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The Handbook of Rural Aging goes beyond the perspective of a narrow range of health professions, disciplines, and community services that serve older adults in rural America to encompass the full range of perspectives and issues impacting the communities in which rural older adults live. Touching on such topics as work and voluntarism, technology, transportation, housing, the environment, social participation, and the delivery of health and community services, this reference work addresses the full breadth and scope of factors impacting the lives of rural elders with contributions from recognized scholars, administrators, and researchers. This Handbook buttresses a widespread movement to garner more attention for rural America in policy matters and decisions, while also elevating awareness of the critical circumstances facing rural elders and those who serve them. Merging demographic, economic, social, cultural, health, environmental, and political perspectives, it will be an essential reference source for library professionals, researchers, educators, students, program and community administrators, and practitioners with a combined interest in rural issues and aging.

This anthology responds to the recurring call for quality in home care service provision. It presents to agency administrators, managers, supervisors, and front line service providers a set of the most up-to-date policy, program, and practice developments in the field. Each contributor to New Developments in Home Care Services for the Elderly explores issues of client/staff diversity and the challenges associated with working with clients grappling with disabling conditions.Contributors in New Developments in Home Care Services for the Elderly explore issues of client/staff diversity and the c

The emergence of the new aged and a productive aging perspective / Lenard W. Kaye -- The demographics of productive aging / Charles F. Longino, Jr., and Don E. Bradley -- Conceptualizing productive aging / Nancy R. Hooyman -- Labor force participation / Michàl E. Mor-Barak and Steve Wilson -- Voluntarism, philanthropy, and service / Nancy Morrow-Howell, Melinda Carden, and Michael Sherraden -- Family life / Roberta R. Greene -- Personal and individual growth / Helen Q. Kivnick -- Spiritual and religious growth / James W. Ellor -- Education and learning / E. Michael Brady -- Activism / Sandra S. Butler -- Physical activity, exercise, and recreation / Melonie D. Grossman -- The potential of productive aging: a personal perspective and reference point / T. Franklin Williams and Carter Catlett Williams

Critical preconditions for effective program performance with vulnerable popula tions are service visibility and staff commitment. These factors may be especially important for patient representative programs serving the elderly in long term care institutions. Data collected from 210 residents in 14 skilled nursing and health- related facilities and 24 volunteer providers of nursing home ombudsman services suggest factors that may influence patient utilization of a mechanism for grievance resolution. Significant associations were found between both patient variables (age, education, sex, race) and facility variables (auspice, level of care, quality of care) and program awareness, service utilization, awareness of personal rights, and fear of retaliation. Patient representatives displayed intense altruisitc impulses, frustration with staff apathy in institutions and altered outlooks toward old people and institu tional care. Findings point to the value of personal advocacy with institutionalized aged populations, volunteer incentives and advocate career ladders, focused exper tise in selected health problem situations and flexible role behaviors in nursing home settings.