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Nursing homes : the family's journey / Peter S. Silin.
Van Pelt Library RC954.3 .S556 2001
Available
- Format:
- Book
- Author/Creator:
- Silin, Peter S., 1954-
- Language:
- English
- Subjects (All):
- Older people--Nursing home care.
- Older people.
- Nursing home residents--Family relationships.
- Nursing home residents.
- Older people--Nursing home care--Psychological aspects.
- Older people--Nursing home care--Social aspects.
- Health Services for the Aged.
- Nursing home care.
- Social aspects.
- Psychological aspects.
- Nursing home residents' families.
- Nursing Homes.
- Caregivers.
- Long-Term Care--psychology.
- Medical Subjects:
- Health Services for the Aged.
- Nursing Homes.
- Caregivers.
- Long-Term Care--psychology.
- Physical Description:
- xv, 296 pages ; 23 cm
- Place of Publication:
- Baltimore : Johns Hopkins University Press, 2001.
- Summary:
- Being the family member of someone in a nursing home is part of a difficult and painful process that begins long before a loved one enters the home. Focusing on the psychological, emotional and social aspects of that process, this guide offers family members practical advice and emotional support, and it explains the intricacies of care and nursing homes.
- Contents:
- Part I Caring Decisions
- Chapter 1 When Someone You Love Goes into Care 3
- Becoming a Caregiver 3
- Becoming "the Family Member" of Someone in Care 4
- Chapter 2 Deciding about Care 9
- How to Talk about Care 9
- Choosing the Right Time 14
- Stress 16
- When a Parent Chooses to Live at Risk 17
- Your Legal Right to Make Decisions for Your Relative: A Warning 19
- Advance Directives and Medical Decisions 20
- Chapter 3 Family Decision Making 26
- Family Relationships and Care Decisions 26
- How to Make Family Decisions 27
- Keep Your Relative Involved 31
- Chapter 4 Guilt, Loss, and Grief 37
- What Is Guilt? 37
- Conflicts that Give Rise to Guilt 38
- Families and Guilt 39
- Not All Relationships Were Ideal 43
- Guilt and Dementia 45
- Dealing with Guilt 45
- Letting Go 49
- Grief and Loss 51
- Handling Grief 53
- Part II The Nursing Home
- Chapter 5 About Nursing Homes 59
- Where to Start Finding a Nursing Home 60
- Keeping Your Relative at Home 62
- Types and Levels of Care 64
- Applying for Care 67
- About Good Care and Good Caring 68
- On Abuse 70
- Specialized Dementia Care Units 77
- Costs 78
- Nursing Homes and Legal Responsibility 83
- Chapter 6 Viewing the Home 87
- Staffing 89
- Programming 90
- Policies 91
- Dining 92
- Physical Plant 92
- Surveys and Accreditation 92
- Chapter 7 Staff Roles: Who Does What? 100
- Administrator 100
- Personal Care 101
- Nursing 102
- Dietitian and Food Services 103
- Social Worker 104
- Recreation 104
- Rehabilitation 105
- Housekeeping / Building Maintenance 106
- Pharmacy 106
- Physicians 107
- Other Staff Members 107
- Chapter 8 The Nursing Home System 112
- How the System Works 113
- A Typical Day 114
- Part III Moving in and Settling in
- Chapter 9 Preparations for Moving Day 123
- How to Prepare Your Relative 123
- Get to Know the Home in Advance 125
- Equipment 127
- Valuables 128
- Clothing and Laundry 129
- Plan Ahead for Moving Day 130
- Plan to Take Care of Yourself 131
- Chapter 10 Moving Day 135
- Stay Calm 135
- If Your Relative Refuses to Go 135
- When You First Arrive 137
- Chapter 11 Settling In 143
- Resident Adjustment 143
- Changes and Differences in Behavior 144
- Dementia and Behavior 150
- On Staying Healthy 152
- Your Emotional Adjustment 154
- The Gap in Your Life 155
- Phases of Adjustment 157
- Acceptance 159
- New Relationships 160
- Part IV Being the Family Member of Someone in Care
- Chapter 12 Care and Care Planning 167
- Basic Standards of Care 167
- How Care Is Organized 168
- Care Conferences 170
- Charts 172
- Medication and Care Planning 173
- Medication and Pain Control 174
- Restraints 175
- Toileting and Incontinence 177
- Falls 179
- Bedsores 180
- Roommates 180
- Chapter 13 Communication and Problem Solving 186
- Working the System 186
- Communication 187
- When Things Go Missing 189
- Your Role 190
- Making Complaints 192
- Throwing Bouquets 196
- Chapter 14 Visiting 203
- How Often to Visit 204
- Visiting Someone with Dementia 206
- Going Out and Going Home 207
- Ending a Visit 208
- Companions 209
- A Few Words about Sex 211
- Chapter 15 Out-of-Town Caregivers 216
- Professional Geriatric Care Managers 219
- Chapter 16 Making a Home Better 223
- Include the Resident in the Change 224
- Individual Actions 224
- Working with Other Families 225
- Working with the System 227
- Chapter 17 Difficult Decisions and the End of Life 236
- Living and Dying 236
- Talking about Death 237
- Facing Death 239
- Younger People and Death 242
- After Death 243
- Saying Good-bye to the Home 244
- Appendix 1 State Ombudsperson Offices 253
- Appendix 2 Accessing Care in Canada 259
- Appendix 3 Nursing Home Residents' Rights under U.S. Law 264.
- Notes:
- Includes bibliographical references (pages 279-282) and index.
- ISBN:
- 0801866243
- 0801866251
- OCLC:
- 45093682
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