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Nursing Homes and Assisted Living

The Family's Guide to Making Decisions and Getting Good Care

Paperback

Published: 1st October 2009
For Ages: 18+ years old
Ships: 7 to 10 business days
RRP $41.95
$34.45
18%
OFF

Almost a decade ago, Peter S. Silin wrote Nursing Homes: The Family's Journey to provide family members with practical advice and emotional support. This successor volume incorporates the new and sometimes baffling world of assisted living. Nursing Homes and Assisted Living focuses on the psychological, emotional, and practical aspects of helping family members and seniors make a difficult transition.

Silin approaches his subject with compassion and sensitivity, guiding readers through the process of finding the best possible care. He describes how nursing homes and assisted living facilities work and outlines the selection process; he explains how to prepare for the day a relative moves into a facility and suggests ways to help the resident settle in; he focuses on the family member's role in solving problems, obtaining good-quality care, and visiting. The author's insights help caregivers cope with difficult decisions and deal with emotional issues such as guilt and grief, while celebrating the tender, rewarding aspects of being a caregiver. Vignettes from real-life caregivers narrating their experiences amplify Silin's advice and will resonate with families.

This book provides caregivers, family members, and seniors with the information they need to effect successful transitions. It is also a valuable tool for social workers, nurses, and family therapists.

Praise for the first edition

"An important book about the often difficult and painful process that begins long before a loved family member enters a nursing home... A thorough, excellent, and humane book that helps families navigate a difficult, traumatic life change in the most successful way possible." -- Inside GCM

"Among the most valuable chapters in this book is one titled 'Making a Home Better, ' which includes wonderful advice on how a loved one can influence what goes on inside a nursing home. His inclusion of real-life stories from the families he's encountered over 20 years anchors the book compassionately." -- Los Angeles Times

"This is both a very humanistic book and a very practical one... written with the insight of a sociologist and geriatric care manager, someone who sees the human side of the equation first." -- ElderCare Online

"An important book about the often difficult and painful process that begins long before a loved family member enters a nursing home... A thorough, excellent and humane book that helps families navigate a difficult, traumatic life change in the most successful way possible." - Inside GCM "His inclusion of real-life stories from the families he's encountered over 20 years anchors the book compassionately." - Los Angeles Times "This is both a very humanistic book and a very practical one... written with the insight of a sociologist and geriatric care manager, someone who sees the human side of the equation first." - ElderCare Online"

