As older adults and their families opt out of nursing homes, a range of home and community-based services (HCBS) have risen up to provide care. HCBS span platforms and approaches, from home health care to assisted living to community-based hospice to adult day services. These models are, for most, preferable to nursing homes and allow older adults to "age in place"-live longer in their own homes and communities. Home- and Community-Based Services for Older Adults examines the existing and emerging models of HCBS, including the history, theory, research, policy, and practices across care settings. Emphasizing the multidisciplinary and interprofessional practice approaches used to deliver care, this book is an essential learning tool for students interested in medicine, nursing, social work, allied health professions, case management, health care administration, and gerontology. As the population of older adults grows, the authors ask, how can we best meet the needs of older adults and their families in the most effective, cost-conscious way while honoring their care choices?

As the U.S. population ages, access to safe and reliable transportation alternatives is critical to helping older adults remain in their homes as long as possible. HHS, DOT, VA, and other federal agencies may provide funds to state and local entities to help older adults access transportation. This book examines the federal programs that provide funding for transportation services for older adults and the extent to which the programs that fund these services are coordinated; and how state and local transportation agencies and aging network organisations in selected states coordinate transportation for older adults and the challenges they face in coordinating or providing these services. The book also addresses the federal programs that provide funding for NEMT services; how federal agencies are coordinating NEMT services; and how NEMT services are coordinated at the state and local levels and the challenges to coordination.

The private sector pension system in the United States represents trillions of dollars in assets and is a key source of financial security for millions of Americans. To promote transparency and enhance retirement security, legislation and regulations require that plan sponsors provide numerous reports to Labor, IRS, and PBGC, and numerous disclosures to plan participants. This book examines the reports and disclosures pension plans are required to make to government agencies and plan participants; the ways, if any, reports to agencies may be inefficient or ineffective; and the ways, if any, disclosures to participants may be inefficient or ineffective. The book also discusses the extent to which law and regulations permit electronic disclosure to participants; explores the reported advantages and disadvantages associated with electronic delivery; and evaluates the weaknesses identified, if any, in the agencies' electronic delivery requirements

In 2014, the federal government will forgo an estimated $17.45 billion in tax revenue from IRAs, which Congress created to ensure equitable tax treatment for those not covered by employer-sponsored retirement plans. Congress limited annual contributions to IRAs to prevent the tax-favored accumulation of unduly large balances. But concerns have been raised about whether the tax incentives encourage new or additional saving. Congress is reexamining retirement tax incentives as part of tax reform. This book describes IRA balances in terms of reported FMV aggregated by taxpayers; examines how IRA balances can become large; and assesses how IRS ensures that taxpayers comply with IRA tax laws.

A masterpiece of literary craft and concision; sparse, beautiful and hugely affecting - Daily Mail Since the liberation of the Netherlands, Emma Verweij has been living in Rotterdam, in a street which became a stronghold of friendships for its inhabitants during the Second World War. She marries Bruno, they have two sons, and she determines to block out the years she spent in Nazi Berlin during the war, with her first husband Carl. But now, ninety-six years old and on the eve of her death, long- forgotten memories crowd again into her consciousness, flashbacks of happier years, and the tragedy of the war, of Carl, of her father, and of the friends she has lost. In The Longest Night, his impressive, reflective new novel after News from Berlin, Otto de Kat deftly distils momentous events of 20th-century history into the lives of his characters. In Emma, the past and the present coincide in limpid fragments of rare, melancholy beauty. Translated from the Dutch by Laura Watkinson

*A straight-to-the-point handbook of critical information, ideal for overwhelmed caregivers. *Some guides offer too much information or are overly clinical; this one provides straightforward skills that caregivers can use right now. *Readers will recognize their own struggles in this comforting, matter-of-fact discussion. *Filled with critical self-care strategies and advice for maintaining a loving family bond. *Authoritative: short, informative chapters for time-strapped readers from a Harvard geriatric psychiatrist and a journalist with firsthand caregiving experience.

Later years are changing under the impact of demographic, social and cultural shifts. No longer confined to the sphere of social welfare, they are now studied within a wider cultural framework that encompasses new experiences and new modes of being. Drawing on influences from the arts and humanities, and deploying diverse methodologies - visual, literary, spatial - and theoretical perspectives Cultural Gerontology has brought new aspects of later life into view. This major new publication draws together these currents including: Theory and Methods; Embodiment; Identities and Social Relationships; Consumption and Leisure; and Time and Space. Based on specially commissioned chapters by leading international authors, the Routledge Handbook of Cultural Gerontology will provide concise authoritative reviews of the key debates and themes shaping this exciting new field.

