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Nursing Case Management, 2008.
A literature review investigating the role of nursing case management in the areas of quality of life and re-hospitalization.
1,795 words (approx. 7.2 pages), 9 sources, APA, $ 57.95
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Abstract
This paper explains that nursing case management is a care delivery model designed especially to coordinate and manage high-quality patient service across the variety of healthcare systems. The author suggests that, with steadily rising medical costs combined with an increasing number of older patients, case management provides a means of practicing cost containment and yet providing excellent care. The paper conducts a literature review on the role of nursing case management in the areas of quality of life and re-hospitalization and concludes that the literature review was disappointing because it did not reveal any studies comparing case management versus traditional nursing care and that the articles reported generalizations lacking statistics.
Table of Contents:
Introduction
Case Management and Quality Of Life
Case Management and Rehospitalization
Discussion
From the Paper
"In a study specifically providing care to older women with breast cancer, Jenning-Sanders and Anderson (2003) recognized the many challenges that an older woman and her family face when diagnosed with breast cancer. They hypothesized that using nurse case managers may help older clients and their families to adapt to the many issues associated with this illness. The purpose of this qualitative study was to describe how older breast cancer clients perceive the care received from nursing case managers."
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Velma Wallis' "Two Old Women", 2008.
Reviews Velma Wallis' book "Two Old Women: An Alaska Legend of Betrayal, Courage and Survival".
1,345 words (approx. 5.4 pages), 1 source, APA, $ 45.95
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Abstract
This paper explains that Velma Wallis' book "Two Old Women: An Alaska Legend of Betrayal, Courage and Survival" tells a story based on a legend among the Athabascan Indians of the upper Yukon river area in Alaska. The author relates that, according to the customs of the tribe, the elderly are left behind during difficult times for the tribe so that the others may live. In the story, two old women are left to die; however, they prove that they can survive. The paper stresses that Wallis believes people possess hidden gifts that they do not develop until they need to.
From the Paper
"The mantra for the two women becomes, "Let us die trying." Whether they succeed or not, then, they will have demonstrated their personal power and their refusal to sit down and die without a fight. They begin by taking inventory of their skills and by considering skills, they had in their youth but may not have used for many years. They see the need to revive these old skills now that they need them to survive. The women are left alone but not with nothing, for they still have their possessions and so can make use of what tools they own."
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Social Work, 2008.
An interview with a social worker regarding her decision to start a private practice that specialized in gerontology.
2,373 words (approx. 9.5 pages), 9 sources, APA, $ 72.95
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Abstract
This paper discusses the views of an experienced social worker. The paper explores this social worker's work history from public care to private practice. The paper also explains that societal changes have not only greatly impacted current social workers, but also the colleges and universities who are educating these individuals. In addition, it is creating new opportunities for others in the social work field either with agencies or on one's own in a private practice that has its own challenges and personal rewards.
From the Paper
"As with the nursing profession, a shortage of social workers could be a concern. According to the National Institute on Aging, by 2020 the country will need 70,000 professional social workers with knowledge in aging, or over a 40 percent increase in the present social work labor force. Similar to other employment areas, many social workers are retiring or plan on retiring over the next five to ten years, and the social work field is skewed toward individuals who are over 45. It is necessary to bring younger people into the social work field and, in particular, into a specialization in aging (Marshall & Altpeter, 2005) to meet "essential" care requirements in a variety of settings (Volland & Berkman, 2004)."
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The Elderly and Health, 2008.
This paper discusses access to health care for the older adult.
1,124 words (approx. 4.5 pages), 5 sources, MLA, $ 38.95
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Abstract
In this article, the writer notes that access to health care has been listed as one of the leading health indicators in the United States for numerous reasons. Yet, in relation to the aging population of the country, access to care is a primary concern because there are multiple factors that are affecting it at the current time. The writer points out that the nursing shortage that is now challenging health care systems to alter their practices has created a situation in which health care facilities do not have a sufficiently trained staff to meet the demands of the public. When the health care needs of baby boomers are considered with specialized care, the number of trained nurses is even smaller, as is the number of trained physicians in the field of geriatrics. The writer maintains that the only manner of addressing this issue is to develop programs that will entice medical professionals into the field and create working conditions that will prompt nurses to remain in the health care system.
