"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."

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?

Moving into care is a significant life event for older people and their families and often occurs at a time when other life stresses such as deaths of loved ones and health complications are paramount. This book directly addresses the psychological impact that move can have, and offers tips for making the transition as smooth as possible. Based on material from interviews with a wide sample of people who had recently moved into care and a review of existing literature about the process, the guide follows the whole journey from considering a move into care, making the move and settling in, offering advice on each step of the way. Case stories from people who have just made the transition help make this an approachable and accessible read for those about to move into care and a helpful tool for families and staff who will be assisting them.

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.

What does it mean to grow old? What makes later life meaningful? What gives a frail and isolated or institutionalised older person their sense of wholeness and self? This substantially updated new edition of Elizabeth MacKinlay's seminal text presents the latest theory and research to explore these questions in depth, pointing the way towards new ways of thinking about and engaging with the spirituality of ageing. Encompassing the findings of a new research study on baby boomer spirituality, the book presents a wider and more comprehensive view of ageing and spirituality, concluding that spirituality for the baby boomer generation is every bit as important as for the cohorts before them, but also fundamentally different, with fewer being practicing members of a religious faith. Drawing on in-depth interviews with older people, and containing many new ideas whilst also addressing the foundational theories and questions essential to scholarship in this field, the book also includes a new and timely chapter on the spirituality of older people in our increasingly multicultural and multifaith societies. This clear and practical text presents much-needed guidance for health and social care practitioners, chaplains, clergy and others seeking to identify and support the spiritual needs of older people, as well as students and researchers in related disciplines.

Working with older people in care can be challenging and frustrating, especially when they behave in ways that seem irrational, aggressive, or unreasonably repetitive, and nothing you can do seems to help. The authors of this useful and practical book explain how to understand the difficult and annoying ways in which older people in care can behave, (especially people with dementia), how to stay calm and kind, and how to solve the problems they can create. With many examples of everyday challenges and how to deal with them, this book has the potential to change your working life.

Changing Seasons: A Language Arts Curriculum for Healthy Aging is a language-based, interdisciplinary program that increases interaction and communication skills among older adults. Featuring simple step-by-step lesson plans and interactive activities, Changing Seasons is a practical guide for caregivers and health care professionals to ensure individuals sustain their quality of life as they age. Each activity reveals new, creative, and fun ways to encourage individuals to speak, think, and write, sparking imagination and engagement with others. This new revised edition recognizes the growing importance of technology in communication, and incorporates many lessons learned during pandemic isolation, as communication was often limited to screens. Included is a new chapter that incorporates eight lessons on utilizing videoconferencing platforms. Though technology may evolve, communication will remain key to a sense of community and companionship-whether in person or online. Changing Seasons provides a roadmap to promoting meaningful interactions.

How can positive psychology approaches help us to understand the process of adjustment to, and living well with dementia? As accounts of positive experiences in dementia are increasingly emerging, this book reviews current evidence and explores how psychological constructs such as hope, humour, creativity, spirituality, wisdom, resilience and personal growth may be linked with wellbeing and quality of life in dementia. Expert contributors from a range of academic and clinical backgrounds examine the application of positive psychological concepts to dementia and dementia care practice. The lived experiences of people with dementia are central to the book, and their voices bring life to the ideas explored, highlighting how positive experiences in dementia and dementia care are possible.

Working Daughter is a revelatory look at who's caring for our aging population and how these unpaid family caregivers are trying to manage caring for their parents, raising their children, and pursuing their careers. It tells the story of one woman who was enjoying a fast-paced career in marketing and raising two children, until both of her parents were diagnosed with terminal illnesses on the same day. In the challenges she faced and the choices she made, readers will learn how they can navigate their own caregiving experience and/or prepare for when they are inevitably called on to care for their parents. Working Daughter sparks the conversation we so desperately need to have about women and the workplace. With 10,000 people turning 65 every day and a shortage of caregivers predicted in the next few years, it's time we talk about how family caregivers and their employers will face the impact of a rapidly aging society. This book fills the gap in the literature on women and work; there are volumes of books about managing career and children, but little advice on how to balance career and parents. Working Daughter provides a blueprint for women and a call to action for business leaders and policy makers. This is book is for women who want straight talk and real advice about the challenges of eldercare, the choices they will need to make, the aspects of caregiving they can control, and that which they cannot. And finally, Working Daughter shows family caregivers how they can achieve, the underreported but well-documented upside to caring for an aging parent, the caregiver's gain.

