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Research Paper  The purpose of this assignment is to write a research paper examining a contemporary issue related to health and aging. Your final paper will include the following: 1) A clear thesis statement of your chosen topic 2) A discussion of why the topic is important (significance, relevance) 3) A summary of who is affected by your issue (populations, prevalence, other related statistics) 4) A discussion of the historical context of your issue. When did the issue first become something of concern? How has it evolved over time? 5) A discussion of the current research on the topic (literature review)  6) A discussion of the role that public policy plays or could play in addressing this topic? 7) Future trends or recommendations to address the issue This assignment is staged in a seven-step process. Specific steps of the assignment will be due each week throughout the course to help keep you on track. The steps of the assignment are: select a topic, create a reference list, write an annotated bibliography, develop a thesis statement and paper outline, write a first draft, receive feedback and make revisions, and submit a final draft. Your grade for the research paper will be broken down as follows:  Step Due Points Possible 1: Topic selection End of week 1 2: Reference list End of week 2 3: Annotated bibliography End of week 3 10 4: Thesis statement and outline End of week 4 5: First draft End of week 5 20 6: Turnitin.com report End of week 6 7: Final draft End of week 7 50 Total 100 points             Length and APA Format The final paper should be 6 -8 pages in length, and will follow APA format (6th edition, 2009). It should be double-spaced with 12 point font, not including tables or the reference list or title page. It should have a running head, page numbers, and 1” margins. The final paper should include a title page, an introduction, a thesis statement, a body, a conclusion and a reference list.  To facilitate the feedback process, submit your paper in .doc, .docx, .txt, or .rtf format. Please do not submit as a .pdf. Readability Your paper should use correct grammar, effective topic sentences and transitions, an organized and clear flow, very limited use of quotations, and synthesis of information using your own words. It should use in-text citations to incorporate references.  Citation and Reference Style Your paper should be written in APA style (6th edition, 2009). For more details on APA formatting and online database citations, see http://sites.umuc.edu/library/libhow/gethelp-citing.cfm Sequence The research paper assignment will be stages in the following seven smaller steps throughout the course. THE TITLE OF THE RESEARCH PAPER SHOULD BE INCLUDED IN ALL STEPS WHICH ARE SUBMITTED Step 1: Select a topic for your paper. The paper topic should be an issue related to health and aging. Post your topic to the discussion area in Week 1.  Step 1 Grading Rubric (up to 5 points) Criteria Meets Expectation Partially Meets Expectation Does Not Meet Expectation Not Acceptable or Missing Topic Selection Topic is related to both health and aging (3 points) Topic is related to health or aging, but not both (2 points) Topic is not related to health or aging (1 point) No topic selected (0 points) Submitted on Time Submitted by the deadline (2 points) Submitted after the deadline (0 points) Step 2: Create a reference List. Locate 10 recent articles, book chapters, and/or Web sites on the topic, and create a reference list using APA format. All sources must be credible, and at least 5 must be scholarly. Sources must have been published in the last five years. Examples of appropriate sources are scholarly professional journals, as explained at https://sites.umuc.edu/library/libhow/articles.cfm  No more than two websites may be used, and they must be evaluated for trustworthiness using the guidelines  at https://sites.umuc.edu/library/libhow/articles.cfm#evaluatingfulltext Feel free to ask a librarian at UMUC for research help at https://sites.umuc.edu/library/libhow/  Note: Your final paper may include additional references that may be older (e.g. seminal works), and you may include information from additional credible websites, but for this assignment, follow the criteria listed above, and use the grading rubric below to guide your work. Submit your reference list to the Assignments tab at the end of Week 2.  Step 2 Grading Rubric (up to 5 points) Criteria Excellent Good Fair Poor Not Acceptable or Missing Use of current sources All 10 sources published within the past 5 years (1 points) 8-9 sources published within the past 5 years (.75 points) 5-7 sources published within the past 5 years (.5 points) Less than 5 sources published within the past 5 years (0.25 points) No sources published within the past 5 years (0 points) Use of credible and scholarly sources All sources are credible -and- At least 5 are scholarly -and- Not more than 2 websites (2 points) 8-9 sources are credible -and- At least 4 are scholarly -and- Not more than 2 websites (1.5 points) 5-7 sources are credible -and/or- At least 2-3 are scholarly -and/or- Lists 3-4 websites (1 point) Less than 5 sources are credible -and/or- Less than 2 scholarly sources -and/or- Lists more than 4 websites (0.5 points) No scholarly sources -and/or- No scholarly sources -or- No submission (0 points) References in APA format References correctly listed in APA format with few or no errors (2 point) References listed in APA format, but with several minor errors (1.5 points) References listed in APA format, but with several major errors (1 point) Reference list is not formatted (0.5 points) No reference list submitted (0 points) Step 3: Write an annotated bibliography. Each citation in your reference list should be followed by a brief (usually about 100-200 words) descriptive and evaluative paragraph explaining how this source will help to develop your paper. For more information on creating an annotated bibliography, visit: http://www.library.cornell.edu/olinuris/ref/research/skill28.htm .  