The debate over national health insurance has renewed attention on the health and health care utilization of the elderly. Few questions have been more poignant than the health of the United States' elderly. As a broad-ranging critical look, "Health and Health Care Utilization in Later Life" brings the central questions facing the elderly into bold relief. It spans the range of health concerns the elderly face daily. The debates over health care rage, often without having the relevant facts. "Health and Health Care Utilization in Later Life" brings the facts to the fore but just as importantly, it brings a sensitive feeling for the realities of health as a driving force in the daily lives of old people.

Why are the elderly so often perceived as burdensome and unproductive members of our society? Altruism in Later Life explores and refutes this view with cogent, empirical data. Authors Elizabeth Midlarsky and Eva Kahana introduce the results of a series of investigations on assistance offered by--rather than to--the elderly, in the context of historical, philosophical, and theoretical trends in gerontology and altruism research. Following a brief but inclusive historical survey of aging treatments, they present their own theoretical model of successful aging: Based on a carefully applied methodological review of research focusing on altruism and the elderly, the results reveal the relative frequency, nature, correlates, and ramifications of the contributions they make. Dispelling many of the misapprehensions held about the elderly, this work will prove to be a vital, timely resource for professionals and students in fields including gerontology, psychology, social work, sociology, counseling, and the health sciences.

'Essential reading for practitioners, educators and researchers within the general field of social work with older people.' - From the foreword by Mark Lymbery, Associate Professor of Social Work, University of Nottingham The reality of our ageing population means all social workers need to be confident in working with older people. Social workers are engaged in ongoing practice with older people in a variety of contexts, from hospitals, aged care assessment teams and mental health services to employment services, housing services and rehabilitation services. Older People, Ageing and Social Work draws on theoretical, research, policy and practice knowledge to inform contemporary practice with older people. Hughes and Heycox demonstrate that high level professional skills are required in this area as well as detailed knowledge of the issues affecting older people's lives. They argue that practitioners need to take into account the social and emotional needs of the older people they work with, as well as the practical and administrative aspects of their roles. They emphasise understanding the diversity of the older population and enabling older people to make the most of their strengths and capacities.

One of the most powerful ways we can care for our future is to create a Power of Attorney. This simple document allows an appointed person to make decisions for us in the case that we can no longer do so ourselves. But what does it mean to be someone's attorney? And how can it be set up? This book is designed to offer clear, practical advice for anyone making this decision, or needing to exercise their rights. Drawing on over two decades of professional and personal experience, Sandra McDonald explains everything that you need to know about Power of Attorney, including: - how to create the legal document - how to implement it - dealing with others and safeguarding The result is an invaluable resource for anyone who is, has or deals with a Power of Attorney.

As the older population in the United States is becoming more racially and ethnically diverse, it is important to understand the characteristics, the potential, and the needs of this population. In this new and fully revised edition of Aging and Diversity, Chandra Mehrotra and Lisa Wagner address key topics in diversity and aging, discussing how the aging experience is affected by not only race and ethnicity but also gender, religious affiliation, social class, rural-urban community location, and sexual orientation and gender identity. Taking this broad view of human diversity allows the authors to convey some of the rich complexities facing our aging population - complexities that provide both challenges to meet the needs of a diverse population of elders and opportunities to learn how to live in a pluralistic society. Mehrotra and Wagner present up-to-date knowledge and scholarship about aging and diversity in a way that engages readers in active learning, placing ongoing emphasis on developing readers' knowledge and skills, fostering higher order thinking, and encouraging exploration of personal values and attitudes.

