This classic text-more relevant than ever as our population rapidly ages-delivers comprehensive and up-to-date knowledge about aging services in the U.S. Written for both students and practitioners of gerontology, along with all professionals involved in the well-being of older adults, this highly accessible book provides a current and detailed description and analysis of local to global services for older people with or without cognitive, physical, or social needs. The Ninth Edition is updated to reflect critical changes to legislation, health care, and recent trends. It focuses on the strengths and diversity of older adults and the role our multilayered aging networks play in advocacy, community independence, and engagement. Commentary and critical thinking challenges from policymakers, program directors, and educators facilitate high-level reasoning and independent analysis of aging networks past, present, and future. The ninth edition also offers enhanced resources including a Test Bank, Instructor's Manual, PowerPoint slides, and links to video. Additionally, the print version of the book includes free, searchable, digital access to the entire contents. New to the Ninth Edition: Fully updated to reflect historical context, recent trends and challenges, and future considerations Addresses the effects of our current political and ideological landscape on aging networks including a Call to Action Examines the current status of Medicare and Medicaid, Meals-on-Wheels, and the impact of the ACA Discusses long-term services and supports, disaster preparedness and climate change, caregiving as a human right, and LBGTQ services and support Presents new case studies providing evidence-based best-practice initiatives and new innovations Delivers enhanced instructor resources including Test Bank, Instructor's Manual, Power Point slides, and video links Includes eBook format Key Features: Focuses on the strengths of older adults and the role our multilayered aging networks play in advocacy, community independence, and engagement Provides commentary and critical thinking challenges from policy-makers, program directors, and educators to facilitate high-level analysis Addresses changing demographics and future challenges Offers "Voices from the Field" boxes and "Critical Thinking" topics and questions to encourage reflection and discussion

In this book we wanted to identify trajectories of health and their associations with lifestyle factors in a national representative cohort study of older Mexicans. We used secondary data from the Study of Global Ageing and Adult Health (SAGE) second wave 2014-15 in Mexico. The average healthy life expectancy of older Mexicans has actually declined over the past decade. Limited access to nutrition resources and unhealthy dietary styles, due to high poverty, have led to increasing chronic diseases like diabetes among older Mexican adults, which in turn create further financial problems as a result of high out-of-pocket expenditure on healthcare. This book deals with angina pectoris, stroke, oral health, eye health, alcohol use, tobacco use, depression, loneliness, arthritis, back pain, obesity, fruit and vegetable consumption, and sleep. We hope that findings from these papers may aid public policy and programmes for older adults in Mexico.

Spiritual Growth and Care in the Fourth Age of Life explores the spiritual dimension of ageing and investigates the role of pastoral and spiritual care in helping the frail elderly cope with end-of-life issues. Focusing on the experience of nursing home residents and anecdotes gathered in interviews, MacKinlay sensitively presents the struggles facing older people in need of care, such as loss of independence and privacy. Her findings show that despite ill health, loneliness and depression, older people near the end of their lives find meaning and support in (re)discovering their spirituality, and that this is not just the experience of those in care facilities, but of older people more generally. The book includes a useful chapter on spiritual assessment, providing carers with information on how to recognise the need for care. This book will be of interest to nurses, care workers, pastoral support professionals and anyone else working with older people.

Effective communication is critical for everyone, and this insightful book teaches the skills needed by healthcare staff in their day-to-day interactions with people with dementia and their families. Often when people with dementia exhibit behaviour that challenges, it is an indication that their needs are not being met. The authors illustrate the key aspects of communication for the development of a skilled and confident workforce, capable of providing thoroughly effective care that reduces levels of agitation in people with dementia. The first six chapters describe the CAIT (Communication and Interaction Training) framework established by the authors. This is followed by chapters contributed by experts on the Positive Care Approach (TM), appropriate touch and communication with people in the late stages of dementia. Accessible and practical, it will help caregivers develop and articulate existing skills as well as gain new ones, allowing them to overcome the challenges faced when caring for people with dementia.

Social Theories of Aging: A Brief Synopsis introduces students to a broad spectrum of social theories on aging. Each theory is categorized as first, second, or third generation according to three theoretical levels: micro-level (individual aging theories), macro-level (societal aging theories), and micro-macro-level (emerging theories). The book provides students not only with a synopsis of key theories but with the agency to create their own knowledge and search for answers within the gerontology discipline. Over the course of six chapters, students explore a variety of generational theories. Each overview presents a theory's level, intellectual origins, and basic tenets. The theories span many fields and subfields of gerontology including social gerontology, sociology, anthropology, public administration, psychology, social work, and geriatrics. Activity Theory, Disengagement Theory, Modernization Theory, Continuity Theory, Exchange Theory, Age Stratification, Social Constructionist, and Transformative Learning Theory are just a few of the theories addressed in the text. Highly accessible and concise in nature, Social Theories of Aging is an ideal textbook for introductory gerontology courses. It can also be used in graduate level courses to remind students of the theoretical underpinnings of gerontology.

