Antipsychotic drugs are frequently prescribed to older adults with dementia. Dementia affects millions of older adults, causing behavioral symptoms such as mood changes, loss of communication, and agitation. Concerns have been raised about the use of antipsychotic drugs to address the behavioral symptoms of the disease, primarily due to the FDA's boxed warning that these drugs may cause an increased risk of death when used by older adults with dementia and the drugs are not approved for this use. This book examines to what extent antipsychotic drugs are prescribed for older adults with dementia living inside and outside nursing homes; what is known from selected experts and published research about factors contributing to the such prescribing; and to what extent the Department of Health and Human Services (HHS) has taken action to reduce the use of antipsychotic drugs by older adults with dementia.

Providing guidance and advice on the challenging art of listening, this book responds directly to the expressed learning needs of hospice and palliative care volunteers regarding their communication skills in end-of-life care. Listening can be mentally, physically, and spiritually exhausting, often highlighted in books about hospice and palliative care but never taking the spotlight. This accessible companion provides hospice and palliative care workers with a variety of helpful insights and suggestions drawn from a solid base of current theoretical concepts and clinical research. With personal reflections on being listened to, the guide includes strategies for becoming a more effective listener, as well as exploring the challenges of listening, the need for self-care and spiritual and ethical considerations. By expanding their own capacity for empathy, compassion and understanding the wider narrative of illness, hospice and palliative care volunteers will become even better listeners in their essential roles.

There are many activity manuals on the market today but this publication is the first to offer a clear guideline on exactly what constitutes good practice in activity provision. Written by the National Association for Providers of Activities for Older People (NAPA), a charity whose remit is to set standards and disseminate knowledge of good practice in activity provision and to support activity providers who work in care settings for older people, this guide offers: a model of good practice in one concise volume; a benchmark against which activity providers can measure and evaluate their practice; clear links to current national standards; guidance for care home owners and managers who wish to respond to the recent government initiatives on providing activities for their clients; and a call for clinical governance in the emerging 'profession' of activity provision.

Home parenteral nutrition (HPN) is the intravenous administration of nutrients carried out in the patient's home. This book analyses current practices in HPN, with a view to inform best practice, covering epidemiology of HPN in regions including the UK and Europe, USA and Australia, its role in the treatment of clinical conditions including gastrointestinal disorders and cancer, ethical and legal aspects and patient quality of life.

The time has come to further challenge biomedical and clinical thinking about dementia, which has for so long underpinned policy and practice. Framing dementia as a disability, this book takes a rights-based approach to expand the debate. Applying a social constructionist lens, it builds on earlier critical perspectives by bringing together concepts including disability, social inclusion, personhood, equality, participation, dignity, empowerment, autonomy and solidarity. Launching the debate into new and exciting territory, the book argues that people living with dementia come within the UN Convention on the Rights of Persons with Disabilities and therefore have full entitlement to all the rights the Convention enshrines. A human rights-based approach has not to date been fully applied to interrogate the lived experience and policy response to dementia. With the fresh analytical tools provided in this book, policy makers and practitioners will will gain new insights into how this broader perspective can be used to further promote the quality of life and quality of care for all those affected by dementia.

Clinical dilemmas in dementia contexts are often not because the clinical facts are in doubt, but because the ethical and legal underpinnings are uncertain - which can cause worry and confusion. This practical book will help nurses, healthcare assistants and other practitioners to think through their responses clearly in the midst of these difficult situations. The chapters all stand alone, allowing the reader to dip quickly in and out of the book as required. They address complex issues such as abuse, behaviour that challenges, forced care, treatment withdrawal, and contain clinical case vignettes throughout. This is essential reading to give practitioners the confidence that good legal and ethical decisions can be made in the same way as good clinical decisions.

A comprehensive and practical guide to dementia, this book is essential reading for anyone who has a friend or relative with the condition. This updated edition reflects new guidance on approaches to supporting people with dementia, focussing especially on the UK, and includes quotes from people with dementia as well as from family carers. The book explores each stage of the journey people with dementia face and explains how it affects the person, as well as those around them both at home and in residential settings. It shows how best to offer support and where to get professional and informal assistance. Focussing on the progressive nature of dementia and the issues that can arise as a result, it gives practical advice that can help to ensure the best possible quality of life both for the person with dementia and the people around them.

Written by leading thinkers in the field, this text provides an in-depth analysis of the economic and policy issues associated with the aging of individuals and populations. With a strong policy focus based on demographic and economic study, this book focuses on "who gets what" from current and proposed government programs that impact on older persons, and how these affect individual behaviour. It does so in a straightforward manner that is accessible to readers with a range of mathematical backgrounds. The discussion concentrates on:
the effects of aging populations on the United States and other nations;
the economic wellbeing of the elderly, highlighting women and minorities;
public and private programs providing income for the elderly;
Medicare, Medicaid, and private health insurance;
Social Security and Medicare reform options;
employer-based retirement programs and pensions;
retirement patterns and factors influencing retirement decisions.

