This sensitive and compassionate book provides older people who are nearing the end of life and their loved ones, as well as the professionals who work with them, with a greater depth of understanding of spiritual issues surrounding death and dying. Illustrated with the experiences of many older people, it explores important themes such as grief and loss; fear; pain, distress and suffering; acceptance; transcendence; prayer; the healing of relationships; and intimacy, and shows that the final journey towards death can be one of the most spiritually meaningful times in the life of an older person - a time in which there is still hope, and in which the person who is dying and their loved ones can grow spiritually, strengthened by the difficult times they face together. Spiritual issues for older people with dementia who are nearing the end of life are also explored, as are ethical and moral issues in death and dying, and the ways in which bereaved partners and relatives may come to terms with the loss of a loved one. This concise and accessible book will be a valuable resource for those in the caring professions and a rich source of guidance and support for older people who are nearing the end of life and their families.

Today's world is aging at a great speed, and although increased longevity represents one of the greatest achievements of the last century, the extension of life expectancy does not necessarily correspond to an extension of healthy lives. Aging populations, particularly those with a high percentage of the oldest old, are often burdened with chronic conditions that require extended long-term care. Deciding who provides said care, and in what forms, are key problems that will soon affect a growing number of post-industrial high- and mid-income countries. iCaring for a Livingr contributes to this debate by exploring the organization of long-term care in Italy, a country already in the midst of an eldercare crisis. There, the answer to this problem has taken the shape of home eldercare assistance, an arrangement whereby long-term care services are bought in the market in the form of private and individualized assistance by families sometimes with economic support provided by the State. The providers of these services, commonly known as "badanti" (minders), are, for the most part, im/migrant women coming from different areas of the world. iCaring for a Livingr analyzes the emergence and development of this arrangement and the role that the state, Italian families, and workers themselves play in shaping and in defining it. The author provides timely insights on: the nature of long-term care and its requirements; the specific needs of families facing this issue; the changing role of the neoliberal State; and the ways in which global political and economic processes influence and shape an apparently individually based solution to long-term care. This book is ideal for graduate courses in sociology and anthropology, specifically in courses related to gender and migration, work and women, social inequality, and immigration studies.

Creative activities can support people with dementia, leading to moments of reconnection and joy. This book shows how the Montessori method - with its arts-based, person-centred and positive focus - can help caregivers connect to people with dementia. Drawing on 20 years of experience, Tom and Karen Brenner explain the philosophy of the Montessori method, provide clearly-written steps to follow when applying it, and share a wealth of case studies and stories from their personal work using this method with people with dementia. This includes reading circles, art programmes, drum circles, poetry, and video diaries. Supported by research of the importance of creativity and the arts in dementia care, it is made clear throughout how every aspect of the Montessori method can help those with dementia to rediscover the world around them, maximising the opportunities they have to reconnect with their peers, family, friends, and support staff.

Can traditional arts improve an older adult's quality of life? Are arts interventions more effective when they align with an elder's cultural identity? In The Expressive Lives of Elders, Jon Kay and contributors from a diverse range of public institutions argue that such mediations work best when they are culturally, socially, and personally relevant to the participants. From quilting and canning to weaving and woodworking, this book explores the role of traditional arts and folklore in the lives of older adults in the United States, highlighting the critical importance of ethnographic studies of creative aging for both understanding the expressive lives of elders and for designing effective arts therapies and programs. Each case study in this volume demonstrates how folklore and traditional practices help elders maintain their health and wellness, providing a road map for initiatives to improve the lives and well-being of America's aging population.

Reminiscence is a vital way to stimulate communication and promote confidence and self-worth in people with dementia. This practical guide is designed to give those who care for people with dementia a clear sense of how reminiscence can be used to greatly improve their quality of life. The book explores how reminiscence can contribute to person-centred dementia care and contains detailed descriptions of activities that can be used in a group setting, for one-to-one reminiscence at home or in a variety of care settings. Based on ideas developed and tested internationally over a period of ten years, the book offers imaginative approaches to reminiscence and a wealth of resources for use in a wide range of situations. The book includes advice on organising a reminiscence project and provides a useful planning tool for group sessions. Remembering Yesterday, Caring Today highlights the value of reminiscence for those with dementia and is an essential guide to good practice for family and professional carers.

This practice-focussed resource shows dementia care professionals how to harness resilience in their daily practice when working with people living with dementia. Nurturing and developing resilience can hugely improve quality of life for people living with dementia, and as such it is an important tool for practitioners to provide targeted, meaningful support that fits into the lives of people with dementia and care partners. This book guides readers through the key concepts of resilience within the context of dementia and explains the unique challenges and opportunities of developing resilience in this situation. It also provides real-world examples of resilience in dementia assessment and care and suggests clear frameworks for applying resilience in daily practice, as well as template assessment sheets. A practical and accessible resource, this book helps professionals ensure that people with dementia are treated as individuals actively engaged in their own lives and in the care which they receive.

