Thirty years ago, when compared to the U.S., England, France, and Sweden, Japan had the lowest life expectancy for males and females. Today, Japan has the highest life expectancy and is the world's most rapidly aging society. Public Policy and the Old Age Revolution in Japan captures the vitality of Japanese policymakers and the challenges they face in shaping a modern society responding to its changing needs. The rapid transition to an aging society poses a set of complex policy and resource dilemmas; the responses taken in Japan are of great value to policymakers, professionals, and students in the fields of gerontology, Asian and Japanese studies, sociology, public policy, administration and management, and anthropology in other industrial aging societies. Readers of Public Policy and the Old Age Revolution in Japan will discover the array of social and economic implications that comes with an increasingly aged society. Such a change in demographics affects pension expenditures and pension contributions, capital formation and savings rates, health costs, service systems, tax bases, labor pools, career counseling, training, advertising, and marketing. This book does not stop with these topics, however. Readers also learn about: how older Japanese workers are staying employed and employable policies in Japan for a smooth transition from work to retirement Japan's Silver Human Resource Centers the new direction of health services in Japan the Japanese financing system for elderly health care the expansion of formalized in-home services for Japan's aged Japanese housing policy and the concept of universal design the Gold Plan, a comprehensive ten-year plan to promote health care and welfare for the aged the concept of ikigai--promoting feelings of purpose and self-worth in the agedPublic Policy and the Old Age Revolution in Japan is one of only a handful of books prepared in English by American and Japanese authors for an international audience about aging and social policy in Japan. The book's recent collection of articles by leading scholars on the subject makes it a unique and timely source of information. Above all, Public Policy and the Old Age Revolution in Japan makes it clear that the rest of the world has many valuable lessons to learn by studying Japan's approach to its rapidly aging society.

This authoritative text offers the first comprehensive analysis of intergenerational relations and social welfare. It examines both the micro-sociological relations within the family and the social contract which forms the backbone of the welfare state.; This book is intended to appeal to undergraduates and postgraduates in sociology, social policy and medicine and it will also be particularly useful for professional courses such as nursing, social work and gerontology.

With moves towards greater integration of health and social care services, there is a need for improved understanding of the importance and benefits of a person-centred, holistic approach to work in these fields. This accessible text, the product of a collaborative venture between older people's groups and academics, provides students, academics and practitioners across a wide range of health and social care professions with a guide to understanding the value of this approach. Health, well-being and older people: provides an overview of relevant research and service development literature; presents and discusses a range of issues that are important to the health of older people including attitudes and ageism, the body, the environment, family and community, sexuality and having fun; draws on material developed and, in some cases, written by older people themselves; integrates theory and empirical evidence with practice experience; offers models of best practice. Designed with the needs of students in mind, each chapter has helpful aids to understanding including: key learning points; models for case studies; summaries and exercises; glossaries and recommended texts. Throughout, readers are encouraged to think through the implications of the material in respect of their own service settings. Health, well-being and older people is essential reading for students and staff on qualifying and post-qualifying programmes in nursing, social work, social care, social policy, gerontology and related courses. It is also recommended reading for practitioners who will want to engage with the ideas for best practice presented in the book.

Working Daughter is a revelatory look at who's caring for our aging population and how these unpaid family caregivers are trying to manage caring for their parents, raising their children, maintaining relationships, and pursuing their careers. It follows the author, who was enjoying a fast-paced career in marketing and raising two children when both of her parents were diagnosed with terminal illnesses on the same day. In the challenges she faced and the choices she made, readers will learn how they can navigate their own caregiving experiences and prepare for when they are inevitably called on to care for their parents.

