2. Agenda
• Introduction
• About PCA
• PCA at a Glance
• Mission
• Goals
• Services
• Funding
• Roles
• Cultural
• Dealing with Death
• Economics
• Recommendations
• Conclusion
3. Introduction
Our society must make it right and possible for old people not to
fear the young or be deserted by them, for the test of a civilization
is the way that it cares for its helpless members.
-- Pearl S. Buck (1892-1973)
4. PCA
• PCA was founded in (1973)
• Works in conjunction with outside
service entities
• Aids both active and vulnerable
seniors
• Provides an array of services for
participating seniors
• Core values revolve around senior
care and education
6. Mission
• To improve the quality of
life for older Philadelphians
• To assist them in achieving
the greatest possible levels
of
• Health
• Independence
• Productivity
7. Goals
• The organization frequently ventures out into
communities, local events and areas where seniors are
thought to attend offering its self as a valuable resource for
assisting in the aging process.
• Identifying those in need of PCA’s services is done by:
• Community outreach initiatives
• Referrals from senior community groups
• Department of Human Services
• Family
9. Funding
• Funding for PCA comes from the following resources:
• State
• Federal
• City Grants
• Private Contributions
• Foundations
• Client Revenue
10. The Role of Individual
• Aspire to age successfully with aid of supports team
• Support of aging process at his or her own pace including:
• Death and Loss
• Facing one’s own death
11. The Role of Family
• Play a critical role in adding to the quality of life
• To be supportive
• Secure feelings of belongings which includes:
• Pride
• Legacy
12. The Role of Community
• Assist with difficulties of
aging
• Being supportive of the
process to this population
during such trying times
13. Cultural
• Philadelphia is tied with New York City in having the highest
proportion of older adults among the nations major cities
• More than 123,000 of the Philadelphia seniors live in poverty
• 250,000 have one or more chronic illnesses
14. Cultural
• Philadelphia Corporation for Aging services the city of
poverty to low-income based aging/elderly population
• The organization has a belief that the city’s elder
population in becoming more diverse as time passes
15. Cultural
• Needs to focus on maintaining the cultural diversity
necessary to provide continuous adequate services to
support the population
• The target population consists of the elderly 60 years plus
identified as poverty to low-income level.
16. Dealing with Death
• At PCA they strive to explain the
process of death to the elders
17. Dealing with Death
• PCA believes that death is translated many different ways
across culture and populations
Religion
Rituals
18. Spirituality
• Religion is something that many
different groups or communities of
people have relied on since the
beginning of time for:
• Beliefs
• Guidance
• Protection from a superior entity
(Geetz, 1993).
19. Spirituality
• Maintaining, feeling good while
functioning effective is not
expected continuously as
difficulties in life are nature such as
• Loss
• Grief
• Disappointment
• Anger
20. Spirituality
• Ethical issues regarding care giving can be wide ranged and
should consider religious and spiritual beliefs of both the
caregiver and persons receiving care.
• There should not be any imposing of religion or spirituality
from care giver to client or vice versa;
• More so the care giver should be skilled and trained in a manner
to avoid such ethical controversies
21. Collaboration
• The organization has a belief that the city’s elder population in
becoming more diverse as time passes and has a focus on
maintaining the cultural diversity necessary to provide
continuous adequate services to support the population
(pcacares.org).
• The target population consists of the elderly 60 years plus
identified as poverty to low-income level.
22. Services Provided
• Consumer Protection Services
• Probate, Estates and Fiduciaries
• Real Estate/Housing
• Domestic Matters
27. Economics of Providing Care
• While cost of living and cost of programming fluctuate annually
based many different factors;
• PCA maintains to uphold a healthy cost of services to need of
benefits outcome
• PCA has strived in exploring alternative and more cost effective
programming since program introduction
28. Legal & Ethical Services
• Goals of PCA include providing citywide leadership on
aging issues
• Ensure the best possible services provided by PCA to its
consumers including
• Comprehensive and coordinated services
• Timely and accurate information
• Access to services and programs
29. Recommendations
• PCA has researched data that reports over 117,000 members of this
population have difficulty or trouble with affording one of life’s most
basic but crucial necessities
• PCA believes that the growing population of “Philadelphians”
suffering from poverty, chronic illness, and hunger will increase
therefore extending the demand of the services it is able to provide to
this population
• The organization has a belief that the city’s elder population in
becoming more diverse as time passes and has a focus on maintaining
the cultural diversity necessary to provide continuous adequate
services to support the population
30. Recommendations
• The organization has a belief that the city’s elder
population in becoming more diverse as time passes and
has a focus on maintaining the cultural diversity necessary
to provide continuous adequate services to support the
population
• The target population consists of the elderly 60 years plus
identified as poverty to low-income level
31. Outcomes
• Expected outcomes for improved programming would
include:
• PCA being able to provide the same level of care and
services delivered locally both State and Nationwide.