Clinical dilemmas in dementia contexts are often not because the clinical facts are in doubt, but because the ethical and legal underpinnings are uncertain - which can cause worry and confusion. This practical book will help nurses, healthcare assistants and other practitioners to think through their responses clearly in the midst of these difficult situations. The chapters all stand alone, allowing the reader to dip quickly in and out of the book as required. They address complex issues such as abuse, behaviour that challenges, forced care, treatment withdrawal, and contain clinical case vignettes throughout. This is essential reading to give practitioners the confidence that good legal and ethical decisions can be made in the same way as good clinical decisions.

Can traditional arts improve an older adult's quality of life? Are arts interventions more effective when they align with an elder's cultural identity? In The Expressive Lives of Elders, Jon Kay and contributors from a diverse range of public institutions argue that such mediations work best when they are culturally, socially, and personally relevant to the participants. From quilting and canning to weaving and woodworking, this book explores the role of traditional arts and folklore in the lives of older adults in the United States, highlighting the critical importance of ethnographic studies of creative aging for both understanding the expressive lives of elders and for designing effective arts therapies and programs. Each case study in this volume demonstrates how folklore and traditional practices help elders maintain their health and wellness, providing a road map for initiatives to improve the lives and well-being of America's aging population.

The care of patients with advanced and terminal illness can be extremely rewarding but often causes professionals a considerable amount of discomfort. This is especially so when you feel under confident in your abilities to provide a high quality of symptom management and relief from distress and to communicate appropriately with patients. Patients with advanced disease present some of the most challenging ethical, physical, psychological and social issues to clinicians and indeed to society. Patients need us to be knowledgeable, skilful and understanding. The fully revised and updated new edition of Palliative Care outlines the fundamental principles and facts which will enable you to make a very real difference to your patients and their families. Information is provided in an accessible, user-friendly way and covers a wide range of physical and non-physical symptom management. Multi-professional team work is addressed, as is the role and support of families. There is also a consideration of the dilemmas and decisions that may be encountered by doctors around the end of a patient's life. This practical resource, designed to provoke contemplative professional development, and enhance learning will be essential reading for nursing and medical practitioners, and other professionals who support patients in their homes, in care homes, and in hospital.

Japan is aging rapidly, and its government has been groping with the implications of this profound social change. In a pioneering study of postwar Japanese social policy, John Creighton Campbell traces the growth from small beginnings to an elaborate and expensive set of pension, health care, employment, and social service programs for older people. He argues that an understanding of policy change requires a careful disentangling of social problems and how they come to be perceived, the invention (or borrowing) of policy solutions, and conflicts and coalitions among bureaucrats, politicians, interest groups, and the general public. The key to policy change has often been the strategies adopted by policy entrepreneurs to generate or channel political energy. To make sense of all these complex processes, the author employs a new theory of four "modes" of decision-making--cognitive, political, artifactual, and inertial. Campbell refutes the claim that there is a unique "Japanese-style welfare state." Despite the big differences in cultural values, social arrangements, economic priorities, and political control, government responsibility for the "aging-society problem" is broadly similar to that in advanced Western nations. However, Campbell's account of how Japan has taken on that responsibility raises new issues for our understanding of both Japanese politics and theories of the welfare state. Originally published in 1992. The Princeton Legacy Library uses the latest print-on-demand technology to again make available previously out-of-print books from the distinguished backlist of Princeton University Press. These editions preserve the original texts of these important books while presenting them in durable paperback and hardcover editions. The goal of the Princeton Legacy Library is to vastly increase access to the rich scholarly heritage found in the thousands of books published by Princeton University Press since its founding in 1905.

Music is an essential tool in dementia care. This accessible guide embraces ways in which music can enhance the daily lives of those with dementia. It draws on the expertise of practitioners regularly working in dementia settings, as well as incorporating research on people with dementia, to help anyone, whether or not they have any musical skills or experience, to successfully use music in dementia care. Guiding the reader through accessible activities with singing, percussion, sounding bowls and other musical tools, the book shows how music may can be used from the early to late stages of dementia. This creative outlet can extend to inspire dance, movement, poetry and imagery. The chapters include creative uses of technology, such as tablets and personal playlists. The book also covers general considerations for using music with people living with dementia in institutional settings, including evaluating and recording outcomes. Living Well with Dementia through Music is the perfect go-to guide for music-based activities with people living with dementia.

