the aging society
TRANSCRIPT
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The Aging SocietyIts effects on Health CareDelivery
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Introduction
Major changes in thedemographic profile of theUnited States are under way,and these changes areprojected to accelerate in thenext several decades.
Important demographic shiftsinclude the aging of thepopulation and the projectedgrowth of the oldest old (those
85 years of age or more);
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The growing elderly
population will be a majordetermining force in thenext century for thedemand and supply of
health services and,therefore, for the type ofresources needed to
provide those services.
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Objective
provide a generalperspective for
understanding theimplications of thesepopulation changes on the
demands for health careservices in hospitals andnursing homes and thesupply of an adequate
nursing workforce to
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Growth of thepopulationThe U.S. population is aging
and the population in the 21stcentury will be older than it is
now.
The growth of the olderpopulation may be consideredas one of the most importantdevelopments of the twentiethcentury
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Statistics
The growth to date is justthe beginning of the agingof America.
In 1900, there were 3.1million people 65 years ofage and older, or 1 in 25persons.
In 1994 this number wasaround 33 million or 1 in 8persons
(Bureau of the Census,
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FIGURE 2.2 Number of people 85 years and older,United States, 19002050 (middle series projections).SOURCE: Bureau of the Census, 1993c.
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Effect
This rapid growth of the oldest-oldpopulation will have a major effecton the health care system in termsof
2. services needed,3. education,
4. training and experience of healthpersonnel,
5. knowledge of diseases andtreatments for the aged, and
6. demands on resources for theservices used by this segment ofthe population.
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Conclusion
The aging of the population affectsthe demand for all health careservices, including hospitals, andlong-term care.
Older persons use more healthservices than their youngercounterparts because they havemore health problems.
They are also hospitalized moreoften and have longer lengths ofstay than younger persons.
The growth of the elderlypopulation is likely to result in
increases in inpatient admissions.
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Nursing Shortage
Causes:
2. Job dissatisfaction
as stemming from frequentschedule changes,overloads, shift work, lackof appreciation by
superiors and colleagues Inadequate pay
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Impact
Increase nurses patientsloads
Increases the risk for error
Increase in nursing turnover
Increase perception of unsafeworking conditions,contributing to increaseshortage, and hindering localor national recruitment efforts
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The Global scenario
The nursing shortage is in globalscale
Netherlands needed to fill 7000nursing positions in year 2002,
England needs to fill 22,000positions in year 2000, and Canada will need about 10,000
nursing graduates by year 2011.
In the US, recruiting foreign nurseshas been practiced for 50 years.Philippines supplied most of itsnurses to the US and othercountries.
Overall, the total number of foreigngraduate nurses continues to
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Effects of theShortage The demand for healthcare
practitioners and technicaloccupations will increase andprojected to have 1.7 million job
openings with in this time period.
In this group, the demand forregistered nurses is the highest.Registered nurses are predicted to
have a total of 1,101,000 openingsdue to growth during this 10 yearperiod. In a 2001 American HospitalAssociation survey, 715 hospitalsreported that 126,000 nursingpositions were unfilled.