Through a uniquely multidisciplinary lens, Ethics and Vulnerable Elders: The Quest for Individuals Rights and a Just Society employs a highly principled approach to ethics and addresses current issues affecting vulnerable older adults. The book illuminates the current and future challenges facing older adult populations and provides effective frameworks for their resolution. The text features 19 chapters written by experts, which are then divided into four sections. The opening chapter introduces the framework for the book and addresses key concepts in ethics. Each of the four sections that follow addresses a particular category of vulnerability, namely compromised health, effective status, care arrangement, and abuse, neglect, and exploitation. Specific topics include cognitive impairment, physical disability, gender, sexual orientation, residential long-term care, self-neglect, correctional settings, victimization, and more. Each chapter includes a summary; case study; discussion of applicable principles of ethics, including autonomy, beneficence, non-maleficence, and justice; resources for follow-up; and questions for further consideration. Ethics and Vulnerable Elders is an ideal resource for law school and graduate school programs with focus on gerontology, disability, social work, public health, elder and family law, and health care management.

The author has specialised in working with adult abuse and the manual is set out in the way she recommends that training be presented. There are chapters on older people, black and minority ethnic people and younger adults, as well as on investigations and case conferences.' - Nursing Standard 'Working with Elder Abuse is a forthright and detailed training manual - the manual is a blend of theory, exercises, and further readings and it is anticipated that it will be used by staff trainers providing formal training as well as by supervisors who will work through it with their staff teams. The manual is clearly written, practical and realistic without being condescending. It clearly benefits from being written by someone who is herself a full time staff trainer on elder abuse and has tested and honed the suggested training materials through frequent use. The emphasis on experiential learning, drawing upon the experience of the training participants and exploring attitudes as well as knowledge is evident. This approach allows the potential user to feel comfortable with replicating the training modules and adpating them to fit other situations and content... Working with Elder Abuse is an excellent training guide. The care that has been taken in detailing all training steps, without burying the reader/trainee in duplicative content, makes one eager to utilize the manual immediately. This manual belongs on every trainer's shelf. It can be used equally well both as a self-training guide and to train large groups, and offers much that can be adapted for use with other content areas.' - Journal of Teaching in Social Work 'This book achieves its stated aim. As a manual for use in training, it provides a wealth of well presented material that may be used by trainers who have a background knowledge in the field. The material is presented in a logical and user friendly way. It can be recommended to those who have to raise awareness of this issue among the staff groups in the title.' - Registered Homes 'Pritchard (a well known and highly regarded contributor to the field) draws on her experience as a trainer to facilitate the empowerment of so called unqualified staff in confronting their own feelings when facing `victims and abusers'... Of all writers on elder abuse, she is grounded in practicability, underpinned by a clear grasp of the training needs of front-line staff. This handbook successfully integrates theory and exercises and should be on the shelves of all trainers. It will be indispensable for staff groups.' - Community Care 'This book pulls no punches. It discusses sensitive issues, such as sexual abuse, frankly in everyday language and is essential reading for managers and assistants about abuse. NVQ students will find it useful and NVQ assessment centres would be well advised to buy copies.' - Nursing Times 'A welcome addition to the available texts on elder abuse. Working with Elder Abuse by Jacki Pritchard is beautifully presented and easily accessible - large well spaced print, eye-catching headings, and interesting symbols signalling training tools such as handouts. The language is clear and fluid.' - Action on Elder Abuse Bulletin 'The language is clear and definitions and exercises are easy to understand. The text is well laid out, and there is a lack of jargon -This will be a very helpful book for all who are concerned about elder abuse and should contribute towards the reduction of such abuse in the future as well as giving confidence to trainers, managers, care staff and all who are involved in care of the elderly.' - Christian Council on Ageing 'Jacki Pritchard has produced a valuable addition to the training literature... For the beginner, this book is highly recommended.' - Baseline `The training manual is long overdue. The A4 format of the book and the permission to photocopy certain pages as handouts is very welcome... Residential and day-care issues are well covered with plenty of exercises... The straightforward language and the way that practical issues are addressed is effective... The manual is an excellent resource which managers, supervisors and trainers will find invaluable.' - Ageing and Society This practical training manual is written for home care, residential and day care staff, who need to be able to recognise elder abuse, but may not be trained to do so. Its large format, range of exercises and photocopiable worksheets makes it a valuable source of training material not only for training teams, but also for managers who train staff and teams on site. Each chapter contains exercises, a reading list and a simple discussion of the theory behind each of the key areas covered by the manual. These include: defining elder abuse recognizing elder abuse what to do when working with elder abuse case conferences long term work with victims and abusers abuse in institutions issues for managers case studies

Written by key researchers and practitioners in the field, this book presents an overview of gerontology appropriate for graduate and advanced undergraduate students. It includes seminal chapters on theory, methodology, physiological processes, health, culture, dying and bereavement, cognitive processes and intellectual abilities, personality, assessment, clinical issues and competency, caregiving, and public policy issues. Each chapter includes review questions and a list of additional reference sources.

