This is a book on how home is made when care enters the lives of people as they grow old at home or in 'homely' institutions. Throughout the book, contributors show how home is a verb: it is something people do. Home is thus always in the making, temporal, contested, and open to negotiation and experimentation. By bringing together approaches from STS, anthropology, health humanities and health care studies, the book points to the importance of people's tinkerings and experiments with making home, as it is here that home is being made and unmade.

This book's main goal is to examine the concept of residential care from a psychological perspective. The chapter authors espouse a psychological approach to long-term residential care and an effort is made throughout the text to present a model of care that encompasses the whole individual. Since psychologists are being increasingly asked to provide consultation to long-term residential care facilities, the need for psychologically-based care models has become apparent. This text offers assistance in developing and maintaining residential care environments that maximize quality of life and personal well-being in the presence of declining physical and emotional resources that are associated with the vicissitudes of living into advanced aging.
"Geriatric Residential Care" is divided into four parts. Part I addresses psychological and social issues facing the frail elderly who are candidates for, or are living in residential care settings. Part II addresses issues in the assessment of individuals in residential care. Part III highlights the design and execution of intervention strategies in residential care. Part IV addresses how organizational aspects of residential care contexts can optimize the quality and meaningfulness of care.

This collection highlights the current efforts by scholars and researchers to understand the aging process as it relates to the health of older adults. With contributions from international scholars in communication, psychology, public health, medicine, nursing, and other areas, this volume emphasizes communication as a critical research, education, policy, and practice issue for the design, provision, and evaluation of health and social services for older adults. Organized into sections addressing communication developments in the healthcare arena, issues in provider-patient communication, and the relationships between family communication and health. The chapters cover critical topics related to successful aging, such as Alzheimer's disease, managed care and older adults, communication issues of severe dementia, and healthcare decision-making within families.
The editors have designed this volume to be accessible to a broad audience, including scholars and students of aging and communication, healthcare practitioners with older clients, and aging individuals and their families who are pursuing strategies for successful aging. The chapters represent the highest levels of current scholarship on communication, aging, and health, providing a strong foundation for future research. Each contribution also addresses the applied implications of this research, offering practical guidance to readers dealing with these issues in their own lives. As a whole, "Aging, Communication, and Health" represents a major advance toward understanding the importance and application of communication for successful aging.

Family life has changed rapidly over te past fifty years and the number of people living longer increases year on year Family and Community Life of Older People revisits three areas (Bethnal Green in London, Wolverhampton in the Midlands and Woodford in Essex) which were the subject of classic studies in the late 1940s and 1950s and explores changes to the family and community lives of older people. The book examines issues such as:
*changes in household composition
*changes in the geographical proximity of kin and relatives
*the extent and type of help provided by the family
*contact and relationships with neighbours
*relationships with friends
*involvement in social and leisure activities
*experiences of minority ethnic groups.
These questions are explored through a unique set of data including census material, and survey data from interviews with over 600 older people. A key finding is that over the past 50 years we have moved from an old age experienced within the context of the family group to one shaped by personal communities in which friends may feature as significantly as immediate kin and relatives.
Family and Community Life of Older People is a major contribution to the sociology of the family, of ageing, and of urban life and points up the social policy issues for an ageing society.

Resulting from a major ESRC funded project as part of their programme of research on population and household change Family and Community Life of Older People reflects the interest in how older people are affected by social change which is currently a key theme in social science. It focuses on three areas: Bethnal Green in London; Wolverhampton in the Midlands; and Woodford in Essex. These areas were the subject of studies in the late 1940s and 1950s. Using these examples, it explores changes to the family and community lives of older people. It should prove of interest to students in social policy, urban sociology, gerontology, social work and community studies and will also be relevant to policy makers.

