Informed by the author's work in dementia care and palliative care as a psychodynamic psychotherapist, Holding Time contributes to an increasing recognition of the importance and value of relationship-centred care in this field. Most of the book is written ethnographically and unfolds as a narrative. It also includes the real words of staff and residents from the care homes in which she conducted observations. Holding Time explores how the relational investment in care is vital alongside a technical one. The book does this by detailing the micro-interactions of everyday care and concern and play before moving out on to a wider, organisational and macro stage. It addresses our fears about dependency on a societal level, and attempts to challenge the foregrounding of the independent, rational individual over all other experiences. The author's contribution is particular to the UK dementia care home setting, and offers a predominantly psychoanalytic take. It is a contemporary exploration of the dementia care field, and contributes to the general movement to improve care of those living (and working) with dementia.

Are you a senior carer or team leader who wishes to progress to management? Or an existing care home manager interested in improving the standard of care you offer? Essential reading for anyone considering career progression to manager level, Managing to Care: The Care Home Manager's Guide explores the role of the care home manager, and the preparation, experience and training this involves. This invaluable guide will navigate the reader through their journey to becoming a manager, from analysing their leadership abilities and interpersonal skills when delivering care, to examining their personal and professional qualities and exploring their management ambitions and the ways in which they can achieve these in the care home. Honest, engaging and informative, with a foreword by Martin Green, chief executive of Care England, Managing to Care will help carers evaluate the experience they have gained from working in a home, reflect on where they are now and where they would like to be in the future. The helpful guide will provide all the encouragement and practical direction needed by carers - either to improve the level of care that they are currently offering, or to make the important transition to manager.

This tale will ring true with all good people who have proud and fiercely independent elderly parents. It tells of the decisions the author had to make arising from the gradual change in his mother during the latter years of her life. It's about love, duty, guilt and remorse. At times funny, at times heart-warming, at times sad, it dares to relate the increasingly common but dreaded question faced by many - to care or not to care.

In a powerful blending of memoir and practical strategies from a medical doctor's perspective, The Gift of Caring: Saving Our Parents - and ourselves - from the Perils of Modern Healthcare reveals the hidden side of modern healthcare practices for aging Americans. This ground-breaking book, co-written by award-winning author Marcy Houle and nationally-recognized geriatrician and public health advocate, Elizabeth Eckstrom MD MPH, sheds new light on aging by showing it from twin perspectives: the story of a daughter desperately seeking help for the parents she loves, and a geriatrician who offers life-changing strategies that can protect our loved ones and ourselves. Today, for many older adults, the medical delivery system is confusing, fragmented, and ill-equipped to provide comprehensive, person-centered care. Under our current healthcare model, thousands of aging persons face unnecessary suffering, hospitalizations and nursing home stays, and even preventable death. Seniors and families often feel powerless as they travel this sad journey. Not having knowledge of aging's changes, they resign themselves to believing there is nothing anyone can do to help, while some health care professionals simply write off symptoms seniors endure as "just old age." But as Marcy Houle discovered in caring for her parents, many of the problems often are not "just old age." Further, the real issue is not that the answers to ease suffering don't exist. Rather, what we need to know is generally not available to the general public. Even more concerning, many health care professionals have had little or no training in the care of older adults. The Gift of Caring hopes to change that. It is written to give empowerment to all older adults, family members, and health care professionals, by sharing much needed knowledge and practical strategies. The Gift of Caring shows the best ways to advocate for our parent's health care ... and our own ... by giving us the tools we need to insist upon the better way. Your parents and you deserve the best healthcare as you age- But there are so many reasons why that's not happening.You can change that.

In this book, an award-winning journalist tells the story of people devising innovative ways to live as they approach retirement, options that ensure they are surrounded by a circle of friends, family, and neighbors. Based on visits and interviews at many communities around the country, Beth Baker weaves a rich tapestry of grassroots alternatives, some of them surprisingly affordable

-- an affordable mobile home cooperative in small-town Oregon

-- a senior artists colony in Los Angeles

-- neighbors helping neighbors in "Villages" or "naturally occurring retirement communities"

-- intentional cohousing communities

-- best friends moving in together

-- multigenerational families that balance togetherness and privacy

-- niche communities including such diverse groups as retired postal workers, gays and lesbians, and Zen Buddhists.

Drawing on new research showing the importance of social support to healthy aging and the risks associated with loneliness and isolation, the author encourages the reader to plan for a future with strong connections. Baker explores whether individuals in declining health can really stay rooted in their communities through the end of life and concludes by examining the challenge of expanding the home-care workforce and the potential of new technologies like webcams and assistive robots.

