Aging, Autonomy, and Architecture: Advances in Assisted Living

by ; ;
Format: Paperback
Pub. Date: 1999-08-01
Publisher(s): Johns Hopkins Univ Pr
List Price: $62.00

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With the aging of the population, increasing numbers of people will need some type of assistance to maintain their independence. One of the fastest-growing options in long-term care is assisted living, a residential model of living arrangements that strives to combine housing and supportive services in a less-institutional facility. Assisted living arrangements usually offer individuals or couples private units that consist of a bedroom with bathing facilities and small cooking area. Residents also have access to a full-service dining room, a health clinic, and a variety of other spaces for recreational and social activities. In Aging, Autonomy, and Architecture, Benyamin Schwarz and Ruth Brent bring together many of the leading researchers and practitioners in the field to examine various aspects of the design and function of assisted living facilities. Concentrating on those characteristics that foster autonomy, the contributors offer case examples that bridge the gap between theory and practice. They comment on issues that include health care, the special needs of assisted living for persons with dementia, the importance of marketing and management, and the design of culturally sensitive facilities. The book will be a valuable resource for researchers, designers, and policy makers, as well as for students in gerontology and in architecture. Contributors: Janice E. Barnes, Ruth Brent, Pamela Z. Cacchione, Margaret P. Calkins, Daniel J. Cinelli, Uriel Cohen, Jacquelyn Frank, Stephen M. Golant, J. David Hoglund, Rachel Kaplan, Carol L. Kershner, Stefani D. Ledewitz, John P. Marsden, Keith Diaz Moore, John E. Morley, Leon A. Pastalan, Victor Regnier, Carmel Roques, Benyamin Schwarz, Gregory J. Scott, Cynthia D. Steele, Ronald K. Tinsley, Martin S. Valins, Kenneth E. Warren, Gerald D. Weisman, and John Zeisel

Table of Contents

Forewordp. ix
Acknowledgmentsp. xi
Contributorsp. xiii
Introductionp. xv
Idealism and Realism
The Definition and Evolution of Assisted Living within a Changing System of Long-Term Carep. 3
Assisted Living: The Current State of Affairsp. 21
The Promise of Assisted Living as a Shelter and Care Alternative for Frail American Elders: A Cautionary Essayp. 32
Attributes of Place and Behaviors of People
Gerontopia: A Place to Grow Old and Diep. 63
Personal Rituals: Identity, Attachment to Place, and Community Solidarityp. 81
Integrating Cultural Heritage into Assisted-Living Environmentsp. 90
Life-Quality Alzheimer Care in Assisted Livingp. 110
Models for Environmental Assessmentp. 130
The Provision and Consumption of Care
Dementia Care in Assisted Living: A Case Study of Copper Ridgep. 143
Primary Care in Assisted Living: A Geriatrician's Perspectivep. 156
"I Live Here, but It's Not My Home": Residents' Experiences in Assisted Livingp. 166
Design: Who Cares?
Assisted Living: An Evolving Place Typep. 185
Communicating Homeyness from the Outside: Elderly People's Perceptions of Assisted Livingp. 207
Designing to Meet the Needs of People with Alzheimer's Diseasep. 229
Place Makes a Difference: A Case Study in Assisted Livingp. 262
Hospice: A Case Study Making a Differencep. 278
Epilogue: Emerging Themes, Further Reflectionsp. 291
Indexp. 307
Table of Contents provided by Syndetics. All Rights Reserved.

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