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Homebound geriatric patients often live in senior apartment housing or sometimes, in individual housing. Their homes are sometimes in substandard conditions even if they try very hard to keep their homes clean and livable. Most geriatric patients live alone and depend on visits from family and/or medical professionals for their survival. Their physical limitations also make it difficult for them to go out and buy food for themselves, or if they do have food, they are hampered by their physical or cognitive disabilities to prepare the food. They are vulnerable because of their physical limitations which put them in further danger of injury. Their physical limitations and dependence consequently makes them frustrated and depressed. Their doctors sometimes do not see them for years because they cannot leave their homes and physicians are not anymore in the practice of making house calls. Oftentimes, when medical help is made available to them, their medical condition has already progressed to unmanageable stages. They are then again consigned to nursing homes or sent back home—back to the very conditions that brought about their worsening medical conditions.
I chose this topic because like, the homebound elderly patients, this topic is not given enough attention by the medical community, by our government, and by our society. I chose this topic for its relevance. “World demographic changes show an increase in the elderly population worldwide” (Zini & Pietrokovsky, 2006). The increase in life span has also resulted to an increase in the number of elderly patients but still not enough medical attention and care given to them. This topic interests me because, unless attention is brought to it, this problem will worsen. The early 1990s alone presented alarming statistics for homebound elderly patients. “The growth in the number of elderly people in need of long-term care at home has been and is projected to be
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According to the paper more problems arise as at advanced stages of life, patients are usually besotted with multiple comorbidities requiring pharmacological and non-pharmacological interventions, which might interfere with each other. Evidence based, judicious decisions therefore need to be taken at each passing moment, making the task onerous as well as difficult.
Some of the pharmacological and non-pharmacological interventions, such patients’ are subjected to, may be contradictory in nature and may require emergency treatment. Evidence based, judicious decisions therefore need to be taken at each instance, making the task onerous as well as difficult for the nursing practitioner.
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Modern demographics of the US population have fully confirmed and even surpassed these previously made projections (SOME). The increase of the elderly population - an inevitable outcome of the aging tendency - has considerable implications for the healthcare practices with care professionals increasingly involved in working with aging patients.
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The size of the aging population is expected to increase in the near future. With this thought in mind, it is almost obvious that the size and the structure of the healthcare personnel is also expected to be affected. It is also important to note a good number of these older patients live in nursing homes.
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