Culture and Long-Term Care: The Bath as Social Service in Japan

2004 ◽  
Vol 5 (1) ◽  
pp. 53-60 ◽  
Author(s):  
John W. Traphagan
Keyword(s):  
Home Health Care ◽  
Social Service ◽  
Long Term Care ◽  
Family Care ◽  
The Elderly ◽  
The United States ◽  
Central Feature ◽  
Care Providers ◽  
Term Care

A central feature of Japan’s approach to community-based care of the elderly, including long-term home health care, is the emphasis on providing bath facilities. For mobile elders, senior centers typically provide a public bathing facility in which people can enjoy a relaxing soak along with friends who also visit the centers. In terms of in-home long-term care, visiting bath services are provided to assist family care providers with the difficult task of bathing a frail or disabled elder—a task made more problematic as a result of the Japanese style of bathing. I argue that the bath, as social service, is a culturally shaped solution to a specific problem of elder care that arises in the Japanese context as a result of the importance of the bath in everyday life for Japanese. While the services may be considered specific to Japan, some aspects of bathing services, particularly the mobile bath service, may also have applicability in the United States.

Family Care for Older Adults With Disabilities: Toward More Targeted and Interpretable Research

2002 ◽  
Vol 54 (3) ◽  
pp. 205-231 ◽  
Author(s):  
Joseph E. Gaugler ◽  
Robert L. Kane ◽  
Rosalie A. Kane
Keyword(s):  
Family Involvement ◽  
Family Caregiving ◽  
Long Term Care ◽  
State Of The Art ◽  
Family Care ◽  
The Elderly ◽  
Term Care ◽  
Residential Settings ◽  
The Past

Family care of the elderly is key to the long-term care system, and its importance has led to an abundance of research over the past two decades. Several methodological and substantive issues, if addressed, could create even more targeted and interpretable research. The present review critically examines methodological topics (i.e., definitions of family caregiving, measurement of caregiving inputs) and conceptual issues (i.e., family involvement in long-term residential settings, and the care receiver's perspective on care) that have received insufficient attention in the caregiving literature. Throughout this review recommendations are offered to improve these areas and advance the state of the art.

Forensic Issues in Long-Term Care Psychiatry

2017 ◽  
Author(s):  
Marshall B. Kapp
Keyword(s):  
Assisted Living ◽  
Long Term Care ◽  
Psychiatric Treatment ◽  
Health Assessment ◽  
The United States ◽  
Assisted Living Facilities ◽  
Nursing Facilities ◽  
Care Providers ◽  
Term Care

This chapter focuses on medical-legal issues that may arise in the context of identifying psychiatric needs and providing psychiatric care for older persons in long-term care institutional settings, specifically residents of nursing facilities and assisted living facilities. Following general observations about the present regulatory climate in the United States governing nursing facilities and assisted living facilities, the chapter explores mental health assessment requirements for residents of those venues. Key legal responsibilities and restrictions regarding the psychiatric treatment of those residents are then discussed, as well as several areas of concern about potential exposure to litigation and liability on the part of long-term care providers. Finally, some of the most salient future legal and policy challenges confronting those who plan, fund, provide, and evaluate long-term care institutional psychiatric services are noted.

ECHO Care of the Elderly – Using Technology to Build Capacity of Primary Care Providers in Long-term Care

2019 ◽  
Vol 20 (3) ◽  
pp. B10-B11
Author(s):  
Sid Feldman ◽  
L. Sokoloff ◽  
S. Feldman ◽  
A. Moser ◽  
D. Conn
Keyword(s):  
Primary Care ◽  
Long Term Care ◽  
The Elderly ◽  
Primary Care Providers ◽  
Care Providers ◽  
Term Care

Public Policy Issues Affecting the Homeless in America

1989 ◽  
Vol 11 (1) ◽  
pp. 4-21
Author(s):  
Margaret Boone ◽  
Thomas Weaver
Keyword(s):  
Public Policy ◽  
Long Term Care ◽  
The Elderly ◽  
The United States ◽  
Term Care ◽  
Educational Preparation ◽  
Income Gap ◽  
The Face ◽  
Multiple Issues

