Productive Aging: An Occupational Perspective is a concise and practical text that takes a fresh look at our rapidly expanding and diverse older population. Recognizing the unique identity of each older person, this text provides client-centered guidelines for maximizing function, independence, and wellness. Productive Aging also outlines self-management strategies for promoting participation and engagement in productive occupations for the older persons own continuing development, health, and well-being. Productive Aging not only summarizes current evidence, but it looks into the lives of forty productive agers who shared their personal perspective with the authors as part of an original qualitative study. These participant stories, often told in the participants own words, describe how current theories of aging are applied in the lives of older adults who are currently living the experience. Older adults ages 60 to 98 describe the effective strategies they used to manage their own aging process, to structure healthy lifestyles and social connections, and to intentionally direct their own productive occupations in satisfying and meaningful ways. The results of this qualitative research study have led to a grounded theory of Conditional Independence, which guides occupational therapy approaches to productive aging in practice. Authors Marilyn B. Cole and Dr. Karen C. Macdonald explore the six productive occupations that researchers have identified as typical of older adults today: self-management, home management, volunteering, paid work, care giving, and lifelong learning. In addition to summarizing current research and theories within each occupation, concrete strategies and techniques relative to these roles are detailed, with multiple examples, case studies, and learning activities. Throughout Productive Aging, interviews with experienced practitioners, administrators, and educators reveal some of the implications of various trends and techniques. For occupational therapists, descriptions of settings and types of intervention are consistent with the latest version of AOTA's Occupational Therapy Practice Framework, Third Edition. In addition to promoting productive occupations within traditional institutional and medical-based practice, occupational therapy roles include that of consultant, educator, and advocate when treating individuals, groups, and populations in home care, organizational, and community settings. Special attention is given to developing the ability to become an effective self-manager, facilitating social participation, and maximizing clients applied functional abilities. Productive Aging: An Occupational Perspective is the perfect addition to the bookshelf of occupational therapy students, faculty, and clinicians, as well as any health care practitioner who would like to update his or her knowledge of the aging individual within his or her current practice settings.

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

So you're now a carer. Your elderly parents need you as never before. Nobody's ever trained you for what comes next, yet you re the unofficial project manager. Emily Ackerman looks at practical and emotional issues like finding time, coping with pressure, the sandwich generation, cutting apron-strings, memory loss and caring from a distance. Underpinning it all is helpful advice from the Bible, for isn't it God who calls us to honour and care for our parents? The author shares generously and sometimes humorously from her own experience, acting as a wise, sure-footed and sensitive guide. This book will be useful to all who care for elderly relatives. You are not alone!

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

'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.

With the goal of alleviating the paucity of knowledge about advanced dementia, and helping to improve the care and services that are increasingly needed for the growing numbers of people living with dementia-type diseases, this book provides evidence-based measurement scales for use by researchers and care providers who are seeking to improve our understanding of the final stages of this disease. Now collected in a single place are the best available research tools for use with this unique population, accompanied by knowledgeable reviews by the book's internationally recognized authors and by the original journal articles that explain each scale s development and validity. All scales presented in this unique resource have been proven effective in eliciting meaningful data from study subjects, patients, and long-term care residents whose communication difficulties reduce their ability to self-report or respond in traditionally measured ways. These customized scales are useful for assessing the following domains in late-stage or end-of-life dementia care: Dementia severity, Satisfaction with care, Symptom management, Comfort during dying, Quality of life, Activity involvement, Discomfort, Pain, Quality of visits, Agitation, Rejection of care

A Right to Care? considers the reconciliation of unpaid care and paid work which is among the most pressing and difficult problems currently facing employment law. The incompatibility of carers' needs and the demands of the labor market is commonly identified in relation to working mothers, but is by no means confined to this group as dependency for aspects of personal care can arise as a result of disability, illness or aging. In all of its forms, unpaid care is predominantly provided by women so that its intersection with paid work is severely gendered. In recent years European integration has focused on the need to increase employment rates whilst maintaining labor market flexibility. Many workers who seek to combine unpaid care with paid employment find themselves engaged in increasingly precarious forms of work, yet legal and policy responses have, to date, been reactive and incremental, resulting in a framework which is operationally ineffective in certain respects.
Nicole Busby explores the potential for the development of a specific right to care within European employment law which would facilitate the reconciliation of these two central aspects of an individual's life and, in raising the status of care, would assist in the rebalancing of paid and unpaid work between men and women. The central premise is that the current constitutional and regulatory framework is in fact sufficiently flexible to take account of the diverse circumstances and resulting needs of working carers and that the European Court of Justice has the competence and capability to provide the necessary creativity to give effect to such a right. She argues that what is needed to instil coherence and consistency is a specific focus on unpaid work within European employment law, and provides a policy solution on how this should be brought about.