The authors draw from the experiences of other countries in evaluating the US experience and options. Additionally, each chapter engages the reader through practical examples and stimulates further investigation by providing practice questions with relevant website addresses.

'A beautiful and moving book that vividly brings home the challenges faced by those with dementia and their carers' Sir Tony Robinson A moving and beautifully illustrated book that captures the real life tales of people living with dementia, as told by their loved ones caring for them. This humorous, heartwarming and often heartbreaking collection will be relatable and supportive for anyone touched by dementia in their lives, and provides insight and information for anyone wanting to know more. The stories reflect on: the impact of receiving a diagnosis, the importance of person-centred care and social inclusion; the power of meaningful engagement, partnerships, peer support and much, much more.

This innovative book sets out practical guidance for people with dementia, their families and carers on reducing the symptoms of Alzheimer's disease and other dementias. Applying a 'rementia' based approach to dementia care, Jackie Pool shows how therapeutic cognitive rehabilitation techniques can be used to reduce symptoms of dementia and ultimately improve quality of life for people living with dementia. Covering topics such as nutrition, stress, communication, memory and sleep, it provides all the tools and information necessary to build a personalised and flexible self-care plan which will improve and sustain quality of life. By clearing away the myths and stigma surrounding dementia, this book creates room for cooperation, creativity and hope.

While bringing joy to others, can these two Christmas helpers also find some for themselves?Seren's great aunt Nelly hates being in a care home, especially around Christmas when Seren learns that Nelly and the other residents can't enjoy the simple pleasure of browsing for gifts in the shops. So what if Seren brings the shops to them? Converting an ice cream van into a gift shop, Seren travels around Tinstone to help out the less mobile. On her journeys, she keeps bumping into a reluctant - and handsome - Father Christmas, who has been roped into helping out this festive season. But running her own business comes with risks and surprises that Seren's not sure she's able to tackle. Has she bitten off more than she can chew, or will her travelling Christmas shop provide some much-needed festive cheer for the residents of Tinstone? A delightfully heartwarming and funny festive romance for fans of Rebecca Raisin and Sue Moorcroft. Praise for The Cosy Travelling Christmas Shop 'Oh I adored this book. It is feel-good, romantic, adorable and joyful. A heartwarming, enjoyable read that will leave you smiling from ear to ear. I loved it.' Reader review 'This was such a cosy and lovely read - perfect escapism. I loved the delights that this book had to offer - lots of romance, friendships and quirky characters. A definite feel-good read.' Reader review 'This was so cute! A wonderful romance, filled with witty banter, delightful characters, and just enough steaminess. A must read for romance lovers!' Reader review 'Wow wow wow. This is my kind of book. Snow, Christmas , interfering Aunts, a retirement home, a lovely love story, bad ex's and a painful boss... You have to read it.' Reader review 'Lilac Mills + Christmas = is there more of a perfect combination? A real fun, sweet, entertaining, cosy read, perfect for any time of the year, but I expect it would hit even harder nearer the end of the year, filling you with ultimate Christmas cheer.' Reader review

A comprehensive framework for capitalizing on the growing market for Continuing Care Retirement Communities.

Senior Residences equips architects and other industry professionals with a proven executive strategy for the design and development of successful Continuing Care Retirement Community (CCRC) projects. Using two of America's foremost CCRCs as best practice case studies, it guides readers through every critical aspect of the process, from research and planning through construction, including:

• The enterprise concept
• Formation of an executive organization
• Financial and legal due diligence
• Marketing and sales preparation
• Residents' expectations and requirements
• Healthcare and residential services
• The design and build process
• Project monitoring and assessment.

The over-65 population is increasing rapidly and dramatically, raising crucial concerns about the housing and care of senior citizens in the years ahead. How can we provide the best possible quality of care to the elderly? How can architects, developers, and others capitalize on the growing senior housing industry and stay competitive in the future? How can the facilities they create deliver both good service and strong financial returns?

While there are no easy answers to these important questions, the Continuing Care Retirement Community (CCRC) model has emerged as a flexible and attractive option for providing combined housing, services, and nursing care to the elderly. Senior Residences equips architects and other industry professionals with a comprehensive, three-part strategic framework for designing and developing successful CCRC projects.

Part I identifies the eight critical success factors of a CCRC enterprise and illustrates them through an in-depth examination of two exemplary developments, The Cypress of South Carolina's Hilton Head Island and The Stratford in the San Francisco Peninsula. Part II details a computer-based "standard of performance" system to track progress and assess project performance. Finally, Part III examines how to use different types of research to stay on top of market trends and forecasts, legal and licensing requirements, and more.

