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In this insightful collection, academic experts consider the impact of neoliberal policies and ideology on the status of care work in Nordic countries. With new research perspectives and empirical analyses, it assesses challenges for care work including technologies, management and policy-making.
Arguing that there is a care crisis even in the supposedly feminist Nordic ‘nirvana’, this book explores understandings of the care crisis, the serious consequences for gender equality and the hitherto neglected effects on the long-term sustainability of the Nordic welfare states.
This astute take on the Nordic welfare model provides insights into what the Nordic experience can tell us about wider international issues in care.
Our societies are ageing, and we need to identify sustainable and person-centred solutions for supporting frail older people in their homes.
Reablement offers a radical new integrated care approach which supports older people to regain and maintain functioning and independence. This interdisciplinary book provides an introduction to the remarkable if haphazard international growth in reablement policies and practices in aged care over the past twenty years.
Incorporating theoretical and empirical research, it considers benefits for clients and care workers, cost-saving potentials and reablement provision also for persons with dementia. Finally, the book reflects on key findings, challenges and the way forward for long-term care for older people.
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Introduction Dementia is the leading cause of dependency and disability among older individuals ( World Health Organization, 2012 ). While the reablement approach is increasingly being integrated in aged care, this has not been taken up in dementia care to the same extent (or at least, the take-up has not been documented). Therefore, the aim of this chapter is to show the possibilities for providing reablement for individuals living with dementia. We will describe how individuals living with dementia can benefit from reablement and some of the possibilities
, and mental and physical wellbeing Vitality plus scale Level of function and disability in everyday activities Late life function and disability instruments Australia Burton et al, 2014 A randomised controlled trial Maintaining upright posture Functional reach Chair stand performance Chair sit to stand Functional mobility Timed Up and Go (TUG) Gait Tandem walk Confidence, fear of falling Falls Efficacy Scale Confidence, activity-related balance Activities-specific Balance Confidence scale Health
less likely once they reach age 80 and over. There are varied interpretations of the impact of ageing over disability, but some research indicates that there will be an increasing incidence of disability as populations aged 80 and over increase in the OECD countries ( Lafortune and Balestat, 2007 ). Countries worldwide are therefore facing demographic changes that require societal adaption. An ageing population does not only require an increase in the need for social and healthcare services; it also points to a potential decline in the labour supply, which has
studies ( Newbronner et al, 2007 ; Wilde and Glendinning, 2012 ; Lewin et al, 2013 ) had attempted to identify those characteristics that predicted success, and their findings were not entirely consistent. Looking at the data from ten thousand plus individuals who had received reablement in Essex County in the UK over a 4-year period, they found that not only are some personal characteristics such as level of disability, age and prior service use associated with a reduced likelihood of reablement success, but their effect is potentiated by neighbourhood variables
age of 60 therefore does not match the full remaining lifetime – varying from 18–21 years. In summary, these are ageing societies with more than 15 per cent of the population aged 65+ and average life expectancies well over 80 years, of which some years can be expected to be with functional limitations and disabilities. Therefore, across the countries there is an urgent need for identifying long-term care solutions which are cost-effective and meet the needs of an ageing population. Reablement models in the seven countries and their institutional
including 4 states of dependency (mild, moderate, severe, total) and, death). Societal perspective. Hypothetical cohort of community-dwelling older adults with a bathing disability. Focus on improving a person’s ability to perform self-care tasks related to bathing. Also includes technical aids when necessary. The intervention effect was based on Lewin et al, 2014 and implemented as a 40% increased probability of regaining independence in self-care in the first year. Traditional home care services. QALYs and HRQoL scores (for each state based on previously
acknowledged that home care needed to have a rehabilitation and empowerment focus that supported specialist health services for older people. Of relevance to the implementation of reablement is the combined nature of health and social care within New Zealand in relation to both funding and delivery. People with a disability lasting longer than 6 months and aged over 65 years (Māori aged over 55 years) are eligible for reablement services, and as in the Netherlands, reablement services are not time-limited. Finally, services are provided by a private home care organisation
