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Welfare Of The Elderly In The U.S. |
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Researched by Kayla S. 2007-08
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Introduction
Some
nursing homes are in more critical condition than people may think.
This is bad for the patients and workers, because the workers cannot do
their best to help the patients, therefore the residents can’t be taken
care of properly. Some nursing home facilitators are trying to help
this, but not many are aware that nursing homes need help. I saw some
examples of this, while volunteering.
Homes and Facilities
Many
elderly homes are severely distressed. These conditions are hard to
work with because facilitators can’t fill the needs of the residents
living there. Therefore the residents may have a shorter lifespan
because they don’t have the right living conditions. Many of the homes
are also structurally unsound. Homes that are located in bad
neighborhoods and have many troubled people. Other homes have improper
structures that cause the structures to break down easily and be weak,
possibly letting in extreme weather conditions and diseases that may
harm people. Other structures may be broken-down; either causing the
same results, or in serious situation, cause the building to collapse.
There
are also many elderly residents that live alone, causing even more
problems. One of the resulting problems of living alone is that people
won’t get constant help from their spouse or friend. Another problem
that occurs when an elderly person is living alone is that, if the
person has some sort of memory loss problem or disease, this person
might not recognize symptoms of health problem or be able to adequately
care for themselves. Also, most people want a familiar face to be
around and to communicate with. If the person has some sort of memory
loss problem they will only remember certain people, causing the person
to be frustrated over not seeing anyone they remember. This is why it
is beneficial to live in a nursing or assisted living facility, so that
these people will have help to cope with these problems and have more
consistent care. Without recognizing people some people might go into
depression. Depression can be very serious, sometimes causing people to
take drastic measures. Some deaths have been caused by depression,
either hurting the person so much they die of illness, or the
depression overwhelms their minds so that thoughts of suicide occur.
Neighborhoods
Some
retirement, or nursing homes are located in bad neighborhoods. There
could be questionable people in the neighborhoods, such as gangs,
criminals, and there may even be a jail located in, or near that
neighborhood. If the building is in a severely distressed neighborhood
these things are somewhat likely to occur. If retirement/nursing homes
are located in this kind of neighborhood, it puts the residents at
risk. The residents could be harmed, or influenced by these people,
which could put others at risk also.
A
result of gangs in neighborhoods of the elderly is that many things the
people in the gangs could harm the residents in the nursing/retirement
facility. Some of the possible outcomes of the residents being
influenced are suicide, thoughts of unhappiness or disturbance, or
maybe even depression.
If
buildings are located in a severely distressed neighborhood it is
likely that there are homes around them that are severely distressed.
Some of the buildings could contain graffiti or unhappy images that
could disturb the residents greatly. This could make homes harder to
live in.
Proper Living Conditions
Most
proper facilities would include adequate accommodations; such as wheel
chair ramps, wide hallways, easily accessible rooms, lots of space, and
many other things. Some people need lots of space so they can have the
ability to move around freely without being cramped or “trapped” in
their room. Some facilities host three to four people to a room, this
does not give people any room at all, especially when people are in
wheel chairs. In a wheel chair it is hard to turn without having a lot
of space.
Other
people need environments that are emotionally healthy. It would be hard
to live in a nursing home where people were always sad and negative. It
is very possible that this negative outlook would cause some people to
start thinking more negatively or to fall into depression. All people
need a happy environment with happy, positive, friendly people. This is
more likely to lift some people out of depression and help to keep
people out of depression and sadness. This might also help people
reduce grief over the loss of loved ones. If elderly people get to know
the staff and volunteers well, the elderly who have lost all their
loved ones might feel like they have someone who cares about them. This
would help them to feel better and not as bad about having no one left.
Some
elderly people need an environment that is personal to them. Some might
need photos, special furniture, books, etcetera to feel happier. Some
people don’t want to leave their homes that they have lived in, because
the house might have great sentimental value. The house may have been
passed down for generations, many special memories may have taken place
there, or there may be other personal reasons. To help these people,
facilitators to make many options possible, whether it be providing
more space or allowing them to own personal items in their apartments.
Caretakers
In
nursing facilities, you have to be surrounded by the proper people to
make the experience and the living conditions meet the highest
standards. The directors of the facilities must be helpful and open.
This will help the resident’s families to feel more welcome and secure
about putting their loved one into the facility. Directors must also
know what to do in personal situations and be able to cope with these
situations. This skill will also help with the coping of other
problems, like disabilities or financial problems. Volunteers need to
have similar skills to the directors, but not as much authority. The
nurses or assistants to the residents must be helpful, this will make
things easier to cope with in situations or issues. Being helpful will
help the resident get what they need without a lot of stress. Nurses
also need to be willing to help and assist the resident in their need
and have the ability to do so. Without this ability some residents
might not have their medical or personal standards met. Assistants have
to be cheery because if they are not this could cause the residents to
become somewhat depressed and hasten their death.