This pertinent book assists occupational therapists and other health care providers in developing up-to-date psychogeriatric programs and understanding details of treating the cognitively impaired elderly. There exists a significant demand for occupational therapy in psychogeriatrics now. As the elderly population increases, especially elderly requiring rehabilitative care, the need for occupational therapy in psychogeriatrics will increase markably. Evaluation and Treatment of the Psychogeriatric Patient emphasizes the expertise of leading psychogeriatric occupational therapists, focusing on transitional programming, treating cognitive deficits, and recognizing the malignant cultural myths which continue to disenfranchise and denigrate the elderly.Appropriate diagnosis and management of the elderly population is vital to their ability to function independently. Through detailed, operationally useful descriptions of current geriatric day care hospitals and psychogeriatric transitional programs, this book will be an invaluable aid for social workers, nurses, geriatric counselors, and physical therapists. These helping professionals will be better equipped to develop up-to-date psychogeriatric programs and will better understand the details involved in treating the mentally impaired elderly.

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America urgently needs innovative housing and care solutions for our growing population of older persons. For those who do not require or cannot afford costly, full-time nursing care, yet find it increasingly difficult to live alone, board and care residential facilities may be the most practical and attractive alternative. What are board and care homes, and how do they operate? How are they managed and regulated? How can older persons, caregivers, and family members decide which are the best facilities?"Between Home and Nursing Home" suggests what to look for when choosing a facility, how to monitor the care offered, and the kinds of supervision and services that should be available. For residents and caregivers alike, the authors offer valuable suggestions and illustrate activities that contribute to total mental and physical well-being. This book includes valuable appendices that feature important facts about retirement facilities and tips on how to evaluate a residential care facility. Families and professionals will find this book to be a valuable guide to one of the fastest-growing housing and health care options available to the aged.

First published in 1989. Routledge is an imprint of Taylor & Francis, an informa company.

Spending the final chapter of your life in a nursing home is considered, by many, a fate worse than death. Others, however, have found that through enlightened, imaginative care even the frailest of lives can flourish. The key to such a transformation is to replace the constricting custodial centres of the past with a more informed, research-based approach. This book is timely, responding to evidence of the urgent need for change described in the Australian Royal Commission into Aged Care Quality and Safety Final Report: Care, Dignity and Respect and its predecessor subtitled Neglect. In this book, the author proposes a model of care that places the whole person at its centre, sidestepping the constraints of a reductionist funding model that focusses on residents' deficits - and the proprietor's financial gain. Aged care requires a comprehensive research-based guide to fulfil this aim. Narratives are included throughout the book to reinforce the fact that nursing home care is about individual residents and their unique lives. Topics explored in various chapters include: * Ageing in a Changing Community * Social, Gerontological Care * A Palliative Approach * Community Expectations Ageing in a Nursing Home: Foundations for Care takes a realistic approach that draws on contemporary research and narratives from the unique lives of older Australians who, despite their frailty, teach us how to care. Such knowledge informs and influences their future. The book is a resource intended for all who have a stake in the provision of best practice residential aged care, and all who benefit from such care. Its academic appeal will include those who design and teach courses in aged care: gerontology, general practice medicine, nursing, attendant care, allied health, and chaplaincy. Academics and teachers will find useful, well-referenced material for their courses, together with ample scope for researchers.

The second, expanded edition of this acclaimed memoir by an Alzheimer's caregiver living with his father during his final year includes a new introduction that illustrates the immense toll of the disease, important lessons from the author's experience, and a readers' guide. Joe Thorndike was managing editor of Life at the height of its popularity immediately following World War II. He was the founder of American Heritage and Horizon magazines, the author of three books, and the editor of a dozen more. But at age ninety-two, in the space of six months he stopped reading or writing or carrying on detailed conversations. He could no longer tell time or make a phone call. He was convinced that the governor of Massachusetts had come to visit and was in the refrigerator. Over six million Americans suffer from Alzheimer's, and like many of them, Joe Thorndike's one great desire was to remain in his own house. To honor his wish, his son John left his own home and moved into his father's upstairs bedroom on Cape Cod. For a year, in a house filled with file cabinets, photos, and letters, John explored his father's mind, his parents' divorce, and his mother's secrets. The Last of His Mind is the bittersweet account of a son's final year with his father and a candid portrait of an implacable disease. It's the ordeal of Alzheimer's that draws father and son close, closer than they have been since John was a boy. At the end, when Joe's heart stops beating, John's hand is on his chest, and a story of painful decline has become a portrait of deep family ties, caregiving, and love.

