Jill Quadagno
- Published in print:
- 2006
- Published Online:
- May 2012
- ISBN:
- 9780195160390
- eISBN:
- 9780199944026
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195160390.003.0008
- Subject:
- Sociology, Race and Ethnicity
This chapter demonstrates how the coalition of insurance companies, managed-care firms, and small businesses destroyed a proposal for home care for disabled people in the 1980s, and notes that the ...
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This chapter demonstrates how the coalition of insurance companies, managed-care firms, and small businesses destroyed a proposal for home care for disabled people in the 1980s, and notes that the same coalition also attacked President Clinton's plan for universal health care in the 1990s. It begins by discussing long-term care for the weak elderly, then looks at another revival of the national health insurance and introduces the Consolidated Omnibus Reconciliation Act of 1985, which tried to fill the gaps within the private health insurance system. The chapter then studies health policy making after the Health Security failed.Less
This chapter demonstrates how the coalition of insurance companies, managed-care firms, and small businesses destroyed a proposal for home care for disabled people in the 1980s, and notes that the same coalition also attacked President Clinton's plan for universal health care in the 1990s. It begins by discussing long-term care for the weak elderly, then looks at another revival of the national health insurance and introduces the Consolidated Omnibus Reconciliation Act of 1985, which tried to fill the gaps within the private health insurance system. The chapter then studies health policy making after the Health Security failed.
MARK E. COURTNEY and DARCY HUGHES-HEURING
- Published in print:
- 2009
- Published Online:
- May 2009
- ISBN:
- 9780195309188
- eISBN:
- 9780199863907
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195309188.003.0011
- Subject:
- Social Work, Children and Families
This chapter examines the history of U.S. residential care in an attempt to understand the factors that have influenced its development. It describes recent trends in and the current state of ...
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This chapter examines the history of U.S. residential care in an attempt to understand the factors that have influenced its development. It describes recent trends in and the current state of residential care, and speculates about its future. The chapter focuses on the use of residential care for children removed from their families due to abuse or neglect.Less
This chapter examines the history of U.S. residential care in an attempt to understand the factors that have influenced its development. It describes recent trends in and the current state of residential care, and speculates about its future. The chapter focuses on the use of residential care for children removed from their families due to abuse or neglect.
David Field and Katherine Froggatt
- Published in print:
- 2003
- Published Online:
- November 2011
- ISBN:
- 9780198510710
- eISBN:
- 9780191730276
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780198510710.003.0011
- Subject:
- Palliative Care, Palliative Medicine and Older People, Patient Care and End-of-Life Decision Making
This chapter aims to identify and discuss the main issues concerned with providing palliative care to older people living in nursing and residential care homes in Great Britain. It reviews the social ...
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This chapter aims to identify and discuss the main issues concerned with providing palliative care to older people living in nursing and residential care homes in Great Britain. It reviews the social and policy context that has made the care of people dying in care homes an important issue and compares the situation in nursing and residential care homes. The findings reveal that the nature of care practices within care homes is largely determined by the particular location of these institutions within the health and social care systems and care homes are positioned on the boundaries of a number of domains. This chapter suggests that palliative care within care homes must be generic in nature and that it can only be delivered effectively by ‘generalists’ who are supported in their care by specialists.Less
This chapter aims to identify and discuss the main issues concerned with providing palliative care to older people living in nursing and residential care homes in Great Britain. It reviews the social and policy context that has made the care of people dying in care homes an important issue and compares the situation in nursing and residential care homes. The findings reveal that the nature of care practices within care homes is largely determined by the particular location of these institutions within the health and social care systems and care homes are positioned on the boundaries of a number of domains. This chapter suggests that palliative care within care homes must be generic in nature and that it can only be delivered effectively by ‘generalists’ who are supported in their care by specialists.
Jonathan Herring
- Published in print:
- 2009
- Published Online:
- May 2009
- ISBN:
- 9780199229024
- eISBN:
- 9780191705274
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199229024.003.0005
- Subject:
- Law, Family Law
This chapter considers the different definitions of elder abuse and provides estimates of its extent. It examines the current legal approach to the issue: through the private law remedies; the ...