Submit your annotated bibliography to the Assignments folder by the end of Week 3.  Step 3 Grading Rubric (up to 10 points) Criteria Excellent Good Fair Poor Not Acceptable or Missing Score for each annotation (x10) Well-written summary -and- Appropriate length (about 100-200 words) -and- Includes evaluative comment about how the source will be used to develop the final paper (1 point for each source) Good summary with one or two minor details missing -and- Appropriate length (about 100-200 words) -and- Includes evaluative comment about how source will be used, but some details are needed (.75 points for each source) Fair summary with one or two major details missing -and/or- Less than 100 words or significantly more than 200 words -and/or- Includes evaluative comment about how source will be used, but many details are needed (.5 points for each source) Poor summary that does not summarize the source or is very difficult to read -and/or- Less than 100 words or significantly more than 200 words -and/or- Does not include evaluative comment about how source will be used (0.25 points for each source) Summary is unintelligible or missing (0 points) Step 4: Formulate a thesis statement and an outline for your paper. Create a paper outline using the following format: Research Paper Title  I. Introduction: Grab attention, relate importance to health and aging, and present a focused thesis statement.  II. Body: Main points and articles your will use to support your point.  A.    Main point 1 (reference 1: author’s name, year; reference 2: author’s name, year;…) B.    Main point 2 (reference 1: author’s name, year; reference 2: author’s name, year;…) C.    Main point 3 (reference 1: author’s name, year; reference 2: author’s name, year;…) D.    Etc.  III. Conclusion: Wrap up your paper with a brief summary of your main points. For tips on how to write a strong introduction and conclusion, as well as a link to UMUC’s online writing guide, visit the Effective Writing Center at:  http://www.umuc.edu/current-students/learning-resources/writing-center/writing-resources/parts-of-an-essay/ Submit your thesis statement and outline to the Assignments Folder by the end of Week 4.   Step 4 Grading Rubric (up to 5 points) Criteria Excellent Good Fair Poor Not Acceptable or Missing Thesis Statement Strong, well-written thesis statement. Topic is clear and focused. (2 points) Good, mostly well-written thesis statement. Topic is mostly clear and focused, but missing minor detail. (1.5 points) Fair thesis statement. Topic may need some additional clarification but is mostly understandable. (1 point) Poor thesis statement. Topic is very unclear and unfocused. Needs more work. (0.5 points) Statement is completely unintelligible -or- No thesis statement (0 points) Organization of Outline Outline is well-organized. Flow of paper is logical. Main points are specified and addressed. (2 points) Outline is mostly well-organized. Flow of paper is mostly logical, but may need some minor adjustments. Main points are specified and addressed, but may need additional detail. (1.5 points) Outline is somewhat organized. Flow of paper is a little disjointed and needs some minor adjustments. Some main points may be missing, but most are present. (1 point) Outline is not organized. Flow of paper is disjointed or unclear and needs major adjustments. Several main points are missing (0.5 points) Not in outline format -or- No submission (0 points) Conclusion Strong conclusion statement summarizing main points (1 point) Good conclusion statement summarizing most of the main points, but with 1-2 minor omissions (.75 points) Fair conclusion statement summarizing some of the main points, but with 1-2 major omissions (.5 points) Poor conclusion statement that fails to summarize the main points (0.25 points) Conclusion is unintelligible -or- No conclusion statement (0 points) Step 5: Write a 6-8 page first draft of your paper, including the following: Title page: Provide the title of the paper, your name, and the course and section Introduction: Grab attention, relate importance to health and aging, and present a focused thesis statement Body: Identify and develop each of the following main points in an organized, clear manner, using in-text citations. 1) A clear thesis statement of your chosen topic 2) A discussion of why the topic is important (significance, relevance) 3) A summary of who is affected by your issue (populations, prevalence, other related statistics) 4) A discussion of the historical context of your issue. When did the issue first become something of concern? How has it evolved over time? 5) A discussion of the current research on the topic (literature review)  6) A discussion of the role that public policy plays or could play in addressing this topic? 7) Future trends and recommendations to address the issue Conclusion: Wrap up your paper with a brief summary of your main points. Reference list: Incorporate revisions from Step 1  APA Formatting: Running head, page numbers, 1” margins, double spaced Submit your draft to the Assignments tab by the end of Week 5.  