By using the right elements, outdoor spaces that were previously underutilized can become more inviting, functional, and well-used. Case studies, 3D animated examples, diagrams, and sketches in this informative DVD show how to transform existing areas by emphasizing features that appeal to residents and support their need for autonomy and independence. Simple ideas for choosing the right seating, improving walkways, and creating shade are among the options discussed. Additional design possibilities address outdoor elements that enhance walking and sitting, optimize greenery and views, promote comfort and safety, and encourage engagement in outdoor activities. Running time: 34 minutes

Whether you are a planning a new community or remodeling an existing one, the second DVD in the Access to Nature series illustrates a variety of ways the building layout can encourage residents to go outdoors. Case studies, sketches, and models show how to make strong indoor-outdoor connections, remove perceived barriers, and create successful transition zones, such as an entry garden. Learn about cost-effective solutions to issues of accessibility, visibility, and interfacing with the outdoors as well as suggested adaptations for individuals with dementia. Running time: 31 minutes

Recording Skills in Safeguarding Adults is the comprehensive guide to keeping accurate, effective and complete records in safeguarding adults work. This book explains why good record-keeping is essential: it covers crucial skills in recording, including how to write effectively; evidential requirements when writing statements and reports for court; and minute-taking. The book includes best practice points, exercises and examples of good recording. Each chapter also features informative, anecdotal experiences and comments from experts in safeguarding adults work, including police and lawyers, on what is needed in written records and how to present evidence clearly and persuasively. This book is essential reading for all safeguarding adults practitioners who are required to keep records, including social workers, probation officers, nurses, support workers, residential and day care staff, volunteers and advocates.

The first DVD in this educational video series demonstrates the importance of having people, policies, and programs that support outdoor usage by residents in senior housing settings. Experts in environmental psychology, design, and gerontology explore how health and quality of life can be shaped by access to nature and identify key issues in planning outdoor space. The enrichment of activity programming and the special needs imposed by dementia are also addressed. Running time: 28 minutes

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.

Americans are living longer - and staying healthier longer - than ever before. Despite the rapid disappearance of pensions and health-care benefits for retirees, older people are healthier and better off than they were twenty years ago. In "Health at Older Ages", a distinguished team of economists analyzes the foundations of disability decline, quantifies this phenomenon in economic terms, and proposes what might be done to accelerate future improvements in the health of our most elderly populations.This breakthrough volume argues that educational attainment, high socioeconomic status, an older retirement age, and accessible medical care have improved the health and quality of life of seniors. Along the way, it outlines the economic benefits of disability decline, such as an increased percentage of seniors in the workplace, relief for the health-care system and care-giving families, and reduced medical expenses for the elderly themselves. "Health at Older Ages" will be an essential contribution to the debate about meeting the medical needs of an aging nation.

Those working in residential or domiciliary settings have a responsibility to maintain a clean, safe and secure work environment. Health and Safety provides guidance on the responsibilities and risk assessments involved, covering subjects such as first aid, safety in the kitchen, infection control, safe handling of adults, issues surrounding medication, how to react in an emergency and how to respond to challenging behaviour. The workbook meets the requirements of care standards and promotes best practice by enabling staff to gain the knowledge needed to meet health and safety standards. Designed to meet the requirements of Health and Social Care (Adults) NVQ Level 3, Unit 32, this workbook is also a valuable source of guidance for any social care worker wanting to improve their knowledge.

An advanced look at smart technology to promote the independence of the elderly and disabled

Ongoing research and advancements in technology are essential for the continuing independence of elderly and disabled persons. The Engineering Handbook of Smart Technology for Aging, Disability, and Independence provides a thorough analysis of these technologies and the needs of the elderly and disabled, including a breakdown of demographics, government spending, growth rate, and much more.

Each chapter is written by an expert in his or her respective field, and gives readers unparalleled insight into the research and developments in a multitude of important areas, including:

User-need analyses, classifications, and policies

Assistive devices and systems for people with motor disabilities

Assistive devices and systems for people with visual and hearing impairments

Human-machine interaction and virtual reality

Assistive robotics

Technology for user mobility and object manipulation

Smart homes as assistant environments

A discussion of emerging standards and guidelines to build accessible devices, tools, and environments

This book is an indispensable resource for researchers and professionals in computer science, rehabilitation science, and clinical engineering. It also serves as a valuable textbook for graduate students in the aforementioned fields.