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.

How can carers and relatives support a person's identity, relationships and emotional wellbeing through changes that occur in the later stages of dementia? Drawing on over ten years' experience of working with people with dementia, Karrie Marshall provides a toolkit of tried and tested creative activities to support communication and relationships. Activities are vast and varied, with outdoor activities such as bird-watching and star-gazing aimed at supporting physical health, artistic activities such as collage creation to support identity, and musical activities such as sounds and voice warm-ups to support self-expression. Marshall also sensitively covers end of life care for people with dementia, explaining how emotional support can be provided through gentle breathing activities and even puppetry, as well as covering the legal importance of power of attorney.

What do national dementia strategies, constantly evolving policy and ongoing funding difficulties mean for people living well with dementia? Adopting a broad and inclusive approach, Shibley Rahman presents a thorough critical analysis of existing dementia policy, and tackles head-on current and controversial topics at the forefront of public and political debate, such as diagnosis in primary care, access to services for marginalised groups, stigma and discrimination, integrated care, personal health budgets, personalised medicine and the use of GPS tracking. Drawing on a wealth of diverse research, and including voices from all reaches of the globe, he identifies current policy challenges for living well with dementia, and highlights pockets of innovation and good practice to inform practical solutions for living better with dementia in the future. A unique and cohesive account of where dementia care practice and policy needs to head, and why, and how this can be achieved, this is crucial reading for dementia care professionals, service commissioners, public health officials and policy makers, as well as academics and students in these fields.

Spiritual reminiscence is a way of communicating that acknowledges the person as a spiritual being and seeks to engage the person in a more meaningful and personal way. This practical guide teaches carers how to facilitate engaging and stimulating spiritual reminiscence sessions with older people, and particularly with people with dementia. After reading the guide, carers will understand the many and varied benefits of spiritual reminiscence, and will have developed the skills, confidence and communication techniques needed to support people with dementia in this activity. The authors present in accessible terms the evidence-base to support the benefits of the approach and provide clear, step-by-step instructions for facilitating spiritual reminiscence sessions, including useful suggestions for ideas and questions to stimulate discussion. Intended to be used either as a self-learning tool or as the basis for staff training sessions, this will be a valuable resource for staff in care homes and day centres, activity coordinators, pastoral and spiritual care professionals, clergy and spiritual leaders.

Dispelling the myths about how personalisation works for people with dementia living in care homes, this book demonstrates how to introduce Individual Service Funds (ISFs), what works and what doesn't, and how to deal with difficulties and setbacks. Individual Service Funds are one way that people living with dementia can have a personal budget. The authors explain how they went about introducing the principles of ISFs to people living with dementia in a large care home in Stockport, without using any additional funding. They describe the person-centred practices used and the involvement of the council, commissioners, staff and families. Through clear and detailed stories and examples, they demonstrate the dramatic approach to quality of life for people with dementia the approach can deliver. There is a strong emphasis on managerial and organisational issues, including getting staff 'on board', providing adequate support, budgeting, building effective partnerships and implementing change. Providing helpful insights and examples for good practice, this book is essential reading for all those involved in providing personalised care for people with dementia living in care homes, including care staff, care home managers, local authority commissioners, service providers and policy makers.

Demonstrating that it is essential to be sensitive to the cultural backgrounds of people with dementia in order to provide truly person-centred care, this book shows that it is possible to create culturally appropriate outdoor spaces and experiences that resonate with people with dementia on a fundamental level and are a source of comfort and wellbeing. Contributors drawn from a variety of backgrounds describe the significance of nature in the lives of people with dementia from diverse cultures, faiths, traditions and geographical locations, providing helpful insights into how access to the natural world may be achieved within different care settings. There are contributions from the UK (Scottish island, urban North East England and Norfolk farming communities), Canada, Norway, Japan, Australia, Sudan and South Africa, as well as a chapter on the specific difficulty of providing access to nature for people with dementia in hospitals. The voices of people with dementia and their carers are prominent throughout, and the book also contains evocative poetry and photographs of people with dementia enjoying nature and the outdoors in different contexts. A rich source of information and ideas for all those interested in creating culturally appropriate outdoor spaces and experiences for people with dementia, including dementia care practitioners, especially those at managerial level, policy makers, commissioners and those involved in designing and commissioning buildings and services.

