Rising Demand for Long-term Services and Supports for Elderly People

The aging population faces numerous issues, and they rely on healthcare practitioners to help them overcome them. Most studies and academic papers reveal that middle-aged people and older adults confront the same health-related issues (Siegler et al., 2015). Nonetheless, there are dangerous health issues that only affect the elderly and necessitate particular care therapies that do not impact the middle-aged population. Alzheimer's disease, dementia, and type 2 diabetes are examples of these difficulties. It is the job of gerontologists to create an environment that allows this aging population to live a healthy human life (National Association, 2011). The aged people require health care services to resolve the challenges accompanied by maturing and aging as will be discussed in this paper. The essay proposal depicts on the solutions to the problems faced by the older adults and their families.

Statement of the Problem

The world is forecast to a rapidly aging population in the few decades to come. Currently, the United States is recording a high number of the aging group to around 45.3 million people. The aged team is rapidly growing than the population increase in the area. Greenlee (2013) affirms that the anticipated figure for the old group in the United States and Canada is 25% of the entire population of the country by the year 2025. Nonetheless, these elderly populations come with many challenges facing the person. As mentioned in the introduction, there are numerous difficulties faced by the older adults unlike the middle-aged people and thus the need to have this proposal program in place to control the problem. It is out of these reasons that the idea of the creative solution to the aging group arouses to prevent the older persons from suffering the health care conditions of the aged people.


To enhance accessibility and availability of support and healthcare services to the older adults and the mature persons; especially those with the chronic illness and those in need of the palliative care.

To develop a positive and measurable change in the aged population's life quality.

Explore the more cost-effective means to deliver the first services needed by the middle-aged and old adults group.

Create programs and put systems in place to counter check on those underserved traditionally in the society; such as the economically disadvantaged group and the immigrant population.

Increase on the availability and efficiency of programs to keep the old aged persons at home and reduce on-time approach for their long-term institutional care.

Improve and maintain the quality of life for the aged population who are resistant to institutional long-term care.

Improve on how professional (nurses, physicians, and social workers) and the nursing aides care and handle the deliberate issues with the old aged population.

Research Question

Based on the literature review as displayed later in this paper, there will be four significant concerns in writing this proposal. First, it is hypothesized that gerontology issues are based on age difference and thus looking into a sample of the population attached to the old persons (Chaudhary et al., 2010). Second, factors surrounding the age group are hypothesized to contribute to the challenges facing the old age people. Third, it is speculated that the middle-aged and the old age group is vulnerable to life difficulties and care services are necessary for their growth. Finally, it is hypothesized that the existence of the elderly adults mostly depends on the care service received as deliberated by the programmed institution to cater for the person.


The culture of in the present days is shocking as it appears to increase vary on a daily basis. The Non-profit firms like the NGOs and other profitable organizations are at the task in response to the challenges resulting from aging to award best they can to the older adults. Healthcare institutions nowadays have concentrated in training their learners on geriatrics to meet the demanding forces in the societies. Also, mainstream other media services are focusing on the need to understand the old group as an organization of distinct and multifaceted stage in human life. However, with all these corporates in place, there is need to understand more about this old group, innovatively handle the challenges befalling them and by doing so; one need to implement on the staged proposals to solve the pending issues within this old population. Incorporating innovation, there is need to accept discussion about the topic of aging to ease the challenge which is the most challenging problem in this project (Brossoie et al., 2010).

In the youth-dominated country like the United States, matters to do with old adults and the mature persons are rarely mentioned as they are felt negatively biased. Brossoie et al. (2010) state that there needs to create a platform to dialogue on multi-generational matters and cross-cultural community issues aiming to 1) resolving a meaning to future life (including and not limited to the old adults). 2) Implement a culturally-competent and self-centered aged group through the provision of efficient service deliveries. 3) Conceptualizing the public's view on aging and dying. By use of the creative solution to the aging society, this project will form the base for reimbursement of confident in multicultural and multigenerational over the pro-aging future. The innovative solution to the deteriorating group will steam up in documenting and briefing on the safety measures to build in for the aging population; the practice will not only empower the younger generations but also, the older persons.

