The Last Years of Long Lives is a unique account of that period of old age which precedes death. Based on 400 complete individual histories and covering a twenty-year period, it looks at the experiences of people over eighty years old in three important areas: disability, family life and health care. Using the life-course approach to research, it reveals rich data about the contributions of formal and informal care and how life expectancy and experiences of disability interact with experiences of care. The reader is invited to conceptualise these phenomena as processes in continuous time - processes that are sometimes long and complex, sometimes short and simple - and learns about the four types of disability career before death. At the same time, the author presents a three-stage model of informal care and examines the main patterns of formal service use. The Last Years of Long Lives presents a new way of looking at old age for students, researchers, practitioners and policy makers and gives a comprehensive picture of what has been called 'the fourth age'.

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.

FDA's approval of aducanumab has radically changed the world of Alzheimer's disease and you're going to need guidance regarding whether they should take it or not. This book conveys all the insight. As you age, you may find yourself worrying about your memory. Where did I put those car keys? What time was my appointment? What was her name again? With more than 41 million Americans over the age of 65 in the United States, the question becomes how much (or, perhaps, what type) of memory loss is to be expected as one gets older and what should trigger a visit to the doctor. Seven Steps to Managing Your Aging Memory addresses these key concerns and more, such as: * What are the signs that suggest your memory problems are more than just part of normal aging? * Is it normal to have concerns about your memory? * What are the markers of mild cognitive impairment, dementia, Alzheimer's, and other brain diseases? * How should you talk about your memory concerns to your doctor? * What should your doctor do to evaluate your memory? * Which healthcare professional(s) should you see? * What medicines, alternative therapies, diets, and exercises actually work to improve your memory? * Can crossword puzzles, computer brain-training games, memory aids, and strategies help strengthen your memory? * What other resources are available when dealing with memory loss? Seven Steps to Managing Your Aging Memory is written in an easy-to-read yet comprehensive style, featuring clinical vignettes and character-based stories that provide real-life examples of how to successfully manage memory loss.

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.

Demographic changes transform societies and challenge existing institutional solutions and policies. The need for policies addressing these challenges has increasingly been put on the agenda. The Making of Ageing Policy analyzes these innovative policy ideas and practices at both the international and the national level. The book provides insights into the value basis and justifications of ageing policies, the potential for conflict and how policy ideas are embedded in institutional defense and advocacy for institutional change and reform. In terms of policy ideas the economically focused 'productive ageing' dominates, but the book finds instances where the broader 'active ageing' approach has gained a hold in policymaking. Ageing policy reforms within pensions and labour market policy include measures to make people extend their working life. In long-term care reforms abound, and implies changes in the responsibility of financing and provision but the patterns across countries differ substantially. The authors provide normative analysis of ageing policy ideas, divulge political conflicts and consensus on ageing policy, and contribute by describing and analyzing the changing institutional landscape of ageing politics and policies throughout Europe. It will prove insightful for academics and researchers in the field, but it will also appeal to practitioners who are increasingly dealing with demographic challenges across a wide number of policy sectors in their daily affairs. Contributors include: M. Doyle, Z. Drozdzak, R. Ervik, L. Foster, I. Helgoy, N. Kildal, G. Lamura, T.S. Linden, M.G. Melchiorre, E. Nilssen, J. Perek-Bialas, A. Principi, A. Ruzik-Sierdzinska, C. Schiller, V. Timonen, K. Turek, A. Walker

The many significant technological and medical advances of the 21st century cannot overcome the escalating risk posed to older adults by such stressors as pain, weakness, fatigue, depression, anxiety, memory and other cognitive deficits, hearing loss, visual impairment, isolation, marginalization, and physical and mental illness. In order to overcome these and other challenges, and to maintain as high a quality of life as possible, older adults and the professionals who treat them need to promote and develop the capacity for resilience, which is innate in all of us to some degree. The purpose of this book is to provide the current scientific theory, clinical guidelines, and real-world interventions with regard to resilience as a clinical tool. To that end, the book addresses such issues as concepts and operationalization of resilience; relevance of resilience to successful aging; impact of personality and genetics on resilience; relationship between resilience and motivation; relationship between resilience and survival; promoting resilience in long-term care; and the lifespan approach to resilience. By addressing ways in which the hypothetical and theoretical concepts of resilience can be applied in geriatric practice, Resilience in Aging provides inroads to the current knowledge and practice of resilience from the perspectives of physiology, psychology, culture, creativity, and economics. In addition, the book considers the impact of resilience on critical aspects of life for older adults such as policy issues (e.g., nursing home policies, Medicare guidelines), health and wellness, motivation, spirituality, and survival. Following these discussions, the book focuses on interventions that increase resilience. The intervention chapters include case studies and are intended to be useful at the clinical level. The book concludes with a discussion of future directions in optimizing resilience in the elderly and the importance of a lifespan approach to aging.

