Social Work and Health Care in an Aging Society: Education, Policy, Practice, and Research

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This book provides an overview of the elderly population who have developmental disabilities. It attempts to assess their needs and their lives as they age. In many ways, this is a pioneer population, one of the first generations of persons with developmental disabilities who have survived into later life. As this population of persons with developmental disabilities ages, new challenges will emerge for specialists and educators both in the areas of gerontology and developmental disabilities. Programs designed for mid-life persons with developmental disabilities will have to be modified to serve older adults. Senior services, too, will have to incorporate the needs of this unique population into their own plans and programs.

This book seeks to facilitate that task. It is based on our personal experience in the fields of gerontology and developmental disabilities, and the research of colleagues in both fields. Most importantly, interviews with older adults with developmental disabilities provide a powerful glimpse into their lives and needs as they face old age. We begin with a brief introduction to this population, as well as a review of the reasons why older persons with developmental disabilities have now been identified as a group in need of new services, programs, and initiatives. Subsequent chapters explore the particular characteristics and implications of developmental disabilities.

Later chapters review the manner in which persons with developmental disabilities are affected physically, psychologically, and socially as they age. For as they age, all adults encounter change both in themselves as well as in the circumstances of their lives.

We then explore the crises and transitions that older persons with developmental disabilities face, focusing on their coping strengths and limitations, as well as the supportive services that they now utilize and will need in the future. This leads naturally into a discussion of the policy implications posed by this growing population: Which systems can best provide support? What policies and services are needed? How can parents, siblings and other caregivers plan and help?

Book Description

One in eight Americans today is over the age of 65, and the proportion will increase dramatically in the future. The aging of the population has begun to drive tax and budget decisions and the federal policy agenda, as policy makers and voters look ahead to enormous demands on the health and income security programs. Indeed, it is projected that Medicare and Social Security will constitute nearly half the federal budget in the year 2030, when one in five Americans will be over 65.

In Policies for an Aging Society, Stuart H. Altman and David I. Shactman have gathered experts in public and health policy, economics, law, and management to identify the salient issues and explore realistic options. From positions ranging from liberal to conservative, the contributors take a wide view of the philosophical, economic, and programmatic aspects of the social protection programs for elderly Americans. They ask broad questions and propose integrated conceptions of how our society can best provide for the needs of its aging population.

Contributors: Henry J. Aaron, Brookings Institution; Robert H. Binstock, Case Western Reserve University; Peter F. Drucker; Lynn M. Etheredge, George Washington University; Victor R. Fuchs, Stanford University; John Geanakoplos, Yale University; Jonathan Gruber, Massachusetts Institute of Technology; Richard D. Lamm, University of Denver; Theodore R. Marmor, Yale University; Jerry L. Mashaw, Yale University; Olivia S. Mitchell, University of Pennsylvania; Alicia H. Munnell, Boston College; Norman J. Ornstein, American Enterprise Institute for Public Policy Research; Mark V. Pauly, University of Pennsylvania; Rudolph G. Penner, Urban Institute; Wendell E. Primus, Center on Budget and Policy Priorities; C. Eugene Steuerle, Urban Institute; Paul N. Van de Water, Social Security Administration; David Wise, Harvard University; Stephen P. Zeldes, Columbia University.

Gerotechnology: Research And Practice In Technology And Aging

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Gerotechnology: Research And Practice In Technology And Aging

Manufacturer: Springer Publishing Company
ProductGroup: Book
Binding: Hardcover

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ASIN: 0826125166

Where the Trail Grows Faint: A Year in the Life of a Therapy Dog Team (River Teeth Literary Nonfiction Prize)

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My Sincere Thanks to Lynne Hugo
Thought-provoking, funny, helpful: a winner of a book.
A book for dog & nature lovers.
Great book!
Good reading, but not what I expected

Where the Trail Grows Faint: A Year in the Life of a Therapy Dog Team (River Teeth Literary Nonfiction Prize)
Lynne Hugo
Manufacturer: University of Nebraska Press
ProductGroup: Book
Binding: Hardcover

General | Animal Care & Pets | Home & Garden | Subjects | Books

Aging | Aging Parents | Parenting & Families | Subjects | Books

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ASIN: 080322432X

Book Description

"This is Hannah," Lynne Hugo introduces her chocolate Labrador retriever to an aged woman in a wheelchair at the Golden View Nursing Home. "Would you like to pat her?"

"I don't know," she responds warily. "Dogs are complicated."

So, of course, is life, especially as the years accumulate and the body declines. In fact, the most painful complications are those that Hugo hopes to ease with Hannah, her exuberant therapy dog. What Hugo receives in return, unexpectedly, is an outpouring of stories as the residents respond to Hannah’s antics and affection. As Hugo’s involvement deepens, she begins to see her own life and her care for her elderly parents in a new perspective. Interweaving the elders’ tales—of old loves and ancient dreams, abandonment and loneliness, and the struggle for dignity—with her own family’s story, she creates a richly textured collective portrait of the often-hidden world of the aged. At the same time, she crafts an eloquent meditation on the fundamental human need to nurture and remain connected to other people, to animals, and to the natural world.

