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This volume encourages and celebrates the achievements of older people in the community. It identifies many of the issues and challenges that face older people and offers some inspirational and practical examples of ways in which people can revitalize their lives.
The elderly have traditionally been a segment of the population that is treated with respect and veneration. Numerous societal changes, however, have raised practical concerns about the rights of the elderly and how to best care for an aging population without overburdening younger and future generations. Necessities and structures that many take for granted - employment, medical care, and housing - are often difficult for the elderly to obtain. Government programs, such as the Social Security Act and Medicare, are constantly threatened by privatization. As baby boomers continue to retire, questions surrounding the rights of the elderly become more and more pronounced. ""Rights of the Elderly"" provides an overview of the history of this timely topic and the opinions surrounding it - from the Social Security Act of 1935 to the current activism of groups such as AARP and the Gray Panthers. Examining recent court cases such as Kathi Cooper et al. v. IBM Personal Pension Plan and IBM Corporation and documents such as The Age Discrimination in Employment Act of 1967, this new volume provides multiple perspectives and decisions surrounding this issue while also plotting a course for the future of legislative action. A comprehensive and up-to-date overview essay, capsule biographies, a large annotated bibliography, a chronology of significant events, organization and agency listings, and a glossary provide useful information for students, teachers, librarians, older persons, activists, policy makers, and the general reader interested in this controversial issue. Coverage includes: whether or not the systems devised to protect the elderly - including Social Security and Medicare - will be sustainable; whether or not it is fair that younger workers must contribute to funds that will probably be depleted by the time they retire; who will take care of the aging population and guarantee their safety as reports of nursing home scandals and medical malpractice emerge; and whether or not elderly individuals have too few rights and whether these rights infringe on others.
The number of people in this country over the age of 65 is expected to rise dramatically in the coming years. As Baby Boomers age, many require assistance ranging from transportation for daily errands to round-the-clock medical care. Younger people face difficult choices in caring for aging family members and helping them select the best assistance and living options. From choosing between assisted living or nursing homes and paying for costly prescriptions and health care to resolving sibling squabbles over caring for an elderly parent and facing difficult end-of-life decisions, ""The Encyclopedia of Elder Care"" serves as a comprehensive and objective guide for students and professionals alike. In more than 250 entries, this new book relies on statistical information to paint a picture of aging and its key issues in the United States and around the globe. Appendixes provide statistical data, directories of resources, and helpful information on planning and caring for the elderly.
From housing options to estate planning - an informative guide to elder care. From choosing between assisted living or nursing homes and paying for costly prescriptions and health care to resolving sibling squabbles over caring for an elderly parent and facing difficult end-of-life decisions, ""The A-to-Z Guide to Elder Care"" serves as a comprehensive and objective guide for general readers and professionals alike. In more than 250 entries, this new book relies on statistical information to paint a picture of aging and its key issues in the United States and around the globe. Appendixes provide statistical data, directories of resources, and helpful information on planning and caring for the elderly.Entries include: Alzheimer's disease and other forms of dementia; Crime against the elderly; Elder abuse and neglect; End-of-life planning; Estate planning; Family conflicts and caregiver issues; Health issues; Housing options; Insurance; Medications and medical care; and, Safety issues.
Like anyone else who is aging, adults with lifelong disabilities want to grow old in their own homes and communities. This book will show you how you can help older adults meet the challenges of healthy aging, including living with families, maintaining a house-hold, and coping with community life. Going beyond the basics, this resource offers practical advice from a holistic approach, including such topics as financing older-age services; supporting health, wellness, and sound nutrition; designing services for special challenges related to old age; adapting home environments; and coping with end-of-life challenges.
Late life is a time when loss becomes more frequent. Grief experiences accumulate as many older people grapple with diminishing adaptive reserves, changes in cognitive and emotional functioning, patterns of social integration, loneliness, and financial risk. In these years, bereavement poses an array of difficult issues for coping, assessment, and intervention. In what is certain to become a landmark volume, Hansson and Stroebe present a critical review of the literature and dominant theories in the field of bereavement and examine how protective and problematic developmental processes affect the experience of bereavement in late life. They argue for a new, more fine-grained understanding of how the processes of aging and bereavement interact to influence life outcomes, adaptive potential, coping capacity, and successful aging. Finally, in a series of specific proposals, the authors present a path for future research on the bereavement experiences of older adults.
