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Get Rich Bang Bitch Child Custody Attorney Singlewomenadultservice Affiliate Women Women Sk Sinema B30 0 Single Women Adult Service WHO EMRO - Eastern Mediterranean Health Journal

Get Rich Bang Bitch Child Custody Attorney Singlewomenadultservice Affiliate Women Women Sk Sinema B30 0 Single Women Adult Service

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Steps to implementing changes in Lebanon

While there are many shortcomings to the health care system for the elderly, we remain strong believers that the care of an older adult goes far beyond financial support and official government input. In this section we will address steps needed to implement changes to improve the situation (Table 1). While steps to reform the health care system in Lebanon as a whole are beyond the scope of this paper, tackling the issue of elderly care need not wait for a global reform to take place either.

Accommodating the needs of our increasingly ageing population in Lebanon should occur simultaneously at several levels: in the community (at home and in NHs), in clinics and at the governmental level. Similarly, the health care system should be directed towards 3 different categories of older adults: individuals living alone, those living with their families and NH residents. We have the luxury of learning from the experiences of elderly health care systems in other countries and can tailor them to the specific needs of the Lebanese population.

Changing the perception of ageing in Lebanon

Unfortunately, physicians are often themselves the culprits of the attitude that beyond a certain age certain symptoms are attributable solely to age. Negative stereotyping of older adults is endemic in the Lebanese culture. Educating the elderly themselves, their families, caregivers and physicians about the process of ageing will ensure a better quality of life and empower older people, allowing them to participate in the decision-making regarding their own health. Furthermore, interaction of younger people with elderly individuals increases positive attitudes towards ageing and addresses ageism in younger individuals [14–16].

Within the context of perceptions, the mass media is an efficient means for transmitting information and positive images to large portions of the population. Dedication of television programming to issues that increase public awareness on a particular topic is common in Lebanon. The media currently dedicates 2 days each year free of charge, one on the National Grandparents’ Day (21 February) and another on the International Day of the Elderly (1 October), to broadcasting programmes particularly targeting ageism. While this initiative is commendable, it surely is not enough. We propose the model of an Annual Elderly Care Awareness week that includes campaigns, talk shows, interviews and documentaries highlighting aspects of elderly care, in addition to ongoing advertisements and programmes educating the population about ageing and older adult issues throughout the year. Funding of these activities could be sustained from private donors, banks, foundations and, if possible, with MoPH and MoSA sponsorship.

Educating professionals and promoting research

In order to better accommodate the ageing population, it is key to understand all aspects of this population. Therefore, the first step in reform is the planning and implementation of studies that address the information gap about age and the elderly at various levels among decision-makers, physicians, health professionals and the community. Researchers should be given the incentive, through facilitation of grants, to pursue such research. The coordination of data collection and analysis is most efficient if centralized. The establishment of an organized body similar to the United States National Institute of Aging is an important step in that process. In order to optimize the benefit and knowledge collected from research, an efficient means to transmit information is necessary. Continuous medical education (CME) activities, conferences and workshops organized by the LOP and MoPH to present the findings would facilitate such a process.

The most feasible step to promote a change in the Lebanese system is to pass and implement legislation for the incorporation of geriatrics into the curricula of medical schools, residency training programmes, fellowships, paramedical institutions, undergraduate programmes in sociology, psychology, social services and nursing schools. In the long term, such interventions will promote this specialty and encourage internists to take it up, and ideally will improve the delivery of health care to the elderly. With proper education, primary care physicians in Lebanon can assume a key role in the health care of the elderly, referring them to geriatric specialists as necessary. In addition, community clinics for the elderly can be established which include primary care physicians specialized in geriatrics; these have been shown to optimize patient care and comfort [17,18]. Interdisciplinary teams consisting of a geriatrician, nurse practitioner, physical, occupational, and recreational therapists, social worker, and dietitians specialized in geriatric care are best suited to assess the medical, psychosocial, nutritional, and environmental needs of an elderly person.

Improving nursing homes and intermediate care centres in Lebanon

Through our exposure to NHs, it is clear that they need a complete overhaul of their system and services.

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