Very little is known about why and when African American elders seek formal long-term care, or about the characteristics of assisted living environments they consider most desirable. Drawing on qualitative studies conducted between 1998 and 2001, the authors of Communities of Care provide important information on historic and current trends in assisted living systems serving African Americans.

Focusing on six facilities that have become models of long-term care for African Americans, the authors shed light on the daily lives of the people who live, work, and visit these "communities of care."With detailed profiles of the facilities, interviews, and case histories of care recipients, the authors explore both the institutional and personal characteristics of the facilities and the issues central to their residents.

This definitive work brings to the forefront critical questions about how race, gender, and culture affect the quality of, access to, and cost of care. These questions have broad implications for the policy, administration, and operation of assisted living.

Introduction to Senior Transportation focuses on an issue that is a growing concern-the community mobility needs of older adults. Surpassing the coverage available in existing gerontology textbooks, it enables the reader to understand and appreciate the challenges faced by older adults as they make the transition from driving to using transportation options (many of which were not designed to meet their particular needs). It considers the physical and cognitive limitations of older adult passengers, the family of transportation services, the challenges providers face in meeting the assistance and support needs of senior passengers, and the transportation methods that do and do not currently meet the needs and wants of senior passengers. This textbook addresses the educational and professional development needs of faculty, students, and practitioners working in the fields of aging, aging services, and transportation. The book has been class-tested and features innovative, practical learning tools that appeal to students and practitioners. It complements any introductory course in gerontology, human development and aging, or human factors, and will enhance the curriculum of programs in the social behavioral sciences as well as traffic safety, transit engineering, and community planning.

There are many activity manuals on the market today but this publication is the first to offer a clear guideline on exactly what constitutes good practice in activity provision. Written by the National Association for Providers of Activities for Older People (NAPA), a charity whose remit is to set standards and disseminate knowledge of good practice in activity provision and to support activity providers who work in care settings for older people, this guide offers: a model of good practice in one concise volume; a benchmark against which activity providers can measure and evaluate their practice; clear links to current national standards; guidance for care home owners and managers who wish to respond to the recent government initiatives on providing activities for their clients; and a call for clinical governance in the emerging 'profession' of activity provision.

This groundbreaking book is based on the findings of the first major study on spiritual reminiscence work with people with dementia. Carried out over a decade, the study confirmed spiritual reminiscence to be an effective means of helping people with dementia to find meaning in their own experience, and interact in meaningful ways with others. The authors present the evidence for the efficacy of spiritual reminiscence with this group, and drawing on examples demonstrate its many benefits, as revealed by the study, including the affirmation of identity and worth whilst promoting resilience and transcendence; reducing levels of depression; and giving people with dementia a voice with which to express grief, despair, joy, wisdom, insight and humour. Specific practice issues are addressed, including how to maximise communication and nurture connections during sessions; the role of symbol, ritual and liturgy and how to design an effective spiritual reminiscence program. Transcripts of sessions are included throughout the book as examples, providing unprecedented insight into how people with dementia experience spiritual reminiscence, and encouraging reflective practice. The book closes with a set of suggested questions and discussion topics which can be used as the basis of a six week program. Providing theory and the latest research as well as a wealth of practical information and examples to guide practice, this book will be of interest to dementia care practitioners and activity coordinators, pastoral carers, aged care chaplains, practical theologians, students, academics and researchers.

Focusing on theoretical, policy and practice issues which are increasingly identified as key priorities, the contributors to this important book examine the ways in which dementia care is evolving around the globe. They explore the latest theory underpinning dementia care, the applications of this theory in dementia care research and how this research is influencing and shaping practice. Written by practitioners, policy influencers and researchers who draw on case studies from the UK, the USA, Canada, Australia, France, India and Malta, the book forms the basis for a worldwide dialogue of interdisciplinary initiatives and ideas. Insights into how policy and regional and national dementia strategies are developed, and the range of innovative approaches that can be taken in practice, mark a positive step towards ensuring that the needs of people with dementia around the world are met, both now and in the future. This book makes essential reading for practitioners, researchers, policy makers and students in the field of dementia care.

