Community Health Care Workers (Read More) How to afford long term care (Read more) Management of the Aged. (Read more)

The need for a Geriatric Care Fund

by youngworld on August 6, 2011

Please take our survey of only 10 questions and assist us in our quest for more effective and efficient ways to finance and deliver long-term care in South Africa. : http://zuanne.polldaddy.com/s/geriatric-care-fund

There is a huge need to expand home-based Health Care Services in South Africa, not only for our Aging population but also for accident victims, post-operative patients, both medical and orthopedic, the handicapped, young people diagnosed with Schizophrenia or other mental conditions, such as depression, borderline personality disorder, bipolar also Terminally ill patients, Oncology patients and People dying of AIDS.  All of these people can be successfully medically treated at home at an fraction of the cost of an Hospital, Clinic, or institute.

For the purpose of this study however, we are focused on the Elderly. We face of a significant increase in the number of older people, especially in the very old.  Because of the ageing of the world population, the importance and demand of home health care as a public issue is expected to increase.  The position and standard of care of the rapidly growing number of retired people in South Africa (and all over the world) are cause for concern.  The reduction of subsidies to old age homes and service centers has resulted in old age home care no longer being appropriate and affordable. Given the rapidly changing health and long-term care environments, it is very difficult to predict what kind of financing and delivery systems will emerge in the future.  

A key problem highlighted in 2010 was that however much people became convinced of the need, the poor ability of much of the  middle class to prepare for that later-life care is noticeable.  People continue to rely mostly upon out-of-pocket payments. Plainly, these people will have great difficulty funding any part of care costs should they arise. The consequences is that the aged will be obligated to remain in the community for longer and will have to be more self-reliant, with the help of fellow aged, churches and/or families if needs be. 

The crisis in caring for the elderly isn’t going to go away. Whether we like it or not, long-term care is coming of age. It will be one of the major challenges of the twenty-first century. We are going to have to make some very tough decisions about how we pay for care in the future, when it’s calculated that two thirds of women and half of all men will need some form of care during their retirement. We can wait for the crisis to hit, or we can actively develop financing, delivery, and training strategies that build on the lessons learned from the successes and failures in our own country and other nations––strategies that strike the right balance between public and private resources. We must continue our quest for more effective and efficient ways to finance and deliver long-term care.

Please take our survey so that we can better understand the Health Care needs of South Africans: http://zuanne.polldaddy.com/s/geriatric-care-fund

Who would benefit from taking the Survey?

  • People who realise they have not made sufficient provision for long term care while they personally  experience their parents spending all their money on care.
  • People suffering under the impact it had on them and their family, while caring for an elderly loved one, and they don’t want that to happen to their spouse and children.
  • People who are healthy, and retired, or preparing to retire.
  • People of any age who has been diagnosed with a chronic condition or  a debilitating illness.

Contact

Zuanne-Marie Joubert

Cellphone numbers:
071 550 9545
082 511 2669
084 501 5074

Email : info@7dimensions.co.za

7Dimension Health Care Solutions

Providing Long-term and Primary Health Care Solutions. Our Home and community-based care are focus on curing an illness or restoring an individual to a previous state of better health. Most old people prefer to remain in their own homes rather than being institutionalized. 7dimensions makes this possible by providing affordable and accessible Geriatric health care and related services to those in need in the comfort of their own home. The aim is to help The Aged to help themselves for as long as possible and not to become a burden to their families.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Long Term Care Plan (LTC)

by youngworld on July 11, 2011

It is essential to the design and implementation of a long-term care system for the future. This should address the long-term care needs of people of all ages, recognizing that services must be tailored to people with varying degrees of physical and mental impairment. The long-term care system must be sensitive to the needs of the family as well as those of the person who needs long-term care. Although formal care should not, and probably will not, replace the efforts of family and friends, the repertoire of services should build the family into the process and ensure that the family is supported. Individuals and their families would have the ability to make choices that reflect their preferences and values, within the financial constraints set by public programs and their private resources.

The future long-term care system should also recognize all the options that can meet the residential and care needs of the individual and recognize that these needs do not necessarily increase in neat, predictable steps. The system must be flexible enough to address the acute, chronic, and nonmedical social needs––such as housekeeping and transportation––of the long-term care client, which may fluctuate over time. While not essential, it would also be beneficial for individuals, their families, and other surrogate decision-makers to have access to care managers or intermediaries who could assist them in navigating the system and making the best choices.