As America's haves and have-nots drift further apart, rising inequality has undermined one of the nation's proudest social achievements: the Social Security retirement system. Unprecedented changes in longevity, marriage, and the workplace have made the experience of old age increasingly unequal. For educated Americans, the traditional retirement age of 65 now represents late middle age. These lucky ones typically do not face serious impediments to employment or health until their mid-70s or even later. By contrast, many poorly educated earners confront obstacles of early disability, limited job opportunities, and unemployment before they reach age 65. America's system for managing retirement is badly out of step with these realities. Enacted in the 1930s, Social Security reflects a time when most workers were men who held steady jobs until retirement at 65 and remained married for life. The program promised a dignified old age for rich and poor alike, but today that egalitarian promise is failing. Anne L. Alstott makes the case for a progressive program that would permit all Americans to retire between 62 and 76 but would provide more generous early retirement benefits for workers with low wages or physically demanding jobs. She also proposes a more equitable version of the outdated spousal benefit and a new phased retirement option to permit workers to transition out of the workforce gradually. A New Deal for Old Age offers a pragmatic and principled agenda for renewing America's most successful and popular social welfare program.

Critical Gerontology Comes of Age reflects on how baby boomers, caretakers, and health professionals are perceiving and adapting to historical, social, political, and cultural changes that call into question prior assumptions about aging and life progression. Through an exploration of earlier and later-life stages and the dynamic changes in intergenerational relations, chapter authors reexamine the research, methods, and scope of critical gerontology, a multidisciplinary field that speaks to the experiences of life in the 21st century. Topics include Medicare, privatization of home care, incarceration, outreach to LGTBQ elders, migration, and chronic illness. Grounded in innovative research and case studies, this volume reflects multiple perspectives and is accessible to lay readers, advanced undergraduates and graduate students, and professionals in many fields.

Critical Gerontology Comes of Age reflects on how baby boomers, caretakers, and health professionals are perceiving and adapting to historical, social, political, and cultural changes that call into question prior assumptions about aging and life progression. Through an exploration of earlier and later-life stages and the dynamic changes in intergenerational relations, chapter authors reexamine the research, methods, and scope of critical gerontology, a multidisciplinary field that speaks to the experiences of life in the 21st century. Topics include Medicare, privatization of home care, incarceration, outreach to LGTBQ elders, migration, and chronic illness. Grounded in innovative research and case studies, this volume reflects multiple perspectives and is accessible to lay readers, advanced undergraduates and graduate students, and professionals in many fields.

This book explores the intersecting issues relating the phenomenon of ageing to gender and family law. The latter has tended to focus mainly on family life in young and middle age; and, indeed, the issues of childhood and parenting are key in many family law texts. Family life for older members has, then, been largely neglected; addressing this neglect, the current volume explores how the issues which might be important for younger people are not necessarily the same as those for older people. The significance of family, the nature of family life, and the understanding of self in terms of one's relationships, tend to change over the life course. For example, the state may play an increasing role in the lives of older people - as access to services, involvement in work and the community, the ability to live independently, and to form or maintain caring relationships, are all impacted by law and policy. This collection therefore challenges the standard models of family life and family law that have been developed within a child/parent-centred paradigm, and which may require rethinking in the turn to family life in old age. Interdisciplinary in its scope and orientation, this book will appeal not just to academic family lawyers and students interested in issues around family law, ageing, gender, and care; but also to sociologists and ethicists working in these areas.

While life in a nursing home is rarely considered a first choice, at times it's the best choice. Still, the decision to put a loved one in a home is incredibly difficult. This book concentrates on the positive aspects of nursing homes and offers strategies for identifying the best facilities. Among the topics covered are how to recognize signs that a family member needs extra support, determining whether in-home care is a viable option, the different types of long-term care, working and communicating with the staff, and preparing for the end 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.

The contributors to this volume reference a shared, longitudinal corpus of spontaneous conversation elicited in natural settings from speakers with moderate to late moderate Alzheimer's Disease, utilizing other collections as appropriate, to analyze conversation, discourse and written text by and about Alzheimer's speech. Cross-disciplinary contributions from the USA, Canada, New Zealand and Germany, representing linguistics, gerontology, geriatric nursing, computer science, and communications disorders report on empirically-based investigations of social and pragmatic language competencies and strategies retained by AD patients which could ground communication enhancements or interventions.

