Elderly Health Care in the United States, Japan, and South Africa

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Elderly Health Care in the United States, Japan,
and South Africa
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Facilities for elderly health careUnited States

• Hospital Care
• Done by physicians
• Provides outpatient or inpatient services
• For impatient, elderly are always watched and
  monitored by nurses and doctors
• Elderly that are admitted to the hospital usually
  are unstable physically

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• Nursing Home
• Do not have a good reputation as a place to live
• Most families choose this as a last resort
• Physicians are less attentive to elderly patients
  when compared to his general practice patients
• The elderly live in a facility where they are
  watched over by nurses and staff.
• The elderly get help with daily living activities
  such as eating, bathing, and taking their pills
• The elderly can receive special services such as
  speech therapy or physical therapy here

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• Home Care
• Most elderly would like to stay in their homes as
  long as possible
• Elderly can receive intermediate care by health
  care nurses
• Nurses come to their home, and help patients with
  daily living activities
• Elderly can also get services such as physical
  therapy, speech therapy, support for daily
  living, health education, and could receive
  respiratory therapy
• Medicare has increased coverage for these home
  services.
• These services are normally more expensive then
  if you went to the hospital and doctors yourself.

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• Veterans Hospital
• Cares for elderly and other patients with health
  problems
• For people who served in the military
• Atmosphere is like a hospital
• Elderly stay in rooms by themselves or with
  others
• Can live with their husband or wife
• Can receive a wide range of services with in the
  hospital
• For the elderly who can not do daily activities
  on their own

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• Adult Day Care
• For elderly who cant be left home alone, but are
  not bad enough to be in a nursing home
• Families bring family members here during the
  day, From 7-5 Monday through Friday, the elderly
  are brought in by their sons or daughters or even
  spouses
• Normally run by volunteers
• Elderly receive lunch and snacks, play games and
  activities, have nap time, and a nurse gives them
  their pills.

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Facilities for elderly health careJapan

• Home Health Care
• Most long term care being used
• As the younger generation get older there is less
  and less home health care
• Most of the caregivers are the females 60 years
  old taking care of the elders in the family

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• Hospital Care
• Expensive
• The normally have chronically ill patients for a
  long period of time.

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• Nursing Home Care
• Fewer Beds
• 1 if the 65 population are in nursing homes
• Called the old peoples home
• scarce

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• Geriatric Health Care Facilities
• The purpose was to provide long-term care for the
  elderly suffering from chronic diseases and who
  need skilled care but not hospitalization.
• fewer physicians and nurses here then at the
  hospital
• This type of facility is more acceptable then
  nursing homes
• designated for patients that are 70 years old or
  older

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Facilities for elderly health careSouth Africa

• Hospital Care
• before 1990 most hospitals admitted patients of
  one racial group only
• Designated operating rooms and special care
  facilities for certain racial groups
• This led to expensive services and neglect
• In wealthier communities the people had easier
  access to health care and generally received
  better care.
• This type of health care was very expensive

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• Home Health Care
• The government encourages the family to use home
  based care
• Increase in AIDS has increased the
  responsibilities of home health care