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Though exceptional human longevity has captured the imagination for millennia, it has been only in the past fifteen years or so that some of the secrets to very long lives are finally giving way to scientific inquiry.
Written by an international group of experts, this year's review first considers the methodological and design dilemmas faced in conducting centenarian research. It then offers guidance in locating literature and data sources for primary and secondary information on centenarians and the oldest old. This section includes a list of the world's oldest persons and discusses the difficulties in compiling such a list.
The remainder of the review is divided in three sections-the biology and genetics of longevity, the behavioral and social predictors of longevity, and methodological issues in qualitative and anthropologic approaches and the study of the very oldest old, supercentenarians, or those who live to 110 years or more. Data is drawn from studies undertaken among populations in diverse parts of the world.
For millions of Americans, the heartbreak of watching a loved one struggle with Alzheimer's disease is a pain they know all too well. Alzheimer's disease burdens an increasing number of our Nation's elders and their families, and it is essential that we confront the challenge it poses to our public health. In 2011, President Barack Obama signed into law the National Alzheimer's Project Act (NAPA), requiring the Secretary of the U.S. Department of Health and Human Services (HHS) to establish the National Alzheimer's Project to create and maintain an integrated national plan to overcome Alzheimer's disease; co-ordinate Alzheimer's disease research and services across all federal agencies; accelerate the development of treatments that would prevent, halt, or reverse the course of Alzheimer's disease; improve early diagnosis and co-ordination of care and treatment of Alzheimer's disease; improve outcomes for ethnic and racial minority populations that are at higher risk for Alzheimer's disease; co-ordinate with international bodies to fight Alzheimer's globally. This book addresses each of these points and provides further insight on the national plan to address this disease.
Person-centred practices are a key way to provide the best possible care and support for older people and help them to be active and valued members of the community. Drawing on a wealth of experience of working with older people, the authors present the 6 essential person-centred practices. Each of the practices is designed to support the individual and put what is important to and for the person at the forefront of their care. Each practice has been tailored so that older people can express more easily what does and does not work for them. By actively listening and making each person feel appreciated, the practices represent practical tools for frontline practitioners to form good relationships with people in their care. With supporting stories and full colour photographs to illustrate how person-centred thinking and practice is used in real-life settings, there are many examples to help practitioners to overcome challenges and to really implement positive, effective changes to care. This practical book will be a valuable resource for care staff, social workers and healthcare workers who want to learn about person-centred practices to deliver best practice care and support.
This book examines the growing importance of positive psychology and its connection to later life. * Applies Social Role Valorisation (SVR) principles to care of older people, particularly those with seriously disabling conditions such as dementia, stroke, and multiple health problems * Provides a comprehensive body of positive principles and practical approaches for those who care for older people * Examines the impact of the devaluation of older people s lives in the context of societies dependent on technology * Demonstrates how more age-inclusive societies and open awareness of later-life issues are fundamental to strong communities, as well as to personal happiness and resilience
This volume of the "Annual Review of Gerontology and Geriatrics" helps readers see the local problem and concern of aging as a global epidemic affecting all areas of the health care workplace. It is written for expert administrative leaders and policymakers who can help make a difference at both local and regional levels.
Elder abuse is a complex issue that often requires a multifaceted policy response that combines public health interventions, social services programs, and criminal law enforcement for abusive behaviour. To address this complexity, the Elder Justice Act was enacted as part of the Patient Protection and Affordable Care Act. The act attempts to provide a coordinated federal response by emphasising various public health and social service approaches to the prevention, detection, and treatment of elder abuse. The Elder Justice Act also represents Congress's first attempt at comprehensive legislation to address abuse, neglect, and exploitation of the elderly at the federal level. This book provides a brief legislative history of the Elder Justice Act, summarises elder justice provisions enacted as part of ACA, and administrative efforts related to implementation and funding. The book then describes several issues for Congress with respect to the act's reauthorisation.
Can traditional arts improve an older adult's quality of life? Are arts interventions more effective when they align with an elder's cultural identity? In The Expressive Lives of Elders, Jon Kay and contributors from a diverse range of public institutions argue that such mediations work best when they are culturally, socially, and personally relevant to the participants. From quilting and canning to weaving and woodworking, this book explores the role of traditional arts and folklore in the lives of older adults in the United States, highlighting the critical importance of ethnographic studies of creative aging for both understanding the expressive lives of elders and for designing effective arts therapies and programs. Each case study in this volume demonstrates how folklore and traditional practices help elders maintain their health and wellness, providing a road map for initiatives to improve the lives and well-being of America's aging population.