Prefacep. xiii
Acknowledgmentsp. xv
Caring Decisions
When Someone You Love Goes into Carep. 3
Becoming a Caregiverp. 3
Becoming "the Family Member" of Someone in Carep. 4
Learning the Role of "the Family Member"p. 6
Types and Levels of Carep. 7
Other Considerationsp. 14
Alastairp. 16
Deciding about Carep. 19
How to Talk about Carep. 19
Choosing the Right Timep. 26
Stress and Burnoutp. 28
When a Parent Chooses to Live at Riskp. 30
Making the Decisionp. 32
Your Legal Right to Make Decisions for Your Relative: A Warningp. 33
Advance Directives and Medical Decisionsp. 35
Lydia Jeanp. 40
Family Decision Makingp. 42
Family Relationships and Care Decisionsp. 42
How to Make Family Decisionsp. 44
Family Meetingsp. 46
Keep Your Relative Involvedp. 51
Maryp. 53
Guilt, Loss, and Griefp. 58
What Is Guilt?p. 58
Conflicts That Give Rise to Guiltp. 60
Families and Guiltp. 61
Adult Childrenp. 62
Guilt, Culture, and Society Todayp. 64
When Guilt Has Other Purposes in Your Lifep. 65
Not All Relationships Were Idealp. 66
Guilt and Dementiap. 68
Dealing with Guiltp. 69
Letting Gop. 74
Grief and Lossp. 77
Handling Griefp. 79
Marjoriep. 82
The Residence
About Nursing Homes and Assisted Living Facilitiesp. 87
Keeping Your Relative at Homep. 88
Where to Start Finding a Nursing Home or Assisted Living Facilityp. 91
Applying for Seniors Housingp. 95
About Good Care and Good Caringp. 96
Models of Carep. 98
On Abusep. 100
Specialized Dementia Care Unitsp. 110
Costsp. 111
Nursing Homes and Legal Responsibilityp. 119
Mildredp. 121
Viewing the Residencep. 124
Staffingp. 126
Programmingp. 127
Policiesp. 129
Diningp. 130
Physical Plantp. 131
Surveys and Accreditationp. 132
John and Joycep. 133
Staff Roles: Who Does What?p. 139
Receptionistp. 139
Administratorp. 140
Personal Care: Nurse's Aidesp. 141
Nursesp. 143
Dietitian and Food Services Staffp. 144
Social Workerp. 145
Recreation Therapistsp. 145
Rehabilitation Staffp. 147
Housekeepers/Building Maintenance Staffp. 148
Pharmacistp. 149
Physiciansp. 149
Other Staff Membersp. 150
Mabelp. 152
Nursing Home and Assisted Living Systemsp. 155
How the System Worksp. 157
A Typical Dayp. 158
Cyrusp. 161
Moving In And Settling In
Preparations for Moving Dayp. 167
How to Prepare Your Relativep. 167
Get to Know the Home in Advancep. 170
Equipmentp. 172
Valuablesp. 173
Clothing and Laundryp. 174
Plan Ahead for Moving Dayp. 176
Plan to Take Care of Yourselfp. 178
Bettyp. 180
Moving Dayp. 182
Stay Calmp. 182
If Your Relative Refuses to Gop. 183
Walking through the Doorp. 184
When You First Arrivep. 185
Joanp. 188
Settling Inp. 192
Resident Adjustmentp. 192
Changes and Differences in Behaviorp. 193
Dementia and Behaviorp. 200
Sex and Relationships in Nursing Homes and Assisted Livingp. 203
On Staying Healthyp. 205
Your Emotional Adjustmentp. 207
The Gap in Your Lifep. 208
Phases of Adjustmentp. 210
Acceptancep. 212
New Relationshipsp. 213
Billp. 215
Being The Family Member of Someone In Care
Care and Care Planningp. 221
Basic Standards of Carep. 221
How Care Is Organizedp. 222
Care Conferencesp. 224
Chartsp. 227
Medication and Care Planningp. 228
Medication and Pain Controlp. 230
Restraintsp. 232
Toileting and Incontinencep. 234
Fallsp. 236
Pressure Soresp. 237
Depressionp. 238
Alcohol, Drugs, and Other Addictionsp. 238
Roommatesp. 241
Louisep. 244
Communication and Problem Solvingp. 247
Working the Systemp. 247
Communicationp. 248
Gaps in the Systemp. 251
When Things Go Missingp. 251
Your Rolep. 252
Making Complaintsp. 254
Throwing Bouquetsp. 261
Alvin (part 1)p. 263
Visitingp. 267
How Often to Visitp. 268
Visiting Someone Who Has Dementiap. 270
Going Out and Going Homep. 271
Ending a Visitp. 273
Companionsp. 274
A Few More Words about Sexp. 276
Janep. 277
Out-of-Town Caregiversp. 280
Professional Geriatric Care Managersp. 285
Lloydp. 286
Making a Home Betterp. 289
Include the Resident in the Changep. 290
Individual Actionsp. 290
Working with Other Familiesp. 292
Working with the Systemp. 294
Working with Governmentp. 300
Annp. 302
Difficult Decisions at the End of Lifep. 306
Living and Dyingp. 306
Talking about Deathp. 307
Facing Feelings about Dying and Deathp. 309
Decisions about Dying and Deathp. 310
Hospice and Palliative Carep. 313
Younger People and Deathp. 314
What Occurs during the Dying Processp. 315
After Deathp. 316
Saying Good-bye to the Homep. 317
Donaldp. 319
Alvin (part 2)p. 325
Accessing Care in Canadap. 327
Questionnairesp. 333
Some Common Medical Abbreviationsp. 345
Resourcesp. 347
Indexp. 357
Table of Contents provided by Ingram. All Rights Reserved.

ISBN: 9780801893520
ISBN-10: 0801893526
Audience: Tertiary; University or College
For Ages: 18+ years old
Format: Paperback
Language: English
Number Of Pages: 388
Published: 1st October 2009
Publisher: Johns Hopkins University Press
Dimensions (cm): 22.9 x 15.2  x 2.0
Weight (kg): 0.517