When working with older clients--or clients who have become "instantly old" due to disability--can a professional's personal feelings affect the helping process? Countertransference and Older Clients explores this issue and focuses on the use of countertransference--the powerful linkage between a helper's personal feelings and his/her professional work. This practical volume shows helping professionals how to confront and examine their own denial, fear of growing old, being helpless, and dying, anger related to death and loss, and their need for control. Contributors address such issues as how practitioners "overhelp" and "underhelp" some clients because of their feelings and experiences; how personal and family biases contribute to inappropriate diagnosis, referral, and treatment; why service is prolonged with some clients and terminated too soon with others; and how fear of AIDS, death, and suicide hinder effective support and treatment. In addition, actual case studies are woven throughout to illustrate how practitioners can effectively put their feelings and behaviors to use during the helping process. Written for practitioners in the field of aging, mental health, social work, nursing, psychology, and psychiatry, Countertransference and Older Clients is an important therapeutic tool for all helping professionals. "Throughout this clear, concise, interesting little book, the authors communicate a warmth and sensitivity to the needs and feelings of both helpers and older clients. One interesting feature is the inclusion of a chapter written by an older worker, an often neglected perspective in gerontological literature." --Journal of Psychology and Theology "Bonnie Genevay and Renee Katz have made an enormous contribution to gerontological practice by focusing on the conscious and unconscious attitudes and feelings of practitioners toward their older clients, which enhance or diminish their helpfulness to older people. In this very useful volume they and other experts cover a wide range of problematic situations including disability, dementia, and dying with empathy. Teachers and supervisors as well as those working in direct practice will find this book highly instructive." --Barbara Silverstone, Executive Director, The Lighthouse (The New York Association for the Blind) "This unique text approaches many aspects of aging and countertransference of caregivers, not elsewhere seen in the vast array of gerontological publications. It provides a sensitive and compassionate presentation of the various issues and problems of countertransference experienced by individuals providing care to elders in a variety of difficult situations. I highly recommend this text for its unique content, warmth of presentation and insights into relationships with the old. I have come away enriched and enlightened." --Priscilla Ebersoll, Ph.D., San Francisco State University "This book is a must for anyone who works with older clients. It contains dozens of case examples of how our own desires and fears about aging and conditions associated with it interfere with our capacity to function as professionals should. It is full of suggestions for dealing constructively with our emotional reactions that occur in the conduct of our professional lives. It deals with important topics such as terminal illness and death, suicidal elders, disability, and AIDS. It is clear, concise, and very useful." --Robert C. Atchley, Miami University, Oxford, Ohio "A profound respect and caring for both older clients and service providers permeate each chapter. . . . The book is exceptionally strong in its comprehensive and sensitive review of issues that many of us do not like to face--how our own fears and attitudes about aging may interfere with our professional effectiveness. Included are topics that have not been adequately dealt with elsewhere. . . . By clearly and sensitively highlighting the importance of self-awareness to professional effectiveness, the authors have made a significant contribution to the practice literature, and ultimately to practice with older adults." --Generations "This book makes a major contribution to the field by supplying numerous sensitive and revealing examples of personal emotional reactions to working with older adults. It should be read by everyone who counsels older adults and by students aspiring to careers in serving the elderly." --Bob G. Knight, Merle H. Bensinger Associate Professor, Gerontology and Psychology University of Southern California "The book's strength--an important one--lies in its conciseness of writing and clarity. It is an easy read! Yet it offers valuable insights and practical suggestions. The topics too, while diverse, are pulled into a homogeneous frame so as to make the book extremely cohesive, not easy in an edited work. The offering of case histories makes the book come alive as the reader becomes enmeshed in the dialogue/scenario going on between client and worker. . . . The book should make a genuine impact on the field of aging, promoting growth in workers and clients alike." --Clinical Gerontologist "Countertransference and Older Clients offers a well-written collection of articles by several authors dealing with aging, loss, disability, and death. It explores feelings that emerge between professional caregivers and their elderly clients in various settings. Other topics include suicidal elders, AIDS and HIV illness, dementia, substance abuse, sexuality, and nursing home placement. Good case examples are provided. . . . . A valuable addition to the body of knowledge for professionals working with older adults." --NASW California News

