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Senior citizens from all walks of life face a gauntlet of physical, psychological, and social hurdles. But do the disadvantages some people accumulate over the course of their lives make their final years especially difficult? Or does the quality of life among poor and affluent seniors converge at some point? The End Game investigates whether persistent socioeconomic, racial, and gender divisions in America create inequalities that structure the lives of the elderly. Corey Abramson's portraits of seniors from diverse backgrounds offer an intimate look at aging as a stratified social process. They illustrate that disparities in wealth, access to health care, neighborhood conditions, and networks of friends and family shape how different people understand and adapt to the challenges of old age. Social Security and Medicare are helpful but insufficient to alleviate deep structural inequalities. Yet material disadvantages alone cannot explain why seniors respond to aging in different ways. Culture, in all its variations, plays a crucial role. Abramson argues that studying the experience of aging is central to understanding inequality, in part because this segment of the population is rapidly growing. But there is another reason. The shared challenges of the elderly-declining mobility and health, loss of loved ones and friends-affect people across the socioeconomic spectrum, allowing for powerful ethnographic comparisons that are difficult to make earlier in life. The End Game makes clear that, despite the shared experiences of old age, inequality remains a powerful arbiter of who wins and who loses in American society.
Aging, Health, and Longevity in the Mexican-Origin Population creates a foundation for an interdisciplinary discussion of the trajectory of disability and long-term care for older people of Mexican-origin from a bi-national perspective. Although the literature on Latino elders in the United States is growing, few of these studies or publications offer the breadth and depth contained in this book.
Some 400,000 hip fractures occur every year, the vast majority among the elderly; all too often these fractures are associated with death or severe disability. After her mother's double hip fracture, Luisa Margolies immersed herself in identifying and coordinating the services and professionals needed to provide critical care for an elderly person. She soon realized that the American medical system is ill prepared to deal with the long-term care needs of our graying society. The heart of "My Mother's Hip is taken up with the author's day-to-day observations as her mother's condition worsened, then improved only to worsen again, while her father became increasingly anxious and disoriented. As both a devoted daughter and a skilled anthropologist, Margolies vividly renders her interactions with physicians, nurses, hospital workers, nursing home administrators, the Medicare bureaucracy, home care providers, and her parents. In the Lessons chapter that follows each episode, she discusses in a broader context the weighty decisions that adult children must make on their parents' behalf and the emotional toll their responsibility takes. Here she addresses the complex practical issues that commonly arise in such situations: understanding the consequences of hip fracture and its treatment, preparing health care proxies and advanced directives, enabling elders to remain at home, and the heartbreaking dilemma of prolonging life. Like many adult children, Margolies learned her lessons about eldercare in the midst of crises. This book is intended to ease the information-gathering and decision-making processes for others involved in eldercare.
This book provides a comprehensive analysis of federal programs for the aging, and their origins. Landmark federal legislation affecting the aging was enacted in the 1930s, and the intervening decades have witnesses a dramatic increase in the number and scope of programs. But far from constituting a cohesive national policy for the elderly, the many programs reflect the particular political and social conditions surrounding their origin and implementation. The multiplicity and complexity of resources and services available make achieving even a reasonable grasp of this field extremely difficult. This study offers a coherent and readable summary of this important area of federal legislation.
A comprehensive text addressing this issue is welcome and this book addresses service provision for older people with disabilities from a UK, USA and Australian perspective. The book would serve as a useful reference book for Health and Social Service personnel, particularly students, from a variety of disciplines working with older adults, in the learning disability field or with older people who have lifelong physical disabilities. A particular strength is the inclusion of case vignettes that describe individual older clients with lifelong disabilities; interesting questions are posed for discussion which relate to the subject matter in each of the five sections. The vignettes are interesting and enjoyable to read and would be useful for group work/teaching purposes.' - International Journal of Geriatric Psychiatry 'This book is most welcome with an extensive review of the research and service development in the United States, the United Kingdom and Australia with illustrative vignettes and relevant questions following the first four parts of the book. Suggested literature is also part of each chapter. All in all, a book recommended for both practitioners, researchers and policy makers involved with persons with life long disability as they age.' - International Journal of Adolescent Medical Health 'In all, this book is an essential addition to the library of service provider organisations, policymakers, researchers, and families and all who wish to share in ensuring the well-being and quality lifestyles of this growing and emerging group of citizens. I see this book as a seminal text in this area.' - Marie Knox (School of Humanities and Human Services, Queensland University of Technology, Brisbane) in Intellectual Disability Australasia 'This book makes a commendable contribution in uniting thinking and strategic planning, and also through providing empirical evidence to illustrate ways forward that have meaning for older people with disabilities, their families and front-line professionals.' - from the Foreword by Gordon Grant Based on the author's 18 years' research experience and social work practice expertise, this pioneering guide provides up to date specialist knowledge about ageing with a disability in the context of the more mainstream knowledge about ageing processes. Christine Bigby uses the concept of 'successful ageing' as a framework in which to consider the issues and practicalities for older people with a lifelong disability. Bigby presents strategies for the various challenges involved in the physiological, psychological and sociological aspects of ageing and proposes an integrated framework of service development and policy directions for the implementation of these strategies. Particular focus is given to lifestyle planning, encompassing subjects such as daily activity and leisure, housing and support, advocacy, case management and health. Consideration is also given to working with older parental carers of adults with a lifelong disability to support preparation and planning for the transition from parental care.
