Long-Term Care in an Aging Society

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Long-Term Care in an Aging Society

SKU# 9780826194565

Theory and Practice

Author: Graham D. Rowles , Pamela B. Teaster

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Description 

"The authors' knowledge of long-term care is obvious and they provide professional perspectives of the challenges and choices long-term care stakeholders face... Score: 92 - 4 Stars!"

--Nicky Martin, BS, LNHA, MU Sinclair School of Nursing, Doody's Reviews

This is a comprehensive graduate textbook focusing on the full spectrum of long-term care settings ranging from family and community-based care through supportive housing options to a variety of institutional long-term care alternatives. Integrating theory and practice, the book features the perspectives of diverse fields regarding current long-term care options and new directions for the future. Prominent scholars from history, environmental design, family caregiving, social service delivery, clinical care, health service delivery, public policy, finance, law, and ethics explore such themes as:

  • Relationships among independence, dependence, and interdependence
  • Ethical considerations woven into the provision of long-term care
  • Decision making in long-term care
  • Fluidity in long-term care
  • The lived experience of long-term care
  • A micro--macro perspective ranging from the individual to societal institutions

The book examines future directions for long-term care, considering such factors as the interface of technology and long-term care, cultural diversity, and relationships between voluntary and paid services. Each chapter includes case examples, study questions, exercises, additional resources, and website links. An extensive glossary of terms is also provided, and instructors' resources are available.

KEY FEATURES:

  • Focuses on the full array of long-term care options
  • Integrates theory and practice
  • Incorporates the perspectives of diverse fields including history, environmental design, family caregiving, social services, public policy, and more
  • Includes numerous case examples, study questions, exercises, and additional resources
  • Considers new approaches to long-term care, incorporating technology and considering cultural diversity and voluntary versus paid services

Product Details 

  • Publication Date August 13, 2015
  • Page Count 512
  • Product Form Paperback / softback
  • ISBN 13 9780826194565
  • EISBN 9780826194572

Table of Contents 

Graham D. Rowles, PhD, is founding director of the Graduate Center for Gerontology and chair of the Department of Gerontology, University of Kentucky. He is a Professor of Gerontology with joint appointments in Nursing, Behavioral Science, Geography, and Health Behavior. An environmental gerontologist, his research focuses on the lived experience of aging. A central theme of this work is exploration, employing qualitative methodologies of the changing relationship between older adults and their environments with advancing age, and the implications of this relationship for health, well-being, and environmental design. He has conducted in-depth ethnographic research with elderly populations in urban (inner city), rural (Appalachian), and nursing facility environments. Recent research includes leadership of the Kentucky Elder Readiness Initiative (KERI), a statewide project to explore the implications for communities of the aging of the baby boom cohort. His publications include Prisoners of Space? and six coedited volumes, in addition to 80 book chapters and articles. He is a Fellow of the Gerontological Society of America and the Association for Gerontology in Higher Education and currently serves on the editorial boards of the Journal of Applied Gerontology and Journal of Housing for the Elderly. Dr. Rowles is past national president of Sigma Phi Omega, past president of the Southern Gerontological Society, past president of the Association for Gerontology in Higher Education, and is currently chair of the Commonwealth of Kentucky Institute on Aging.

Pamela B. Teaster, PhD, is the associate director for research at the Center for Gerontology and a professor in the Department of Human Development at Virginia Polytechnic Institute and State University. She established the Kentucky Justice Center for Elders and Vulnerable Adults and the Kentucky Guardianship Association and was its first president. She is the secretary general of the International Network for the Prevention of Elder Abuse. She served as director and chairperson of the Graduate Center for Gerontology/Department of Gerontology as well as the director of doctoral studies and associate dean for research for College of Public Health at the University of Kentucky. She serves on the editorial board of the Journal of Elder Abuse and Neglect and Frontiers. Dr. Teaster is a Fellow of the Gerontological Society of America and the Association for Gerontology in Higher Education, a recipient of the Rosalie Wolf Award for Research on Elder Abuse, the Outstanding Affiliate Member Award (Kentucky Guardianship Association), and the Distinguished Educator Award (Kentucky Association for Gerontology). She has served as both board member and president of the National Committee for the Prevention of Elder Abuse. She has received funding from The Retirement Research Foundation, Administration on Aging, National Institute on Aging, Kentucky Cabinet for Families and Children, National Institute of Justice, Centers for Disease Control, National Institute of Occupational Safety and Health, Health Resources and Services Administration, and the Office of Victims of Crime. Her areas of scholarship include the mistreatment of elders and vulnerable adults, public and private guardianship, end-of-life issues and decision making, ethical treatment of vulnerable adults, human rights issues for vulnerable adults, public policy and public affairs, public health ethics, and quality of life. She is the coauthor of two books and over 100 peer-reviewed articles, reports, and book chapters.