• This will no doubt prove to be a daunting task,
• None the less a great asset to the aging population in
unsurmountable measurability.
32. Conclusion
• Philadelphia Corporation for Aging is deemed unique in the services it provides to
the elderly/aging population on a local level;
• National level organizations operate significantly different in reaching goals and
following mission statements.
• Delivery of services to this population has the probability of improving or
damaging quality of life to persons experiencing death and or the aging process
(Stuart, 2006).Along with the great service that national level organizations
provide offering services to such a large demographic, there comes a sense of
impersonal interaction that PCA on a local level does not subject its clientele to.
With seniors expiring death and the aging process together it seems as if PCA
would be a better selected care provider being guided by the larger national
organizations in regulating services assuring proper treatment of this population
both physically and ethically. If PCA was able to expand services across regions in
the same personal person manner its services would be ideal to seniors across the
nation. Experiencing death can be very difficult for some people but can be
managed and navigated through successfully with good supports systems which
require interpersonal communication (Schaie, 2005).
33. Conclusion
• With seniors expiring death and the aging process together
it seems as if PCA would be a better selected care provider
being guided by the larger national organizations in
regulating services assuring proper treatment of this
population both physically and ethically.
• If PCA was able to expand services across regions in the
same personal person manner its services would be ideal to
seniors across the nation.
• Experiencing death can be very difficult for some people
but can be managed and navigated through successfully
with good supports systems which require interpersonal
communication (Schaie, 2005).
36. References
• Archer, J. (1999). The nature of grief: The evolution and psychology of
reactions to loss. London, England: Routledge.
• Berger, S. A. (2009). The Five Ways We Grieve: Finding Your Personal Path to
Healing After the Loss of a Loved One.
• Geertz, C. (1993) Religion as a cultural system. In: The interpretation of
cultures: selected essays, Geertz, Clifford, pp.87-125. Fontana Press.
• Hogan, M. (2010). The Culture of Our Thinking in Relation to Spirituality.
Nova Science Publishers: New York.
37. References
• MacIejewski, P. K.; Zhang, B.; Block, S. D.; Prigerson, H. G. (2007). "An
Empirical Examination of the Stage Theory of Grief".JAMA: the Journal of
the American Medical Association 297 (7): 716–23.
• Panek, Paul E.; Hayslip, Bert (1989). Adult development and aging. San
Francisco: Harper & Row. ISBN 0-06-045012-6.
• Saul, P. (2011). Let’s talk about dying. (Ted talk video) Retrieved
from http://www.ted.com/talks/peter_saul_let_s_talk_about_dying?language=e
n
38. References
• Schaie, K. Warner (2005). Developmental Influences on Adult
Intelligence.doi:10.1093/acprof:oso/9780195156737.001.0001. ISBN 978-0-
19-515673-7
• Stuart-Hamilton, Ian (2006). The Psychology of Ageing: An Introduction.
London: Jessica Kingsley Publishers
• (http://www.pcacares.org/services-for-seniors/legal-assistance/).
Notas do Editor
This presentation will identify a local organization (Philadelphia Corporation for Aging that provides services to the aging population in Philadelphia and its surrounding communities. Further identified will be the community in which the organization operates and general background information of the organization.
Please watch the brief video above by moving the cursor into the darkened area and pressing play on the bottom to your left This visual, provides a snapshot of PCA, the population that this entity services as well as its functions.
with disabilities, and to help them to achievPCA is a non-profit organization devised to serve as the areas Agency on Aging for Philadelphia. PCA’s mission statement is to improve the quality of life for Philadelphians who are older e optimum levels of health, independence and productivity (http://www.pcacares.org/wp-content/uploads/2016/01/2012-2016_PCA_Area_Plan.pdf).
