Verified Document

Impact And Cost Of Long-Term Care On The Family Term Paper

¶ … Long-Term Care on the Family Social Factors Affecting Care Giving

Effects of Divorce

Effects of Abuse and Neglect

Effects of Women in the Workforce

Proximity and Other Factors

The Long-term Care Shortage

Factor Involved

Future Trends

Formal Long-term Care: The Impact on Society

Minority Issues

Financial Impact on Family

Social Workers and Home Caregivers

The Effects on the Caregiver

Physical and Emotional Symptoms

Five Major Causes of Stress Among Home Caregivers

Wearing Many Hats

The Impact and Cost of Long-term Care on the Family

Long-term care can be needed for a variety of reasons from accident injuries, debilitating and long-term illness, or simply due to becoming elderly. There are sometimes when persons cannot care for themselves and must rely on others for their daily needs. Sometimes the care takes place in a facility designed to provide such services. However, sometimes the burden of caring for loved ones falls on family members or even friends. Long-term care places a strain on people financially. This has been the primary focus of health care policy regarding long-term care in the past. However, there is an often-overlooked aspect of long-term care.

Long-term care has many emotional issues associated with it as well, not only for the patient, but for the caregiver as well. These issues can cause a variety of difficulties including depression, fatigue, stress and can even lead to the break up of a family. These issues place an even greater burden on the system and society as a whole. These issues must be considered when making new long-term health care policies. These issues will be the focus of the following research.

The problems associated with long-term health care of the elderly and sick have many facets. Long-term health care in facilities, such as nursing homes is expensive. The United States is facing a growing shortage of health care workers to care for the elderly and this trend is expected to worsen. In many cases families choose to care for the person at home rather than incur potentially devastating costs. When family care is not an option and the family does not have the resources to pay, the government must foot the bill. Caring for a patient at home is expensive as well, and often places an incredible financial strain on the family. The following research will explore these issues from many angles and will discuss potential solutions.

Social Factors Affecting Care Giving

There was a time when long-term care facilities did not exist and the entire burden of caring for the elderly or sick was always placed on the family. There are many who feel that this the way it still is and should be, However, the family structures are changing and this concept has now been shown to be a myth (Montgomery, 1999). This shifting family structure means that an increasing number of elderly persons are relying on long-term care facilities to replace the traditional family role. The following will explore some of the issues behind these trends.

Divorce rates have been climbing for many years and the traditional idea of the nuclear is quickly being re-defined. As a result, there are now more elderly people who are divorced. The effects of this trend can be shown in the long-term care that these elders are likely to receive from their children. Divorce can harm family ties and often creates feelings of resentment or rejection in many family members. According to a study conducted by Shone and Pezzin, (1999) divorce makes it less likely that families will help each other financially or in terms of physical care. The key findings of this study were that adult children of divorced children were less likely to receive financial assistance from their parents. In addition, stepparents were less likely to receive care from their children than biological parents were. The study found that remarriage reduced the likelihood that an elderly person would receive care even further (Shone and Pezzin, 1999).

A history of abuse or neglect in the family may be a factor in whether elderly persons receive care from their children. Child abuse and neglect severs family ties and can have an impact on whether the person receives care in their elder years (CASA, 2001). This issue is often an overlooked effect of child abuse. Many consider the immediate social costs of child abuse. However, the willingness to care for the elderly is a long-term effect of childhood abuse and neglect. Current studies only focus the effects to the abused...

Parts of this document are hidden

View Full Document
svg-one

They fail to consider the effects of the broken family ties later in life.
Studies have indicated that men and women neat retirement age, whose parents are still living, are spending less time caring for them or helping with daily tasks such as household chores (Johnson and Lo Sasso, 2000). Women are playing a greater role in the workforce and this may have an impact on these figures. Parental health was found to be a key predictor in determining whether the elderly person would receive assistance from their children (Johnson and Lo Sasso, 2000). Health was factor in determining whether children provided basic case, such as feeding or dressing, however, was not a factor in helping with daily chores and errands (Johnson and Lo Sasso, 2000).

Other factors that were determined to be a predictor of whether children helped to care for their parents were the vicinity in which they lived. Children who lived closer to their parents were more likely to provide help than those who lived far away (Johnson and Lo Sasso, 2000). When both parents were alive, the children were less likely to provide help, as the other surviving spouse was likely to provide care. In addition, children in their mid-life who had small children or problems within the immediate family, such as an ill spouse, did not decrease the likelihood that the adult child would provide help for the parent (Johnson and Lo Sasso, 2000).

