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Coronary Heart Disease in Older Adults Living in Residential Care Facilities

explanatory Essay
1354 words
1354 words
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Encompassing coronary heart disease, myocardial infarctions, and heart failure, cardiovascular diseases are the leading cause of death in the United States, accounting for approximately 1 in every 4 deaths1,2. Coronary heart disease (CHD) is caused by atherosclerosis which occurs when the build-up of cholesterol in the arterial wall limits the travel of oxygen-rich blood in the body3. This can lead to serious problems, including heart attack, stroke, or death. CHD is a chronic and potentially fatal condition. The consequences of the disease affect the lifestyle of individuals diagnosed and greatly impact the health care system at large. As of 2010, the estimated direct and indirect cost of CHD in the US exceeded $108 billion annually4. CHD results in substantial healthcare needs and may affect where people choose to live as they age. Residential care facilities (RCF) have been an important component of housing and long-term care for older adults since the 1990s. They emerged as an alternative to nursing homes for people who do not require 24 hour nursing care, but are unable to live fully independently. These facilities may provide assistance with medication, personal care, and activities of daily living (ADLs). Assisted-living within RCFs has emerged as an important long-term care option, with over >30,000 RCFs and a total capacity of 971,900 beds by 20105. However, this sector of care receives little assistance form government financing. Medicare does not pay for assisted-living, but Medicaid uses waivers in many states to cover some services in residential care settings, excluding room and board. As of 2007, about 115,000 Medicaid beneficiaries received services in a RCF6. Due to the fact that Medicaid will not cov... ... middle of paper ... ...Services Utilization of Residents in Assisted Living Communities October 2013 SHESG Meeting Abstract Health Services Utilization of Residents in Assisted Living Com. 1–21 (2013). at 9. Moss, A. J. et al. Design and operation of the 2010 National Survey of Residential Care Facilities. Vital Health Stat. 1. 1–131 (2011). at 10. Balancing Incentive Program | Medicaid.gov. at 11. Shelkey, B. M. & Mason, V. Katz Index of Independence in Activities of Daily Living ( ADL ) Katz Index of Independence in Activities of Daily Living. 185, (2012).

In this essay, the author

  • Explains that cardiovascular diseases are the leading cause of death in the united states, accounting for approximately 1 in every 4 deaths1. coronary heart disease is caused by atherosclerosis.
  • Explains that residential care facilities (rcfs) have been an important component of housing and long-term care for older adults since the 1990s.
  • Explains kochanek, xu, murphy, minino, a. m., and kung, h.-c. national vital statistics reports deaths : final data for 2009.
  • Describes the national vital statistics reports deaths: final data for 2010.
  • Cites heidenreich, p. a. et al., forecasting the future of cardiovascular disease in the us: a policy statement from the american heart association.
  • Explains that caffrey, sengupta, park-lee, eunice ph.d. moss, abigail rosenoff, emily m.p.a., harris-kojetin, l.
  • Explains stevenson, g., and grabowski, c. sizing up the market for assisted living. health aff.
  • Explains the 2012 metlife market survey of nursing home, assisted living, adult day services, and home care cost.
  • Cites gimm, ph.d., kitsantas, p. & cantiello, j. health services utilization of residents in assisted living communities.
  • Explains the design and operation of the 2010 national survey of residential care facilities.
  • Explains the katz index of independence in activities of daily living.
  • States that the 2010 national survey of residential care facilities (nsrcf) seeks to fill a gap in the literature about long-term care facilities and their residents.
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