The organization frequently ventures out into communities to local events and areas where seniors are thought to attend offering its self as a valuable resource for assisting in the aging process. Identifying those in need of PCA’s services is done by community outreach initiatives along with referrals from senior community groups, Department of Human Services, and family. Those thought to be in need of services meet criteria constructed to prevent and intervene with unsuccessful aging. The elderly in need of assistance with aging, criteria could include poor living conditions, mental health issues, unhealthy eating habits, and physical ailments (Schaie, 2005).
The role of the individual receiving services from PCA is to aspire to age successfully with aid from strong person centered supports team. This entails healthily experiencing the aging process at his or her own pace including death and loss along with facing one’s own death. Family is expected to play a critical role in adding to the quality of life for this population for obvious reasons that include family bonds that secure feelings of belonging and since of family pride and legacy. Community as support includes interactions in a social sense that respect and recognize difficulties involved with aging; in turn being supportive of the process helping in any way possible to be helpful to this population during such trying times.
The role of the individual receiving services from PCA is to aspire to age successfully with aid from strong person centered supports team. This entails healthily experiencing the aging process at his or her own pace including death and loss along with facing one’s own death. Family is expected to play a critical role in adding to the quality of life for this population for obvious reasons that include family bonds that secure feelings of belonging and since of family pride and legacy. Community as support includes interactions in a social sense that respect and recognize difficulties involved with aging; in turn being supportive of the process helping in any way possible to be helpful to this population during such trying times.
Helping individuals deal with grief during the final stages of life can be very difficult especially when considering that unresolved grief can create gaps in communication between generations (Archer, 1999). The grief experienced by this population effects emotions that have possibilities of straining relationships and adding to the anxiety of those suffering. These circumstances make cause for individuals and families suffering from grief to have adequate support to make just and sound ethical practices during this most difficult time. Persons attempting to provide support (bereavement counselors etc.) should be well versed with being able to identify how someone identifies with death, dying as it pertains to them, and different types of loss; natural versus un-natural (MacIejewski et al, 2007). Thorough collaboration in a team sense meaning medical in conjunction with counseling etc. should allow for the support system to provide insight into the struggling encountered with the grief defining how avoidance, depression, past traumas, abandonment issues, and maladaptive behaviors and how they should be addressed in the grieving/healing process.
Helping individuals deal with grief during the final stages of life can be very difficult especially when considering that unresolved grief can create gaps in communication between generations (Archer, 1999). The grief experienced by this population effects emotions that have possibilities of straining relationships and adding to the anxiety of those suffering. These circumstances make cause for individuals and families suffering from grief to have adequate support to make just and sound ethical practices during this most difficult time. Persons attempting to provide support (bereavement counselors etc.) should be well versed with being able to identify how someone identifies with death, dying as it pertains to them, and different types of loss; natural versus un-natural (MacIejewski et al, 2007). Thorough collaboration in a team sense meaning medical in conjunction with counseling etc. should allow for the support system to provide insight into the struggling encountered with the grief defining how avoidance, depression, past traumas, abandonment issues, and maladaptive behaviors and how they should be addressed in the grieving/healing process.
The organization suspects an apparent end to the city’s population decline in correlation with an evident increase in racial diversity will have an impact on the older adult population it services (pcacares.org). PCA has indicated that seniors in the city of Philadelphia experience poverty at a rate almost double that of Pennsylvania and the nation. The organization further reports that over 117,000 members of this population have difficulty or trouble with affording one of life’s most basic but crucial necessities; 2300 reporting skipping a meal per day for lack of money. PCA believes that the growing population of “Philadelphians” suffering from poverty, chronic illness, and hunger will increase therefore extending the demand of the services it is able to provide to this population.