This is the first book to address the issue of ageing after a long life with disability. It breaks new ground through its particular life course perspective, examining what it means to age with a physical or mental disability and what the implications are of 'becoming old' for people who have had extensive disabilities for many years. These people may have had to leave the labour market early, and the book looks at available care resources, both formal and informal. Ageing with disability challenges set ideas about successful ageing, as well as some of those about disabilities. The life course approach that is used unfolds important insights about the impact of multiple disabilities over time and on the phases of life. The book highlights the meaning of care in unexplored contexts, such as where ageing parents are caregivers or regarding mutual care in disabled couples. These are areas of knowledge which have, to date, been totally neglected.

As life unfolds, things tend to accumulate. When older adults undergo health, residential, and marital changes, they will face a reckoning with their lifelong store of possessions-special, ordinary, and forgotten. Such a predicament now confronts tens of millions of Americans as the Baby Boom cohort passes into retirement and beyond. Despite what a thriving industry of clutter manuals tells us, for most older adults, downsizing is no simple task. Drawing on in-depth interviews with recent movers in over a hundred diverse U.S. households, David Ekerdt analyzes the downsizing process and what it says about the meaning and management of possessions. He details how households approach and accomplish downsizing, exploring the decision-making process and the effectiveness of different strategies. From an expert gerontological perspective, he considers the cognitive, physical, emotional, and social tasks that the process entails and the role of factors such as gender and class on the divestment of things. Ekerdt finds that despite the fatigue and emotional challenges people encounter, afterward they report satisfaction in having completed a downsizing and feel empowerment on the other side of the task. Offering an empathetic and practical look at one of life's major transitions, Downsizing brings forward the voices of elders so that older adults, their families and friends, and practitioners working with older clients can understand and benefit from their experience.

Elder abuse is a pervasive phenomenon around the world with devastating effects on the victims. Although it is not a new phenomenon, interest in examining elder abuse is relatively new. This book aims to provide an overview of the aetiological theories and measures of elder abuse. The book briefly reviews theories to explain causes of elder abuse and then discusses the most commonly used measures of elder abuse.

Elder abuse -- including neglect, abandonment, and financial exploitation, as well as physical and psychological abuse -- affects millions of Americans each year, with widespread health, legal, social and economic implications. With the input of experts and stakeholders from across the country, this book identifies and prioritises actions that direct service providers, educators, and researchers can take to benefit older adults facing abuse, neglect or financial exploitation. Likewise, it provides a roadmap for strategic investment and engagement by policymakers in both the public and private sectors to advance our collective efforts to prevent and combat elder abuse at the local, state and national levels.

This book is full of creative ideas for use with children who have difficulty in coping with change, stress and normal levels of anxiety. Supported by a comprehensive but accessible theory section, the practical exercises are a simple and fun way of helping children to learn healthy stress management strategies. Deborah Plummer offers over 100 activities and games specifically aimed at helping children to build emotional resilience. With a mixture of short, snappy activities and longer guided visualizations, these exercises are suitable for use with individuals or groups, and many are appropriate for use with children with complex needs or speech and language difficulties. This unique photocopiable activity book will be an invaluable resource for parents, carers, teachers, therapists and anyone looking for creative, enjoyable ways of helping children to cope with change, stress and anxiety. It is primarily designed for use with individuals and groups of children aged 7-11, but the ideas can easily be adapted for both older and younger children and children with learning difficulties.

Can ageing really be a positive experience? Yes. You can make a difference to your own ageing process. Research shows that how we think about ageing can have a significant impact on our health and wellbeing in later life. The Ten Steps of Positive Ageing challenges and debunks the inaccurate and negative attitudes that may be contaminating your outlook on getting older, and provides a clear, practical road map for exerting more choice and control over the ageing process. Concentrating on the psychological and emotional aspects of getting older, and deploying a range of personal development techniques, The Ten Steps of Positive Ageing provides you with the keys to a happier and more fulfilled later life. This is the book for those of us who want to do ageing differently.

