Sample Nursing Paper on For the Elderly, Being Heard About Life’s End

Is the myth of the elderly true?

The myth about huge spending on the elderly is true because the elderly and their caregivers perform anything to keep older patients alive. The physicians and doctors involved in provision of care are paid to take part in myriad medical procedures without even asking whether certain procedures are necessary. Therefore, more money is expended on the elderly with the costliest patients being those with chronic illnesses. The elderly with chronic illnesses are covered under the Medicare leading to surging federal expenditures in offering universal health coverage.

Are all the elderly sick, all the time, or are the physicians taking advantage of a government-run system in order to make more money?

Not all elderly are sick because some still live independent lives, driver cars, and are completely functional. It is the physicians taking advantage of the Medicaid to fleece the government of the funds. Gross (2008) reports that a lot of funds are spent on supporting most advanced tests and offering the newest remedies that the elderly do not require. For example, New York University Medical Center in Manhattan spends a whooping 105,000 dollars on an elderly patient, despite the having only 2 years to live (Gross, 2008). A notable case is mentioned about a physician who tried to revive a 93-year old patient who suffered from a cardiac arrest despite having a ‘do not resuscitate order’ (Gross, 2008). The physicians are actively involved in the provision of aggressive care even when it is unnecessary.

Is this a warning to all of us before the great gray surge becomes worse that healthcare will be impossible to provide to all of the elderly?

The gradual adoption of slow medicine is a warning that the healthcare may not sustain the surging expenditure on Medicaid to support the elderly. The utilization of slow medicine encourages physicians to reduce the implementation contemporary care if they are associated with more risks or have limited benefits to the older adults. Slow medicine allows patients and their families to reconsider utilizing all the emergency room trips and constant hospitalizations. Unfortunately, the healthcare professionals do not engage their patients on discussions revolving around slow medication. Instead, they usher elderly patients to costly aggressive care. Per Frean et al. (2017), the cost implications of aggressive care including intensive care support are abnormally high. It may be a challenge to provide healthcare to the elderly in future due to cost escalation.

 

References

Frean, M., Gruber, J. & Sommers, B. (2017). Premium subsidies, the mandate, and Medicaid expansion: Coverage effects of the Affordable Care Act. Journal of Health Economics53, 72–86.

Gross, J. (2008). For the elderly, being heard about life’s end. The New York Times. Retrieved from https://www.nytimes.com/2008/05/05/health/05slow.html.