Oregon is a recognized leader in home and community-based care and has more than 20 years of experience in moving long-term care clients from institutional settings to home and community-based settings. In 2002, 82 per cent of Oregon's Medicaid long-term care clients were served in the community. Additionally, Oregon was the only state in the nation whose spending for institutional care was less than half of the state's total Medicaid long-term care spending in 2000, with only 37.2 per cent spent on institutional care compared to the national average of approximately 70 per cent. Oregon officials recognize that with the aging population and increasing cost, they may need to rethink the design of their current system. They hope to incorporate a concept of 'bounded choice' where a person's wishes are considered within the boundaries of service capacity and fiscal constraints.

This guidebook seeks to inform readers of the best approaches in dealing with nursing homes and nursing home circumstances. Five chapters trace the family through this heart rending experience.

This book examines the growing importance of positive psychology and its connection to later life. * Applies Social Role Valorisation (SVR) principles to care of older people, particularly those with seriously disabling conditions such as dementia, stroke, and multiple health problems * Provides a comprehensive body of positive principles and practical approaches for those who care for older people * Examines the impact of the devaluation of older people s lives in the context of societies dependent on technology * Demonstrates how more age-inclusive societies and open awareness of later-life issues are fundamental to strong communities, as well as to personal happiness and resilience

Are you caring for a loved one with dementia and don't know where to begin? Here are the answers you have been searching for. Jane Hardy writes frankly about the experiences she and her Mum have shared over the past four years, the lessons she's learned, the things she wished she'd known before they started this journey together. Jane's Mum Beth was diagnosed with Vascular Dementia and Alzheimers with a score of 16 (moderate/severe dementia) at the age of 90. Four years later, she has a score of 20+, is enjoying life and her memory and humour are returning! Her GP cannot believe her improvement. She is stronger and healthier, has a positive outlook on life and can read and write again. If you are dealing with a loved one with Dementia, Jane's experiences and strategies will help you avoid the same mistakes that she made! This journey is not for the faint hearted. But focus on what we can be done, rather than what the others say can't be done. For Jane and her Mum, small steps have led to huge strides.

Winner, 2020 Eileen Basker Memorial Prize, given by the Society for Medical Anthropology The troubling dynamic of the American home care industry where increased independence for the elderly conflicts with the well being of caregivers Paid home care is one of the fastest growing occupations in the United States, and millions of Americans rely on these workers to help them remain at home as they grow older. However, the industry is rife with contradictions. The United States spends a fortune on medical care, yet devotes comparatively few resources on improving wages, thus placing home care providers in the ranks of the working poor. As a result, the work that enables some older Americans to live independently generates profound social inequalities. Inequalities of Aging explores the ways in which these inequalities play out on the ground as workers, who are disproportionately women of color and immigrants, earn poverty-level wages and often struggle to provide for themselves and their families. The ethnographic narrative reveals how two of the nation's most pressing concerns-rising social inequality and caring for an aging population-intersect to transform the lives of older adults, home care workers, and the world around them. The book takes readers inside the homes and offices of people connected to two Chicago area home care agencies serving low-income and affluent older adults, respectively. Through intimate portrayals of daily life, Elana D. Buch illustrates how diverse histories, care practices, and social policies overlap and contribute to social inequality. Illuminating the lived experience of both workers and their clients, Inequalities of Aging shows the different ways in which the idea of independence both connects and shapes the lives of the elderly and the working poor.

The demographic and social structure of most industrialized and developing countries are changing rapidly as infant mortality is reduced and population life span has increased in dramatic ways. In particular, the oldest-old (85+) population has grown and will continue to grow. This segment of the population tends to suffer physical and cognitive decline, and little information is available to describe how their positive and negative distal experiences, habits, and intervening proximal environmental influences impact their well-being, and how social and health policies can help meet the unique challenges they face. Understanding Well-Being in the Oldest Old is the outcome of a four-day workshop attended by U.S. and Israeli scientists and funded by the U.S.-Israel Bi-National Science Foundation to examine both novel and traditional paradigms that could extend our knowledge and understanding of the well-being of the oldest old. This volume engages social scientists in sharing methods of understanding, and thereby possibly improving, the quality of life of older populations, especially among the oldest old.

Reminiscence is a valuable tool for the professional carer as well as those who are looking after a family member or friend. It enhances and enriches the care relationship, and benefits both the person being cared for and the carer. This fully-updated fourth edition is full of practical information on planning and running successful reminiscence work. It will enable carers and health and social care practitioners to develop the attitude, knowledge, understanding, values and skills they need to use reminiscence with people of all ages, either individually or in groups, and in residential or community settings. Topics covered include reminiscence with individuals and couples, inter-generational reminiscence, reminiscence with individuals from minority ethnic groups and reminiscence with people with sensory and learning disabilities, dementia, depression and terminal illness. This book is the ideal starting point for any professional taking up reminiscence work, as well as for those who wish to deepen their knowledge and increase their ability to help those they care for in less formal ways.

