"At present nursing homes are designed . . . like outmoded zoos. Residents are kept in small rooms, emotionally isolated. Occasionally they are visited by family members who reach through the bars and offer them treats. Aides keep their bodies clean and presentable. . . . America invests huge amounts of money to maintain the body while leaving the person to languish, cut off from all they love." From Nobody's Home

After caring for his mother at the end of her life, Thomas Edward Gass felt drawn to serve the elderly. He took a job as a nursing home aide but was not prepared for the reality that he found at his new place of employment, a for-profit long-term-care facility. In a book that is by turns chilling and graphic, poignant and funny, Gass describes America s system of warehousing its oldest citizens.

Gass brings the reader into the sterile home with its flat metal roof and concrete block walls. Like an industrial park complex, it is clean, efficient, and functional. He is blunt about the institution s goal: keep those faint hearts pumping and the life savings and Medicaid dollars rolling in. With 130 beds in the facility, the owner grosses about three million dollars annually. As a relatively well-paid aide, Gass made $6.90 an hour.

Seventeen of the twenty-six residents on Gass s hall were incontinent, and much of his initiation to the work was learning to care for them in the most intimate ways. One of the many challenges was the limited time that he had available for each of his charges 17.3 minutes per day by his calculation. Even as he learned to ignore all but the most pressing demands of the residents, he discovered the remarkable lengths to which aides and their patients will go to relieve the constant ache of loneliness at the nursing home.

With Americans living longer than ever before, elder care is among the fastest growing occupations. This book makes clear that there is a systemic conflict between profit and extent of care. Instead of controlling costs and maximizing profits, what if long-term care focused on our basic need to lead meaningful and connected lives until our deaths? What if staff members dropped the feigned hope of forestalling the inevitable and concentrated on making their charges comfortable and respected? These and other questions raised by this powerful book will cause Americans to rethink how nursing homes are run, staffed, and financed as well as the circumstances under which we hope to meet our end."

Many are disquieted by how we care for older persons today. This book documents an example of care practices and management infrastructure that restore dignity and wholeness to the elderly.

Written by an author team from a top-ranked nursing program, this ground-breaking new text, presents state of the art guidelines for geriatric care for the advance practice nursing student. Practical, logically organized, and complete, this text features;

* Expert guidelines, strategies, protocols, and principles for working with older adults

* Essential coverage of diagnosis, treatment standards, management, special concerns, judgment calls, and more, organized by body system

* Unique coverage of pain management, care for the dying, palliative care, and advance directives

* Hands-on help with evaluation and treatment of cardiovascular, respiratory, genitourinary, GI, thyroid, gynecological, musculoskeletal, and CNS disorders, as well as diabetes mellitus

* In-depth guidance on problems such as falls, sensory deficits, pressure injuries, and elder abuse and neglect

Comprehensive, authoritative, and up-to-date, this text is sure to become an essential component of your nurse practitioner curriculum.

According to the Alzheimer's Association, one in ten persons over sixty-five and nearly half of those over eighty-five have Alzheimer's disease. Today, 4 million Americans have Alzheimer's disease. In a national survey, 19 million Americans said they have a family member with the ailment, and 37 million said they knew someone who had it. But when Rosette Teitel found herself in the role of caregiver to her ailing husband, she could find no books that answered her practical needs: How do you give a 170-pound man a shower? How do you pick him up when he falls? What should you anticipate as the disease progresses? What support networks are available? When is it time to consider a nursing home and how do you find one?

While many Alzheimer's disease books focus on the disease and the patient, Teitel draws on her own experience -- as well as that of a clinical psychologist, a coordinator of an Alzheimer's program at a community center, members of the Alzheimer's Foundation, a research psychologist, an elder-law attorney, and a neurologist -- to tackle subjects rarely dealt with in other self-help books. Teitel covers topics such as managing the expenses of long-term care through Medicaid, estate planning, and preparing for the patient's death and the loss of someone whose daily survival has been at the center of one's existence. The chapters deal with background information on diagnosis, treatment, and the progression of the disease; the physical and emotional changes and resources involved with the day-to-day caregiving; support networks; nursing homes; finances; death of the patient; grief, mourning, and life after the patient's death; and interviews with children caring for parents withAlzheimer's disease. In addition, Teitel provides a helpful list of frequently asked questions, scheduling and memory aids, and websites where readers can find resources.