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This chapter considers the different definitions of elder abuse and provides estimates of its extent. It examines the current legal approach to the issue: through the private law remedies; the response of the criminal law; and the inspection regime for care homes. It emphasises the lack of a scheme of public law protection of the kind that is available in respect of children who are suffering abuse. The chapter looks at the causes of elder abuse in institutional and private settings. It also considers the difficult issues that can arise where the older person does not want protective legal intervention.Less
This chapter considers the different definitions of elder abuse and provides estimates of its extent. It examines the current legal approach to the issue: through the private law remedies; the response of the criminal law; and the inspection regime for care homes. It emphasises the lack of a scheme of public law protection of the kind that is available in respect of children who are suffering abuse. The chapter looks at the causes of elder abuse in institutional and private settings. It also considers the difficult issues that can arise where the older person does not want protective legal intervention.
Eileen Boris and Jennifer Klein
- Published in print:
- 2012
- Published Online:
- May 2012
- ISBN:
- 9780195329117
- eISBN:
- 9780199949496
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195329117.003.0006
- Subject:
- Political Science, American Politics
This chapter looks at the ways that community organizing and political unionism together improved the lives of home care workers and won rights admit a renewed assault on the welfare state. President ...
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This chapter looks at the ways that community organizing and political unionism together improved the lives of home care workers and won rights admit a renewed assault on the welfare state. President Reagan shifted the fiscal, ideological, and political ground away from national programs and state funding, cutting benefits and assaulting public employees. Oregon took advantage of his Medicaid waivers to enhance home and community care because a mobilized senior movement had paved the way for a decade. Elsewhere, labor organizers engaged in trench warfare. Beginning as part of the United Labor Unions of the Association for Community Organizations for Reform Now (ACORN), SEIU Local 880 in Chicago developed successful models to win real gains from private agencies as well as government. What began as a militant community organizing movement generated adaptive strategies for union growth in an increasingly hostile anti-labor, neoliberal climate. The effectiveness of a metro-level alliance between unions and contractor agencies, however, was most realized in New York City where the National Union of Hospital and Health Care Employees Local 1199 spearheaded a pattern setting agreement in 1988. The rights of poor women as both clients of and workers for the welfare state defined these union struggles.Less
This chapter looks at the ways that community organizing and political unionism together improved the lives of home care workers and won rights admit a renewed assault on the welfare state. President Reagan shifted the fiscal, ideological, and political ground away from national programs and state funding, cutting benefits and assaulting public employees. Oregon took advantage of his Medicaid waivers to enhance home and community care because a mobilized senior movement had paved the way for a decade. Elsewhere, labor organizers engaged in trench warfare. Beginning as part of the United Labor Unions of the Association for Community Organizations for Reform Now (ACORN), SEIU Local 880 in Chicago developed successful models to win real gains from private agencies as well as government. What began as a militant community organizing movement generated adaptive strategies for union growth in an increasingly hostile anti-labor, neoliberal climate. The effectiveness of a metro-level alliance between unions and contractor agencies, however, was most realized in New York City where the National Union of Hospital and Health Care Employees Local 1199 spearheaded a pattern setting agreement in 1988. The rights of poor women as both clients of and workers for the welfare state defined these union struggles.
FRANK AINSWORTH and PATRICIA HANSEN
- Published in print:
- 2009
- Published Online:
- May 2009
- ISBN:
- 9780195309188
- eISBN:
- 9780199863907
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195309188.003.0009
- Subject:
- Social Work, Children and Families
This chapter discusses residential care for children and young people in Australia. It provides the statistical data on the status and usage, within the child welfare system, of residential programs ...
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This chapter discusses residential care for children and young people in Australia. It provides the statistical data on the status and usage, within the child welfare system, of residential programs for children and young people in Australia. In doing so, it highlights the extent to which Australia, unlike other Western-type economies, has significantly reduced the usage, not necessarily successfully, of these types of programs.Less
This chapter discusses residential care for children and young people in Australia. It provides the statistical data on the status and usage, within the child welfare system, of residential programs for children and young people in Australia. In doing so, it highlights the extent to which Australia, unlike other Western-type economies, has significantly reduced the usage, not necessarily successfully, of these types of programs.
Sheila Peace
- Published in print:
- 2003
- Published Online:
- November 2011
- ISBN:
- 9780198510710
- eISBN:
- 9780191730276
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780198510710.003.0002
- Subject:
- Palliative Care, Palliative Medicine and Older People, Patient Care and End-of-Life Decision Making
This chapter traces the development of nursing home and residential care in Great Britain. It discusses the development of care homes during the past twenty-five years and describes the nature of the ...
