Preface | p. xiii |
Part I Overview of Long-Term Care | p. 1 |
Chapter 1 Introduction to the Dimensions of Long-Term Care | p. 3 |
Mary Helen McSweeney-Feld and Reid Oetjen and G. Dale WelchThe Aging Tsunami: An Overview of Older Americans | p. 4 |
Changing Definitions of Retirement | p. 4 |
What Is Long-Term Care? | p. 6 |
The History of Long-Term Care Service Delivery | p. 7 |
The Aging Process and Long-Term Care Service Delivery | p. 9 |
Models of Long-Term Care Delivery | p. 10 |
Key Aspects of Long-Term Care | p. 13 |
A Look Ahead | p. 15 |
Part II Care Settings for Long-Term Care Services | p. 17 |
Chapter 2 Residential Settings for Long-Term Care Services | p. 19 |
Mary Helen McSweeney-Feld and Reid Oetjen and Lawanda D. WarthenIntroduction | p. 20 |
Independent Living | p. 20 |
Assisted Living | p. 25 |
Skilled Nursing Facilities | p. 27 |
Continuing Care Retirement Communities | p. 30 |
New Developments in Residential Long-Term Care Services | p. 33 |
International Perspectives on Residential Long-Term Care | p. 35 |
A Look Ahead | p. 35 |
Chapter 3 Home and Community-Based Care Services | p. 38 |
Mary Helen McSweeney-Feld and Karen Kopera-FryeIntroduction | p. 39 |
Social Policy and the Development of Community-Based Care Services | p. 39 |
Aging Network | p. 39 |
Types of Community-Based Services | p. 41 |
Telehealth and Home Care Services | p. 46 |
Innovations in HCBS: Consumer-Directed Programs | p. 46 |
Older Adults with Disabilities: A Special Issue in HCBS | p. 48 |
A Look Ahead | p. 51 |
Chapter 4 Technology and Delivery of Long-Term Care Services | p. 54 |
Barbara H. Edington and Peter Gomori and Mary Helen McSweeney-FeldIntroduction | p. 55 |
Foundations for Information Technology Systems in Long-Term Care | p. 56 |
Barriers to Information Technology Systems Adoption | p. 60 |
Technology Applications in Long-Term Care | p. 60 |
A Look Ahead | p. 61 |
Chapter 5 Chronic Care and Alzheimer's Disease | p. 65 |
James Siberski and Margie Eckroth-BucherIntroduction | p. 66 |
Alzheimer's Disease and Chronic Care Services Management | p. 67 |
A Look Ahead | p. 78 |
Chapter 6 Hospice, Palliative, and End-of-Life Care | p. 81 |
Judith Jopling Sayre and Reetu GrewalIntroduction | p. 82 |
Theoretical and Conceptual Foundations | p. 82 |
Core Issues in Hospice and Palliative Care | p. 84 |
A Look Ahead | p. 98 |
Chapter 7 Diversity and the Delivery of Long-Term Care Services | p. 103 |
Carol Molinari and Mary Helen McSweeney-FeldIntroduction | p. 104 |
Long-Term Health Needs of Elders by Gender, Ethnicity, and Sexual Orientation | p. 107 |
Disparities in Healthcare Among Diverse Elders | p. 113 |
A Look Ahead | p. 115 |
Part III Management Issues | p. 119 |
Chapter 8 Management and Leadership in Long-Term Care Settings | p. 121 |
Suzanne DiscenzaWhat Is Management? | p. 122 |
Strategic Planning | p. 125 |
Leadership Versus Management of LTC Facilities | p. 126 |
Recruitment, Hiring, and Retention | p. 130 |
A Look Ahead | p. 139 |
Chapter 9 The Design of Long-Term Care Environments | p. 145 |
Jullet A. Davis and Christopher Johnson and Reid OetjenIntroduction | p. 146 |
Design of Long-Term Care Facilities | p. 146 |
Regulatory Concerns | p. 151 |
Management Issues of the Physical Environment | p. 154 |
Philosophical Evolution in Environmental Design | p. 161 |
Disaster Management | p. 164 |
A Look Ahead | p. 164 |
Chapter 10 Strategic Marketing for Long-Term Care | p. 167 |
Patricia R. LoubeauIntroduction | p. 168 |
Healthcare Marketing: The Foundation | p. 168 |
Segmentation | p. 169 |
Tips for Marketing to Seniors | p. 173 |
A Look Ahead | p. 176 |
Chapter 11 Long-Term Care Human Resources | p. 179 |
Reid OetjenIntroduction | p. 180 |
The Long-Term Care Workforce | p. 180 |
Description of LTC Human Resource Departments | p. 181 |
Goals and Functions of Human Resources | p. 182 |
Legal and Regulatory Compliance | p. 200 |
Worker Safety Law | p. 203 |
Current and Future Direction in LTC Human Resources | p. 204 |
LTC Workforce Implications | p. 207 |
A Look Ahead | p. 208 |
Chapter 12 Legal Issues in Long-Term Care | p. 212 |
Edward L. KingIntroduction | p. 213 |
Introduction to Legal Issues | p. 214 |
Civil Law | p. 214 |
Criminal Law | p. 218 |
Ethical Issues | p. 219 |
End-of-Life Issues | p. 224 |
A Look Ahead | p. 228 |
Chapter 13 Regulation of Long-Term Care | p. 232 |
JoAnn NolinIntroduction | p. 233 |
Origins of Regulation | p. 233 |
Basics of Licensure, Certification, and Accreditation of LTC Services | p. 235 |
Assisted Living Facilities | p. 239 |
Continuing Care Retirement Communities | p. 241 |
Home and Community-Based Services | p. 242 |
Accountability and Quality in LTC | p. 244 |
A Look Ahead | p. 246 |
Chapter 14 Financing Long-Term Care Services | p. 249 |
Robert Spinelli and Mary Helen McSweeney-FeldIntroduction | p. 250 |
Demographic Trends and Financing | p. 250 |
Policy Issues: How to Pay for Long-Term Care in the Future | p. 258 |
Administrative Costs in Long-Term Care Insurance | p. 259 |
Instability of Long-Term Care Insurance Premiums | p. 259 |
Adverse Selection | p. 259 |
The Inability to Insure Against Certain Risks | p. 260 |
The Availability of Medicaid | p. 260 |
Public Long-Term Care Insurance: Germany, Japan, and the CLASS Act | p. 261 |
A Look Ahead | p. 262 |
Epilogue | p. 265 |
Mary Helen McSweeney-Feld and Reid OetjenGlobalization of Healthcare | p. 265 |
Innovative Payment Systems for LTC Needs | p. 266 |
Technological Innovation | p. 266 |
Chronic Health Conditions | p. 267 |
Increased Diversity | p. 267 |
Quality-of-Care Concerns | p. 267 |
Sustainability | p. 268 |
Glossary | p. 269 |
References | p. 286 |
Index | p. 322 |
About the Contributors | p. 332 |
About the Editors | p. 336 |