The final decades of the human lifespan are undeniably complex and challenging, both for individuals themselves, and for those who care for them. With contributions from academic and health care professionals, informal and family carers, this book provides a rich resource of debate and practical ideas on how to prepare for dignity and quality of life during those years. As well as addressing issues of physical independence, mobility, nutrition, continence, and dementia care, the book also suggests innovative ideas for financial planning and maintaining family and community networks. The identity and social roles of older people are explored and there is a particular focus on relationships and communication.
This book constitutes the refereed proceedings of the 6th International Workshop on Ambient Assisted Living, IWAAL 2014, held in Belfast, UK, in December 2014. The 42 full papers presented with 12 papers of the workshop WAGER 2014 and 10 papers of a special session HTA were carefully reviewed and selected from numerous submissions. The focus of the papers is on following topics: ADL detection, recognition, classification; behavioural changes, coaching and education; AAL design and technical evaluation; expression, mood and speech recognition; health monitoring, risk prediction and assessment; localization; and user preferences, usability, AAL acceptance and adoption.
This book examines the emergent and expanding role of technologies that hold both promise and possible peril for transforming the ageing process in this century. It discusses the points and counterpoints of technological advances that would influence a reconstruction of what it means to age when embedded in a post-human vision for a post-biological future. The book presents a provocative interdisciplinary meta-analysis that contrasts paradigms with inflection points, making the case that society has entered a new inflection point, provisionally labeled as Post Ageing. It goes on to discuss the moderate and radical versions of this inflection point and the philosophical issues that need to be addressed with the advent of post ageing activities: postponing and possibly ending ageing, primarily through technological advances. This book will be a valuable resource for professionals who wish to review the continuum of varied constructs and intersects of technologies ranging from those purporting to enhance the activities of daily living in older adults, to those that would enable the older worker to stay competitive in the labor market, to those that propose to extend longevity and ultimately, claim to transcend ageing itself-moving toward a transhumanistic domain and more specifically, a post-ageing inflection point.
This unique book represents the first multi-disciplinary examination of ageing, covering everything from basic cell biology, to social participation in later life, to the representations of old age in the arts and literature. A comprehensive introductory text about the latest scientific evidence on ageing, the book draws on the pioneering New Dynamics of Ageing Programme, the UK's largest research programme in ageing. This programme brought together leading academics from across the arts and humanities, social and biological sciences and fields of engineering and medical research, to study how ageing is changing and the ways in which this process can be made more beneficial to both individuals and society. Comprising individual, local, national and global perspectives, this book will appeal to everyone with an interest in one of the greatest challenges facing the world - our own ageing.
Launching the dementia debate into new and exciting territory, the book argues that people living with dementia come within the UN Convention on the Rights of People with Disability and therefore have full access to all the rights enshrined in it.
The innovative Newcastle Challenging Behaviour Model for dementia care has recently been updated, leading to new advances in the field. This revised second edition guide to assessment and treatment of behaviours that challenge associated with dementia includes these latest developments along with new sections on what have traditionally been considered controversial topics. The new chapters cover issues including: - End of life care - Use of therapeutic dolls - Lies and deception - Physical restraint during personal care - Racism towards care staff With a particular emphasis on non-pharmacological approaches, this book details the range of behaviours common in individuals with dementia, along with the most effective assessment and treatment techniques for health care professionals.
