Due to health and economic benefits, the life expectancy in Nepal jumped from 27 years in 1951 to 65 in 2008. Most elderly Nepali citizens, roughly 85%, live in rural areas. Because of this, there is a significant lack of government sponsored programs or homes for the elderly. Traditionally, parents live with their children, and today, it is estimated that 90% of the elderly do live in the homes of their family. This number is changing as more children leave home for work or school, leading to loneliness and mental problems in Nepali elderly.
The best post rehabilitation center I have seen in the country is center for Neuro Recovery. My father went there completely enfeeble and in a wheelchair when he started and left walking after nine months of strengthening and functional movement exercises. I have never seen such a state of the art facility and knowledge-based staff. If this was going to happen to another family member again, I know I would go back to this amazing facility.
Door: The fourth step in the chain of survival is ‘door’, which refers to the arrival of the patient at the emergency room (ED). Ideally, the stroke team should be in place at the receiving facility prior to the patient’s arrival to ensure prompt assessment and diagnosis. According to recommendations from the National Institute of Neurological Disorders and Stroke, an assessment should be completed by an ER physician within ten minutes of arriving in the ED.
Care for the elderly in England has traditionally been funded by the state, but it is increasingly rationed according to a joint report by the King's Fund and Nuffield Trust as the cost of care to the nation rises. People who have minimal savings or other assets are provided with care either in the home (from visiting carers) or by moving to a residential care home or nursing home. However, research by the Live-in Care Hub indicates that 97% of older people do not want to move into a care home so they often struggle without support on their own. This is true for both those who will receive state funding for their care and those who will have to pay for it themselves out of savings or by selling other assets. Larger numbers of old people need help because of an aging population and medical advances, but less is being paid out by the government to help them. A million people who need care get neither formal nor informal help.