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Moving into care is a significant life event for older people and their families and often occurs at a time when other life stresses such as deaths of loved ones and health complications are paramount. This book directly addresses the psychological impact that move can have, and offers tips for making the transition as smooth as possible. Based on material from interviews with a wide sample of people who had recently moved into care and a review of existing literature about the process, the guide follows the whole journey from considering a move into care, making the move and settling in, offering advice on each step of the way. Case stories from people who have just made the transition help make this an approachable and accessible read for those about to move into care and a helpful tool for families and staff who will be assisting them.
Among the issues confronting America is long-term care for frail, older persons and others with chronic conditions and functional limitations that limit their ability to care for themselves. Improving the Quality of Long-Term Care takes a comprehensive look at the quality of care and quality of life in long-term care, including nursing homes, home health agencies, residential care facilities, family members and a variety of others. This book describes the current state of long-term care, identifying problem areas and offering recommendations for federal and state policymakers. Who uses long-term care? How have the characteristics of this population changed over time? What paths do people follow in long term care? The committee provides the latest information on these and other key questions. This book explores strengths and limitations of available data and research literature especially for settings other than nursing homes, on methods to measure, oversee, and improve the quality of long-term care. The committee makes recommendations on setting and enforcing standards of care, strengthening the caregiving workforce, reimbursement issues, and expanding the knowledge base to guide organizational and individual caregivers in improving the quality of care.
“Enchanting . . . Diana Athill, 98, still has a few things to teach us about growing old with dignity and humor and grace . . . Astute and sparkling.”—Associated Press Several years ago, Diana Athill accepted that she could no longer live entirely independently, and moved to a retirement home in Highgate. Released from the daily anxieties of caring for her own property and free to settle into her remaining years, she reflects on what it feels like to be very old, and on the moments in her long life that have risen to the surface and which sustain her in these last years. What really matters in the end? Which memories stand out? As she approaches her 100th year, Athill recalls in sparkling, precise detail the exact layout of the garden of her childhood, a vast and beautiful park attached to a large house; relates with humor, clarity and honesty her experiences of the First and Second World Wars and her trips to Europe as a young woman; and in the remarkable title chapter, describes her pregnancy at the age of forty-three, losing the baby and almost losing her life—and her gratitude and joy on discovering that she had survived. Alive, Alive Oh! is “so beautifully written and exquisitely detailed . . . [Athill] mines her memories of a life well-lived and generously lays them out on the page for the rest of the world to enjoy” (Star Tribune). “Witty, candid . . . If you haven’t read Athill, and open her latest book expecting serene reflections from a nonagenarian sipping tea in her garden, you’re in for a surprise.”—San Francisco Chronicle
This 11-hour free course explored the role of social workers and care staff in supporting individuals who move into residential care.
An esteemed memoirist and one of the great editors in British publishing examines aging with the grace of Elegy for Iris and the wry irreverence of I Feel Bad About My Neck.
Working Daughter provides a roadmap for women trying to navigate caring for aging parents and their careers. Using the author’s own experiences as a prime example, it’s ideal for readers who want straight talk and real advice about the challenges and rewards of eldercare while managing a career and family.
Nursing homes are where some of the most vulnerable live and work. In too many homes, the conditions of work make it difficult to make care as good as it can be. For the last eight years an international team from Germany, Sweden, Norway, the UK, the US and Canada have been searching for promising practices that treat residents, families and staff with dignity and respect in ways that can also bring joy. While we did find ideas worth sharing, we also saw a disturbing trend toward privatization. Privatization is the process of moving away not only from public delivery and public payment for health services but also from a commitment to shared responsibility, democratic decision-making, and the idea that the public sector operates according to a logic of service to all. This book documents moves toward privatization in the six countries and their consequences for families, staff, residents, and, eventually, us all. None of the countries has escaped pressure from powerful forces in and outside government pushing for privatization in all its forms. However, the wide variations in the extent and nature of privatization indicate privatization is not inevitable and our research shows there are alternatives.
In our society, the overwhelming majority of people die in later life. They typically die slowly of chronic diseases, with multiple co-existing problems over long periods of time. They spend the majority of their final years at home, but many will die in hospitals or care homes. This book explores the possibilities for improving the care of older people dying in residential care and nursing homes. It argues that there are aspects of palliative care that, given the right circumstances, are transferable to dying people in settings that are not domestic or hospice based. End of Life in Care Homes describes what happens in nursing and residential care homes when a resident is dying, how carers cope, and the practical, health and emotional challenges that carers face on top of their day-to-day work. Based on detailed research from both the UK and US, the book shows how the situation can be improved.
The care home sector is large, with over 400 000 residents in the UK and a similar number employed within the homes. Care home residents are often very old, and many have multiple physical and mental health needs, meaning that their care poses particular challenges. This book offers a coherent and evidence-based text exploring these issues.