The Heart of Long-Term Care

Hardcover | August 1, 1998

byRosalie A. Kane, Robert L. Kane, Richard C. Ladd

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Long-term care in the United States has taken the nursing home as its benchmark, but the monetary, social, and psychological costs of nursing home care are all too high. This book challenges the current dominance of nursing homes as the principal institution of long-term care. It offers aseries of alternative models where both services and housing can be provided in a way that allows long-term consumers to enjoy dignified, "normal" lifestyles. It addresses the political and economic consequences of making this decision. The authors start with the premise that long-term care is designed to assist people who lack the capacity to function fully independently. They argue that no disabled person of any age should be required to forsake his/her humanity in exchange for care. The book rejects the artificial dichotomybetween social and medical care, asserting that both play important roles in psychological and physical well-being of long-term care patients. The authors consider the need for competent and compassionate medicine and discuss the methods for improving both its coordination of care and itseffectiveness. The book redefines the meaning of safety and protection in long-term care, and how this goal can be accomplished without sacrificing quality of living. As the new millennium and the aging of baby boomers approaches, more creative approaches to providing better long-term care are required. This volume outlines a useful framework for the provision of effective and humane community-based programs that are both feasible and affordable. It will be aninvaluable guide for geriatricians, public health professionals, family physicians, nurses and others who care for elderly patients.

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From the Publisher

Long-term care in the United States has taken the nursing home as its benchmark, but the monetary, social, and psychological costs of nursing home care are all too high. This book challenges the current dominance of nursing homes as the principal institution of long-term care. It offers aseries of alternative models where both services...

Rosalie A. Kane and Robert L. Kane are both at the University of Minnesota School of Public Health. Richard C. Ladd is President of Ladd and Associates.
Format:HardcoverPublished:August 1, 1998Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0195122380

ISBN - 13:9780195122381

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Table of Contents

Part I: Principles of Long-Term Care1. Nature and Purpose of Long-Term Care2. Spectrum of Care3. Obstacles to Balanced State Long-Term Systems4. Progress toward Balanced Long-Term Care SystemsPart II: Practice of Long-Term Care5. Home Care and Personal Assistant Services6. Combining Housing and Services7. Quality and Accountability8. Acute Care for Long-Term Care Consumers9. Managed Care and Long-Term Care10. International Perspectives on Long-Term CarePart III:11. The Heart of the Matter

Editorial Reviews

"The Kane, Kane, and Ladd ... book should become part of the essential literature used to guide the development of long-term care policy over the next decade."The Gerontologist