33%: Percentage of people turning 65 who will need nursing-home care at some point in their lifetimes. 70%: Percentage of people in nursing homes who are women. 80: Average age of admission for women in long-term care settings.
Age. The chance of being admitted to a nursing home increases with age. For example, about 15% of people 85 years and older live in nursing homes, compared with just 1.1% of people 65-74 years of age.
22%: Percentage of individuals over 65 in the highest income quintile who will have a long-term care need of two years or longer. 31%: Percentage of individuals over 65 in the lowest income quintile who will have a long-term care need of two years or longer. 10%: Percentage of Americans over age 65 who have Alzheimer's dementia.
Kinsella reiterated that the proportion of the older population residing in nursing homes or institutional residences has declined over the last 20 years or so, with a corresponding rise in the proportion of people living in assisted living facilities.
For example, geographically, the 65-and-older population is concentrated in the upper Midwest and parts of Florida. The 85-and-older population is concentrated in the upper Midwest, Florida, and New England. When categorized by race, from 2006 and projected to 2050, the non-Hispanic white population will become a much smaller percent of the total in the future (61 percent in 2050) than it is today (81 percent in 2006). Conversely, the Hispanic population will occupy a much larger proportion of the 65-and-older age group in the future (18 percent in 2050) than it does today (6 percent in 2006).
While largely non-disabled, substantial proportions of the older population nonetheless reported chronic conditions in the National Health Interview Survey. About half of all men (52 percent) and women (54 percent) over the age of 65 report hypertension (this does not include individuals with undiagnosed hypertension); and about half (43 percent of men, 54 percent of women) report arthritis (Figure 2-6). Overweight (defined as a body mass index [BMI] of 25 or greater) and obesity (BMI of 30 or greater) are also prevalent among the older population, with nearly 80 percent of men and 70 percent of women between the ages of 65 and 74 considered overweight according to the 2005–2006 National Health and Nutrition Examination Survey (NHANES).2Even in the 75-and-older populations, the levels of overweight are nearly as high. Importantly, the percentage of older adults who are overweight or obese has been increasing. Kinsella said obesity is not just a problem with “young kids eating a lot of junk food.”
By 2050, there will be an estimated 19 million people in the United States age 85 and older. In the past, statisticians have tended to underestimate improvements in mortality. If one were to examine these same projected numbers 20 years ago, the numbers would be a lot lower than they are today. But with improvements in mortality that have taken place over the past 40 or so years, by all accounts it appears that in fact this “oldest old” population (i.e., people age 85 and older) will grow tremendously over the next few decades. Moreover, given that these projected numbers are official U.S. Census Bureau numbers, Kinsella suspects that they may be conservative and that the real numbers could be even higher. Referring to discussion in the previous session about the legibility of food labels, Kinsella observed that this is an important trend to keep in mind, given the high prevalence of vision problems in the oldest old.
FIGURE 2-4. Life expectancy at ages 65 and 85 years, by sex, from the years 1900–2004. NOTE: These data refer to the resident population.
In conclusion, Kinsella remarked on the value of looking at what other countries are doing to accommodate older populations. With the exception of Japan, which ranks as the world’s oldest country (i.e., 21.6 percent of Japan’s population is 65 years or older, which is higher than any other country), all of the other 25 oldest countries are in Europe (Figure 2-8). The United States is not even on the list. He pointed to the United Kingdom’s traffic light labeling system for ranking ingredients in food products, which had been described in the introductory presentation by Steve Sundlof (see Chapter 1), as something that another country has successfully implemented in an effort to accommodate its growing older population and which may be something for the United States to consider. Kinsella suggested that there are probably other interesting and relevant initiatives under way in the countries in Figure 2-8that we may benefit from knowing about.
Then, Nancy Wellman of the Friedman School of Nutrition Science and Policy, Tufts University, Boston, Massachusetts, discussed food shopping, preparation, and consumption habits of older adults, as well as food insecurity trends among older adults.
Poverty. In the early 1960s, the older population had a higher proportion of people living in poverty than any other age group. Today, the older population has a lower proportion of people living in poverty than any other age group. Kinsella noted that Medicare, which was introduced in the early 1960s, seems to have had a rather important effect on alleviating poverty among older adults. He remarked that most of the poverty that does exist in the 65-and-older population is concentrated in the South and parts of the upper Midwest.