Saul (2011) uniquely explains death as being a natural happening in life. What is more interesting is the fact that he goes on to explain that when experiencing the process of death it is important to those that die and their love ones the manner in which they die or leave the world. Also mentioned was the responsibility of someone to speak representing the dying if they are not able to do so themselves. Dying may be considered a cultural issue in all senses as most people are not comfortable in speaking about the inevitable "death". Death is an experience that is translated many different ways across cultures and populations. Rituals, religions, and beliefs also play an integral role in how death is accepted and managed. Philadelphia Corporation for Aging services the city of Philadelphia Pennsylvania’s poverty to low-income based aging/elderly population. The organization has a belief that the city’s elder population in becoming more diverse as time passes and has a focus on maintaining the cultural diversity necessary to provide continuous adequate services to support the population (pcacares.org). The target population consists of the elderly 60 years plus identified as poverty to low-income level.
The organization suspects an apparent end to the city’s population decline in correlation with an evident increase in racial diversity will have an impact on the older adult population it services (pcacares.org). PCA has indicated that seniors in the city of Philadelphia experience poverty at a rate almost double that of Pennsylvania and the nation. The organization further reports that over 117,000 members of this population have difficulty or trouble with affording one of life’s most basic but crucial necessities; 2300 reporting skipping a meal per day for lack of money. PCA believes that the growing population of “Philadelphians” suffering from poverty, chronic illness, and hunger will increase therefore extending the demand of the services it is able to provide to this population.
Saul (2011) uniquely explains death as being a natural happening in life. What is more interesting is the fact that he goes on to explain that when experiencing the process of death it is important to those that die and their love ones the manner in which they die or leave the world. Also mentioned was the responsibility of someone to speak representing the dying if they are not able to do so themselves. Dying may be considered a cultural issue in all senses as most people are not comfortable in speaking about the inevitable "death". Death is an experience that is translated many different ways across cultures and populations. Rituals, religions, and beliefs also play an integral role in how death is accepted and managed. Philadelphia Corporation for Aging services the city of Philadelphia Pennsylvania’s poverty to low-income based aging/elderly population. The organization has a belief that the city’s elder population in becoming more diverse as time passes and has a focus on maintaining the cultural diversity necessary to provide continuous adequate services to support the population (pcacares.org). The target population consists of the elderly 60 years plus identified as poverty to low-income level.
Saul (2011) uniquely explains death as being a natural happening in life. What is more interesting is the fact that he goes on to explain that when experiencing the process of death it is important to those that die and their love ones the manner in which they die or leave the world. Also mentioned was the responsibility of someone to speak representing the dying if they are not able to do so themselves. Dying may be considered a cultural issue in all senses as most people are not comfortable in speaking about the inevitable "death". Death is an experience that is translated many different ways across cultures and populations. Rituals, religions, and beliefs also play an integral role in how death is accepted and managed. Philadelphia Corporation for Aging services the city of Philadelphia Pennsylvania’s poverty to low-income based aging/elderly population. The organization has a belief that the city’s elder population in becoming more diverse as time passes and has a focus on maintaining the cultural diversity necessary to provide continuous adequate services to support the population (pcacares.org). The target population consists of the elderly 60 years plus identified as poverty to low-income level.
**** State how religion and rituals play in integral role*****Saul (2011) uniquely explains death as being a natural happening in life. What is more interesting is the fact that he goes on to explain that when experiencing the process of death it is important to those that die and their love ones the manner in which they die or leave the world. Also mentioned was the responsibility of someone to speak representing the dying if they are not able to do so themselves. Dying may be considered a cultural issue in all senses as most people are not comfortable in speaking about the inevitable "death". Death is an experience that is translated many different ways across cultures and populations. Rituals, religions, and beliefs also play an integral role in how death is accepted and managed. Philadelphia Corporation for Aging services the city of Philadelphia Pennsylvania’s poverty to low-income based aging/elderly population. The organization has a belief that the city’s elder population in becoming more diverse as time passes and has a focus on maintaining the cultural diversity necessary to provide continuous adequate services to support the population (pcacares.org). The target population consists of the elderly 60 years plus identified as poverty to low-income level.
Religion is something that many different groups or communities of people have relied on since the beginning of time for beliefs, guidance, and protection from a superior entity (Geetz, 1993). This thought comes along with the notion of what’s termed as religious coping. This theory indicates that specific expressions of one’s faith during times of difficulty and reverting to faith saying “as god wills it shall be”, during stressful life happenings identifies the ability that religion has to affect grief and loss on both positive and negative scales.