Those working in residential or domiciliary settings have a responsibility to maintain a clean, safe and secure work environment. Health and Safety provides guidance on the responsibilities and risk assessments involved, covering subjects such as first aid, safety in the kitchen, infection control, safe handling of adults, issues surrounding medication, how to react in an emergency and how to respond to challenging behaviour. The workbook meets the requirements of care standards and promotes best practice by enabling staff to gain the knowledge needed to meet health and safety standards. Designed to meet the requirements of Health and Social Care (Adults) NVQ Level 3, Unit 32, this workbook is also a valuable source of guidance for any social care worker wanting to improve their knowledge.
Demonstrating that it is essential to be sensitive to the cultural backgrounds of people with dementia in order to provide truly person-centred care, this book shows that it is possible to create culturally appropriate outdoor spaces and experiences that resonate with people with dementia on a fundamental level and are a source of comfort and wellbeing. Contributors drawn from a variety of backgrounds describe the significance of nature in the lives of people with dementia from diverse cultures, faiths, traditions and geographical locations, providing helpful insights into how access to the natural world may be achieved within different care settings. There are contributions from the UK (Scottish island, urban North East England and Norfolk farming communities), Canada, Norway, Japan, Australia, Sudan and South Africa, as well as a chapter on the specific difficulty of providing access to nature for people with dementia in hospitals. The voices of people with dementia and their carers are prominent throughout, and the book also contains evocative poetry and photographs of people with dementia enjoying nature and the outdoors in different contexts. A rich source of information and ideas for all those interested in creating culturally appropriate outdoor spaces and experiences for people with dementia, including dementia care practitioners, especially those at managerial level, policy makers, commissioners and those involved in designing and commissioning buildings and services.
Care in context is a thought-provoking book that looks at gender inequalities in the context of care. Drawing in part from unique transnational perspectives and gripping interviews, this book focuses on key questions that intellectuals, policy makers and all of us who care and need care have to ask, such as: What is good care? Who should be involved in providing it? And how should care be arranged and organized so that that the interests of both care givers and care recipients are equally provided for? Care is indispensable to human flourishing. Without it we cannot survive. It is vital to the development of all individuals and to that of the broader society. Increasing economic and health problems have also contributed to mounting care crises in different parts of the world. With this view, the book offers fresh and nuanced perspectives and is a definite must read for all those affected by issues of care.
Social work and social care services should treat older people as citizens with the same humanity and rights as every other citizen. That means services of all kinds engaging older people in a fulfilling, creative life in the mainstream of each community. Informed by a wide international literature, Malcolm Payne, a leading social work author, develops a critical and creative social work practice focused on social inclusion to achieve a high quality of life for all older people and explores how advance care planning allows older people to influence the space they live in and the quality of care that they need, and support at the end of life. He shows how integrated services can provide a secure place for older people, with opportunities for personal development and creativity in their lives and that groupwork should be a crucial part of any service to facilitate mutual support and advocacy for older people and their carers. This clearly written and well-structured textbook uses case examples and reflective points to illustrate concepts and will be essential reading for all social work students.
As the older population in the United States is becoming more racially and ethnically diverse, it is important to understand the characteristics, the potential, and the needs of this population. In this new and fully revised edition of Aging and Diversity, Chandra Mehrotra and Lisa Wagner address key topics in diversity and aging, discussing how the aging experience is affected by not only race and ethnicity but also gender, religious affiliation, social class, rural-urban community location, and sexual orientation and gender identity. Taking this broad view of human diversity allows the authors to convey some of the rich complexities facing our aging population - complexities that provide both challenges to meet the needs of a diverse population of elders and opportunities to learn how to live in a pluralistic society. Mehrotra and Wagner present up-to-date knowledge and scholarship about aging and diversity in a way that engages readers in active learning, placing ongoing emphasis on developing readers' knowledge and skills, fostering higher order thinking, and encouraging exploration of personal values and attitudes.
