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Medicare
Published in Kant Patel, Mark Rushefsky, Healthcare Politics and Policy in America, 2019
Despite the relatively small number of the elderly in nursing homes, the threat of a nursing home stay is that it can wipe out lifetime savings. In 2018, the national median yearly cost for a semiprivate room in a nursing home was $89,297. Nor is home healthcare cheap. The national median yearly cost for homemaker services was $48,048; for a home health aide, $50,366. Adult day healthcare costs a median $18,720 a year. The median annual cost of living in an assisted-living facility is $48,000 (Genworth Financial 2018). The impact of these high costs should be compared to the income available to the elderly. While members of the Baby Boomer generation are relatively better prepared for retirement than previous (and perhaps future) generations, they are hardly wealthy. Just over half of elderly Social Security beneficiaries depend on the program for more than half of their income, especially minority groups (Caldera 2012). Social Security benefits are not overly generous. The average monthly benefit for a retired worker in 2018 was $1,413, with a maximum monthly benefit of $2,788 (Brandon 2018). To put this into perspective, compare the above numbers on the cost of long-term care with the yearly benefits from Social Security: its average cost is $16,956 and the maximum is $33,456, less than the cost of living in an assisted-living facility and much less than the cost of living in a nursing home. And those who receive the maximum are more likely to have other sources of income, such as retirement accounts and pensions, than those at the lower end.
Julie Connelly
Published in John D Engel, Lura L Pethtel, Joseph Zarconi, Mark Savickas, Developing Clinicians’ Career Pathways in Narrative and Relationship-Centered Care, 2018
John D Engel, Lura L Pethtel, Joseph Zarconi, Mark Savickas
Julie shifted her patient care to Dogwood Village Health and Rehabilitation, where she had cared for patients throughout her university clinical practice and had been appointed medical director in 1990. Slowly, she helped to build a small practice with two more geriatricians and a nurse practitioner. In addition to the original center, the complex now includes a skilled-care unit and they recently opened an assisted living facility. Julie and her colleagues also provide hospice and palliative care. Although the enterprise is owned by the County of Orange and is independent of the university, many other doctors provide services there and medical students rotate through regularly for their required geriatrics clerkship. In addition to her work at Dogwood Village, Julie continues to work with the University of Virginia in the Center for Bioethics and Humanities, where she engages in teaching and writing and some administrative duties.
What Are Hospice and Palliative Care?
Published in Stephen R. Connor, Hospice and Palliative Care, 2017
Care is provided in all settings. The philosophy of palliative care is to allow people to be cared for and to die where they choose. Most people prefer to be cared for in their homes; others need or choose to be in a facility be it a nursing home, assisted living facility, or other setting including prisons, refugee camps, or on the streets. Some can come to and be seen in an outpatient clinic or day center. Hospice and palliative care should be available to patients in all settings.
COVID-19 and Older Adults: The Time for Gerontology-Curriculum across Social Work Programs is Now!
Published in Journal of Gerontological Social Work, 2020
Susanny J. Beltran, Vivian J. Miller
Assisted living facility social workers offer counseling, resource coordination, and family support services (Vinton, 2008). Nursing home social workers coordinate care, arrange family visitation, educate staff, and ensure each resident attains their highest level of psychosocial well-being possible (National Association of Social Workers [NASW], 2003). Medical/hospital social workers advocate for patients, conduct psychosocial assessments, coordinate resources, and engage in discharge planning, among other tasks (Gibelman, 1995; Holliman et al., 2001). A shortage of gerontology-trained social workers has been reported for over a decade (Beltran & Miller, 2019) and the latest research identifying social work practice areas reports that less than 10% of licensed social workers practice in the field of aging (Lustig, 2013; Whitaker et al., 2006 in Beltran & Miller, 2019).
The Impact of a Care Recipient’s Pet on the Instrumental Caregiving Experience
Published in Journal of Gerontological Social Work, 2018
Jessica Bibbo, Christine M. Proulx
The sample was predominantly female, Caucasian, and well-educated (see Table 1). Participants had known their care recipients for an average of 44.59 years (SD = 16.34) and had been providing care for an average of 5.16 (SD = 5.04) years. Ten (29.41%) care recipients had a primary diagnosis of Alzheimer’s disease and three (8.82%) had arthritis. Two care recipients had the following as a primary diagnosis: anxiety, dementia (unspecified), diabetes, heart disease, or stroke. One care recipient’s primary diagnosis was: cancer, chronic obstructive pulmonary disease, depression, macular degeneration, multiple sclerosis, or vascular degeneration. Five (14.71%) had an unspecified primary diagnosis. Care recipients required assistance with an average of 7.32 (SD = 4.58) ADLs and caregivers spent over 50 h actively providing care each week (M = 53.38, SD = 57.16). About half (n = 18, 52.94%) of care recipients lived in their own homes, and six (17.65%) lived alone. Six (17.65%) lived in as assisted living facility and two (5.88%) lived elsewhere. Nine (26.47%) lived with the participating caregiver.
A Model for Sustaining Health at the Primary Care Level
Published in Hospital Topics, 2019
Alyssa Sanderson, Daniel J. West Jr.
The next level of providers offers services indirectly and are involved in maintaining health. This level will consist of providers including, but not limited to, spiritual providers, social workers, mindfulness providers, stress management, etc. These providers can be a part of the care team and be utilized contingent upon individual patient wants and needs. These providers are not directly caring for patients but, essential to overall sustaining of health. For example, a social worker can assist an elderly patient transition from living at home to moving to an assisted living facility based on recommendations from healthcare professionals. These are significant aspects of health that should be considered when constructing a model.