Contents

Contributors

Preface

Acknowledgments

I THE CONTEXT OF LONG-TERM CARE

1. The Long-Term Care Continuum in an Aging Society

Graham D. Rowles and Pamela B. Teaster

Chapter Overview

Learning Objectives

Key Terms

Introduction

The Demographic Context of Contemporary Long-Term Care

Long-Term Care Populations

Informal Care: Families, Friends, and Acquaintances

Formal Care: The Rise of Service Systems, the Aging Network, and Corporate Care

Relocation and the Emergence of Residential Alternatives

Revisiting the Long-Term Care Continuum

The Social Context of Contemporary Long-Term Care

Widening Horizons

Challenges of Long-Term Care

Discussion Questions

References

2. History of Long-Term Care

Carole Haber

Chapter Overview

Learning Objectives

Key Terms

Introduction

Colonial and Early 19th-Century Practices

Religious Reform and Long-Term Care

Old-Age Homes

The Myth of Almshouse Residency

The Attack on the Almshouse

Pensions, Social Security, and Long-Term Care

Expansion of the Nursing Home Industry

Discussion Questions

Additional Resources

References

II COMMUNITY-BASED LONG-TERM CARE

3. The Role of Family in Community-Based Long-Term Care

Carol J. Whitlatch and Linda S. Noelker

Chapter Overview

Learning Objectives

Key Terms

Introduction

The Experience of Giving and Receiving Care

Impact of Caregiving

Interventions for Family Caregivers

Public Policies Pertaining to Family Caregivers

Summary

Food for Thought

Discussion Questions

Additional Resources

References

4. Family Involvement in Residential Long-Term Care

Melanie N. G. Jackson and Joseph E. Gaugler

Chapter Overview

Learning Objectives

Key Terms

Introduction

The Caregiving Career and Residential Care Placement

Types of Long-Term Care Facilities

Family Involvement in Long-Term Care

Family Outcomes

Promoting Family Involvement

Conclusions

Summary

Discussion Questions

Additional Resources

References

5. Home Health Care

Susan L. Hughes and Pankaja Desai

Chapter Overview

Learning Objectives

Key Terms

Introduction

National Profile

Medicare-Certified Home Health Agencies

Private or Non-Medicare Home Care Agencies

High-Tech Home Care

Technological Advances in the Care of Home Care Patients

Integrating Mechanisms

Administrative Challenges

Summary

Discussion Questions

Additional Resources

References

6. Rehabilitation

Debra J. Sheets

Chapter Overview

Learning Objectives

Key Terms

Introduction

Development of the Field of Rehabilitation

Disability Rights and the Olmstead Decision

Conceptual Models for Disability

Geriatric Rehabilitation

Rehabilitation Settings

Rehabilitation Interventions

Modalities

Medicare Reimbursement for Rehabilitation

Representation, Licensure, and Accreditation

Integrating Mechanisms

Summary

Discussion Questions

Additional Resources

References

7. Adult Day Services

Holly Dabelko-Schoeny, Keith A. Anderson, and Jee Hoon Park

Chapter Overview

Learning Objectives

Key Terms

Introduction

Background

Participant Profile

ADS Center Profile

Services Offered in ADS

Funding ADS

Impact of ADS

Future of ADS

Summary

Discussion Questions

Additional Resources

References

IIITRANSITIONAL LONG-TERM CARE

8. Environmental Design and Assistive Technologies

Julie A. Brown, Graham D. Rowles, and Amber S. Mcilwain

Chapter Overview

Learning Objectives

Key Terms

Introduction

Theoretical Perspective

Historical Context

The Role of Community Environments in Facilitating Long-Term Care

The Expanding Role of Assistive Technologies

Challenges and Concerns

Summary

Discussion Questions

Additional Resources

References

9. Housing’s Role in the Long-Term Care Continuum

Caroline Cicero and Jon Pynoos

Chapter Overview

Learning Objectives

Key Terms

Introduction

The Need for Long-Term Care in the Home

Aging in Place

Attachment to Place

Laws That Facilitate Community-Based Long-Term Care and Support Aging in Place