Outline:
Nursing and Physician Shortage
Rising Cost of Health Care
Conclusion
From the Paper
"However, this legislation only demands that the patient be treated until he or she is stable and then may be released without further care. Nevertheless, when it is geriatric related care that is required for the elderly individual, emergency room care is not available and the patient cannot be treated sufficiently.
"Furthermore, while most elderly will sign up for Medicare in the country, Medicare is not a blanket insurance policy that will cover all health care conditions or treatments that are recommended by physicians. This leaves millions of baby boomers in the position of attempting to suffer through age related illness and disease without health care assistance because their access to care is significantly decreased due to lack of coverage. When it is further considered that a large portion of baby boomers will be living off of nothing but their social security payments on a monthly basis, the ability of this generation to afford specialized healthcare services negatively impacts their access to care."
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Elder Care Resources, 2008.
This paper discusses the necessity to adapt to the increasing elderly population in order to meet specialized health care needs of geriatric individuals.
961 words (approx. 3.8 pages), 7 sources, MLA, $ 34.95
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Abstract
In this article, the writer outlines salient features and issues regarding care of geriatric individuals in the context of working family members. It is the contention of this paper that, through bringing attention to the need for employees to both meet the needs of their elderly family members and employers, some of the difficulties encountered as a result of lost job opportunities, productivity and benefits can be avoided or at least alleviated. The writer concludes that an elder care program can, nonetheless, benefit both employer in terms of employee retention and investment, and employee in terms of uninterrupted income, personal, professional and organizational advancement, this new market can possibly lead to better uniformity in providing for elder care.
From the Paper
"As the elderly are experiencing an increase in life expectancy, dying is no longer a swift and uncomplicated transition. The salient natural course of most elderly patients is that of exacerbations and a semblance of normalcy, where death may come in the form of a coup de grace type insult or a disease exacerbation that is never fully recovered from. From the perspective of the aged, it is not merely enough to reach a chronological age and a sense of maturity; it is more important that independence in the form of being able to perform activities of daily living, having one's cognitive faculties intact, being able to be looked upon with status in society.
"A fear of losing one's independence permanently with an acute disease presentation or an accident such as a fall, along with a sense of mortality constantly shadows the elderly patient. "
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Age Discrimination and Downsizing, 2008.
Looks at the connection between age discrimination and company downsizing.
2,350 words (approx. 9.4 pages), 9 sources, APA, $ 72.95
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Abstract
This paper explains that, when downsizing in order to cut costs is considered necessary by a company's management, older employees and managers tend to be targeted for termination of employment in far greater percentages than younger employees and managers. The paper then points out that proving there is a connection between downsizing and age discrimination can be difficult to achieve in a court of law. The paper also explains that age discrimination can be concealed by offering other justifications for terminating employment. Examples of age discrimination law cases are cited with the paper.
From the Paper
"It requires courage, but older workers have to stand up for themselves when they are discriminated against. The worst thing to do is to remain silent. Remaining silent just condones age discrimination and encourages employers to discriminate in the future against other older workers who deserve better than to be cast aside. Workers who believe they have lost their jobs because of age discrimination should get in touch with the nearest office of the Equal Employment Opportunity Commission within one-hundred and eighty days."
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Home Healthcare, 2008.
This paper discusses the home healthcare industry in the U.S. market.
