"As one who is involved in the culture change movement and is trying to review the huge volume of available resources, I find it refreshing to have a book that draws it all together....I highly recommend this book to administrators who are overwhelmed at the thought of implementing change in their environment. The author has done an excellent job of making it seem quite possible to make culture change a reality."--Doody's Medical Reviews "The publication of Implementing Culture Change in Long-Term Care marks the beginning of a new era in the aging services profession. This book is the Rosetta Stone of the culture change movement. Dr. Jurkowskiís skillful blend of theory, research, and practice addresses the movementís most urgent needs and makes the work of culture change advocates accessible to a broader and more influential audience....This book is the future in paper and ink." From the Foreword by Bill Thomas, MD Founder of the Eden Alternative and the Green House Project This text offers a strategic approach for promoting an active culture of change in long-term care facilities for older adults and people with disabilities. It discusses the philosophical framework for the delivery of care in these settings and addresses the changing landscape of our long-term care population. With the aim of transforming these facilities from institutional settings to person-centered, homelike environments, the book offers administrators and practitioners numerous strategies and benchmarks for culture change, and addresses tools and resources to support the culture change process. The text describes how these benchmarks have been met and provides ways to address not just knowledge, but also attitudes and behavior, important components of a culture change strategy. The book compares and contrasts current long-term care paradigmsóthe medical model, the rehabilitation paradigm, the independence and dignity model, and strength-based approachesóin order to see how they facilitate or impede culture change. It provides best practice examples of benchmarks to be attained along with strategies to promote this process. These benchmarks and strategies are based upon the Artifacts for Culture Change Assessment Tool developed by the Centers for Medicare and Medicaid. The text describes ways to build a blueprint and strategic processes for integrating these benchmarks into a long-term care setting, addressing the entire process from assessment through evaluation. It also provides tools enabling readers to learn from their own process via a feedback loop, and includes strategies to facilitate partnerships with family, staff, and community. Key Features: Elucidates benchmarks that can be implemented in long-term care settings, using the Centers for Medicare/Medicaid's "Long Term Care Artifacts" assessment tool as an intervention Focuses on care practices, the environment, the inclusion and integration of family and community, leadership benchmarks, and workplace practices Includes robust examples of best practices within each of the main artifact arenas Incorporates tools and strategies for assessing the philosophical paradigm of a long- term facility that can help or hinder the culture change process Provides discussion and reflection questions and websites for additional resources

Change in the culture of long-term care and the care of our elders is urgently needed! This insightful book lights the way. This book will inform you about the theoretical and practical applications of culture change within the institutional long-term care setting. It examines existing models of “positive cultures,” emphasizing

Environmental gerontology – the research on aging and environment – evolved during the late 1960s, when the domain became a relevant topic due to societal concerns with the problems of housing for elderly people. The field proliferated during the 1970s and 1980s, and remains viable and active today on an international scale. However, in recent times, the viability of the field and its future has been brought into question. In this volume, international experts across diverse areas reflect on the current progress of their respective disciplines, illustrating research-grounded benefits emerging from their work, and suggesting new agenda that can guide progress in the future. The contributors address a wide range of issues, including: evaluation of existing paradigms and new theories that might advance both research and training; issues and applications in methods, measures, and empirically-generated research agenda; innovative approaches to environmental transformations in home, community, and long-term care settings; and understudied populations and issues in environmental gerontology. This book was originally published as a special issue of the Journal of Housing for the Elderly.

Managing Quality and Safety in Long-Term Care sets a precedent as the premier textbook for future leaders in long-term care designed to provide them with the tools and evidence-based strategies needed to successfully implement quality and safety protocols in senior living facilities. Each chapter extensively reviews quality and safety issues in long-term care and emphasizes what managers must know to both enhance quality and safety performance and retain a skilled long-term care workforce. Additionally, the text highlights the key performance indicators that future long-term care leaders can apply to better react to the quickly evolving issues they will encounter in practice. Detailed case studies throughout the book provide examples from effective and ineffective facilities, and specific challenges for improving or maintaining best practices. The text innovatively explores the root causes of quality and safety issues in long-term care, integrating cutting-edge, evidence-based research in practical applications. It distills these insights into actionable recommendations aimed at helping healthcare administrators and professionals improve quality and safety in long-term care through their decision-making, strategic planning, data gathering, and forecasting. Chapters contain important learning objectives, take-home points, tools for further learning, and real-world examples. Managing Quality and Safety in Long-Term Care imparts the science and art of managing quality and safety in senior living facilities, critical for students in long-term care administration, healthcare administration and management, gerontology, public health, and related fields. Additionally, it serves as a crucial resource for anyone seeking licensure from the National Board of Long-term Care Administrators (the NAB). Key Features: Provides evidence-based information that can be applied to day-to-day management activities to effectively address disparities in long-term care Written and reviewed by leading experts in the long-term care field and licensed long-term care administrators Includes insightful case studies that encourage students to assess effective and ineffective quality and safety practices in long-term care facilities Features practical and engaging discussion questions in each chapter Highlights key innovations, including technological advancements, shaping the landscape of the long-term care industry Qualified instructors have access to expanded Instructor Resources, which include chapter PowerPoints, a Test bank, an Instructor Manual with learning activities and discussion questions for each chapter, a Sample Syllabus, and additional resources to supplement students' dynamic learning and interaction with the text