The ageing of the population is a demographic phenomenon, a social problem and a policy issue. The increase in the numbers of aged and in the costs of supporting and caring for them have also brought increases in family care, in deinstitutionalisation of aged care services and in issues of quality and outcomes of care and consumer rights. The growing recognition of the feminisation of ageing also has significant social and policy consequences. In this 1998 book, Diane Gibson synthesises a wide range of material to provide an overview of these issues and policy responses worldwide. The book then looks in-depth at Australia, a country typical in the problems it faces, and a world leader in many of its solutions. Gibson also offers a more conceptual examination of theoretical implications and practical consequences. She elucidates debates in ways which will set new standards for aged care policy and practice worldwide.

The Gift of Generations is a comparative study of aging and the social contract in Japan and the United States. By using original, systematically comparable data collected in these countries, the book explores the different cultural definitions of vulnerability and giving, and the ways they shape and constrain the social strategies of routinizing helping arrangements. The book succeeds in interweaving the theory and practice of the social contract by developing the concept of symbolic equity.

In Scandinavia, work in elderly care is a principal occupation and constitutes an important part of professional care work. Over the last decade, this sector has become a test piece for New Public Management (NPM). It is the area where NPM-inspired rationales and methodologies have been applied to the greatest extent. This book explores the challenges and future possibilities in elderly care from a working life perspective. Researchers from three Scandinavian countries present new studies of the daily work in elderly care, the change of tasks and services, and the reconstruction of a semi-profession. The specific translation of NPM into the Scandinavian context is examined, and how this affects: the meaning and identity of work in elderly care and the possibilities to reconstruct meaning under standardized working conditions * the new ideals of line management of elderly care and the ambiguities between bureaucracy and professionalism * subjectivity and emotions as a decisive element of the work in elderly care * the creation of new professionalism in pockets of the sector * the shifts in valuation of experience-based knowledge and care orientation. The book draws attention to new trends in the sector that may make way for transforming the logic of NPM, and thus points to possibilities that will enrich working life.

A practical guide to advise Baby Boomers how to deal with the daunting task of facing a parents' eventual passing as it relates to residential contents, heirlooms, and the often difficult family interactions and feuds that accompany them.

With fascinating stories and comprehensive checklists, professional estate liquidator Julie Hall walks Baby Boomers through the often painful challenge of dividing the wealth and property of their parents' lifetime accumulation of stuff. From preparation while the parent is still living through compassionately helping them empty the family home, The Estate Lady(R) gives invaluable tips on negotiating the inevitable disputes, avoiding exploitation from scam artists, and eventually closing the chapter of their lives in a way that preserves relationships and maximizes value of assets.

This thoughtful and compassionate account addresses some of the difficult ethical and medical issues raised in the provision of health care for the dependent elderly patient. Care of the dependent elderly is subject to conflicting priorities arising from the demands of patients, their relatives, the fair allocation of medical and financial resources, and the medical ethos to prolong life. A distinguished team of contributors, selected from the fields of medicine, philosophy, ethics, and law, discuss and critically evaluate these issues. This volume will provide a focus for further debate and interest in this important subject.

Loneliness in Later Life concerns the personal and social changes associated with ageing, a topic which is becoming increasingly popular as the number of those in the Third Age themselves reaches unprecedented levels. It analyses the nature of loneliness, clearly distinguishing it from the experience of solitary living, which in its turn is explored, and valued. Through an examination of material drawn from literature and moderen research, including the author's own experience, the book arrives at the happy conclusion that older people are not in general, lonelier than when younger.

Nursing homes are where some of the most vulnerable live and work. In too many homes, the conditions of work make it difficult to make care as good as it can be. For the last eight years an international team from Germany, Sweden, Norway, the UK, the US and Canada have been searching for promising practices that treat residents, families and staff with dignity and respect in ways that can also bring joy. While we did find ideas worth sharing, we also saw a disturbing trend toward privatization. Privatization is the process of moving away not only from public delivery and public payment for health services but also from a commitment to shared responsibility, democratic decision-making, and the idea that the public sector operates according to a logic of service to all. This book documents moves toward privatization in the six countries and their consequences for families, staff, residents, and, eventually, us all. None of the countries has escaped pressure from powerful forces in and outside government pushing for privatization in all its forms. However, the wide variations in the extent and nature of privatization indicate privatization is not inevitable and our research shows there are alternatives.