Literature Review

A tentative review of the literature depicts that old adults and the adult population connect to numerous challenges that require nursing care services. The individual program intends to explore the issues affecting these groups of persons and their families. The proposal encompasses the old adult's families, nurses, and physicians in a project set to cater for this lesser society and enable them to live a healthy life; there their views are essential and very assistive in the academic study. However, the essay coils it thesis around the transformation of the older aged population from the angle felt by the individual to communal difficulty. Indeed, circumnavigating the matter from an individual opinion and holding the discussions towards resolving the challenge as a society at large. Gerontology difficulties are an alarming problem in the United States in the present days and thus the need to cab the struggle before it grows wild (Barrios-Paoli, 2013). The aging challenges are becoming a burden the family members continuing to capture the community in the contemporary society.

Examination of the aged population in extended care homes is not a new phenomenon. The study happened in the previous periods of the classical sociological accounts; a considerable pool of knowledge showcased the various needs to attend to these populations. The restructuring of social facilities such as reconstructing of public health facilities, improvement of living standards and improved human personnel in healthcare retrieved the lost hope in these care institutions. Nevertheless, the idea concerning the aged groups is more conceptualized by the emerging of innovations about the aging population; although little emphasis still holds on the negative paints placed on the old adult group in the society. In the modern days, there emerged evolution in the social sciences challenging the notions painted to the aged population and reformulating assumptions accorded to the old people in the society (Dal Santo, 2009). Also, the research from the contemporary scholars depicts the emergence of the fourth age population that poses fear for the aged population. As a social human, their significant need to be shaped and natured by social, political and cultural discourses dividing the later life.

While explorations about the aged group transitions to healthcare home life shoot in the 1990s globally and continuously reduced; it is a contrast to the United Kingdom as the country is witnessing an increased population of the aged people. There is an expected increment of more than 1 out of 12 persons of the entire community is pronounced aged at 80 and over by the year 2039. The statistics from the previous research shows that 18.2% of the old group 85 years and above living in the residential care homes; with approximately 1.5 million people of 1.6 million population in the care home being 65 years of age and old (Thomas and Mor, 2013). Utilizing the portrayed statistical data of the anticipated aged persons in 2039 will be approximately 1, 126, 883 persons in the care homes. Regarding this analytical knowledge, it becomes apparent that lack of depth research and approach to the matter result to a relatively unpleasant life stage of the old adult and the middle-aged people who must be addressed in which the proposal finds the way.

Theoretical Framework

This proposal develops its root from the social theories of aging such as activity theory, continuity, age satisfactory and life course theories. According to these approaches, life is a continuous process that incurs maturing from the tender periods of childbirth to the entire times of living to death. Aging incorporates the social, biological and psychological process of change. Additionally, the aged assert their experiences from the cohort and timeframe effect accompanied to it. On reflecting the life course focus on how the society could look like when the all the norms and values attached to the aged population is lost, a result of the deinstitutionalization of the life course. These implications are the potential threat to the new difficulties of the old group in theorizing them in the postindustrial societies. Dramatic reductions in loss of lives for the aged population in these theories have proved it worth the population aging without mortality, morbidity, and complications of fertility thus aging in a new way. There is room for conceptualizing other age groups more so women. It is necessary to implement the proposal about these theories to end the menace of gerontology as resulted from the aged periods.

The following measures are vital for the implementation of the project proposal. For the project to succeed, their objectives must be adhered to by the corporate management as suggested below:

Targeted Group:

The essay proposal targets to implement its program by incorporating the adult population and the old aged group of persons.


The project shall compose a management staff comprised of the administration and the employees to spearhead the program. The department shall entail the human personnel with medical field qualifications involving the manager and the supervisor. The duo will work with other experts assigned to the project under their leadership. The employees to the plan will consist of the nurses, physicians, clinicians, and pharmacist. All the people in the project will be vetted on merit basis and must meet the required credits to work in the project implementations.


