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Matching Needs to States' Differing Opportunities and Services
Cosmopolitan Families in India and Abroad
The proliferation of old age homes and increasing numbers of elderly living alone are startling new phenomena in India. These trends are related to extensive overseas migration and the transnational dispersal of families. In this moving and insightful account, Sarah Lamb shows that older persons are innovative agents in the processes of social-cultural change. Lamb's study probes debates and cultural assumptions in both India and the United States regarding how best to age; the proper social-moral relationship among individuals, genders, families, the market, and the state; and ways of finding meaning in the human life course.
Vol. 23 (2004) through current issue
The Canadian Journal on Aging is a refereed, quarterly publication of the Canadian Association on Gerontology. It publishes manuscripts on aging concerned with biology, educational gerontology, health sciences, psychology, social sciences, and social policy and practice.
La Revue canadienne du vieillissement, revue trimestrielle dotÃ©e dâun comitÃ© de lecture; est lâorgane de lâAssociation canadienne de gÃ©rontologie. La revue publie des articles sur le vieillissement dans les disciplines suivantes: biologie, gÃ©rontologie Ã©ducative, sciences de la santÃ©, psychologie, sciences sociales et politiques et pratiques sociales. Les manuscrits sont acceptÃ©s ou refusÃ©s sur la recommandation des rÃ©dacteurs reprÃ©sentant chacune des cinq sections de lâACG, et aprÃ¨s consultation avec les membres du comitÃ© de lecture.
New York, London, Paris, and Tokyo
Population aging often provokes fears of impending social security deficits, uncontrollable medical expenditures, and transformations in living arrangements, but public policy could also stimulate social innovations. These issues are typically studied at the national level; yet they must be resolved where most people live—in diverse neighborhoods in cities. New York, London, Paris, and Tokyo are the four largest cities among the wealthiest, most developed nations of the world. The essays commissioned for this volume compare what it is like to grow older in these cities with respect to health care, quality of life, housing, and long-term care. The contributors look beyond aggregate national data to highlight the importance of how local authorities implement policies.
The Failure of Long-Term Care
The failure of long-term care is the country’s best-kept embarrassing secret. Almost every adult in the United States will either enter a nursing home or have to deal with a parent or other relative who does. Studies show that 40 percent of all adults who live to age sixty-five will enter a nursing home before they die, while even more will use another form of long-term care. Part memoir, part practical guide, part prescription for change, It Shouldn’t Be This Way is a unique look at the problems of long-term care. Robert L. Kane, a highly experienced physician and gerontologist, and his sister, Joan C. West, tell the painful story of what happened to their mother after she suffered a debilitating stroke and spent the last years of her life in rehabilitation, assisted-living facilities, and finally a nursing home. Along the way, her adult children encountered some professionals who were kind and considerate but also many frustrations—inadequate care and the need to hire private duty aides, as well as poor communication and lack of coordination throughout the system. The situation, they found, proved far more difficult than it needed to be. As the authors recount their mother’s story, they impart various lessons they learned from each phase of the experience. They alert those who are confronting such situations for the first time about what they will likely face and how to approach the problems. Closing with a broader look at why long-term care is the way it is, they propose steps to make necessary reforms, including the development of national organizations to work for change. Their message to families, care professionals, and policy-makers could not be more urgent.
Reflections on an Aging Parent
Named a Best Book of 2008 by Library Journal
In a series of moving vignettes, the author begins by describing a particular representation of Water-Moon Kuan Yin, a Buddhist teacher and goddess associated with compassion, who often sits on a precarious overhang or floats on a flimsy petal. Then Kuan Yin steps out of the frame to join the author in the mundane challenges of caring for her father-transferring his health insurance, struggling with a wheelchair van, managing adult diapers, or playing in the fictions of dementia. From perplexed to poignant to funny, the vignettes record the working-class English of a fading but still wise dad, and they find other human versions of Kuan Yin in a doctor who will still make house calls or kind strangers in the street.
The book includes ten illustrations: both classical representations of Kuan Yin and also the author's own drawings, which adapt Kuan Yin in an act of practical spirituality, reading art through life and life through art. Each vignette invites the harried caregiver to take a deep breath and meditate on the trials and joys of caring for an aging parent.
Assisted Living in New York City
The recent growth of "assisted living" facilities and programs has shaken the foundations of the system of long-term care for the elderly in the United States. Fueled by consumer frustrations with the available options, notably nursing homes, the assisted living model emerged during the 1990s to promise shelter, health care, control of one's own life, less government involvement, and a "real home." But how well have the advocates and developers of assisted living delivered on such promises? And what are the model's implications for public policy and the future of caregiving? In Reinventing Care, David Barton Smith offers brilliant insights into those questions by examining the realities of assisted living in New York City. Encompassing the largest, most concentrated population of elderly in the United States, New York spends more per person caring for its seniors than any other urban center. Yet, while the size of the city's care system boggles the mind, it nevertheless contains the same elements that exist in other metropolitan areas and thus provides valuable lessons for the nation as a whole. Smith's study draws on twenty-five years of research, including hundreds of interviews and visits to representative facilities. He provides a succinct overview of how care is presently organized for New York's aging population and traces the history of the system up to the present. Among the key issues he addresses are the role of market forces and government regulation, the impact of class differences on access to quality care, and the ways in which perceptions of community affect the creation and management of assisted living programs. At the heart of the book are ten fascinating case studies, half of them focused on private-pay facilities and the other half on public-pay institutions. While finding that the actualities of assisted living rarely match the rhetoric of its proponents, Smith sees much to admire in its goals. He suggests tactics and strategies--such as promoting family- and community-based models of assisted living and adopting a standard of licensure for certain facilities--that could point the way to a better future.
Il n’y a pas « un » vieillissement, mais bien « des » vieillissements. Les parcours de vie et les expériences reliées à l’avancement en âge se déclinent différemment selon de multiples facteurs personnels et sociaux : le genre, l’origine ethnique, l’orientation sexuelle, le statut socioéconomique, les compétences citoyennes, les capacités et incapacités… Reflet de cette pluralité, l’ouvrage réunit les savoirs scientifiques et cliniques de 45 auteurs aux trajectoires professionnelles et aux expériences variées. Ensemble, ils ont construit une expertise unique à propos des personnes aînées et de la société, regroupée en quatre grandes sections : les multiples vieillissements et leurs représentations, les inégalités des défis rencontrés, les environnements des aînés et, enfin, les politiques et les actions sociales entreprises.