The issue of homelessness symbolizes and incorporates some of the most urgent public concerns in the United States today, and for the next several decades. Homelessness represents an intersection of five major public policy areas: first, the issue of growing poverty in the face of industrial prosperity, a widening income gap between rich and poor, and the disparity between educational preparation and occupational requirements; second, the issues raised by lifestyle-related health epidemics such as drug addiction and multi-substance abuse; third, the issue of mental health, which stubbornly remains one of America's major unrecognized health problems, with literally millions of organic, cognitive, personality, and affective disorders left untreated; fourth, the issue of housing, and whether and how the provision of dwellings is central to American requirements for "a human community" and a basic right to "the pursuit of happiness"; and fifth, the multiple issues raised by aging and long-term care, because as the nation's population ages, more and more of the elderly will be at risk for becoming homeless and will exert enormous pressure on government to provide long-term care.

scholarly journals Virtual Reality Therapy for Depression and Mood in Long-Term Care Facilities

2021 ◽  
Author(s):  
Kevin Zhai ◽  
Azwa Dilawar ◽  
Mohammad S. Yousef ◽  
Sean Holroyd ◽  
Haithem El-Hammali ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Cognitive Abilities ◽  
Place Attachment ◽  
Long Term Care ◽  
The Elderly ◽  
Care Providers ◽  
Term Care ◽  
Positive Effects ◽  
Care Facilities

Virtual reality (VR) describes a family of technologies which immerse users in sensorily-stimulating virtual environments. Such technologies have increasingly found applications in the treatment of neurological and mental health disorders. Depression, anxiety, and other mood abnormalities are of concern in the growing elderly population – especially those who reside in long-term care facilities (LTCFs). The transition from the familiar home environment to the foreign LTCF introduces a number of stressors that can precipitate depression. However, recent studies reveal that VR therapy (VRT) can promote positive emotionality and improve cognitive abilities in the elderly, both at home and in LTCFs. VR thus holds potential in allowing elderly individuals to gradually adapt to their new environments – thereby mitigating the detrimental effects of place attachment and social exclusion. Nevertheless, while the current psychological literature is promising, the implementation of VR in LTCFs faces many challenges. LTCF residents must gain trust in VR technologies, care providers require training to maximize the positive effects of VRT, and decision makers must evaluate both the opportunities and obstacles in adopting VR. Here, we concisely review the implications of depression related to place attachment in LTCFs, and explore the potential therapeutic applications of VR.

scholarly journals Keyword Network Analysis on Long Term Care Insurance Using Text Mining

2021 ◽  
Vol 46 (3) ◽  
pp. 257-266
Author(s):  
Jonggeun Seo ◽  
Chung Mo Nam ◽  
Tae Hyun Kim ◽  
So-Hee Park
Keyword(s):  
Big Data ◽  
Text Mining ◽  
Long Term Care ◽  
The Elderly ◽  
Care Providers ◽  
Data Types ◽  
Term Care ◽  
Service Institution ◽  
Long Term Care Insurance

Objectives: This study conducted research using big data in order to overcome the limitations of existing qualitative research or analysis research. By analyzing keywords, the flow and role of long-term care insurance in society were analyzed.Methods: Issues were searched through text mining, one of the big data techniques, and the flow of agendas by period was examined by 3 time points (institutional settlement period, 1st basic plan, 2nd basic plan). Using R and NetMiner, Daum News (news.daum.net) and Naver News (news.naver.com) were web-scraped to collect 20,965 news articles, 4,994 articles were filtered for keyword extraction and analysis. Result: Looking at the characteristics of each data type, in all data types, long-term care institutions (including nursing homes) and care providers appear as the top keywords, and the keyword subgroup characteristics are ① grade/service, ② institution management, and ③ the employee group includes the keyword subgroup.Conclusions: This study is based on the subject of long-term care insurance for the elderly and applies big data analysis techniques, and can be used as a decision-making tool in establishing policies and systems.

