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Housing, Long Term Care and Assisted Living
Long Term Care Needs in the 21st Century
Long-term care is hands-on assistance provided to people who need help with fundamental daily activities such as bathing or eating, over a substantial period of time. This type of assistance is labor intensive and is provided by family, friends, and volunteers, as well as by hired personnel.
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Family Caregiving and Long-Term Care
Family caregivers are the backbone of the long-term care system in the United States. They provide about 80 percent of the care for people who need help with daily activities, such as bathing and dressing, taking medications, and paying bills. This form of care is generally unpaid compared to caregiving services from paid workers.
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Gender Differences: Do Men and Women View Long-Term Care Differently?
The MetLife Mature Market Institute and AARP Health Care Options sought to examine older Americans’ preferences, expectations, and preparation for long-term care, and to explore any gender differences in these factors. In a survey conducted by Mathew Greenwald & Associates, researchers submitted an online survey to a demographically balanced sample of panel members ages 50 and older.
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Long Term Care Assisted Living Source Book
Long term care is reinventing itself as providers strive to meet the diverse needs of the country's growing elderly population. As part of this effort, assisted living services have grown rapidly to meet the demand for care that maximizes individual choice and independence. With this fifth edition of Facts and Trends: The Assisted Living Sourcebook, the National Center for Assisted Living takes another step toward describing the residents and services that define assisted living.
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Who Pays for Long-Term Care?
About 10 million Americans need long-term care.1 Long-term care refers to the assistance and services provided to people who are limited in their ability or unable to perform basic activities, such as bathing or dressing, because of chronic illness or disabling conditions. Most people with long-term care needs rely heavily on unpaid help from family and friends. Still, spending for long-term care services is substantial.
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Long Distance Caregiving
Family care from a distance is a fact of life for millions of Americans. Living at a distance from an aging parent or grandparent can make care provision a complex and difficult challenge. And, for many of those who are caring at a distance, these challenges affect not only the personal activities of the care providers, but their work and career as well. In 2004, the MetLife Mature Market Institute and the National Alliance for Caregiving undertook a survey of long-distance caregivers to examine these challenges.
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Long-Term Care Insurance
The number of individuals purchasing long-term care insurance has grown dramatically in recent years. The market grew an average of 18 percent each year between 1987 and 2001. Insurance policies sold included individual, group association, and employer-sponsored policies as well as riders to life insurance policies that accelerate the death benefit for long-term care.
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A Flexible Workforce
Flexible work arrangements are an important part of today’s employment marketplace. They accommodate a wide range of practices and lifestyles, including temporary work, employee leasing, self-employment, contracting, home-based work and part-time work.
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Caregiving in the Workplace
As parents and loved ones age, many employees find themselves in the role of caregiver to their aging family members. This caregiving role may interfere with their role as employee- through absenteeism, early departure from work, late arrival to work, personal phone calls, and emotional distraction.
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Technology and an Aging Workforce
This paper discusses the effects of America’s aging workforce on business growth and productivity and illustrates how accessible technology can equip employers and mature workers to face the challenges posed by this demographic trend.
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The Employment Policy Foundation
America’s workforce is currently facing increased responsibilities in their efforts to balance their work and family commitments. Demographic shifts have left the heart of America’s workforce–the “Baby Boom” generation–caring for their aging parents and their children at the same time. As Americans live longer, the need for eldercare will continue to grow.
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Working Caregivers
Some working caregivers find care giving a minor interlude that has positive consequences for them personally as a result of the satisfaction they experience from helping a loved one. Others discover that care giving is a complicated and difficult set of tasks that require not only personal sacrifices, but professional sacrifices as well. And others find that they cannot be successful in all parts of their lives, and their relationships, health or personal activities suffer as a result.
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Health and Safety Issues in an Aging Workforce
Along with the population as a whole, the labor force is aging. Even without a concerted effort on the part of policymakers or employers to promote longer work-lives, the number of middle-aged and older persons in the labor force will grow as the 76 million baby boomers move into and through their 40s, 50s, and 60s.
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Employer's Health Plan Cost Drivers
An informative pie-chart that clearly shows the key drivers of employers' health plan costs.
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Boomers Envision Their Retirement: An AARP Segmentation Analysis
The Baby Boom generation- the cohort of Americans born between 1946 and 1964- has long commanded the attention of demographers, politicians, marketers, and social scientists. Seventy-six million strong, Baby Boomers represent the largest single sustained growth of the population in the history of the United States. As the oldest of the Baby Boomers, now 52, approach later adulthood, they are again poised to redefine the next stage, retirement.
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Alzheimer’s Cost to U.S. Business
An estimated 4 million Americans have Alzheimer's disease, which causes steady decline in memory and other major cognitive impairments. Eventually, people with Alzheimer's become unable to care for themselves. In 70% of the cases, it is family members (spouses and adult children) who provide most of the round-the-clock care that the person with Alzheimer's needs.
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A Profile of Older Americans
The older population--persons 65 years or older--numbered 35.0 million in 2000. They represented 12.4% of the U.S. population, about one in every eight Americans. The number of older Americans increased by 3.7 million or 12.0% since 1990, compared to an increase of 13.3% for the under-65 population. However, the number of Americans aged 45-64 – who will reach 65 over the next two decades – increased by 34% during this period.
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Medicaid and an Aging Population
Medicaid long-term care costs in 2002 were $84.7 billion, or 34 percent of total Medicaid expenditures. About half of Medicaid long-term care spending is for the elderly; the rest goes for services to non-elderly disabled people, especially people with developmental disabilities.
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Older Americans: Key Indicators of Well-being
Americans age 65 or older are an important and growing segment of our population. Many Federal agencies provide data on various aspects of the challenges confronting older Americans. Because these data come from multiple agencies, it is sometimes difficult to understand how this group is faring overall. In light of the anticipated growth of this segment of our population, it is increasingly important for policymakers and the general public to have an accessible, easy to understand portrait that shows how older Americans are doing.
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Health Care Costs 101
A good collection of charts and graphs explaining health care costs and shows other useful information.
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Older Drivers
As individuals age, changes in vision, physical strength and cognition can contribute to a loss of self-confidence and ability to operate a motor. Some older adults equate the prospect of losing one’s drivers license as a loss of independence and personal freedom. Faced with this choice, some older adults risk personal injury rather than give up their driver’s license.
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Survey of Fifteen States' Caregiver Support Programs
Family members and other informal caregivers are the backbone of our long term care system, providing largely unpaid assistance to loved ones with chronic illnesses or disabilities. An estimated one in three Americans, or about 52 million persons, care each year for one or more ill or disabled family members or friends of all ages (U.S. Department of Health and Human Services, 1998). The caregiver role results in enormous emotional, physical and financial hardships, even though it is willingly undertaken and often a source of great personal satisfaction.
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Caregiver resources are provided by FamilyCare America and have been nationally recognized by:
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This handy guide provides resources, checklists and worksheets
- all in one place.

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