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This book is the first collection of original essays on the topic of elderly shared housing. The approach is multidisciplinary and reflects a rare combination of applied and academic analyses. The focus is on agency-assisted shared housing, a form of shared housing in which a homesharing agency matches a homeprovider, usually an elderly person with room to spare in his or her home and often with needs for assistance, with a homeseeker, usually a younger adult who seeks an inexpensive living arrangement. With the increasing scarcity of moderate- and low-income housing in many regions of the nation and the increasing costs of formal community-based services for the elderly, such homesharing options are becoming increasingly attractive for old and young alike. The first section of the book includes four introductory essays. The goals of this section are to provide a broad descriptive analysis of the history, growth, and current issues facing the shared housing movement, to consider both the urban and rural environments as contexts for shared housing programs, and to offer an overview of shared housing research. The second section contains three chapters which offer regionally specific perspectives on the development of shared housing programs. These include the states of Michigan, California, and the Canadian province of Ontario. Each chapter decribes the issues in service delivery system development within their particular geographic boundaries. The final section of the book contains six case studies of homesharing programs. They are located in Burlington, Vermont, Madison and Milwaukee, Wisconsin, Wichita, Kansas, and San Jose and Orange County, California. Most emphasize the organizational characteristics and dynamics of the programs, and some present qualitative and quantitative data on homesharing matches. A theme running through the analyses is the fact that community level variables influence the organizational form of the homesharing agency as well as the kinds of clients who are likely candidates for homesharing in particular communities.
Senior Centers in America presents the most comprehensive and current examination of this important topic available today. Written by one of the leading researchers in the field, this book presents an exhaustive review of local and national studies to provide a complete and multi-faceted analysis of senior centers. Major topics include: historical development and changes over time, center resources and organizational characteristics, activities and services, factors associated with participation, participant versus non-participant profiles, linkages and focal point functions, policy issues such as effectiveness and serving the frail, and future senior center scenarios. The book is research-based and identifies areas in need of additional investigation. However, it is also targeted to practitioners and policy makers and is intended to assist them in formulating policy and examining issues central to senior center planning and operation, now and in the future. Krout makes a strong case for the importance and necessity of senior centers, and presents a cogent analysis of the issues and challenges they must respond to in an era of resource shortfalls, shifting social and health policies, and a changing elderly population. Readers of this book will gain a greater insight into senior center issues and a heightened sense of the need to explore these issues much more fully in the future. For this reason, it should be read by anyone involved with social services to the elderly.
Although residential care and assisted living for older adults has expanded rapidly in recent decades, it has done so in a policy environment beset by confusion and conflicting purposes. Sharon A. Baggett traces many of the current problems to insufficient knowledge of the population these policies are designed to serve. In her examination of the frequently neglected interface between policy and people, she provides a comprehensive review of current federal and state policies, a detailed case study of a state residential care program, and an analysis of the needs and characteristics of persons in assisted living facilities. Baggett's policy overview covers such areas as the confusion between housing and care, supply and demand factors in the economics of residential care, conditions contributing to the increase in numbers of assisted living facilities, and current policies that define and limit the choice of residential alternatives. A case study of Oregon's residential care program shows how that state has adapted federal initiatives to local goals and philosophies of long-term care. Funding mechanisms, regulations, and the role of state agencies in developing and monitoring compliance are discussed. Following a comprehensive profile of facility residents, the question of using functional assessment measures to determine individual needs is explored. Linking the larger policy issues with an in-depth analysis of residents served and actual services provided, this book will be helpful to policy planners and developers, administrators, and case managers, as well as students and academics concerned with housing and assisted living services for the elderly.
An outstanding examination of the cross-cultural apsects in social work practice and service dealing with Hispanic elderly, in particular Puerto Ricans, Cubans, and Mexicans. It provides a historical as well as a sociodemographic overview of the Hispanic aged, and addresses economic, cultural, and health issues affecting their quality of life. This is certainly a notable and comprehensive study of service utilization, variations in aging, politics and public policy, and foremost a collection of research writings of ethnography of Hispanic aging patterns and variabilities. Most highly recommended for public and academic libraries and for class use. LA Red/The Net A notable contribution to the literature dealing with ethnic variations in aging, this volume of interrelated original essays looks at how Hispanic elderly living in the United States are adapting to the present, maintaining links to the past, and determining the roles they may have in shaping the future. Addressing economic, social, cultural, and health issues that affect the quality of life of older Mexicans, Puerto Ricans, Cubans, and other Hispanics, the book offers both comprehensive analyses of selected topics and descriptive case studies of community life together with theoretical paradigms and practice models in the field of minority aging.