Almost half of all people who live in nursing homes are 85 years or older. Relatively few residents are younger than 65 years of age. Most are women (72%), many of whom do not have a spouse (almost 70% are widowed, divorced, or were never married). Many also have only a small group of family members and friends for support.
The Most Common Reason for Living in a Nursing Home. Some type of disability when it comes to performing the activities of daily living (ADLs) is the most common reason that older people live in nursing homes. Not surprisingly, people living in nursing homes generally have more disability than people living at home.
Older adults and/or family members can check the CMS website ( https://www.medicare.gov/care-compare/) to find out how a given facility is doing in terms of quality of care. Family members can also try to visit as many homes as possible to get a sense of the overall feeling and quality of care. Using a checklist can help you evaluate quality, the range of services, convenience, and costs. Your visit may last an hour or two so that you can meet and talk with the admissions officers, nursing home administrators, directors of nursing, and social workers. Remember that no nursing home is perfect, and all will likely be very different from a person's current living situation.
About half of residents spend at least one year in the nursing home, and 21% live there for almost 5 years. Interestingly, function often initially improves in many residents who stay for a longer time.
Communication problems are also common—almost half of nursing home residents have difficulty both being understood and understanding others. Depression is another condition that affects nursing home residents. Research has shown it may occur more in nursing home residents than in individuals living in the community.
Nursing Homes. Nursing homes have changed dramatically over the past several decades. These changes have been driven by government regulations and consumer pressures. When compared to nursing homes of past decades, today’s nursing homes are highly regulated and high-quality, sophisticated institutions for the care and treatment ...
In addition to physical problems, mental conditions are common in nursing home residents. In fact, dementia remains the most common problem, and affects an estimated 50-70% of residents.
Most nursing home residents are admitted with more than one condition, most with three or more conditions. The most common afflictions resulting in being admitted to a nursing home are (in no particular order): effects after a stroke; cognitive disorders;cardiovascular diseases and hypertension; functional decline (e.g.incontinence) and endocrine disorders such as diabetes.
Nursing home residents are discharged for the following reasons: Approximately 30% of nursing home residents will recuperate and move back into their communities; 36% leave nursing homes because they are being transferred to another nursing home or to a hospital; unfortunately, approximately 25% will exit a nursing home only when they have passed away; and roughly 10% will leave for other reasons.
In Florida, there are approximately 700 nursing homes with 84K beds. Florida nursing homes house an about 73K resident, which means there is an approximate 87% occupancy rate. 10,000 Americans turn 65 everyday! 5% of older adults (aged 65+) live in a nursing home.
Future of Nursing Homes. In 2030, almost 70 million people will be 65 or older and 8.4 Million will be 85 years old or older. There are estimated to be approximately 77 million baby boomers, of these 3.85 million (statistically) will need nursing home care at some point in time in their lives.
That being said, after a stroke, significant car accident, effects of dementia,Alzheimer’s or Parkinson’s and any number of other maladies that can cause older adults to lose their ability to care for themselves.
Because of medical advances, people are living longer than ever. We can infer that there may be more short-term stays due to requiring nursing home care for rehabilitation after falls. However, this means that we can also expect more people to require assisted living or nursing home care due to decline in ability to conduct activities of daily living (ADLs – walking, bathing, toileting, transferring,or dressing) without help.
Nursing home care is undeniable expensive, without long-term care insurance ,Medicaid planning has become essential to all but the wealth iest people in Florida. Contact your medicaid lawyer today to help you preserve your assets and apply for Medicaid.
In 2004, about 1.5 million people lived in nursing homes in the U.S. Most residents are elderly: 88% of nursing home residents are 65 or older, and 45% are 85 or older. Yet only 2% of Americans age 65 to 84 and 14% of Americans age 85 or older live in nursing homes. The number of nursing home residents has remained approximately constant ...
There were close to 3.2 million total nursing home stays in Medicare and Medicaid certified facilities during 2005, up from 3 million in 2000.
Many facilities also offer additional services such as restorative care, dementia care, pain management, and palliative care. Across the nation, nursing home residents receive an average of 3.7 hours of direct nursing care per day , including 1.4 hours from a certified nurse (RN, LPN, or LVN).
The average private-pay cost for a private room (single occupant) in a nursing home in 2006 was $206 per day (or $75,190 per year). For a semi-private room, typically a room shared with another resident with a curtain or other partition between the beds, the average cost was $183 per day, or $66,795 per year.