On the other side of that coin spirituality is linked to the way in which an individual’s style of living relates to life experiences as they take place influencing collaboration in home and community life while also promoting positive social interactions (Hogan, 2010). When one is thought to be doing well in life, this embodies definitions of spirituality and psychological well-being; feeling good while functioning effectively. Maintaining feeling good while functioning effectively is not expected continuously as difficulties in life are natural such as loss, grief, disappointment and anger help manage life stressors from experiencing them and moving on (resilience).
Ethical issues regarding care giving can be wide ranged and should consider religious and spiritual beliefs of both the caregiver and persons receiving care. There should not be any imposing of religion or spirituality from care giver to client or vice versa; more so the care giver should be skilled and trained in a manner to avoid such ethical controversies..
The collaboration with other community resources in the delivery of care.
Community serviced
The organization services the city of Philadelphia Pennsylvania’s poverty to low-income based aging/elderly population. The organization has a belief that the city’s elder population in becoming more diverse as time passes and has a focus on maintaining the cultural diversity necessary to provide continuous adequate services to support the population (pcacares.org). The target population consists of the elderly 60 years plus identified as poverty to low-income level.
Within the city there is not a multitude of agencies geared towards providing services to the aging/elderly population; especially in reference to proving the number or services that PCA offers to this particular population. However; PCA does subcontract some legal and ethical services for this population for reasons that may or seem to beyond their scope requiring professionals of a different skill set (Attorneys) to be relevant (http://www.pcacares.org/services-for-seniors/legal-assistance/
The following is a list of those services listed on the website to the elderly/aging population.
Consumer Protection Services: Problems arising with private health insurance, property damage, utilities, repair contracts; credit collection and denial; fraud; sales contracts and warranties.
Probate, estates and fiduciaries: Powers of attorney, long term care planning, wills and living wills.
Real Estate/Housing: Landlord/tenant issues, deeds, liens, mortgage problems and foreclosures, housing code violations, predatory lending.
Domestic matters: Abuse, support, child custody and visitation.
The following is a list of those services listed on the website to the elderly/aging population.
Consumer Protection Services: Problems arising with private health insurance, property damage, utilities, repair contracts; credit collection and denial; fraud; sales contracts and warranties.
Real Estate/Housing: Landlord/tenant issues, deeds, liens, mortgage problems and foreclosures, housing code violations, predatory lending.
Domestic matters: Abuse, support, child custody and visitation.
Probate, estates and fiduciaries: Powers of attorney, long term care planning, wills and living wills.
The following is a list of those services listed on the website to the elderly/aging population.
Consumer Protection Services: Problems arising with private health insurance, property damage, utilities, repair contracts; credit collection and denial; fraud; sales contracts and warranties.
Probate, estates and fiduciaries: Powers of attorney, long term care planning, wills and living wills.
Real Estate/Housing: Landlord/tenant issues, deeds, liens, mortgage problems and foreclosures, housing code violations, predatory lending.
Domestic matters: Abuse, support, child custody and visitation.
The following is a list of those services listed on the website to the elderly/aging population.
Consumer Protection Services: Problems arising with private health insurance, property damage, utilities, repair contracts; credit collection and denial; fraud; sales contracts and warranties.
Probate, estates and fiduciaries: Powers of attorney, long term care planning, wills and living wills.
Real Estate/Housing: Landlord/tenant issues, deeds, liens, mortgage problems and foreclosures, housing code violations, predatory lending.
Domestic matters: Abuse, support, child custody and visitation.
To date resourcing for programming and implementation of programming has been utilized efficiently based upon internal and external auditing both financially and outcome in treatment based scales. While cost of living and cost of programming fluctuate annually based many different factors; PCA maintains to uphold a healthy cost of services to need of benefits outcome. PCA has strived in exploring alternative and more cost effective programming since program introduction in 1973 taking pride in being in tune with financial awareness as it pertains to the aging population.
Goals of the PCA include providing citywide leadership on aging issues, ensuring that aging and community organizations consumers/families receive accurate and timely information and access to services and programs, ensure comprehensive and coordinated services, support senior centers in providing car, provide a physical environment, ensure the best possible services provided by PCA to its consumers.
A section for recommendations, in which you synthesize best practices as supported by your research.