This volume presents important findings on conflict and abuse in families of the aged. A valuable resource for those in sociology, psychology, gerontology, and social work as well as psychotherapists who work with the aged, the staff of elder abuse programs, adult protective service workers, and legislators. the authors provide a fresh, historically balanced, empirical and theoretical framework for the view that elder abuse and neglect is an extreme manifestation of family conflict.
"Lisa P. Gwyther, Journal of Gernontology"
This volume presents important findings on conflict and abuse in families of the aged. A valuable resource for those in sociology, psychology, gerontology, and social work as well as psychotherapists who work with the aged, the staff of elder abuse programs, adult protective service workers, and legislators.
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Examines and clarifies the role of adult children as service providers to elderly parents. Drawing upon extensive interviews with elderly parents and adult children, the author describes how each group perceives the relative importance of helping services and suggests means by which children can increase helping behavior.
Aging is a universal experience, and an individual one. But it is also a cultural phenomenon. Our ethnic and social background has a strong influence on how we deal with growing old. This collection draws on research from around the world to explore how cultural context shapes and defines the aging process. Studies examine differing patterns in the lives of the aged in Portugal, Polynesia, Sweden, and Israel, and among ethnic groups in the United States.
This volume is in part the result of a project originated at the Andrus Gerontology Center at the University of Southern California. Each of five contributors examines the aging process in a particular society in order "to discover common themes punctuating the lives of informants, similar threads of experience and meaning transcending more superficial cultural and situational differences." The method used to study these diverse groups is that of the life history which is, in the editor's view, particularly appropriate to a study of the elderly who are often actively engaged in reviewing and interpreting their own lives. "The book could open up a fruitful controversy in social gerontology and should become part of the library of every social gerontologist." --Contemporary Sociology "A unique contribution to cross-cultural studies in aging." --Choice "Worthwhile reading for any human service professional dealing with the aged." --Social Work
The only text specifically for nurses about elder abuse in the clinical settingNurses are required by law to report elder abuse even when it is suspected but not verified. This is the only current text written specifically for nurses that provides a detailed overview of different forms of elder abuse in a variety of clinical settings. In combination with unfolding case studies, the book presents essential facts about elder abuse needed by nurses in clinical settings and provides them with useful tools to advocate for their patients. It describes key criteria for nurses to use in recognizing, assessing, intervening in and reporting elder abuse, as well as the legal, ethical, cultural and interprofessional care considerations associated with this complex topic.Of particular value is a series of detailed and unfolding case studies that illustrate the role of nurses caring for abused elders in a variety of care settings. A ""What Nurses Need to Know"" feature containing clinical pearls and key takeaway points is threaded throughout the text. The book examines relevant characteristics of potential victims of elder abuse and their perpetrators, along with influential cultural factors. In addition, a wealth of resources for nurses to use in caring and advocating for their patients include video clips, state-by-state legal information, cultural assessment and communication tools, and patient teaching and communication resources. The book concludes with a chapter on the Future of Elder Abuse, organized by the domains contained in the Elder Justice Roadmap - direct service, research, policy, and education - as they pertain to public health and health care, including nursing, with respect to what actions are anticipated and what actions are needed.Key Features:Presents essential facts about different forms of elder abuse in varied clinical settingsDescribes key criteria for nurses to use in recognizing, assessing, intervening in, and reporting elder abuseAddresses legal, ethical, cultural, and interprofessional care considerationsContains unfolding case studies illustrating the roles of nurses in dealing with elder abuseProvides clinical assessment pearls, takeaway points, links to video clips, state-by-state laws and information, cultural assessment tools, and more
Unbeknownst to many, bullying is not an experience limited to childhood, but is an epidemic occurring far too often among older adults as well. Studies have revealed the alarmingly high rate at which older adults in senior programs and care settings are bullied by their peers, resulting in profoundly negative effects on the elders, the staff, and the community in which it is occurring. Bullying Among Older Adults is the first resource to address this critical issue, providing the knowledge and tools to recognize bullying and develop constructive ways to intervene and prevent it. As an expert on peer bullying among older adults, author Robin Bonifas draws upon a growing body of research as well as the voices and actual experiences of the targets and perpetrators of bullying. She exposes the nature of this phenomenon and then presents positive, proactive ways for community-based or long-term care staff to minimize and prevent it from happening. Filled with practical resources and examples, this book offers effective interventions, including empathy and civility training, empowerment strategies, bystander interventions, and more. Increase staff awareness and improve day-to-day interactions with: detailed, step-by-step assessment strategies and anti-bullying interventions effective coping strategies to minimize negative consequences for those bullied pro-social activities to promote empathy and civility specialized approaches for residents with dementia or mental illness Bullying Among Older Adults is an invaluable resource in creating an atmosphere of caring and respect among both residents and staff. Special features:Learning activities Case studies Model intervention programs Sample forms and policy guidelines (also downloadable!) Social Interaction Survey (also downloadable!) Bullying assessment form (also downloadable!) 2017 National Mature Media Award (Merit Award Winner)