Step 5 Grading Rubric (up to 20 points) Criteria Excellent Good Fair Poor Not Acceptable or Missing Introduction (2 points) Excellent thesis statement. Excellent statement of the significance and relevance of the topic. (2 points) Good thesis statement. Good statement of the significance and relevance of the topic, with 1-2 minor details missing. (1.5 points) Fair thesis statement. Statement of the significance and relevance of the topic is missing several minor or 1-2 major details. (1 point) Poor thesis statement. Difficult to understand or insufficient statement of the significance and relevance of the topic. (.5 points) Introduction is unintelligible -or- No introduction (0 points) Impact on population (2 points) Excellent discussion of how population is impacted by the issue. Includes relevant data and statistics. (2 points) Good discussion of how population is impacted by the issue. Includes some relevant data and statistics, but missing in minor details. (1.5 points) Fair discussion of how population is impacted by the issue. Missing some important relevant data and statistics. (1 point) Poor discussion of how population is impacted by the issue. Missing important relevant data and statistics. (.5 points) Response is unintelligible -or- No discussion of impact on population (0 points) Historical Context (2 points) Excellent and comprehensive discussion of the historical context of health issues and changes over time (2 points) Good discussion of the historical context of health issues and changes over time, with 1-2 minor details missing (1.5 points) Fair discussion of the historical context of health issues and changes over time, with several minor details missing (1.0 point) Poor discussion of the historical context of health issues and changes over time, with major details missing (.5 points) Response is unintelligible -or- No discussion of historical context (0 points) Current research (6 points) Excellent incorporation of at least 10 recent, credible and relevant sources which examine current research. Sources are primarily scholarly academic sources and examine social determinant effects. (6 points) Effectively incorporates 8-9 recent, credible and relevant sources which examine current research. May have 1 or 2 nonacademic sources, but uses a number of scholarly academic sources. (5 points) Effectively incorporates 5-7 recent, credible and relevant sources which examine current research. May have 1 or 2 nonacademic sources, but uses a few scholarly academic sources. (4 points) Effectively incorporates 1-4 recent, credible and relevant sources which examine current research. May rely almost exclusively on nonacademic sources. (3 points) Does not incorporate any recent, credible and relevant sources that examine current research -or- No discussion of current research (0 points) Role of Public Policy (2 points) Excellent and comprehensive discussion of the role that public policy plays in relation to the topic (2 points) Good discussion of the role that public policy plays in relation to the topic, with 1-2 minor details missing (1.5 points) Fair discussion of the role that public policy plays in relation to the topic, with several minor details missing (1.0 point) Poor discussion of the role that public policy plays in relation to the topic, with major details missing (.5 points) Response is unintelligible -or- No discussion of the role of public policy (0 points) Future Trends and Recommendations (2 points) Excellent and comprehensive discussion of future trends and recommendations (2 points) Good discussion of future trends and recommendations, with 1-2 minor details missing (1.5 points) Fair discussion of future trends and recommendations, with several minor details missing (1.0 point) Poor discussion future trends and recommendations, with major details missing (.5 points) Response is unintelligible -or- No discussion of future trends and recommendations (0 points) Writing Quality (2 points) Very well-written. There are no mechanical or grammatical errors. (2 points) There are very few mechanical or grammatical errors. (1.5 points) There are several mechanical or grammatical errors. (1 point) There are many mechanical or grammatical errors. (.5 points) Response is unintelligible -or- No submission (0 points) APA Citations and Formatting (2 points) There are no errors in APA citation or formatting (2 points) There are 1-2 errors in citation or formatting. (1.5 points) There are several errors in citation or formatting. (1 point) There are many errors in citation or formatting. (.5 points) Citations are missing -and/or- No attempt at formatting (0 points)   Overall Score Excellent18 or more Good16 or more Fair14 or more Poor 0 or more Step 6: Revise and receive feedback. Submit your paper to www.turnitin.com so your paper can be evaluated for plagiarism and originality*. When using Turnitin.com, submit your paper without the reference list, as this artificially inflates the plagiarism score. If you receive a plagiarism score of 10% or higher, complete the academic integrity tutorial at: https://www.umuc.edu/current-students/learning-resources/academic-integrity/tutorial/index.cfm.  Remember that plagiarism – both intentional AND unintentional – constitutes academic dishonesty and is reportable to the Dean’s Office. Students found guilty of plagiarism face sanctions which may include suspension or expulsion from the university.  