The first of its kind, this volume is a critical companion for service providers who work with African American, American Indian, Chinese, Italian, Japanese, Korean, Mexican American, and Puerto Rican elders and their families in nursing homes and other settings addressing placement issues. These groups are likely to use nursing homes in larger numbers as cultural shifts, such as higher divorce rates and increased outside-of-home employment for females, transform traditional family dynamics. Contributors are experienced social workers, and most belong to the specific ethnic or racial group that is the focus of their chapter and have also provided nursing home services to this group. They provide a wealth of demographic, historical, cultural, and practice information crucial to understanding and providing services to older adults and their families.

Many nursing home residents experience physical and/or cognitive debilitation and increased dependence as older adults, and cultural and situational differences create variations in how these changes are experienced and addressed. In this volume, contributors touch upon all of these areas as well as ways in which prejudice and discrimination have shaped intergenerational and other relationships for members of specific ethnic and racial groups. Little has been written about the characteristics, needs, and experiences of racially and ethnically diverse nursing home residents and their families and requirements for culturally competent social work practice. Written by social workers for social workers and other service providers, this book fills a gap in a rapidly growing area of gerontological service and provides a truly comprehensiveexamination of cultural and practice phenomena.

This book constitutes the refereed proceedings of the Third International Workshop on Ambient Assisted Living, IWAAL 2011, held in Torremolinos-Malaga, Spain, in June 2011 as a satellite event of IWANN 2011, the International Work-Conference on Artificial and Natural Neural Networks.. The 30 papers presented were carefully reviewed and selected from numerous submissions. They are organized in topical sections on mobile proposals for AAL, applications for cognitive impairments, e-health, smart and wireless sensors, applied technologies, frameworks and platforms, and methodologies and brain interfaces."

Health and social care practitioners are increasingly called upon to provide care to elderly people from a number of different faiths and cultures. This collection of essays examines ageing in the context of the many faiths and cultures that make up Western society, and provides carers with the knowledge they need to deliver sensitive and appropriate care to people of all faiths. Chapters are written by authoritative figures from each of the world's major faith groups about the beliefs and practices of their older people. Christian, Muslim, Hindu, Jewish and Buddhist perspectives are covered, as well as those of ageing veterans and ageing religious sisters. Issues of appropriate care are also addressed, and the book includes recommendations for policy and practice. This accessible and inspiring book will be a useful text for academics, policy makers and practitioners in health and social care, aged care workers, pastoral carers, chaplains and religious professionals, in hospital, residential and other care settings.

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.

Like anyone else who is aging, adults with lifelong disabilities want to grow old in their own homes and communities. This book will show you how you can help older adults meet the challenges of healthy aging, including living with families, maintaining a house-hold, and coping with community life. Going beyond the basics, this resource offers practical advice from a holistic approach, including such topics as financing older-age services; supporting health, wellness, and sound nutrition; designing services for special challenges related to old age; adapting home environments; and coping with end-of-life challenges.

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.

The prospect of caring for elderly relatives who may be too old, fragile, or forgetful to manage on their own looms large for millions of women and men who are unprepared for the difficulties such an experience can bring. Written by a daughter of aging parents, this book takes an honest, unflinching look at aging in America, weaving together personal stories with current medical information to trace exactly how social and health care policies are affecting daily lives. Judith Steinberg Turiel addresses such topics as healthy aging and independent living; mental impairment brought on by Alzheimer's, other dementias, and depression; women as caregivers; health care rationing; the power of prescription drug makers; end-of-life care; and prospects for Medicare. Her book clearly demonstrates the pressing need for quality health care for people of all ages - through universal, publicly funded health insurance.

With the impending retirement of some 76 million baby boomers in a period of huge government deficits, public anxiety about the social and economic health of an aging nation is widespread. The policy debates are contentious -- from deciding who should receive limited subsidized housing and medical services to the ongoing battle over "saving" Social Security and other entitlement programs. Some policy makers and pundits forecast disaster: elderly people will be put out to pasture with inadequate health care and financial resources, and a crumbling social welfare infrastructure will implode under the strain of intergenerational conflict.

In Aging Nation, renowned experts James H. Schulz and Robert H. Binstock agree that there is considerable cause for concern but insist that a demographic tsunami is not inevitable. Drawing from the most current data, the authors provide an in-depth analysis of the nation's evolving private and public policies on retirement, faltering employer pensions, health care, workplace conditions, and entitlement programs. They consider such timely issues as poverty among older people, rejoining the workforce after retirement, Social Security and health care reform, as well as the rise of elderly people as a powerful political force.

