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"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
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