Marriage has historically helped protect the financial health of couples and surviving spouses in old age. Based on their marriage, and independent of their own work history, spouses may receive retirement and survivor income through Social Security and some employer-sponsored pension plans. Many of the federal requirements governing these benefits were developed at a time when family structures, work patterns, and pensions were very different from what they are today. In recent decades, marriage has become less common, more households have two earners rather than one, and many employers have shifted from DB plans to DC plans. This book examines the trends in and status of marriage and labour force participation in American households; how those trends have affected spousal benefits and retirement savings behaviour within households today; and the implications of these trends for future retirement security.

The cities of Saudi Arabia are among the most gender segregated in the world. In recent years the Saudi government has felt increasing international pressure to offer greater roles for women in society. Implicit in these calls for reform, however, is an assumption that the only "real" society is male society. Little consideration has been given to the rapidly evolving activities within women's spaces. This book joins young urban women in their daily lives--in the workplace, on the female university campus, at the mall--to show how these women are transforming Saudi cities from within and creating their own urban, professional, consumerist lifestyles.
As young Saudi women are emerging as an increasingly visible social group, they are shaping new social norms. Their shared urban spaces offer women the opportunity to shed certain constraints and imagine themselves in new roles. But to feel included in this peer group, women must adhere to new constraints: to be sophisticated, fashionable, feminine, and modern. The position of "other" women--poor, rural, or non-Saudi women--is increasingly marginalized. While young urban women may embody the image of a "reformed" Saudi nation, the reform project ultimately remains incomplete, drawing new hierarchies and lines of exclusion among women.

The healthy human brain contains tens of billions of neurons, specialized cells that process and transmit information via electrical and chemical signals. While the brain may shrink to some degree in healthy aging, it does not lose neurons in large numbers. In Alzheimer's disease, however, damage is widespread as many neurons stop functioning, lose connections with other neurons, and die. Alzheimer's disrupts processes vital to neurons and their networks, including communication, metabolism, and repair. At first, the disease typically destroys neurons and their connections in parts of the brain involved in memory, including the entorhinal cortex and the hippocampus. It later affects areas in the cerebral cortex responsible for language, reasoning, and social behavior. Eventually, many other areas of the brain are damaged, and a person with Alzheimer's becomes helpless and unresponsive to the outside world. This book provides a comparison of international approached to dealing with Alzheimer's disease and dementia, as well as discusses the effect this disease has on the brain and its function.

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.

Studies find that effective physician-patient communication has specific benefits such as, patients are more likely to adhere to treatment and have better outcomes, they express greater satisfaction with their treatment, and they are less likely to bring malpractice suits. Communicating with older patients involves special issues. The aim of this book is to introduce and/or reinforce communication skills essential in caring for older patients and their families. The book offers practical techniques and approaches to help with diagnosis, promote treatment adherence, make more efficient use of clinicians' time, and increase patient and provider satisfaction. It then continues by discussing ways in which older people should talk to their doctors. A good patient-doctor relationship is more of a partnership. The Book gives a guide on how to ask the right questions to a doctor, along with nurses, physician assistants, pharmacists, and other health care providers, to solve medical problems and keep a patient healthy.

Research documents that rural elders are poorer, live in less adequate housing, and have far fewer health and service options available to them than their urban counterparts, yet there is a critical lack of current and detailed information on the problems facing rural elders and on the professional practices that serve this population. This text fills this gap by introducing readers to rural areas and their residents and discussing the issues, programs, and policies designed to meet their needs. Through a multidisciplinary lens, it examines and defines specific competencies required for successful work with older adults and their families in these communities.

The text presents a research-driven, competency-based approach for the health and human service professionals who work with older rural residents. It discusses both the problems facing older adults and their families and evidence-based solutions regarding policy and best practices. Key issues examined include health and wellness, transportation, housing, long-term care, income, employment, and retirement, along with the needs of special populations (ethnic minorities, immigrants, and the LGBT population). Case examples reinforce an interdisciplinary model that addresses practice with rural elders that encompasses professional competencies, values and ethics, and the roles of a spectrum of health and human service professionals. The text also examines current policies affecting health and social services to rural elders and recommendations for policy change to build an effective health and human service workforce in rural communities. Links to Podcast interviews with scholars and respected professionals working in the field and "Spotlight" excerpts from the text reinforce information. In addition, the text provides discussion questions, PowerPoint slides, a test question bank, and suggested activities and exercises.

