Friday, October 11, 2019
Aging Healthy and Securely Essay
Abstract Every individual reaches prime of life. Inevitably, we can not escape old age, unless a person dies young. The decision of where to live is one of the most challenging ordeals to cope with as one grows old. As the elderly individual grows old, their time on this earth becomes very valuable, thus, they want to spend their remaining lives securely and healthy. Accordingly, it is of great importance that the government should provide housing options which recognize the value placed upon the latter years of ones’ life. Most importantly, housing programs must be created which answers the need for health care and security as well. One best program that this paper wishes to propose is to put up a housing community which incorporates the two most important needs of an elderly- medical attention and safety. The target population for this program would be those elderly individuals, particularly those in poor health, who can not afford to seek nursing care as well as those who do not have family members whom could attend to their needs. The selection of these elderly individuals whom the housing units will tend will be based on family backgrounds, economic status, financial capacity and other material details collated by an assigned committee. If funded sufficiently, this project will answer the needs for elderly housing and elderly care given the rapid growth in elderly population having the need of integrated services since the costs of isolated services are too high. Statement of Purpose To combat the problems introduced above, the (Name of submitting organization), proposes to have an elderly housing and health care program. As the elderly population continues to grow in number, and accordingly the need for adequate elderly housing services build up, the resources to offer services will drop off (Travis, 2006). Looking for a more effective technique of service delivery is of extreme importance. At the moment, on the other hand, the existing connections between elderly health and housing are weak at best. Seldom can you find a successful yet reasonably priced housing program that incorporates efficient health care for the elderly. In view of that, the most pleasing and most cost-efficient method of aging  aging in place  is not easy to attain, even under the most ideal conditions. Health and housing concerns of an elderly individual are frequently interconnected. To improve an effective method of service delivery, the long-term care system must mirror this interrelationship between health and housing. For this reason, the (Name of submitting organization) will propose to develop a stimulating and competent initiative for elderly housing with health care in the economically distressed neighborhood in Washington. This elderly housing and health care program will provide medical attention to the elderly individuals especially those who are weak or sick and at the same time the housing units will securely roofed them as they spend their precious years. The main objective of this program is to offer housing for the elderly since one of the most depressing problem that Washington now faces is the lack of elderly housing. What is more, this program aims to provide health care that the elderly individuals need. Similarly, the main goal of this program is to increase housing options for the elderly individuals. With this program sufficiently funded, it is expected that the outcome would be to have a health-friendly environment which eventually would lead to healthier and safer elderly individuals. Moreover, elderly individuals who have health problems or are looking for information concerning housing options must be able to get in touch with an on-site resident manager or with other program members on duty and be given the support and care that they need. The elderly housing and health program would surely bring about loads of benefits for the elderly individuals. As a result, problems like untimely death of elderly, increase in mortality rates, widespread of diseases, population congestion, increase in the number of persons with poor health conditions and other dilemmas related to elderly housing and health care would be worked out. Statement of Need            Over and above the unpredictability of aging, one must be concerned with the actuality that the average life expectancy for the elderly is increasing, which results to higher possibility that the elderly these days will have to cope with some sort of chronic health condition. For this reason, one’s ability to keep up the well-being and self-sufficiency while living out one’s abridged life tends to become a very expensive aim. This expense has an unfortunate effect on the majority of the elderly owing to the decreases in income after retirement.            