UMUC has a license agreement with Turnitin.com, a service that helps prevent plagiarism from Internet resources. I may be using this service in this class by either requiring students to submit their papers electronically to Turnitin.com or by submitting questionable text on behalf of a student. If you or I submit part or all of your paper, it will be stored by Turnitin.com in their database throughout the term of the University’s contract with Turnitin.com.  *If you object to the temporary storage of your paper in the Turnitin.com database, you must let me know no later than two weeks after the start of this class. Please note: If you object to the storage of your paper on Turnitin.com, I may utilize other services to check your work for plagiarism. Submit the Turnitin.com report to the Assignments tab by the end of Week 6.   Step 6 Grading Rubric: (up to 5 points) Criteria Meets Expectation Not Acceptable or Missing Submitted on Time Submitted by the deadline (2 points) Submitted after the deadline (0 points) Step 7: Final draft: Revise your paper based on feedback from Turnitin.com. Submit your final draft to the Assignments tab by the end of Week 7.  The final grade uses the same rubric as in Step 5, but with different point values. Step 7 Grading Rubric: (up to 50 points) Criteria Excellent Good Fair Poor Not Acceptable or Missing Introduction (5 points) Excellent thesis statement. Excellent statement of the significance and relevance of the topic. (5 points) Good thesis statement. Good statement of the significance and relevance of the topic, with 1-2 minor details missing. (4 points) Fair thesis statement. Statement of the significance and relevance of the topic is missing several minor or 1-2 major details. (3 point) Poor thesis statement. Difficult to understand or insufficient statement of the significance and relevance of the topic. (2 points) Introduction is unintelligible -or- No introduction (0 points) Impact on population (5 points) Excellent discussion of how population is impacted by the issue. Includes relevant data and statistics. (5 points) Good discussion of how population is impacted by the issue. Includes some relevant data and statistics, but missing in minor details. (4 points) Fair discussion of how population is impacted by the issue. Missing some important relevant data and statistics. (3 point) Poor discussion of how population is impacted by the issue. Missing important relevant data and statistics. (2 points) Response is unintelligible -or- No discussion of impact on population (0 points) Historical Context (5 points) Excellent and comprehensive discussion of the historical context of health issues and changes over time (5 points) Good discussion of the historical context of health issues and changes over time, with 1-2 minor details missing (4 points) Fair discussion of the historical context of health issues and changes over time, with several minor details missing (3 point) Poor discussion of the historical context of health issues and changes over time, with major details missing (2 points) Response is unintelligible -or- No discussion of historical context (0 points) Current research (15 points) Excellent incorporation of at least 10 recent, credible and relevant sources which examine current research. Sources are primarily scholarly academic sources and examine social determinant effects. (15 points) Effectively incorporates 8-9 recent, credible and relevant sources which examine current research. May have 1 or 2 nonacademic sources, but uses a number of scholarly academic sources. (12 points) Effectively incorporates 5-7 recent, credible and relevant sources which examine current research. May have 1 or 2 nonacademic sources, but uses a few scholarly academic sources. (9 points) Effectively incorporates 1-4 recent, credible and relevant sources which examine current research. May rely almost exclusively on nonacademic sources. (6 points) Does not incorporate any recent, credible and relevant sources that examine current research -or- No discussion of current research (0 points) Role of Public Policy (5 points) Excellent and comprehensive discussion of the role that public policy plays in relation to the topic (5 points) Good discussion of the role that public policy plays in relation to the topic, with 1-2 minor details missing (4 points) Fair discussion of the role that public policy plays in relation to the topic, with several minor details missing (3 point) Poor discussion of the role that public policy plays in relation to the topic, with major details missing (2 points) Response is unintelligible -or- No discussion of the role of public policy (0 points) Future Trends and Recommendations (5 points) Excellent and comprehensive discussion of future trends and recommendations (5 points) Good discussion of future trends and recommendations, with 1-2 minor details missing (4 points) Fair discussion of future trends and recommendations, with several minor details missing (3 point) Poor discussion future trends and recommendations, with major details missing (2 points) Response is unintelligible -or- No discussion of future trends and recommendations (0 points) Writing Quality (5 points) Very well-written. There are no mechanical or grammatical errors. (5 points) There are very few mechanical or grammatical errors. (4 points) There are several mechanical or grammatical errors. (3 point) There are many mechanical or grammatical errors. (2 points) Response is unintelligible -or- No submission (0 points) APA Citations and Formatting (5 points) There are no errors in APA citation or formatting. (5 points) There are 1-2 errors in citation or formatting. (4 points) There are several errors in citation or formatting. (3 point) There are many errors in citation or formatting. (2 points) Citations are missing -and/or- No attempt at formatting (0 points)   Overall Score Excellent45 or more Good40 or more Fair35 or more Poor 0 or more