"Longer lifespans and the needs of the oldest old are challenging the senior living industry to find bold and compassionate solutions to combine programs and services with housing. Victor Regnier's latest research provides a thoughtful and insightful roadmap that arrays new ways of thinking from small-scale settings to community based options. International case studies offer possible solutions with the best thinking from around the globe...all with Vic's unique perspective of extracting themes and concepts that are broadly applicable and essential to addressing the needs of those that live on life's fragile edge." --David Hoglund, FAIA "Supporting the independence of the oldest-old is a tough problem Victor Regnier addresses in his latest book on aging and housing. Like previous work, Victor relies on the best practices of northern Europeans to outline a three-prong approach. First, providing extremely comprehensive home care services in an "apartment for life" setting. Second, reforming the conventional nursing home by exploring small group style accommodations. Third, combining new technology with community based services to age in place. Case studies document the experiences of others in making these programs work here and abroad. The magnitude of the 90+ and 100+ population increases in the next 50 years make it clear how important it is to address this concern today." --Edward Steinfeld Darch "The movement of health care from the institution to the home is a theme that Regnier identifies as one of the most important lessons in rethinking the issue of how to support the ever growing and increasingly aged older population here and abroad. He examines simple but profound approaches we can take in making long-term care a more humane proposition. Familiar themes like humanizing technology and optimizing the impact of the natural environment are brought together with clear policy thinking about what we need to do. The timing is good because the impact of this growing segment of society will have major repercussions on health care for the next 50-70 years." --Stephan Verderber, Ph.D. A comprehensive guide to designing housing for the world's aging population The dilemma of helping older people maintain their independence through better housing with services is growing. This book presents innovative solutions for those who create and provide housing for the world's increasingly longer-living population. By focusing on three specific housing and service arrangements, it offers alternatives that provide greater freedom of choice than the current living arrangements that exist today. It presents selected examples of housing and service solutions from the US, Sweden, Denmark and the Netherlands to stimulate thinking about the possibilities of community-based service models. Housing Design for an Increasingly Older Population looks at a trio of options for housing the "oldest-old: " the Dutch Apartment/Condo for Life Model (AFL); decentralized Small/Green Houses; and the provision of enhanced personal and health care for people who want to stay in their own home. It offers unique and eye-opening chapters covering: what older people want; what age changes affect independence; demographics and living arrangements; how long-term care is defined; concepts and objectives for housing the frail; care giving and management practices that avoid an institutional lifestyle; innovative case studies; programs that encourage staying at home with service assistance; therapeutic use of outdoor spaces; how technology will help people stay independent; and more. Based on the author's numerous conversations with other experts, as well as his examinations of high quality settings from Northern Europe and the US Building case study examples showcase innovative and compassionate solutions In-depth coverage of three major systems that work Examines successful programs such as PACE, Friendly Cities, NORC, and the "Village to Village Network" to demonstrate the progress made in helping older, frail people stay in their own homes for as long as possible Housing Design for an Increasingly Older Population: Redefining Assisted Living for the Mentally and Physically Frail is an important book for those who create, design, and manage assisted living and skilled nursing facilities, as well as for those who set policies regarding health, and personal care for our world's aging society.
Written by a professional care-giver and a devout Catholic, A Catholic Guide to Caring for Your Aging Parent is a guide that places faith at the center of a complete approach to elderly care. Dodds insists that Catholic spirituality deepens the whole process.
Clear, step-by-step guidance on how to attain the Health and Social Care Level 2 Dementia Care Award and Certificate with an assessment-focussed approach Written by a team with decades of practical experience of working in the sector, the Collins Health and Social Care Level 2 Dementia Care Award and Certificate sets out the core units in clear, easily navigable spreads - each of which is closely focused on what candidates need to know and do to pass the qualification. Content is delivered with step-by-step guidance for the candidate with ready-to-use assessment tasks for both knowledge and work-based evidence. These are broken down into what is required for candidates to pass: what they need to know (knowledge) and what they need to do (competence). These are linked directly to getting students the number of credits they need. There are also a number of engaging case studies to ensure that the books are rooted in real experiences of working in the health and social care sector, linking the theory to good practice. Chapters and Units covered 1. Dementia - understanding and caring for the individual (Units 1, 2 and 3) 2. Communication and interaction (Units 4 and 7) 3. Equality and inclusion (Units 5, 6 and 8) 4. Medication in dementia care (Units 10 and 11) 5. Nutrition and dementia (Unit 9)
Five federal agencies within four departments fund home and community-based services and supports that older adults often require to continue living independently in their own homes and communities. The Administration on Aging (AoA) and Centers for Medicare & Medicaid Services (CMS) in the Department of Health and Human Services (HHS), and the Departments of Housing and Urban Development (HUD), Transportation (DOT), and Agriculture (USDA) provide funds, often through state agencies, to local governments and community-based organisations. The Older Americans Act of 1965 (the Act) requires AoA to promote and support a comprehensive system of services. This book addresses federal programs that fund these services and supports for older adults; how these services and supports are planned and delivered in selected localities; and agencies' efforts to promote a coordinated federal system of these services and supports. Furthermore, the book provides information on the OAA's historical development, and briefly describes the act's titles, highlighting selected provisions.
Demographic and epidemiological changes mean that frail older people have come to be seen as an expensive problem for health care systems. The challenge for professionals and policy-makers is to find ways to respond to the coming crisis by delivering high-quality care in the home. This collection offers a critical analysis of home care policy and practice. It focuses on how high-quality care is provided and the practices and policies that support this. It offers case studies (both policy- and practice-oriented empirical studies) from countries that share a basic orientation to social welfare: Canada, Denmark, Finland, Iceland, Sweden and the United Kingdom. The nine chapters set out a critical agenda for the development of "good" practices in challenging times. This book is essential reading for students, practitioners and researchers who wish to understand diverse problems in care provision for frail older persons and the complexities of policy responses in different health and social care contexts.
