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Intended for long-term care providers, consumers, and gerontology students, this valuable new guidebook and manual encourages the promotion and enhancement of adult day care as an essential link in long-term care. Since the early 1970s, the number of adult day care centers in the United States has grown from 20 to more than 620. This rapid increase in adult day care programs indicates that it is an important health care and social resource that has begun to fill a necessary gap in the long-term care system. To further meet the increasing needs, this new book provides information regarding the history, definition, and concept of adult day care; models of care; scope of activities; state and national policy; and samples of forms and reports needed for daily operations.
As older adults and their families opt out of nursing homes, a range of home and community-based services (HCBS) have risen up to provide care. HCBS span platforms and approaches, from home health care to assisted living to community-based hospice to adult day services. These models are, for most, preferable to nursing homes and allow older adults to “age in place”—live longer in their own homes and communities. Home- and Community-Based Services for Older Adults examines the existing and emerging models of HCBS, including the history, theory, research, policy, and practices across care settings. Emphasizing the multidisciplinary and interprofessional practice approaches used to deliver care, this book is an essential learning tool for students interested in medicine, nursing, social work, allied health professions, case management, health care administration, and gerontology. As the population of older adults grows, the authors ask, how can we best meet the needs of older adults and their families in the most effective, cost-conscious way while honoring their care choices?
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.
Winner of the 2007 Polsky Prize given by the ASID Foundation As the U.S. population ages, adult day services have become an integral component in the continuum of care for elderly people. Providing a variety of social and medical services for cognitively or physically impaired elderly people who otherwise might reside in institutions, these facilities can be found in a variety of building types, from purpose-built facilities to the proverbial church basement. They also vary widely in their philosophies, case mix, funding mechanisms, and services. In this interdisciplinary study, Keith Diaz Moore, Lyn Dally Geboy, and Gerald D. Weisman offer guidance for planning and designing good-quality adult day services centers. They encourage architects, caregivers, and staff members to think beyond the building, organizational mission, and staffing structure to conceive of the place that emerges as an interrelated system of people, programming, and physical setting. Through case studies, thoughtful explanations, and well-crafted illustrations, Designing a Better Day provides caregivers, architects, and administrators tools with which they can make qualitative changes for participants and their families. Organized into three parts—creating awareness, increasing understanding, and taking action—this book will be a key resource for professionals involved in creating and maintaining effective adult day services centers.
Provides practical advice on paying for health care services, finding long-term care and paying for long-term care.
**Selected for Doody's Core Titles® 2024 in Physical Therapy** Offering a comprehensive look at physical therapy science and practice, Guccione's Geriatric Physical Therapy, 4th Edition is a perfect resource for both students and practitioners alike. Year after year, this text is recommended as the primary preparatory resource for the Geriatric Physical Therapy Specialization exam. And this new fourth edition only gets better. Content is thoroughly revised to keep you up to date on the latest geriatric physical therapy protocols and conditions. Five new chapters are added to this edition to help you learn how to better manage common orthopedic, cardiopulmonary, and neurologic conditions; become familiar with functional outcomes and assessments; and better understand the psychosocial aspects of aging. In all, you can rely on Guccione's Geriatric Physical Therapy to help you effectively care for today's aging patient population. - Comprehensive coverage of geriatric physical therapy prepares students and clinicians to provide thoughtful, evidence-based care for aging patients. - Combination of foundational knowledge and clinically relevant information provides a meaningful background in how to effectively manage geriatric disorders - Updated information reflects the most recent and relevant information on the Geriatric Clinical Specialty Exam. - Standard APTA terminology prepares students for terms they will hear in practice. - Expert authorship ensures all information is authoritative, current, and clinically accurate. - NEW! Thoroughly revised and updated content across all chapters keeps students up to date with the latest geriatric physical therapy protocols and conditions. - NEW! References located at the end of each chapter point students toward credible external sources for further information. - NEW! Treatment chapters guide students in managing common conditions in orthopedics, cardiopulmonary, and neurology. - NEW! Chapter on functional outcomes and assessment lists relevant scores for the most frequently used tests. - NEW! Chapter on psychosocial aspects of aging provides a well-rounded view of the social and mental conditions commonly affecting geriatric patients. - NEW! Chapter on frailty covers a wide variety of interventions to optimize treatment. - NEW! Enhanced eBook version is included with print purchase, allowing students to access all of the text, figures, and references from the book on a variety of devices.
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.
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.
"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/