This new edited volume seeks to meet the growing need for ways to support people with dementia across the whole course and trajectory of dementia care, with a wide scope of expertise. The book addresses how practitioners and carers can apply psychosocial interventions - which take into consideration the individual, social and environmental aspects of a person's life - across this trajectory, right from the earliest stages through to practice in care home settings. Divided into four sections, each covers a different context in which people with dementia can be supported: at home; in community settings; family and carer support; and those in care homes and hospitals. In addition, there is a distinct focus throughout on evidence-based practice and its implementation in real-world settings. This book is essential reading for any practitioner and caregiver wanting to support people with dementia.

The elderly, the frailaareaour society. They are our parents and grandparents, our carers and neighbours, and they are every one of us in the not-too-distant futurea...They are not a growing cost to be managed or a burden to be shifted or a horror to be hidden away, but people whose needs require us to change' In Dear Life, using vivid and moving case studies, Karen Hitchcock show what care for the elderly and dying is really like u both the good and the bad. With honesty and deep experience, she looks at end-of-life decisions and over-treatment, frailty and dementia. Throughout she argues against the creeping tendency to see the elderly as a 'burden' u difficult, hopeless, expensive and homogenous. We must plan for a future when more of us will be old, Hitchcock argues, with the aim of making that time better, not shorter. An we must change our institution and society to meet the needs of an ageing population. Dear Life is a landmark book by one of Australia's most powerful writers.

At Wit's End is a straightforward summary of leading advice for caring for someone with Alzheimer's disease, written without technical jargon and impractical nuance. About 33 percent of the population eventually will provide care for someone with Alzheimer's. The strain of caring for a loved one with this disease can be enormous, yet the reward of enhancing a loved one's quality of life is beyond measure. So, where to begin? Many books delve into other specific areas of Alzheimer's care, emphasizing the financial and legal challenges, as well as myriad medical treatment needs of those experiencing the disease. Unique among these offerings, At Wit's End explains the psychiatric and psychological aspects of Alzheimer's, and does so in a holistic and practical manner. Kraus focuses on the whole person across his or her full social, psychological, physical, and spiritual life to provide as complete a picture as possible of the changes that are in play. With this broad, thoughtful, and grounded approach, family members, clincians, and caregivers are better able to discover and make wise choices from a wealth of effective interventions in all areas of care. It also allows them to care for themselves and their families in the dynamic, supportive care process. Find out how Alzheimer's can be distinguished from normal aging and other diseases that mimic its symptoms; how the disorder affects changes in functional abilities and how the daily competence of a person with Alzheimer's is viewed by psychiatric and legal communities; how rational thinking is distorted, leading to a wide array of unusual and often uncharacteristic behaviors like agitation, impatience, wandering, and inappropriate expressions of sexuality; and what medical, psychiatric, and psychological treatments are available to help. At Wit's End gives families, clinicians, and caregivers a new outlook on Alzheimer's disease.

Social Security (comprising Old-Age and Survivors Insurance (OASI) and Disability Insurance (DI)) is the largest single program in the federal governments budget. In 2010, annual outlays for the program exceeded annual revenues (excluding interest) credited to the combined trust funds. A gap between those amounts has persisted since then, and in fiscal year 2015 outlays exceeded tax revenues by almost 9 percent. As the baby-boom generation retires over the next 10 years, the Congressional Budget Office (CBO) projects, the gap will widen between amounts credited to the trust funds and payments to beneficiaries. This book considers 36 policy options that are among those commonly proposed by policymakers and analysts as a means of restoring financial security to the Social Security program. Furthermore, this book presents additional information about CBOs long-term projections for Social Security in the form of 15 exhibits that illustrate the programs finances and the distribution of benefits paid to and payroll taxes collected from various groups of people.