Elder Abuse and Neglect in Residential Settings: Different National Backgrounds and Similar Responses contains insights and examples from other countries where elder abuse and neglect have been recognized as an issue requiring social policy attention. Nursing home employees as well as professionals and policymakers will explore the physical as well as the psychological aspects of neglect in nursing homes. Elder Abuse and Neglect in Residential Settings discusses deliberate physical abuse and more common forms of neglect and abuse, such as bedsores, poor nutrition, improper medication, and vermin infestation. Let this informative guide help you recognize the causes of elder abuse and neglect in order to prevent the same problems in your nursing home.Examining nursing home settings in America, Canada, England, Sweden, the United Kingdom, and South Africa to bring you firsthand accounts of the problems of elder abuse on a multicultural level. It also examines reasons for abuse and neglect, such as poor wages, long hours, low job prestige of nurses aides, and high exhaustion levels that have led to abuse and neglect by even the most caring individual. Through Elder Abuse and Neglect in Residential Settings, you will discover what factors directly correlate to the abuse and neglect of patients by: examining the high turnover rates of the lower-paid nurses aides understanding that well-qualified staff do not choose to work in nursing homes and that often abuse and neglect are committed by nurses aides gaining insight into the risks of physical assault and verbal abuse by patients that nurses aides may endure everyday exploring the psychological aspects of neglect in nursing homes such as, uncleanliness, the lack of attractiveness in the physical environment, inadequate diet, infantilization, and passive neglect, and what can be done to prevent these behaviorsElder Abuse and Neglect in Residential Settings discusses the elements that are significant to the future and quality of residential care. From this book, you will understand the importance of considering the characteristics of the patients and staff as well as the importance of developing gender-integrated and multicultural services. Elder Abuse and Neglect in Residential Settings will prove to be essential in your understanding of the worldwide problem of elder abuse and neglect in residential care and help you alleviate it.

First published in 1999. Routledge is an imprint of Taylor & Francis, an informa company.

This text assembles together advances in knowledge about dementia, Alzheimers disease and related disorders as they affect persons with intellectual disabilities. Diagnosis, assessment, treatment, management and care practices are detailed in a practical manner for both students and professionals.

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Establishing a critical and interdisciplinary dialogue, this text engages with the typically disparate fields of social gerontology and disability studies. It investigates the subjective experiences of two groups rarely considered together in research - people ageing with long-standing disability and people first experiencing disability with ageing. This book challenges assumptions about impairment in later life and the residual nature of the 'fourth age'. It proposes that the experience of 'disability' in older age reaches beyond the bodily context and can involve not only a challenge to a sense of value and meaning in life, but also ongoing efforts in response.

Can a senior living in a care facility with ninety other residents be socially isolated? Certainly. Social isolation is not only about being alone or having visitors. It is also about having choices respected and having opportunities to start or keep meaningful relationships. This handbook provides a unique opportunity to hear seniors talk about their lives in care facilities. It will help seniors, their families and friends, care-facility staff, volunteers and management, and governments better understand what seniors living in care facilities feel is important in their lives.

This volume seeks to analyze what is wrong with residential care and proposes how it can be managed well. It covers the economic and political contexts of residential care, the practicalities of managing care, and the role of outside organisations, including inspection, local authorities, charities, private care companies and housing associations. Examples demonstrate both how managers can succeed and how the forces of mismanagement obstruct them.

Residential Homes do not have to be so bad; they can be - and occasionally are - the very best places for people to live. There have been many occasions in the last thirty years when residential care has seemed to be on the brink of a breakthrough - when we could have converted the service into something to be universally proud of.

Managing Residential Care analyses what is wrong and proposes how residential care can be managed well. It covers the economic and political contexts of residential care, the practicalities of managing care, and the role of outside organisations, including inspection, local authorities, charities, private care companies and housing associations. Extended examples, throughout the text, demonstrate both how managers can succeed and how the powerful forces of mismanagement obstruct them.

Managing Residential Care will be essential reading for residential care practitioners and managers, training officers and policy makers, and lecturers and students on social work and social care courses.

The global phenomenon of the aging of societies during a period of outstanding scientific, economic, and technological advancements is a blessing for humanity. These fundamental changes, however, create new needs and problems in all areas of life, often difficult to address. In some countries, the trend is towards compression of the period of age-related morbidity - fewer years of living with disabilities - but the absolute numbers of elderly people living with disabilities are increasing worldwide. This book highlights a series of global threats, problems and challenges in the areas of care and caregiving, through the prism of three multicultural nations: the United States, Israel and Australia. The contributors to this book, experts in their fields, focus on the art of caregiving at the national level, including the interface between family and state responsibilities, policies and practices in the provision of services, and the demands for education and training, as well as the problems and difficulties faced by family caregivers. This is the second of two edited volumes on aging and caregiving. The first, ""Lessons on Aging from Three Nations - Volume I: The Art of Aging Well"", examines positive aspects of and successful adaptations to aging. This book will be of interest to students of gerontology and geriatrics; those working in nongovernmental organizations - private, for-profit and non-profit agencies, including voluntary charitable and religious groups, those working in national regional and local governments, and all general readers intrigued with the aging of societies and longevity.