The elderly population is fast expanding while the core tax-paying population is decreasing. As the elderly population increases, and consequently the need for adequate elderly housing services intensify, the resources to offer services will drop off. There 34 million Americans over the age of 65. On average they constitute 10 to 13 percent of each state’s population. Those states with the highest concentration of the elderly are Florida, the northeastern region and the Midwestern corridor. Nevertheless, the number of elderly in Washington becomes alarming as well as its number rapidly increases. In 55 years, the number of people aging 65 years and above will more than double, the number of those 75 and older will triple and the number of people 85 and older will quintuple. The elderly population is projected to multiply twice as much in size to well over 70 million by 2025. The states that will experience the greatest growth in the number of residents over the age of 65 are in the west and south. As a percent of the total state population, states in the west and southwest will experience the greatest increases ( Lawler, 2001). Nearly all seniors own the homes in which they reside. The home-ownership rate for individuals between the age of 62 and 74 is 81.2 percent; between the ages of 75 and 84, it remains high at 76.9 percent. As these homeowners age and their bodies become weaker, the regular maintenance and preservation of a home can become bodily demanding to manage. As the health needs of an aging senior and the repair needs of an aging house increase, both place necessitates on the fixed income of a retiree (Lawler, 2001). The lack of housing for the elderly is one of the most depressing problems Washington DC is facing today. This situation exists because lesser priority is given to this problem. External researches reveal that there may be housing for the elderly like home for the aged yet it does not have the comprehensive health care program. Just the same, health care programs do not provide proper housing needs of the elderly. Hence, the program proposed above incorporates the housing and health care needs of the elderly individuals. In line with this dilemma, the Housing and Urban Development had also been advocating projects which concern elderly housing. The Section 202 program gives capital advances (no interest loans that are forgiven given that affordability requirements are met for 40 years) and Project Rental Assistance Contracts (PRACs) for the construction or extensive rehabilitation and operation of residential projects and other related facilities for the elderly. Housing financed under this program may consist of proper support services for elderly persons who are weak or at risk of being institutionalized. A possible problem that may arise in connection with this project would be the difficulty on selecting potential participants or elderly who will benefit the project. Moreover, not all elderly in need may be facilitated or accepted since the project is just starting out. The number of elderly individuals that could be accommodated will be limited. The Aging Healthy and Securely program aims to solve the problems presented above. The (Name of submitting Organization) wishes to complete the project, financially supported by the government, within the time allotted for the aforementioned project. We expect the fervent involvement or support of the HUD, State Housing Authority, city funds and other related organizations. Procedures Washington is one of the many cities faced with problems on elderly housing. The elderly population rate is overwhelming. Over 33 million people in the United States are now above 65 years of age and by the year 2020 it will increase to about 53 million, or one in every six Americans. To add, a great number of these elderly individuals need nursing care or health care. In spite of the relationship between health and housing, the health concerns of an aging individual are attended to by one agency or set of services while the same individual’s housing concerns are tackled by different sets of nonprofit and/or government organizations. This separation is directly related to the way the housing and health industries were planned and considered and continue to function in distinct markets. While the private sector has created a greater number of models that unite both health and housing services, the public sector has continued to branch out the two. Public subsidies are intended to create either health or housing services but not both. Government-sponsored health programs and housing programs were devised to give off distinct public goods (Burkhardt, 1999). They were formed in isolation, as different line items in local, state and federal governments. Public housing programs and government mortgage subsidies were shaped to increase the number of inexpensive and sufficient housing units. The public system of health services was set up to support general public health and well-being, to offer health care for the very poor and to lessen the possibility of an outbreak or epidemic. The undertakings of public health and housing agencies were not only independent but mutually exclusive. From the information and figures presented at the current time, the future for the elderly individuals appear vague and unclear The need for a healthy, safe and decent reasonably priced housing and related services for the elderly is very critical. This alarming statistics gave the drive to (Name of the submitting Organization) come up with housing community consisting of 40 rooms (ten for offices and 30 for the elderly) which not only shelter these individuals but also provide staff that could attend to their health needs. Approach Driven by the best intentions, the (Name of the submitting Organization) envisions the program to be multifaceted, wide-ranging and innovative. The city has an immense necessity for additional reasonably priced or affordable housing for the elderly. The (Name of the submitting Organization) had identified a strategic location and will put up a 30 units/rooms elderly housing community. The location in which the housing community will be located is one sit which elderly housing has been identified as an essential need. Above and beyond the transitional housing, there will be a wide-ranging medical and social service and housing component involved in the program. Albeit the Washington state has homes for the aged, there is difficulty in looking for an elderly housing which is affordable and