This eighth edition of Dr Reichel's formative text remains the go-to guide for practicing physicians and allied health staff confronted with the unique problems of an increasing elderly population. Fully updated and revised, it provides a practical guide for all health specialists, emphasizing the clinical management of the elderly patient with simple to complex problems. Featuring four new chapters and the incorporation of geriatric emergency medicine into chapters. The book begins with a general approach to the management of older adults, followed by a review of common geriatric syndromes, and proceeding to an organ-based review of care. The final section addresses principles of care, including care in special situations, psychosocial aspects of our aging society, and organization of care. Particular emphasis is placed on cost-effective, patient-centered care, including a discussion of the Choosing Wisely campaign. A must-read for all practitioners seeking practical and relevant information in a comprehensive format.

The "oldest old," individuals aged 85 and above, are the most rapidly growing segment of American society. And although more than a third of cancer occurs in people over 75 years of age, their tumors are less fully diagnosed and often less fully treated than those in younger patients. Ageism may account for this discrepancy--why intervene if an older man or woman with cancer doesn't have long to live anyway? Yet older people often tolerate chemotherapy, surgery, and radiation as well as younger patients, while continuing to maintain their quality of life for years to come.The lack of clinical trials among this age group results in a deficit of knowledge regarding how to treat cancer in older adults. Little has been written to guide clinicians, social scientists, families, and individuals. In "Cancer in the Lives of Older Americans: Blessings and Battles," Sarah H. Kagan writes from the perspective of more than twenty years of practice, inquiry, and education as a nurse. She uses anecdotes and case studies to illustrate important points about cancer among older adults.The book follows the story of Mrs. Eck, a woman in her 80s diagnosed with pancreatic cancer. Mrs. Eck's situation sets the stage for a discussion of cancer, which too often focuses on cells and drugs, diagnoses and prognoses without looking more closely at the people who are experiencing the disease. Chapters offer varied assessments of what it means to be old and have cancer in our society, as Kagan explores other real experiences of cancer for older adults alongside information that will prove essential to patients, their families, scholars, and clinicians.

Explains why there is a crisis in caring for elderly people and how the COVID-19 pandemic exacerbated it Because government policies are based on an ethic of family responsibility, repeated calls to support family members caring for the burgeoning elderly population have gone unanswered. Without publicly funded long-term care services, many family caregivers cannot find relief from obligations that threaten to overwhelm them. The crisis also stems from the plight of direct care workers (nursing home assistants and home health aides), most of whom are women from racially marginalized groups who receive little respect, remuneration, or job security. Drawing on an online support group for people caring for spouses and partners with dementia, Elder Care in Crisis examines the availability and quality of respite care (which provides temporary relief from the burdens of care), the long, tortuous process through which family members decide whether to move spouses and partners to institutions, and the likelihood that caregivers will engage in political action to demand greater public support. When the pandemic began, caregivers watched in horror as nursing homes turned into deathtraps and then locked their doors to visitors. Terrified by the possibility of loved ones in nursing homes contracting the disease or suffering from loneliness, some caregivers brought them home. Others endured the pain of leaving relatives with severe cognitive impairments at the hospital door and the difficulties of sheltering in place with people with dementia who could not understand safety regulations or describe their symptoms. Direct care workers were compelled to accept unsafe conditions or leave the labor force. At the same time, however, the disaster provided an impetus for change and helped activists and scholars develop a vision of a future in which care is central to social life. Elder Care in Crisis exposes the harrowing state of growing old in America, offering concrete solutions and illustrating why they are necessary.

