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.

With contributions from experienced dementia practitioners and care researchers, this book examines the impact of culture and ethnicity on the experience of dementia and on the provision of support and services, both in general terms and in relation to specific minority ethnic communities. Drawing together evidence-based research and expert practitioners' experiences, this book highlights the ways that dementia care services will need to develop in order to ensure that provision is culturally appropriate for an increasingly diverse older population. The book examines cultural issues in terms of assessment and engagement with people with dementia, challenges for care homes, and issues for supporting families from diverse ethnic backgrounds in relation to planning end of life care and bereavement. First-hand accounts of living with dementia from a range of cultural and ethnic backgrounds give unique perspectives into different attitudes to dementia and dementia care. The contributors also examine recent policy and strategy on dementia care and the implications for working with culture and ethnicity. This comprehensive and timely book is essential reading for dementia care practitioners, researchers and policy makers.

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.

Presenting research findings from recent studies which use innovative, creative approaches, including pilot projects led by the authors in the UK and Brazil, this book provides an accessible, timely, practical and jargon-free overview of how music and films are currently used in nursing homes, dementia wards and day-care centres for the older population. Drawing on the expertise of researchers, health care professionals and carers, the book looks at the experience of both stakeholder groups - carers and the cared-for. It provides useful, unique insights into how we might tackle the pressing real-world challenge posed by an ageing global population and attendant increase in the number of those living with dementia. Complemented by a downloadable 'best-practice' toolkit that contains tips and materials relating to film- and music-related activities for use by carers (both professionals and family members), this book fills a gap in the market by providing both academic responses and practical solutions to a critical global challenge.

The Stepping On program is a community-based falls-prevention program that shows participants how to reduce falls, increase confidence and maintain personal independence. Originally developed in Australia, based on research and scientifically proven to work, the Stepping On program is now internationally recognised as best practice in falls prevention.The Stepping On manual is aimed at health workers with a passion for aged care. It offers a step-by-step guide to running the seven-week group program, plus essential background information. Topics covered include understanding the risk of falls, identifying home hazards, the role of vision in causing and preventing falls, staying safe in public places, strength and balance exercises, and much more. The manual includes a guide to useful resources, handouts for group participants, and suggestions for recruitment and evaluation.This new edition has been thoroughly revised and redesigned to incorporate cutting-edge research, professional feedback, and over fifteen years' experience of running of the program. As well as the latest fall-prevention research, the revised manual contains an expanded section on working with culturally and linguistically diverse groups, simplified exercises for participants to do at home, and new stories and illustrations.'This is an invaluable manual incorporating the latest evidence for falls prevention in the community.' Professor Lyn March AM, University of Sydney and Royal North Shore Hospital, Sydney'This new Stepping On manual will be a wonderful resource for many health professionals like myself who work with patients who have had falls and fractures. It is definitely my "go-to" resource in our very busy clinic!' Lillias Nairn, North Shore Ryde Health ServiceA range of handouts and supplementary materials are available for download. Please click on the Table of Contents tab for links to download the supplementary materials.

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.

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.

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.

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.

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.

"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
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Informed by the social-ecological framework, this book focuses on the development of Home and Community Based Services (HCBS) in urban China. Bringing a timely discussion around HCBS development in Shanghai, it presents an interplay of formal caregiving relationships, evolving caregiving culture, and the trajectory of long-term care in China. Drawing on surveys, in-depth interviews, and government archives, this book explores the emergence of one of the most developed HCBS programs in Shanghai, its development over the past decade, its administration and services, resource allocation, staff members' work experiences, older adults' service experiences, as well as service evaluation and improvements. Offering fresh insight into new forms of caregiving in community settings, and shaping a new discourse on caregiving policy, this book is a key read for both students and practitioners in the fields of long-term care, gerontology, geriatrics, health care, and health policy.

The growing proportion of older people in Western countries means that the proper provision of suitable care facilities is of increasing importance. This timely new book is based on solid practical research carried out over 12 years in over 300 different establishments, and offers a conceptual framework for evaluating group residences for older adults, and new procedures for measuring their quality. It also proposes guidelines for designing new facilities as well as improving existing facilities.

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

The number of older people in our society is increasing rapidly and as they age, the demand for safe, effective care is growing. This book offers readers the knowledge and skill to provide all aspects of care. <p> <i>Caring for the Older Person</i> is written in six sections, covering the fundamental needs of an older person: <ul><li>Assistance with personal cleansing<li>Assistance with movement<li>Assistance to maintain nutrition and fluid intake<li>Assistance with toilet needs<li>Assistance with the need for observation and monitoring<li>Care of the person immediately following death</ul> <p> Each section starts with an explanation and includes care procedures in a step-by-step format. Written by two experienced nurses, the book is systematic and evidence-based, using up-to-date knowledge and government policy. It is intended to be a practical aid to improve care for the older person, whether in hospital, care home or at home and to give the reader the confidence that the care they provide is safe and effective. <p> <i>Caring for the Older Person</i> is an essential resource for health care professionals, trainees, care assistants, or paid carers, whose work involves caring for an older person; or a lay person &#8211; someone who needs to acquire skill and confidence to care for an older friend, neighbour or relative.

Intermediate care has become a buzzword within health and social care over the last few years. Seen as the panacea for a number of woes, particularly for older people, intermediate care has been held up as a way forward within contemporary health and social care.

This text explores in detail what is understood by the concept of intermediate care and, in particular, ways in which the needs of older people can be best met by this new range of services. Initial discussion centres on the concept of intermediate care and the motives for its development. This is followed by a summary of the range of intermediate care services that have been developed, with a discussion of some of the confusion that surrounds the concept.