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This chapter traces the development of nursing home and residential care in Great Britain. It discusses the development of care homes during the past twenty-five years and describes the nature of the people and the places that make up these long-term care services for older people. It reflects on how the culture of care has evolved within these settings and how issues regarding dying and death have only relatively recently been recognized as key aspects of the purpose of long-term care.Less
This chapter traces the development of nursing home and residential care in Great Britain. It discusses the development of care homes during the past twenty-five years and describes the nature of the people and the places that make up these long-term care services for older people. It reflects on how the culture of care has evolved within these settings and how issues regarding dying and death have only relatively recently been recognized as key aspects of the purpose of long-term care.
EVA KAHANA, BOAZ KAHANA, and HEIDI T. CHIRAYATH
- Published in print:
- 1999
- Published Online:
- January 2009
- ISBN:
- 9780195111552
- eISBN:
- 9780199865734
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195111552.003.0011
- Subject:
- Social Work, Health and Mental Health
This chapter focuses on nursing home care for the elderly. It begins with an overview of the goals, approaches, and types of interventions that characterize special programs in nursing home settings. ...
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This chapter focuses on nursing home care for the elderly. It begins with an overview of the goals, approaches, and types of interventions that characterize special programs in nursing home settings. It then reviews recent programs and practice innovations, focusing on initiatives aimed at improving overall quality of resident life. A conceptual framework for patient-responsive care in nursing homes is developed to guide future initiatives as well as identify neglected areas that require intervention.Less
This chapter focuses on nursing home care for the elderly. It begins with an overview of the goals, approaches, and types of interventions that characterize special programs in nursing home settings. It then reviews recent programs and practice innovations, focusing on initiatives aimed at improving overall quality of resident life. A conceptual framework for patient-responsive care in nursing homes is developed to guide future initiatives as well as identify neglected areas that require intervention.
Caroline Nicholson and Jo Hockley
- Published in print:
- 2011
- Published Online:
- January 2012
- ISBN:
- 9780199599295
- eISBN:
- 9780191731532
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199599295.003.0031
- Subject:
- Palliative Care, Patient Care and End-of-Life Decision Making
This chapter first considers the challenges of end of life care in late old age. It then introduces the concept of ‘frailty’ in older people and the importance of acknowledging dying in old age as a ...
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This chapter first considers the challenges of end of life care in late old age. It then introduces the concept of ‘frailty’ in older people and the importance of acknowledging dying in old age as a more natural event than dying from cancer or other diseases earlier in the life course. It explores the concept of ‘natural dying’ in the Fourth Age as both an opportunity and a challenge: an opportunity to maximize and learn from the capacity of those living and dying in late old age; a challenge to the current professionalization of death and dying within the developed world, where the focus is on medicalized and ‘abnormal’ death in the very frail older people. Finally, the chapter looks at care homes as a place where older people live and die. It sets out the important role care homes now have in framing end of life care, the demands that beset them, and the aspiration that care homes could be significant in challenging society's taboo of death.Less
This chapter first considers the challenges of end of life care in late old age. It then introduces the concept of ‘frailty’ in older people and the importance of acknowledging dying in old age as a more natural event than dying from cancer or other diseases earlier in the life course. It explores the concept of ‘natural dying’ in the Fourth Age as both an opportunity and a challenge: an opportunity to maximize and learn from the capacity of those living and dying in late old age; a challenge to the current professionalization of death and dying within the developed world, where the focus is on medicalized and ‘abnormal’ death in the very frail older people. Finally, the chapter looks at care homes as a place where older people live and die. It sets out the important role care homes now have in framing end of life care, the demands that beset them, and the aspiration that care homes could be significant in challenging society's taboo of death.
A. E. Benjamin and Edna Naito-Chan
- Published in print:
- 2006
- Published Online:
- April 2010
- ISBN:
- 9780195173727
- eISBN:
- 9780199893218
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195173727.003.0035
- Subject:
- Social Work, Health and Mental Health
This chapter provides an overview of social work practice in home care, including a historical perspective on this practice arena, social work's current role and functions, and government policies ...