The issues associated with population ageing are already assuming prominence in most OECD countries. Many governments are extremely concerned about the likely impact of population ageing upon future government outlays and economic growth. In Australia, for example, there have already been two major government reports that have attempted to quantify the likely implications for government spending of population ageing. These reports have concluded that there will either have to be cuts in current government programs, increases in taxes or some combination of these. The ageing population will also require more health human resources (doctors, nurses, pharmacists etc.), in an environment where the existing workforce itself is ageing. Economic growth is forecast to slow significantly in future decades due to population ageing, reducing governments ability to rely on a rapidly growing taxpaying labour force to finance the expected shortfalls. Against this backdrop, volumes 15 and 16 of the International Symposia in Economic Theory and Econometrics Series provide very timely and relevant research for policy makers and researchers across the world. The modelling approaches and research described in the volumes are at the international leading edge, providing insights into how different countries are facing the challenges associated with population ageing. Many countries have developed microsimulation and other models to help them evaluate the impacts of population ageing and of public policy change. Volume 15 concentrates upon the impacts of population ageing upon social security and taxation. For example, the chapters examine likely future pension outlays under current and possible alternative schemes; estimate the likely wealth of future retirees; forecast tax revenues out to 2026 and look at the impact of population ageing upon housing prices and tourism. This volume contains invaluable information that aims to help shape the current and future public policy debates in this area. The authors are established leaders in the field. It includes international in Scope.

What's happening to me?' Successful translator and linguist Helga Rohra was understandably good with words - that is, until she found herself getting in a muddle when she spoke. She started to forget the way home, even though she could remember her address. Her confusing symptoms increased and Helga was diagnosed with dementia at age 50 - but she hasn't let herself be labelled with the usual stereotypes. With entertaining vim Helga shows that her life is still as abundant and self-determined as ever, dismantling the negative stereotypes that often surround a dementia diagnosis. She speaks frankly and with humour about her diagnosis and life with young onset Lewy Body Dementia. She explains the changes in her everyday life and the challenges she faces, and shares practical tips that prove it is possible to live well with dementia. Helga also talks about her activism work, which has made hers one of the key voices internationally in dementia advocacy.

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.

This book explores various practices and policies related to ageing issues in India. It addresses ageing concerns from a theoretical and empirical viewpoint with in-depth analyses of existential dimensions of ageing. It provides deep insights into ageing in India by discussing demographics related to health and social differentials, gender concerns, retirement problems, epidemiological transition taking place in the country with rising problem of dementia and mental health problems. It consists of 23 chapters written by various established as well as upcoming scholars in the field. The authors cover a broad range of topics with regard to provisions for institutional care, geriatric practice and emerging issues of elder abuse. The book will appeal to professionals and to lay people getting interested in ageing India from a social, health, gender, economic, psychological and emotional aspects.

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.

"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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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.

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.

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.

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.

With an increasing global ageing population, the psychiatry of old age has become increasingly important. This revised second edition remains a succinct manual on the practice of psychiatry of old age, providing an up-to-date summary of existing knowledge, best practice and future challenges for the specialty, from a global perspective. Written by four leading clinicians, teachers and researchers, the book offers a much-needed international focus and is designed for use in a wide variety of countries and settings. Chapters are presented in a clear and practical way, enhanced by current and comprehensive further reading sections as well as tables and diagrams for quick assimilation and reference. The new edition is updated to incorporate new developments in assessment, investigation, classification, treatment and care since the publication of the first edition, including the ICD-11 and DSM-5. Essential reading for practising psychiatrists and geriatricians, as well as trainees, nurses and medical students.

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.

Focusing on mental health rather than mental illness, this book adopts a lifecourse approach to understanding mental health and wellbeing in later life. Well-respected author and scholar Alisoun Milne explores the influences of lifecourse experiences, structural inequalities, socio-political context, history, gender and age related factors and engages with new ways of thinking about preventing mental ill health and promoting mental health in later life. Drawing together material from a number of different fields, the book analyses the meaning and determinants of mental health among older populations and offers a critical review of the lifecourse, ageing and mental health discourse for students, professionals, policy makers and researchers.

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

Globally, EDs face new challenges as the world's population ages. Visits from older people are predicted to rise for the next 20 years. This practical and accessible book provides essential guidance on assessing the ED care of older patients - and improving it. It assists ED teams to implement changes tailored to their unique environments, providing guidance across all settings regardless of size, location or resources. Experience- and evidence-based elements combine to guide best practices for older patient flow, staff and patient satisfaction, and improving patient health outcomes. The book features proven ideas for creating a geriatric ED such as specific staff training, modifying job roles, implementing new care processes, and adapting physical spaces. An invaluable resource for practising ED clinicians, leaders, administrators, educators, and system change leaders.