Losing the ability to communicate can be a frustrating and difficult experience for people with dementia, their families and carers. As the illness progresses, the person with dementia may find it increasingly difficult to express themselves clearly, and to understand what others say. Intended both for family and professional carers, this book clearly explains what happens to the part of the brain that controls communication as dementia progresses, how this may affect an individual's memory, language and senses, and how carers need to adapt their approach as a result. Advocating a person-centered approach to dementia care, the author describes methods of verbal and non-verbal communication, techniques for communicating with people who can no longer speak or move, and strategies for communicating more effectively in specific situations, including at mealtimes, whilst helping the person with dementia to dress, and whilst out and about. Exercises at the end of each chapter encourage the reader to reflect on their learning and apply it to their own circumstances, and guidelines for creating a life story with the person with dementia as a means of promoting good communication are also included. This concise, practical book is essential reading for family caregivers, professional care staff, and all those who work with, or who are training to work with, people with dementia.
Despite the stereotype of older adults primarily abusing alcohol, clinical practice insights indicate that the baby-boom generation frequently abuses the same substances as younger adults-including alcohol, opioids, benzodiazepines/z-drugs, neurostimulants, cannabis, and tobacco/nicotine. Old and High exposes this hidden epidemic and emphasizes the importance of understanding psychotropic substance abuse as a community health problem. Further, the book identifies the unique cultural values, social values, and risks that baby-boom adults have with respect to substance abuse and misuse to give students and clinical professionals in psychology, social work, gerontology, nursing, and medicine a foundation for working with this population. Readers will, specifically, learn how to integrate current neuroscience findings with contemporary psychotherapy techniques and harm-reductive interventions to help older adults achieve successful recovery from substance abuse problems. Considering that we will likely observe an increase in rates of substance abuse as the baby-boom generation continues to age-and live longer than previous groups-there will be a major need to better understand the unique risk factors and treatment approaches when working with older adults.
Care Managers: Working With The Aging Family Addresses The Unmet Needs Of Care Managers Working With Aging Clients As Well As The Client's Entire Family. With Its In-Depth Focus On The " Aging Family System, This Book Fills A Gap For Medical Case Managers And Geriatric Care Managers Giving Them Tools To Better Meet The Treatment Goals Of Aging Clients And Their Families, As The Older Clients Move Through The Continuum Of Care In Institutional Based Settings Or Community Based Settings. Care Managers: Working With The Aging Family Uniquely Focuses On Helping The Entire Family Unit Through The Process Of Death And Dying, Helping Midlife Siblings To Work Together To Render Care To Aging Parents. It Adds Proven Techniques To The Care Manager Repertoire Such As Family Meetings, Forgiveness, Technology, And Care Giver Assessment. It Offers Multiple Tools To Do An Effective Care Plan So That Both The Needs Of The Family And The Older Client Are Met.
A groundbreaking exploration of the sociology of dementia with contributions from distinguished international scholars and practitioners. * Organised around the four themes of personhood, care, social representations and social differentiation * Provides a critical look at dementia and demonstrates how sociology and other disciplines can help us understand its social context as well as the challenges it poses * Contributing authors explore the social terrain, responding in part, to Paul Higgs and Chris Gilleard s highly influential work on ageing * Breaks new ground in giving specific attention to the social and cultural dimensions of responses to dementia
Resilience is an area of growing interest within critical gerontology and policy agendas. In this book, researchers from multiple disciplines critically reflect on ways in which cultural engagement can develop social connectivity and improve resilience for older people, and how the built environment, community living, cultural participation, lifelong learning, and artist-led interventions can all help people to thrive in older age.
This new and updated third edition of the best-selling "Calculating a fair price for care" estimates the potential cost to the public sector of paying fair market fees to a fully modernised care home sector. The demands resulting from an ageing population means that more care homes will be needed in the future. However, most public sector funding agencies do not currently offer fees that are sufficient to encourage care home operators to invest in new capacity for state-funded clients. "Calculating a fair market price for care" offers a transparent and evidence-based mechanism for working out what such fees should be, based on the costs borne by care homes in the financial year 2008/09. Updates for the third edition include a new and simplified approach to working out 'floor' and 'ceiling' fair fees; new staff input and other cost benchmarks derived from a survey of major corporate operators of care homes in 2008 and a downward revision in the target rate of return on capital from 13% to 12%. "Calculating a fair market price for care" is essential reading for commissioners and providers of care services throughout the UK, local councillors, advocacy groups for older people and social policy experts, as well as politicians, civil servants and other policy makers concerned with appropriate funding for long-term care.
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