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.

Thirty million people today care for ailing family members in their own homes--a number that will increase dramatically over the next decade as baby boomers enter old age, as soldiers return home from war mentally and physically wounded, as medical advances extend lives and health insurance fails to cover them.

Offering both companionship and guidance to the people who find themselves caring for their intimates, "An Uncertain Inheritance" is a collection of essays from some of the country's most accomplished writers. Poignant, honest, sometimes heartbreaking, often wry, and funny, here is a book that examines caregiving from every angle, revealing the pain, intimacy, and grace inherent in this meaningful relationship.

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.

Explores the mother-daughter relationship in the context of caregiving Across the Unites States, about 34.2 million Americans have provided unpaid care to an adult age 50 or older in the last 12 months. Much of this caregiving is performed by women and often for their mothers or mothers-in-law, relationships that may be warm, fraught, or complicated. Even in the best of circumstances, caregivers can feel burned out, strained, and exhausted, but add to the mix the complicated emotions that come from caring for a loved one and you may have a perfect storm. Here, Jeanne Lord provides valuable emotional support and information for daughter caregivers to mother care-receivers during a stressful and uncertain time. It is unique in that it offers not only personal insights from caregiving daughters, but the perspectives of their mothers, as well. Lord followed the women on their journeys over the course of ten years, so the follow-up interviews give readers an opportunity to fast forward into the future lives of the caregiving daughters to read about their perspectives, and gain insights into new attitudes and ideas for life after caregiving. Through compelling stories and in-depth interviews, the very complex relationships between mothers and daughters in a caregiving situation are explored and revealed in an objective light. Offering comfort and understanding to the reader, the book also offers suggestions, ideas, resources, and support for navigating the care of their loved one.

'Incredible. One of those rare books that should be dispensed on prescription to every household.' - Lucy Easthope, author of When the Dust Settles 'Hilarious, bitter, poignant and profound . . . like an existential soap opera - only with more laughs.' - Philip Hoare, author of Leviathan It was the kind of phone call we all dread. Your elderly father has been admitted to hospital. Your even older mum is now at home alone. The answer? Simple. Drop everything, go back and help. The reality? Not so straightforward. Suddenly, you're a kid again, stranded in the overheated house you grew up in. Soon they need you 24/7. And you want to help, of course you do. But now your own life starts to unravel almost as quickly as their health. And then there is nowhere else to go. In between bouts of washing, feeding, cooking and fighting there are times that test you, days where everything goes wrong and moments when everyone, miraculously rises to the occasion. And amidst all of that, this strange second childhood offers up a shot at redemption - if you can just stop everyone from falling down. Irresistibly funny, unflinching and deeply moving, this is a love letter to family and friends, to carers and to anyone who has ever packed a small bag intent on staying for just a few days. This is a true story of what it really means to be a carer, and of the ties that bind even tighter when you least expect it. This is The Reluctant Carer.

Housing, Care and Inheritance draws on the author's long-standing research into housing issues surrounding the ageing society, a phenomenon which is now a concern in many mature economies. If an adult child provides care for their elderly parent, should that person be rewarded? If so, should they inherit their parent's house or a larger share of the assets? The 'generational contract' is often influenced by cultural norms, family traditions, social policy and housing market, so it is negotiated differently in different societies and at different times. Such generational contract is however breaking down as a result of socio-economic and demographic changes. Drawn from the two-part study funded by the UK Economic & Social Research Council, Misa Izuhara explores the myth and the changing patterns of the particular exchange of long-term care and housing assets between older parents and their adult children in Britain and Japan. Highly international and comparative in perspectives, this study addresses important sociological as well as policy questions regarding intergenerational relations involving housing wealth, long-term care, and inheritance.