Key Features: Fills a vacuum regarding information on health and social services for rural elders Provides current and comprehensive knowledge about issues besetting this population and programs and policies designed to meet their needs Examines and defines specific competencies required for effective health and social services Based on a research-driven, competency-based, interdisciplinary approach to policy and best practice Includes links to Podcast interviews with scholars and respected professionals in the field

Lessons in resilience in the second wave of the Covid-19 pandemic in India. Focusing on the second wave of the Covid-19 pandemic in India between April and December 2021, Rustom Bharucha's timely essay reflects on four interconnected realities that haunted this ongoing crisis-death, grief, mourning, and extinction. How do we cope with multiple deaths and the dislocation of rituals when the act of mourning is either postponed or denied? What roles do political surveillance, censorship, the regulation of lockdowns, and the sheer indifference to the lives of people play in the containment of civil liberties? Through vivid examples of photography, theater, dance, visual arts, and the cultures of everyday life, this meditative essay illuminates both the horror of the pandemic as well as its unexpected intimacies and revelations of shared suffering. Against the destruction of nature and the disrespect for the nonhuman, The Second Wave offers lessons in resilience through its reflections on the ethos of waiting and the need to re-envision breath as a vital resource of self-renewal and resistance.

Health, care and welfare have emerged as key vehicles used to legitimise and position the identities that older people adopt in contemporary modernity. Both contain continually changing technologies that function to mediate relations between older people and the state. Medico-technical, victimisation policies and care management discourses, have been presented as adding choice and reducing limitations associated with adult ageing. However, they also represent an increase in professional control that can be exerted on lifestyles in older age and thus, the wider social meanings associated with that part of the life-course. This book presents a theoretical analysis based on a critical reading of the work of Michel Foucault. It identifies the inter-relationship between managers and older people in terms of power, surveillance and normalisation. The book highlights how and why older people are the subjects of legitimising professional gazes through the dark side of modernity: being managed, being victimised and asking the existential questions of death.

Finding Meaning in Later Life: Gathering and Harvesting the Fruits of Women's Experience is an exploration in understanding the psychological tasks inherent for women in creating and maintaining purpose as they mature and enter their later years. With ever-increasing lifespan for elders, it becomes important for a society that glorifies youth to meet the challenges of this developmental milestone. Many books and articles on post-midlife are written from a biological and behavioral stance-with quantitative data supporting concrete lifestyle recommendations for "successful aging." Using this lens, successful aging is often defined as having good to excellent health, no disabilities in activities of daily living, good cognitive functioning, and living in the community. That "received wisdom" leads to the conundrum that the only path to successful aging is by not aging! This book challenges current thoughts on aging, expanding our perspective such that purpose and meaning in later years derives from inner resources that are not dependent on biological and physical states of being. Its conclusions stem from the direct experience and voices of mature women, obtained through qualitative research. The results of this study shed light on existential theories, bringing them to life with added weight and traction. Ultimately, the ideas explored here unfold as a map to navigate this often-misunderstood stage in life.

Issues in Aging combines social, psychological, biological, and philosophical perspectives to present a multifaceted picture of aging. Novak illustrates both the problems and the opportunities that accompany older age. This text helps students understand the tremendous variability in aging and introduces them to careers working with older adults. This new edition reflects the continued changes in the way we age. The fourth edition has been updated to include emerging issues in aging. These include the prevalence of HIV/AIDs in later life, current research on mental potential in old age, the creation of age-friendly cities, and new options for end-of-life care. Each chapter begins with a set of learning objectives to guide students in their reading, and concludes with a list of main points, questions for discussion or study, suggested readings, and relevant web sites to consult. Each chapter also includes up-to-date charts and graphs as well as key terms to help students understand the issues presented. Break out boxes reveal the human side of aging through the stories of individuals in real life and in the media.

More people are extending their working lives through necessity or choice in the context of increasingly precarious labour markets and neoliberalism. This book goes beyond the aggregated statistics to explore the lived experiences of older people attempting to make job transitions. Drawing on the voices of older workers in a diverse range of European countries, leading scholars explore job redeployment and job mobility, temporary employment, unemployment, employment beyond pension age and transitions into retirement. This book makes a major contribution and will be essential reading within a range of disciplines, including social gerontology, management, sociology and social policy.