This volume presents contributions from academics, practitioners and researchers who reflect on aging and argue that while the financial impact of aging appears to be receiving increased attention, the more personal, familial and communal consequences of aging must also be examined. This collection delves further into the topic of aging as both personal and social phenomenon. The perspectives the papers engage with range from theoretical to applied. This demonstrates how those perspectives can and must engage with each other. From the invisibility of aging persons, to the manner in which discourses of aging-well rely on normative assumptions, to the ways in which we engage with persons with dementia, to the responsibility of providing care locally and across borders, this collection endeavours to advance aging as a positive challenge that can enrich us all.

In our society, the overwhelming majority of people die in later life. They typically die slowly of chronic diseases, with multiple co-existing problems over long periods of time. They spend the majority of their final years at home, but many will die in hospitals or care homes. This book explores the possibilities for improving the care of older people dying in residential care and nursing homes. It argues that there are aspects of palliative care that, given the right circumstances, are transferable to dying people in settings that are not domestic or hospice based.

End of Life in Care Homes describes what happens in nursing and residential care homes when a resident is dying, how carers cope, and the practical, health and emotional challenges that carers face on top of their day-to-day work. Based on detailed research from both the UK and US, the book shows how the situation can be improved.

In both developed and developing countries, the elderly have enjoyed significant declines in mortality and increased survival. At the same time, these trends have also given rise to many uncertainties and demands on resources which are often not given their due attention. Future mortality declines, particularly among the elderly, are often overshadowed by fears of their increasing share of the total population and the demands that this places on society to resolve the problems stemming from longer survival - problems, for example, which are not just a question of guaranteeing longer life but also of ensuring an acceptable health status.
In recent years, there has been a substantial literature on many facets of the daily lives of the elderly. This volume is a further contribution to the literature, pinpointing the most recent trends in the survival of the elderly and in their physical and mental health. It also describes possible scenarios for the early decades of the twenty-first century. To delineate current knowledge with regard to the health and survival of the elderly is a first step towards preparing projections and improving the efficacy of health policies for the elderly. The first section of this volume is dedicated to a discussion about the age at which people become elderly' and to the application of evolutionary theory to demographic models of human mortality. The second section looks in more detail at different aspects of morbidity and mortality trends and their underlying causes. The third section deals with mortality projections, ranging from the hypotheses to problems of methodology. The fourth section covers social and health strategies to improve the survival and quality of life of the elderly, in view of the fact that more and more people may expect to live longer and longer, and perhaps in increasingly better health.

A massive restructuring of health care in virtually all the wealthy nations of the West has offloaded services and costs from governmental responsibility into home care services and onto families -- a burden borne primarily by women. This restructuring has profoundly altered not only the practice of social work but also its representation in language and theory. As this volume demonstrates, many of the consequences social workers must face are made more difficult by the dominance of a market discourse that excludes a social justice framework.

The authors aim not to prescribe specific guidelines for practice but "to challenge current arrangements and explanations" in order to open the discourse and generate alternatives so that people receiving care might have fuller and more satisfying lives. Written by social work theorists and specialists from the U.S., Canada, and New Zealand, the chapters focus on topics of long-term care as they affect vulnerable groups -- women in particular -- as they age. Subjects include constructing community support, aging and caregiving in culturally diverse families, changing demographics of widowhood, and the new millennium's challenges for social work on aging and disability.

Longer life expectancy, the aging baby boom population, and increasing numbers of older adults with chronic health conditions who want to remain at home are generating an urgent need for providers who possess specialized knowledge and skills in home heath care. Answering the urgent call for a textbook that deals with specifically with adults in this setting, Goldie Kadushin and Marcia Egan synthesize empirical research to extract practical applications for practice, emphasizing the "how to" of gerontological home health care by discussing the field's most relevant issues. The authors include chapters on home health care policies and funding, cultural and diversity issues, the contemporary challenges of the social work role in home health care, the development of a relationship, the client's role in helping with care, practice evaluation, and individual and social system assessment and intervention. They provide detailed case studies and directions for accessing rapid assessment instruments throughout the text. The also include programs, resources, and corresponding websites that link to appropriate services.

