lot of experience in the field. They are reliable, and you can be assured of a high-grade paper. They are able to handle business papers of any subject, length, deadline, and difficulty!
We boast of having some of the most experienced statistics experts in the industry. Our statistics experts have diverse skills, expertise, and knowledge to handle any kind of assignment. They have access to all kinds of software to get your assignment done.
Writing a law essay may prove to be an insurmountable obstacle, especially when you need to know the peculiarities of the legislative framework. Take advantage of our top-notch law specialists and get superb grades and 100% satisfaction.
We have highlighted some of the most popular subjects we handle above. Those are just a tip of the iceberg. We deal in all academic disciplines since our writers are as diverse. They have been drawn from across all disciplines, and orders are assigned to those writers believed to be the best in the field. In a nutshell, there is no task we cannot handle; all you need to do is place your order with us. As long as your instructions are clear, just trust we shall deliver irrespective of the discipline.
Our essay writers are graduates with bachelor's, masters, Ph.D., and doctorate degrees in various subjects. The minimum requirement to be an essay writer with our essay writing service is to have a college degree. All our academic writers have a minimum of two years of academic writing. We have a stringent recruitment process to ensure that we get only the most competent essay writers in the industry. We also ensure that the writers are handsomely compensated for their value. The majority of our writers are native English speakers. As such, the fluency of language and grammar is impeccable.
There is a very low likelihood that you won’t like the paper.
Not at all. All papers are written from scratch. There is no way your tutor or instructor will realize that you did not write the paper yourself. In fact, we recommend using our assignment help services for consistent results.
We check all papers for plagiarism before we submit them. We use powerful plagiarism checking software such as SafeAssign, LopesWrite, and Turnitin. We also upload the plagiarism report so that you can review it. We understand that plagiarism is academic suicide. We would not take the risk of submitting plagiarized work and jeopardize your academic journey. Furthermore, we do not sell or use prewritten papers, and each paper is written from scratch.
You determine when you get the paper by setting the deadline when placing the order. All papers are delivered within the deadline. We are well aware that we operate in a time-sensitive industry. As such, we have laid out strategies to ensure that the client receives the paper on time and they never miss the deadline. We understand that papers that are submitted late have some points deducted. We do not want you to miss any points due to late submission. We work on beating deadlines by huge margins in order to ensure that you have ample time to review the paper before you submit it.
We have a privacy and confidentiality policy that guides our work. We NEVER share any customer information with third parties. Noone will ever know that you used our assignment help services. It’s only between you and us. We are bound by our policies to protect the customer’s identity and information. All your information, such as your names, phone number, email, order information, and so on, are protected. We have robust security systems that ensure that your data is protected. Hacking our systems is close to impossible, and it has never happened.
You fill all the paper instructions in the order form. Make sure you include all the helpful materials so that our academic writers can deliver the perfect paper. It will also help to eliminate unnecessary revisions.
Proceed to pay for the paper so that it can be assigned to one of our expert academic writers. The paper subject is matched with the writer’s area of specialization.
You communicate with the writer and know about the progress of the paper. The client can ask the writer for drafts of the paper. The client can upload extra material and include additional instructions from the lecturer. Receive a paper.
The paper is sent to your email and uploaded to your personal account. You also get a plagiarism report attached to your paper.
PLACE THIS ORDER OR A SIMILAR ORDER WITH US TODAY AND GET A PERFECT SCORE!!!
Delivering a high-quality product at a reasonable price is not enough anymore.
That’s why we have developed 5 beneficial guarantees that will make your experience with our service enjoyable, easy, and safe.
You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.Read more
Each paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.Read more
Thanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.Read more
Your email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.Read more
By sending us your money, you buy the service we provide. Check out our terms and conditions if you prefer business talks to be laid out in official language.Read more