This collection will present works that offer illuminating perspectives on the remarkably diverse Asian American populations of the United States. As a population that is neither black nor white, the range of experiences of these groups, many of whom arrived as refugees, presents other perspectives on the cultural mosaic that constitutes the United States. Studies of Asian Americans sheds light on issues related to immigration, refugee policy, transnationalism, return migration, cultural citizenship, ethnic communities, community building, identity and group formation, panethnicity, race relations, gender and class, entrepreneurship, employment, representation, politics, adaptation, and acculturation. The writings in this collection are drawn from a wide variety of disciplines to provide a broad and informative array of insights on these fascinating and diverse populations.

Examines reasons behind decisions

It has been assumed in this society that women can, should, and always will provide care for our elderly. While historically, they have assumed the lion's share of that responsibility, societal changes place their continued high-level participation in question. This book examines the factors that influence the reasons why adult daughters become primary caregivers to parents with dementia.

Based on real-life interviews

The enormous increase in numbers of elderly people, the changing work roles of women, and the transformation of the traditional family make a strong argument for possible shifts in the stance that women have traditionally taken on the question of caregiving. To determine the likelihood of such a shift, it is necessary to learn more about the process that leadswomen to the role. In this study, the author conducted caregiver interviews with adult daughters to learn the reasons for their selection and the process by which they assumed the role. Thirty-eight individual reasons were found and organized into ten broad categories.

Analyzes how the role is assumed

This study concludes that the caregiving decision is often not a conscious one, and there is seldom a carefully thought-out plan for caregiving by professionals, families, or caregivers. Analysis of the data from the interviews led to the development of a stage model to describe the evolution of awareness on the part of caregiving daughters. The selection of caregiver is determined by a variety of often intertwined internal and external factors that are controlled by fate more often than reason. This chance selection lends itself to the possibility of poor choice of caregiver, early burnout, and refusal of the role by disenchanted daughters in the future.

Our reliance on this flawed selection process and our assumption that it will stand up to changes that are occurring could put society, our elderly, and a generation of women at risk.

This comprehensive book gives an up-to-date profile of all aspects of the care of older people in the community, with particular emphasis on the importance of maintaining function and independence as well as health. In a uniquely broad approach, the book is edited by two family doctors with a particular interest in the elderly and a consultant geriatrician, and the varied subjects are each presented by experts in their field. This accessible book enables primary care teams to produce optimal standards of care in old age, and is helpful in the organization of preventive care programmes. Emphasizing the need for joint working, the book draws together practical knowledge and skills to produce an essential source of reference and advice for all those involved in delivering a co-ordinated service. It is essential reading for all doctors in general practice and in public health, medical students and all other professionals whose work brings them into contact with elderly people. It is particularly useful for general practice teams, allied professionals such as nurses and physiotherapists, as well as patients and carers seeking an understanding of good practice. It also contains much practical information vital to the work of voluntary agencies, social service departments and specialists in geriatric medicine.

What 'kind' of community is demanded by a problem like dementia? As aspects of care continue to transition from institutional to community and home settings, this book considers the implications for people living with dementia and their carers. Drawing on extensive fieldwork and case studies from Canada, this book analyses the intersections of formal dementia strategies and the experiences of families and others on the frontlines of care. Considering the strains placed on care systems by the COVID-19 pandemic, this book looks afresh at what makes home-based care possible or impossible and how these considerations can help establish a deeper understanding necessary for good policy and practice.

Long-term care is an increasingly important issue in many contemporary welfare states around the globe given ageing populations. This ground-breaking book provides detailed case studies of 11 EU-member states' welfare regimes within Europe to show how welfare states organize, structures and deliver long-term care and whether there is a social investment perspective in the delivery of long-term care. This perspective is important because the effect of demographic transitions is often used as an argument for the existence of economic pressure on welfare states and a need for either direct retrenchment or attempts to reduce welfare state spending. The book's chapters will look specifically into how different welfare states have focussed on long-term care in recent years and what type of changes have taken place with regard to ageing populations and ambitions to curb increases in public sector spending in this area. They describe the development in long-term care for the elderly after the financial crisis and also discuss the boundaries between state and civil society in the different welfare states' approaches to the delivery of care.