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This chapter provides an overview of social work practice in home care, including a historical perspective on this practice arena, social work's current role and functions, and government policies and funding mechanisms for home care that have both shaped and constrained social work practice. It concludes with a brief discussion of some challenges involved in enhancing the visibility and role of social workers in home care, and suggests some possible solutions.Less
This chapter provides an overview of social work practice in home care, including a historical perspective on this practice arena, social work's current role and functions, and government policies and funding mechanisms for home care that have both shaped and constrained social work practice. It concludes with a brief discussion of some challenges involved in enhancing the visibility and role of social workers in home care, and suggests some possible solutions.
Deborah Holman, Nikki Sawkins, and Jo Hockley
- Published in print:
- 2010
- Published Online:
- November 2011
- ISBN:
- 9780199561636
- eISBN:
- 9780191730542
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199561636.003.0012
- Subject:
- Palliative Care, Patient Care and End-of-Life Decision Making, Pain Management and Palliative Pharmacology
This chapter describes the care home setting, aspects that have an impact on use of Advanced Care Planning (ACP) in care homes, examples of issues, use of ACP in the GSF Care Homes Training ...
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This chapter describes the care home setting, aspects that have an impact on use of Advanced Care Planning (ACP) in care homes, examples of issues, use of ACP in the GSF Care Homes Training Programme, ACP with dementia patients, and changing the care home culture. ACP discussions are especially important for residents in care homes in order to clarify and implement wishes and preferences for end of life care. Care homes lead the way in their extensive use of ACP discussions. ACP is more routinely used by care home staff than is often recognized, and can be easier to introduce in care homes than in other settings. Key challenges for residents include poor means of communication due to dementia/cognitive impairment or physical deterioration.Less
This chapter describes the care home setting, aspects that have an impact on use of Advanced Care Planning (ACP) in care homes, examples of issues, use of ACP in the GSF Care Homes Training Programme, ACP with dementia patients, and changing the care home culture. ACP discussions are especially important for residents in care homes in order to clarify and implement wishes and preferences for end of life care. Care homes lead the way in their extensive use of ACP discussions. ACP is more routinely used by care home staff than is often recognized, and can be easier to introduce in care homes than in other settings. Key challenges for residents include poor means of communication due to dementia/cognitive impairment or physical deterioration.
Neil Gilbert
- Published in print:
- 2008
- Published Online:
- January 2009
- ISBN:
- 9780195310122
- eISBN:
- 9780199865284
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195310122.003.0005
- Subject:
- Social Work, Social Policy, Children and Families
This chapter shifts the focus from women on the fast track to high-powered professional careers to mothers employed in average working-and-middle-class jobs. From this perspective, a range of ...
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This chapter shifts the focus from women on the fast track to high-powered professional careers to mothers employed in average working-and-middle-class jobs. From this perspective, a range of family/work lifestyle choices are examined along with the implications of conventional family-friendly policies — such as daycare and parental leave — for harmonizing work and childrearing. The analysis distinguishes between policies that support the idea of balancing work and family life through the concurrent performance of paid employment and childrearing activities, and those that support a sequential approach to balancing work and family life, which involves an initial investment of five-to-ten years in childrearing without an outside job followed by twenty to thirty years of labor force participation. To equalize policy incentives for both approaches, the chapter recommends that subsidized day care policies be broadened to include home care allowances so as not to disadvantage parents who choose the sequential pattern of balancing work and family life.Less
This chapter shifts the focus from women on the fast track to high-powered professional careers to mothers employed in average working-and-middle-class jobs. From this perspective, a range of family/work lifestyle choices are examined along with the implications of conventional family-friendly policies — such as daycare and parental leave — for harmonizing work and childrearing. The analysis distinguishes between policies that support the idea of balancing work and family life through the concurrent performance of paid employment and childrearing activities, and those that support a sequential approach to balancing work and family life, which involves an initial investment of five-to-ten years in childrearing without an outside job followed by twenty to thirty years of labor force participation. To equalize policy incentives for both approaches, the chapter recommends that subsidized day care policies be broadened to include home care allowances so as not to disadvantage parents who choose the sequential pattern of balancing work and family life.
Eileen Boris and Jennifer Klein
- Published in print:
- 2012
- Published Online:
- May 2012
- ISBN:
- 9780195329117
- eISBN:
- 9780199949496
- Item type:
- book
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195329117.001.0001
- Subject:
- Political Science, American Politics
This book helps to explain why there is no adequate long-term care in America. Through a sweeping analytical narrative, from the Great Depression of the 1930s to the Great Recession of today, Caring ...