As communication skills decline in people with dementia, a supportive environment becomes crucial to a resident's ability to express needs and desires. But how do you recognise what physical and social changes will help improve functioning, communication, and quality of life? The Environment & Communication Assessment Toolkit (ECAT) for Dementia Care is your answer. This evidence-based toolkit includes the tools you need to assess, intervene, and modify on an individualised basis to ensure the quality of life for people with dementia. Use the validated Assessment Forms, and in three easy-to-follow steps you will be able to assess activity performance with quick yes/no questions; evaluate the environment to identify barriers and problems; and pinpoint individualised recommendations for intervention. ECAT's developers are researchers and experienced clinicians who have made sure that ECAT integrates effortlessly into evaluation and treatment sessions; helps keep up case load demands with creative solutions; satisfies regulatory requirements; leads to straightforward functional therapeutic interventions; and identifies low-cost, person-centred environmental modifications. ECAT for Dementia Care has more than 300 specific recommendations for interventions and modifications that will reduce typical problems encountered during routine activities of daily living for people with dementia. With the ECAT's functionally based assessment and intervention system, you will be fully equipped with solutions. Environment & Communication Assessment Toolkit for Dementia Care Toolkit (ECAT) Card Pack contains 25 cards (24 full-colour Sequencing Cue Cards and 1 double-sided single colour card (Gray Scale Contrast Tool and Type Size Reading Test).
As communication skills decline in people with dementia, a supportive environment becomes crucial to a resident's ability to express needs and desires. But how do you recognise what physical and social changes will help improve functioning, communication, and quality of life? The Environment & Communication Assessment Toolkit (ECAT) for Dementia Care is your answer. This evidence-based toolkit includes the tools you need to assess, intervene, and modify on an individualised basis to ensure the quality of life for people with dementia. Use the validated Assessment Forms, and in three easy-to-follow steps you will be able to assess activity performance with quick yes/no questions; evaluate the environment to identify barriers and problems; and pinpoint individualised recommendations for intervention. ECAT's developers are researchers and experienced clinicians who have made sure that ECAT integrates effortlessly into evaluation and treatment sessions; helps keep up case load demands with creative solutions; satisfies regulatory requirements; leads to straightforward functional therapeutic interventions; and identifies low-cost, person-centred environmental modifications. ECAT for Dementia Care has more than 300 specific recommendations for interventions and modifications that will reduce typical problems encountered during routine activities of daily living for people with dementia. With the ECAT's functionally based assessment and intervention system, you will be fully equipped with solutions. Environment & Communication Assessment Toolkit for Dementia Care (ECAT) Assessment Form Packs contain 12pp saddle-stitched booklet (that includes the 6pp Evaluation of Personal Spaces Assessment Form and the 5pp Evaluation of Public Spaces Assessment Form), in shrink-wrapped packages of 15.
Use poetry and the arts to encourage and facilitate communication with people with dementia in a fun and unique way!Dementia Arts guides readers in incorporating poetry, music, and other arts into activity programming to increase interaction and encourage amusement and joy in dementia care. Author Gary Glazner, founder of the Alzheimer's Poetry Project and Institute for Dementia Education and Arts (IDEA), demonstrates how anyone-not just poets or artists-can incorporate creative verbal expression into activities of daily living (as well as day-to-day activities) in an effortless, economical, and enjoyable way.Using simple techniques that build on poetry as a communication tool, you can achieve positive outcomes with people in all stages of dementia, as well as those with challenging behavior. A fun and engaging read, Dementia Arts is perfect for professional and family caregivers, and truly provides the ""recipe"" for communication success through poetry and art.
Southeast and East Asian countries are undergoing varying stages of population ageing. The social, economic and political implications of population ageing will be enormous, and because of the fast speed of ageing in the region, the countries cannot afford the luxury of time for the gradual evolution of social and structural support systems and networks for the older population. The essays in this volume critically examine national ageing policies and programmes, the sustainability of existing pension systems, housing and living arrangements, inter-generational transfer, and aspects of quality of life of the elderly population. While the findings show that most Southeast Asian countries have started to formulate and implement national ageing policies, they also indicate that the existing policies are by and large inadequate and underdeveloped in serving the needs of the older population and indeed much more must be done to prepare for the future.
