New Developments In Home Care Services For The Elderly

This anthology responds to the recurring call for quality in home care service provision. It presents to agency administrators, managers, supervisors, and front line service providers a set of the most up-to-date policy, program, and practice developments in the field. Each contributor to New Developments in Home Care Services for the Elderly explores issues of client/staff diversity and the challenges associated with working with clients grappling with disabling conditions. Contributors in New Developments in Home Care Services for the Elderly explore issues of client/staff diversity and the challenges associated with working with clients grappling with various disabling conditions. Topics addressed include: alternative organizational models in home care the importation of high technology services into the home legal and ethical issues in home health care counseling homebound clients and their families clinical assessment tools and packages case management and the home care client home care entitlements and benefits evaluating and monitoring the effectiveness of in-home care marketing home health care services home care service experiences in other countries New Developments in Home Care Services for the elderly covers a continuum of care ranging from housekeeping services to self-care education, teaching, and training services to nursing and medically related services. Consequently, the information contained within this volume is of immediate relevance to a multidisciplinary audience having both direct (field) and indirect (office) service responsibilities in the home care organization. Social workers, nurses, business administrators, and public health professionals will find this an invaluable guide for providing effective home care services.

A NATIONAL BESTSELLER SHORTLISTED FOR THE BALSILLIE PRIZE FOR PUBLIC POLICY It took the coronavirus pandemic to open our eyes to the deplorable state of so many of the nation's long-term care homes: the inhumane conditions, overworked and underpaid staff, and lack of oversight. In this timely new book, esteemed health reporter André Picard reveals the full extent of the crisis in eldercare, and offers an urgently needed prescription to fix a broken system. When COVID-19 spread through seniors' residences across Canada, the impact was horrific. Along with widespread illness and a devastating death toll, the situation exposed a decades-old crisis: the shocking systemic neglect towards our elders. Called in to provide emergency care in some of the hardest-hit facilities in Ontario and Quebec, the military issued damning reports of what they encountered. And yet, the failings that were exposed--unappetizing meals, infrequent baths, overmedication, physical abuse and inadequate personal care--have persisted for years in these institutions. In Neglected No More, André Picard takes a hard look at how we came to embrace mass institutionalization, and lays out what can and must be done to improve the state of care for our elders, a highly vulnerable population with complex needs and little ability to advocate for themselves. Picard shows that the entire eldercare system--fragmented, underfunded and unsupported--is long overdue for a fundamental rethink. We need to find ways to ensure seniors can age gracefully in the community for longer, with supportive home care and respite for family caregivers, and ensure that long-term care homes are not warehouses of isolation and neglect. Our elders deserve nothing less.

Individuals with disabilities, chronic conditions, and functional impairments need a range of services and supports to keep living independently. However, there often is not a strong link between medical care provided in the home and the necessary social services and supports for independent living. Home health agencies and others are rising to the challenges of meeting the needs and demands of these populations to stay at home by exploring alternative models of care and payment approaches, the best use of their workforces, and technologies that can enhance independent living. All of these challenges and opportunities lead to the consideration of how home health care fits into the future health care system overall. On September 30 and October 1, 2014, the Institute of Medicine and the National Research Council convened a public workshop on the future of home health care. The workshop brought together a spectrum of public and private stakeholders and thought leaders to improve understanding of the current role of Medicare home health care in supporting aging in place and in helping high-risk, chronically ill, and disabled Americans receive health care in their communities. Through presentations and discussion, participants explored the evolving role of Medicare home health care in caring for Americans in the future, including how to integrate Medicare home health care into new models for the delivery of care and the future health care marketplace. The workshop also considered the key policy reforms and investments in workforces, technologies, and research needed to leverage the value of home health care to support older Americans, and research priorities that can help clarify the value of home health care. This summary captures important points raised by the individual speakers and workshop participants.

This book offers convenient access to information about the benefits, drawbacks and challenges of importing high-technology medical care into the home care programs. It is both a descriptive report of research-based observations, and an interpretive analysis of major issues and policies in the delivery of technology-enhanced care. The authors bring to the forefront evidence-based current home care practices, such as ventilator therapy and artificial nutrition infusion pumps, and develop them through complete discussions of legal, ethical and administrative issues they entail. Agency administrators as well as in-home direct service providers like nurses and social workers, will find essential information on a critical home care delivery issue presented with clarity and accessibility. OLD COPY: This volume offers the reader convenient access to much needed information about the unique benefits, drawbacks and challenges of importing high-technology into the homes of the elderly and disabled. It is a unique combination of both a descriptive report of research-based observations from the frontlines of home health agency operations and interpretive analyses of major issues, policies, and practices informing the delivery of high tech-home health services. Content will be relevant to those agency planners and administrators, managers, and supervisors who are considering engaging in or have recently implemented a high-tech service program in their organization as well as in-home direct service providers like nurses and social workers.

"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/

Chapter 1 Introduction -- part Part I Different service societies in Europe -- chapter 2 Measuring economic tertiarisation -- chapter 3 The incidence of new forms of employment in service activities -- chapter 4 Why do countries have such different service-sector employment rates -- chapter 5 Services and the employment prospects for women -- part PART II The organisation of service work: an analysis of five sectors -- chapter 6 The family, the state, and now the market -- chapter 7 The reluctant nurses -- chapter 8 Work hard, play hard -- chapter 9 Work organisation and the importance of labour markets in the European retail trade -- chapter 10 Lean banking -- part Part III Common challenges -- chapter 11 The shaping of work and working time in the service sector -- chapter 12 The delegation of uncertainty -- chapter 13 Can trade unions meet the challenge -- chapter 14 Diversity and regulation of markets for services.

This book is an overview of the development status of China's special economic zones in 2020, including the reform pilot zones and some new special zones over the past year. It analyzes the challenges during the transformation faced by special zones, the use of resources and sustainable development, economic and social development, social security, science and technology innovation, financial system reform, and cultural industry. Also it includes a record and review of the development status of the five traditional special economic zones and Shanghai Pudong New Area and Tianjin Binhai New Area over the past year, with emphasis on case studies of different special zones.

All advanced industrial societies are experiencing changing demographic profiles, accompanied by political pressures to limit public spending. These trends threaten the capacity of publicly funded health and welfare services to maintain current levels of provision in the face of rising demand. Together they are driving forces in the search, by local and national governments alike, for alternative, more cost-effective ways of organising and providing care.This new edited book focuses on the shifting boundaries between 'health' and 'social' services, between services and money, between public and private provision. It explores the experiences of a number of countries which have recently made changes in the organisation, funding or delivery of services for frail older people. Each chapter has been specially commissioned from experts familiar with the organisation of services in their particular country. The book describes the consequences of these service changes for older citizens and the broader lessons for policy and service development.