Together, the three elements of this executive strategy cover every aspect of the development process, from the initial enterprise concept and executive organization building to financial and legal due diligence, marketing and sales, residents' services and healthcare, and design and build. Readers gain essential guidance in tackling key project management issues as well as in developing effective problem-solving and troubleshooting skills.

Written by an author team with extensive CCRC experience, Senior Residences helps encourage avenues of thought that will lead to more cohesive, responsive, and successful CCRC projects that benefit the professionals who build them and the residents who live in them.

Total Engagement presents activity ideas for encouraging exploration and self-expression in older adults experiencing varying degrees of limitation in mental or physical performance. Its goal is to present engaging activities that respect and celebrate each person's lifelong knowledge and experiences. It emphasizes the creative arts - dance, drama, music, and visual arts - as a pathway for mental and physical growth, self-discovery, and self-expression. Total Engagement emphasizes that adults need to be engaged with the self, the environment, and with social networks for general well-being. Activity professionals and nonprofessionals can facilitate these multi-sensory, holistic activities to promote physical, psychosocial, and cognitive well-being in a wide range of older adults who may be struggling with disengagement due to losses from aging.

The award-winning PEARL (Positively Enriching and enhancing Residents' Lives) programme was developed to enable care homes to move from providing good fundamental care to excellent person-centred dementia care. Trialled extensively by one of the UK's largest care providers, it has been proven to dramatically increase the quality of life of people with dementia living in care homes, significantly reducing the use of antipsychotics and the incidence of stress-related behaviours. This concise and accessible guide, written by the Director of Dementia Care at the care provider which trialled and developed PEARL, describes the key criteria of the programme, and provides best practice guidelines for dementia care practitioners wishing to use the approach in their own care home. With an emphasis on the practical, achievable elements of the programme, and drawing on many useful examples, the author and contributors provide guidelines on, amongst many things, getting the fundamentals of person-centred care right; enabling decision-making; reducing stress-related behaviours; psychosocial treatments; safeguarding; supporting staff; and involving relatives.

Sharing and evaluating a series of relationship-centred approaches to dementia care, this book enables practitioners to have hands-on involvement in improving the quality of this care. Fostering a critical approach to our understanding of how we do relationship-centred dementia care, Reid shows how experiences of living with dementia, family awareness of dementia, professional knowledge of providing dementia care, and the health, social care and housing system are linked, and how good dementia care arises from the relationships between these groups. The book encourages thinking about the stigma attached to dementia, and how a focus on living well with dementia helps shape policies about people with dementia, with their voices included. Practical steps for carrying out relationship-centred dementia care are also explained, with examples of common obstacles and how to overcome them.

Written by an international Montessori and dementia expert, this indispensable guide to Montessori for elders makes it possible for any care provider to understand and implement this innovative approach to aging. Jennifer Brush shows care communities how to create and sustain a team that integrates the Montessori philosophy throughout daily life and successfully promotes elders' functional skills, independence, and identity. Based on her years as a researcher, clinician, and educator, Brush clearly explains the concepts behind this highly person-centered approach, how to create a prepared environment, and how to increase levels of life engagement for older adults. Filled with helpful advice, forms, and ready-to-use activities, this thorough guide is essential in implementing the Montessori philosophy with elders or people living with dementia.

This new and updated third edition of the best-selling "Calculating a fair price for care" estimates the potential cost to the public sector of paying fair market fees to a fully modernised care home sector. The demands resulting from an ageing population means that more care homes will be needed in the future. However, most public sector funding agencies do not currently offer fees that are sufficient to encourage care home operators to invest in new capacity for state-funded clients. "Calculating a fair market price for care" offers a transparent and evidence-based mechanism for working out what such fees should be, based on the costs borne by care homes in the financial year 2008/09. Updates for the third edition include a new and simplified approach to working out 'floor' and 'ceiling' fair fees; new staff input and other cost benchmarks derived from a survey of major corporate operators of care homes in 2008 and a downward revision in the target rate of return on capital from 13% to 12%. "Calculating a fair market price for care" is essential reading for commissioners and providers of care services throughout the UK, local councillors, advocacy groups for older people and social policy experts, as well as politicians, civil servants and other policy makers concerned with appropriate funding for long-term care.