This new and updated third edition of the best-selling "Calculating a fair price for care" estimates the potential cost to the public sector of paying fair market fees to a fully modernised care home sector. The demands resulting from an ageing population means that more care homes will be needed in the future. However, most public sector funding agencies do not currently offer fees that are sufficient to encourage care home operators to invest in new capacity for state-funded clients. "Calculating a fair market price for care" offers a transparent and evidence-based mechanism for working out what such fees should be, based on the costs borne by care homes in the financial year 2008/09. Updates for the third edition include a new and simplified approach to working out 'floor' and 'ceiling' fair fees; new staff input and other cost benchmarks derived from a survey of major corporate operators of care homes in 2008 and a downward revision in the target rate of return on capital from 13% to 12%. "Calculating a fair market price for care" is essential reading for commissioners and providers of care services throughout the UK, local councillors, advocacy groups for older people and social policy experts, as well as politicians, civil servants and other policy makers concerned with appropriate funding for long-term care.

Falls in assisted living facilities are a critical issue - each year between 30 per cent and 50 per cent of assisted living residents experience a fall. This CD-ROM is designed to help assisted living facilities improve their falls management programs. Direct care staff will learn to better understand and manage the risks for falling, as well as what to do when a fall occurs. Based on the work of experienced gerontologist Rein Tideiksaar, the CD-ROM contains a PowerPoint presentation for effective staff training. Also included are a wealth of screening and assessment tools; guidelines for a basic falls prevention program; and educational handouts for families and staff. All documents are included in both Microsoft Word and PDF formats.

Care for the elderly has increased in both duration and intensity, particularly because of better medical conditions resulting in increased lifespan. Thus understanding the numerous dimensions of ageing will play a consequential role in determining future national policies. This book addresses a wide spectrum of issues faced by the elderly in India, Sri Lanka and the Netherlands, primarily from social and economic perspectives. South Asian cultures more than others have traditionally endorsed living arrangements that entail co-residence of aged parents with their children, which has been the crux of the support system of the aged. Significant shifts in family structure spurred by modernization prompted increased family nucleation.

All three countries offer interesting insights as India is projected to have an ageing population of 90 million in the near future, and Sri Lanka has one of the highest proportions of ageing people in the developing world. By delving further, one can view these trends in the context of widespread poverty and inadequate social security systems in India, and high human development indicators in Sri Lanka.

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.

Implement a post-fall assessment program and decrease the risk for subsequent falls at your long-term or acute care facility. Use this training CD-ROM to help staff identify factors responsible for falls in older adults and adapt fall prevention strategies to meet individual needs. Based on the work of experienced falls specialist Rein Tideiksaar, this comprehensive CD-ROM includes: a PowerPoint presentation for staff training; fall prevention program guidelines; a post-fall care planning chart; post-fall mobility assessment forms; a fall report form; an environmental safety checklist; and more. All forms and guidelines are included in printable PDF format. The required Operating systems: Windows 95 and up; Mac OS 8.6 and up.

Maintaining a connection to nature is increasingly recognised as an important component of caring for a person with dementia. The benefits of connecting the subjective experience of dementia sufferers with their physical environment include sensory stimulation and enhanced cognitive, psychological and physical well-being, as well as improved behaviour management. approach to caring for dementia sufferers by considering their emotional, psychological and spiritual well-being. The book provides comprehensive examples of the wide range of ways a person can connect to nature through indoor and outdoor activities, elements and environments, such as caring for house plants and pets, gardening and cooking, practising handicrafts and domestic chores, and offers solutions and insights to a professional understanding of the design of buildings and landscapes. psychology, neurology, architecture, nursing and dementia care practice, and spells out practical ways in which care providers and design professionals can design for nature in dementia care.

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.

Bradford Dementia Group Good Practice Guides There are always difficult day to day decisions to be faced when caring for a person with dementia - from knowing how to deal with wandering to end of life decisions. Many of these decisions are underpinned by value judgments about right and wrong and reflect a particular view of dementia. This book considers these ethical decisions in the context of relationships, treatment, safety and quality of life, offering practical guidance and advice. It draws on the experiences of family carers as well as on existing research and emphasizes the importance of empathy and the need to acknowledge different perspectives in order to reach the best decision for the person with dementia. In particular the authors discuss the way that decision makers are themselves changed by the decisions they make, and the impact of this on the decision-making process. This book should be read by all those who work caring for people with dementia.

