
Institutionalization of the Elderly in Canada
Butterworths Perspectives on Individual and Population Aging Series
- 1st Edition - October 1, 1987
- Imprint: Butterworth-Heinemann
- Authors: Jennifer A. Jackson, William P. Forbes, Arthur S. Kraus
- Language: English
- eBook ISBN:9 7 8 - 1 - 4 8 3 1 - 4 2 0 1 - 2
Institutionalization of the Elderly in Canada provides information regarding the care of elderly people in long-term care institutions in Canada. The monograph presents the nature… Read more

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Request a sales quoteInstitutionalization of the Elderly in Canada provides information regarding the care of elderly people in long-term care institutions in Canada. The monograph presents the nature and operation of the system of long-term institutional care of the elderly in Canada. The book provides a definition and historical outline of institutional care; the various types of available facilities, and the populations for which these institutions are designed; and the issues concerning the interface between community-oriented services and institutions. The health and functional abilities of the elderly and the programs which may be needed for the care of the long-stay elderly resident; issues on attitudes towards institutionalization, excessive medication, inappropriate placement and divided jurisdictional responsibility; and the quality and outcomes of care and the implications of government policy and programs are extensively discussed as well. Gerontologists, healthcare professionals, and medical administrators will find the book of value.
Butterworths Perspectives on Individual and Population Aging Series
Foreword
Preface
List of Tables
Chapter 1: Introduction
1.1 The Definition of Institutional Care
1.2 The History of Institutional Care
1.2.1 Early Christian and Medieval Periods
1.2.2 England and Wales
1.2.3 Care of the Sick Poor
1.2.4 Canada - New France
1.2.5 Lower Canada
1.2.6 Upper Canada
1.2.7 Developments During 1840-1900
1.2.8 The Period from 1900 to the 1940s
1.2.9 Growth of Long-Term Institutional Care Since the 1940s
1.3 Summary and Conclusions
Chapter 2: The Organization of Institutional Long-Term Care
2.1 Introduction
2.2 Federal and Provincial Roles
2.3 Levels of Institutional Long-Term Care
2.4 Types of Long-Term Care Institutional Facilities
2.5 Data on Special Care Facilities
2.6 Institutional Care at the Residential Care Level: Illustrations from Ontario
2.7 Institutional Care at the Extended Care Level: Illustrations from Ontario
2.7.1 Homes for the Aged
2.7.2 Nursing Homes
2.8 Institutional Care at the Chronic Care Level
2.9 Comparisons Between Ontario, Manitoba and British Columbia
2.10 Summary and Conclusions
Chapter 3: A Demographic Profile of the Institutionalized Elderly
3.1 Prevalence of Institutionalization Among the Elderly in Canada
3.2 Factors Associated with Admission to Long-Term Care Institutions
3.3 The Prevalence of Institutionalization in Canada and Other Countries
3.4 Summary and Conclusions
Chapter 4: The Community-Institution Interface
4.1 Community Care in Relation to Institutional Care
4.2 Placement Co-ordination Services: Counselling and Assessment Services
4.3 Outreach Programs
4.4 Effectiveness of Community Support Programs
4.5 Summary and Conclusions
Chapter 5: Health Status and Therapeutic Programs
5.1 Profile of Residents and Philosophy of Care
5.2 Medical Aspects
5.3 Urinary Incontinence
5.4 Falls Among the Elderly
5.4.1 The Incidence of Falls
5.4.2 Precipitating Factors Associated with Falls
5.4.3 Preventive Measures
5.5 Psychogeriatric Programs
5.5.1 Specific Treatment Approaches
5.6 Rehabilitative, Recreational and Other Programs
5.7 Summary and Conclusions
Chapter 6: Institutionalization: Sources of Concern
6.1 Methodology and Problems in the Study of Institutional Care
6.1.1 Problems in Data Collection
6.1.2 Survey Methodology
6.1.3 Evaluations
6.2 Attitudes Towards Institutionalization
6.3 Institutionalization and Quality of Life
6.4 Staff Development
6.5 Excessive Medication
6.6 Inappropriate Placement
6.7 Funding and Staffing Problems
6.7.1 Estimating the Number of Required Beds
6.7.2 The Optimal Size of an Institution and of Individual Nursing Units
6.8 Divided Jurisdictional Responsibility
6.9 Economic Steering Effects
6.10 Summary and Conclusions
Chapter 7: Future Directions for Policy and Research 109
7.1 Research on the Quality of Care
7.2 Research on Preventive Measures and Outcomes of Care
7.3 Policy and Program Implications
7.3.1 Careers in Long-Term Care
7.3.2 No Single Policy or Program Solution
7.4 The Future of Institutional Care
7.4.1 Progress in the Prevention of Diseases Affecting the Elderly
7.4.2 Changes in Health Status and Life Span
7.4.3 Other Issues Affecting the Future of Institutional Care
7.5 Summary and Conclusions
Bibliography
Index
- Edition: 1
- Published: October 1, 1987
- Imprint: Butterworth-Heinemann
- No. of pages: 168
- Language: English
- eBook ISBN: 9781483142012
WF
William P. Forbes
William Forbes is a Teaching Associate at Queen Mary University of London. Forbes has researched and taught upon behavioural finance for nearly twenty years. Previously, he has worked in Exeter, Manchester, Glasgow and Loughborough Universities. He is the author of Behavioural Finance (John Wiley & Son, 2009), and co-author of Corporate Governance in the United Kingdom: Past, Present and Future (Springer, 2014).
Affiliations and expertise
Waterford Institute of Technology, Ireland and Groningen University, The NetherlandsRead Institutionalization of the Elderly in Canada on ScienceDirect