Explains why there is a crisis in caring for elderly people and how the COVID-19 pandemic exacerbated it Because government policies are based on an ethic of family responsibility, repeated calls to support family members caring for the burgeoning elderly population have gone unanswered. Without publicly funded long-term care services, many family caregivers cannot find relief from obligations that threaten to overwhelm them. The crisis also stems from the plight of direct care workers (nursing home assistants and home health aides), most of whom are women from racially marginalized groups who receive little respect, remuneration, or job security. Drawing on an online support group for people caring for spouses and partners with dementia, Elder Care in Crisis examines the availability and quality of respite care (which provides temporary relief from the burdens of care), the long, tortuous process through which family members decide whether to move spouses and partners to institutions, and the likelihood that caregivers will engage in political action to demand greater public support. When the pandemic began, caregivers watched in horror as nursing homes turned into deathtraps and then locked their doors to visitors. Terrified by the possibility of loved ones in nursing homes contracting the disease or suffering from loneliness, some caregivers brought them home. Others endured the pain of leaving relatives with severe cognitive impairments at the hospital door and the difficulties of sheltering in place with people with dementia who could not understand safety regulations or describe their symptoms. Direct care workers were compelled to accept unsafe conditions or leave the labor force. At the same time, however, the disaster provided an impetus for change and helped activists and scholars develop a vision of a future in which care is central to social life. Elder Care in Crisis exposes the harrowing state of growing old in America, offering concrete solutions and illustrating why they are necessary.

Ethnic minorities represent a growing percentage of the elderly population in the United States. Yet, the impact of aging on minority groups and subgroups has only been partially studied. Now, Minorities, Aging, and Health begins to fill the gap and open up the debate on how to provide for the specific needs of an increasingly diverse elderly population. In order to provide as complete and current overview as possible, the contributors examine a variety of populations, including Hispanics, Asian Americans, Pacific Islanders, and Native Americans. Some specific issues covered in this volume include: mortality and life expectancy, the incidence of disease and disabilities, diet and nutrition, access to health services and long-term care, and public health care policy. This book is both timely and unique, thus making it a welcome addition to the literature on aging for scholars and health care professionals. It will be an invaluable resource in the fields of gerontology, public health, ethnic studies, and nursing.

The United States is engaged in a critically important and contentious debate on how to overhaul the way it delivers and pays for long-term care. Most families that are confronted with caring for a disabled elderly relative are often guaranteed financial catastrophe. The authors of this book examine a wide range of financing approaches to reforming long-term care and the impacts they would have over the next twenty-five years. The central issues in the debate about reforming long-term care concerns the relative roles of the public and private sectors. The authors urge that private insurance be encouraged and predict it will grow. Nevertheless, they conclude, private insurance will probably play only a modest role in financing nursing home and at-home care. For that reason, careful attention must also be given to reforming public programs. They recommend a strategy that includes expanded social insurance covering more at-home care and some limited nursing home coverage, the liberalization of Medicaid eligibility requirements so that complete impoverishment is not required before benefits are given, and an enhanced role for private insurance to provide asset protection to the upper-middle- income and wealthy elderly. The authors examine the cost of public and private initiatives and who would pay for them. Their answers emerge from a large computer simulation model that the authors developed. This book is accessible to non-specialists and is essential reading for anyone interested in the future of American health care.

As the average age of the U.S. population continues to increase, age-related policies have come under intense scrutiny, sparking heated debates. In the past, older people were seen as a frail, dependent population, but major policies enacted or expanded on their behalf have made them major players in electoral and interest-group politics. This thoroughly revised and updated edition of Robert B. Hudson's "The New Politics of Old Age Policy" not only explains the politics behind the country's age-based programs and describes how those programs work but also assesses how well--or poorly--they meet the growing and changing needs of older Americans.

Essays by leading experts in political science, sociology, law, social work, and gerontology address, among other things, theoretical approaches to age-based policy; population dynamics and the impact of growing diversity within the older population; and national, state, and local issues associated with major age-based programs. More than any other source, this book presents the most current information on growing older in the United States, including in-depth analyses of Social Security, Medicare, Medicaid, housing initiatives, the Older Americans Act, the Age Discrimination in Employment Act, and tax policy.

Detailed new chapters focus on financial security and retirement in the context of the Great Recession, diversity and inequality in aging populations, and implications of the Affordable Care Act. Scholars, students, and policymakers will appreciate the volume's timely overview of the evolution of aging policy.