Validation is a successful way of communicating with older adults with Alzheimer's-type dementia and responding to their challenging behaviors. The Validation method helps reduce stress, enhance dignity, and increase happiness for both the elder and the caregiver. Since its inception in 1989, Validation has helped thousands of professional and family caregivers improve their relationships with residents and loved ones with dementia by acknowledging older adults' expressed feelings rather than focusing on disorientation and confusion. Professionals will learn how to: Build relationships with residents based on empathy and compassion Understand and deal with challenging behaviors Interpret nonverbal cues to promote better communication Implement Validation in your own care setting through the experiences shared by Authorized Validation Organizations around the world The Validation method is easy to learn, and positive results can be seen in both residents and caregivers. Residents express less anger and anxiety, decreasing the need for chemical and physical restraints. Residents communicate more freely and more often. Residents often move better and experience an improved sense of self-worth. Staff members express a greater sense of fulfillment at work and feel better prepared for handling difficult situations. Families visit more often. The Validation Breakthrough is an essential resource for professionals in all settings serving adults who may be confused and disoriented, including assisted living facilities, skilled nursing facilities, hospice, home health care, adult day services, and family care settings. NEW to this edition: Updated language and explanations for the Phases of Resolution Revised case studies reflecting contemporary settings and issues Restructured content for clarity and ease of use

Loneliness in Later Life concerns the personal and social changes associated with aging, a topic that is becoming increasingly popular with both professionals and those in the Third Age themselves. The nature of loneliness is analyzed and clearly distinguished from solitary living, which need not be an unpleasant state. Through an examination of material drawn from literature and modern research, including the author's own experience, the book arrives at the happy conclusion that older people are not, in general, lonelier than when they were younger.

Mary Moore Free presents a new perspective on the literature of aging with her study of the rich, old, cognitively intact, powerful, formally retired, elite elders whose needs do not include nursing care. Living in a small private retirement home in urban Texas, the residents of The Hermitage continue to retain the power that they exercised in their active years by manipulating their environments, controlling inheritances, casting absentee ballots, and medicalizing their old age by forming partnerships with their doctors, thus relieving themselves of the personal responsibility of being old. In the expanding genre of retirement home ethnography, there is little on wealthy elders. Many who are able to give cogent life stories are unwilling to trade privacy for support of investigative studies. It is to Free's credit that she was able to win the residents' confidence and elicit another dimension of what institutionalized retirement can be like.

This book is a major contribution to regulatory theory from three members of the world-class regulatory research group based in Australia. It marks a new development in responsive regulatory theory in which a strengths-based pyramid complements the regulatory pyramid. The authors compare the accomplishments of nursing home regulation in the US, the UK and Australia during the last 20 years and in a longer historical perspective. They find that gaming and ritualism, rather than defiance of regulators, are the greatest challenges for improving safety and quality of life for the elderly in care homes. Regulating Aged Care shows how good regulation and caring professionalism can transcend ritualism. Better regulation is found to be as much about encouragement to expand strengths as incentives to fix problems. The book is underpinned by one of the most ambitious, sustained qualitative and quantitative data collections in both the regulatory literature and the aged care literature. This study provides an impressive evidence base for both theory development and reassessment of policy and practitioner responses in the field. The book will find its readership amongst regulatory scholars in political science, law, socio-legal studies, sociology, economics and public policy. Gerontology and health care scholars and professionals will also find much to reflect upon in the book.

