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Custodial Care for the Elderly

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Providing adequate custodial care for the elderly is a growing problem in all parts of the world for both developed and developing countries. While some developed countries, such as Sweden and the Federal Republic of Germany, have formulated and implemented effective programs to deal with this problem, others, such as the United States, appear to be floundering in a sea of indecision. The situation in the developing countries is even worse, because those countries have fewer resources available to apply to problem solutions for providing adequate custodial care for the elderly. Where the solution to the problem in the United States, as an example, is primarily one of political will, social responsibility, and the reallocation of some resources, the solution in the typical developing country is also a function of resource development.

This study proposes to examine the provision of custodial care for the elderly in one developing country. The country which will be the subject of the proposed study is Bermuda. The title of the proposed study will be as follows: "Successes and Failures in the Provision of Custodial Care for the Elderly The Case of Bermuda."

As is true in most countries of the world, both the absolute number of elderly persons and the proportion of elderly persons in the population are increasing in Bermuda. The reason underlying this phenomenon is the combination of improved medical care, improved nutrition, and oth

. . .
lem is shared, in most instances, by family members. For the chronically ill elderly person, significant discomfort, inconvenience, and, at times, health risks are involved in, what is for others, the relatively simple task of going to the doctor. For family members, transporting chronically ill elderly individuals to physicians' offices often means the less of work time (income), and inconvenience. Alternative solutions for the conduct of assessments, and for the delivery of some elements of critical care to chronically ill elderly persons are required, and are available. The nursing home, or other LTC facility, obviously, is one alternative, and maintaining such individuals in their own homes is a second viable alternative. Nursing homes, however, are not suitable for all persons, are not acceptable to many more, and are often more costly than maintaining a chronically ill individual in her or his own home. The home health care concept is nothing new. Physicians who make house calls are providing home health care, as are midwives who assist women in giving birth at home. Further, prior to the end of the Second World War, the usual locus of treatment for chronically ill patients and the elderly was in the hom
. . .

Some common words found in the essay are:
LTC LTC, World War, Medicaid Program, Commercial Services, Horn Meer, Kaplan Sadock, Funding Alternatives, Care Elderly, Bermuda Specifically, United Nations, health care, custodial care, care elderly, custodial care elderly, ashe 1987, developing countries, care services, proposed study, health care services, facilities programs, elderly persons, elderly bermuda, health care system, home health care, health care insurance,
Approximate Word count = 6078
Approximate Pages = 24 (250 words per page)

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