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This book helps to explain why there is no adequate long-term care in America. Through a sweeping analytical narrative, from the Great Depression of the 1930s to the Great Recession of today, Caring for America shows how law and social policy shaped home care into a low-waged job and a means-tested social service, stigmatized as part of public welfare, primarily funded through Medicaid, and relegated to the bottom of the medical hierarchy. It became a job for African American and immigrant women that kept them in poverty, while providing independence from institutionalization for needy elderly and disabled people. But while the state organized home care, it did not do so without contestation and confrontation. Caring for America also traces the intertwined, sometimes conflicting search of care providers and receivers for dignity, self-determination, security, and personal and social worth. It highlights social movements of senior citizens and disability rights/independent living, the civil rights organizing of women on welfare and domestic workers, the battles of public sector unions, and the unionization of health and service workers. It rethinks both the history of the American welfare state from the perspective of carework and the strategies of the U.S. labor movement in terms of a growing carework economy, arguing for care as a right deserving a living wage and social support.Less
This book helps to explain why there is no adequate long-term care in America. Through a sweeping analytical narrative, from the Great Depression of the 1930s to the Great Recession of today, Caring for America shows how law and social policy shaped home care into a low-waged job and a means-tested social service, stigmatized as part of public welfare, primarily funded through Medicaid, and relegated to the bottom of the medical hierarchy. It became a job for African American and immigrant women that kept them in poverty, while providing independence from institutionalization for needy elderly and disabled people. But while the state organized home care, it did not do so without contestation and confrontation. Caring for America also traces the intertwined, sometimes conflicting search of care providers and receivers for dignity, self-determination, security, and personal and social worth. It highlights social movements of senior citizens and disability rights/independent living, the civil rights organizing of women on welfare and domestic workers, the battles of public sector unions, and the unionization of health and service workers. It rethinks both the history of the American welfare state from the perspective of carework and the strategies of the U.S. labor movement in terms of a growing carework economy, arguing for care as a right deserving a living wage and social support.
Eileen Boris and Jennifer Klein
- Published in print:
- 2012
- Published Online:
- May 2012
- ISBN:
- 9780195329117
- eISBN:
- 9780199949496
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195329117.003.0008
- Subject:
- Political Science, American Politics
The Epilogue contends that this history has no neat ending. To rethink home care, it takes a hard look at the promises of carework unionism, the dangers of its welfare location, and the pitfalls of ...
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The Epilogue contends that this history has no neat ending. To rethink home care, it takes a hard look at the promises of carework unionism, the dangers of its welfare location, and the pitfalls of relying on political unionism after the Great Recession of 2008 and Republican victories in 2010. It considers the failure to lift the exclusion of home care from the labor law. It then looks at the fate of the unions and workers whose history the book recounts, including the fierce battle over organizing strategy and union democracy that wracked SEIU in California and the impact of budget cutbacks on political deals at the top without sustained grassroots participation. In this global neoliberal moment, the U.S. became the vanguard for other welfare states when it comes to privatizing and individualizing home support for elderly and disabled people. It considers new forms of organizing as exemplified by a renewed domestic worker movement and ends by reaffirming not only the right to care but its value for the economy as well as society.Less
The Epilogue contends that this history has no neat ending. To rethink home care, it takes a hard look at the promises of carework unionism, the dangers of its welfare location, and the pitfalls of relying on political unionism after the Great Recession of 2008 and Republican victories in 2010. It considers the failure to lift the exclusion of home care from the labor law. It then looks at the fate of the unions and workers whose history the book recounts, including the fierce battle over organizing strategy and union democracy that wracked SEIU in California and the impact of budget cutbacks on political deals at the top without sustained grassroots participation. In this global neoliberal moment, the U.S. became the vanguard for other welfare states when it comes to privatizing and individualizing home support for elderly and disabled people. It considers new forms of organizing as exemplified by a renewed domestic worker movement and ends by reaffirming not only the right to care but its value for the economy as well as society.
Jeanne Katz (ed.)
- Published in print:
- 2003
- Published Online:
- November 2011
- ISBN:
- 9780198510710
- eISBN:
- 9780191730276
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780198510710.003.0007
- Subject:
- Palliative Care, Palliative Medicine and Older People, Patient Care and End-of-Life Decision Making
This chapter explores the roles of primary care teams in relation to care homes and also of specialist services available to dying people in nursing or residential care homes in Great Britain. It ...