Nations around the world are experiencing a spectacular increase in longevity. Society as a whole is being challenged by issues arising from this revolution in longevity. Although the specter of the loneliness and existential suffering of older citizens is such that some people under the age of 65 find it difficult to conceive of a long-term future, persons over 85 have proven that aging does not necessarily preclude a healthy and productive life. Extraordinary progress in both curative and preventive medicine justifies optimism about the quality of life and state of well-being that can be enjoyed even in great old age. We should look to professionals in diverse fields to develop creative solutions to the inevitable issues that will arise with aging. Governments must prepare for the future health of their citizens by making long-term investments to educate all sectors of society in the value of good nutrition, exercise, and lifestyles that enhance well-being throughout life. Also, governments should realize that the main cause of health care expenditure is serious illness which occurs in persons of all ages, and not predominantly in older people. Early detection can help save lives, as well. Health and longevity of life will ultimately end as a political issue. What is needed is long-term government investments necessary for a viable health policy. The question arises: will world leaders be able to commit to such a policy? Two major socioeconomic phenomena may have a regulating effect on this issue. The first is the emergence of pressure groups that have come into being in response to a particular health issue, such as AIDS. The second is the emergence of ethics committees in developed nations that deal solely with health issues.

This book provides an underexplored view of ageing, one that conceives older people as valuable resources in their communities, as active citizens with both voice, and an agency that includes the capacity for resistance. It acknowledges that becoming old with dignity means also paying attention to caring, good health services and the possibility of good death. The book defines age and ageing as multiple, culturally and historically constructed phenomena that are only loosely connected to the years of one's life. In focusing on the peripheral North located in the Nordic, Canadian and Russian north, it highlights important questions and viewpoints that can be found and adapted to other rural areas. The book answers the following questions: What is the relevance of legislation and international legal agreements in ensuring the rights of elderly people under political and economic changes? What challenges do geographic isolation, changing age structure, and cultural and ecological transformations pose to possibilities for meeting older people's needs for engagement in society as well as for their care? As such this book will be of interest to all those working in population aging.

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.

This perceptive volume presents conceptual, theoretical, and empirical approaches to social policy analysis comparing China and Nordic countries in their treatment of the elderly. An international panel of experts offers valuable policy insights into issues of housing, community care, family care, pensions and social security, and mental health as China translates and adapts Western examples, particularly those set by Norway, Sweden, and Finland. The book contrasts shared issues in the contexts of economic history, accountability and service improvements, and sustainability while also examining specifically Chi nese problems such as care gaps between urban and rural elders. Coverage also considers the centrality of aging policy in China as the nation works toward its long-term goal of eradicating poverty. Included among the topics: Building a welfare system with Chinese characteristics: from a residual type to moderate universalism. "Aging in community": historical and comparative study of aging welfare and social policy. Sweden: aging welfare and social policy in the 21st century. Policy responses to aging: care services for the elderly in Norway. China's elderly care policy and its future trends. Aging Welfare and Social Policy will interest professionals and researchers addressing questions of Chinese and comparative social policy, health psychologists, and sociologists focused on family, youth, and aging.