1,631 words (approx. 6.5 pages), 5 sources, APA, $ 53.95
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Abstract
The paper relates that the vast majority of home healthcare industry consumers consist of the sick and the elderly, with Medicare/Medicaid programs comprising a significant percentage of the payment revenues. The paper looks at a specific competitor, the Heritage Homecare Agency located in Florida and discusses the results of a survey of home healthcare patients. The paper concludes that home healthcare is seen as one of the most promising alternative healthcare programs that might result in an overall cost reduction for healthcare services and delivery over the next several years.
Outline:
Executive Summary
Industry Analysis
Overview
Case Study
Home Healthcare Patient Survey
Conclusion
From the Paper
"The home healthcare industry in the United States (U.S.) is receiving a great deal of interest recently because of the ever increasing costs of healthcare in general which is leading many healthcare constituents, both industry competitors and consumers, to seek alternatives. The home healthcare industry in the U.S. is valued at approximately $40b annually and has some 20k unique industry competitors that focus primarily on 2 target patient markets: the elderly and the sick (Buckley & Van Giezen, 2004). Furthermore, the industry itself is not dominated by a few large companies as many other segments of the healthcare industry are. In this sense, the home healthcare industry is highly fragmented in nature because the 50 largest companies hold less that 24% of the total market share (Geisler, Krabbendam & Schuring, 2003)."
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Canadian Retirement Pensions, 2008.
This paper looks at the Canada Pension Plan and Old Age Security pension that are relevant for Canadian workers.
829 words (approx. 3.3 pages), 5 sources, APA, $ 29.95
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Abstract
The paper looks at why the Canada Pension Plan (CPP) and Old Age Security pension were brought into existence and explores additional, pertinent acts at the provincial level. The paper then discusses how retirees can ensure they receive CPP/employee benefits and concludes by looking at how the federal acts impact other, provincial acts. The paper highlights the importance of understanding the pension process in Canada and its dynamics.
From the Paper
"To begin with, the Canada Pension Plan and the Old Age Security Pension were both established because it was evident by the early war years that something needed to be done to assist the elderly in their declining years; in particular, these men and women simply did not have enough money to ensure themselves a comfortable, or even adequate, standard of living after retirement. With that in mind, 1951 saw section 94A added to the British North American Act (now the Constitution Act, 1867). The new addition stated that the federal government could enact laws pertaining to old age pensions along as the legislation did not affect laws administered in the provinces. One year later, courtesy the new powers granted under section 94A, the universal Old Age Security Program was put into place, but only for Canadians aged 70 and above."
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The Graying Inmate: An Accelerating Crisis, 2008.
An examination of the aging prison population in America.
3,425 words (approx. 13.7 pages), 14 sources, APA, $ 96.95
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Abstract
This paper examines the troubling phenomenon of an aging prison population in America. The paper looks at the threats posed by chronic ailments common to old age as well as the shortcomings of the current system when it comes to assisting the elderly. The paper further explains that chief among these shortcomings is the lack of a universal, national program or curriculum for meeting the needs of prisoners above the age of 50. The paper also examines some different options available to policy-makers eager to improve the situation. The paper then suggests that far from being mutually exclusive, many of these programs can serve as individual parts of a multi-pronged assault on the problem of the geriatric within the prison system of the United States. In conclusion, the paper shows that strong diagnostic and predictive capabilities, an on-going treatment program that reaches beyond release, recreational activities, and universal standards are all things that, working in tandem with specialized geriatric units, can save lives and make American prisons more humane.
From the Paper
"The American population is growing steadily older - literally year by year. This phenomenon has obvious and very serious implications for the nation's social welfare policies, but it also does not bode well for the United States prison system insofar as a graying prison population means the diversion of more and more scarce resources towards tending to the elderly individuals (or those individuals in late middle age) who happen to be behind bars. What the next several pages intend to show is that, while far from perfect in its response, the United States prison system is belatedly taking steps to assist those over 50 who are being held in our country's incarceration facilities; now what the US penal system needs to do is to work towards a universal geriatric prisoner care policy that will involve all states and hold all states rigidly accountable if they deviate from that policy."
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