There will be a pre-service and in-service for the qualified persons to implement the program. The administration body will be trained on how to record, test and analyze data as given by the junior levels on the ground while implementing the project and in the future run of the program. The employees will undergo training on how to manipulate and manage the old group realize the importance of stay fit and visiting the home care institutions for further advise on their health conditions.

Monitoring of the Project:

The project under its implementation is subjected to several evaluations to tell on its effectiveness in before the completion and after completing the program. The employees on the ground will develop a report after every three months to update the administration on the progress of the project. The report submitted to the supervisor will be forwarded to the manager and tabled for discussions with all the stakeholders in presence over the continuity of the project.

Marketing of the Program:

Use of social media, corporate emailing, word-of-mouth, and recruitment via planned events and campaigns will work for the primary means of marketing the program of middle-aged and the old adult’s population. The generation gap distinct the internet users but the most popular group of the youth will learn about the program via the viral social media programs.

Meeting the Target:

Through active and practical implementations of the aligned plans in place, Creative Solution to the Ageing group will achieve the goals set for the program implementation. Also, acquisition of the monitoring report and reshuffling on the plans where necessary as captured in the study will help formulate a successful project.

Limitation/ Scope

In the attempt to assist the aged group population, facts and opinions matters concerning the individuals must remain private as it is a right for every person. The issue with people's privacy makes it difficult to implement the program as most families do not free will to let their person join the program. The aged population especially men gender due to privacy measures find it hard to cope with care home facilities and opt to suffer alone in their residential homesteads. The multi-layered project as this at hand calls for additional attention to ethical issues and legal framework as well as considerations of the population’s cultural norms to implement the project. For safety measures on privacy, every individual in the care plan will be consolidated in privacy with the only accepted member of the family in presence by the victim. To serve the cultural purpose of formulation, the interviewer(s) and the care plan professionals in place will have to learn some cultural background of the community they are dealing with before reacting to the population.

Methodological Framework/ Methods

Having satisfied the research related to this topic and population, it is essential to tell on the means possible for the accomplishment of the program. Due to the nature purposed in the research, an inductive qualitative method used in gathering information about the project proposal. Furthermore, the research approach is based suitable in exploring a complicated fact overview about the aged population and the challenges the care plan is facing. Through the reading of the written theoretical findings, an individual can gunner more knowledge about these group of the middle-aged and the old adults under the research (Colello, 2010). To generate viable data for the project, an ethnographic immersion in the social milieu through the semi-structured discussions; the voluntarily willing population were involved and considered an essential method for the project. The approach is deemed fit mainly by emphasizing in preliminary figures in the program that requires both the individual's situation in joining the residential home care services and the person's experience in old age care programs.

Semi-structured interviews provide for fluidity level that allows the researcher to continually fine-tune the targeted population in the emerging themes; maintaining a great sense of reliability between the different persons examined. The first interview will capture the person’s biographical details, residency information, conditions in the surrounding and their view on home care services. The second meeting will come after one month and examine the same person in detail. The essence of breaking to the interview is to allow for familiarity from the community and create the confidence of privacy. Qualitative method is quite simple to use, and no statistical figures are involved thus easing on resistance from the society on fear of engaging in numbers concerning their welfare.