This book is the recipient of the annual Norman L. and Roselea J. Goldberg Prize for the best project in the area of medicine.

The authors have raised an important construct for all of us who work in the public sector regarding what underlies and directs the rapid advancement of technology solutions in developing and developed economies. . . DeMello and Furseth deserve credit for raising our awareness to the true driver behind the successful integration and acceptance of technology in this increasingly innovation-driven world: culture.' - from the Foreword, David A. Lindeman, Director CITRIS Health, University of California, Berkeley, Director, Center for Technology and Aging, US There is a growing trend toward innovation in public services, and the integration of public and private entities in their delivery. This book aims to improve the ability to innovate successfully in large-scale public/private endeavors. The authors develop an underpinning theory of innovation, and extend it to address key issues in public/private collaboration. As an example, they explore the subject of independent living for seniors and persons with disabilities across four countries - the US, UK, Norway and Japan. The resulting model provides a vehicle for all major stakeholders to better understand the dynamics of innovation, which will in turn offer the opportunity to improve performance and successful adoption. This book will provide useful insight for students of innovation, public service planning and delivery, and health and social services. In addition, the original opinion research on residents of the four countries will prove interesting for students of sociology and medical anthropology.

Around half the world's population live in countries where the fertility rate is far below the replacement rate and where life expectancy is increasing dramatically. Using Singapore as a case study, Social Policy in an Ageing Society explores what might happen in a dynamic and prosperous society when falling births, longer life expectancy and rising expectations put disproportionate pressure on scarce resources that have alternative uses. David Reisman investigates the challenges facing Singapore, where a rapidly rising median age and the growing pressure of the elderly upon medical attention are threatening to disrupt the economic and even the political status quo. The dependency of the old upon the young is becoming a financial and an emotional burden. Health care is swelling in quantity and price. Voluntary and compulsory savings are being used up. New demands for pensions and subsidies are challenging the national ideology of family network and self-reliance. Despite a wealth of prospective problems, the author argues that viable solutions can be found. Discretionary savings can increase. Reverse mortgages can monetise owner-occupied property. A higher participation rate can give the elderly the opportunity to earn a living for themselves. This book concludes that public policy must play its part in facilitating these solutions. It must ensure that the old retain their dignity. The old should not lie where they fall. This comprehensive, intelligible and highly original cross-disciplinary study will appeal to a wide-ranging audience. Readers will include academics, researchers and students with an interest in health economics, the economics of development, social policy and administration, public policy and the socio-economic aspects of medicine.

A prominent geriatric psychiatrist details the good, the bad, and the ugly aspects of places where those with dementia are treated-from emergency rooms and psychiatric hospitals to assisted living facilities and nursing homes. The Harsh Realities of Alzheimer's Care: An Insider's View of How People with Dementia Are Treated in Institutions is the first book of its kind. Written by an eminent geriatric psychiatrist who has worked with dementia patients in more than 70 facilities, the book distills all he has learned about dementia care, for better and, more often, for worse. Both a shocking expose and a practical guide, the book takes readers into nursing homes, assisted living facilities, and hospitals. It reveals the inadequacies and dangers of these institutions, detailing issues that result in poor care including federal standards for minimum staff training that are, in some cases, lower than those established for dog groomers. The author cites improvements that must be made in emergency rooms and inpatient psychiatric facilities treating victims of dementia, and he documents the downside of memory clinics. But there are steps caregivers can take to protect their loved ones-and themselves. Each chapter concludes with "reality lessons" that offer practical, affordable strategies for coping with dementia's many challenges. Vignettes and experiences from author's practice illustrate strategies that will improve quality of life for caregivers and their loved ones

This study reflects a growing recognition of the contribution that studies of the post-war "welfare state" can make to contemporary debates about the restructuring of welfare. Drawing on the community care debates from 1971 to 1993, it illuminates contemporary concerns about such key issues as rationing care, the health and social care divide, the changing role of residential care and the growing emphasis on provider competition "From community care to market care?" focuses on the interpretation and development of national policy at local authority level in four contrasting local authorities. The authors outline the development of welfare services for older people from 1971 to 1993, and explore whether service developments in this period were as inadequate as claimed by the proponents of radical change. The continuities and changes in the pre- and post-1990 NHS and Community Care Act systems of community care are also examined The results of the study should make a significant contribution to the community care provision for older people. The book will be of interest to academic, policy and practitioner audiences.

Population aging often provokes fears of impending social security deficits, uncontrollable medical expenditures, and transformations in living arrangements, but public policy could also stimulate social innovations. These issues are typically studied at the national level; yet they must be resolved where most people live--in diverse neighborhoods in cities.

