Medical and Familial Claims to Long-Term Care: Institutional Gaps and Shifting Jurisdictions

2018 ◽  
Vol 43 (01) ◽  
pp. 238-248
Author(s):  
Elizabeth Chiarello
Keyword(s):  
Social Movement ◽  
Collective Identity ◽  
Social Problem ◽  
Long Term Care ◽  
Medical Sociology ◽  
Term Care ◽  
Support Organizations ◽  
The Social ◽  
Family Based

In light of the contemporary long-term care crisis, Sandra Levitsky's book Caring for Our Own examines why there has been no movement to secure state support for caregivers. Speaking to sociolegal and social movement audiences, Levitsky reveals how lack of collective identity, the power of family-based ideologies, and the separation of support organizations from political ones help to repress mobilization. In this essay I refract Levitsky's findings through the lens of organizational theory and medical sociology. I argue that the social problem of long-term care is caught in an institutional gap since it does not readily fall under the purview of either medicine or family. I also discuss the implications of lay caregivers' provision of sophisticated medical care for theories of professional jurisdictions and gatekeeping.

Habituation Theory and Environment-Aging Research: Ennui to Joie De Vivre?

1989 ◽  
Vol 29 (4) ◽  
pp. 241-257 ◽  
Author(s):  
Carolyn Norris-Baker ◽  
Rick J. Scheidt
Keyword(s):  
Older People ◽  
Psychological Control ◽  
Long Term Care ◽  
Aging Research ◽  
Term Care ◽  
Targeted Interventions ◽  
Situational Characteristics ◽  
The Social ◽  
The Impact

Robert Kastenbaum posits that functional aging results in the overadaptation to our own routines and expectations, producing “hyperhabituation,” mental stagnation, and novaphobic response orientations. This article examines the promise and implications of this notion for two areas of environment-aging research: psychological control and environmental comprehension. Possible causal and mediating links between control and habituation are considered, as well as the impact of habituation on environmental perception, cognition, and appraisal. Personal and situational characteristics of older people likely to be at risk for habituated responses are suggested. The article also speculates about individually- and environmentally-targeted interventions which might prevent and/or ameliorate tendencies toward hyperhabituated responses among older people who reside in highly ritualized and constant environments such as long-term care institutions. Interventions subject to future evaluations include modifications for the social, physical, and policy milieux and desensitization of novaphobic responses.

scholarly journals Reliance on long-term care as a “new” social risk in national and EU law

2020 ◽  
Vol 123 ◽  
pp. 87-101
Author(s):  
Grega Strban ◽  
Sara Bagari
Keyword(s):  
Life Expectancy ◽  
Social Protection ◽  
Long Term Care ◽  
Social Risk ◽  
Eu Law ◽  
Term Care ◽  
The Social ◽  
Different Parts ◽  
The Eu

There have always been people who cannot take care of their daily needs and are reliant on care. However, due to higher life expectancy and low birth rates, changes in lifestyle and increased mobility, reliance on long-term care is becoming a general risk in life. Therefore, it must be provided with social protection. In this respect, the criteria for shaping the (new) social risk of reliance on long-term care are also fulfilled. Although different benefits are already provided within different parts of the social security system, the paper discusses that the best option is to define reliance on long-term care as an independent social risk. Furthermore, we must ensure that providing long-term care will not turn out to be a double social risk. The issue has to be addressed at the national and at the EU level.

Aging in Place

2018 ◽  
pp. 259-276 ◽  
Author(s):  
Ben Yuk Fai Fong ◽  
Vincent T. Law
Keyword(s):  
Social Networks ◽  
Aging Process ◽  
Local Community ◽  
Long Term Care ◽  
Aging In Place ◽  
Social Psychological ◽  
Term Care ◽  
Residential Homes ◽  
The Social

Aging is a function of time and is a natural and integral part of the life cycle. Aging process differs among individuals and brings all kinds of changes, affecting not just the physical body and its functions, but also to the social, psychological and financial situations to individuals. Aging in place (AIP) is a common preference among older people for remaining in their local community and maintaining their social networks throughout the aging process. Issues about appropriateness of aging in place, long-term care, and residential homes are discussed. Some models and recommendations are discussed, completed with thoughts on future studies.

Long-term care as contested acoustical space: Exploring resident relationships and identities in sound

2019 ◽  
Vol 27 (1) ◽  
pp. 61-73 ◽  
Author(s):  
Megan E Graham
Keyword(s):  
Health Care ◽  
Social Space ◽  
Long Term Care ◽  
Care Facility ◽  
Well Being ◽  
Social Significance ◽  
Term Care ◽  
Similar Treatment ◽  
The Social

As the global population ages, residential care facilities are challenged to create positive living environments for people in later life. Health care acoustics are increasingly recognized as a key design factor in the experience of well-being for long-term care residents; however, acoustics are being conceptualized predominantly within the medical model. Just as the modern hospital battles disease with technology, sterility and efficiency, health care acoustics are receiving similar treatment. Materialist efforts towards acoustical separation evoke images of containment, quarantine and control, as if sound was something to be isolated. Sound becomes part of the contested space of long-term care that exists in tension between hospital and home. The move towards acoustical separation denies the social significance of sound in residents’ lives. Sound does not displace care; it emplaces care and the social relationships therein. Drawing upon ethnographic fieldwork in a Canadian long-term care facility, this article will use a phenomenological lens to explore how relationships are shaped in sound among residents living in long-term care. Ethnographic vignettes illustrate how the free flow of music through the care unit incited collective engagement among residents, reduced barriers to sharing social space and constructed new social identity. The article concludes that residents’ relationships are shaped within the acoustical milieu of the care unit and that to impose acoustical separation between residents’ living spaces may further isolate residents who are already at risk of loneliness.

Targeting Long-Term Care for the Frail Elderly: Models From the Social/HMO Demonstration

1991 ◽  
Vol 10 (4) ◽  
pp. 389-405 ◽  
Author(s):  
Margaret MacAdam ◽  
Jay Greenberg ◽  
Merwyn Greenlick ◽  
Leonard Gruenberg ◽  
Joelyn Malone
Keyword(s):  
Frail Elderly ◽  
Long Term Care ◽  
Term Care ◽  
The Social ◽  
Social Hmo

Medicare Managed Care and Frail Elders: Lessons From Social HMOs

2003 ◽  
Vol 4 (3) ◽  
pp. 161-169 ◽  
Author(s):  
Walter Leutz ◽  
Tim Ford ◽  
Moon Leung ◽  
Marlin Mueller ◽  
Lucy Nonnenkamp ◽  
...  
Keyword(s):  
Frail Elderly ◽  
Long Term Care ◽  
Nursing Home Residents ◽  
Regulatory Structure ◽  
Medicare Payment ◽  
Term Care ◽  
Frail Elders ◽  
The Social ◽  
Social Hmo

After 20 years of operations, the Social HMO demonstration of integrated acute and long-term care is scheduled to end on December 31, 2004. While a new disability adjustment to the Medicare payment system promises to provide the financial underpinning for continuing to serve the 113,000 beneficiaries now enrolled at four sites, a broader regulatory structure as an alternative to current waivers is also needed. The regulations could also accommodate other frail elderly programs, which serve nursing home residents and beneficiaries of both Medicare and Medicaid. The relevance of Social HMOs—the largest and most broadly targeted of frail elderly programs—is reviewed herein, particularly regarding marketing, selectivity, reimbursement, and special frail elderly benefits and geriatric services.

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