Most people fear the idea of living in a long-term care facility. Yet, there is potential for joy and meaning in these settings.This book highlights expanded roles and services that mental health professionals can provide in long-term care for older adults, offering the potential to improve the quality of care for residents.Beyond assessments and individual therapy, the authors make a case for mental health providers to help improve the long-term care environment for both residents and staff, thus having a greater impact on systems, culture, and ultimately, patient well-being.Readers who wish to add or expand their services for older adults will find helpful guidance, including detailed instruction on Medicare policies and reimbursement practices.The authors also present an innovative model of wrap-around care that involves the array of staff and family members who are present to the individual all day, every day. This comprehensive approach, called the Eldercare Method, positions the mental health professional to serve in the roles of teacher, consultant, role model, advocate, and clinician.With numerous case examples to illustrate common scenarios and ethical dilemmas, this practical resource will help readers envision new ways to apply their skills in the rapidly growing field of long-term care for older adults.
Presenting the most up-to-date information available about dementia and intellectual disabilities, this book brings together the latest international research and evidence-based practice, and describes clearly the relevance and implications for support and services Internationally renowned experts from the UK, Ireland, the USA, Canada, Australia and the Netherlands discuss good practice and the way forward in relation to assessment, diagnosis, interventions, staff knowledge and training, care pathways, service design, measuring outcomes and the experiences of individuals, families and carers. The wealth of information offered will inform support and services throughout the whole course of dementia, from diagnosis to end of life. Particular emphasis is placed on how intellectual disability and dementia services can work collaboratively to offer more effective, joined up support. Practitioners, managers and commissioners will find this to be an informative resource for developing person-centred provision for people with intellectual disabilities and dementia and their families. It will also be a key text for academics and students who wish to be up-to-date with the latest research and practice developments in this field.
One of the greatest challenges facing any manager in the 1990s is the rapid growth in the numbers of their employees who face the difficulties of balancing job responsibilities with the responsibility of caring for an older relative. There are more than 14 million working caregivers in the United States today, a trend fueled by the aging of the population, the fact that more women than ever before work outside the home, and by the new attitudes and expectations about the relationship between employee and employer. The work force of the late 1990s is increasingly diverse, and workers today want to be treated as whole persons by their employers. This requires managers to improve the responsiveness of their organizations to help workers balance their work and life needs.
Marosy presents the latest research findings regarding the needs of working caregivers and describes effective programs and policies now in place at leading corporations throughout the country. Marosy emphasizes practical problem solving and promotes a deeper understanding of the changes being brought about by the aging of the American population. Managers are presented with proven step-by-step guidance on how to effectively respond to the needs of working caregivers as well as a blueprint (including sample memos, a survey tool, and checklists) for building a sound organizational response to elder care needs. "A Manager's Guide to Elder Care and Work" is an essential tool for managing into the next century.
Due to falling fertility rates, the aging of the baby-boom cohort, and increases in life expectancy at age sixty-five, the percentage of the population that is elderly is expected to increase rapidly in both the United States and Japan over the next two decades. These fourteen essays show that, despite differences in culture and social and government structure, population aging will have many similar macro and micro effects on the economic status and behavior of the elderly in both countries. Topics addressed include the effects of demographic trends on the consumption and savings patterns of the elderly and on public pension programs in Japan and the United States; the consequences of population aging on private pension fund saving, national saving, and asset accumulation; the effects of personal retirement savings, social security, and retirement benefits on the wealth of the elderly; and public pension reform. This volume will be of interest to scholars and policy makers who are concerned with the economics of aging.
For over a decade, the National Bureau of Economic Research has sponsored the Economics of Aging Program, under the direction of David A. Wise. The program addresses issues that affect the well-being of individuals as they age and a society that is composed increasingly of older people.
Within the next twenty years, an unprecedented proportion of Americans will be over sixty-five. New research in the economics of aging is an essential element of understanding what the future holds for this aging population. Inquiries in the Economics of Aging presents both empirical papers that consider questions that are fundamental to public policy and more theoretical contributions that lay new ground-work for future research in the economics of aging.