PCA has researched data that reports over 117,000 members of this population have difficulty or trouble with affording one of life’s most basic but crucial necessities; 2300 reporting skipping a meal per day for lack of money (Panek, & Hayslip, 1989). PCA believes that the growing population of “Philadelphians” suffering from poverty, chronic illness, and hunger will increase therefore extending the demand of the services it is able to provide to this population. PCA is unique in service delivery because of the wide range of services it offers to the target population. The organization frequently ventures out into communities to local events and areas where seniors are thought to attend offering its self as a valuable resource for assisting in the aging process. The organization has a belief that the city’s elder population in becoming more diverse as time passes and has a focus on maintaining the cultural diversity necessary to provide continuous adequate services to support the population (pcacares.org). The organization has a belief that the city’s elder population in becoming more diverse as time passes and has a focus on maintaining the cultural diversity necessary to provide continuous adequate services to support the population (pcacares.org). The target population consists of the elderly 60 years plus identified as poverty to low-income level
A section for recommendations, in which you synthesize best practices as supported by your research.
PCA has researched data that reports over 117,000 members of this population have difficulty or trouble with affording one of life’s most basic but crucial necessities; 2300 reporting skipping a meal per day for lack of money (Panek, & Hayslip, 1989). PCA believes that the growing population of “Philadelphians” suffering from poverty, chronic illness, and hunger will increase therefore extending the demand of the services it is able to provide to this population. PCA is unique in service delivery because of the wide range of services it offers to the target population. The organization frequently ventures out into communities to local events and areas where seniors are thought to attend offering its self as a valuable resource for assisting in the aging process. The organization has a belief that the city’s elder population in becoming more diverse as time passes and has a focus on maintaining the cultural diversity necessary to provide continuous adequate services to support the population (pcacares.org). The organization has a belief that the city’s elder population in becoming more diverse as time passes and has a focus on maintaining the cultural diversity necessary to provide continuous adequate services to support the population (pcacares.org). The target population consists of the elderly 60 years plus identified as poverty to low-income level
Expected outcomes for improved programming would include PCA being able to provide the same level of care and services delivered locally both State and Nationwide. This will no doubt prove to be a daunting task, but none the less a great asset to the aging population in unsurmountable measurability.
While the Philadelphia Corporation for Aging is deemed unique in the services it provides to the elderly/aging population on a local level; national level organizations operate significantly different in reaching goals and following mission statements. Delivery of services would be a factor that greatly separates organizations that operate on a local level as opposed to a national level, with access to face to face contact with care providers. Delivery of services to this population has the probability of improving or damaging quality of life to persons experiencing death and or the aging process (Stuart, 2006). Along with the great service that national level organizations provide offering services to such a large demographic, there comes a sense of impersonal interaction that PCA on a local level does not subject its clientele to. With seniors expiring death and the aging process together it seems as if PCA would be a better selected care provider being guided by the larger national organizations in regulating services assuring proper treatment of this population both physically and ethically. If PCA was able to expand services across regions in the same personal person manner its services would be ideal to seniors across the nation. Experiencing death can be very difficult for some people but can be managed and navigated through successfully with good supports systems which require interpersonal communication (Schaie, 2005).
While the Philadelphia Corporation for Aging is deemed unique in the services it provides to the elderly/aging population on a local level; national level organizations operate significantly different in reaching goals and following mission statements. Delivery of services would be a factor that greatly separates organizations that operate on a local level as opposed to a national level, with access to face to face contact with care providers. Delivery of services to this population has the probability of improving or damaging quality of life to persons experiencing death and or the aging process (Stuart, 2006). Along with the great service that national level organizations provide offering services to such a large demographic, there comes a sense of impersonal interaction that PCA on a local level does not subject its clientele to. With seniors expiring death and the aging process together it seems as if PCA would be a better selected care provider being guided by the larger national organizations in regulating services assuring proper treatment of this population both physically and ethically. If PCA was able to expand services across regions in the same personal person manner its services would be ideal to seniors across the nation. Experiencing death can be very difficult for some people but can be managed and navigated through successfully with good supports systems which require interpersonal communication (Schaie, 2005).
This concludes the presentation. Video provided by Philadelphia Corporation for Aging
