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This book explores the meaning of quality of life in care for older persons and introduces the reader to their main concerns when receiving care. Based on qualitative research, it pays particular attention to the needs and requirements of older people, considering their individual family situations, social circumstances, values and lifestyles. Person-centred care is a way of providing nursing care that puts older people and their families at the core of all decisions, seeing each person as an individual, and working together to develop appropriate solutions. Following an introduction to the concept of quality of life in old age, the book reviews essential findings from worldwide research into the experiences of older people with regard to nursing care and the impact of these experiences on their quality of life. It investigates health promotion, care provided in nursing homes and assisted living facilities, and palliative care. Each chapter includes a brief introduction to the respective field of nursing care and the problems it has to deal with, concluding with a discussion of their implications for nursing practice in the respective field of care. In closing, the evidence from qualitative research is discussed in relation to current gerontological theories.
The WHO World report on ageing and health is not for the book shelf it is a living breathing testament to all older people who have fought for their voice to be heard at all levels of government across disciplines and sectors. - Mr Bjarne Hastrup President International Federation on Ageing and CEO DaneAge This report outlines a framework for action to foster Healthy Ageing built around the new concept of functional ability. This will require a transformation of health systems away from disease based curative models and towards the provision of older-person-centred and integrated care. It will require the development sometimes from nothing of comprehensive systems of long term care. It will require a coordinated response from many other sectors and multiple levels of government. And it will need to draw on better ways of measuring and monitoring the health and functioning of older populations. These actions are likely to be a sound investment in society's future. A future that gives older people the freedom to live lives that previous generations might never have imagined. The World report on ageing and health responds to these challenges by recommending equally profound changes in the way health policies for ageing populations are formulated and services are provided. As the foundation for its recommendations the report looks at what the latest evidence has to say about the ageing process noting that many common perceptions and assumptions about older people are based on outdated stereotypes. The report's recommendations are anchored in the evidence comprehensive and forward-looking yet eminently practical. Throughout examples of experiences from different countries are used to illustrate how specific problems can be addressed through innovation solutions. Topics explored range from strategies to deliver comprehensive and person-centred services to older populations to policies that enable older people to live in comfort and safety to ways to correct the problems and injustices inherent in current systems for long-term care.
As the first of the nation's 78 million baby boomers begin reaching age 65 in 2011, they will face a health care workforce that is too small and woefully unprepared to meet their specific health needs. Retooling for an Aging America calls for bold initiatives starting immediately to train all health care providers in the basics of geriatric care and to prepare family members and other informal caregivers, who currently receive little or no training in how to tend to their aging loved ones. The book also recommends that Medicare, Medicaid, and other health plans pay higher rates to boost recruitment and retention of geriatric specialists and care aides. Educators and health professional groups can use Retooling for an Aging America to institute or increase formal education and training in geriatrics. Consumer groups can use the book to advocate for improving the care for older adults. Health care professional and occupational groups can use it to improve the quality of health care jobs.
Family caregiving affects millions of Americans every day, in all walks of life. At least 17.7 million individuals in the United States are caregivers of an older adult with a health or functional limitation. The nation's family caregivers provide the lion's share of long-term care for our older adult population. They are also central to older adults' access to and receipt of health care and community-based social services. Yet the need to recognize and support caregivers is among the least appreciated challenges facing the aging U.S. population. Families Caring for an Aging America examines the prevalence and nature of family caregiving of older adults and the available evidence on the effectiveness of programs, supports, and other interventions designed to support family caregivers. This report also assesses and recommends policies to address the needs of family caregivers and to minimize the barriers that they encounter in trying to meet the needs of older adults.
