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Participation in advance care planning has been shown to reduce stress and anxiety for patients and their families, and lead to improvements in end of life care. [3] Older adults are more directly concerned as they may experience a situation where advance care planning can be useful. However, only a small portion of elderly use them. [4] [5]
In 1953, care planning was not believed to be within the nursing scope of practice. [5] In the 1970s, care planning was activity based. [5] Patients were listed according to the procedures they were having done, which determined their plan of care. [5] Care provided was passed on by word of mouth, dressing books, and work lists. [5]
Patients are less likely to request extensive acute care, nursing facility care, or in-patient services. [9] [11] Under this method, PACE serves as a cost-saving elderly care program that emphasizes on preventative, up-stream care. Notably, PACE programs saved California State $22.6 million in health care cost for elderly. [12]
Woman in a residential care home receiving a birthday cake. Gerontological nursing is the specialty of nursing pertaining to older adults. [1] Gerontological nurses work in collaboration with older adults, their families, and communities to support healthy aging, maximum functioning, and quality of life. [2]
The Senior Citizens Health Facilities Program Implementation Guideline, 2061BS provides medical facilities to the elderly, free medicines as well as health care to people who are poverty stricken in all districts. [49] In its yearly budget, the government has planned to fund free health care for all heart and kidney patients older than 75. [49]
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Long-term care insurance is another potential option to help pay for nursing home care. Long-term care insurance was designed to help with the expensive out-of-pocket costs. It is recommended that one purchases long-term care insurance before they need it, which may require paying premiums for years prior.