Two essays investigate health insurance and the increasing cost of health care. The first considers the feasibility of medical savings accounts as a means of controlling health care costs; the second examines the sources of health care expenditure growth, emphasizing the significance of changes in medical technology. Three papers concentrate on retirement and caring for the elderly. One concludes that retirement saving is indeed used for retirement, another asks whether the availability of Medicare insurance influences the timing of retirement, and the third studies the economic role that adult children play in caring for elderly parents. Of the five theoretical works in the book, three discuss methodological problems related to mortality and mortality rates, and two address difficulties and new opportunities for measuring wealth and poverty among the elderly.
Inquiries in the Economics of Aging provides a timely overview of some of the mostimportant questions facing researchers on aging and outlines new techniques and models that may help to answer these questions. This important volume will be of great interest to specialists and policy makers as it paves the way for future analysis.
As America's population ages, economic research related to the
elderly becomes increasingly important to public policy.
California's unfunded public pension liability, when measured correctly, is two to four times larger than official government estimates. In total, California's 86 defined-benefit public pension plans are underfunded by roughly $430 billion, representing California's greatest financial challenge since the Great Depression. The failure to fully fund the pension promises has allowed the current generation to receive public services that they are not fully paying for, pushing the pension problem onto future generations. California Dreamin': Resolving the Public Pension Crisis explains how six reforms would solve the state's pension problem in an equitable, responsible, and moral way: preserving pension benefits already earned, providing competitive pensions going forward, and granting the flexibility needed so that future generations are not paying for deals they did not make.
This volume represents the most important work to date on one of
the pressing policy issues of the moment: the privatization of
social security. Although social security is facing enormous fiscal
pressure in the face of an aging population, there has been
relatively little published on the fundamentals of essential reform
through privatization. "Privatizing Social Security" fills this
void by studying the methods and problems involved in shifting from
the current system to one based on mandatory saving in individual
The number of Americans eligible to receive Social Security
benefits will increase from forty-five million to nearly eighty
million in the next twenty years. Retirement systems must therefore
adapt to meet the demands of the largest aging population in our
nation's history. In "Developments in the Economics of Aging,"
David A. Wise and a distinguished group of analysts examine the
economic issues that will confront policy makers as they seek to
design policies to protect the economic and physical health of
these older Americans.
The United states is engaged in a critically important and contentious debate on how to overhaul the health care system. The Clinton administration's call for major health care reform has brought national attention to solving the dual problems of uncontrolled cost increases and the lack of adequate health insurance. Although this debate focuses primarily on acute care, it is also about long-term care and about how to restructure the way that care is financed. Today the families of Americans suffering from chronic conditions that require long-term care either at home or in nursing homes often face financial catastrophe. With the ever-increasing elderly population the need to address long-term care financing is more crucial than ever. Sharing the Burden examines a wide range of financing approaches to reforming long-term care and the impacts each would have over the next twenty-five years. It tackles the central issue in the long-term care debate - the relative roles of the public and private sectors. The authors urge that private insurance be encouraged and predict that it will grow. Nevertheless, private insurance will probably play a modest role in financing nursing home and at-home care. For this reason, careful attention must also be given to reforming public programs. They recommend a strategy that includes expanded social insurance covering more at-home care and limited nursing home care, liberalized eligibility requirements for medicaid so that complete impoverishment is not required before benefits are given, and an enhanced role for private insurance to provide asset protection to the upper-middle-income and wealthy elderly. Using their original computer simulation model, theauthors examine the costs of various public and private initiatives and who would pay for them. They conclude that the best strategy for reforming long-term care is a mix of public and private initiatives and, within the public sector, a combination of social insurance and medicaid changes. This book underscores the urgent need to restructure the American health care system and provides essential information for everyone concerned about its future.
