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A shortage of long-term care workers: Effects on clients with dementia

Brookdale Center On Aging of Hunter College, New York, New York

Diane Feeney Mahoney, PhD, RN, GNP

College of Nursing, University of Massachusetts, Boston, Massachusetts

James J. Callahan, Jr., PhD

The Florence Heller Graduate School, Brandeis University, Waltham, Massachusetts

Although advocates promote caregiving services to families in need, the formal care system is directly dependent upon the availability of workers willing to provide this type of care. If there is a worker shortage, are clients with cognitive impairment more adversely affected than other clients? This article reports the findings from a study conducted in one state during a worker shortage. A worker bias was found against servicing Alzheimer clients in their homes that was not evident in day care facilities or nursing homes with Alzheimer units. Policy is sues are raised and recommendations made concerning worker's wages and benefits, work life, job design, and the structure of the long term care industry.

American Journal of Alzheimer's Disease and Other Dementias®, Vol. 6, No. 5, 9-15 (1991)
DOI: 10.1177/153331759100600503


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