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This chapter explores the roles of primary care teams in relation to care homes and also of specialist services available to dying people in nursing or residential care homes in Great Britain. It analyses the expectations of both home staff and external health professionals, in particular general practitioners, community nurses, and specialist palliative care nurses in relation to the roles they believe they can play in caring for dying residents. The result suggests that interdisciplinary cooperation centring around the needs of a dying resident would benefit all the parties involved.Less
This chapter explores the roles of primary care teams in relation to care homes and also of specialist services available to dying people in nursing or residential care homes in Great Britain. It analyses the expectations of both home staff and external health professionals, in particular general practitioners, community nurses, and specialist palliative care nurses in relation to the roles they believe they can play in caring for dying residents. The result suggests that interdisciplinary cooperation centring around the needs of a dying resident would benefit all the parties involved.
Katherine Froggatt and Deborah Parker
- Published in print:
- 2009
- Published Online:
- November 2011
- ISBN:
- 9780199554133
- eISBN:
- 9780191730269
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199554133.003.0019
- Subject:
- Palliative Care, Patient Care and End-of-Life Decision Making, Pain Management and Palliative Pharmacology
A significant proportion of people living with dementia will live and stay in long-term care settings. Consequently, care homes have an important role to play in the provision of supportive care for ...
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A significant proportion of people living with dementia will live and stay in long-term care settings. Consequently, care homes have an important role to play in the provision of supportive care for people with dementia. This chapter initially describes the care home context, as this shapes the experiences of living and dying for people with dementia residing in care homes. It draws on two recent studies, both considering the provision of palliative care for people who are living and dying in care homes: one from the UK (Froggatt) and one from Australia (Parker). From this empirical research it identifies two key challenges that face care homes as they support people with dementia living in such settings: how do we, on the one hand, create a culture of openness to people's experiences of living and dying alongside, on the other hand, maintaining people's identities? These both require attention in the care home setting if person-centred supportive care is to be provided throughout a person's life until their death.Less
A significant proportion of people living with dementia will live and stay in long-term care settings. Consequently, care homes have an important role to play in the provision of supportive care for people with dementia. This chapter initially describes the care home context, as this shapes the experiences of living and dying for people with dementia residing in care homes. It draws on two recent studies, both considering the provision of palliative care for people who are living and dying in care homes: one from the UK (Froggatt) and one from Australia (Parker). From this empirical research it identifies two key challenges that face care homes as they support people with dementia living in such settings: how do we, on the one hand, create a culture of openness to people's experiences of living and dying alongside, on the other hand, maintaining people's identities? These both require attention in the care home setting if person-centred supportive care is to be provided throughout a person's life until their death.
Thomas Boggatz
- Published in print:
- 2011
- Published Online:
- January 2012
- ISBN:
- 9789774164552
- eISBN:
- 9781617970412
- Item type:
- chapter
- Publisher:
- American University in Cairo Press
- DOI:
- 10.5743/cairo/9789774164552.003.0012
- Subject:
- Society and Culture, Middle Eastern Studies
The acceptance of home care service or nursing homes does not allow one to draw conclusions about the need to receive a particular kind of support. According to the findings, the majority of both ...
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The acceptance of home care service or nursing homes does not allow one to draw conclusions about the need to receive a particular kind of support. According to the findings, the majority of both non-care-service recipients and care service recipients would reject home care service, yet this is the service mainly used by care-dependent older persons, and the service that shows the lowest percentage of unmet needs. In contrast, nursing-home residents are less care-dependent, but use these facilities to satisfy psychosocial needs. Consequently, home care service has to be considered as the most adequate response to age-related care dependency. Most Egyptians, however, cannot afford professional care at all. Older persons of low socioeconomic status are more exposed to care dependency. To support this group, Egypt should invest in strengthening the capacity of voluntary groups or charitable organizations that support care-dependent older persons in the poorer strata of Egyptian society.Less
The acceptance of home care service or nursing homes does not allow one to draw conclusions about the need to receive a particular kind of support. According to the findings, the majority of both non-care-service recipients and care service recipients would reject home care service, yet this is the service mainly used by care-dependent older persons, and the service that shows the lowest percentage of unmet needs. In contrast, nursing-home residents are less care-dependent, but use these facilities to satisfy psychosocial needs. Consequently, home care service has to be considered as the most adequate response to age-related care dependency. Most Egyptians, however, cannot afford professional care at all. Older persons of low socioeconomic status are more exposed to care dependency. To support this group, Egypt should invest in strengthening the capacity of voluntary groups or charitable organizations that support care-dependent older persons in the poorer strata of Egyptian society.