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My Sincere Thanks to Lynne Hugo.......2006-08-19

I am grateful to Lynne Hugo for her heartwarming and insightful book. She encouraged me to continue to visit nursing homes and Alzheimer patients with my toy poodle, Lucy, even though she is not trained to perfection. Lucy brings joy to residents and care providers. God has presented me with the opportunity to share my dog and I am proud to serve Him in this way.

Thought-provoking, funny, helpful: a winner of a book........2006-03-21

I can see why this book won a national writing prize. What a sheer pleasure to read. It's thoughtful, deeply considered and the language sparkles as the author deals with terribly difficult issues but helps us through them by injecting literally hilarious episodes at just the right moments. Marley and Me has nothing funnier than sections of this book. My dog and I are Delta Society volunteers, and I, too, have aging parents. Much of this helped me think about my own life as well as my parents' situations, and I'm really grateful that a friend recommended this book. Now I'm passing the favor on and giving this my most enthusiastic endorsement.

A book for dog & nature lovers. .......2005-08-16

An enjoyable book! I was moved emotionally by the connections of the dog therapy team, the residents they visited, and the nature around them. Nice symbolism showing how human life events parallel changes in nature.

Great book!.......2005-08-15

I throughly enjoyed reading "Where the Trail Grows Faint: A Year in the Life of a Therapy Dog Team" by Lynne Hugo. Lynne Hugo is masterful at blending the story of Hannah, her beautiful chocolate lab therapy dog, with the lives of the people who are in the nursing home, along with the lives of her own aging parents. Ms. Hugo has a beautiful way with words; her prose creates atmosphere and feeling....so much so that at the conclusion of the book, I immediately went to visit my own aging mother-in-law, who is in an assisted living facility. This book was clearly written from the heart!

Good reading, but not what I expected.......2005-08-10

I absolutely loved the first chapter. After reading it, I come to the conclusion it wasn't what I expected, though. Oh yes, it is definitely good reading.. but the reviews mislead me to think it was more about the dog than it was. If I had to sum it up, it was more about the woman and her feelings toward her own aging parents and many times comparing the experiences in a nursing home to how she feels about taking care of her own parents. Some of the things mentioned about the dog scared me... I can't count how many times she said that the dog forgot all its obedience training in the home. It would more often be off-leash, run up to residents... even pushing a person in a wheelchair backwards with its jump to the lap. She mentioned tossing balls and having the residents toss balls for the dog. Oftentimes the dog decided when it wanted to jump up on a bed with a resident. Everyone was giving the dog treats (which I think I read recently that one of the Therapy Orgs says no to treats *on the job*) I am sure there were a lot of good behavior that she just left out of the book... but if my own dog did these things, I would be re-thinking letting her work in a nursing home environment.

I did enjoy reading the book (it was colorful and eloquent), but was disappointed it wasn't what I thought it was. The one review said, "she includes all the extra techniques she figured out in the field to make them a better, more effective team." No, it did not. The only thing I came away with was that she needed to refine what she carries in her sack each time she comes to the home... a fuzzy ball, a container for the dog to drink out of, etc.

I do recommend reading the book, to get an insight on how one person *got involved* with the residents, but don't get it if you think it will alert you to some techniques to be a better team.

Setting Limits: Medical Goals in an Aging Society With "a Response to My Critics"

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Setting Limits
Thought provoking and challenging
medical ageism is extermination of the weak

Setting Limits: Medical Goals in an Aging Society With "a Response to My Critics"
Daniel Callahan
Manufacturer: Georgetown University Press
ProductGroup: Book
Binding: Paperback

Ethics & Morality | Philosophy | Nonfiction | Subjects | Books

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ASIN: 0878405720

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Setting Limits.......2006-02-27

This is an important book. Many of Daniel Callahan's statements about health care for older people (75 and older, for example), if taken out of context, can be chilling (especially if you are 75 or older). But Callahan, a philosopher, views death as a necessary part of life. His opposition is not to health care for old people. Instead, his opposition is to the use of biomedicine for old people.

Biomedicine is expensive and interferes with the natural life cycle. Callahan maintains that biomedicine should not be used for old people who are seriously ill and who would otherwise die. Callahan questions the value of extending life without improving life.

Some readers might conclude that Callahan's approach is intended to cut the cost of health care. I think Callahan would disagree. Money might be saved if biomedicine were denied old people who are seriously ill. But, per Callahan, more money would be spent on improving their end-of-life care. Be careful of people who quote Callahan as a way to save money. They have minunderstood him.