This book is designed to be used by anybody working with older adults in residential, nursing and day care facilities. It provides a wealth of reminiscence material which can be used in a number of ways to rekindle memories and provide stimulating activity such as quizzes and discussion. Each year covered in the book is divided into the sections 'Major events', 'On the home front', 'Music', 'Television', 'Screen and page', 'Sport' and 'Do you remember?'. Many sections can be easily turned into quizzes and it would be simple to form a quiz from each year's material. One cannot cover all that happened in these years nor highlight all the associations each event or fact triggers, so the material is intended to be expanded on by the memories it triggers in clients during discussion. So, for example, where a film title is mentioned ask if people can recall the stars of the film, its plot and how it ended. The 'Major events' section will trigger lots of opinions too as it covers the political events of the decades so try to get the groups to discuss the ethical and moral dilemmas these posed at the time. The book is intended for use with individuals and groups but you will discover that in a group one persons memories will trigger another's and so what seems like a small topic can last for the whole session as we all try to tell our personal tales. While the content has a UK bias, it also covers the major world events of the decades but I have included a blank page for each year for you to record your own personal landmarks and achievements and also those of your local town or community.specialising in older adults mental health to a deeper level.

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.

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.

A husband believes his wife is an imposter. A man's sudden, intense Catholic piety provokes his wife. A mother and daughter struggle to come to terms with the disease that intensifies an already dependent relationship. At their root, these existential dilemmas grow out of long-established patterns of behaviour that bind together patients and caregivers. Travellers to Unimaginable Lands explores the complex and profound psychology of caregiving, illuminating how the healthy brain's biases and intuitions make caring for people with dementia disorders so profoundly and inherently difficult. Blending neuroscience, psychology, philosophy and literature with beautifully-observed case studies, Kiper illuminates the underlying mental mechanisms behind carers' experiences, dispels the myth of the perfect caregiver and, in the process, opens the door to understanding and forgiveness.

Drawing on the author's first-hand experiences with families, this book provides crucial, accessible information and answers the difficult questions that often arise when a family member with an intellectual disability is diagnosed with dementia. Linking directly to policy and practice in both dementia and intellectual disability care, this book takes an outcome-focussed approach to support short, medium and long-term planning. With a particular emphasis on communication, the author seeks to ensure that families and organisations are able to converse effectively about a relative's health and care. The book looks at how to recognise when changes in the health of a relative with an intellectual disability could indicate the onset of dementia, as well as addressing common concerns surrounding living situations, medication and care plans. Each chapter is structured to identify strategies for support whilst working towards outcomes identified by families as dementia progresses.

The fifth edition of this widely used book by caregivers brings to you updated and revised content, built on the basic understanding that medicine does not work in a vacuum, but rather alongside other disciplines to provide the environment for a healthy and fulfilling long life. Edited by alumni and senior faculty at McGill University, with international contributions, this book advocates the achievement of better, longer, satisfying, and more productive lives for older persons. It is a helpful resource for physicians, professional caregivers, therapists, students, and residents in medical and nursing disciplines, who care for our burgeoning older population and need to know what to look for and when to consult specialists. Key Features: 1. Follows a uniform structure with many chapters having a hypothetical vignette for instructional purposes and with the clinical chapters detailing the features and diagnosis of given conditions, along with possible management protocols specific to afflicted older individuals. 2. Builds on the success of the previous four editions to provide high-quality content from international experts for physicians and other caregivers in the field. 3. Provides possible management for pressing problems, including the nursing home challenge, pandemics such as COVID, and precision therapy for cancer.

Later-Life Social Support and Service Provision in Diverse and Vulnerable Populations offers current, multidisciplinary perspectives on social support and service provision to older Americans. The chapters trace how our understanding of social support among older adults has developed over the past 40 years and explore current gerontological research in the area. They consider how informal care arrangements articulate with formal long-term care policies and programs to provide support to the diverse population of older Americans. They also emphasize heterogeneity in the composition of support networks, particularly in relation to gender, sexual orientation, race/ethnicity, and immigrant status. Collectively, the chapters provide insight into the complexity of older adult's social support networks that can be used to improve the services provided to caregivers and care recipients as well as the policies that promote high-quality support to people of all ages who are in need of assistance.

* offers a fresh approach, employing new and exciting custom methodologies in psychodrama * inspires and gives helpful tools to those who work with people who suffer from Alzheimer's disease or other forms of dementia, loss, illness, self-effacement, abuse, or any issue that causes loneliness and depression * fhe focus is on old age and dementia; however, the tools and illustrations can be used by therapists, teachers, and personnel of all fields

Population ageing is an important trend which will be experienced in industrialized countries in the early years of the next century. This significant book examines aspects of population ageing and pensions, with an emphasis on the design and use of simple economic models to focus on particular aspects of a very broad problem. The analysis of pensions presents many complex problems. A major aim of this book is to demonstrate how reasonably simple economic models can be designed and used to shed some light on the issues involved in population growth and pension provision. The basic analytics of population growth and pension structure are first explored. Projections for Australia are examined and used to model ageing and social expenditure and to estimate the 'burden' of aged care on future workers. The author goes on to investigate pensions and pension finance, and examines several types of economic model before turning to the analysis of alternative pension arrangements using a lifetime simulation model. The results of the study suggest that both lower contribution rates and a universal pension encourage a later retirement age. This book will prove invaluable to students and scholars of public sector economics, welfare economics, social economics and public finance.