Use the ingenious communication and memory aids featured in this practical guide to significantly improve the ability of people with dementia and related memory impairments to stay connected, engaged, and functioning at their optimal level of independence. Presenting a wide array of evidence-based examples, Memory and Communication Aids for People with Dementia contains all the information needed to develop personalised supports for any individual and every circumstance. From low-tech options such as memory wallets, memo boards, planners, and reminder cards to commercial products available through new electronic technologies, these simple but powerful tools help to provide conversation prompts, answers to common questions, and reminders for daily living. Confusion, anxiety, frustration, and challenging behaviours melt away when individuals are able to communicate their needs and preferences to caregivers remember important names, places, and appointments complete tasks unassisted engage in meaningful conversations and social interactions recall past events and achievements preserve their dignity and identity Full-colour illustrations and simple instructions for creating various memory and communication tools are included. Abundant examples of useful content and formats are supplemented by more than 30 downloadable guides and templates to use or customise. Speech-language pathologists, occupational and physical therapists, activity directors, direct care staff, and family members interacting with adults with memory impairments will welcome this practical and life-enhancing resource.
Long-term care is an increasingly important issue in many contemporary welfare states around the globe given ageing populations. This ground-breaking book provides detailed case studies of 11 EU-member states' welfare regimes within Europe to show how welfare states organize, structures and deliver long-term care and whether there is a social investment perspective in the delivery of long-term care. This perspective is important because the effect of demographic transitions is often used as an argument for the existence of economic pressure on welfare states and a need for either direct retrenchment or attempts to reduce welfare state spending. The book's chapters will look specifically into how different welfare states have focussed on long-term care in recent years and what type of changes have taken place with regard to ageing populations and ambitions to curb increases in public sector spending in this area. They describe the development in long-term care for the elderly after the financial crisis and also discuss the boundaries between state and civil society in the different welfare states' approaches to the delivery of care.
Through the autobiographical perspectives of 16 preeminent researchers and scholars of Environmental Gerontology, this state-of-the-art Annual Review critically examines the broad range of topics that comprise this interdisciplinary field. The writings of these individuals, who have contributed to and shaped the growth of the field over the past three-plus decades, trace the growth and evolution of Environmental Gerontology and provide understanding of, and insights on, the role of environments for older adults and an aging society at multiple levels. The book examines the origins and growth of Environmental Gerontology, how the personal influences and professional choices of each author is linked to its development, the contextual factors influencing its biographical-intellectual evolution, and its potential implications for an aging society. The Review encompasses research and scholarship in diverse scales/contexts of the physical/built environment; diversity of disciplinary backgrounds represented by related social sciences, health sciences, and environmental design; basic/theoretical and applied/policy-oriented research; and more. Key Features: Promotes a critical understanding of the state of science and art in Environmental Gerontology Examines the origin, evolution, development, and future perspective of the field through the unique autobiographical lens of its worldwide pioneers Represents theoretical/substantive/applied perspectives through the reflections of preeminent scholars Focuses on intellectual development of pioneers in the field
State-of-the-art developments in multiple new technologies for older adult care. Grounded in a unique team-based geriatrics perspective, this book delivers a broad range of current, evidence-based knowledge about innovative technology that has the potential to advance the care and well being of older adults. It provides key information about the development, selection, and implementation of technology products, and describes research evidence, education-based initiatives, and systems thinking. The book also examines challenges and barriers to implementation, adoption and innovation. From telehealth and assistive technology in the home to simulation and augmented reality in educational settings, the text provides a hands-on, field-tested articulation of how products can aid in the transitional care process, chronic care delivery, and geriatrics/gerontology education. It discusses technology developments in rural areas, home telehealth, wearable technology, personalized medicine, social robots, technology to assist seniors with cognitive impairments, the potential of artificial intelligence to enhance health care of older adults. The text is written to help health care professionals select the appropriate technology for their needs. Key Features: Describes the most current technology resources, evidence, and developments for older adult care Based on a team-centered approach Written by interprofessional health care providers experienced in implementing, developing and adopting technology to assist older adults Includes case studies depicting technology-related successes and failures Addresses the challenges, barriers, and opportunities for transforming aging with technology across transitions of care
Clothing and appearance are steeped in social and personal significance, conveying individuals' gender, class, culture, and occupation. In the communal setting of long-term residential care, where residents' autonomy and mobility are often limited but their dignity and identity are paramount, clothes have become crucial issues and the source of tension for residents, their families, and staff. Assessing the neglected but important labour involved in ensuring that clothes promote respect for both the washers and the wearers, Wash, Wear, and Care analyzes the roles that laundry and clothing play in nursing homes, and raises questions about the wider social, political, economic, and historical contexts of these facilities. Drawing on interviews and observations from twenty-seven long-term residential care homes across Canada, Germany, Norway, Sweden, the United Kingdom, and the United States, Pat Armstrong and Suzanne Day provide an extensive and vital base of information on the daily organization, tasks, meanings, and concerns associated with clothing, laundry, dressing, and appearance in care facilities. An original study of an overlooked subject, Wash, Wear, and Care illuminates the shifting political and economic dynamics at work in long-term residential care homes and the health care system, raising larger theoretical and policy questions in the process.