The third volume in the series on community health care in Southern Africa covers both theoretical and practical issues of gerontological health care. A wide range of topics are discussed, including the physical and psychological changes that occur during the ageing process, ethical and legal questions affecting the aged, medication, exercise and nutrition, and the need for community-based health services as well as home nursing care facilities. Intended as a textbook for students of community health nursing, it should also serve as a source of reference for health personnel involved in caring for the aged.

Developed Especially For Practicing Nurses Preparing For The Certification Examination Offered By The American Nurses Credentialing Center (ANCC), This Gerontological Review Provides A Succinct, Yet Comprehensive Review Of The Core Material. This Book Has Been Organized To Give The Reviewer Test Taking Strategies And Techniques And Sample Test Questions, Which Are Intended To Serve As An Introduction To The Testing Arena. In Additon, A Biblioraphy Is Included For Those Who Need A More In Depth Discussion Of The Subject Matter In Each Chapter.

Welche Relevanz haben religioese Migrantengemeinden fur die alltagliche Unterstutzung und Pflege von alteren Menschen mit Migrationserfahrung? Professionelle Dienstleistungen der Altenhilfe werden in der genannten Bevoelkerungsgruppe bislang nur unterdurchschnittlich genutzt. Gleichzeitig ist bekannt, dass migrantische Religionsgemeinschaften vielfaltige soziale Dienstleistungen erbringen. Das Buch verbindet Erkenntnisse und Perspektiven aus Gerontologie, Migrations- und Religionssoziologie, Soziologie des Alter(n)s, Sozialer Arbeit und Sozialpolitikforschung sowie aus den theologischen Wissenschaften verschiedener Religionsgemeinschaften. Zahlreiche Gemeinden positionieren sich als Akteure einer offenen Altenarbeit oder stellen Anschlusse zur professionellen Altenpflege her.

This practical resource, a companion volume to "Teaching Gerontology: The Curriculum Imperative," gives educators useful tools for teaching the subject. The book includes innovative classroom and clinical activ ities, guides for independent student field assignments, proven strate gies for effective use of print and video resources, and learning acti vities which develop students' ethical reasoning and sensitivity. An a nnotated list of articles, textbooks, videos, and films for teaching g erontologic nursing concepts is included.

Die Digitalisierung durchzieht als Megatrend auch die Dienstleistungsbranchen Gesundheit und Pflege. Informations- und Kommunikationstechnologien setzen vermehrt Impulse, Gesundheits- und Pflegeleistungen zu unterstutzen: z.B. Televisite - Telekonsultation, Monitoring - KI - Entscheidungsunterstutzungssysteme, Medical Apps, digitale Patientenakte. Haufig wird die Notwendigkeit der technischen Unterstutzung mit dem Fachkraftemangel begrundet. Die Digitalisierung hat zudem das Potenzial, das Versorgungsgeschehen von der Arbeit am Klienten bis hin zu den Verwaltungsstrukturen grundlegend zu verandern. Wie der Einsatz von digital unterlegten Technologien insbesondere im sensiblen Bereich der Altenpflege erfolgreich umgesetzt werden kann und dabei auch stets den Menschen im Blick behalt, erlautern die Autoren dieses essentials anhand von Beispielen aus den Bereichen Augmented Reality, Robotik, Sturzsensorik und Pflegedokumentation. Dabei werden sie von dem Konzept Strategische Mensch-Maschine-Partnerschaft geleitet. Die neuen Anforderungen an die Qualifikation der handelnden Akteure werden ebenso diskutiert wie Fragen technologischer Voraussetzungen.