Assisted Living Administration and Management: Effective Practices and Model Programs in Elder Care 2nd Edition provides students and healthcare professionals with the most up to date and essential knowledge on assisted living and residential care. This comprehensive text empowers current and future assisted living administrators to employ effective practices, understand model programs, and learn the necessary tools and tips to maximize the overall health, safety, and comfort of residents in their care. Organized by domains of practice, it also covers content information required to prepare for state-based Residential Care and Assisted Living (RC/AL) administrator certification or licensure exams.The textbook is structured in five parts which instruct on how to build and manage effective assisted living and residential care communities, beginning with Organizational Management and progressing through Human Resources, Business and Financial Management, Environmental Management, and Resident Care Management. The second edition includes six new chapters on evolving topics, such as interprofessional practice, home and community-based services (HCBS) as alternatives to assisted living, information and communication technology (ICT), LGBT issues, memory care units, and palliative and hospice care. Chapters feature learning objectives, case studies, effective practices, and more enabling students and healthcare professionals to evaluate, analyze, and synthetize information on how to best operate, manage, and lead assisted living communities. Useful for any long-term care and health management professional or student in the fields of gerontology, health administration, and long-term care administration, this comprehensive book covers the most crucial aspects of assisted living and residential care management the most abundant and fastest growing senior living line of service in the United States. Key Features: Describes real-life situations and challenges associated with Assisted Living Administration with pragmatic solutions which highlight the most effective practices and model programs in elder care Contains new chapters on interprofessional practice, home and community-based services (HCBS) as an alternative to assisted living, information and communication technology (ICT), LGBT issues, memory care units, palliative and hospice care Highlights useful details on business and financial management, including guidelines for marketing facilities and services, important legal issues and terms, and evolving public policy issues Incorporates chapters on environmental management, with information on accessibility, fire safety, disaster preparedness, universal design and aging in place, and much more Emphasizes the importance of holistic, resident care management by examining the biological, psychological, and social aspects of aging Prepares students to qualify and sit for the state certification or licensure examination as Assisted Living Administrators Includes access to the fully downloadable eBook and instructor resources including a test bank

This book explores the concept of relational care, what it feels like for older people and for carers, why it makes life happier and how those involved in residential or community care can make it work. Relational care is gaining traction as its benefits to individuals and society become recognised. This accessible book, based on real-life models and in-depth interviews, explores fresh ways that relational care can be facilitated in a variety of settings. It looks at practice in terms of team management, support for care workers, technology, design and architecture, intergenerational and multidisciplinary models, and their implications for resilience, wellbeing, policy and future funding. Chapters are arranged by theme and provide descriptions, learning points and resources for each model, as well as incorporating a wealth of interviews giving insights into the lived experience of relational care. This is a lively book full of realistic ideas and information for everyone who wants to find out more about, access or implement the best in care - the best for older people, their families, care workers, management and society.

Known for a tradition of Confucian filial piety, East Asian societies have some of the oldest and most rapidly aging populations on earth. Today these societies are experiencing unprecedented social challenges to the filial tradition of adult children caring for aging parents at home. Marshalling mixed methods data, this volume explores the complexities of aging and caregiving in contemporary East Asia. Questioning romantic visions of a senior's paradise, chapters examine emerging cultural meanings of and social responses to population aging, including caregiving both for and by the elderly. Themes include traditional ideals versus contemporary realities, the role of the state, patterns of familial and non-familial care, social stratification, and intersections of caregiving and death. Drawing on ethnographic, demographic, policy, archival, and media data, the authors trace both common patterns and diverging trends across China, Hong Kong, Taiwan, Singapore, Japan, and Korea.

Giving voice to the lived experiences of people with dementia across the globe, including Australia, Canada, Sweden and the UK, this critical and evidence-based collection engages with the realities of life for people living with dementia at home and within their neighbourhoods. This insightful text addresses the fundamental social aspects of environment, including place attachment, belonging and connectivity. The chapters reveal the potential and expose the challenges for practitioners and researchers as dementia care shifts to a neighbourhood setting. The unique 'neighbourhood-centred' perspective provides an innovative guide for policy and practice and calls for a new place-based culture of care and support in the neighbourhood.

This thoughtful collection based on a highly successful conference held in Calgary, Alberta, combines the views of professional gerontologists, educators, health-care specialists, and policy makers to confront the issues affecting health care for older adults in both Canada and the United States. The contributors seek not only to inform but to inspire innovative responses from the private as well as the public sector. Experts in government, ageing, medicine, public administration, social service, counselling, and consulting focus their attention on vital areas of concern to elders who are in need of assistance, to the providers of these services, and to a public who seeks assurance that its resources are cost-effectively allocated to meet present and future demand. Included are essays on the current status of health-care policy in the United States and Canada, daily money management, caring for the non-compliant elder, long-term care as an emerging women's issue, lobbying government agencies and political leaders, the role of gerontology in resolving the crisis of long-term care, and "geroethics".