The Caregiving Dilemma


Book Description

Along with increasing life expectancy comes the knowledge that many Americans will one day enter nursing homes. Who are the people who will care for us or for our relatives? Nancy Foner provides a major study of institutional care that focuses on nursing aides, who are the backbone of American nursing homes. She examines the strains and paradoxes facing nursing aides—asked, on the one hand, to provide compassionate care and, on the other, to cope with the pressures of the workplace and the institution. Aides are expected to look after patients, who are predominantly older women, with kindness and consideration, but nursing home regulations and bureaucratic forces often hinder even the best efforts to offer consistently supportive care. Positioned at the bottom of the nursing hierarchy, aides must cope with the needs of frail, dependent residents, pressures from patients' relatives and from their own families, and demands of supervisors and coworkers. Foner's detailed description and analysis of caregiving dilemmas, based on intensive field research in a New York facility, brings the perspective of the nursing aides to the fore. This is a timely contribution to the study of work, bureaucracy, and the future of an aging American population.




The Health Care Dilemma


Book Description

In an age of spiraling costs, it is no surprise that health care policy and health care systems are now among the most hotly debated and controversial topics in many countries of the world today. The issue is literally one of life-and-death, and affects millions across the globe as they struggle to answer the question of who pays for their health care. This book explores the health care systems of Denmark, Germany and Sweden, and compares them with the system in the United States through 30 first-hand case reports by advanced medical students taking part in an international exchange program. It also describes how these health care systems have developed and how they differ which are essential background reading for anyone making decisions on health care policy in these countries. The aim is to provide a resource for professors and students of public health policy, medicine, nursing, allied health professions, social sciences and other disciplines as they explore the social, political and cultural effects on health care and health care systems. The case studies are also interesting and provide ample food-for-thought for the general readership who are the end-users of health care and who are often able to influence public health policy.




Families Caring for an Aging America


Book Description

Family caregiving affects millions of Americans every day, in all walks of life. At least 17.7 million individuals in the United States are caregivers of an older adult with a health or functional limitation. The nation's family caregivers provide the lion's share of long-term care for our older adult population. They are also central to older adults' access to and receipt of health care and community-based social services. Yet the need to recognize and support caregivers is among the least appreciated challenges facing the aging U.S. population. Families Caring for an Aging America examines the prevalence and nature of family caregiving of older adults and the available evidence on the effectiveness of programs, supports, and other interventions designed to support family caregivers. This report also assesses and recommends policies to address the needs of family caregivers and to minimize the barriers that they encounter in trying to meet the needs of older adults.




Counting On Kindness


Book Description

Seattle mental health counselor Lustbader here compells attention to and sympathy for those who must rely on caregivers for their needs. Stories are related by patients themselves. From incapacitated men and women we learn of the humiliations caused by the loss of autonomy, of the frustrations at not being able to manage on one's own. Accounts from widely different sorts of patients and those who begrudgingly or willingly see to their care provide graphic lessons in sensitivity.




Working Mothers and the Child Care Dilemma


Book Description

During the twentieth century, child care policy in British Columbia matured in the shadow of a political uneasiness with working motherhood. Working Mothers and the Child Care Dilemma examines how ideas about motherhood, paid work, and social welfare influenced universal child care discussions and consistently pushed access to child care to the margins of BC’s social policy agenda. Charting the growth of the child care movement in this province, Lisa Pasolli examines the arrival of Vancouver’s first crèche in 1912, the teetering steps forward during the debates of the interwar years, the development of provincial child care policy, the rebellious advancements of second-wave feminists in the 1960s and 1970s, and the maturation of provincial and national child care politics since the mid-70s. In addition to revealing much about historical attitudes toward women’s roles, Working Mothers and the Child Care Dilemma celebrates the efforts of mothers and advocates who, for decades, have lobbied for child care as a central part of women’s rights as workers, parents, and citizens.




Always on Call


Book Description

This substantially updated book presents an intimate look at the world of family caregiving through compelling narratives by caregivers that capture the intensity of the caregiving experience, while chapters by noted health care professionals analyze the impact of caregiving, urge more professional advocacy on behalf of caregivers, and offer insightful suggestions for building partnerships for change and fostering improvement.




