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carefortheelderlyThenumberofelderlyhomecareisrelativeshortandshortofqualityLackofasystematicandholisticcarepeople'sprejudicesanduntrustthenurses

1IntheUnitedStatestheproportionofpeopleaged65orolderincreasedfrom4%in1900toabout12%in2000.

InChinatheproportionofpeopleaged65orolderincreasedfrom10.54%in2000toabout11.03%in2005.

Manyoldpeopleareabandonedandbegformoneyinthestreetorsleeponthestreet.Background:2ComparisonBetweenEastandWest

TherearenumerousdifferencebetweenEastandWest.Now,itisthepartoftheEast.IwilltakeChinaasanexample.3ThelivingstyleUnliketheWest,elderlypeopleintheEastusuallivewiththeirfamily,especiallyinChina.SupportingtheoldisthetraditionalvirtueofChinesepeople,isthefamilyandchildren'sresponsibilityandobligation.4ThewayofcaringfortheelderlyChinaisacountrypursuingthefamilypension.Exceptforafewhelplessandwidowedelderlypeopleshouldunderthestateorruralcollectivesupport,familysupportisstillalmostallChinesepeople'sconsciouschoice.Turntothemainsourceoflife,apartfromwhohavelaborincomeorpensionpayments,90%oftheoldlivedeponontheirfamilymembersmainly.5Thegovernment’spoliciesFirst,thewholesocietyshouldsetupcorrectoutlookonaging.Second,takepracticalmeasurestograduallysolvetheruralelderlypopulationinsocialsecurityandhealthsecurity.Third,assoonaspossibletoestablishasmallendowmentinsurancesystemforurbanworkers.Fourth,wemuststrivetobringhealthpeopleintotheagedsociety.Fifth,paymoreattentiontotheeducationandscientificresearchofgerontology.Sixth,buildaconsistentenvironmentofsocialandethicallivingfortheelderly.6Inmodernwesternsocieties:Eldercareisnowbeingprovidedbystateorcharitableinstitutions.Inmostwesterncountries,eldercarefacilitiesarefreestandingassistedlivingfacilities,nursinghomes,andContinuingcareretirementcommunities(CCRCs).7Inthetraditionalwesternsocieties:Traditionallyeldercarehasbeentheresponsibilityoffamilymembers.Mostfamiliesprefertosharetheresponsibilityamongthechildren.Butiftheelderlypersoncannottakecareofthemselves,theywillliveinanursinghome.8FacilitiesIntheUnitedStates,mostofthelargemulti-facilityprovidersarepubliclyownedandmanagedasfor-profitbusinesses.InCanada,suchprivately-runfor-profitfacilitiesalsoexist,buttheymustcompetewithgovernment-fundedpublicfacilitiesrunbyeachprovince'sorterritory'sMinistryofHealth.9ChoicesMostelderswouldprefertocontinuetoliveintheirownhomes(aginginplace).Unfortunatelythemajorityofelderlypeoplegraduallylosefunctioningabilityandrequireeitheradditionalassistanceinthehomeoramovetoaneldercarefacility.10TheSurveyabout:CareForTheElderly1.Inthewest,whatdotheyusuallydototakecareoftheelderlythesedays?Andwhatabouttheolddays?2.Inthewest,whatwaysdopeopleprefertotakecareoftheelderlynowadays?3.Whereisthemoneywhichtheelderlyusetotakecareofthemselvescomesfrom?4.Whatdoesthegovernmentusuallydototakecareoftheelderlyinyourcountry?11Inthewest,whatwaysdopeopleprefertotakecareoftheelderlynowadays?Mostfamiliesprefertosharetheresponsibilityamongthechildren.Ifitistheelderlypersoncannottakecareofthemselves,theywillliveinanursinghome.12Whereisthemoneywhichtheelderlyusetotakecareofthemselvescomesfrom?Usuallytheirchildrendonotgivetheirparentmoney,parentshavemoneytototallytakecareofthemselves.Theelderlycanreceiveoldagepensionandhealthcarefromthegovernment.13

Whatdoesthegovernmentusuallydototakecareoftheelderlyinyourcountry?Governmenthelpstosubsidizethecostofelderlycarehomes(nursinghomes).Thegovernmentprovidespensionandsocialassistanceforthoseinneed.Forthosewhocannolongeraffordtotakecareofthemselvesorwhenafamilycannotaffordit,theyaremovedintonursinghomesatthegovernmentexpense.14Currentissuesinchinaone-childpolicymakestheretirementproblemmoreprominenthome-basedcarefortheagedjuststartinchinacommunitysupportservicessecuritynotcommomenoughitisstillverydifficultinchinatoenableoldpeoplehavingpensions.15CurrentissuesThenumberofelderlyhomecareisrelativeshortandshortofqualityLackofasystematicandholisticcarepeople'sprejudicesanduntrustthenurses

16HowtocarefortheeldersFirstly,ourgovernmentshouldadoptmoreeffectivemeasuresinordertomaketheeldershaveenoughpensions.Secondly,Ithinkthateveryyoungpeopleshouldtakeresponsiblitytotakecareoftheiroldparents.Thirdly,wholesocietyshouldbeinfavorofelders'activities.17InChinaLargerpopulationoftheold,agingcountry!PoorsocialsecuritysystemTraditionalthoughts:--Closerelationshipwithchildren,livetogetherResults:1.toomuchburdenfortheadultchildren!!!2.theydon’tlivewell,either18InEuropePerfectsocialsecuritysystemThoughts:independent--fromchildren,liveseparately--preferhome-basedcareCommunitysupport:TheSocialServiceBlockGrantProgram19Theyreallyneed…?

Respectandunderstandings.Makethemselvesproductiveanduseful.Spendmoretimewiththem&respecttheirchoices:--visithomesofrespectfortheaged--treatyourgrandparentspatiently--…20Whyshouldwecarefor…

Oldpeoplehavelimitedregenerativeabilitiesandaremorepronetodisease,syndromes,andsicknessthanotheradults.----Physical----Psychosocial/mental----emotional----Social

21Physicalchanges/stresswrinklesandliverspotsontheskinchangeofhaircolortograyorwhiteHairlossLessenedhearingdiminishede

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