Dispelling popular myths and misconceptions perpetrated by politicians and pundits, Schulz and Binstock consider the economic, political, and social challenges arising from the aging U.S. population, and present a balanced -- and reassuring -- assessment of the future.

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"

Focusing on individual Black, Asian and Minority Ethnic (BAME) communities such as Irish, Caribbean, South Asian, Chinese and Jewish, this accessible guide brings together key information on the impact of living with dementia in BAME communities into a single comprehensive resource for front-line staff as well as an information source for families and carers. The book sets out personal case studies and examines how to provide bespoke support and information to raise awareness and lower levels of stigma. With diagnoses among minority communities set to increase, this much-needed handbook is the perfect companion for care home workers, social workers, doctors and nurses who may lack experience in communicating with and caring for people from BAME backgrounds. It is also a valuable resource for family carers and those living with dementia.

This much-anticipated new title forms part of the American Institute of Architect's esteemed Design for Aging Review program by the AIA Design for Aging Knowledge Community. The program includes a juried exhibition, innovation and insights, along with recent educational programs that showcase facilities representing conscientious surroundings that advance environments for senior living. This book celebrates the highly renowned program and features a specially selected and diverse range of projects. This volume showcases many outstanding projects in the areas of architectural innovation and represents the best designs for senior citizens, including nursing homes, dementia care, assisted living, and continuing care retirement communities. Each project is presented with rich, full-colour photography, detailed plans, and statistics, illuminating the high level of research, planning and community involvement that goes into these advancements in living environments for seniors. This comprehensive review of architectural design trends in aged-care facilities will appeal to aged-care providers, developers, users, and advocates; architects; and interior, landscape, and other design professionals.

The book outlines a range of non-pharmacological therapies clinicians can adopt in their daily practice and sets out information and advice on each therapy and how to implement them in practice, illustrated with case studies and practical examples and drawing on the author's own clinical work. Many different therapies are discussed including Cognitive Behaviour Therapy (CBT), Neuro-Linguistic Programming (NLP), and farm and ranch therapy. Each has been chosen for its own particular benefits, including early stage dementia and rarer forms, while others can be applied more generally. Tying each therapy together are six key clinical approaches and models of intervention. The core of this is the Nightingale Psycho-Social Model of Support for Someone Living with Dementia. This person-centred approach focuses on the maintenance of meaningful occupation, platonic and intimate relationships, community involvement and maintaining life within normal patterns of behaviour. The new go-to book for clinicians, it is an invaluable tool for anyone looking for a wide variety of dementia therapies.

Long-term services and supports (LTSS) refer to a broad range of health and health-related services and supports that are needed by individuals over an extended period of time. The need for LTSS affects persons of all ages and is generally measured by limitations in an individual's ability to perform daily personal care activities (e.g., eating, bathing, dressing, walking) or activities that allow individuals to live independently in the community (e.g., shopping, housework, meal preparation). Most individuals prefer to be cared for in their own homes with the assistance of informal providers such as family members or friends, if available. The most recent published data estimating the number of Americans in need of LTSS indicate that about 10.9 million individuals living in the community need LTSS, or 4.1% of the community-resident population. It was estimated another 1.8 million individuals needing LTSS live in an institutional setting, such as a nursing home. LTSS include a variety of services and supports to assist an individual in maintaining an optimal level of functioning and/or improving his or her quality of life. Examples include a home health aide administering medication, a contractor building a wheelchair ramp onto a home, or a nursing facility where a person resides. LTSS also vary in cost and intensity, depending on the individual's underlying conditions, the severity of his or her disabilities, the setting in which services are provided, and the care-giving arrangement (ie: informal care versus formal care). This book provides an overview of LTSS, including who needs LTSS, how need for LTSS is determined, and how much LTSS costs. The book also provides information on who the primary LTSS payers are, how much they spend, and what types of services are purchased.

The dental needs of people living with dementia are often overlooked, particularly in the care home and hospital community. It is challenging to maintain good standards of oral care with people living with dementia, and poor care can increase the fear and anxiety levels of those living with dementia. Very few dentists have the training that equips them with the specialist knowledge necessary to work with this population. This pocket guide sets out tailored advice for supporting the oral and dental needs of people living with dementia. It sets out straightforward models on providing effective preventative mouth care, spotting symptoms and what to do when problems occur. This concise handbook will help any dentists, care home staff, nurses and other health professionals working day to day with people with dementia.