An estimate of the prevalence of dementia among residents of long-term care geriatric institutions in the Jerusalem area

2006 ◽  
Vol 18 (4) ◽  
pp. 643-652 ◽  
Author(s):  
Helena Feldman ◽  
A. Mark Clarfield ◽  
Jenny Brodsky ◽  
Yaron King ◽  
Tzvi Dwolatzky
Keyword(s):  
Cognitive Impairment ◽  
Medical Records ◽  
Long Term Care ◽  
The Elderly ◽  
Care Providers ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Term Care ◽  
Prevalence Of Dementia

Background: To determine the prevalence of dementia among the residents of geriatric institutions in the greater Jerusalem area.Methods: A population-based, cross-sectional survey of a representative sample, weighted according to the level of care, of 11 of the 88 long-term care (LTC) wards in 34 LTC institutions providing care for the elderly residents in the greater Jerusalem area in 1999. A single physician interviewed 311 residents. The presence of dementia was determined from medical records and by performance on the Modified Mini-mental State Examination (3MS) instrument (with a score less than 78/100 indicating significant cognitive impairment or suspected dementia), and professional care providers were interviewed for their opinion regarding the presence of dementia in each subject.Results: The mean age of the patients was 83.9 years and 75% were women. Overall, 180 residents, representing 49.9% of the weighted sample in Jerusalem LTC facilities, were determined to have dementia according to medical records, ranging from 22.9% in independent and frail care units to 97.7% in skilled nursing care wards. However, based on their performance on the 3MS, the prevalence of cognitive impairment with suspected dementia among the subjects was substantially greater, with the staff being unaware of this diagnosis in about one-quarter of the subjects.Conclusions: There is a high prevalence of dementia in geriatric institutions in the Jerusalem area, particularly in those providing greater care. Moreover, significant cognitive impairment is probably under-reported in the medical records.

Lessons for regulating informal markets and implications for quality assurance – the case of migrant care workers in Austria

2015 ◽  
Vol 36 (4) ◽  
pp. 741-763 ◽  
Author(s):  
ANDREA E. SCHMIDT ◽  
JULIANE WINKELMANN ◽  
RICARDO RODRIGUES ◽  
KAI LEICHSENRING
Keyword(s):  
Quality Assurance ◽  
Long Term Care ◽  
Family Care ◽  
Professional Status ◽  
Control Mechanisms ◽  
Care Providers ◽  
Structured Interviews ◽  
Term Care ◽  
Care Workers

ABSTRACTThe rising number of private care arrangements in which live-in migrant care workers are engaged as a functional equivalent to family care calls for special attention by policy makers and formal long-term care providers on their implications for quality assurance and professional standards in the long-term care sector. Austria is one of the first countries in Europe where tangible legal measures have been taken to regulate this area under the heading of ‘24-hour care’, typically provided by middle-aged women. Reform measures went beyond policing and control mechanisms, including also incentives and tangible subsidies for all stakeholders. This paper contributes to a better understanding of their impact on the transition from informal to formal economy, focusing on quality assurance and working conditions. Based on empirical data and findings from semi-structured interviews with relevant stakeholders, a framework for the analysis of ‘illegal markets', based on Beckert and Wehinger's theory, is used to discuss potential implications in terms of valuation, competition and co-operation for policy in Austria, and to draw lessons for other countries. Results indicate that even after efforts to ‘legalise’ migrant care, the sector remains a ‘grey’ area within modern labour market legislation and quality management. This is due to the very nature of personal care, low professional status associated with care work and the reluctance of political stakeholders to regulate private household activities.

Devolution and Aging Policy: Racing to the Bottom in Long-Term Care

1997 ◽  
Vol 27 (3) ◽  
pp. 427-442 ◽  
Author(s):  
Carroll L. Estes ◽  
Karen W. Linkins
Keyword(s):  
Long Term Care ◽  
Nonprofit Sector ◽  
State Level ◽  
The Elderly ◽  
The United States ◽  
Term Care ◽  
New Federalism ◽  
Trade Offs ◽  
The Future

For two decades, New Federalism, devolution, and other challenges to the federal role in domestic health and human services policy have fundamentally shaped the structure and delivery of long-term care in the United States. Devolution evokes crucial questions concerning the future of universal entitlement programs such as Social Security and Medicare and, with them, the future of aging and long-term care policy. This article examines the implications of the “devolution revolution” for long-term care in the context of the sociodemographics of aging and the managed care movement. Central issues are the extent to which state-level discretionary policy options (1) alter priorities, services, and benefits for the elderly and disabled; (2) foster a race to the bottom in long-term care; (3) promote generational, gender, racial and ethnic, and social class trade-offs; and (4) fundamentally alter the role and capacity of nonprofit sector services that comprise a significant part of the long-term care continuum.

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