Persistent problems with poverty, rapid population growth and malnutrition in many developing countries are among the most serious issues facing the world today. This book examines the causes, severity and effects of these problems, as well as potential solutions.

The authors consider the implications of globalization of goods, services and capital for agriculture, poverty and the environment; and identify linkages in the world food system, stressing how agricultural and economic situations in poor countries affect industrialized nations and vice versa.

Focusing on the role that agriculture can play in improving economic and nutritional wellbeing and how that role might be enhanced, this book is essential reading.

This book provides an up-to-date and authoritative overview of the development of social work with older people in the UK. The coherent structure draws together the key themes involved in working with older people, and clearly demonstrates how to translate these into real-life practice. Key features of the book include: - Establishes an understanding of the policy context within which social work takes place, with particular attention to key topics such as inter-professional collaboration and ethics. - Goes beyond other textbooks to challenge the restricted nature of social work practice, and adopts a positive view of its potential to benefit older people. - An engaging and practice-led approach which includes student-friendly features and detailed practice scenarios. - Satisfies the curriculum benchmarks and National Occupational Standards that structure social work training and practice. Written by a leading academic, this is a key text for social work trainees. Its analytical depth will ensure that it will also be valuable for students undertaking post-qualifying courses, and for those in related disciplines such as health and community care, social policy and social gerontology. Its practice-based and inter-professional approach will mean it is also useful for health and social care practitioners seeking to improve the quality of practice with older people. `Drawing on both theory and research as well as the author's clear knowledge of current practice, this book is able to deal with practice realities in ways which many texts cannot. It offers social workers realistic options for how to approach their work' - Karen Postle, University of East Anglia

"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.

Two cogent arguments about end-of-life careand carefully reasoned responses from experts End-of-Life Care: Bridging Disability and Aging with Person Centered Care features two primary papers on the controversial issue of end-of-life care within the disabled and aging populations. Each paper explainsclearly and honestlythe multitude of issues involved in using person centered care. The first is from a father and nationally known advocate for the disabledRud Turnbullspeaking from a disability perspective about his disabled son. The second is from respected theologian M. J. Iozzio speaking from the aging perspective about her father's Alzheimer's disease. Responses from experts in the field follow, thoughtfully raising further points to consider about policies, ethics, quality of life, and consent. The two central papers from End-of-Life Care focus on person centered, interdependent care using the personal reflections of two close family members and their views about end-of-life care. The responses that follow each are direct, thoughtful, and concentrate on the issues in end-of-life planning using person centered care. This difficult and important issue is discussed in detail by lawyers, theologians, clinical practitioners, and professional service providers, and includes several revealing personal stories about end-of-life experiences. Helpful resources for both policy and practice are also presented to assist the reader to learn more. End-of-Life Care discusses: who, how, and on what grounds end-of-life decisions should be made for the developmentally/intellectually disabled best practices information from Volunteers of America's Last Passages project the unique challenges faced by individuals with disabilities and their families when confronting issues of death and dying the protection of the rights of the disabled from discrimination person centered care for the aging with complicating health conditions like Alzheimer's Disease helping all people to clearly communicate their end-of-life wishes End-of-Life Care explores explores policy, theological, and personal dimensions of end of life care, and the ways that person centered care can bridge the fields of aging and disabilty.

This collection of essays is about dependent older people and their families, that is, older people who need help in their daily life: from the frail elderly who need mainly minor assistance in performing housework or for transportation, to severely disabled older people, bed-ridden or senile. The studies reported in this book offer a wide and informed overview of issues connected with caring for frail and disabled older people, whether carried out by family caregivers, paid helpers or formal caregivers. That the number of older people world-wide is increasing can certainly be considered a human achievement, but at the same time it generates a series of problems that must be faced.

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.

