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American Health Care Association 1201 L Street NW Washington, DC 20005 wwwahcaorg American Hospital Association Division of Nursing One North Franklin Chicago, IL 60606 wwwahaorg Health Canada Division of Aging Seniors Population Health Directorate Address Locator 1908A1 Ottawa, ON K1A 1B4 Canada wwwhc-scgcca/seniors-aines wwweldercarehomehealthcom (Toronto only)
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46 CAREERS FOR CARING PEOPLE
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(Canada s senior housing and care services)
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Williams, Ellen Opportunities in Gerontology and Aging Services Careers Chicago: VGM Career Books, 2002
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CHAPTER FIVE
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ay-care centers are recognized as an important part of the health field Medicaid covers expenses for those unable to pay in almost all states, and long-term care insurance policies now include day care There is growing evidence that adult daycare centers lower the depression often experienced by the elderly In a medium-size town in northern Florida, the senior citizen minivan made its first stop at the home of an elderly couple who were waiting at the curb At his wife s urging, the man finally climbed into the car and settled uneasily into the back seat He appeared normal but he had Alzheimer s disease, and this trip to the day-care center for seniors gave him a change More important, it provided a respite for his wife from constantly coping with his frequent dementia and failing memory At the next stop, an elderly woman in a wheelchair expertly guided herself onto the lift, which raised her up into the van For this widow, the outing provided much-needed companionship and a hot noon meal At the last two stops, the van picked up a man and a woman, both of whom were living with their adult daughters The center, formerly a small private home, had been easily converted to this type of day-care facility A large living room was comfortably furnished, and a dining room at one side provided three tables with a seating capacity of fourteen Volunteers had recently built a wheelchair-access ramp to the front door as well
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48 CAREERS FOR CARING PEOPLE
as an accessible bathroom, thus enabling three other handicapped seniors to come According to the National Association of Adult Day Services, in 2002, more than thirty-five hundred adult day-care centers operated in the United States These centers offer such diverse services that it is impossible to catalog them Some centers provide little or no organized activities except daylong television watching, whereas other groups offer imaginative programs, such as tours, field trips, shopping expeditions, and special parties Facilities range from a small converted garage or church basement to a new building staffed with nurses, physical therapists, and other health specialists Unlike a senior center, where residents make individual choices about recreation be it a game, reading, listening to music, doing a puzzle, or just conversing with friends a day-care center may offer a structured activities program Many of the seniors require supervised or planned recreation, since they have some kind of behavioral, mental, or emotional disability Staffing depends on the size and financial capabilities of each center A suggested staffing yardstick is a trained staff member for every six adults In a small organization with a half-dozen clients, an administrator may be the only paid employee; all the aides are volunteers The noon meal might be provided by a church organization eager for a money-making or service project In larger day-care centers, there may be salaried assistants and a cook, if meals are not catered Recreational therapists, physical therapists, and gerontologists might also be on staff or serve as consultants In all cases, the administrator should have management and administrative abilities as well as some experience working with the aged Training in occupational and recreational therapy provides an added plus
C A R E G I V I N G I N S E N I O R DAY- C A R E C E N T E R S 4 9
Senior Citizen Centers
Gertrude Landau was thirty-two in 1943 when she established and directed the world s first senior center Then a social worker, she volunteered to invite elderly people in the Bronx, New York, to use a room where they could drink coffee, play cards, and listen to the radio Today, New York City has 340 senior centers serving some forty thousand men and women daily Nationally there are more than fifteen thousand centers Many have expanded their activities well beyond the social level by introducing language instruction, educational courses, counseling on health and finances, and advice on housing and legal problems, to name but a few In many centers, the most important service is the midday hot meal Every senior citizen center is a busy place, for it provides many services for a community s elderly Although no two have identical programs, the Crestwood Senior Center, located in a large southwestern town, provides an excellent example of what happens in the daily routine of one of these centers and the employment opportunities it may offer Marilyn Daley, the director, walked us through the facility We have a true center for our seniors who are not housebound, she said, as we walked into a large well-lit room, where a number of men and women sat at several card tables Some were playing bridge, others played various games, and a handful huddled over jigsaw puzzles We have all kinds of tournaments for our regular patrons, and it s not unusual to find fifty to sixty people here on a morning or afternoon From time to time, our programs include guest speakers and entertainers, teachers, artists, and musicians, men and women who are very generous in giving of themselves I ve discovered that all one needs do is to ask them, and they readily agree to come
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