By the turn of the century, the largest generation of Americans in history, the "Baby Boomers", will be approaching age 65 years. But as the demand for health and long-term care is growing dramatically, health care programs have been shrinking instead of expanding to meet the older generation's needs. In this timely book, John R. Wolfe offers practical solutions to the coming health crisis, exploring innovative ways of developing insurance plans for the care of the large, aging "Baby Boom" generation and beyond. In previous decades, when younger Americans far outnumbered older ones, retirees could depend on financial support through taxes from the population at large. But as "Boomers" retire and the work force begins to shrink, there will be a disproportionately large population of retirees to workers. With such a big jump in the percentage of older Americans in the population, fewer workers will be able to transfer funds, through taxes, to retirees. Moreover, other traditionally reliable sources of financial assistance - Social Security, Medicare, and Medicaid - have faced serious financial difficulties in recent years. Who will the aged turn to for assistance? The Coming Health Crisis suggests that as funds from all quarters dwindle, older Americans will have to look to alternative programs for financial assistance. Wolfe urges immediate action to develop new saving programs and increase existing transfer schemes to head off an imminent crisis. Although tax increases might provide some resources, he demonstrates that it is more important to accumulate capital to create solid reserves for the future. Wolfe also explores two roles for government: prefunding new or existing socialinsurance programs and promoting private insurance options. By exempting insurance fund income from corporate taxation and permitting people at all income levels to defer income tax on accounts earmarked for long-term care, he shows how government could greatly encourage and expand personal saving. Finally, this work assesses the value of other recent health and long-term-care innovations: social/health maintenance organizations, long-term-care individual retirement accounts, and reverse annuity mortgages, in addition to vouchers, care rationing, mandatory public insurance, and expanded private coverage. Through this wide-ranging survey, Wolfe demonstrates that, through a combination of these programs, we can care for the aging "Baby Boom" generation by anticipating their needs and saving now.
America is quickly going grey. There are more Americans alive today over the age of 80 than ever before in our history; by 2030, that number is expected to almost triple. But when we discuss how long people live, we must also consider how well they live. Aging Our Way follows the everyday lives of 30 elders (ages 85-102) living at home and mostly alone to understand how they create and maintain meaningful lives for themselves. Through extensive interviews, Meika Loe explores how elders navigate the practical challenges of living as independently as possible while staying healthy, connected, and comfortable. Aging Our Way celebrates these men and women as they really are: lively, complicated, engaging people finding creative ways to make their aging as meaningful and manageable as possible. Written with remarkable warmth and depth of understanding, Aging Our Way offers a vivid look at a group of people who too often remain invisible-those who have lived the longest - and all they have to teach us.
Written by a psychologist and a physician who have extensive experience in treating the elderly and first-hand knowledge of what it is like to care for an elderly parent, "Eldercare" offers practical, down-to-earth information on how to care for older persons. Emphasis is given to questions about the ageing process, maintaining maximum independence, the pluses and minuses of home care, preparing a safe environment, how to choose a nursing home, nutrition and exercise, dealing with behavioural problems and basic medical concerns. "Eldercare" is concerned with every aspect of the ageing process, including the importance of family support and role reversal when the adult child takes on the responsibility of making the choices for an ageing parent. Blending professional expertise and personal experience, the authors discuss not only the challenges confronting the aged and those who care for them, but also the opportunities for family growth and personal fulfilment.
This book is about caring for elderly persons in the 21th century. It shows that care has many facets and is influenced by many factors. Central topics of this book thus include the relation between the person depending on care and the care giver(s), the impacts of caregiving on the family and the larger social context, as well as socio-cultural and political aspects underlying the growing need for and the practice of formal and informal care. It is evident that care as a real-life phenomenon of our time needs the co-operation ofmultiple disciplines to better understand, describe, explain and modify phenomena of elder care. Such a need for crossdisciplinary research is even more urgent given the increasing population aging and the impending gaps between demand and supply of care. The present book is dedicated to this approach and provides a first substantive integration of knowledge from geropsychology, other gerosciences, and cultural psychologies by a multi-disciplinary cast of internationally renowned authors. Cultural psychology emerged as a valuable partner of the gerosciences by contributing essentially to a deeper understanding of the relevant issues. Reading of this book provides the reader-researcher or practitioner-with new insights of where the problems of advancing age take our caring tasks in our 21st century societies and it opens many new directions for further work in the field. Finally and above all, this book is also a strong plea for solidarity between generations in family and society in a rapidly changing globalized world.
This authoritative collection sets out the critical role and application of evaluation in identifying and developing good practice in a range of dementia care settings. The contributors discuss the evaluation of care at different levels and in various settings, particularly long stay care, covering evaluation methods, ethics, use of technology and the user's role in the evaluation process itself. Their contributions on evaluating aspects of dementia care ranging from life story work and environmental considerations to medication and dementia care mapping is a useful basis for the discussion of future challenges in evaluation of dementia care. Practical and theoretical, this wide-ranging text is essential reading for dementia care practitioners at all levels, as well as students and researchers interested in dementia care practice.
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