The house looked as if she'd brushed it over with a hurried hand. Things were open-drawers, cans, and closets. A pile of newspapers fanned out across the floor by the front door, and still I did not wonder. She must have dropped them as she ran, I thought. My mother was often late. But had I stopped to look, I would have seen the fear in the way the house had settled-a footstool that lay on its side, several books that had fallen from their shelves. When you count back, you can see a story from the end. I like that-the seemingly natural narrative that forms this way. With the end in my hand, the story becomes mine. I can have it all make sense, or I can lose my mind like she lost hers-like I lost her. But I can have my story. Walking the Night Road speaks to the experience of caring for a loved one with a terminal illness and the difficulties of encountering death. Alexandra Butler, daughter of the Pulitzer Prize-winning gerontologist Robert N. Butler and respected social worker and psychotherapist Myrna Lewis, composes a lyrical yet unsparing portrait of caring for her mother during her sudden, quick decline from brain cancer. Her rich account shares the strains of caregiving on both the provider and the person receiving care and recognizes the personal and professional sacrifices caregivers must make to fulfill the role. More than a memoir of dying and grief, Butler's account also tests many of the theories her parents pioneered in their work on healthy aging. Authors of such seminal works as Love and Sex After Sixty, Butler's parents were forced to rethink many of the tenets they lived by while Myrna was incapacitated, and Butler's father found himself relying heavily on his daughter to provide his wife's care. Butler's poignant and unflinching story is therefore a rare examination of the intimate aspects of aging and death experienced by practitioners who suddenly find themselves in the difficult position of the clients they once treated.

"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."

This eminently practical book applies the task-centered model to gerontological practice across various settings (community based, hospital based, home healthcare, etc.). After an introductory chapter presenting demographic background information and outlining the common problems and needs of an elderly population, the book describes the continuum of care and the principal providers of services.

"Gerontological Social Work" features in-depth coverage of specific client problems, such as physical or mental health, caregiving, home and personal safety, senior living, and long-term care arrangements. A series of task planners offer a menu of possible actions that can resolve or alleviate a designated problem. Rating scales, schedules, and other forms assist the practitioner and client in the intervention process. An appendix classified by topic lists hundreds of Web sites related to work with the elderly.

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.

Poetry is an engaging and inclusive activity for older people that can help develop memory, imagination and identity. This book provides guidance on setting up and monitoring poetry projects for people living with dementia in group care homes and individual families. It explains the benefits of creative expression for people with dementia, and shows how to facilitate poetry reading and writing groups in different environments. Specific techniques for introducing poetry to older people can be employed by family members or professional care staff to enhance the wellbeing of the individual living with dementia. The ethical issues of running poetry projects in dementia care are explored along with examples of poetry produced by individuals and groups, interviews with care workers, and case studies.

Traditionally, dementia has been defined primarily in terms of loss: loss of cognitive and communicative competencies, loss of identity, loss of personal relationships. People living with dementia have been portrayed as increasingly dependent on others, with their loved ones seen more as care givers than as spouses, children and relatives. However, in the last two decades this view of the person living with dementia as an 'empty vessel' has been increasingly challenged, and the focus has shifted from one of care to one of helping people to live with dementia. With contributions from an international range of expert authors, Living with Dementia strongly advocates this new perspective through in-depth discussion of what people with dementia and their loved ones can do, and how they can actively make use of remaining resources. Topics covered include: - How to involve people with dementia in collaborative activities in the home, and the benefits this has on their cognitive and communicative abilities. - Ways in which identity can be presented and preserved through storytelling, and the impact on identity of moving from home into residential care. - The benefits of a 'citizenship' approach to dementia: of recognising that a person living with dementia is an active agent, with the right to self-determination and the ability to exert power over their own lives. This important new contribution to the dementia debate is truly enlightening reading for students across the full range of health and social care disciplines, and offers a fresh perspective to existing practitioners and those who care for people with dementia.

"Gerontological Practice for the Twenty-first Century" meets the need for state-of-the-art information on practice approaches with older patients that are age-specific and empirically based, blend "micro" and "macro" views, and reflect current themes in the aging and social work fields. The book is designed as a text for students and as a professional resource for practitioners. Clearly written, the book offers an expert and comprehensive review of the current literature and focuses on issues relating to the most vulnerable older people. "Gerontological Practice for the Twenty-first Century" also features case illustrations throughout and brief end-of-chapter questions for review.

The book has four parts. Part 1 reviews current and classic theories of aging and proposes an original framework for an integrative approach to practice with older people that incorporates both individual and policy-level interventions. The approach is based on current themes such as a life course perspective, heterogeneity, diversity, and inequality. Part 2 covers such common and important psychological problems among older individuals, as anxiety, depression, suicide, substance abuse, and dementia, and describes appropriate, evidence-based interventions. Part 3 considers the social psychological picture by discussing working with older families, end-of-life care, bereavement, and work and retirement. Part 4 focuses on core sociopolitical issues in the lives of older people: economic policy, poverty, health policy, quality-of-life concerns, and social services.

Current, authoritative, and original, this single-volume gerontology resource will be of valuable use to graduate students and practitioners.