Florida has the largest proportion of elderly in the nation- 2.8 million persons are over age 65, representing 17.6% of its total population. The dramatic rise in the number of persons age 65 and over in Florida over the next 20 years-estimated to total 26.3% of total population-will further stretch the already limited resources of the state. Aware of the pressing demand for long-term care services well into the 21 * century, policymakers in Florida have begun seriously to review options for improving financing and delivery of long-term care for the frail elderly and persons with disabilities. Federal and state Medicaid spending in Florida was $2.6 billion in FY2001, and 30.5% of Medicaid spending was for long-term care. In FY2001, 75.3% of total Medicaid spending was for institutional care. Slightly less than 25% of Medicaid spending was channeled towards home and community-based services. Although institutional care dominated Medicaid spending, there has been slow but steady expansion of home and community-based services funding, both through the use of Medicaid's waiver programs as well as significant support through state sources. Among the major issues facing long-term care in Florida are: the fragmentation of long-term care services among state and local agencies, an imbalance in financing that favors institutional care rather than home and community based care, shortage of health care workers and well-trained staff throughout the long-term care , and disparities in availability of services across the state.

Demographic challenges posed by the growing elderly population and demands for greater public commitment to home and community-based care for persons with disabilities have drawn the attention of federal and state policymakers. Spending on long-term care by both the public and private sectors is significant. In 2001, spending for long-term care services for persons of all ages represented 12.2% of all personal health care spending (almost $152 billion of $1.24 trillion). Federal and state governments accounted for almost two-thirds of all spending. By far, the primary payer for long-term care is the federal-state Medicaid program, which paid for almost half of all long-term care spending in 2001. Maine is one of the smallest states in the country with 13 million people in 2000; it is also one of the oldest states, with 14.4% of its population aged 65 and older. By 2025, over one-fifth of its population will be 65 and older. Medicaid spending for long-term care in Maine in FY2001 was $411 million -- almost one-third of all Medicaid spending. In part due to the aging population and because of a 1993 budgetary crisis involving rapidly escalating Medicaid nursing home costs, Maine has pursued an aggressive policy to decrease dependence on nursing homes. Between 1995 and 2001, the percentage of public long-term care funding devoted to these facilities decreased from 84% to 61%. Moreover, the state has decreased reliance on large state-operated residential facilities for persons with mental retardation in favor of smaller community-based facilities. Maine's efforts to reduce reliance on institutional care has been in part due to expanded use of Medicaid's home and community-based waiver program as well as multiple state-funded programs. PARTIAL

A comprehensive text addressing this issue is welcome and this book addresses service provision for older people with disabilities from a UK, USA and Australian perspective. The book would serve as a useful reference book for Health and Social Service personnel, particularly students, from a variety of disciplines working with older adults, in the learning disability field or with older people who have lifelong physical disabilities. A particular strength is the inclusion of case vignettes that describe individual older clients with lifelong disabilities; interesting questions are posed for discussion which relate to the subject matter in each of the five sections. The vignettes are interesting and enjoyable to read and would be useful for group work/teaching purposes.' - International Journal of Geriatric Psychiatry 'This book is most welcome with an extensive review of the research and service development in the United States, the United Kingdom and Australia with illustrative vignettes and relevant questions following the first four parts of the book. Suggested literature is also part of each chapter. All in all, a book recommended for both practitioners, researchers and policy makers involved with persons with life long disability as they age.' - International Journal of Adolescent Medical Health 'In all, this book is an essential addition to the library of service provider organisations, policymakers, researchers, and families and all who wish to share in ensuring the well-being and quality lifestyles of this growing and emerging group of citizens. I see this book as a seminal text in this area.' - Marie Knox (School of Humanities and Human Services, Queensland University of Technology, Brisbane) in Intellectual Disability Australasia 'This book makes a commendable contribution in uniting thinking and strategic planning, and also through providing empirical evidence to illustrate ways forward that have meaning for older people with disabilities, their families and front-line professionals.' - from the Foreword by Gordon Grant Based on the author's 18 years' research experience and social work practice expertise, this pioneering guide provides up to date specialist knowledge about ageing with a disability in the context of the more mainstream knowledge about ageing processes. Christine Bigby uses the concept of 'successful ageing' as a framework in which to consider the issues and practicalities for older people with a lifelong disability. Bigby presents strategies for the various challenges involved in the physiological, psychological and sociological aspects of ageing and proposes an integrated framework of service development and policy directions for the implementation of these strategies. Particular focus is given to lifestyle planning, encompassing subjects such as daily activity and leisure, housing and support, advocacy, case management and health. Consideration is also given to working with older parental carers of adults with a lifelong disability to support preparation and planning for the transition from parental care.