Handbook of Aging and the Social Sciences, Eighth Edition, presents the extraordinary growth of research on aging individuals, populations, and the dynamic culmination of the life course, providing a comprehensive synthesis and review of the latest research findings in the social sciences of aging. As the complexities of population dynamics, cohort succession, and policy changes modify the world and its inhabitants in ways that must be vigilantly monitored so that aging research remains relevant and accurate, this completely revised edition not only includes the foundational, classic themes of aging research, but also a rich array of emerging topics and perspectives that advance the field in exciting ways. New topics include families, immigration, social factors, and cognition, caregiving, neighborhoods, and built environments, natural disasters, religion and health, and sexual behavior, amongst others. - Covers the key areas in sociological gerontology research in one volume, with an 80% update of the material - Headed up by returning editor Linda K. George, and new editor Kenneth Ferraro, highly respected voices and researchers within the sociology of aging discipline - Assists basic researchers in keeping abreast of research and clinical findings - Includes theory and methods, aging and social structure, social factors and social institutions, and aging and society - Serves as a useful resource—an inspiration to those searching for ways to contribute to the aging enterprise, and a tribute to the rich bodies of scholarship that comprise aging research in the social sciences

This book discusses the contemporary medico-social, psychological, legal, and therapeutic concerns related to people affected by dementia as a patient or as a caregiver. It provides global emerging responses to dementia. It highlights different dimensions of dementia in terms of issues, concerns, policies, and strategies all around the globe. The contributing authors present issues from cross-cultural education visible in dementia studies and discuss the power of music, art therapy, artistic collaborations, and many innovative practices in dealing with dementia. Written by international specialists from various disciplines, the chapters include challenges and emerging issues related to the role of family caregivers, the concern with vulnerability to elder abuse and neglect, and the role of technology in dementia care. The book provides a diverse perspective to dementia care not covered in such a broad way by any other books on the topic. This book is intended for academics from a wide range of fields such as sociology, geriatrics, community medicine, public health, clinical psychology, social work all of which, collectively, bear on the problem and the solutions for better dementia care.

There were many challenges, successes, and concerns in providing long-term care to older adults during the COVID-19 pandemic. Looking at central North Carolina, the authors highlight the implications of providing long-term care to older Americans, with an emphasis on the importance of communication, resilience of staff, and value of human infrastructure. Based on extensive interviews, this collection of essays reflects on the participants’ individual experiences and represents the voices of staff and caregivers working in long-term residential care communities, in-home and community-based programs, as well as regional aging service providers and advocates.

There are four core themes developed in this book which deal with critical issues, models, theories and frameworks. These expound understandings of patient centred care and the processes, practices and behaviours supporting its attainment: conceptions and cultures of patient-centred care, coordination, communication, innovation.

Every day for the next twenty years, more than 10,000 people in the United States will turn 65. With life expectancies increasing as well, many of these Americans will eventually require round-the-clock attention—and we have only begun to prepare for the challenge of caring for them. In Labors of Love, Jason Rodriquez examines the world of the fast-growing elder care industry, providing a nuanced and balanced portrait of the day-to-day lives of the people and organizations that devote their time to supporting America’s aging population. Through extensive ethnographic research, interviews with staff and management, and analysis of internal documents, Rodriquez explores the inner workings of two different nursing homes—one for-profit and one non-profit—to understand the connections among the administrative regulations, the professional requirements, and the type of care provided in both types of facilities. He reveals a variety of challenges that nursing home care workers face day to day: battles over the budget; the administrative hurdles of Medicaid and Medicare; the employees’ struggle to balance financial stability and compassionate care for residents. Yet, Rodriquez argues, nursing home workers give meaning and dignity to their work by building emotional attachments to residents and their care. An unprecedented study, Labors of Love brings new insight into the underlying structures of a crucial and expanding sector of the American health care system.