The world is growing older and this is a historically unprecedented phenomenon. Negotiating such change, personally, socially and for governments and international organisations requires an act of cultural adaptation. Two key questions arise: What is the purpose of a long life? and How do we adapt to societies where generations are of approximately the same size? A number of pre-existing narratives can be identified; however, it is argued that contemporary policies have produced a premature answer which may eclipse the potential arising from lifecourse change. In this book Simon Biggs discusses ways of interrogating these questions and the adaptations we make to them. Four major areas, all of which have been suggested as solutions to population ageing, are critically assessed, including work as an answer, the relationship between work, ageing and health, narratives of spirit, belief and wisdom, the body and the natural, anti-ageing medicine, critical approaches to dementia, plus family and intergenerational relations. This book is particiularly useful for those trying to make sense of population ageing and negotiate solutions. It describes a number of concepts that can be used to assess what we are told about a long life and how generations can adapt together. With the cultural landscape moving away from traditional interpretations of old age, the question of adult ageing is of growing interest to a number of groups. This book is essential reading for social and health-care workers, other helping professionals, policy makers, social scientists and all who encounter the prospect of a long life.

Although the number of elderly people in Britain is increasing steadily, the law in relation to their particular needs is a relatively neglected field. The Law and Elderly People was the first text to provide easily accessible information for those involved in advice-giving and service provision in this rapidly developing field. This second edition has been fully revised and completely updated to reflect the major legal and social changes which have recently occurred. Concerned for the independence and autonomy of both young elderly and the old elderly, the book covers employment and income, accomodation and housing, community and residential care, health provision and delivery and family relationships, thus providing an important guide to the most important legal issues.
The Law and Elderly People will be of practical help to all those concerned with the welfare of the elderly and to undergraduates and lecturers in social work, law and gerontology.

Although the number of elderly people in Britain is increasing steadily, the law in relation to their particular needs is a relatively neglected field. The Law and Elderly People was the first text to provide easily accessible information for those involved in advice-giving and service provision in this rapidly developing field. This second edition has been fully revised and completely updated to reflect the major legal and social changes which have recently occurred. Concerned for the independence and autonomy of both young elderly and the old elderly, the book covers employment and income, accomodation and housing, community and residential care, health provision and delivery and family relationships, thus providing an important guide to the most important legal issues.
The Law and Elderly People will be of practical help to all those concerned with the welfare of the elderly and to undergraduates and lecturers in social work, law and gerontology.

Increasingly, scholars from many disciplines have begun to incorporate various modalities from the humanities and arts - novels, films, artwork, and other forms of expression - to help connect students with the experience of aging in deeply meaningful and person-centered ways. This collection examines how these approaches are incorporated into gerontology and geriatrics education. Rather than focusing solely on measurable outcomes, such as changes in learning over time - which is the purview of empirical pedagogy - chapters focus on strategies for successfully incorporating a specific work into the classroom, descriptions of humanities and/or arts exercises with students or older adults, and other ways that explore how the humanities and arts can be applied successfully and meaningfully in educational settings. This book was originally published as a special issue of Geronotology & Geriatrics Education.

In caring for America's aging population, emphasis is frequently given to maintaining elders in the community, preferably in their own homes, with appropriate supportive services. But what of those older persons who are at home and without a network of relatives or friends who are aware of the often life-threatening problems they face every day? What of elders who are undernourished, under- or over-medicated, visually handicapped, hard of hearing, or otherwise disabled? Many of these older people may be unaware of their need for help, or are well aware of their specific circumstances but deliberately hide their needs from others for fear of being "a burden" or of losing their freedom. This important new book brings together a variety of authors who seek to assist family and friends in recognizing the danger signs that surround an at-risk elder, while making vital distinctions between those types of behavior that give cause for worry and those that can best be described as idiosyncratic. The essays offer thoughtful suggestions for appropriate assistance by caregivers and interested parties while at the same time respecting the autonomy and independence of the elderly.