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BBC News 24 carried a report, Thursday, about aging. It included a baby and its family, plus a man who was over 100. As the report pointed out the baby is predicted to live till at least the age of 100. The elderly gentleman was speaking about longevity and what he believes has helped him live a long live, remaining fit and reasonably healthy. He credited a great deal of his good fortune to his wife, and their love for each other.

Across the world in Japan one Minister has a different approach to the elderly. Japanese Finance Minister Taro As, just wishes they would 'hurry up and die'.

The UK, rightly so, is often derided for its treatment of the elderly. Unlike some countries it does not respect its elderly generation. With an increasingly large proportion of the population now falling into the term elderly, perhaps it is rethinking some of its policies. It is a fact that the Tories are looking to woe the elderly voters in the electorate. Older people usually use their right to vote and vote with their 'pockets'. That is if they are financially hit by one party they will vote elsewhere.

A large proportion of older voters are conservative but that may not be cast in stone. It is doubtful however that any UK minister, unless he was insane or had a 'death wish', would tell older people to; 'hurry up and die'!

Using what most people will call offensive words the Japanese Minister referred to the elderly, who can no longer feed themselves, as "tube people". He 'put himself in their shoes' saying if he were in the same position he would want to die. Not because life had become so dreadful but because he would feel, "increasingly bad knowing that [treatment] was all being paid for by the government." He then said the situation will only be resolved when these people 'hurry up and die'.

Japan is one country that in the past has shown great respect for its elderly citizens. Is the Minister's view simply his rantings or a shift in ideology?

Are only healthy elderly Japanese citizens worthy of respect?

Source
MSN



 
 
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The National Health Service in the UK faces many challenges. Some are just an ageing population, a diversity of patients in the 21st Century, the availability of more treatments and modern day expectations. Then there is money. Yes that old chestnut.

The UK Coalition government has proposed reform of the NHS which will see funding reverting back to General Practitioners. This was the way of the NHS sometime ago. It will be a costly exercise to implement such changes. It always is. This means that money which could be better spent on patient care will end up being used for administration and planning. New posts will be created to implement the changes and they will not come cheaply.

Whether the changes will benefit patients or make real savings we will find out in the future. If they don't then it could be another costly exercise to change things once more. And so on it goes.

Already most hospital trusts are having to cut their work forces. Wards have been closed, staff numbers reduced and some services shifted into the private sector. This means that in an emergency situation many cannot cope. They are already working under pressure so an outbreak of the winter vomiting bug, which is ongoing now, can tip services over the edge.

Today there is news once more that the NHS is failing the elderly.

There have been many stories regarding poor health care of the elderly in the UK and the latest is with regard to cancer treatements.  The report follows a poll by British cancer charity Macmillan Cancer Support. SkyNews reports that:

 45% of 155 GPs, oncologists and specialist cancer nurses surveyed said they have dealt with a cancer patient who has been refused treatment on the grounds that they were too old.

Macmillan said the UK has some of the worst cancer survival rates in Europe for older people.

Ciaran Devane, chief executive at Macmillan Cancer Support, said: "Health professionals' concerns about the prevalence of age discrimination in cancer care mustn't be ignored.

"Unless staff are given the time and training to carry out a proper assessment of a patient's overall physical and mental wellbeing, some patients will be unfairly written-off as 'too old' for treatment.

"The number of older people (aged 65 and over) living with cancer in the UK is set to rocket in the next 20 years from 1.3 million to 4.1 million.

"Unless the barriers to timely treatment are tackled now, many older people could die unnecessarily from cancer and services will become unaffordable."

Government Health Secretary Jeremy Hunt claims that the government is working with the Macmillan charity in order to address these issues. He accepts that there is still a great deal of work to be done to ensure that tose aged over 70 receive appropriate care. Look online though and you will see stories relating to this have been around for at least a year. That means that whilst Ministers procrastinate lives are lost.

Opinion
13 years of working in the NHS has shown this blogger that if you work there long enough you will see all reforms come around again. The if it is not broke why fix it scenario never applies. Then when it is broken change is a long time coming.

Elederly patients with cancer tend to end up on Medical Elderly Wards rather than on the modern oncology wards. This is sometimes true of other specialities such as heart failure patients. When there is a bed shortage being moved is acceptable when it is due to an emergency situation. When it is normal practice something must be done.

There may be nothing wrong with a ward you are admitted to but if it does not have the level of care or facilities you need your prognosis will be poor.

Time to cut the management tier at the top of the NHS and reopen wards which are needed with the right staff.

The current government in wanting to move services away from the NHS into the private sector must take responsibility.
 
 
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Care of the Elderly is a difficult one. If you have ever cared for an elderly relative you will now how hard it can be. If the person has dementia or Alzheimers for example the task will be even harder. If you can feel this about caring for a loved one what about caring for a total stranger? However we regularly expect people to care for total strangers.

Modern life has meant that in the UK few elder citizens are cared for at home. Cuts to support services have meant that it is hard to get the necessary support in your own home. Most modern families in the UK do not want an aged parent living with them. For some of the elder citizens this is good news. It is much better to stay independent if you can and are able to.

TEK Journalism reported in February 2012 that health professionals were trying to ensure that elderly patients were treat with due respect. Care should be all about respecting a person's "privacy and dignity" The earlier report showed that they did however seem to be getting bogged down with terminology such as "old dear" when in fact much more was wrong with care of the elderly.

Today March 16, 2012, a damning report on the care of the elderly in the UK has been released. It follows an under cover investigation by consumer group "which". It involved 30 care receivers during a period of time in January. All kept diaries regarding the care they received.

The investigation highlighted care given in the home. Gone are the days when highly trained staff employed by the local government worked in elderly people's homes. These days it is agency staff. That should not matter but it may  Agency work does not have to mean giving poor care and thousands of agency workers keep Britain going these days. Hospitals Councils, residential homes and more rely on agency staff.

You could argue that is wrong. Agency staff cost more in the long run and people deserve permanent work. However currently temporary posts are often up for recruitment due to budget cuts, predicted job cuts and the like.

According to sky news an investigation has revealed: "Elderly people are suffering "disgraceful" home care, including missed medication and confinement to soiled beds" It went on to report on care which included, " missed visits, food being put out that was not in reach and vulnerable people being left without a way of getting to the bathroom" All in all a catalogue of sorry care.

The investigation also detailed, "One elderly woman was left alone in the dark for hours unable to find food or drink. Another was left without a walking frame, leaving her unable to get to the bathroom, while one man was not given vital diabetes medication."

There will of course be many agency workers who care a great deal about their work and give a wonderful service. However in a care environment a handful of bad apples is a handful too many.

As the UK Coalition continues to cut budgets we can expect services to suffer, get worse and probably decline. Perhaps we should be lobbying our politicians now. After all unless the grim reaper claims you as a young person we all have to grow old.

Right now this bloggers assessment is, get this fixed as a priority. Stop concentrating on words such as old dear and get your priorities right.

Full report here