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The challenges to long-term care: a personal account
1University of Massachusetts Boston, College of Nursing and Health Sciences, 100 Morrissey Boulevard, Boston, MA 02125, USA. frances.portnoy@umb.edu
The Nursing Clinics of North America
|May 26, 2009
Summary
Generational expectations for aging and long-term care are shifting. Current systems like continuing care communities may not meet future needs due to evolving economic factors impacting elder care.
Area of Science:
- Gerontology
- Sociology of Aging
- Healthcare Systems Analysis
Background:
- Long-term care (LTC) faces multifaceted challenges.
- Aging demographics and evolving societal expectations significantly impact elder care needs.
- Middle-class families experience changing perspectives on aging and care.
Purpose of the Study:
- To examine the evolution of expectations and experiences of aging across three generations.
- To analyze the adequacy of current long-term care systems in meeting future needs.
- To explore the influence of economic circumstances on elder care provision.
Main Methods:
- Qualitative analysis of a personal account from a middle-class family.
- Examination of generational shifts in attitudes towards aging and care.
- Review of existing long-term care models, including continuing care communities.
Main Results:
- Significant changes in generational expectations regarding aging and care were identified.
- Continuing care communities serve the current older generation but face sustainability questions.
- Economic shifts pose challenges to providing future long-term care.
Conclusions:
- Societal structures for long-term care require adaptation to evolving generational needs and economic realities.
- Future elder care models must address the financial and experiential changes impacting aging populations.
- Intergenerational perspectives are crucial for understanding and reforming long-term care systems.
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