The Long-term Care Worker Shortage

As the population grows increasingly more elderly, the United States is facing a shortage of worker to care for them (Weiner, et. al., 2000). According to Weiner and associates (2000) poor working conditions are partially to blame for he current crisis. Long-term care workers face low wages, poor benefits, heavy workloads, and poor working conditions and a lack of respect. This makes the profession subject to high turnover rate and difficulty in recruiting new workers. This problem is expected to get worse before it gets better.

Formal Long-term Care: The Impact on Society

The number of elderly receiving formalized long-term care, from a licensed long-term care facility is expected to double over the next 30 years (Johnson and Lo Sasso, 2000). Much of this long-term care will be funded with public funds, placing a growing financial burden on government budgets. Nursing home expenditures have increased from $17.4 billion in 1970 to $84.7 billion in 1997 (expressed in 1997 dollars) (Health Care Financing Administration, 1998).

Long-term care places a growing strain on society as a whole.

When a family decides to care for a loved one at home, many do not realize the costs involved. Some of these costs are financial and some are less easily measurable. The person providing the care must often balance working a paid job with providing the care. A 1996, study revealed that approximately 10.5% of all elderly patients that were being cared for at home were unable to perform basic tasks such as feeding themselves, getting out of bed, or dressing (Johnson and Lo Sasso, 2000). Adult children account for 42% of all caregivers for unmarried elderly persons receiving nonistitutional care (Johnson and Lo Sasso, 2000).

Results on Caregiving in foreign countries and among ethnic groups in the Untied States revealed different results than those conducted on mainstream populations. For instance in Japan, one study found that those caring for elderly persons who were totally disabled showed more signs of stress than those who were caring for partially disabled persons (Yumiko and Washio, 1999). It has been found that socio-cultural factors should be considered when evaluating Caregiving and caregivers in ethnic groups. Family structure was found to be a key issue in ethnic issues (Dilworth-Anderson and Gibson, 1999). Ho, et. al. (2000) found that minority caregivers to persons with dementia used fewer outside social and medical services than white, European-American caregivers. The study focused on and Latino caregivers and sites cultural and other factors as reasons for this. The same study found the minority caregivers often suffered from a higher level of stress than their European counterparts. Another study focused only on African-Americans and found similar results (Cox, 1999).

Caring for an elderly parent leaves less time for other activities, such as work. The more assistance the person needs, the greater the time spent caring for them. Activities such as meal preparation and transportation to doctor's visits can make it difficult to work regular hours on a job. It is difficult to measure the true effects of elderly care on the labor force in a meaningful way as many of he effects cannot be quantified easily (Johnson and Lo Sasso, 2000). Persons who must work fewer hours in order to care for a loved one…

Sources used in this document:
Works Cited

Berkman, B., (2000) Chapter 9. Geriatric Social Work. In The Merck Manual of Geriatrics. Beers, M. And Berkow, R. (Eds.) Internet Edition Provided by Medical Services, USMEDSA, USHH. http://www.merck.com/pubs/mm_geriatrics/sec1/ch9.htm Accessed February, 2003.

CASA for Children, Inc. (2001) The Economic and Social Impact of Child Abuse on the Community. 2001. http://www.casahelpskids.org/economic.htm Accessed February, 2003.

Cox, C. (1999) Race and Caregiving: Patterns of Service Use by African-American and White Caregivers of Persons with Alzheimer's Disease. Journal of Gerontological Social Work, 1999, 32 (2): 5-19.