Includes 6 months' free ExamPrepConnect digital access with print purchase! Now in its 8th edition, The Licensing Exam Review Guide in Nursing Home Administration remains the most comprehensive question and answer review for anyone seeking nursing home administration licensure in the United States. With more than 1100 questions, including two online practice exams for both the Core of Knowledge Examination (CORE) and the Line of Service Examination for Nursing Home Administration (NHA), the book tests your knowledge of the important concepts and topics related to the National Association of Long Term Care Administrator Boards (NAB) domains of practice- Care, Services and Supports; Operations; Environment and Quality; and Leadership and Strategy. Key Features: Contains more than 1100 multiple choice questions with answers and rationales Reflects the style and format of the National Association of Long-Term Care Administrator Boards (NAB) licensure exam Includes test-taking strategies for success Covers important updates and revisions in the field Offers on-the-go digital access with ExamPrepConnect ExamPrepConnect Features: Review all the high-quality content from the book Get organized by using the personalized study plan based on your exam date Study by topic to identify your strengths and weaknesses Strengthen your knowledge with over 1100 questions and detailed answer rationales Prepare for exam day with 2 timed practice exams each of the Core of Knowledge Examination (CORE) and the Line of Service Examination for Nursing Home Administration (NHA) Connect and chat with fellow future nursing home administrators using the discussion board

Writer Pam Houston once summed it up: "Nice mother-daughter stories are a dime a dozen; pain-in-the-ass mother-daughter stories are the ones that grab us." As Long as I Know You is a compelling read for any adult grappling with a living elder who might also be a pain in the ass, particularly, any reader who wants a tender take on the lethal combination of dementia and defiance. As Long as I Know You narrates Anne-Marie Oomen's journey to finally knowing her mother as well as the heartbreaking loss of her mother's immense capacities. It explores how humor and compassion grow belatedly between a mother and daughter who don't much like each other. It's a personal map to find a mother who may have been there all along, then losing her again in the time of Covid. As the millions of women like Oomen's mother reach their elder years and become the "oldest of the old," their millions of daughters (and sometimes sons) must come on board, involved in care they may welcome the way they'd welcome hitting a pothole the size of a semi. How a family makes decisions about that pothole, how care continues or does not, how possessions are addressed-really, no one wants the crockpot-and how the relationship shifts and evolves (or not), that story is universal.

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.

For some elderly people, the body weakens while the mind stays alert. Others remain physically strong, and cognitive losses take a huge toll. But for everyone, death is inevitable, and each loss is personally felt by those close to the one who has died. End-of-life care is the term used to describe the support and medical care given during the time surrounding death. An older person is often living, and dying, with one or more chronic illnesses and needs a lot of care for days, weeks, and sometimes even months. This book explores helping with comfort and care at the end-of-life and hopes to make the unfamiliar territory of death slightly more comfortable for everyone involved. Discussions on hospice, end-of-life services, costs, ethics, and quality of care are contained herein.

This book focuses on the implications of population ageing in Asia. The book discusses the differences in the magnitude of the aged population in different parts of Asia and highlights the perennial concerns of care and support facing older people and their families as Asian societies grapple with the ageing population. The array of chapters in this book substantiates these challenges and opportunities afforded to different countries in Asia in light of demographic shifts, which range from an examination of broad issues of support for the aged and policy directions in East and Southeast Asia, to specific concerns relating to older people in China, Hong Kong, Japan, Pakistan, Korea, Bangladesh and Nepal. Population ageing across these countries are experiencing increased longevity and a declining birth rate, which is becoming more prevalent. The book explains how, due to changes in population structure, ageing will alter trends in the decades ahead in Asia. This book is unique in that the research cited is not only rich on ageing experiences across Asia but is an important process in bringing together evocative, engaged and comparative insights as to how we understand complex ageing and welfare issues.

Highly Commended in Medicine in the 2018 BMA Medical Book Awards People with dementia increasingly find themselves staying in hospitals for extended periods, often due to separate health issues. This best-practice guide presents healthcare staff with the information and tools needed to provide excellent person-centred care to people with dementia in hospital settings. This useful handbook includes information and innovative strategies on how to manage common issues, including communication, physical health needs, pain, eating and nutrition, working with carers and relatives, understanding behaviour and approaching the end of life. It also highlights ethical considerations such as human rights and dementia, making decisions and the Mental Capacity Act. Each chapter includes a case study, emphasising the person at the centre of care and providing examples of how hospital staff can work with people with dementia to ensure best practice.