Medical advances are keeping people alive longer and, as a result, elderly people, their families and those who work with them are confronting new problems. For many, old age is the first time they must deal with government agencies, subsidies, benefit forms, lawyers, and the law. Seniors face difficulties and need someone to turn to for assistance in these matters.
In clear non-technical language, "The Aged Client and the Law" by John J. Regan explains the laws affecting the major concerns of older persons and their families. The book's two goals are to provide legal information regarding the major programs, sources, and methods for meeting the needs of older people for income, health care, and maintenance of autonomy, and to explore legal issues and problems caseworkers may encounter when assisting older clients. The broad coverage of legal concerns in this guide goes beyond mere health care issues. Sections describe:
-Social Security and public pensions
-Supplemental Security Income (SSI)
-private pensions and income tax benefits
-Medicare and health insurance
-decision-making by and for the incapacitated
-intervention for the frail elderly
Regan provides straightforward and basic examples to facilitate understanding of the laws and regulations presented in "The Aged Client and the Law." All sections emphasize client planning rather than litigation of abstract rights. The book is current, including the latest changes in Social Security, Medicare, and Medicaid up to 1990. Providing basic legal information, Regan stresses the factors and issues the professional advisor should consider when dealing with the problems of the elderly.
Aging societies --with a growing number of old people needing care --have made safe, effective, and responsive health services for the elderly a priority for many OECD and European Union countries. Much remains to be done, however, to enhance evidence-based measurement and to improve the quality of extended care. This books offers evidence and examples of useful experiences to help policymakers, providers, and healthcare experts measure and improve the quality of long-term care services.
Copublished with the European Union
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.
Get a wealth of information about the theory and practice of social work with older adults, their families, and their caregivers! Although there is a considerable amount of writing on both group work and social work with the elderly, there is surprisingly little about applying this practice method to this specific age group. Group Work and Aging: Issues in Practice, Research, and Education fills this gap by presenting penetrating articles about a mutual aid approach to working with diverse groups of older adults with varied needs. Respected experts and gifted researchers provide case studies, practice examples, and explanation of theory to illustrate this practice method with aging adults, their families, and their caregivers. Group Work and Aging: Issues in Practice, Research, and Education discusses in-depth information on group work with gay and lesbian elders, caregivers, elders with Alzheimer's disease, service providers, special populations such as Vietnamese and Latino/a elders, and provides information on the use of expressive therapies like art, drama, and dance. Each well-referenced chapter presents high quality, up-to-date social group work practice strategies to prepare practitioners for the needs of the growing population of elderly in the near future. Group Work and Aging: Issues in Practice, Research, and Education discusses: the adaptation of group work practice approaches when working with older group members the use of a Record of Service as an analytical tool in group work with aging lesbians a chronicle of a student's field placement at a drop-in center for homeless senior citizens the sociocultural reality of the Asian immigrant elderly residential substance abuse treatment for older adults mutual aid groups for older persons with mental illness the relationship between caregiver support groups and the marker framework of family caregiving telephone caregiver support groups group work interventions with elderly parents of adults with severe mental illness a program for the development and implementation of an intergenerational singing group support groups as an effective therapy at end-of-life the use of a mutual aid group with home attendants and much more! Group Work and Aging: Issues in Practice, Research, and Education reveals the latest examples of good group work practice with aging adults and their support systems, perfect for practitioners, educators, and anyone interested in and/or work with older adults.
Learn how public policies can help families provide the care their elderly relatives need Family and Aging Policy examines how public initiatives to assist the elderly in the United States, Canada, Singapore, Denmark, and Sweden can impact families who provide them with long-term care. For the majority of older people, the aging experience involves their families directly and indirectly, affecting income security, housing, and health care. This unique book addresses the aging issues that matter most to families struggling to deal with the demands of care giving and provides answers on how the public sector can help. As the traditional nuclear family becomes a memory and the notion of extended family disappears, the need for public interventions to help the elderly increases. A significant number of people grow old without families they can depend on. Others have families who want to help, but lack the financial means or the housing needed to provide care. Family and Aging Policy offers options on how families and formal services can share responsibilities, including how families can juggle jobs and care giving, the effects of the Family and Medical Leave Act, consumer-directed service options, community-based care programs, accessory dwelling units and zoning ordinances, and provisions for caregiver support in each of the 50 United States and the District of Columbia. Family and Aging Policy examines: extensive welfare programs in Sweden publicly funded home care programs in Denmark family-oriented social policies in Singapore shared responsibilities of families and formal services in Canada the Administration on Aging's National Family Caregiver Support program in the United States California Caregiver Resource Centers and much more! Family and Aging Policy is an invaluable tool for researchers and policy analysts working in family policy issues and as an essential supplemental text for course work in gerontology, sociology, family relations, and social work.