Craig Hospital (2003). Long-term Caregivers. Rehabilitation Research & Training Center on Aging with Spinal Cord Injury. METS brochure. http://www.pridemobility.com/Rehab_Zone/Rehab_Articles/Long_Term_Caregivers/long_term_caregivers.html Accessed February, 2003.
Health Care Financing Administration. (1998). National Health Care Expenditures. Available at http://www.hcfa.gov/stats/nhe-oact/tables/t15.htm;and Health Care Financing Administration. 1998. 1998 Data Compendium. Baltimore: U.S. Department of Health and Human Services. Available at http://www.hcfa.gov/stats/98datacmp.pdf.
Johnson, RW., LoSasso, AT., (2000) Parental Care at Midlife: Balancing Work and Family Responsibilities near Retirement. March 15, 2000. Number 9 in Series, "The Retirement Project" funded by a grant by the National Institute of Ageing. http://www.urban.org/Template.cfm?NavMenuID=24&Template=/TaggedContent/ViewByPubID.cfm&PubID=309373February" target="_blank" REL="NOFOLLOW" style="text-decoration: underline !important;">http://www.urban.org/Template.cfm?NavMenuID=24&Template=/TaggedContent/ViewByPubID.cfm&PubID=309373February, 2003.
Shone and Pezzin, Drs. (1999) Parental marital disruption and intergenerational transfers: An analysis of lone elderly parents and their children. Demography 36(3), pp. 287-297. In Divorce reduces informal caregiving and economic ties between elderly parents and their adult children http://www.ahcpr.gov/research/sep99/999ra15.htm Accessed February, 2003.
Wiener, JM., Tilly, J., Pindus, N., Long, SK., Liu, K.,. And Johnson, RW., (2000). The Long-term Care Worker Shortage Urban.org. http://www.urban.org/Template.cfm?NavMenuID=24&Template=/TaggedContent/ViewByPubID.cfm&PubID=309373 Accessed February, 2003.
Cite this Document:
Copy Bibliography Citation

Related Documents

Long Term Care
Words: 2564 Length: 9 Document Type: Essay

Essay Topic Examples 1. The Evolution of Long-Term Care:     Explore the historical development of long-term care services, from informal family care to the modern-day facilities and in-home care services. Discuss how societal changes, demographic shifts, and policy developments have shaped the current landscape of long-term care. 2. The Economic Implications of Long-Term Care:     Analyze the financial challenges associated with long-term care, considering both personal and public expenses. Assess how long-term care is funded, the

Family Communication With Dementia Loved One After Placement Into...
Words: 2096 Length: 7 Document Type: Term Paper

Family Communication There is a lot of information on dementia, and even a lot about the concerns that families may have about the treatment of their loved ones in facilities, however there is very little if not any research regarding communication between dementia patients and their families before and after placement in a long-term care facility. Clark, Bass, Looman, McCathy, & Eckert (2004), reported that while various quantitative and qualitative analyses have

Long-Term Care in Skilled Nursing
Words: 2070 Length: 7 Document Type: Research Paper

Just because people grow older does not mean they abandon their dreams and desires, and it is important to help find ways that the elderly can continue these pursuits. Table 2 Interview No. 2: "Ron D.": Interview Question Response What do you see as the most important needs for long-term care residents in skilled nursing facilities? Loneliness is far and away one of the biggest problems we see in our facility. It breaks my heart

Long Term Care
Words: 2294 Length: 8 Document Type: Essay

Essay Topic Examples 1. The Evolution of Long-Term Care: Historic Trends and Future Challenges:      This essay topic would explore the history of long-term care services, examining how they have evolved over time in response to changes in society, technology, and healthcare systems. It would also identify current challenges and anticipate future obstacles in providing quality long-term care. 2. The Economics of Long-Term Care: Funding Models and Sustainability:      This topic invites a discussion

Long Term Care
Words: 2276 Length: 8 Document Type: Essay

Essay Topic Examples 1.The Role of Technology in Enhancing Long-Term Care Quality and Efficiency: Exploration of how advancements in medical and assistive technologies are transforming long-term care, including telemedicine, health information systems, wearables, and smart home devices, and their impact on patient care, staffing, and cost-effectiveness. 2.The Challenges of Aging Populations and Long-Term Care Policy: Analysis of the implications of an increasing elderly population on the demand for long-term care services, the strain on

Long Term Care
Words: 2250 Length: 8 Document Type: Essay

Essay Topic Examples 1. The Intersection of Aging Demographics and Long-Term Care Demand:      Explore how the aging population is impacting the demand for long-term care services. Analyze statistical trends, project future needs, and discuss the potential strain on health care systems and care providers. 2. Financing Long-Term Care: Challenges and Solutions:      Investigate the financial challenges that individuals and families face when paying for long-term care. Assess current financing options, including insurance and

Sign Up for Unlimited Study Help

Our semester plans gives you unlimited, unrestricted access to our entire library of resources —writing tools, guides, example essays, tutorials, class notes, and more.

Get Started Now