Older people are, like younger people, citizens in the communities of the nations in which they live. This book sees ageing as a life journey that incorporates a process of citizening, in which people build their identity as part of their family and community. But the social experience of illness, frailty, disability and reaching the end of life may de-citizen older people by devaluing the social identity that comes from continuing social engagement. We de-citizen older people by emphasizing dependence on services and their cost to public expenditure instead of valuing the interdependence of participation and mutual respect. This book argues that older people retain full citizenship for the whole of their lives, up to the moment of death; but what does this mean for health and social care? In this groundbreaking book, Malcolm Payne argues that social work with older people must build re-citizening practice strategies to value both the common and the special aspects of the citizenship of older people. Current models of social care and social work create dependency, rather than relying on values of participative interdependence. The failure to recognize the end of life as a crucial element in all social care and social work for older people means that the lessons learned in providing palliative and end-of-life care in healthcare have not been transferred to social care, and the priorities of end-of-life care have not been adequately encompassed in social work with older people.

Very timely to the region - "The ageing of the world's population is rapidly growing primarily due to an increase in life expectancy as well as to declining fertility rates. The 2016 Population Data Sheet by United Nations ESCAP disclosed that approximately 16% (1.3 billion) of the population in the Asia-Pacific Region would be 60 years or older by 2050. All countries, including those in Asia, are facing significant challenges (social, economic and political) with this rapid demographic transition characterized by reductions in infectious and acute diseases overshadowed by the rapid emergence of non-communicable and degenerative diseases."