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Running head: GROWING DEMAND FOR AGING CARE 0 Growing Demand for Elderly Care and Its effects on Society Flora Boateng-Sampong Gero 302 6380 Prof. Diana Torrez Growing Demand for Elderly Care and Its effects on Society Introduction: Biological perspective describes aging as the accumulation of a wide variety of molecular and cellular damage over time. The United States and other countries experiencing population influx on baby boomers need to prepare well in order to address consequences of demographic trends through health promotion and disease prevention at the community level as well as disease management strategies within their healthcare system. These strategies are important because it improves the quality of life for the aging population and lower rate of cellular damages. The achievement outcomes of these strategies will come at cost inflicting both government and families and public health at large. The family care reduces the rate of isolation, and provide a unique insight into issues of family relationship and effects of treatments decision. However, despite improving quality of life to patients through healthcare strategies, families are affected at large extent emotionally, financially, affecting the family relationship, education and work, leisure time and social activities. This last statement is the thesis? Discussion of the issues, relevance, trend and how it evolved The demand for elderly care is important for the aging population because it will help elderly age gracefully free from illness. The primary care helps in diseases management and prevention which is attributed by aging cells over time. The primary cares make it possible for the families to live with their loved one and be able to take care of them during their last day. This will promote social interaction and family units. Still, family care, especially in some culture, is essential in providing care for young one which gives the elderly a chance to live with their grandchildren. The medical practitioner through family care they can be able to get the right information about patient care??unclear. The population that which is highly affected by primary care and family care include public health, families, children in positive? and women who have to sacrifice their career and time to take care of their loved one. This is a major point of concern because it indicates stereotyping?unclear to women at midlife which results in midlife crisis. The Blomqvist, & Busby, 2014, research reveal when elderly reach 65 years of age some lose physical capacity even though not to all patients will lose physical age at 65 because some will have health aging depending on how they can access quality care and stress level and how they seek medical attention which is largely attributed by social factors for example rate of poverty and inclusivity in the healthcare system. The history and growth of elderly care can be attributed to technological development and growth in preventive measures. The rising in population shares of the elderly is driven by a decline in morality along with fertility rates and the trend changed with time due to increase in individual awareness to healthy and changes in healthcare policy that made it possible for people to Acces care. To make it possible for the old population to achieve this kind of aging there must be policies in place that makes it possible to achieve positive trajectories of aging. The healthcare system and improvement in treatment and technology have impacted the growing population of elderly because now people have easy access to medication hence people can seek preventive care on time before any illness can interfere with individual physical and mental capacity. Advancement in the use of technology and Aaccountable care make it possible for elderly for the provider of health to collaborate in order to provide quality of care to the patient and make it easy to access less costly care. (source?) The patient doesn’t need to visit their usual hospital instead they can visit any facility and the practitioners are able to access real-time medical history which reduces chances of medical duplication or errors hence making the patient save on the cost of medical care. The Medicaid, Medicare and affordable care policy make it possible for patients young and old to be able to access care when they need.?? Only in theory, not in reality This has contributed to the population growth because to decline in mortality rate??. Due to that trend and families aspiration to make their loved one live better the need to provide quality care became the main point of concern that led to the increase in demand elderly care. This is a general summary of the growth of the elderly population, but you do not discuss the history of care of the elderely whch is the thesis. Source? Literature review The aging? is the process attributed by gene, biological issues for example weakening of immune system and loss of cell over time as well as environmentally modulated. The environment where an individual is brought