The Idea Agent is a practical idea management handbook, aimed at people who want to take an active role in creative processes across all areas. It combines the creatively wild with the rationally structured techniques for innovation to provide readers with a varied toolbox of proven idea management methodology. From discussing how to identify a problem or opportunity, to describing techniques for idea creation, it offers a step-by-step guide to building creative concepts for the marketplace. With built-in exercises and applications, this book is an ideal working companion for any innovator. The Idea Agent is a practical idea management handbook, aimed at people who want to take an active role in creative processes across all areas. It combines the creatively wild with the rationally structured techniques for innovation to provide readers with a varied toolbox of proven idea management methodology. From discussing how to identify a problem or opportunity, to describing techniques for idea creation, it offers a step-by-step guide to building creative concepts for the marketplace. With built-in exercises and applications, this book is an ideal working companion for any innovator."

Methuselah's Echo focuses on psychotherapy with patients over 65, the fastest growing segment of our population. Basing his findings on 20 years of work with the elderly, Dr George Bouklas explains how to resolve resistances to contemplation and return elderly patients to a maturational path on which they can face with greater equanimity the realities of ageing and the inevitability of death. Echoing refers to joining, mirroring and reflecting; therapeutic techniques that enable patients to become increasingly self-aware. The author demonstrates how these approaches work, and how to apply them in the context of psychodynamic, interpersonal and behavioural interventions. He further explains how the therapist promotes progress with people in this age group, and with vivid examples shows what inspiration and wisdom can be gained from working with the elderly.

Elder abuse has been increasingly recognised over the past ten years in many countries and progress has been made in both understanding and addressing the issue. This volume provides a much-needed international overview of the topic. Opening with an examination of what elder abuse is, Amanda Phelan sets it in a theoretical context and looks at assessment and approaches to the issue in residential and community care environments. The book then presents a range of country studies, which provide an overview of the context of elder abuse in the country and a discussion of related policy, legislation, research and practice. Countries covered include Ireland, United Kingdom, Spain, China, Australia, Kenya, Israel, Canada and the United States, whilst a regional chapter looks at South America. A concluding chapter draws together cross-cultural comparisons and provides some guidance as to best practice. The only comprehensive book in this area, International Perspectives on Elder Abuse is an invaluable reference for practitioners, academics and researchers from a range of disciplines, including nursing, social work, sociology, public health and social policy.

This book will help readers to better understand and address a strange social phenomenon: the apparent choice by some seniors to live in squalor. Seniors and Squalor examines the widespread and growing phenomenon of mentally competent senior citizens living in self-imposed squalor and refusing help, whether from health care professionals, government, or family. At this juncture of medicine and law, many families have experienced frustration, embarrassment, and heartbreak. The book also explores associated ethical questions, arguing that society can address the problem while respecting individual legal autonomy. For the theorist, this work provides the first in-depth treatment of legal and political theory questions undergirding the issue of self-neglect by seniors. It also underscores the importance of limited government, the necessity of granting American citizens their individual rights, and the critical need to stop classifying self-neglect as abuse. This is an ideal read for graduate and undergraduate students, scholars, practitioners of health care and geriatrics, social workers, and lawyers. Most importantly, this book will appeal to those directly affected by the problem-family, friends, and social work professionals-by giving them a broader understanding of this complex social issue and how to best respond to it. Incorporates the latest research concerning laws and medical classifications Offers the first in-depth treatment of legal and political theory questions underlying the issue of self-neglect by senior citizens Includes policy approaches crafted to address the issue at a societal level Raises ethical questions based in the role of government in solving social problems

Elders can struggle with issues of social isolation and self-esteem, and benefit from having positive coping skills at their disposal. The practical ideas Kathie Erwin imparts in this second edition help mental health professionals working with elderly populations to create an interactive, multi-modal program that addresses the issues and needs elders have. The group modalities are defined in holistic contexts of mind, body, society, and spirituality. Among the group modalities are reminiscence, bibliotherapy, remotivation, humor, expressive art, and therapeutic writing and sacred spaces, which are new to this edition. Mental health professionals appreciate the practical and detailed guidelines for how to design, implement, and monitor progress for various types of group modalities that allow them to put theory into practice easily. Their elder clients will benefit from the methods they develop in group to deal with problems such as isolation and reduced social networks.

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.

Elders can struggle with issues of social isolation and self-esteem, and benefit from having positive coping skills at their disposal. The practical ideas Kathie Erwin imparts in this second edition help mental health professionals working with elderly populations to create an interactive, multi-modal program that addresses the issues and needs elders have. The group modalities are defined in holistic contexts of mind, body, society, and spirituality. Among the group modalities are reminiscence, bibliotherapy, remotivation, humor, expressive art, and therapeutic writing and sacred spaces, which are new to this edition. Mental health professionals appreciate the practical and detailed guidelines for how to design, implement, and monitor progress for various types of group modalities that allow them to put theory into practice easily. Their elder clients will benefit from the methods they develop in group to deal with problems such as isolation and reduced social networks.

