University of Phoenix
March 26, 2014
Later Adulthood Development Report
As a director of a nursing home facility, I will be discussing the needs of, and the change facing later adults to a potential client’s family. The majority of our patients have families that are providing some level of care and support. Some cases that involve the elderly and their chronic disabilities, this “informal care” can be substantial in scope, intensity, and duration. Social position in late adulthood can be very challenging to say the least. According to Costa and McCrae, basic personality traits remain stable. Whether personality changes or stays stable in late adulthood depends on which facets of personality are considered in this stage. The final stage of life, according to Erikson (1963), involves the psychological crisis of integrity versus despair. During this stage, the elderly feel attaining integrity comes after self- reflecting of the meaning of one’s life, and having to face death with no fear is where integrity comes in. Erikson labeled the last stage of personality development “EGO-INTEGRITY-VERSUS-DESPAIR”, which is characterized by a process of looking back over one's life, evaluating it, and coming to terms with it. Some of their personality tends to be stable on most traits which include agreeableness, satisfaction, intellect, extroversion, their stamina, even-temperedness, and self-concept. Living arrangements for the elderly will vary. Most will continue to live in their own homes, some eventually will choose relocating upon retirement. According to Zastrow, (More than 95 percent of older people do not live in nursing homes or any other kind of institution. More than 70 percent of older men are married and live with their wives. Because women tend to outlive their spouses, more than 40 percent of women over age 65 live alone. Nearly 80 percent of older married couples maintain their own households—in apartments, mobile homes, condominiums, or their own houses). African-Americans are more likely to live in multigenerational families than Whites. In this nursing home facility will provide the most substantial living, we will provide a social center, security protection, daily meals, and will also accommodate your loved one with maintenance if needed around your living quarters. We also provide private living units. Will be gladly to assist you to any needs you might have for a better more comfortable stay.
The need for healthcare is vital among the elderly. Rapidly declining health status among oldest-old adults could have serious implications for health-service needs, health-care costs as well as caregiving (Lubitz, Cai, Kramarow, & Lentzn, 2003; Young 2003). With health care on the rise, the majority of the elderly just live on their social security with makes their medication unaffordable to purchase causing them to return to their healthcare provider making the situation inevitable. The relationship between social and individual factors and health (after Evans & Stoddart, 1994), individual response to behavior, health functioning, disease, health care, wellbeing, social, environment, physical environment, genetic endowment these are all multiple influences on health. Chronic illness increases within age, and then follows the medical care which is required to help those with disabilities. The cost of care for those suffering from chronic illness are accounted by the large portion of the nation’s health care expenditures. At our nursing home facility you may ask yourself “what does medicare and medicaid cover in long term care”?
Many seniors will not understanding the implementation on the regulations regarding Medicare and health insurance policies when it comes to long-term care. When discussing elderly health care issues, make sure to ask your parent if you can take a look at their health insurance policy, Medicare plan,