up might determine how long an individual might live and any chance of getting a chronic illness. Aging results from the impact of the accumulation of a wide variety of molecular and cellular damage over time. Due to an aging individual lose physical and mental capacity leading to the growing risk of diseases and timely deaths. The changes are inevitable in the long term even through individual might alter the changes through physical exercise and other activities that make one live longer. (source?) The normal aging is influenced by individual factors, habits and behavior, aging-related changes, genetic factors and developing diseases. The environmental factors also play a role in healthy aging due to householder environment, assistive technologies, transportation, and social facilities. Other factors that result to increased aging include effects of chronic illness, malnutrition for example wasting or obesity, respiratory disease such as influenza, pneumonia, neurological disease such as stroke, Parkinson disease, and other illness that speedup individual aging process abnormally. There is great diversity in the population of aging where their those who are 80 years old but still physically and mental capacity is okay as compared to those at youth level. Despite the growing population of the aging population their? other concerns that are increasing to the elderly population that warrants access to community care or primary and still family care in order to make the elderly age gracefully. As per the Baider, & Surbone (2014) research, by 2030 approximately 70 percent of those above 65 years of age will be diagnosed with cancer. Therefore, the elderly will need primary care to provide preventive Medicare care and home care a way of ensuring they can spend better last days with their families. Providing early care is an essential point because it ensures the elderly are able to receive quality care and they can age gracefully. Research conducted by Baider, & Surbone (2014) reveal that growing population demand for care affected the hospital facilities. The rise in number will affect the number of caregivers because the elderly population will demand quality care from their family and primary care which will increase demand for the nurse. Blomqvist, & Busby, (2014), research reveal that demand for long term care is low but after attaining the age of 80 the demand will rise when the elderly lose their physical abilities. As per the Blomqvist, & Busby, (2014), the demand for long-term care will triple in the next 40 years and this will be attributed by a growing number of an aging population. More people will live longer and that require the public sector to expand in order to accommodate the growing population of elderly seeking medical care. Due that growthth?, Crisp, & Chen, (2014), argued that it will have the effect of a severe shortage of health professional that exerts pressure on the healthcare system, the roles of healthcare professional and design of healthcare professional education. This means that not only the healthy care will be affected due to a shortage of nurses but new skills will be needed that would provide care for the elderly. Angel, Vega, & López-Ortega, (2017) research reveal that the growing demands which is expected to take place in the next fifty years will have significant effects to the health care and social security hence increasing dependency on the retiree on the working age population. This will be attributed by early retirement for those who will have to leave jobs for the medical reason as a result of cancer or diabetes and this will mean that the working population will have to cater for medical bill for their elderly if they will have depleted their insurance due to medical cost. Spetz, Trupin, Bates, & Coffman, (2015) predicted that there will be major looming crisis in the labor force if there is rise in elderly population because there will be increased demand for long term healthcare workers even though the population of nurses is shrinking due to poor pay and other contributing factors for example discrimination, job pressures and stereotyping especially for men. As per Pickard, (2015), family care is on the rise to complete the gap and demand for specialized care. The family Family caregiver of older adults suffers a high burden of care and struggle with balance jobs and caregiving task. The federal family and medical leave act (FMLA) did not provide equal access to paid leave which greatly affects primary caregiving (Chen, 2014). Other associated effects of family caregiving as per the Lee, Tang, Kim, & Albert, (2014) is the connection between caregiving and lower holder income. This effect is contributed by the number of hours an individual with the elderly patient will take to work and still sacrifice some hours to take care of the elderly. Some will work for a shorter period in order to have time to take care of their elderly. Sharma, Chakrabarti, & Grover, (2016) research shows that women are more likely to be affected by this trend of low income because they are assumed to cope with stressor different than men. Those living with loved one enjoy providing care for their loved one but they have to sacrifice something to ensure the elderly get the right care. The kind of sacrifice as per Williams, et al., (2016) is their own healthy, families’ happiness, work and wellbeing to be around their loved one which can be attributed to cultural beliefs and parental love. The roles of public policy The public policy