The process of aging

by youngworld on July 11, 2011

Old people live in the past, they recall earlier memories and achievements and will tell stories of their young life all day long, to anyone willing to listen.  Getting old means introspection, probably due to all the time spent alone, and in desperation when trying to hold on to independence they can be stubborn and unwilling to accept advice and take orders.

They don’t like noise and a lot of activity,  it causes confusion, they prefer a slower pace.  They can’t stand change, strange places make them feel unsure and insecure.  Because they are slow to react and get disorientated easily, they are a danger in traffic, they are even in danger at home, loose mats, slippery bathroom floors, hot and sharp objects in the kitchen all poses a threat.

Their slowness and helplessness can be a source of irritation and frustration for young people and a display of self-righteousness by old people, being demanding and stubborn, also critical of younger people makes it more difficult to bring old and young to enjoy each other’s company.  Elderly people fear new situation and they easily become emotionally unstable, suspicious and paranoid, or depressed or will continuously have ill-founded anxieties and complaints about their health.

Above all elderly people feel the embarrassment associated with old age acutely:

Incontinence, discomfort due to bladder and prostate problems, falling asleep in company, deafness, forgetfulness and increasing dependence, all these together with loss of a loved one contributes to lack of self respect and self-worth, causes fear and insecurity.  Uncertainty and emotional trauma prevents them from functioning effectively and handling life easily.  Emotional welfare will be negatively influenced unless there is some form of support.

Ageing causes mind and body to lose the ability to handle stress situations.  It is known to cause lack of reserve capacity to respond positively to illness, accidents and emotional crisis.  The human body loses more and more cells and tissue as we advance into old age.  Physical problems of old people can be caused by the uneven degeneration and loss of body cells forcing certain bodily functions to be more incompetent than others and thus may influence the functioning of the entire body.

Skin, hair, nails, teeth, all our senses are affected by old age. Bodily fluids may stay the same, but muscle and brain tissue deteriorates slowly and efficiency in movement becomes restricted.  Senile tremor might occur when a patient concentrates and force the body to perform certain tasks. 

All this may be caused by social, physical and psychological factors.  Tension & anxiety as well as chronic infections are known to be the main cause of premature degeneration of bodily functions.  Lack of exercise, metabolic disturbances due to mal nutrition also has an influence on health and longevity.

Provision for ‘one day’

by youngworld on July 11, 2011

Most people make provision for “one day”:  Pension plan, medical aid, property and more.  But most have  serious misconceptions about getting old, and are unaware that they will probably face multiple medical problems.  Many of us are healthy, and want to work longer, but what will happen when the day comes that we need a helping hand? Seldom does one think, perhaps someday, I will not be able to dress myself or feed myself, or that I might forget that I have opened the taps to have a bath, or maybe I will forget to close the tap, even that I might forget to have a bath, or I might burn my hand because I forgot the plate is hot. We seldom realize that we could get lonely and need company when those we care about, our children and grandchildren have seemingly forgotten about us, or simply don’t have the time or the knowledge to care for us the way they would want to.

Many people are unprepared to handle the high costs of care required. As we get older, we will all need care of some kind at some point. Often, the majority of elder care costs are paid for by the aging individuals and their families.  When confronted with the reality of exorbitant costs of care for the chronically ill and elderly, it is always financially devastating. To ensure needs are met, and unexpected elder care costs are covered, making provision for resources not to be exhausted short and long-term objective planning and financial decisions has to be made. To enhance the quality of life of an Elderly person it is necessary to find ways to secure funds for long term home-based health care.

Context of the Study

by youngworld on July 11, 2011

A strategy to take care of ‘one day’ is to contribute to a cost effective Comprehensive Geriatric Care Fund that will take care of everything from geriatric medical assessments including mental health, fall risks, diet, medication compliance and response to medication, medical screening,  follow-up home-based care for chronic conditions, preventative care, to providing compassionate basic care, such as meal preparations, feeding, bathing, reading, shopping while assisting the elderly person to retain independence and dignity.

2011 we are undertaking a study to determine the feasibility of developing a long-term Geriatric Care fund in South Africa to cover comprehensive geriatric home-based health care service for the elderly in the future.