provides health care at its best. Most of the new constructed buildings in the city are for market rate units or commercial ones. This will have no effect on the increasing elderly population requiring housing and health assistance. There great numbers of depreciated buildings or deserted residences which if given attention and financed adequately, can be converted into elderly housing units. Target Population/Participants            The target population for the Aging Healthy and Securely program are those elderly individuals who are in need of medical or nursing assistance and who can not afford to stay in expensive elderly housing and health care units. To note worthwhile, the program will house those physically, financially and economically underprivileged elderly individuals with ages of 65 years and above. Elderly individuals with ages 60-64 years may be selected provided their illnesses call for immediate rehabilitation and care. Selection and screening of these elderly will not be very easy for the staff members assigned or the selection group. The selection of those individuals will be based on the family backgrounds, economic status, health records, financial capacity and other details or information material to the program’s criteria collated by an assigned committee. Materials or records from the following may be used to select those elderly individuals that may be housed; community or local agencies like health centers/hospitals for medical records, National Statistics Office for identification and personal records, social service and welfare agencies, public and privately-governed homeless centers, nursing homes, etc.            Furthermore, over and above being in poor health condition, the elderly individuals must have a very low income and neglected by their family members. Only the sickest and the poorest seniors will be selected for the program. All selection works are to be carried out without consideration of an individual’s ethnic group, civilization, race, sex, or sexual orientation, and a statement to this effect will accompany all public service announcements, advertisements, and locally-placed flyers or posters. All selection will be done without bias and prejudice. Work Plan Activities The schedule below shows the various informative, motivational, spiritual and educational activities of the elderly housing and health care program. Morning- Evening Daily Activities * Spiritual Healing (includes praying, sharing or reading of inspirational passages)                        * Personal Hygiene check up (includes medical treatment, bath for the elderly, etc.) * Meal time (serving of food in accordance to the health diet prescribed and suggested by attending doctor and nutritionist respectively) * Leisure/Recreational (includes watching TV, socializing with co-elderly and staff, reading books, strolling, etc.) Deliverables            Aside from the nursing and medical team whom will take care of the elderly, the housing units also observe infrastructure design and housing needs of the elderly. The building includes features like handrails or grab bars, raised lettering or Braille, elevator or stair lift, faucets, or cabinets, special sinks, specially equipped telephones, extra wide doors or hallways, ramps, push bars on doors, flashing lights, special wall sockets or light switches and the like. Sustainability            If funded sufficiently, the elderly health and housing care will tend to a lot of elderly individuals in need. After the construction of the housing units and when the operation is on full blast already, the (Name of submitting organization) will conduct a fund-raising activities every now and then for the maintenance of the housing community. Moreover, the (Name of submitting organization) will continue to seek financial assistance from the government from time to time to meet the program’s financial obligations with the staff members as well as for the maintenance of the units and facilities. Program Activities Elderly individuals will be categorized or leveled when deciding for the room assignments. Those with chronic and contagious diseases must be isolated from the rest. Female elderly must be separated from the male elderly in terms of room occupancy. As to food serving, nutritionists must take into consideration the sickness or health conditions of these elderly. To add, attending doctors/nurses must have seminars on motivational skills every now and then to apply such I their workplace. They should encourage these elderly individuals to manifest their talents. Motivational and recreational activities must be tolerated and accordingly, the (Name of the submitting Organization) can conduct a program presenting these elderly individuals with their skills and talents. This could not only lead to a fund-raising activity but an enjoyable and remarkable activity for the elderly individuals trying to make the most out of their remaining precious years. Evaluation            The (Name of submitting organization)’s housing and health management program will be measured in terms of efficiency and performance by submitting a project report upon the end of the fiscal year. The details, figures and information presented will be accurate, material, timely, consistent and will reflect the program’s outcomes and achievements. Likewise, program’s activities will be evaluated upon the end of the fiscal year. What is more, audited financial statements will also be presented so as to monitor expenses and clearly trace the breakdown of the requested amount or the grant money. Dissemination            The administrator, managers and board of directors as well as the staff members