Person-centred dementia care relies on leadership that supports the ongoing process of learning about and valuing individuals, their feelings, strengths and needs, and using this knowledge to enhance wellbeing and create a positive care environment. With a strong practical focus and many helpful case examples, this book will equip readers with the practical skills, knowledge and confidence necessary to lead person-centred dementia care. The areas explored are relevant across a wide range of care settings, and to all those in, or starting, either a managerial or non-managerial leadership role within a dementia care service. Topics covered include the key goals for person-centred dementia care, and the type of leadership approach most likely to bring them to fruition; common barriers to person-centred dementia care, and how leaders can identify and combat them; how to nurture, support and empower staff; how to maximise the effectiveness of verbal and written communications; and how as a leader to respond to challenging situations and risk. This accessible book is essential reading for all those with a formal or informal leadership role within a dementia care service, including managers, deputy managers, team leaders, service managers and experienced care staff involved in leading or mentoring others.

The notion of quality of life has for several decades been well-established in ethical debate about health care and the care of older people. "Dignity in Care for Older People" highlights the notion of dignity within the care of the elderly, focusing on the importance of theoretical concepts.
Primarily based on a Research Project, Dignity and Older Europeans, funded by the European Commission, this book provides a thorough investigation of the concept of dignity and related concepts such as quality of life and autonomy. It includes a chapter devoted to the dignity of human embodiment, emphasizing the importance of the notion of the lived body in the context of elderly care. As a result of the conceptual study a model of dignity emerges in which four variants of dignity stand out: dignity of merit, dignity as moral status, dignity of identity and Menschenwurde (the specifically human value). From this follows a discussion of how these variants of dignity can be used in characterizing the care of the elderly. The notions of dignity and dignified care are discussed particularly in relation to demented persons and dying persons. The book also contains a chapter on the dignity of the dead person.
International in focus, "Dignity in Care for Older People" provides a contemporary discussion of the care of older people, and will be of use to qualified nurses and social care practitioners working with older people, as well as those on ethics and gerontology courses.

Social work and social care services should treat older people as citizens with the same humanity and rights as every other citizen. That means services of all kinds engaging older people in a fulfilling, creative life in the mainstream of each community. Informed by a wide international literature, Malcolm Payne, a leading social work author, develops a critical and creative social work practice focused on social inclusion to achieve a high quality of life for all older people and explores how advance care planning allows older people to influence the space they live in and the quality of care that they need, and support at the end of life. He shows how integrated services can provide a secure place for older people, with opportunities for personal development and creativity in their lives and that groupwork should be a crucial part of any service to facilitate mutual support and advocacy for older people and their carers. This clearly written and well-structured textbook uses case examples and reflective points to illustrate concepts and will be essential reading for all social work students.

"An American anthropologist, Jennie Keith . . . went to live for twelve months in a French housing scheme for retired people and as a participant observer conducted a study in community creation. This book, in which she describes and analyses her experience, is a delight. It is scholarly and draws on a wide range of studies of similar residences and other collectives; it is also vivid, funny, sad and entertaining."--Marie Borland, "British Journal of Social Work
"

This book examines the growing importance of positive psychology and its connection to later life. * Applies Social Role Valorisation (SVR) principles to care of older people, particularly those with seriously disabling conditions such as dementia, stroke, and multiple health problems * Provides a comprehensive body of positive principles and practical approaches for those who care for older people * Examines the impact of the devaluation of older people s lives in the context of societies dependent on technology * Demonstrates how more age-inclusive societies and open awareness of later-life issues are fundamental to strong communities, as well as to personal happiness and resilience

How to live a full and rewarding life after a dementia diagnosis. Keith Oliver was diagnosed with young onset dementia at the age of 55. Unaware at the time that dementia could affect people of this age, Keith set out to increase public awareness of the condition and dispel the myths about the illness. Using a unique diary format, this intimate and empowering memoir captures what everyday life with dementia is like, offering both a candid look at its struggles, and a profoundly moving account of Keith's journey to live a full life afterwards.

This open access book turns the research attention of social policy scholars and long-term care researchers from comparative descriptions of care systems, focusing mostly on expenditures and volumes of long-term care services, to outcomes, and in particular to the question whether older people really receive the support that they need. Without knowledge about which needs and which social groups are currently inadequately covered, it is impossible to guide policy development. The book puts forward a novel theoretical framework to guide future research work and public discussion on the issue of unmet long-term care needs, by broadening the current discussion so that inadequate care is seen in its societal and policy contexts, taking structural issues and policy designs into account. Kroeger outlines three different domains of care poverty (personal care poverty, practical care poverty and socio-emotional care poverty) and differentiates between main methods how unmet needs are measured. This book summarises the existing knowledge on the prevalence, factors and consequences of unmet care needs and interprets these comparatively in the light of social inequalities and care policy models of different welfare states. It will be invaluable to students and scholars of social policy, social work, social gerontology, sociology and political science, and to all disciplines across the field of social sciences that study welfare state policies and care for older people.