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.

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.

Discover the yoga and movement therapies at the heart of health in later life through this accessible guide for teachers and therapists. Beth Spindler has devised innovative movement practices based around acknowledging the trauma and vulnerability that come with a lifetime of memories. Trauma can exacerbate the effects of illnesses and conditions common in older adults, including depression, dementia, Parkinson's and arthritis. The movement and yoga therapeutics in this volume take a holistic approach to healing trauma alongside gentle practices to aide in managing symptoms in later life. Each chapter takes on a different condition or situation, explores how they can relate to trauma, and provides both the physical movement and the breathing exercises to address the issue. Complete with illustrations and adaptations for any setting or ability, the practices in this guide are suitable for many practitioners working with either individuals or groups.

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.

Improving partnership working between health and social care agencies has long been a feature of government policy but has recently gained increased impetus as a result of New Labour's commitment to joined-up government. This book provides a detailed but accessible introduction to policy and practice at the interface between health and social care. book assists health and social care professionals to work more effectively together in order to improve services for users and carers. and what helps or hinders partnership working; reviews the legal and policy framework, providing a chronological overview and placing current initiatives in their historical and social policy context; summarises existing research findings with regard to key health and social care policy debates; uses case studies to explore the implications of this research for health and social care practitioners; provides good practice guidance for both students and frontline practitioners. work in a multi-agency environment. In particular, it will be of interest to social work, nursing, therapy and medical students, frontline practitioners and those undertaking post-qualification training courses.

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

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.

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.

The mistreatment of older people is increasingly recognised internationally as a significant abuse of elders' human rights. 'Scandals' and inquiries into the failure to protect older people from abuse in health and social care systems rarely address, and still less challenge, the social, economic and cultural context to the abuse of older people. This critical and challenging book makes a strong case for the development of ethically-driven, research-informed policy and practice to safeguard older people from abuse. Drawing on findings of original UK research and framed in an international context, it illustrates ways in which ageism, under-resourced services to older people, target-driven health and social care policy and services, and organisational cultures of blame and scapegoating, are a powerful yet invisible backcloth to elder abuse. Safeguarding older people from abuse will be essential reading for policy makers, politicians, professionals, campaigners, researchers and educators, and those working in criminal justice fields.

Recent community care changes have raised fundamental issues about the changing role of the public, voluntary and informal sectors in the provision of social care to older people. They have also raised issues about the health and social care interface, the extent to which services should be rationed and the respective roles of residential care and care at home. From Poor Law to community care sets these debates in the context of the historical growth of welfare services from the outbreak of the Second World War through to the establishment of social services departments in 1971. Based on extensive research on primary sources, such as the Public Records Office and interviews with key actors, the book considers the changing perceptions of the needs of elderly people, the extent to which they have been a priority for resources and the possibilities for a policy which combines respect for elderly people with an avoidance of the exploitation of relatives. This is an updated second edition of The development of welfare services for elderly people, first published by Croom Helm, 1985. It is essential reading for practitioners and policy makers interested in gerontology, policy studies, community care and postgraduate students studying and training in a range of health and social care related professions.

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.

Rarely heard about in our society are caregivers' thoughts and feelings about life, death, and dying and how they act on those feelings. "For the Living: Coping, Caring and Communicating with the Terminally Ill" provides an in-depth, qualitative look at the experiences of oncology healthcare professionals as they work with terminally ill patients. Through a series of recorded and edited interviews, the author explores the social and cultural dynamics that affect physicians, nurses, and social workers routinely encountering mortality and loss. What death and the prospect of dying mean to these individuals should not be taken lightly.

In Old Age in Late Medieval England, Joel T. Rosenthal explores the life spans, sustained activities, behaviors, and mentalites of the individuals who approached and who passed the biblically stipulated span of three score and ten in late medieval England. Drawing on a wide variety of documentary and court records (which were, however, more likely to specify with precision an individual's age on reaching majority or inheriting property than on the occasion of his or her death) as well as literary and didactic texts, he examines "old age" as a social construct and web of behavioral patterns woven around a biological phenomenon. Focusing on "lived experience" in late medieval England, Rosenthal uses demographic and quantitative records, family histories, and biographical information to demonstrate that many people lived into their sixth, seventh, and occasionally eighth decades. Those who survived might well live to know their grandchildren. This view of a society composed of the aged as well as of the young and the middle aged is reinforced by an examination of peers, bishops, and members of parliament and urban office holders, for whom demographic and career-length information exists. Many individuals had active careers until near the end of their lives; the aged were neither rarities nor outcasts within their world. Late medieval society recognized the concept of retirement, of old age pensions, and of the welcome release from duty for those who had served over the decades.

'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.

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.

The experiences and needs of residents and patients in nursing and care homes are very different at night, and this is particularly true for those with dementia. Yet nursing and care homes are not always inspected with the same rigour at night as they are during the day, and night staff do not always receive the same levels of training, resources and supervision as day staff. This book provides night staff, their managers and anyone else with an interest in care homes during the night with the information, knowledge and practical skills they need to deliver positive and appropriate care at night. The authors look at all of the issues that are particularly pertinent in caring for older people at night, including nutrition and hydration, continence, challenging behaviour, medication, night time checking, pain management and end of life care. They also look at the impact that working at night has on care staff, and offer practical suggestions to help them to safeguard their own health. The final chapter provides a set of night time care guidelines for inspectors that can also be used by managers to evaluate night time practices in their homes. This book is essential reading for night staff and their managers and employers, as well as inspectors of services, policy makers, and anyone else with an interest in the provision of care for older people.

Understand and assess the sensory needs of people with dementia, and learn how to implement sensory modulation-based approaches for enriched care. Drawing on the author's Sensory Modulation Program, this approach aids with self-organization and meaningful participation in life activities. Explaining sensory-processing issues specific to older populations, this book provides a downloadable assessment tool to help review individual sensory-processing patterns. It includes a range of sensory-based activities which can be carried out with people at all stages of dementia, both with individuals and in groups. The book also provides recommendations for modifying physical environments to make care settings sensory-enriched.

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.

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.

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.

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.

Care in context is a thought-provoking book that looks at gender inequalities in the context of care. Drawing in part from unique transnational perspectives and gripping interviews, this book focuses on key questions that intellectuals, policy makers and all of us who care and need care have to ask, such as: What is good care? Who should be involved in providing it? And how should care be arranged and organized so that that the interests of both care givers and care recipients are equally provided for? Care is indispensable to human flourishing. Without it we cannot survive. It is vital to the development of all individuals and to that of the broader society. Increasing economic and health problems have also contributed to mounting care crises in different parts of the world. With this view, the book offers fresh and nuanced perspectives and is a definite must read for all those affected by issues of care.

The way in which dementia is understood and treated is changing, with a growing focus on the individual's experience and person-centred approaches to care. Introducing a new model of dementia care that reflects on the role of a person with dementia within a community and their relationships, this guide for professional and family caregivers demonstrates how to facilitate positive relationships for peaceful living. By understanding the cognitive and physical challenges that older adults with dementia face, caregivers can practice empathic care that affords people with dementia increased freedom of expression and independence. Included here are techniques for conflict resolution that enable people with dementia to be active and self-initiating in times of distress and disruption. Looking at the basics of respect, empathy, and mindfulness, this book also provides hands-on training for employing these virtues in practice with a number of exercises to help achieve the goal of peaceful independent living.