A Wide Variety Of Legal Issues Surround Caring For Older Individuals. Health And Human Service Practioners Need To Plan, Provide And Evaluate Geriatric Care, While Also Understanding Public Policies. Legal Knowledge Is An Essential Part Of Caring For The Elderly. Students And Professionals Must Be Able To Deliver Appropriate Care While Also Being Aware Of Any Legal, Ethical And Political Issues That May Arise. Legal Aspects Of Elder Care Provides A Clear Overview Of Geriatric Policies And Laws, Enabling The Reader To Use Informed Decision-Making With Older Clients.

The restraint of older people is a pressing issue for health and social care practice. This book provides health and social care professionals with an authoritative reading resource on the ethics and use of restraint. The book provides an overview of the different forms of restraint, the conditions under which they are used, and their implications for the health and wellbeing of older people. Practical approaches to minimising are then explored, underlining the importance of person-centred care. Innovative programmes and approaches to reducing the use of restraint from around the world are described and assessed, and case studies are drawn upon to highlight practice challenges and their effective resolutions. The perspectives of older people and their carers and families, as well as of professionals, commissioners and regulators of health and social care, are also taken into account. The contributors are drawn from an international range of health and social care settings, as well as from the academic world. This in-depth volume will help health and social care professionals better understand the complex issues that surround the use of restraint, support practice that puts older people at the centre of decision-making about their care, and enable services to provide safer and more appropriate care.

Understanding Learning Disability and Dementia covers all the essential issues in supporting a person with a learning disability when they develop dementia. Like the population at large, people with learning disabilities are living longer, and therefore an increasing number are developing dementia. Service providers, planners, doctors, social workers, carers and direct support staff need to be equipped with relevant knowledge prior to the onset of dementia, so that they can devise appropriate therapeutic interventions and coping strategies, including health and medication management and palliative care. This book will provide essential knowledge for anyone involved in the provision of services, assessment of need and direct care and support for dementia sufferers who also have a learning disability.

This authoritative collection sets out the critical role and application of evaluation in identifying and developing good practice in a range of dementia care settings. The contributors discuss the evaluation of care at different levels and in various settings, particularly long stay care, covering evaluation methods, ethics, use of technology and the user's role in the evaluation process itself. Their contributions on evaluating aspects of dementia care ranging from life story work and environmental considerations to medication and dementia care mapping is a useful basis for the discussion of future challenges in evaluation of dementia care. Practical and theoretical, this wide-ranging text is essential reading for dementia care practitioners at all levels, as well as students and researchers interested in dementia care practice.

This accessible, interactive resource book encourages front-line staff working with dementia sufferers in nursing and residential settings to examine their working practice and modify it to where appropriate to meet best practice guidelines. Packed with photocopiable training exercises, discussion points and questions to prompt care workers to reflect on their style of work, this practical training manual also provides a framework for care work in line with statutory requirements and national training standards. It can be used as a self-training guide by carers, who can work through it at their own pace or under the supervision of a colleague, or by trainers running structured courses on good practice in dementia care. It is also suitable for use as a quick reference in daily practice. This comprehensive resource will provide useful guidance for all staff working face-to-face with people with dementia, whether in nursing, day-care or residential settings.

This accessible and authoritative book provides an invaluable guide to identifying, treating and preventing depression in later life. Jill Manthorpe and Steve Iliffe take a multidisciplinary approach and employ both medical and psycho-social models of depression. The medical model is used to identify symptoms, make diagnoses and work towards optimal treatment. Psycho-social perspectives provide insight into the scale and complexity of the condition and point to its social causes. The authors identify different levels of depression through in-depth analysis and consider the condition in relation to, but distinct from, dementia, psychosis and anxiety disorders, helping professionals to make the correct diagnosis. Supporting case studies show that depression, and the physical symptoms often linked to it, are amenable to treatment. The authors provide practical guidance for health and social care practitioners and suggest numerous coping strategies. This comprehensive book is essential reading for health and social care practitioners working with older people, their carers and families.

A practical resource written specifically for social care professionals working with people with dementia and their families, this book gives guidance on person-centred good practice throughout the care process from the initial diagnosis, through day care, respite care, long-term care, and death and attachment. The guide will enable social workers to manage their cases effectively and empathetically, making appropriate, culturally sensitive decisions and acting as advocates for this growing client group. It contains essential background material about the financial and legal context, including an explanation of the relevance of the Mental Health Act 1983. The author locates weak points in current provision and makes practical suggestions for future developments. Social Work and Dementia will enable social services to meet the needs of older clients experiencing dementia, and to understand, apply and contribute to new developments in their care.