New York, London, Paris, and Tokyo are the four largest cities among the wealthiest, most developed nations of the world. The essays commissioned for this volume compare what it is like to grow older in these cities with respect to health care, quality of life, housing, and long-term care. The contributors look beyond aggregate national data to highlight the importance of how local authorities implement policies.

The failure of long-term care is the country's best-kept embarrassing secret. Almost every adult in the United States will either enter a nursing home or have to deal with a parent or other relative who does. Studies show that 40 percent of all adults who live to age sixty-five will enter a nursing home before they die, while even more will use another form of long-term care.

Part memoir, part practical guide, part prescription for change, "It Shouldn't Be This Way" is a unique look at the problems of long-term care. Robert L. Kane, a highly experienced physician and gerontologist, and his sister, Joan C. West, tell the painful story of what happened to their mother after she suffered a debilitating stroke and spent the last years of her life in rehabilitation, assisted-living facilities, and finally a nursing home. Along the way, her adult children encountered some professionals who were kind and considerate but also many frustrations--inadequate care and the need to hire private duty aides, as well as poor communication and lack of coordination throughout the system. The situation, they found, proved far more difficult than it needed to be.

As the authors recount their mother's story, they impart various lessons they learned from each phase of the experience. They alert those who are confronting such situations for the first time about what they will likely face and how to approach the problems. Closing with a broader look at why long-term care is the way it is, they propose steps to make necessary reforms, including the development of national organizations to work for change. Their message to families, care professionals, and policy-makers could not be more urgent.

Sandra Gaffney entered her first nursing home for long-term care at the unusually young age of fifty. Fourteen years earlier she had been diagnosed with amyotrophic lateral sclerosis (ALS), also known as Lou Gehrig's disease. Over the next sixteen years, Gaffney lived in nursing homes in Florida, Virginia, and Minnesota, as the ways she could be close to family changed.

She describes her situation in these words: "As a nursing home resident, I require total or maximum care. I have limited use of my hands and arms. With special splints, I am able to turn the pages of my books, use the telephone and TV/VCR/FM radio remote control. When my cup is positioned properly, I can drink independently. I am able to walk with a platform walker and the help of two nursing assistants. My walking is not functional; it is only for exercise. After I moved into my third nursing home, I learned to operate a power wheelchair by using an adaptive switch between my knees. ... All other areas of physical care have to be done for me. My speech is impaired. If people listen carefully, they can understand what I am saying. ... I am able to eat regular food and breathe on my own."

Gaffney became an acute observer and strategist about how to live in a nursing home. Her first-person account, dictated to family members and assistants, covers making the decision to enter a nursing home, choosing the right one, and understanding its culture. She talks about how to furnish your room and about all the issues that arise in a resident's typical day. She has much to say about communication with staff and family about "how to help others help me." Gaffney's daughters, Amy and Bridget, and her friend Ellen Potter provide additional perspectives on the caregiving experience.

Most studies of geriatric patients have focused on nursing homes. In fact, most people are placed in these institutions only after being evaluated by medical and social service staff. This ethnography details the day-to-day experiences of a geriatric and assessment unit by examining the staff, families, and patients themselves. It looks at the activities that take place in the unit as well as the less obvious cultural patterns of the process. Using the Ethnography of Speaking method, it explores the human side of this most difficult of life's decisions.

This is a wide-ranging sourcebook filling a gap in the literature about employment policies and programs for older persons. The contributors represent the perspectives of the individual, the employer, and society-at-large. Their essays consider labor force characteristics; historical trends; key features of social security, pensions, and other retirement matters; age discrimination; economic, social, and political aspects related to employment and the elderly. A lengthy bibliography enhances the use of this major new reference tool for students, scholars, and practitioners in gerontology, social work, and business.

A resource guide by and about elders and the process of aging, this volume provides a list of over 1,500 references, all annotated, covering a wide range of subject areas. It is organized under such topics as "Customs and Beliefs," "Narratives," "Traditional Arts," "Health and Healing," and "Applied Folklore," and is further divided into regional and topical subheadings. It also features works on methods and concepts in field research in folklore, oral history, and community studies, a chapter on general works from other fields of interest, as well as a chapter on films. The introduction offers not only a description of the nature and role of elders as creators and carriers of culture, but also a challenge to readers--reflected in the broad range of materials cited--defying both narrow conceptions of aging and the aged, and limited notions about the full scope of expressive culture addressed by folklore studies.

Tragically, some older people are abused in the very places where they should hope to find 'care'. This work contains perhaps the best analysis of the state of knowledge of this abuse at the time of writing, ten years ago. The problems they describe still exist, and the analysis remains relevant.

