Care That Works

In her widely acclaimed Doing Things, Jitka M. Zgola offered practical and much-needed advice for those caring for persons with Alzheimer disease. Now, in Care That Works, Zgola shows how caregivers can better meet the demanding challenges of their job by building and improving their personal relationships with those in their care. Instead of simply prescribing approaches, Care That Works gives caregivers the information with which they can develop their own approaches, evaluate their effectiveness, and continue to grow in skill and insight. Zgola explains that optimal dementia care involves three elements: a good relationship between the caregiver and the person who has dementia, a safe and nurturing environment, and meaningful activities. Evident throughout the book is Zgola's gift for compassionately portraying the difficulties faced by people with dementia and then suggesting ways to act in a manner that accords such people the respect and dignity they deserve. Topics that receive special attention include communicating with persons who have language deficits and coping with problem behaviors—two critical problems in dementia care.

In her widely acclaimed Doing Things, Jitka M. Zgola offered practical and much-needed advice for those caring for persons with Alzheimer disease. Now, in Care That Works, Zgola shows how caregivers can better meet the demanding challenges of their job by building and improving their personal relationships with those in their care. Instead of simply prescribing approaches, Care That Works gives caregivers the information with which they can develop their own approaches, evaluate their effectiveness, and continue to grow in skill and insight. Zgola explains that optimal dementia care involves three elements: a good relationship between the caregiver and the person who has dementia, a safe and nurturing environment, and meaningful activities. Evident throughout the book is Zgola's gift for compassionately portraying the difficulties faced by people with dementia and then suggesting ways to act in a manner that accords such people the respect and dignity they deserve. Topics that receive special attention include communicating with persons who have language deficits and coping with problem behaviors—two critical problems in dementia care.

The Northwest Foster Care Alumni Study found that quality foster care services for children pay big dividends when they grow up. Key investments in highly trained staff, low caseloads and robust complementary services can dramatically reduce rates of mental disorders and substance abuse. This book offers a model foster care programme.

The new Third Edition of Managed Health Care: What It Is and How It Works is a concise introduction to the foundations of the American managed health care system. Written in clear and accessible language, this handy guide offers an historical overview of managed care and then walks the reader through the organizational structures, concepts, and practices of the managed care industry. This thorough revision has been completely updated with all the newest data on this dynamic industry and features all new sections on: pay for performance, consumer directed health plans, new approaches to care management, as well as advances in information technology.

Healthcare decision makers in search of reliable information that compares health interventions increasingly turn to systematic reviews for the best summary of the evidence. Systematic reviews identify, select, assess, and synthesize the findings of similar but separate studies, and can help clarify what is known and not known about the potential benefits and harms of drugs, devices, and other healthcare services. Systematic reviews can be helpful for clinicians who want to integrate research findings into their daily practices, for patients to make well-informed choices about their own care, for professional medical societies and other organizations that develop clinical practice guidelines. Too often systematic reviews are of uncertain or poor quality. There are no universally accepted standards for developing systematic reviews leading to variability in how conflicts of interest and biases are handled, how evidence is appraised, and the overall scientific rigor of the process. In Finding What Works in Health Care the Institute of Medicine (IOM) recommends 21 standards for developing high-quality systematic reviews of comparative effectiveness research. The standards address the entire systematic review process from the initial steps of formulating the topic and building the review team to producing a detailed final report that synthesizes what the evidence shows and where knowledge gaps remain. Finding What Works in Health Care also proposes a framework for improving the quality of the science underpinning systematic reviews. This book will serve as a vital resource for both sponsors and producers of systematic reviews of comparative effectiveness research.

What Works in Residential Child Care reviews the state of residential child care for children and young people, highlighting what is known and the limits of knowledge, with a view to developing effective policy and practice. Using residential services in Wales as its case study, the key messages of the book apply throughout the UK. It includes a literature review that draws on research in the UK and the US.

There is currently heightened interest in optimizing health care through the generation of new knowledge on the effectiveness of health care services. The United States must substantially strengthen its capacity for assessing evidence on what is known and not known about "what works" in health care. Even the most sophisticated clinicians and consumers struggle to learn which care is appropriate and under what circumstances. Knowing What Works in Health Care looks at the three fundamental health care issues in the United States-setting priorities for evidence assessment, assessing evidence (systematic review), and developing evidence-based clinical practice guidelines-and how each of these contributes to the end goal of effective, practical health care systems. This book provides an overall vision and roadmap for improving how the nation uses scientific evidence to identify the most effective clinical services. Knowing What Works in Health Care gives private and public sector firms, consumers, health care professionals, benefit administrators, and others the authoritative, independent information required for making essential informed health care decisions.

"This visual guide illustrates why Patagonia's on-site child care center is a key component of our corporate mission, and why providing high quality on-site child care to working familites is essential. In safe and engaging environments we support unstructured play where our children learn, and where physical strength, creativity and confidence develop. True to Patagonia's climbing roots we encourage risk as the children learn and grow in an atmosphere of trust. This book is the visual story of how one corporation provides the support working families need to preserve American ingenuity that begins in early childhood"--Publisher.