Media representations of ageing play a role in stereotype formation and even reinforce them. Encountering these stereotypes can negatively impact the self-esteem, health status, physical wellbeing and cognitive performance of older people. This international collection examines different dimensions of ageing and ageism in a range of media. Chapters include explorations of the UK media during the COVID-19 pandemic; age, gender and mental health in Ghana; advertising in Brazil; magazines in Canada; Taiwanese newspapers; comics, graphic novels and more. Bringing together leading scholars, this book critically considers differences in media portrayals and how older adults use and interact with the media.

In an era of changing demographics and values, this volume provides a cross-national and interdisciplinary perspective on the question of who cares for and about the elderly. The contributors reflect on research studies, experimental programmes and personal experience in Japan and the United States to explicitly compare how policies, practices and interpretations of elder care are evolving at the turn of the century.

Demographic and epidemiological changes mean that frail older people have come to be seen as an expensive problem for health care systems. The challenge for professionals and policy-makers is to find ways to respond to the coming crisis by delivering high-quality care in the home. This collection offers a critical analysis of home care policy and practice. It focuses on how high-quality care is provided and the practices and policies that support this. It offers case studies (both policy- and practice-oriented empirical studies) from countries that share a basic orientation to social welfare: Canada, Denmark, Finland, Iceland, Sweden and the United Kingdom. The nine chapters set out a critical agenda for the development of "good" practices in challenging times. This book is essential reading for students, practitioners and researchers who wish to understand diverse problems in care provision for frail older persons and the complexities of policy responses in different health and social care contexts.

The question of communication and understanding between different generations is emerging as a key issue for the twenty-first century. The advent of ageing populations may lead to increased conflict or solidarity in society, and provokes a profound ambivalence both in public and in the private sphere. In a new approach, Biggs and Lowenstein offer a critical examination of Generational Intelligence as one way of addressing these issues. How easy is it to put yourself in the shoes of someone of a different age group? What are the personal, interpersonal and social factors that affect our perceptions of the 'age other'? What are the key issues facing families, workplaces and communities in an ageing society? This book sets out a way of thinking about interpersonal relations based on age, and the question of communication between people of different ages and generations. The book challenges existing orthodoxies for relations between adults of different ages and draws out steps that can be taken to increase understanding between generational groups. The authors outline a series of steps that can be taken to enhance Generational Intelligence, examine existing theories and social issues, and suggest new directions for sustainable relations between generational groups.

The question of communication and understanding between different generations is emerging as a key issue for the twenty-first century. The advent of ageing populations may lead to increased conflict or solidarity in society, and provokes a profound ambivalence both in public and in the private sphere. In a new approach, Biggs and Lowenstein offer a critical examination of Generational Intelligence as one way of addressing these issues. How easy is it to put yourself in the shoes of someone of a different age group? What are the personal, interpersonal and social factors that affect our perceptions of the 'age other'? What are the key issues facing families, workplaces and communities in an ageing society? This book sets out a way of thinking about interpersonal relations based on age, and the question of communication between people of different ages and generations. The book challenges existing orthodoxies for relations between adults of different ages and draws out steps that can be taken to increase understanding between generational groups. The authors outline a series of steps that can be taken to enhance Generational Intelligence, examine existing theories and social issues, and suggest new directions for sustainable relations between generational groups.

Portraying people who have lived and worked in long-term nursing home facilities, Elder Care Catastrophe reveals how organizational dynamics and everyday rituals have unintentionally led to resident neglect and abuse. Backed up by research and grounded in sociological theory, this book offers alternative models for lessening the maltreatment of people living in nursing homes. It provides critical information for family members struggling with nursing home issues, nursing home employees, policy-makers, students and researchers concerned with elder care issues.

Health policy emphasises the role of primary and community-based services in achieving strategic change throughout the NHS. However, despite lead roles assigned to social service departments and residential and nursing home care services, difficulties remain in achieving closer working relationships. This book is a concise guide to the new initiatives in this area, including models and practical examples. It covers the recent developments encouraging partnerships between health and social care services, and is essential reading for all those involved in primary care and the social services, especially those with an interest in the care of older people. The National Primary Care Research and Development Centre series provides policy makers, commissioners, managers, primary care professionals and user organisations with up-to-date multi-disciplinary research on important issues that inform future decision-making for primary care development.

A wide variety of care services for older people are offered in Germany. However, these services are characterised by a strong disintegration. The lack of efficient coordination and cooperation structures between different service providers makes it more difficult to organise comprehensive support and relief for family carers. This report provides an overview of the current situation and needs of family carers, the socio-political frame of family caring, the coverage and usage of social and health related care services as well as trends and perspectives regarding future provision of services.