Experts in gerontology, clinical psychology, and geriatric medicine provide an analytical survey and abstracts of the significant literature and research dealing with alcoholism and aging over the last 30 years. This research guide offers a general survey with sections dealing separately with the prevalence, precipitants, effects, diagnosis, prevention, and treatment of alcoholism in the older generation. The book also offers directions for future research. The narrative ends with a listing of references that have been assessed. The annotated bibliography gives abstracts for 301 sources that are arranged by types of works: bibliographies, overview articles, books and book chapters, empirical studies, and miscellaneous works. Cross-references and author and subject indexes make this guide readily accessible to students and teachers in the field of sociology, gerontology, psychology, medicine, and public health.

Like all other advanced Western societies, Germany is coming to terms with the phenomenon of an ageing population. The demographic challenge posed by population ageing is generally seen in terms of potential crisis in the funding of health and social programmes. Some social scientists have even suggested that the early decades of the next century will be marked by conflict between the generations, with young and old competing for increasingly scarce resources. This is the first book written in English to address comprehensively ageing policies in Germany and the contribution of older people to German society.
The book examines the development of social policies affecting older people since the origins of the German welfare state under Bismarck and looks at how policy makers have sought to cope with the growing numbers of elderly people over the years.
The social, economic and political role of older people in contemporary Germany and their contribution to society are also explored, from their development into a more politically active sector of society to their changing relationship with the labour market and their social integration in terms of their relationships with families, neighbourhoods and local communities.

Noted scholars of environment-aging relations and environmental psychology examine the value of selected classic, contemporary, and in one instance, completely new theories for enhancing both research and service provision on housing for elderly populations. The contributors examine the housing needs of older populations and provide theory-driven innovative solutions for improving the fit between older persons and their residential environments. Some issues covered are the need for greater understanding of the psychological needs of older individuals seeking environmental support; for a holistic understanding of elder-environment relations in physical, social, and phenomenological contexts; for inclusion of ignored perspectives; and for recognition of the continuing value of major founding theories. This book will be of interest to students, scholars, and professionals in psychology, gerontology, environmental policy, housing, and social services.

This annotated bibliography surveys the significant research from the last 20 years about the legal, medical, psychological, social, and economic aspects of the employment of the elderly. Rife identifies sources dealing with the demography of our aging work force, the characteristics and problems of older workers in different populations, training and placement programs, job searches, age discrimination, and future issues. Researchers, policymakers, students, teachers, and readers in public, business, and institutional libraries will find this unique and current guide to databases, periodicals, government documents, and a broad array of other source materials invaluable. This easy to use interdisciplinary guide offers an introductory overview, topically organized chapters, and full author and subject indexes.

Faced with the decline of the traditional family and the explosive growth of the over-65 population, the Japanese are looking for new ways to care for their elders. This timely study documents the birth of a major social phenomenon in Japan--the planned retirement community.
In the mid-1980s, Yasuhito Kinoshita spent a year living in Japan's first such community, Fuji-no-Sato. His collaboration with Christie W. Kiefer, a cultural gerontologist, is the first detailed study of a retirement community in a non-Western culture.
Fuji-no-Sato is a social community with no visible traditions. Kinoshita and Kiefer show that its residents' preference for long-established relationships creates the need for the invention of relationships that have no precedent in Japanese society.
This book reveals much about Japanese culture, and about the "graying of society" that plagues the newly industrialized countries of Asia. Its lessons about sensitivity to the elderly's values and the need for clear communication have important applications in other cultures as well.

This comprehensive resource offers a detailed framework for fostering resilience in families caring for their older members. Its aim is to improve the quality of life for both the caregivers themselves as much as for those they support. Robust interventions are presented to guide family members through chronic and acute challenges in areas such as emotional health, physical comfort, financial aspects of care, dealing with health systems, and adjusting to transition. Examples, models, interviews, and an extended case study identify core concerns of caregiving families and avenues for nurturing positive adaptation. Throughout, contributors provide practical applications for therapists and other service providers in diverse disciplines, and for advancing family resilience as a field. Included in the coverage: Therapeutic interventions for caregiving families. Facilitating older adults' resilience through meeting nutritional needs. Improving ergonomics for the safety, comfort, and health of caregivers. Hope as a coping resource for caregiver resilience and well-being. Perspectives on navigating care transitions with individuals with dementia. Planning for and managing costs related to caregiving. Family Caregiving offers a new depth of knowledge and real-world utility to social workers, mental health professionals and practitioners, educators and researchers in the field of family resilience, as well as scholars in the intersecting disciplines of family studies, human development, psychology, sociology, social work, education, law, and medicine.