Contemporary Issues of Care


Book Description

Make sure your clients get the best possible care throughout their lives Contemporary Issues of Care presents the latest research findings on human behavior and the social environment for social workers practicing at the individual, family, and community levels. This timely book applies the functional-age model on intergenerational therapy (FAM) to examine the interaction between the care recipient’s biopsychosocial and spiritual functioning and the capacity of the family/caregiver to adapt. The book’s contributors examine the functions of various social systems in caregiving as well as the social worker’s role in processing and integrating information to help develop family-centered and community-based interventions. Contemporary Issues of Care focuses on caregiving situations across the life span, using research findings to shape social work curriculum and to improve social work practice and services. With the family still the primary caregiving institution in the United States, the book examines the mutual interdependence among family members and the dynamic development of family structure and organization. An exemplary textbook for students in social work, the book also includes a workbook and CD. Topics addressed in Contemporary Issues of Care include: shifts in human behavior paradigms family systems interventions case management sibling caregiving the impact of culture on mental illness and mental health the importance of self-care elder abuse substance abuse children with cancer HIV/AIDS diabetes posttraumatic stress inner-city challenges caregiving for gay men and lesbians caregiving for persons with dementia community caregiving and much more Contemporary Issues of Care is filled with charts, tables, diagrams, and sample interviews that supplement articles from the leading practitioners and academics in the field. This book is an essential resource for anyone involved in social work practice for individuals, families, and communities.




The Care Dilemma


Book Description

Family life has changed dramatically over the past 60 years. Increased opportunities for women, greater freedom and autonomy, and a more equal domestic sphere have brought great gains for human freedom. However, argues David Goodhart, there have been losses too: our greater freedoms have produced negative consequences in family breakdown, children's declining mental health, and the undervaluing of the traditionally female domains of care. Sharply falling birthrates also present major economic and social challenges. For many people, especially in the bottom half of the income spectrum, the costs now outweigh the benefits. The Care Dilemma argues that we need a new policy settlement that supports gender equality while also recognising the importance of stable families and community life, and that sees having children as a public as well as private good.




Dilemmas of Care in the Nordic Welfare State


Book Description

The Nordic welfare model has become an ideal in feminist literature and in welfare state studies. This has heightened scientific and political interest in the model and its key aspects, including the provision and production of care as public responsibility. In this engaging volume, contributors from various professional disciplines - including sociologists, anthropologists, political scientists and educationalists - provide a comprehensive overview of the complex state of paid work in social care within the Nordic welfare states and of the dilemmas facing state-provided care in the region. They develop insights into the conditions, practices and trends in the area of paid care in the social and health care sector, insights that expose the dilemmas and tensions associated with paid care and care education. Divided into four parts, the book will greatly interest academics, post-graduate students and professionals concerned with the Nordic model and welfare states. It will also benefit those from outside the region interested in a specific Nordic tradition of research on publicly-provided care and the current dilemmas and challenges facing training in care.




The Caregivers


Book Description

A moving, intimate, and compassionate book that chronicles the experiences of a group of long-term caregivers—spouses, parents, and friends of the elderly and ill—illuminating critical issues of old age, end-of-life care, medical reform, and social policy—and “providing comfort in the time-honored form of shared experience” (The Minneapolis Star-Tribune). In 2010, journalist Nell Lake began sitting in on the weekly meetings of a local hospital’s caregivers support group. Soon members invited her into their lives. For two years, she brought empathy, insight, and an eye for detail to understanding Penny, a fifty-year-old botanist caring for her aging mother; Daniel, a survivor of Nazi Germany who tends his ailing wife; William, whose wife suffers from Alzheimer’s; and others with whom all caregivers will identify. Witnessing acts of devotion and frustration, lessons in patience and in letting go, Lake illuminates the intimate exchanges of caregiving and care-receiving and considers important and timely social issues: How can we care for the aging, ill, and dying with skill and compassion, even as the costs and labors of care increase? How might the medical profession take into account the needs of caregivers as well as patients? In The Caregivers Nell Lake shares a thoughtful and tenderly reported depiction of the real-life predicaments that evoke these crucial questions. With more and more people spending their late years ill and frail, and 43 million Americans already caring for family members over age fifty, this is an important chronicle of a widely shared experience and a public concern. “The Caregivers is as elegantly constructed as a novel, but more than that, Lake writes about these people with such warmth and vividness that they feel as memorable as our favorite fictional characters. It is a beautifully written account” (The Boston Globe).