The second edition of PROTOCOLS IN PRIMARY CARE GERIATRICS continues its mission of improving practical, clinical knowledge among physicians and others caring for elderly people, while providing updated information on several major areas in the field. Reflecting current practice trends, a new chapter on home care has been added as well as one on comprehensive geriatric assessment. Revised guidelines for falls, incontinence, and drug treatment are also featured. Designed to provide both quick reference to clinical problem-solving schemes and lists, as well as a lucid, readable discussion of basic topics in geriatrics, the book's value lies in its combination of brief, readable chapters, a section of notes in outline form, staightforward clinical approaches, didactic exercises, and new updated case studies. Family physicians, primary care internists, and other primary specialists caring for elderly people will find this book of great value. It is also not to be missed by residents, as well as nursing homes, hospitals, and indiviual health care professionals, other than physicians, who will benefit from its use as a clinical reference guide.

Services to older people with mental health problems have gone through radical change in recent years. Legislation has had a profound effect by dictating how care to older people is delivered both within hospital and within the community. The recent government agenda emphasizes cost effectiveness, value for money and accountability. This, too, is an important driving force in re-evaluat ing the service, although not everyone would agree with many of the proposed strategies and there are clearly different views as to the appropriateness of many of the services. One thing is certain, however - the move towards interdiscipli nary working is here to stay. Not all change has been led by legislation, and many innovations have been founded in the day-to-day practices in the care of older people with mental health problems. A service, of course, does not become integrated merely by imposing joint working on a number of professionally based disciplines, and in many ways this may not be desirable. At its worst it produces duplication, where people from different background are all doing the same job. This is not the intention of joint-working, instead it should attempt to improve the quality of service by a rich mix of skills and experience from a number of related disciplines.

Old age is part of the life cycle about which there are numberous myths and stereotypes. The appropriateness or otherwise of these myths is evaluated by Christina Victor using detailed statistical material from a biographical and anthropological perspective.;This edition of this review of the present and future needs of the elderly provides an up-to-date overview of the position of older people in late-20th century Britain. It examines their social and economic circumstances and the main policy issues including pensions, housing, health and social care. Data from Britain and other countries completes the revision of this standard work for social and health workers, sociologists and social policy analysts at both undergraduate and postgraduate levels.;This book should serve as a useful introduction to the characteristics of older people in a modern industrial society. It should be of interest to Project 2000 (adult branch) and MSc students of social gerontology and social policy.

There's Nobody There is a study of family members who care for, and those suffering confusion caused by Alzheimer's disease or a related dementia. The authors describe the experience of caregivers, often the caregivers' own words, and assess the impact of community care policies on their lives.

The issue of elderly care is becoming increasingly important in both "developed" and "developing" countries alike as population structures change, and the trend towards ageing populations gathers momentum. This text presents a diverse range of progressive programmes from all parts of the world for the care of elderly people, ranging from community care schemes to fitness and income generation.;This book should be of interest to students of gerontology, as well as government planners and international agencies/charities concerned with ageing, and health care providers and planners.

From two leading experts, a revolutionary new way to think about and measure aging. Aging is a complex phenomenon. We usually think of chronological age as a benchmark, but it is actually a backward way of defining lifespan. It tells us how long we've lived so far, but what about the rest of our lives? In this pathbreaking book, Warren C. Sanderson and Sergei Scherbov provide a new way to measure individual and population aging. Instead of counting how many years we've lived, we should think about the number of years we have left, our "prospective age." Two people who share the same chronological age probably have different prospective ages, because one will outlive the other. Combining their forward-thinking measure of our remaining years with other health metrics, Sanderson and Scherbov show how we can generate better demographic estimates, which inform better policies. Measuring prospective age helps make sense of observed patterns of survival, reorients understanding of health in old age, and clarifies the burden of old-age dependency. The metric also brings valuable data to debates over equitable intergenerational pensions. Sanderson and Scherbov's pioneering model has already been adopted by the United Nations. Prospective Longevity offers us all an opportunity to rethink aging, so that we can make the right choices for our societal and economic health.