Eine beginnende Demenz wird oft verdrangt. Die Frage ist immer wieder: Ist das schon dement oder doch nur tudelig? Die Menschen wollen diese Krankheit nicht wahrhaben und doch nimmt sie ihren weiteren Verlauf. Es fehlt dabei oft die Zeit und die Musse sich umfassend uber Hilfsmoeglichkeiten und Erleichterungen zu informieren. Dieses Buch ist ein Leitfaden fur Angehoerige und Betreuende und will Mut machen fur einen wurdevollen Umgang mit den Betroffenen. Es werden Moeglichkeiten aufgezeigt, dieser Krankheit durch eine gezielte und begleitende Unterstutzung im eigenen Zuhause oder einer Pflegeeinrichtung zu begegnen. Unterschiedliche Stationen werden anhand von Fallerzahlungen anschaulich dargestellt und durch aktuelle medizinische und psychologische Informationen erganzt. Praktische Tipps und Hilfsangebote fur Angehoerige und Betreuende runden diesen Leitfaden ab.

Namaste Care is a therapeutic approach to caring for those living with advanced dementia, focused on improving their quality of life through a simple, soothing and rewarding process. This step-by-step guide is for anyone looking to translate the principles of the Namaste Care approach successfully and professionally into a home or care setting, with an emphasis on the value of volunteers in the community in implementing this. The Namaste Care approach is focussed on giving comfort and pleasure to people with advanced dementia through sensory stimulation, especially the use of touch, and this book provides extensive guidance on every stage of the process, including harnessing community interest, recruiting and training volunteers, and managing pain and discomfort. In a time of ever-growing strain on healthcare resources, this practical guide is a timely reminder of the power and value of informal care and compassionate communities in helping to care better for people with dementia, and is essential reading for carers, professionals and family members.

Cultivate confident, wellness-oriented care for older adults across a changing healthcare environment with the latest evidence-based coverage of gerontological nursing. Nursing for Wellness in Older Adults, 9th Edition, fosters students' understanding of both the physiologic and psychosocial aspects of aging, as well as common risk factors that may interfere with optimal health and functioning. Organized around the author's Functional Consequences Theory for Promoting Wellness in Older Adults and extensively updated to reflect current issues in gerontological practice, this trusted text equips students to work proactively with older adults to promote high levels of functioning and quality of life, despite limitations that may accompany aging, disease, and related conditions.

Handbook of Geriatric Care Management, Fourth Edition is a comprehensive and practical guide for care managers that addresses the multiple needs of aging adults and their families. An ideal teaching tool, it guides students and professionals along the journey of becoming a successful care manager. New to this edition are two new chapters on working with older veterans and helping clients with depression. Completely updated and revised, the Fourth Edition provides updated ethics and standards, a focus on credentialing and certification, numerous case studies, sample forms and letters, and tips for building and growing a care manager business.

Martina Bogensberger rekonstruiert die Erfahrungsraume der Mitarbeiter und Mitarbeiterinnen in der mobilen Pflege mit Personen mit Demenz anhand der dokumentarischen Methode nach Ralf Bohnsack. In funf Gruppendiskussionen werden die Handlungspraktiken im Arbeitsalltag des Pflegepersonals dargestellt. Die Haupttypologie "Vom Phantom zur Mutter" zeigt die Interaktionsmuster der Pflegenden. Die Ergebnisse machen deutlich, dass die Arbeit mit Angehoerigen von Personen mit Demenz fur die betreuenden Personen eine UEberforderung darstellt und eine personelle Trennung von Pflegetatigkeiten und Angehoerigenarbeit erforderlich ist. Sowohl fur den Wissenstransfer von Fortbildungsinhalten in die alltagliche Arbeit als auch fur die Fursorge der betreuenden Mitarbeiter und Mitarbeiterinnen sollte eigenes Personal bereitgestellt werden.

Dieses Buch will auf die Situation der Pflegebedurftigen, insbesondere auf die dementen Senilen in den Familien, Heimen und Tagesstatten aufmerksam machen und einen Beitrag leisten zum besseren Verstandnis dieser Menschen. In unserer Gesellschaft werden die Menschen immer alter und die Krankheiten im Alter nehmen zu. In der Pflege und Betreuung werden wir zunehmend vor Probleme gestellt.