Jenny van der Steen, Margaret R. Helton, Philip D. Sloane, and Miel W. Ribbe
- Published in print:
- 2012
- Published Online:
- May 2012
- ISBN:
- 9780199599400
- eISBN:
- 9780191739170
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199599400.003.0054
- Subject:
- Palliative Care, Patient Care and End-of-Life Decision Making, Palliative Medicine Research
This chapter addresses the challenges and needs in the development of new care models for long-term care settings. These settings are likely to become the most important places for end-of-life care ...
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This chapter addresses the challenges and needs in the development of new care models for long-term care settings. These settings are likely to become the most important places for end-of-life care in the near future. The specific models developed in the USA and the Netherlands (with its unique and specific nursing home physicians and a relatively high proportion of deaths occurring in care homes) are discussed and serve as illustrations of how to address important challenges.Less
This chapter addresses the challenges and needs in the development of new care models for long-term care settings. These settings are likely to become the most important places for end-of-life care in the near future. The specific models developed in the USA and the Netherlands (with its unique and specific nursing home physicians and a relatively high proportion of deaths occurring in care homes) are discussed and serve as illustrations of how to address important challenges.
Eileen Boris and Jennifer Klein
- Published in print:
- 2012
- Published Online:
- May 2012
- ISBN:
- 9780195329117
- eISBN:
- 9780199949496
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195329117.003.0000
- Subject:
- Political Science, American Politics
As personal attendant and home health aides, poor African American and immigrant women have enabled elderly and disabled people to live decent lives at home. Their workplaces might be private and ...
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As personal attendant and home health aides, poor African American and immigrant women have enabled elderly and disabled people to live decent lives at home. Their workplaces might be private and isolated, their work excluded from the nation’s labor laws, but how they do their jobs is a story of political economy, one that reflects the major shifts in work and welfare that define contemporary America. This introduction lays out the economic, political, and social changes that have made home care one of the fastest growing occupations of the 21st century and placed women of color at the center of the labor movement. The emerging carework economy, in turn, has called for new organizing strategies to meet the state structuring of the labor and the relational character of the work. To understand the struggles of home care workers, then, we must reflect on meanings attached to care, its association with women’s unpaid and women of color’s underpaid labor, and its place within the welfare state.Less
As personal attendant and home health aides, poor African American and immigrant women have enabled elderly and disabled people to live decent lives at home. Their workplaces might be private and isolated, their work excluded from the nation’s labor laws, but how they do their jobs is a story of political economy, one that reflects the major shifts in work and welfare that define contemporary America. This introduction lays out the economic, political, and social changes that have made home care one of the fastest growing occupations of the 21st century and placed women of color at the center of the labor movement. The emerging carework economy, in turn, has called for new organizing strategies to meet the state structuring of the labor and the relational character of the work. To understand the struggles of home care workers, then, we must reflect on meanings attached to care, its association with women’s unpaid and women of color’s underpaid labor, and its place within the welfare state.
Mike Nolan and Rosalie Hudson
- Published in print:
- 2008
- Published Online:
- November 2011
- ISBN:
- 9780199216901
- eISBN:
- 9780191730252
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199216901.003.0010
- Subject:
- Palliative Care, Patient Care and End-of-Life Decision Making, Palliative Medicine Research
This chapter examines the quality of family and palliative care in care homes for older people. It suggests that the overall the quality of death and dying in care homes can be improved if there is ...
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This chapter examines the quality of family and palliative care in care homes for older people. It suggests that the overall the quality of death and dying in care homes can be improved if there is more widespread adoption of a palliative care philosophy within care homes, and if staff and families work together in an equal and active partnership. It describes the evolution of relationship-centred care and the senses framework and evaluates their potential use in relation to a palliative care model in care homes.Less
This chapter examines the quality of family and palliative care in care homes for older people. It suggests that the overall the quality of death and dying in care homes can be improved if there is more widespread adoption of a palliative care philosophy within care homes, and if staff and families work together in an equal and active partnership. It describes the evolution of relationship-centred care and the senses framework and evaluates their potential use in relation to a palliative care model in care homes.