Quality Of Life
Many
studies conducted in colleges and research facilities have shown that
depression in addition to a variety of other diseases, severe medical
history, or low social levels may cause sooner death or a shorter life
span in the elderly. Some of the diseases include cardiovascular
problems, anxiety, mortality, loneliness, HIV, suicide, heart disease
and many others. Depression is also known to be exacerbated by a
medical problem or condition that they had been previously hospitalized
for. After they are released from the hospital they go into depression
causing their medical conditions to become worse, causing them to
return to the hospital. Not many facilities have taken action toward to
solving of this problem. Some have taken very small measures and none
have succeeded in totally eliminating this problem.
How You Can Help
You
can help in many ways that seem very small. You can donate an hour of
your time, anytime you are available. Whenever you are bored don’t sit
around and do nothing, you could be making a difference. You could help
support the nursing facilities by helping to arrange or bring in
entertainment. You could also make a donation of money to help make the
facility reach it’s fullest potential and meet the needs of the
residents.
Conclusion
I
have helped my community by volunteering at Living Care Retirement
Community. Caring for the elderly is a different experience.
Volunteering has showed me a whole different world about many things.
Elderly people need attention and caring. This experience has showed me
what kinds of problems take place in our community every day. I want to
help the elderly in our community, because everyone is eventually going
to be at that stage in life.
Depression
and loneliness have not been a huge issue in our community, but
possibly a small portion is showing up. The fact that residents don’t
have a lot to do and do not participate in a lot of activities puts
them at a higher risk for depression. Essentially, we need more
volunteers in our community.
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My Volunteer Experiences
My
volunteer experiences have been great. I have learned that depression
is not a problem in our community. The facilitators are kind, cheery,
and very helpful. They love their job. This is a good factor because if
you don’t like your job you are more likely to be unhappy while working
and cause others around you to be unhappy.
I
realized when I was working, that the residents don’t have a lot to do
in the nursing home. It is hard for the workers to constantly provide
attention to the residents, so they must keep themselves busy. There
are occasional concerts, performances, and activities, but there aren’t
very many. The daily schedule of a resident is wake up, eat, nap, walk
around, nap, eat, activities (cooking class, hair appointment, church,
etc.) nap, eat, sleep.
I
helped with the BINGO games on Saturday mornings. The residents enjoy
playing for small pieces of candy, bracelets, small statuettes, and
other small items. They enjoy talking with friends and with me.
I
am hoping to have some one on one time with some of the residents to
get to know them better. Previously I spent some one on one time with
one of my mom’s friend’s mother. She was very thankful for the company
and would have talked for hours and hours on end if it hadn’t had been
nap time. This is how desperately the residents need company and people
to converse with, new people that they can share their experiences
with, young people that they can teach lessons to, and people just like
them that can relate similar experiences.
Recently,
I played a few piano pieces for the residents for about 45 minutes. The
residents seemed to enjoy the entertainment somewhat, but since it was
around naptime, most of them nodded off. This was not like a regular
performance, where people clap after every piece, there was no clapping
at all. I messed up on some of the pieces, but none of the residents
noticed. |
Bibliography • Living Care Retirement Community. Volunteer Experiences. December- June 2008.
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Congressional Testimony. “Living at home.” Eldercare
Challenges and Solutions. 10-5-07
<http://elibrary.bigchalk.com/libweb/elib/do/document?set=search&groupid=1&requestid=lib_standard&resultid=1&edition=&ts=F98CC683EDF978B2380D9B7E090A818F_1201725592833&start=1&urn=urn%3Abigchalk%3AUS%3BBCLib%3Bdocument%3B139539599>
•
Government Accounting Office Report. “Severely Distressed
Facilities.” Distressed Conditions In Developments For The Elderly And
Persons With Disabilities and Strategies For Improvement. 11-28-07
<http://elibrary.bigchalk.com/libweb/elib/do/document?set=search&groupid=1&requestid=lib_standard&resultid=4&edition=&ts=F98CC683EDF978B2380D9B7E090A818F_1201725995322&start=1&urn=urn%3Abigchalk%3AUS%3BBCLib%3Bdocument%3B116337295>
•
Arehart-Treichel, Joan. “Depression Plus Loneliness May Hasten
Death In Elderly” Clinical & Research News. September 2007.
<http://pn.psychiatryonline.org/cgi/content/full/40/2/53>
• Himes, Christine L. “Elderly American Issues” Elderly Americans.
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