has promoted better coordination of care across health and social services as well as cross different level of healthcare. Due to changes in policies people can receive care at their home especially for those under home care services where primary care is provided by the families. The policies have reduced risk of diseases and promote maintenance of function, confidence, and engagement in order to support healthy aging and other impacts of public health policy. Recommendation to address the issues The growth of the elderly population will continue to increase in the future and this means that the demand for primary and family care is necessary. To address this issue the government needs to come up with a proper policy that would increase the number of nurses and increase the grants for nurses to acquire specialized skills, for example, palliative care in order to be able to handle serious issues. policy changes are necessary to federal and medical leave Acts (FMLA) and other medical care act in order to ensure patients receives the right care and the families stress are reduced by ensuring those taking care for elderly are not discriminated on payments. The long term insurance cover should be prolonged even if the elderly saving has been depleted. There should be equality of family responsibilities especially in taking care of the elderly in order to avoid stereotyping on women by applying double standards between men and women. Conclusion The demand for elderly care is on the rising due to the growing aging population attributed by longevity and healthcare transformation which reduce the rate of disease. The specialized care provided to elderly help in improves the quality of life for the patient through reducing diseases. The family care provides required insight to patients to understand the patient illness through conducting patient medical history assessment. In addition, family care promotes family relationship, reduces stress to the elderly and makes the elderly feel like part of the family. The care came with a price to the society where the primary is affected by straining the already incapacitated public health. The family care affects families’ emotionally through inflicting stress, financial burden, affecting relationship and education and other leisure time. Therefore, policy changes are necessary to federal and medical leave Acts (FMLA) and other medical care act in order to ensure patients receives the right care and the families stress are reduced by ensuring those taking care for elderly are not discriminated on payments. References Angel, J. L., Vega, W., & López-Ortega, M. (2017). Aging in Mexico: Population trends and emerging issues. The Gerontologist, 57(2), 153-162. Retrieved from https://doi.org/10.1093/geront/gnw136 Baider, L., & Surbone, A. (2014). The universality of aging: family caregivers for elderly cancer patients. Frontiers in Psychology, 5, 744. Published on 15 July 2014: Retrieved from https://doi.org/10.3389/fpsyg.2014.00744 Blomqvist, A., & Busby, C. (2014). Paying for the boomers: Long-term care and intergenerational equity. CD Howe Institute Commentary, 415. Retrieved from http://dx.doi.org/10.2139/ssrn.2498537 Spetz, J., Trupin, L., Bates, T., & Coffman, J. M. (2015). Future demand for long-term care workers will be influenced by demographic and utilization changes. Health Affairs, 34(6), 936-945. Retrieved from https://doi.org/10.1377/hlthaff.2015.0005 Chen, M. L. (2014). The growing costs and burden of family caregiving of older adults: A review of paid sick leave and family leave policies. The Gerontologist, Volume 56, Issue 3, June 2016, Pages 391–396. Retrieved from https://doi.org/10.1093/geront/gnu093 Crisp, N., & Chen, L. (2014). Global supply of health professionals. New England Journal of Medicine, 370(10), 950-957.Retrieved from https://www.nejm.org/doi/full/10.1056/nejmra1111610 Lee, Y., Tang, F., Kim, K. H., & Albert, S. M. (2014). The vicious cycle of parental caregiving and financial well-being: A longitudinal study of women. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 70(3), 425-431. Retrieved from https://doi.org/10.1093/geronb/gbu001 Pickard, L. (2015). A growing care gap? The supply of unpaid care for older people by their adult children in England to 2032. Ageing & Society, 35(1), 96-123. Cambridge University Press 2013: Retrieved from https://doi.org/10.1017/S0144686X13000512 Sharma, N., Chakrabarti, S., & Grover, S. (2016). Gender differences in caregiving among family-caregivers of people with mental illnesses. World journal of psychiatry, 2016 Mar 22; 6(1): 7–17. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4804270/ Williams, A., Sethi, B., Duggleby, W., Ploeg, J., Markle-Reid, M., Peacock, S., & Ghosh, S. (2016). A Canadian qualitative study exploring the diversity of the experience of family caregivers of older adults with multiple chronic conditions using a social location perspective. International journal for equity in health, 15(1), 40. Retrieved from https://doi.org/10.1186/s12939-016-0328-6 The research paper does discuss the growth of the older adult population and the aging process, but the thesis would lead reader to believe that the majority of paper will focus on how this increase has affect quality elder care. The thesis should be consistent with the body. Finally, there are numerous spelling and grammar issues which should be correct. Also make certain to properly cite all articles in the body of the text

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