In this moving and controversial Quarterly Essay, doctor and writer Karen Hitchcock investigates the treatment of the elderly and dying through some unforgettable cases. With honesty and deep experience, she looks at end-of-life decisions, frailty and dementia, over-treatment and escalating costs. Ours is a society in which ageism, often disguised, threatens to turn the elderly into a 'burden' - difficult, hopeless, expensive and homogenous. While we rightly seek to curb treatment when it is futile, harmful or against a patient's wishes, this can sometimes lead to limits on care that suit the system rather than the person. Doctors may declare a situation hopeless when it may not be so. We must plan for a future when more of us will be old, Hitchcock argues, with the aim of making that time better, not shorter. And we must change our institutions and society to meet the needs of an ageing population. Dear Life is a landmark essay by one of Australia's most powerful writers. 'The elderly, the frail are our society. They are our parents and grandparents, our carers and neighbours, and they are every one of us in the not-too-distant future ...They are not a growing cost to be managed or a burden to be shifted or a horror to be hidden away, but people whose needs require us to change . ..' Karen Hitchcock, Dear Life

Five federal agencies within four departments fund home and community-based services and supports that older adults often require to continue living independently in their own homes and communities. The Administration on Aging (AoA) and Centers for Medicare & Medicaid Services (CMS) in the Department of Health and Human Services (HHS), and the Departments of Housing and Urban Development (HUD), Transportation (DOT), and Agriculture (USDA) provide funds, often through state agencies, to local governments and community-based organisations. The Older Americans Act of 1965 (the Act) requires AoA to promote and support a comprehensive system of services. This book addresses federal programs that fund these services and supports for older adults; how these services and supports are planned and delivered in selected localities; and agencies' efforts to promote a coordinated federal system of these services and supports. Furthermore, the book provides information on the OAA's historical development, and briefly describes the act's titles, highlighting selected provisions.

High employee turnover is one of the greatest challenges facing long-term care communities today. Without consistent staffing, programs and their residents greatly suffer the negative consequences of inadequate resident care, unnecessary expenses, and inefficient operations. To curb this trend of low employee retention, this useful guide will help long-term care administrators develop, implement, and maintain an effective orientation program for all levels of staff. By providing new employees with proper training from the moment they step in the door, long-term care communities and other programs can ensure that they are nurturing skilled caregivers who are dedicated to their organization and their residents for the long haul. Using a person-centered focus, this guide outlines all of the necessary steps in creating an orientation program that works. Starting with establishing the long-term care organization's needs, the guide then goes on to explain what pertinent information to include, how, when, and where to present it, and how to develop a schedule and timeframe for training. The guide also stresses the importance of creating a mentorship program between new and existing employees and provides valuable insight on how to develop and sustain such a program. Other important topics include testing skills in new employees, administering evaluations, building relationships, defining the community's culture, and keeping the focus on the residents. Over the course of 12 chapters, this guide shows leaders that effective orientation program lasts far beyond the first day. By creating and implementing a thorough, person-centered orientation and training program, facilities will not only foster the growth of their newest employees but also give them the skills, knowledge, confidence, and support to successfully adapt to a new workplace. This comfort and confidence easily translates into the delivery of the highest quality of care to residents and a lasting dedication to one's organization. Notable features include: Downloadable sample forms that can be used as a guide! Chapter review at the end of each chapter with a bulleted list of key points. Includes blank lines so the reader can make notes A focus on extending a setting's person-centered approach to encompass its employees, too, taking a novel approach to making employees feel well-trained and supported in a new work environment 2016 American Journal of Nursing Book of the Year Awards (2nd place, Gerontological Nursing) 2016 National Health Information Awards (Merit Award Winner - in Other/Miscellaneous Health Information, Media/Publishing Division)

Antipsychotic drugs are frequently prescribed to older adults with dementia. Dementia affects millions of older adults, causing behavioral symptoms such as mood changes, loss of communication, and agitation. Concerns have been raised about the use of antipsychotic drugs to address the behavioral symptoms of the disease, primarily due to the FDA's boxed warning that these drugs may cause an increased risk of death when used by older adults with dementia and the drugs are not approved for this use. This book examines to what extent antipsychotic drugs are prescribed for older adults with dementia living inside and outside nursing homes; what is known from selected experts and published research about factors contributing to the such prescribing; and to what extent the Department of Health and Human Services (HHS) has taken action to reduce the use of antipsychotic drugs by older adults with dementia.

How do you ensure the best possible care for the elders in your life? This is the question Carol Chiarito asked when she began the process of finding an assisted living community for her mother, Doris. But everywhere she looked, she was confronted with meaningless jargon and a deluge of information that was often difficult to understand. When Carol couldn't find a clear, practical guide to consumer-centered eldercare, she wrote her own. It's As Simple As Where You Live: A Guide for Beginning the Journey Through Eldercare offers invaluable tips, guidelines, and strategies for people navigating this important life change. Whether you are caring for both parents, just Mom or Dad, or a beloved grandparent, aunt, uncle, or family friend; whether you have siblings to share the responsibility or are the sole caretaker; whether you live in New York City or San Francisco, Toronto or San Antonio; whether your elder is a thousand miles away, down the street, or in your own home-there are elements of the journey we all share. This book will introduce you to a community of people who are on the same path, and who have found the answers they were seeking. Aging is inevitable. But aging with grace and dignity, in a warm and loving community, is a choice. At the end of the day, it's as simple as where you live.