The first part of the book is entitled 'Family, Transition and Ageing' and addresses rapid social and economic changes in China through a kaleidoscope of differential perspectives that focus on how family continues to be an important reference point for the past, present and future institution in the care of older people. The second part of the book focuses on the tangible social forces associated with managing old age: 'Welfare, Consumption and Ageing'. This section is important in locating the structures and agents of power that are relevant to maintaining trust and social relations between older people, the Chinese State and its dualism of state welfare and consumption of welfare.

A practical, comprehensive approach to the major areas of social work with older adults Social Work with Older Adults provides pre- and in-service social workers with a clear and engaging all-in-one resource for working with older adults. This practical and comprehensive text examines the basics of biopsychosocial functioning, the assessment of older adults' strengths, and the design of both traditional and alternative interventions to treat a wide variety of challenges facing older adults. Readers are given the opportunity to practice the tools and strategies they need in the field through numerous case studies, discussion questions, and new integrated learning activities. The 5th Edition includes a new chapter (13) that details the importance of community programs, as well as expanded coverage of culturally responsive practice throughout the text. New cases with discussion questions and new end-of-chapter integrated learning activities offer readers even more opportunities for practice.

Long-term care issues have high prominence among state officials in Pennsylvania as a result of its large elderly population and concern about the impact of long-term care costs on the state's budget. Its population aged 65 and older is 15.6% of its total population, ranking second only to Florida. By 2025, 21% of its population will be 65 and older. Pennsylvania is federal and state Medicaid spending for long-term care in FY2001 was $5.1 billion -- almost half of all Medicaid spending. Spending for nursing homes was more than one-third of Medicaid spending. While spending for home and community-based services has increased dramatically in recent years, these services represented less than one of every five dollars spent on long-term care in FY2001. Over the last two decades, Pennsylvania has documented issues it has confronted in providing long-term services. Among these issues are: an imbalance in financing favoring institutional care, rather than home and community-based care (which most people prefer); fragmentation in the management and delivery of services; difficult access to services, especially for low and moderate income persons who do not qualify for Medicaid; and disparities in service availability across the state and populations in need of care. According to state officials, Pennsylvania's guiding principles in long-term care are to: control surplus growth of nursing home beds; support consumer choice; encourage expansion of home and community-based services; fund services rather than capital construction; and assure quality of care.

Illinois is the fifth largest state in the country with 12.4 million people in 2000; the population increased by almost 9% or about one million people in the past decade. About 12% of the state's population is age 65 and older -- 1.5 million people in 2000. By 2025 the Illinois elderly population is expected to increase by over 50% and will be 16.6% of the state's total population. Illinois is one of the few states in the country that provides older persons and younger adults, who meet the eligibility criteria, with state entitlements to home and community-based long-term care services. Both entitlements resulted from court cases that were brought to eliminate waiting lists for services. The state funds the Community Care Program for older adults and the Home Services Program for persons with physical disabilities with a combination of state general revenue funds and Medicaid Section 1915 (c) waiver funds. The Community Care Program uses contracted agencies for the provision of homemaker, adult day care services, and case management services. In contrast, the Home Services Program's relies primarily on personal assistants, whom consumers supervise, to provide services. According to state officials, in 2002 the state had about 3,000 people with developmental disabilities in state-operated development centers (SODCs), 6,500 people in private intermediate care facilities for the mentally retarded (ICFs/MR) and 8,800 people in Section 1915 (c) Medicaid home and community-based services waivers for the developmentally disabled.

Among the issues confronting America is long-term care for frail, older persons and others with chronic conditions and functional limitations that limit their ability to care for themselves. Improving the Quality of Long-Term Care takes a comprehensive look at the quality of care and quality of life in long-term care, including nursing homes, home health agencies, residential care facilities, family members and a variety of others. This book describes the current state of long-term care, identifying problem areas and offering recommendations for federal and state policymakers. Who uses long-term care? How have the characteristics of this population changed over time? What paths do people follow in long term care? The committee provides the latest information on these and other key questions. This book explores strengths and limitations of available data and research literature especially for settings other than nursing homes, on methods to measure, oversee, and improve the quality of long-term care. The committee makes recommendations on setting and enforcing standards of care, strengthening the caregiving workforce, reimbursement issues, and expanding the knowledge base to guide organizational and individual caregivers in improving the quality of care. Table of Contents Front Matter Executive Summary Introduction Profile of Long-Term Care State of Quality of Long-Term Care Information Systems for Monitoring Quality Improving Quality Through External Oversight Strengthening the Caregiving Work Force Building Organizational Capacity Reimbursing to Improve Quality of Care Closing Remarks References Appendix A: Committee Meetings and Presenters of Testimony Appendix B: Separate Dissenting Opinions Acronyms Biographical Sketches of Committee Members Index