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Working With The Aging

Ladies and gentlemen, I stand here before you at a time in which the healthcare of older Americans has become a critical issue. Or should I sayissues' We have more people needing more and more specialized care - thisis critical. We have fewer and fewer people being asked to do more and more- that is critical. Current healthcare policy, especially for the aging,seems inadequate to address the challenges of what lies ahead. Thesituation seems very bleak at times. All signs seem to show that it willget bleaker. Well, I am here to tell you that I am the weatherman. I haveweathered this storm with you. And I can tell you that the forecast looksgood, if we can just keep our eyes on what is important and understand whattools we have to get through this, and overcome the challenges that the I like to think of myself, when I think of myself, as the captain ofmy own ship. And the ship that I am piloting through these new andchanging times of healthcare is definitely weathering some storms. As weall know, the health status of our aging population is going to cause us torethink many of our set beliefs about providing health care to older


I thank God for you and all you do. We are facing alarger elderly population but the good news is that more and more of thepeople we care for can expect to enjoy a healthy old age. Can you imagine how disheartening this can be' As people get older they need help with the activities of dailyliving doing things like cleaning their houses, cooking meals, doingpersonal care work, the little things that will allow them to stay in theirown homes. We can provide this message in the most gentle ofterms, with no evangelism intended. I can give you the examplethat the average annual cost of medication for the treatment of diabetes issomewhere around $1400. We can remind our patients who are goingthrough rough patches, their own perfect storm, that no matter how badlythey feel, no matter how lonely or isolated or displaced they may seem tobe we need to let them know that they are not alone. You may lookat me, and think that I am crazy, but I am telling you that this is allgood news. We know that simply caring for disease and disease statesof our older patients are no longer enough. And we as caregivers know that these chronic problemswill cause limitations in the patient's daily lives and daily activities. New policies must be put in place for ongoingcontinuing medical education on the elderly as a condition of licenserenewal. Emotional support for the patient and the family itself will requirethe most basic change in the existing value system, which places greateremphasis on the medical treatment of chronic medical conditions and not onthe emotional needs of the patients and the caregivers. This will only getworse in the years to come and presents another wave in the storm. I know how thankless itcan seem at times. What I have to say is very simple.

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Approximate Word count = 2463
Approximate Pages = 10 (250 words per page double spaced)

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