In this important and timely collection, some of the best minds in gerontology and bioethics -- including Nancy Dubler, Rick Moody, Andrew Achenbaum, Robert Hudson, and Robert Binstock -- explore the ethical, social, and political challenges of an aging society. A unique combination of disciplines and perspectives -- from economics to nursing, psychology to theology -- this valuable synthesis of theory and practice provides frameworks and analyses for considering the ethical issues of both individual and societal aging. The contributors address the major policy challenges of Social Security, Medicare, and prescription drugs as well as ethical issues ranging from individual autonomy to family responsibility to distributive justice. Specific topics covered include end-of-life decision making, family relations across generations, age-based intergenerational policies, and the reform of Social Security. Contributors:W. Andrew Achenbaum, Ph.D., University of Houston, Houston; Vern L. Bengtson, Ph.D., University of Southern California, Los Angeles; Robert H. Binstock, Ph.D., Case Western Reserve University; Christine E. Bishop, Ph.D., Brandeis University; Thomas R. Cole, Ph.D., University of Texas Medical School at Houston; Peter A. Diamond, Ph.D., Massachusetts Institute of Technology; Nancy Neveloff Dubler, LL.B., Albert Einstein College of Medici Msgr. Charles J. Fahey, Fordham University; Lucy Feild, Ph.D., R.N., Partners Human Research Quality Improvement Program; Martha B. Holstein, Ph.D., DePaul University; Robert B. Hudson, Ph.D., Boston University; Eric R. Kingson, Ph.D., Syracuse University; Ronald J. Manheimer, Ph.D., University of North Carolina at Ashevil Kyriakos S. Markides, Ph.D., University of Texas Medical Branch; Daniel C. Marson, J.D., Ph.D., University of Alabama at Birmingham; H. Rick Moody, Ph.D., AARP Peter R. Orszag, Ph.D., Brookings Institution; Rachel Pruchno, Ph.D., University of Medicine and Dentistry of New Jersey--School of Osteopathic Medici Norella M. Putney, Ph.D., University of Southern California, Los Angeles; Michael Smyer, Ph.D., Boston Colle Bruce Stuart, Ph.D.,University of Maryl Melanie A. Wakeman, Ph.D., California State University, Los Angeles; Steven P. Wallace, Ph.D., University of California at Los Angeles; John B. Williamson, Ph.D., Boston College.
Highlights the profound significance of where older people live and receive care. This book explores many pathways to thriving in old age, ranging from aging in place to moving to housing and care settings specially tailored to match a person's lifestyle and vulnerabilities.--Provided by publisher.
This handbook presents an overview of studies on the relationship of active ageing and quality of life. It addresses the new challenges of ageing from the paradigm of positive ageing (active, healthy and successful) for a better quality of life. It provides theoretical perspectives and empirical studies, including scientific knowledge as well as practical experiences about the good ageing and the quality of later life around the world, in order to respond to the challenges of an aged population. The handbook is structured in 4 sections covering theoretical and conceptual perspectives, social policy issues and research agenda, methods, measurement instrument-scales and evaluations, and lastly application studies including domains and geographical contexts. Chapter 5 is available open access under a Creative Commons Attribution 4.0 International License via link.springer.com./div
This work presents the first serious attempt to impose rigor on the definition and measurement of quality of life among the elderly. The book uses a conference to develop background but goes well beyond the meeting in terms of depth of reviews of the literature and of integration among the chapters. This book is intended for use by researchers in the many disciplines which focus on the mental and physical well-being of the elderly, including those in medicine, nursing, psychiatry, psychology, rehabilitation, sociology and social work, among others. In addition, this book provides important background information for professionals and policy makers interested in ensuring quality of life in the later years.
This open access book provides a comprehensive perspective on the concept of ageism, its origins, the manifestation and consequences of ageism, as well as ways to respond to and research ageism. The book represents a collaborative effort of researchers from over 20 countries and a variety of disciplines, including, psychology, sociology, gerontology, geriatrics, pharmacology, law, geography, design, engineering, policy and media studies. The contributors have collaborated to produce a truly stimulating and educating book on ageism which brings a clear overview of the state of the art in the field. The book serves as a catalyst to generate research, policy and public interest in the field of ageism and to reconstruct the image of old age and will be of interest to researchers and students in gerontology and geriatrics.