The debate then moves on to centre on older people, discussing first why older people have come to be perceived as one of the main client groups that may benefit from intermediate care, and then how intermediate care could be developed to better serve their needs. An overview of ageing and the uniqueness of older people is then provided, followed by an exploration of some of the challenges faced by older people within society - and how this has extended into the delivery of health and social care.

The literature on depression in old age has tended to be dominated by the medical model with its focus on symptoms and treatment. This report breaks new ground by adopting a psycho-social approach one that explores depression in the context of the everyday lives of older people. Commissioned by Help the Aged, this report: reviews the nature and scope of the evidence base around depression and older people; evaluates current policy and practice responses; and identifies gaps in the evidence base and areas for further work. Finding that older people with depressive disorders are largely invisible within health and care services and that many fail to seek or receive effective treatment, the report also: recognizes the importance of daily hassles in undermining older peoples mental well-being; highlights the importance of mental health promotion; argues for the need for an holistic approach to older peoples services which balances physical with mental needs; and prioritizes the socia

This edited collection emphasizes the role of social work practice and research related to Lesbian, Gay, Bisexual, and Transgender (LGBT) aging. It highlights LGBT aging from a gerontological social work perspective by incorporating key values of the profession such as cultural competence, dignity, strengths, and resilience of the population while it offers an important contribution to the body of knowledge to the interdisciplinary field of aging. This book was originally published as a special issue of the Journal of Gerontological Social Work.

"A fast-shuffling page-turner." Nicholas Shakespeare Ex-SAS officer Tom Knight is now a 73-year-old private detective in a seaside town, with a bad leg, a taste for good weed and a morbid fear of growing old. He's also fallen in love with Fran, a sprightly 52-year-old carer at a retirement home. The bad news is that she's dumped him for lying about his age. So when she's framed for the murder of three old ladies at the home he resolves to win her back by proving her innocence. His quest takes him behind the town's veil of respectability... He even faces up to his fear of old age and dementia, by going undercover at the care home where the murders happened. But will it be enough to win back the lady of his dreams? Proving that you're just as young as you feel, the Tom Knight mysteries combine delicious comedy with a precision-engineered plot. What readers are saying: "A hilarious story!" "Great entertainment full of suspense and twists and turns." "He's a wonderful cook, smokes a joint every once in a while, and hopes to get 'the girl' by investigating a murder... there's no question about it, Tom Knight is hero material!" "Charles Hodges, please keep writing!" "A great book, captivating and witty at the same time!" "Filled with charm and wit." "I was delighted by the loveable, eccentric main character and the well-thought out plot." "This is the first book in the Tom Knight series and I'm already looking forward to reading more."

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.

Are the elderly posing a threat to America's political system with their enormous clout? Are they stretching resources to the breaking point with their growing demands for care? Economist and legal scholar Richard A. Posner explodes the myth that the United States could be on the brink of gerontological disaster. This text seeks to offer fresh insight into a wide range of social and political issues relating to the elderly, such as health care, crime, social security, and discrimination. From the dread of death to the inordinate law-abidingness of the old, from their loquacity to their penny-pinching, Posner paints a surprisingly rich, revealing, and unsentimental portrait of the millions of elderly people in the United States. He explores issues such as age discrimination in employment, creativity and leadership as functions of age, and the changing social status of the elderly. Why are old people, presumably with less to lose, more unwilling to take risks than young people? Why don't the elderly in the United States command the respect and affection they once did and still do in other countries? How does aging affect driving and criminal records? And how does aging relate to creativity across different careers?

The final decades of the human lifespan are undeniably complex and challenging, both for individuals themselves, and for those who care for them. With contributions from academic and health care professionals, informal and family carers, this book provides a rich resource of debate and practical ideas on how to prepare for dignity and quality of life during those years. As well as addressing issues of physical independence, mobility, nutrition, continence, and dementia care, the book also suggests innovative ideas for financial planning and maintaining family and community networks. The identity and social roles of older people are explored and there is a particular focus on relationships and communication.

Industrialised countries worldwide are confronting the prospect of a steadily ageing population. This up-to-date book reflects the breadth of research into gerontology and analyses the major themes and issues in the area of ageing and social policy in both an Australian context and from an international comparative perspective. Topics discussed include unemployment, education, and housing for the aged. Added to this is the contemporary influence of multiculturalism and the challenge it poses to policies and programs that must cater for a growing diversity in the ageing population. A special focus is given to the situation of women and Aboriginal Australians and the specific structural disadvantages they face. This book is essential reading for students and policy-makers in sociology, social and public policy, gerontology, and public health.

Losing the ability to communicate can be a frustrating and difficult experience for people with dementia, their families and carers. As the illness progresses, the person with dementia may find it increasingly difficult to express themselves clearly, and to understand what others say. Intended both for family and professional carers, this book clearly explains what happens to the part of the brain that controls communication as dementia progresses, how this may affect an individual's memory, language and senses, and how carers need to adapt their approach as a result. Advocating a person-centered approach to dementia care, the author describes methods of verbal and non-verbal communication, techniques for communicating with people who can no longer speak or move, and strategies for communicating more effectively in specific situations, including at mealtimes, whilst helping the person with dementia to dress, and whilst out and about. Exercises at the end of each chapter encourage the reader to reflect on their learning and apply it to their own circumstances, and guidelines for creating a life story with the person with dementia as a means of promoting good communication are also included. This concise, practical book is essential reading for family caregivers, professional care staff, and all those who work with, or who are training to work with, people with dementia.