Aging exempts no one.
Unfortunately, some of the elderly developed more health problems and physical
declines than others. Elders with such significant impairments required
various types of assistances included their basic activities of daily living. These tasks were not always being
accomplished safely at home especially when their sons or daughters had
children and a full-time job. Despite this concept, in a way, society continues to be biased
about the placement of one’s parents into a nursing home as a
disgraceful act. Being a
medical student then a resident in geriatrics rotation, I learned to
acknowledge the burden of caring for the elderly rather continued with my
previous superficial judgment. Ability to care for one individual with
multiple medical problems and functional declines beyond the financial burden,
it included physical and emotional obstacles. Dressing, eating,
ambulation, transferring, hygiene, medication management and etc. could be beyond one’s person
ability. Thus, the
only best available option for some family in caring for their parents or other
immediate family members was placement in long-term nursing home. Such
decision was not easy as one may expected. I struggled with this
idea as imagined placement of my immediate family members in nursing
home. I saw closed doors along the sides of the hallways and the
empty lounges with occasional one to two occupants in a facility. In concurrent
with complaints of not being heard, not being assisted promptly and the abuse
in the long-term facility demonstrated in the media worsened the objectivity of
this topic.
I am hopeful for
changes or resolution in some of these concerns. The business of
long-term nursing home should be asked to increase the ratio of nursing-staffs
to long-term care residents in its facility. This is the initial step to
improve care and fulfill the rising demands of our growing elderly
population.
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