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Chronic Disease and Singapore's Elderly

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With the increasingly older population of Singapore, chronic disease is becoming a serious concern. Hence, in this essay, a few things will be discussed and explained such as the definition and causes of chronic diseases, an exploration of the impacts or influences of ageing population on the nursing practice in Singapore, the contemporary nurses' role in relation to the ageing population and the different type of strategies that might solve the implications of ageing population. Based on the statement from Alexander (2014), chronic disease are “illness, are prolonged, do not resolved spontaneously and are rarely cured completely” (p.340). This means that the chances of recovery is minimal once an elderly suffers from a chronic disease. In addition, chronic diseases will lead to multiple complications which requires long term medical management which means that there will be an increase in hospital readmissions. This long term medical conditions are already having an effect on the healthcare system in Singapore. Healey & Evans (2015) mentioned that elderly people tend to have a higher risk of getting chronic diseases from their long term high risk health behaviour. In addition, Cavanaugh & Blanchard (2015) also mentioned that elderly people tend to require long-term management as multiple chronic diseases brings about functional impairment. The increase in life expectancy which indicates that people tend to live longer than before and the sedentary lifestyle led by most people in Singapore plays a significant role in the prevalence of chronic diseases. Therefore, there is a strong desire and requirement in the healthcare industry to meet the demands and expectations of the population in Singapore especially towards the elderly as there will be two times more elderly than younger people by the year 2030 (Koh, 2007). In Singapore, 1 out of 4 people above the age of 40 years old has at least one chronic disease such as diabetes, high blood pressure, high cholesterol level or stroke (Health Promotion Board, 2014). From the statistics provided, it is clear that there is a need to address and minimize the burden or impact these chronic diseases might bring about on the elderly as well as the family members such as financial strains and time constraint. In addition, the senior population will rise drastically due to changes in the fertility rate, socioeconomic status and better healthcare services available. As stated in World Population Awareness (2014) and Population in Brief (2009), the total fertility rate fell from 4.6 births per woman during the peak of baby boom in 1957 to 2.1 births per woman in 1977. In 2008, Singapore has reached the lowest fertility rate among other countries with a rate of 1.28 births per woman. With fewer babies given birth yearly, the proportion rate of the younger population will continue to decline. According to The Straits Times (2013), the so-called “baby boom generation" or people born between the year 1946 and 1964 will enter their silver age which is their 65th birthday between the year 2011 and 2029. Currently, a total of 7% of the Singapore population are of the age of 65 years and by the year 2030, it will increase to 19% (Chan, 2010). In order for good quality of care to be provided to meet the needs of the ageing population, a significant impact on the financial status of Singapore will occur. As announced by the Health Minister of Singa

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