Featuring case studies from different regions of the continent (Southern, Central, East and West Africa), this book provides the pan-African evidence and analysis needed to move forward debates about who and how to address the long term care needs of older people in Sub-Saharan Africa.
Lesbian, gay, bisexual and transgender (LGBT) people often face unique challenges as they grow older. It is vital that those providing them with care and support understand their needs, wishes and experiences. This book demonstrates how biographical approaches can increase understanding about the distinct perspectives of older LGBT people, enhancing inclusive care and support. Chapters explore people's expectations and fears surrounding care and service provision, the impact of discrimination, and specific issues such as HIV, dementia and end-of-life care. The importance of understanding people's whole lives in order to meet their needs is demonstrated, drawing on the examples of community projects that provide services and build networks. The voices of older LGBT people are heard throughout the book through the use of case examples and original research. This insightful book will be essential reading for all those supporting or caring for older LGBT people, as well as students and researchers in the health and social work fields.
Social Services for Senior Gay Men and Lesbians is an important new reference that provides those in the helping professions with practical information on how to work with the older gay and lesbian population. Although older gays and lesbians are the same in many ways as their heterosexual counterparts, they have an extra "layer" of concerns that are unique to their sexual orientation, including "coming out" to family and medical professionals, fear of discrimination, isolation, and loneliness. This new book helps social service providers address these and other concerns of the aging homosexual.Social Services for Senior Gay Men and Lesbians examines the history of homosexuality and how practitioners have developed ways to better serve this population. The book features case studies of topics that face practitioners and their older gay clients, including: housing needs of older gay and lesbian adults group therapy for older gay males long-term care dilemmas for older lesbians counseling an older gay male who is "coming out" staff development for non-gay social service providers historical review of gay and lesbian issuesBecause so little information exists in these and other areas, Social Services for Older Gay Men and Lesbians is an excellent resource for social workers, psychologists, nurses, counselors, and physicians.
The question of communication and understanding between different generations is emerging as a key issue for the twenty-first century. The advent of ageing populations may lead to increased conflict or solidarity in society, and provokes a profound ambivalence both in public and in the private sphere. In a new approach, Biggs and Lowenstein offer a critical examination of Generational Intelligence as one way of addressing these issues. How easy is it to put yourself in the shoes of someone of a different age group? What are the personal, interpersonal and social factors that affect our perceptions of the `age other'? What are the key issues facing families, workplaces and communities in an ageing society? This book sets out a way of thinking about interpersonal relations based on age, and the question of communication between people of different ages and generations. The book challenges existing orthodoxies for relations between adults of different ages and draws out steps that can be taken to increase understanding between generational groups. The authors outline a series of steps that can be taken to enhance Generational Intelligence, examine existing theories and social issues, and suggest new directions for sustainable relations between generational groups.
Care for the elderly has increased in both duration and intensity, particularly because of better medical conditions resulting in increased lifespan. Thus understanding the numerous dimensions of ageing will play a consequential role in determining future national policies. This book addresses a wide spectrum of issues faced by the elderly in India, Sri Lanka and the Netherlands, primarily from social and economic perspectives. South Asian cultures more than others have traditionally endorsed living arrangements that entail co-residence of aged parents with their children, which has been the crux of the support system of the aged. Significant shifts in family structure spurred by modernization prompted increased family nucleation.
All three countries offer interesting insights as India is projected to have an ageing population of 90 million in the near future, and Sri Lanka has one of the highest proportions of ageing people in the developing world. By delving further, one can view these trends in the context of widespread poverty and inadequate social security systems in India, and high human development indicators in Sri Lanka.
This volume seeks to analyze what is wrong with residential care and proposes how it can be managed well. It covers the economic and political contexts of residential care, the practicalities of managing care, and the role of outside organisations, including inspection, local authorities, charities, private care companies and housing associations. Examples demonstrate both how managers can succeed and how the forces of mismanagement obstruct them.
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