The editors undertook this project to promote the International Conference on Death, Grief, and Bereavement in La Crosse, Wisconsin, USA. Throughout its history, the conference has attracted internationally known speakers. This book illustrates the quality of their presentations. Section One, "Professional Applications in End of Life Care," begins with Currier, Hammer, and Neimeyer's examination of the importance of the social network, including both religion and family, not just the individual, in working with those at the end of their lives. The authors analyse the impact of social support and its health implications. In Chapter 2, Parkes looks at the influence of child development on adult life and bereavement. Rather than simply showing how insecure child development affects loss as adults, he examines how insecure attachments in childhood can lead to extreme attachments to God, homes, territories, political leaders, and symbols and discusses interventions for these extreme attachments. Papadatou (Chapter 3) develops a model for professionals and caregivers who work with the dying. She suggests that those who give care to the dying also have multiple needs and also face suffering, examines the private world of professionals and what is healthy and what is unavoidable, and describes both functional and dysfunctional coping patterns used by professionals. Kobler (Chapter 4) uses case studies to explain how to develop and maintain relationships with children and their families in paediatric palliative care. She offers strategies for using rituals and ways to initiate and maintain relationships with children and their families. Thompson (Chapter 5) focuses on the effects of working in situations involving high levels of emotion and the stress that may result. He makes a strong case that such stress can do harm to individuals, groups, and whole organisations and offers a model for a more holistic approach that incorporates social and organisational strategies and practical ways to prevent and manage stress. Eves-Baine and colleagues (Chapter 6) examine the application of paediatric and adult-based principles to the newborn period. They discuss how to create the best situations for families when life-sustaining medical therapy has been withdrawn, how to support the family, and the ethical challenges that perinatal palliative care presents. The authors offer models for care through the journey of palliative and bereavement care. Section Two, "Facing End of Life and Its Care," begins with Gilbert's chapter presenting a strong argument that caregivers need to honour the multiple tracks that come with dying while maintaining a focus on the wishes of the dying person. He offers ways for the team to better meet the needs of the dying person. Koppleman (Chapter 8) follows the journey of a friend who faced death. It is a powerful story, told from the point of view of the dying in a scholarly fashion. Smith and Potter (Chapter 9) suggest that palliative care for the dying can be defined as offering "comfort care," both for those who are dying and for their loved ones. The authors present a model of the psycho-spiritual side of palliative care as a way of offering comfort to all those involved. Adams (Chapter 10) examines different methods of working with patients and families. It looks at the ways in which such work can be complicated by factors of geographic distance, differences in family reactions, differences in treatment plan concepts, and in meaning making. All of these factors may become stumbling blocks and may prevent the delivery of positive support. Pizzini (Chapter 11) looks at the experience of dying in prison from the perspective of inmates who are terminally ill, prison medical staff, and prison security staff. She discusses how to maintain dignity of the dying and a "good death" while in prison. McCord (Chapter 12) discusses attempts by hospice patients and others diagnosed with terminal illnesses to die either by their own hand or with physician assistance. She presents common risk factors, strategies to assess the degree of risk and possible plans for suicide and suicide postvention in the context of hospice. Section Three, "Cultural Considerations in End-of-Life Care" begins with The End of Life: Two Perspectives in which Robert G. Stevenson looks at two perspectives on the end of life that are not often examined in terms of their impact on the individual and his/her attitude toward this time. The two perspectives are that of adolescents, and that are shown in a military ceremony used in the 18th and 19th centuries, the Feu de Joie or Fire of Joy. In Chapter Fourteen, Janet McCord discusses suicide attempts by hospice patients and others diagnosed with terminal illnesses to die either by their own hand or with physician assistance. Connor's description of the need for hospice and palliative care around the world and the challenges of developing palliative care globally, and offers models that can be used around the world. Cox and Cox (Chapter 15) suggest ways to offer end-of-life care to Roman Catholics who do not fit the traditional model of hospice care and examine special needs, theology, and rituals. Cox and Sullivan (Chapter 16) offer suggestions on end-of-life care for American Indians, explaining cultural differences among American Indians and suggesting ways to improve care to a group that is generally neglected in hospice care. Smith (Chapter 17) looks at the cultural differences and understandings of Fundamentalist Christian views of a "good death" and the afterlife, ways to negotiate faith understandings that complicate end-of-life care, and ways to comfort individuals who may be marginalised because they do not share the theological views of the dying individual or key family members.

'Sometimes, a person's brain gets sick with a disease called dementia.' What does dementia do to the brain? What changes might we notice if a parent or grandparent has the disease? How might we feel about it and what can help? This book breaks down misconceptions about dementia and speaks directly to children aged under 5 about the realities of the disease, using age appropriate language in an engaging and informative way. It reassures parents of the value of open and honest conversation about the challenges raised by dementia and offers advice and support in the opening 'Guide for grown ups'. It includes a diverse audience of characters, to emphasise that ANY child can be impacted by dementia in their loved ones. Unlike traditional storybooks, the ending provides a question for the adult and child reading it to ponder together.

The United Nations Madrid International Plan of Action on Ageing (MIPAA) offers a bold new agenda for handling the issue of ageing in the 21st-century. It focuses on three priority areas: older persons and development; advancing health and well-being into old age; and ensuring enabling and supportive environments. This book brings together global perspectives on the MIPAA and focusses on and assesses the success and failures of governments to implement its recommendations. Despite its pivotal importance in international ageing policy, the MIPAA has been relatively neglected by academics in their writings and studies. This book mitigates this analytical and empirical cavity. Each chapter focuses on one specific geographical region and addresses five key themes: National ageing situation; Twenty years of MIPAA; Ensuring ageing with dignity; Healthy and active ageing in a sustainable world; and Priorities for the future. It presents an overall summary of the findings, future challenges and opportunities related to ageing, recommendations for future actions to be taken, and policy adjustments needed. The authors also present lessons that were learnt from managing the impact of COVID-19 on older people, together with an outlook on the most immediate priorities for the future so that the recommendations in the MIPAA are achieved in post-COVID-19 and sustainable ethical scenarios. An important contribution towards the advancement of ageing policy, the book will be indispensable to students and researchers of gerontology, ageing, and health. It will also be of interest to policy makers, geriatricians, dementia care specialists, social policy makers responsible for ensuring active and healthy ageing, and all public sector departments which have specific responsibilities towards improving the quality of life of older adults.