Although older adults face significant health challenges, they tend to have better emotion regulation skills than younger or middle-age adults. Why is this so? And how might we use this knowledge to promote better health and well-being in adulthood and later life?This book explores the reciprocal relations between aging and emotion, as well as applications for promoting mental and physical health across the lifespan. The authors discuss the neural and cognitive mechanisms behind age-related shifts in affective experience and processing.In addition to presenting emotion regulation strategies for offsetting age-related declines in mental and physical functioning, the book examines the role of culture and motivation in shaping emotional experience across the lifespan, as well as the factors defining boundary conditions between human illness and human flourishing in old age.By highlighting these major advances in interdisciplinary research, the authors suggest promising avenues for intervention.
This comprehensive graduate textbook focuses on the full spectrum of long-term care settings ranging from family and community based care through supportive housing options to a variety of institutional long-term care alternatives. Integrating theory and practice, the book features the perspectives of diverse fields regarding current long-term care options and new directions for the future. Prominent scholars from history, environmental design, family caregiving, gerontology, social service delivery, clinical care, health service delivery, public policy, finance, law, and ethics explore such themes as relationships among independence, dependence, and interdependence; ethical considerations in the provision of long-term care; decision-making in long-term care; fluidity and transitions in long-term care; the lived experience of long-term care; and a micro-macro perspective ranging from the individual to societal institutions.
Vivid case examples help to guide nurses in developing appropriate interventions that include complementary and alternative health therapies and provide a basis for evaluating outcomes. Exercises interspersed throughout each case study include numerous open-ended and multiple-choice questions to facilitate learning and critical thinking. The text is unique in that some of the presented cases focus on psychosocial issues such as gambling addiction, hoarding behaviour, emergency preparedness, and long-distance caregiving. Cases also depict geriatric clients who are living healthy, productive lives to counter myths and negative attitudes about older adults. Scenarios demonstrating ethical dilemmas prepare students to appropriately respond to "gray area" situations. The text is geared for AACN and NLN Accreditation and is organized according to the needs of actual clinical settings. With cases that take place in the home and community or within primary, acute, and long-term care facilities, this book will be useful for courses specific to gerontology nursing or across any nursing curriculum. New to the Second Edition: A completely new section of Aging Issues Affecting the Family New cases addressing Healthcare Disparities, Aging in Place, and Prevention of Catheter Associated Urinary Tract Infection Additional contemporary case studies Additional video clips and animations embedded throughout the text The addition of Quality for Safety in Nursing Education (QSEN) Initiatives A greater focus on prioritization and delegation of client's needs infused throughout exercises
Aging in the Right Place is the most up-to-date and comprehensive resource covering the impact of residential and care settings in older adults. Providing a complete overview of current living arrangements and residential options for older adults, this text also offers a unique perspective on the often overlooked emotional challenges aging adults face when their residential needs must be evaluated. Placing particular value on the experiences and opinions of older adults while also covering the objective recommendations of aging experts, author Stephen Golant, Ph.D. introduces a new framework of "residential normalcy" to assist an aging population in identifying their best housing and care options.Covering virtually every aspect of residential environments in elder care through an expansive range of topics (from government healthcare policies and programs to case studies, opinions, stories, and quotes that illustrate the diverse experiences of today's older adults), Aging in the Right Place also points out housing and care topics that need further research, reform, support, and public awareness. Written by a gerontologist with over 30 years in the field (and personal experience as a family caregiver) this cohesive text is essential for gerontology, long-term care, and healthcare professionals, practitioners, and academics.
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