will promptly hold meetings and conferences to voice out problems, discuss concerns and devise plans and actions to further improve the housing and health programs suitable for the elderly and to achieve desired outcomes, objectives and goals. Performance appraisal and evaluation will likewise be conducted every now and then to measure who among the staff carries out his/her duties well and who does not. Qualifications/Personnel The community would be managed by an administrator having 4 managers, 5 department heads, 30 professional caregivers/nurses, 20 clerical and technical staff and 15 maintenance staff. Forty employees would be working full time and the remaining 35 employees would be working part time. Selection of the staff members will be done rigidly since the main aim of the program is to deliver a quality service. Interviews, exams (technical and psychological) and background investigations will be carried out accordingly. Staff members recruited for the elderly housing and health program will be required to work efficiently as a team. Team effort is a main consideration to come up with a friendly working environment.  A lot of the staff will work with the elderly individuals in more than one assignment area and all will be expected to deliver elderly nursing care, therapy and related tasks with the group as well as a traditional elderly training and nursing roles. Each and every one of the staff members will have to spend substantial individual time developing elderly motivational and educational skills and activities or materials. With the purpose of making the team-building process possible, all elderly housing and health care staff members will take part in a one-week seminar/conference consists of workshops and deliberations paying attention on the elderly community, the nursing care provided to elderly, fund-raising activities to be done, the program’s population, and the mission and goals of the project. The (Name of the submitting organization) will seek assistance from local homeless institutions or centers once in a while like (please indicate a name of existing housing institution in the city which caters to the same category). This institution had helped lots of elderly individuals concerning their housing problems. They already developed a lot of activities beneficial for the elderly individuals. This institution had been a recognized center in affordable elderly housing and care management programs. Budget            The grant funds from the Housing and Urban Development will be utilized for the construction of new elderly community (with 30 rooms) building and some will be used for Non-Housing component of the program. The estimated elderly individuals that can be sheltered within a year would total to 200-300. The program’s Administrative cost will be approximately 14 percent of the grant budget. The planning procedure has taken into consideration all realistic and reasonable expenses to be incurred in relation to the implementation of the elderly housing and health care program. The (Name of the submitting organization) has had far-reaching knowledge and experience in overseeing, implementing and directing instruction and medical/nursing or social programs and these expertise and experiences have been already applied to work out both the program and the budget. The (Name of submitting organization) had come up with a comprehensive or thorough program model which takes into consideration all of the measures and decisive factors like salaries, medical/laboratory tools and equipments, medicines, staff uniforms medicines, operational costs, overhead costs, program activities, insurances, and the like. This program model serves as the basis for the cost estimates to be incurred by the elderly and health care program. Some other costs that will be incurred will consist of motivational and recreational activities/programs, therapy and counseling/support services, management development and housing management program. The program is based on long-term goals and foresees to help a lot of elderly individual. Safety and good health will be given emphasis all throughout the program’s existence and all development in the course of the program will be anchored in competence, facility, attention and reliability. Quality service will be the aim of the staff members at all times. Condensed Housing and Urban Development grant cost breakdown is as follows: Housing Component- $100,000.00 Non-Housing Component – $200,000.00 Administrative Cost – $100,000.00 Total Grant Budget – $400,000.00 Administrative costs consist of all of the financial and program reporting guidelines as it should be, accounting and auditing costs, payroll and secretarial work and other standard administrative costs. References Burkhardt, John. (1999). Mobility Needs in a Maturing Society. Coming of Age, Federal Agencies and the Longevity Revolution. Department of Housing and Urban Development. (1999). Housing Our Elders. Washington. Kochera, Andrew. (2001). A Summary of Federal Rental Housing Programs. AARP Public Policy Institute. Lawler, Kathryn. (2001). Aging in Place, Coordinating Housing and Health Care Provision for America’s Growing Elderly Population. Fellowship Program for Emerging Leaders in Community and Economic Development. Washington: Neighborhood Reinvestment Corporation. Smith, Gary, et al. (2000). Understanding Medicaid Home and Community Services: A Primer. Department of Health and Human Services. Soldier, Travis W. Housing options for the Elderly. Retrieved June 19, 2006 from http://www.usd.edu/elderlaw/archives/housing_options_for_the_elderly.htm
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