Medicare pays 17% of the nation's total nursing home bill. Only about 22 percent of current residents, and 38 percent of expenditures, are covered out-of-pocket, by private long-term care insurance, or by other public or private sources.
About 13% of nursing home residents are supported primarily by Medicare, but because of the short duration of coverage, the percentage of all individual stays is much greater: 52 percent of residents who have been in a nursing home for less than 30 days have Medicare as a primary payer.
Introduction. Nursing homes provide a broad range of long-term care services – personal, social, and medical services designed to assist people who have functional or cognitive limitations in their ability to perform self-care and other activities necessary to live independently. Increasingly, nursing homes are also providing skilled nursing care, ...
Significant differences also correlate with income, region of the US and other demographics. If you reach age 80, you’ll likely stay awhile longer. Men and women who reach age 80 live another eight to ten years on average according to the CDC. More than 50,000 Americans are age 100 or older.
Most seniors have more than one chronic health care issue. Recently the National Council on Aging found that 75 percent of seniors have at least one chronic health condition, and that most have two or more.
On average centenarians are slightly more educated than others from their birth years. Most have been married and widowed. About 80 percent of centenarians are women.
Senior Social Life Statistics. About half of seniors aged 65 to 74 are sexually active. A study published in the New England Journal of Medicine in 2007 found that 53 percent of seniors ages 65 to 74 were sexually active.
What dating sites are seniors on? One popular dating site exclusively for seniors is operated by AARP. Another is OurTime.com. Stitch.net is especially popular among seniors who can afford high membership fees and seek dates in their travel destinations. Mainstream dating apps with significant populations of seniors are Match and OK Cupid.
The Population Reference Bureau projects that in 2060 nearly 100 million Americans will be 65 or older. This reflects the senior population more than doubling over 40 years. According to the CDC the rapid expansion is explained by the size of the baby boom generation and the baby boomers’ long life spans.
The leading cause of senior injuries and death is falling down. The CDC reported in 2016 that in a given year about 25 percent of Americans age 65+ fall down, and that falling is the leading cause of senior injury and death. Preventive tactics against falls include keeping eyewear prescriptions up-to-date, exercising for balance, and keeping floors clutter-free. You can get helpful advice about preventing falls from the National Council on Aging.
52%: Percentage of people turning age 65 who will need some type of long-term care services in their lifetimes.
34%: Percentage of caregivers who are age 65 or older.
83%: Percentage of care provided to older adults that is delivered by friends or family members.
80: Average age of admission for women in long-term care settings.
2.8 years: Average length of time between when symptoms begin and when an Alzheimer's dementia diagnosis is made.
38%: Expected increase in Medicaid spending for long-term care between 2016 and 2026. $126,420: Maximum “countable” assets that a healthy spouse can retain for the other spouse to be eligible for long-term care benefits provided by Medicaid, 2019. (Actual amounts vary by state.)
African American families lack a sufficient number of male role models, because a high percentage are single-parent, multigenerational families.
The elderly suffer neuron loss that inhibits their ability to hold and retrieve information. Memory declines are due to changes in the ability to pay attention to and organize tasks involving memory skills. Memory declines are due to changes in the ability to pay attention to and organize tasks involving memory skills.
Social inequities seem to level out in late adulthood. Social inequities that various socioeconomic groups experience magnify with increasing age. Cost of living does not have a profound effect in late adulthood. Social inequities that various socioeconomic groups experience magnify with increasing age.
The number of older adults (age 65 and older) has risen significantly because of increasing life expectancy.
Nursing care facilities, or nursing homes, provide skilled and unskilled nursing care for older adults and adults with disabilities.
Compare the number of older adults (all groups) who live independently to the number of centenarians that live independently. Answer: Twelve percent of centenarians live independently compared with one in three persons aged 75 or older who live alone. An older adult is worried that her memory may fail.
Older people are more likely to experience a chronic disease that requires medication for treatment. Almost three-quarters of people over age 65 take at least one prescription drug; less than 40% of people aged 19 to 54 require pharmacological treatment.
Retirement communities are planned and built specifically to provide elder-friendly dwellings and environments for independent living and allow older adults to "downsize" their dwelling.
Screening older people for cancer is not beneficial because they can't be treated.
Aging in place means that as they age, persons live in their own elder-friendly residences and receive supportive services for their changing needs, rather than moving to another location or alternative type of housing.