*Winner in the Health and Social Care category at the 2012 British Medical Association Book Awards* Risk is central to professional practice, assessment and decision-making in dementia care. Yet theories of risk are often complex and difficult to translate into everyday practice. This book outlines some of the key issues in risk perception, assessment and management in dementia care in a way that is both practical and accessible to a wide range of practitioners. It develops an approach to risk that promotes choice for people with dementia whilst also acknowledging the complex challenges care providers face. The authors provide an overview of the legislative framework currently in place, and of the ethical dilemmas which may emerge in practice. Frameworks for informed and balanced decision-making are offered, and the importance of including the person with dementia, their family, and care providers in decision-making is emphasised. Throughout the book, case studies are used to illustrate effective negotiation and practical solutions to risk dilemmas in practice. This book highlights principles of good practice for managing risk in dementia care, and presents a rounded approach that will help practitioners negotiate some of the complex issues this entails.

Even as life expectancy in many countries has continued to increase, social security and similar government programs can provide strong incentives for workers to leave the labor force when they reach the age of eligibility for benefits. Disability insurance programs can also play a significant role in the departure of older workers from the labor force, with many individuals in some countries relying on disability insurance until they are able to enter into full retirement. The sixth stage of an ongoing research project studying the relationship between social security programs and labor force participation, this volume draws on the work of an eminent group of international economists to consider the extent to which differences in labor force participation across countries are determined by the provisions of disability insurance programs. Presented in an easily comparable way, their research covers twelve countries, including Canada, Japan, and the United States, and considers the requirements of disability insurance programs, as well as other pathways to retirement.

This first hand report on the work of nurses and other caregivers in a nursing home is set powerfully in the context of wider political, economic, and cultural forces that shape and constrain the quality of care for America's elderly. Diamond demonstrates in a compelling way the price that business-as-usual policies extract from the elderly as well as those whose work it is to care for them.
In a society in which some two million people live in 16,000 nursing homes, with their numbers escalating daily, this thought-provoking work demands immediate and widespread attention.
"[An] unnerving portrait of what it's like to work and live in a nursing home. . . . By giving voice to so many unheard residents and workers Diamond has performed an important service for us all."--Diane Cole, "New York Newsday"
"With "Making Gray Gold," Timothy Diamond describes the commodification of long-term care in the most vivid representation in a decade of round-the-clock institutional life. . . . A personal addition to the troublingly impersonal national debate over healthcare reform."--Madonna Harrington Meyer, "Contemporary Sociology"

As we grow older, our need to be engaged in interesting activities does not diminish and is vital to our quality of life. How to Make Your Care Home Fun examines the need for activities for elderly people in care and offers a practical programme of entertaining activities that can be used in nursing and residential homes, day centres, rehabilitation centres and hospices. As well as suggesting a programme of activities for older people in care homes including arts and crafts, role-playing, gardening and cooking, it also takes the stance that 'activity nursing' should be integral to all personal care plans and not simply regarded as an add on to medical care. The author also examines how care homes are run and regulated in the light of recent legislation and considers the services provided by care homes and areas of potential deficiency. The book offers a wide selection of activities that can be used with people of all abilities and have greatly improved quality of life for elderly people in care. Highlighting the value of nursing that caters for an individual's physical, mental and emotional needs, this book is an ideal resource for care home professionals and anyone who is responsible for the well-being of elderly people in care.

The many significant technological and medical advances of the 21st century cannot overcome the escalating risk posed to older adults by such stressors as pain, weakness, fatigue, depression, anxiety, memory and other cognitive deficits, hearing loss, visual impairment, isolation, marginalization, and physical and mental illness. In order to overcome these and other challenges, and to maintain as high a quality of life as possible, older adults and the professionals who treat them need to promote and develop the capacity for resilience, which is innate in all of us to some degree. The purpose of this book is to provide the current scientific theory, clinical guidelines, and real-world interventions with regard to resilience as a clinical tool. To that end, the book addresses such issues as concepts and operationalization of resilience; relevance of resilience to successful aging; impact of personality and genetics on resilience; relationship between resilience and motivation; relationship between resilience and survival; promoting resilience in long-term care; and the lifespan approach to resilience. By addressing ways in which the hypothetical and theoretical concepts of resilience can be applied in geriatric practice, Resilience in Aging provides inroads to the current knowledge and practice of resilience from the perspectives of physiology, psychology, culture, creativity, and economics. In addition, the book considers the impact of resilience on critical aspects of life for older adults such as policy issues (e.g., nursing home policies, Medicare guidelines), health and wellness, motivation, spirituality, and survival. Following these discussions, the book focuses on interventions that increase resilience. The intervention chapters include case studies and are intended to be useful at the clinical level. The book concludes with a discussion of future directions in optimizing resilience in the elderly and the importance of a lifespan approach to aging.