Home Modifications That Allow for Aging in Place and Long-Term Care in the Home

Aging in Place is Not for Everyone

Programs and Services That Create Supportive Housing

Public Programs That Link Services to Housing

Tapping Into the American Dream

Summary

Discussion Questions

Additional Resources

References

10.Assisted Living

Stephen M. Golant and Joan Hyde

Chapter Overview

Learning Objectives

Key Terms

Introduction

Defining Assisted Living

A Brief History of Assisted Living

Typology of Assisted Living Models

Assisted Living: Different From Other Housing Care Options

Often Compared With Nursing Homes

Occupancy Costs

Who Occupies Assisted Living Residences?

The Regulatory Environment of Assisted Living

Balancing Quality of Life With Quality-of-Care Goals

Advantages and Disadvantages of a Social Model of Care

Board and Care/Adult Foster Care

Medicaid: Making Private-Pay Assisted Living Affordable

The Future Prospects of Assisted Living

Summary

Discussion Questions

Additional Resources

References

IVFACILITY-BASED LONG-TERM CARE

11.Nursing Facilities

Jessica Dornin, Jamie Ferguson-Rome, and Nicholas G. Castle

Chapter Overview

Learning Objectives

Key Terms

Introduction

Nursing Homes Today

Challenges and Opportunities for Nursing Facilities

Summary

Discussion Questions

Additional Resources

References

12.Hospice and Providing Palliative Care

Amy M. Westcott, Susan Lysaght Hurley, and Karen B. Hirschman

Chapter Overview

Learning Objectives

Key Terms

Introduction

Palliative Care

Ethical Considerations

Conclusions

Summary

Discussion Questions

Additional Resources

References

VCONTEMPORARY ISSUES IN LONG-TERM CARE

13.Long-Term Care Populations: Persons With Mental Illness

Faika Zanjani and Amy F. Hosier

Chapter Overview

Learning Objectives

Key Terms

Introduction

Special Considerations in Long-Term Care

Mental Illness Considerations for Informal Care and Basic Community-Based Long-Term Care: Living at Home

Mental Illness Considerations for Transitional Long-Term Care: Assisted Living Facilities

Mental Illness Considerations for Formal Skilled Nursing Care

Health Outcome Considerations for Formal Long-Term Care

Strategies to Consider for Formal Long-Term Care

Future Directions in Long-Term Care Research

Considerations for Mental Health Management in Long-Term Care

Summary

Discussion Questions

Additional Resources

References

14.Ethics, Aging, and Long-Term Care: Questioning What “Everyone Knows”

Martha B. Holstein

Chapter Overview

Learning Objectives

Key Terms

Introduction

Long-Term Care as a Specific Context

Summary

Discussion Questions

Additional Resources

References

15.Long-Term Care and the Law

Marshall B. Kapp

Chapter Overview

Learning Objectives

Key Terms

Introduction

Definitions

Sources and Functions of Legal Authority

Specific Forms of Legal Regulation

Legal Implications of Consumer-Driven Home-and Community-Based Long-Term Care

Behavioral Manifestations of the Regulatory Environment

Summary

Discussion Questions

Additional Resources

References

16.Financing Long-Term Services and Supports in an Aging Society

Robert A. Applebaum and Emily J. Robbins

Chapter Overview

Learning Objectives

Key Terms

Introduction

Cost of Long-Term Care Services

Paying for Long-Term Care

Financing Issues and Challenges for an Aging Society

Summary

Discussion Questions

Additional Resources

References

17.Understanding Long-Term Care Policy

Richard H. Fortinsky and Noreen A. Shugrue

Chapter Overview

Learning Objectives

Key Terms

Introduction

Populations Needing Long-Term Care

Types of Long-Term Care Policies

Levels of Long-Term Care Policy Development

Who Influences Public Policy Development?

Emerging Trends in Long-Term Care Policy

Summary

Discussion Questions

Additional Resources

References

Epilogue

Pamela B. Teaster and Graham D. Rowles

Glossary

Index