In New Jersey, one in five residents is over the age of 65. The Garden State's legal and healthcare systems are becoming increasingly complex, making it more difficult than ever for seniors to understand their rights and take advantage of available assistance and services. Elder Law in New Jersey provides important, practical information to New Jersey residents, especially older adults who have become entangled in an incomprehensible web of healthcare and social security bureaucracies, younger adults who are caregivers to elderly parents, and middle-class citizens who fear the debilitating physical and financial effects of chronic illness. The legal problems most often encountered by seniors can involve frustrating losses of control over nearly all aspects of their lives. Attorney Alice Dueker, who specializes in elder law, explains complex legal issues in easily understood language. She looks at: * various ways to obtain and pay for healthcare, including nursing home care * how to create a will * how to address and avoid internal family disputes, including child custody, marriage, divorce, grandparent visitation rights, and elder abuse * employment issues such as age and disability discrimination, as well as pensions * problems of consumer fraud * housing issues for both tenants and homeowners She provides contact information for agencies and programs that provide free or low cost services for seniors, and resources for locating attorneys. Elder law is state specific, so New Jersey residents will find this book especially helpful and applicable to their own lives.

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.

Includes 16 essays which address many issues from a different perspective suggested by the experience of aging in America. This study explores the political, social, and economic realities which have an impact on Americans as they grow older.

An inciteful ethnography of cross-border elder care workers. The precarious situation in the successor states of Yugoslavia created a specific dynamic in the field of labor mobility. Still, little research has been done in this region on how women, who are older care workers from Serbia or Bosnia commute-often via illegal border crossings-to German households to look after the elderly. In Peripheral Labor Mobilities, Tanja Visic explores this gender-specific migration pattern in the first expansive ethnography of contemporary cross-border elder care in this region. She takes up questions about how the mobility and work practices of women are integrated into the socio-economic networks of the informal care work sector while also looking at worker confrontations with labor laws and border regimes. Illustrative case studies clearly detail culturally specific patterns of perception of care work, family relationships, and the mobility demanded by these labor arrangements.

The CLEAR Dementia Care (c) model is an effective method of assessing behaviour that challenges, through an understanding that such behaviour may be a way of communicating unmet needs. This book explains the many factors that contribute to challenging behaviour and how a greater understanding of this can enhance quality of life and lead to better care for the person with dementia in both hospital and residential settings. Discussing how people with dementia have the same needs as everyone else, the book helps to understand dementia from the perspective of the person experiencing it. It features case studies with examples of how to interpret signs of distress and develop an appropriate intervention plan. The model includes person-centred assessment of cognition, life story and personality, emotional and physical wellbeing, activity and environment, and relationships. Also included are easy-to-use photocopiable assessment tools, proven to facilitate a more accurate understanding of behaviour.

In two volumes, the APA Handbook of Clinical Geropsychology offers a well-balanced scientist-practitioner approach, with chapters that succinctly review empirical research across a broad range of areas and offer practical approaches for the application of theory to everyday practice with the aging population. The handbook reviews the history of clinical geropsychology and geropsychology practice, to help the reader better understand how the field has grown over the past 30 plus years and to assess the several directions in which it is headed. Chapter authors highlight strength-based approaches to human development and aging, review the status of evidence-based treatment, explore the interface of geriatric medicine and clinical psychotherapy, review several ""normal aging"" areas of research, and discuss such common psychological, neurological, and other medical issues common in aging as depression, late-life anxiety disorders, schizophrenia, alcohol abuse and substance misuse, suicidal behaviour, mild cognitive impairment, Alzheimer's, and many more. The reader will not only gain knowledge about foundational competencies in the field of clinical geropsychology, but will also find a treasure of information related to assessment, intervention, and consultation in this continually evolving field.

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.

'Blisteringly well written, deeply humane and very funny' Daily Telegraph 'Enough to make you die laughing' Daily Mail 'Funny and moving' Daily Express Whether he's initiating a coup d'etat against new regulations with the residents, or forging a bond with the 98-year old who once called him a fat slut, Pope Lonergan's work is infinitely varied. This no-holds-barred account shows what life inside a care home is really like, for both residents and carers. Featuring night-time drama, incontinence pads and the uniquely dark humour of one double-amputee Alzheimer's patient, here you can learn everything you ever wanted to know (and a few things you probably really didn't) about Britain's care system. This important memoir challenges us all to think differently about the value of our elderly, and also the carers who look after them.

Around the world and across a range of contexts, homelessness among older people is on the rise. In spite of growing media attention and new academic research on the issue, older people often remain unrecognized as a subpopulation in public policy, programs, and homeless strategies. As such, they occupy a paradoxical position of being hypervisible while remaining overlooked. Late-Life Homelessness is the first Canadian book to address this often neglected issue. Basing her analysis on a four-year ethnographic study of late-life homelessness in Montreal, Canada, Amanda Grenier uses a critical gerontological perspective to explore life at the intersection of aging and homelessness. She draws attention to disadvantage over time and how the condition of being unhoused disrupts a person's ability to age in place, resulting in experiences of unequal aging. Weaving together findings from policy documents, stakeholder insights, and observations and interviews with older people, this book demonstrates how structures, organizational practices, and relationships related to homelessness and aging come to shape late life. Situated in the context of an aging population, rising inequality, and declining social commitments, Late-Life Homelessness stresses the moral imperative of responding justly to the needs of older people as a means of mitigating the unequal aging of unhoused elders.