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Based on the Pathways to Life Quality longitudinal research study, this book explores the ways in which older adults' residential choices impact their health and well-being. The study examines the factors associated with life quality for persons living on their own in the local community, as well as those in various housing arrangements such as a continuing care retirement facility, adult home, income-subsidized housing, and senior apartments. Topics include plans and adjustment to moving; role identities; social relationships, participation, and integration; health and activity patterns; and coping with life events.
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.
Social isolation and loneliness are serious yet underappreciated public health risks that affect a significant portion of the older adult population. Approximately one-quarter of community-dwelling Americans aged 65 and older are considered to be socially isolated, and a significant proportion of adults in the United States report feeling lonely. People who are 50 years of age or older are more likely to experience many of the risk factors that can cause or exacerbate social isolation or loneliness, such as living alone, the loss of family or friends, chronic illness, and sensory impairments. Over a life course, social isolation and loneliness may be episodic or chronic, depending upon an individual's circumstances and perceptions. A substantial body of evidence demonstrates that social isolation presents a major risk for premature mortality, comparable to other risk factors such as high blood pressure, smoking, or obesity. As older adults are particularly high-volume and high-frequency users of the health care system, there is an opportunity for health care professionals to identify, prevent, and mitigate the adverse health impacts of social isolation and loneliness in older adults. Social Isolation and Loneliness in Older Adults summarizes the evidence base and explores how social isolation and loneliness affect health and quality of life in adults aged 50 and older, particularly among low income, underserved, and vulnerable populations. This report makes recommendations specifically for clinical settings of health care to identify those who suffer the resultant negative health impacts of social isolation and loneliness and target interventions to improve their social conditions. Social Isolation and Loneliness in Older Adults considers clinical tools and methodologies, better education and training for the health care workforce, and dissemination and implementation that will be important for translating research into practice, especially as the evidence base for effective interventions continues to flourish.
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.
Long-term care is an increasingly important issue in many contemporary welfare states around the globe given ageing populations. This ground-breaking book provides detailed case studies of 11 EU-member states’ welfare regimes within Europe to show how welfare states organize, structures and deliver long-term care and whether there is a social investment perspective in the delivery of long-term care. This perspective is important because the effect of demographic transitions is often used as an argument for the existence of economic pressure on welfare states and a need for either direct retrenchment or attempts to reduce welfare state spending. The book’s chapters will look specifically into how different welfare states have focussed on long-term care in recent years and what type of changes have taken place with regard to ageing populations and ambitions to curb increases in public sector spending in this area. They describe the development in long-term care for the elderly after the financial crisis and also discuss the boundaries between state and civil society in the different welfare states' approaches to the delivery of care.
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.
This book was nurtured by the belief that the new dynamics of today's and tomorrow's aging has not yet been treated well in the gerontology literature. Several questions drove the choice of substance for the book: What kind of new dynamics of aging deserves consideration? What kinds of theories and fields are at the core of treating such a new dynamics? And what kind of empirical evidence should be considered? The master hypothesis on which the book is based maintains that the new dynamics of old age is best observed in a range of everyday aging contexts that have been undergoing major change since the second half of the 20th century. In particular, five areas of new and persistent dynamics are treated in depth: the social environment, with a focus on cohort effects in social relations and the consideration of family relations and elders as care redelivers; the home environment, with emphasis on housing and quality of life, relocation and urban aging issues; the outdoor environment, with consideration of out-of-home activity patterns, car-driving behaviour and the leisure world of aging; the technological environment, with treatments of the role of the Internet and the potential of technology for aging outcomes and; and the societal environment with a focus on global aging, the new politics of old age and older persons as market consumers. The book's main purpose is to provide the scholarly gerontology community with a comprehensive and critical discussion of these new trends related to old age. The book will be of interest for the scholarly community of gerontology in a variety of disciplines; sociology, psychology, demography, epidemiology, humanities, social policy and geriatrics; students in gerontology education and in the disciplines named above who have an interest in aging issues (graduate level); professionals in practical and applied fields related to aging such as community and urban planners, health and care providers and policymakers; people involved in senior citizens' organizations and those in industry who wish to serve older people with new products.
Assisted living, the fastest growing residential option, burst upon the American landscape in the late 1980ís. These facilities serve persons who no longer are able to live independently and need help with the activities of daily living, but do not need 24-hour nursing care. James Allen has updated and refined this second edition of Assisted Living Administration to include new information on the Senate Aging Taskforce report of 2003, and the financial shape of the industry. The volume also covers resident care issues, aging theories, as well as new industry data. This volume is intended as a text for professionals-in-training for certification, in addition to being a resource for the seasoned administrator.
Leading scholars, offering international and multidisciplinary viewpoints, examine the meaning of home to elders and the ways in which this meaning may be sustained, threatened, or modified according to changes associated with growing old. Organized into four sections--The Essence of Home, Disruptions of Home, Creating and Recreating Home, and Community Perspectives on the Meaning of Home, this volume explores topics including: What makes a house a home? What role does the meaning of home play in the process of relocation to another place of residence? What is the relationship between a person's home life and cherished possessions such as symbolic jewelry or religious items in late life? How does the community/neighborhood environment influence the way that older people feel about the places in which they live? Contributors include Hans-Werner Wahl, Robert L. Rubinstein, Edmund Sherman, Carolyn Norris-Baker, and Rick Scheidt, among others. As a special feature, this volume concludes with critical commentaries from three eminent scholars, Amos Rapoport, Kim Dovey, and Marie Versperi. This volume will be of interest to practitioners, researchers, upper-level graduates/graduate-level students in gerontology, environmental psychology, social work, and nursing. It will be valuable to everyone in the helping professions who seek a deeper understanding of the ways in which "being at home" and attachment to place plays a key role in the life experience and well-being of their clients as they grow older.
A Journey Called Aging presents an insightful exploration of the years between the entry into older adulthood and death. This text examines the significant changes and major landmarks of older persons between 60 and 90. Grounded by a developmental framework based on empirical research, this book presents a new way of looking at older adulthood, describing the older adult years in intensely human terms through both anecdotes and research-based findings to engage the reader as both guide and traveler. Using a series of sequential stages as a framework, A Journey Called Aging discusses the experiences of older adults addressing the challenges and opportunities presented at each stage. This clear analysis can be used as a guide to help persons plan their own odyssey through the older years. Topics in A Journey Called Aging include: research and results of the study entering older adulthood the long stable stage of Extended Middle Age Early Transition Older Adult Lifestyle Later Transition the stable stage near the end of life the final transition A Journey Called Aging is crucial reading for professionals who work with older adults, including pastors, attorneys, facilities managers, and program directors; gerontology educators and students; and older adults themselves, their families, and those who care for and about them.