Long-term care fraught with uncertainties for elderly baby boomers

GAINESVILLE, Fla. — The continued decline of the nursing home — once the mainstay care for the frail elderly — and an upsurge in popularity of assisted living will lead to many dramatic changes in long-term care, according to a University of Florida expert and editor of a new book on the subject.
“The American public has expressed a strong distaste for going to a nursing home because it smacks of a hospital-like, institutional way of living and receiving care,” said Stephen Golant, a UF geography professor and expert on elderly housing. “Assisted living has emerged as a highly attractive option for older persons who have experienced some physical or cognitive decline and feel less secure about receiving care in their own home.”
Yet there are few certainties about either the future of assisted living for the elderly or the huge number of baby boomers who stand to be its recipients, Golant said.
“Although baby boomers will constitute a large market, it is unclear what share will have impairments and chronic health problems that make them candidates for assisted living,” he said. “The emergence of an unexpected new medical or rehabilitation breakthrough, such as a cure or the discovery of a disease-controlling drug for Alzheimer’s disease – could result in a substantial decline in the number of elderly Americans who need such care.”

Norman DeLisle, MDRC
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Elderly In Long-term Care Setting Suffer Depression More Than Those Cared For At Home

t some point after they were admitted, compared to only a quarter of the home-cared elders.

Jodi Shapuras and Lindsay Egan, undergraduate students in the social work program at ISU, conducted the research at their internships as part of a senior-level field practicum class.

“We are both interested in working with the elderly population in our careers, so we conducted this research to get a better feel for the prevalence of depression in those who need some level of outside care,” said Shapuras of Mitchell, Ind. “As social workers, it is important to understand the mental health issues, such as depression, within the different care settings.”

Shapuras and Egan said they weren’t surprised by their findings.

“We actually hypothesized that the long-term care patients would utilize antidepressants more and would self-report depression more,” said Egan of Terre Haute, Ind. “When an individual moves to a long-term care facility, they undergo a tremendous amount of changes. They are no longer able to live independently and are relying on others for care, and this greatly affects how they feel about themselves and the world around them.”

Shapuras added that in the home-care setting, elders are still residing within a familiar environment.

Costs for long term care continue to rise

NEW YORK (AP) - The costs for long-term care have gone up for a fifth straight year.

Genworth Financial has found that charges for nursing homes, assisted living facilities and some in-home care services are up anywhere from 7 to 25% in the last five years.

The national average annual cost of a nursing home is more than $76,000, a 17% jump since 2004. The cost of assisted living facilities went up by 25%, from just under $29,000 to more than $36,000.

The study predicts that those fees will continue to rise because of a shortage of long-term care workers at a time when more baby boomers are reaching retirement.