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Intro -- Contents -- Illustrations -- Series preface -- Foreword -- Acknowledgements -- Notes on language conventions and style -- Abbreviations -- 1 Introduction -- Background information on ageing in Japan -- Demographic trends -- Social policy in an ageing society -- Changes in the family -- Research on institutions for the aged and Quality of Life -- Institutions for the elderly -- A conceptual framework: Quality of Life -- The culture of care: dependency and dependency on indulgence (amae) -- Ethnographic methodology -- Organisation of this book -- Notes -- 2 The setting: Kotobuki -- Location and the physical layout -- Socio-demographic background of the residents -- Average age and length of residence -- ADL and health condition of the residents -- Reasons for institutionalisation -- Some figures -- Organisation and administration -- Staff and their duties -- Coming to the home -- Institutional care -- Daily lives in Kotobuki -- A day in Sazanka and Akashia -- A day in Aoba -- Notes -- 3 The residents -- Narratives of five residents -- Toshiko Matsumoto -- Kazuo Gotō -- Haruko Sugiyama -- Chinseki Aoki -- Tsumako Yamaguchi -- Satisfaction, accomplishment and failure -- QOL and its factors -- Attitudes towards elderly care and institutionalisation -- Interpersonal relationships -- Religion -- Autonomy -- Dealing with impending death -- Notes -- 4 The staff -- Narratives of four staff members -- Mr Masao Itō: Director of the Nursing Department -- Ms Reiko Shinozaki: head matron in Sazanka -- Mrs Yumiko Suzuki: matron in Aoba -- Mrs Yoshi Yoshiwara: dietician -- Corporate culture of Kotobuki -- Career paths -- Satisfaction and dissatisfaction -- Gender -- Coping with stress -- Attitudes towards institutionalisation -- Views of institutional life and institution alisation -- Fairness in welfare institutions -- QOL and its factors.
Food and other material provisions -- Quality of care -- Recreational programmes and events -- Family -- Others -- Notes -- 5 The visitors -- Volunteers -- Mr Atsushi Tanizaki -- Family -- Trainee students and other visitors -- Motives, rewards and emotional costs -- Motivation: reciprocity and altruism -- Rewards and emotional cost -- Attitude towards institutional life -- Notes -- 6 A problematic issue in Kotobuki -- Problem 1: Discrimination -- Conflicts between psychiatric patients and normal elderly residents -- Mental patients and prejudice towards them in institutions -- Problem 2: Silent resistance -- Interpersonal conflicts in Sazanka: two examples -- Mrs Fukushima -- Miss Hiraoka -- Strategies for interpersonal conflict management -- Notes -- 7 Beyond the homes -- Staff attitudes towards the LTCI programme -- Effects on the management and the people of Kotobuki -- 8 Conclusions -- Quality of life -- Provisions of the homes -- Quality of staff and their care -- Health condition of the residents -- Perceptions of the status of being institutionalised -- Decision-making in entering the home -- Religious beliefs -- Interpersonal relationships -- Autonomy -- Dealing with death -- Limitations of institutional care -- Social policy -- Attitudes towards welfare and institutionalisation -- Working with the elderly -- Theoretical aspects of my findings -- Perspectives for the future -- Application to China -- Appendix 1 The mechanism of the LTCI -- Appendix 2 Physical layout of Kotobuki (each floor) -- Bibliography -- Index.
Description based on publisher supplied metadata and other sources.
Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2019. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.
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