Work Plan

The project in preference intends to capture the old and middle-aged persons in the society. The program set primarily focuses on how to benefit the middle-aged and old adult population in the community. However, the project is beneficiary to the minor and youth generations as well. These young individuals will gain knowledge about the old lifestyle and what it means to be aged in the society. The project intends to open centers for the care of the old and the aging in the residential boundaries. The aging population will walk to these institutions and get serviced at toll-free services. Through the program, families and close friends to the old group will be relieved from the rhetorically termed ‘burden.' Although home care is not a health care institution, they will be managed by the healthcare personnel and will easily monitor on the health conditions of the present members and alert the management for quick action where they feel further care and treatment is necessary. The project will follow the timeframe given below:

Periodic Timeframe


Jan- Mar

April- July

Aug- Oct

Homing Proposal


Proposal Writing

Program Design


Program Implementation


The temporary budget retrieved from the statistical budget of the United States on the old aged person (Congressional Budget, 2013)

The proposed project implementation seek for a funding amounting to $99000

Construction of 3 residential homecare centers $10000 per home equaling $30000

Equipping the three residential homecare centers $1000 per household equaling $3000

Employees in the three homecare centers $6000 per head p.a equaling $18000 p.a

Project manager fees in the 3 homecare $12000 per head p.a equaling $36000 p.a

Transportation fees in the 3 homecare $12000 per year


The study is expected to engage in three fields to the involved area of old adult’s education and gerontology. First, the proposed project will facilitate the expanding of the public and old aged person’s knowledge on self-learning about aging. As much about self-learning is revealed in the project implementation, it will be necessary to understand what aging is all about and what the impacts of aging on the society are. The proposed project categorized as such a piece of the puzzle. Secondly, the project implementation happens to be the first to utilize the SDLRS in resolving the challenges among the aging in the society. The aging group in most cases overlooked in the community, and the proposed program intends to widen the ordeal and create a correct understanding of these groups. Finally, the end issue of implementing the program is safe and quality life. The project will develop ways in which education can positively work towards building a well-known aging means full of joy and reluctance. While the whole process looks enormous in implementing, the proposed project could prove decisive if all the objectives and plans held in steps of implementation.


Barrios-Paoli, L. (2013). “NYC Department for the Aging Annual Plan Summary”: NYC Department for the Aging, http://www.nyc.gov/html/dfta/downloads/pdf/dfta/dfta_aps_sept1314.pdf.

Brossoie, N., Robert, K. A., Willis-Walton, S. & Reynolds, S. (2010). “Report on Baby Boomers and Older Adults”: Information and Service Needs, Virginia Polytechnic Institute and State University, Blacksburg, Va, USA, [View Psyclnfo].

Chaudhary, N., Vyas, A. & Parrish, E. B. (2010). "Community-Based Organizations Addressing South Asian American Health": Journal of Community Health, Vol. 35, no. 4, pp. 384-391, [View at CINAHL]

Colello, K. J. (2010). “Older Americans Act”: Title III Nutrition Service Program, http://s3.amazonaws.com/zanran_storage/aging.senate.gov/ContentPages/1112032523.pdf.

Congressional Budget Office (2013). “Rising Demand for Long-term Services and Supports for Elderly People,” http://www.cbo.gov/publication/44363.

Dal Santo, T. S. (2009). “Senior Center Literature Review, Reflecting and Responding to Community Needs”: California Commission on Aging, Sacramento, Calif, USA, http://www.calseniorcenters.org/Literature_Review.pdf.

Greenlee, K. (2013). “Administration on Aging”: FY 2012 Report to Congress, Washington, DC, USA, http://www.acl.gov/NewsRoom/Publications/docs/AOA_2012_AnnualReport.pdf.

National Association of Area Agencies on Aging, (2011). “The Maturing of America- Communities Moving Forward for an Aging Population”: National Association of Area Agencies on Aging Washington, DC, USA, http://n4a.membershipsoftware.org/files/Maturing_of_Ameria_ll.pdf.

Siegler, E. L., Lama, S. D., Knight, M. G., Lauteano, E. & Reid, M. C., (2015). “Community- Based Supports and Services for Older Adults”: A Primer for Clinicians. Retrieved from Web 8, 2017, https://www.hindawi.com/archive/2015/678625/

Thomas, K. S. & Mor, V. (2013). “The Relationship Between Older Americans Act Title III State Expenditures and Prevalence of Low-care Nursing Home Residents": Health Services Research, Vol. 48, no. 3, pp. 1215-1226, [View at CINAHL]

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