Last Home for the Aged

By Sheldon S. Tobin; Morton A. Lieberman | Go to book overview

1
What Do Institutions Do to the Old?

To live to an advanced old age may indeed be a blessing; but it may also be a curse. Living through the eighth and ninth decade of life can bring both personal deterioration and social losses. When less drastic efforts to adapt to these misfortunes fail, the elderly person and his or her family are often forced toward the more drastic solution of seeking institutional care. With each advancing year, the older person becomes increasingly aware that a catastrophic illness or a major loss in the social support system may necessitate this usually dreaded possibility.

Because American society has had a custodial orientation toward the needy aged, the institutional care facility has unfortunately been one of the most accessible sources of medical services for aged persons, especially those in the lower-middle- income and poverty groups ( Blenkner, 1969). Furthermore, because of the limited number of alternative services, the elderly are forced to seek an institutional setting even when all they require is select services offered as part of institutional care ( Brody, 1969). Home health care may be required for those who need the assurance of medical care and surveillance, whereas day care (day hospital) may be required for others whose

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Last Home for the Aged
Table of contents

Table of contents

  • Title Page iv
  • The Jossey - Bass Behavioral Science Series vii
  • Preface ix
  • Contents xiii
  • 1 - What Do Institutions Do to the Old? 1
  • 2 - Anticipating Institutionalization 55
  • 3 - Initial Adjustment 123
  • 4 - Through The First Year 167
  • 5 - Implications For Practice 209
  • Appendix: - Measurement 253
  • References 281
  • Index 297
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