Thought provoking and challenging.......2005-11-26

Daniel Callahan, ethicist and co-founder of the Hastings Center, has written a provocative book which discusses and evaluates the problem of resource allocation in Western society. Essentially, we spend a significant percentage of health care costs on the last few years of life, regardless of the quality of life being prolonged.
Dr Callahan warns that we will not be able to support these policies indefinitely, particularly as Western populations continue to age. The more tests and procedures we develop, and the greater our skill at extending life, the more expensive terminal health care becomes.
This is not a popular perspective. Many people believe that anything short of providing full available health care to all is morally reprehensible. However, it is undeniable that we are already unable to provide all people with even basic medical care with the current resources available. Indeed, we have only to look at the US to see a future of medicine - sky-rocketing costs, and massively disproportionate services depending on location and financial capacity.
As a nurse I have seen first-hand how focusing on prolonging life can be a worse, and certainly more expensive, outcome for the elderly. As an ethicist I find Callahan's arguments sound and convincing.

medical ageism is extermination of the weak.......2004-09-30

Callahan's arguments for healthcare rationing based on age are neither valid, nor logical. More importantly they are not consistent with the United States Federal Civil Rights laws that are enforced by the Office for Civil Rights (OCR) of the U. S. Department of Health and Human Services (DHHS), nor are they moral in the international community by review of the United Nation's Universal Declaration of Human Rights. http://www.un.org/Overview/rights.html

AIDS, Fear And Society: Challenging The Dreaded Disease (Series in Death Education, Aging, and Health Care)

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FYI - condoms are not ice skates

AIDS, Fear And Society: Challenging The Dreaded Disease (Series in Death Education, Aging, and Health Care)
Kenneth J. Doka
Manufacturer: Taylor & Francis
ProductGroup: Book
Binding: Paperback

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Book Description

Historically, AIDS is just one of a series of dreaded diseases that have aroused both great fear and irrational actions. The previous diseases, including bubonic plague, syphilis, tuberculosis, leprosy and cancer, have evoked such a sense of dread that rational moves to halt the disease have become compromised.; This text examines the deep sense of fear that AIDS evokes, stigmatizing those who suffer from the disease, as well as their families and caregivers. Until AIDS can be seen for what it actually is - a life-threatening disease - policies providing for humane treatment will not evolve. The book also emphasizes that diseases are more than biological phenomena or individual catastrophes - they are profoundly social events. The ways in which diseases are spread and treated are strongly influenced by larger sociological considerations, and they may have the capacity to change social institutions or society Itself. Rooting Aids In The History Of Diseases, The First Part Of The book reviews the nature, history and responses of earlier dreaded diseases. The next section examines AIDS itself, proposed as the archetypal dreaded disease. Already creating a sense of panic, AIDS is also shown to be a social disease, likely to have significant effects on the social order. Thus, only by containing the epidemic of fear and controlling the resulting irrationality, can the AIDS epidemic be halted.

Customer Reviews:

FYI - condoms are not ice skates.......2007-02-25

If New York City distributes "subway condoms" for free, the give-away will not encourage people to go out and have sex unlike ice skates which if they were given away for free, I would take up ice skating! The Catholic Church should back away from this matter for the sake of the HEALTH of human beings.

Community Care For An Aging Society: Issues, Policies, And Services (Springer Series on Life Styles and Issues in Aging)

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Community Care For An Aging Society: Issues, Policies, And Services (Springer Series on Life Styles and Issues in Aging)
Carole B. Cox
Manufacturer: Springer Publishing Company
ProductGroup: Book
Binding: Hardcover

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ASIN: 0826128041

The Old Age Challenge to the Biomedical Model: Paradigm Strain and Health Policy (Society and Aging)

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The Old Age Challenge to the Biomedical Model: Paradigm Strain and Health Policy (Society and Aging)
Charles F. Longino , and John W. Murphy
Manufacturer: Baywood Publishing Company
ProductGroup: Book
Binding: Hardcover

Gerontology | Social Sciences | Nonfiction | Subjects | Books

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ASIN: 0895031655

Book Description

Central to this book is the idea that the United States is in the midst of a health care crisis, one that will be exacerbated as the population continues to age. Longino and Murphy trace the philosophical and technological development of the biomedical model and show its inadequacy to deal with the massive chronic disease demand of the present and the future. They argue that the delivery of health care will meet and survive the old age challenge only if the medical system is thoroughly democratized. A more inclusive system must be devised that encourages a more reasonable allocation of resources, gives more attention to prevention, adopts a wider range of non-medical interventions, and invites citizens to become more involved in their own health care and the planning of services.

The authors use postmodern theory, including the work of Foucault, Lyotard, Derrida, and Lacan, to advance a critique of current medical practice and develop an alternative, more democratic, version of health care. Contrary to some critics of postmodernism, this theory is illustrated to have radical political implications. Although some recent proposals show promise, Longino and Murphy use postmodernism to demonstrate how these health plans can be made more encompassing to represent real alternatives to the current system. In the end, the authors provide a truly revolutionary image of service delivery.

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The American Geriatrics Society's Complete Guide to Aging and Health: How We Age*Caring for Parents*Long-Term Care Choices*Wise Health Care Decisions* ... Care Financing*Analysis of Common Ailments
Mark Md Williams
Manufacturer: Harmony
ProductGroup: Book
Binding: Hardcover

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ASIN: 0517595397
Release Date: 1995-04-18

Book Description

The essential reference for all aging Americans and their families, and the most important, comprehensive, and useful guide of its kind ever published. Covers: how we age, how to make wise health-care decisions, alternatives for long-term care, and aging and public policy.

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