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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?
Placing adult day services within the whole spectrum of social provision, the contributors to this book explore their complementary role alongside field social work, health care, domiciliary services and supported accommodation. Professionals in all sectors of social care will find it an essential guide to the provision of an effective day service.
Hanni, a seeing eye dog, describes how she helps her owner, Beth, to maneuver through the day.
Originally published in 1981, this book describes day services for adults, a relatively recent development in health and social services at the time. Most people assume immediately that day care is only provided for young children: Day Services for Adults will make it clear that a growing number of services exist by day for adults, and in a diversity and variety which have enormous potential both for those who use them and for those who work in them. Day Services for Adults reports the results of a five-year national survey. The broad terms of reference of the research were to review the present provision of day centres for adults. To consider the policy questions of staffing and accommodation and to suggest which groups in the community might benefit most from day centres and to advise on how these centres might contribute to the integration and development of local services for those in need. The result was the first comprehensive investigation of day services in the world. Jan Carter analyses services for the elderly, the mentally handicapped, the mentally ill, the physically handicapped, offenders, drug addicts and those in family care centres sponsored by health, social services, probation and voluntary agencies. By a full coverage of all these groups and their sponsors, unique comparisons between services for the various groups can be made. Day Services for Adults was intended for those who made decisions about day units and particularly for local authority policy-makers and executive civil servants in local authority health authorities and central government. It was also addressed to those senior professionals practising inside and outside day services: psychiatrists, geriatricians, those practising rehabilitation medicine, senior nursing officers, psychologists, senior social workers and social work administrators.
This definitive handbook assembles the most recent advances in knowledge about dementia, Alzheimer Disease, and related disorders as they affect persons with intellectual disabilities. Diagnosis, assessment, treatment, and management and care practices are detailed in a practical manner making this a useful tool to both students and trained professionals. After an introduction to the subject, the book begins with persoanl accounts of three affected individuals whose signs of dementia are described from clinical, family member, and care-provider perspectives, respectively. The biology and physiology of dementia, as well as the neurological and medical complications associated with it, are then provided in Parts Two, three, and Four. The application and practical perspectives of this handbook are enhanced in Part Five which details the best practices available to meet the needs and challenges involved in care and quality of life issues. The challenge raised by the rapidly growing number of aging individuals with intellectual disabilities forms the basis for the final part of the volume, an analysis and presentation of rarely addressed policy issues. Extensive resource information and a comprehensive glossary contribute to the useful nature of this handbook. Practitioners, service providers, educators and students will benefit from the accessability and practicality if this text as well as the breadth and depth of knowledge of the editors and contributors.
Praise for the Eighth Edition: “This small volume is not only an excellent learning tool, but also a "must-have" handbook for aging professionals in many fields.” -Noreen A. Shugrue Research Associate, University of Connecticut Center on Aging Farmington, CT Educational Gerontology This classic text—more relevant than ever as our population rapidly ages—delivers comprehensive and up-to-date knowledge about aging services in the U.S. Written for both students and practitioners of gerontology, along with all professionals involved in the well-being of older adults, this highly accessible book provides a current and detailed description and analysis of local to global services for older people with or without cognitive, physical, or social needs. The Ninth Edition is updated to reflect critical changes to legislation, health care, and recent trends. It focuses on the strengths and diversity of older adults and the role our multilayered aging networks play in advocacy, community independence, and engagement. Commentary and critical thinking challenges from policymakers, program directors, and educators facilitate high-level reasoning and independent analysis of aging networks past, present, and future. The ninth edition also offers enhanced resources including a Test Bank, Instructor’s Manual, PowerPoint slides, and links to video. Additionally, the print version of the book includes free, searchable, digital access to the entire contents. New to the Ninth Edition: Fully updated to reflect historical context, recent trends and challenges, and future considerations Addresses the effects of our current political and ideological landscape on aging networks including a Call to Action Examines the current status of Medicare and Medicaid, Meals-on-Wheels, and the impact of the ACA Discusses long-term services and supports, disaster preparedness and climate change, caregiving as a human right, and LBGTQ services and support Presents new case studies providing evidence-based best-practice initiatives and new innovations Delivers enhanced instructor resources including Test Bank, Instructor’s Manual, Power Point slides, and video links Key Features: Focuses on the strengths of older adults and the role our multilayered aging networks play in advocacy, community independence, and engagement Provides commentary and critical thinking challenges from policy-makers, program directors, and educators to facilitate high-level analysis Addresses changing demographics and future challenges Offers “Voices from the Field” boxes and “Critical Thinking” topics and questions to encourage reflection and discussion
Professional reference for Nurses on Home Health Care
Long-term care services include a broad range of services that meet the needs of frail older people and other adults with functional limitations. Long-Term care services provided by paid, regulated providers are a significant component of personal health care spending in the United States. This report presents descriptive results from the first wave of the National Study of Long-Term Care Providers (NSLTCP), which was conducted by the Centers for Disease Control and Preventions National Center for Health Statistics (NCHS). This report provides information on the supply, organizational characteristics, staffing, and services offered by providers of long-term care services; and the demographic, health, and functional composition of users of these services. Service users include residents of nursing homes and residential care communities, patients of home health agencies and hospices, and participants of adult day services centers.