Home And Community

As older adults and their families opt out of nursing homes, a range of home and community-based services (HCBS) have risen up to provide care. HCBS span platforms and approaches, from home health care to assisted living to community-based hospice to adult day services. These models are, for most, preferable to nursing homes and allow older adults to “age in place”—live longer in their own homes and communities. Home- and Community-Based Services for Older Adults examines the existing and emerging models of HCBS, including the history, theory, research, policy, and practices across care settings. Emphasizing the multidisciplinary and interprofessional practice approaches used to deliver care, this book is an essential learning tool for students interested in medicine, nursing, social work, allied health professions, case management, health care administration, and gerontology. As the population of older adults grows, the authors ask, how can we best meet the needs of older adults and their families in the most effective, cost-conscious way while honoring their care choices?

Examining the relationships between architecture, home and community in the Claremont Court housing scheme in Edinburgh, Home and Community provides a novel perspective on the enabling potential of architecture that encompasses physical, spatial, relational and temporal phenomena. Based on the AHRC funded project "Place and Belonging", the chapters draw on innovative spatial layouts amid Scottish policymakers' concerns of social change in the 1960s, to develop theoretical understandings between architecture, home, and community. By approaching the discourse on home, and by positioning the home at the confluence of a network of sociocultural identities bound by spatial awareness and design, the writers draw on sociological interpretations of cultural negotiation as well as theoretical underpinnings in architectural design. In so doing, they suggest a reinterpretation of the facilitating role of architecture as sensitive to physical and socio-cultural reconstruction. Drawn from interviews with residents, architectural surveys, contextual mapping and other visual methods, Home and Community explores home as a construct that is enmeshed with the architectural affordances that the housing scheme represents, that is useful to both architecture and sociology students, as well as practitioners and urban planners.

"This open access book outlines the challenges of supporting the health and wellbeing of older adults around the world and offers examples of solutions designed by stakeholders, healthcare providers, and public, private and nonprofit organizations in the United States. The solutions presented address challenges including: providing person-centered long-term care, making palliative care accessible in all healthcare settings and the home, enabling aging-in-place, financing long-term care, improving care coordination and access to care, delivering hospital-level and emergency care in the home and retirement community settings, merging health and social care, supporting people living with dementia and their caregivers, creating communities and employment opportunities that are accessible and welcoming to those of all ages and abilities, and combating the stigma of aging. The innovative programs of support and care in Aging Well serve as models of excellence that, when put into action, move health spending toward a sustainable path and greatly contribute to the well-being of older adults."--Provided by publisher.