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Killian, Timothy S. "Normative obligations to provide assistance to older persons /." free to MU campus, to others for purchase, 2001. http://wwwlib.umi.com/cr/mo/fullcit?p3012985.
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Turner, Roxanne. "Depression in older persons who are chronically ill." DigitalCommons@Robert W. Woodruff Library, Atlanta University Center, 1990. http://digitalcommons.auctr.edu/dissertations/1471.
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This study explores the severity of depression in older persons who are chronically ill. The study was an attempt to determine if there is a significant relationship between four independent variables—family support, social support, marital status, and gender. The study was conducted while respondents were hospitalized at Clayton General Hospital. The research concluded that most older chronically ill persons were not depressed or were only mildly depressed. Significant factors were gender. Females reported more incidence of depression than males and single respondents reported higher incidences of depression than married persons. Suggestions for identifying depression in older persons were indicated and implications for social work practice for working with this unique population were discussed.
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HUI, Sze Sze Stephanie. "Lifelong learning for older persons in Hong Kong." Digital Commons @ Lingnan University, 2005. https://commons.ln.edu.hk/soc_etd/17.
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Lifelong learning (LL) has been widely regarded as one of the activities that can enhance well-being of the society and benefit older persons in terms of psychological, physical, mental, and cognitive well-being. In foreign countries like the Unites States of America, the United Kingdom, Finland, France, Australia, and also China, LL among older persons had been developed successfully. Hong Kong, in contrast, has no systematic planning for the development of LL even though the aged population is increasing rapidly. This research aims at constructing a LL model for older persons in Hong Kong. The theoretical framework of study focused on figuring out the breaches between satisfactory models proposed by older persons and the existing lifelong learning model in Hong Kong.
Interview survey and documentary study have been employed in this study. Interview survey was carried out from March to April of 2005 in order to understand older persons’ expectations towards LL. A questionnaire consisting of 39 big items was constructed. The author successfully interviewed 54 out of the 60 older persons originally intended, including 31 female and 23 male. The samples of this study were older persons aged 55 or above, and the median age of the respondents was 67.84. Also, 26 respondents had had learning experience in the six months prior to the survey being carried out. In the documentary study, both formal and nonformal learning programmes in Hong Kong were studied. Seven major older persons’ education providers were included, including one tertiary institution, one radio broadcasting company and five active NGOs.
The findings show the gaps between older persons’ expectations and present provision of LL programmes. The Hong Kong Lifelong Learning Model should have tertiary institutions actively involved in the provision of both formal and nonformal learning programmes. Face to face interviews should be adopted. Formal learning programmes should be made available on the internet or radio. Moreover, older persons would be more satisfied if they could learn at tertiary institutions or centres most convenient for them. Thus, various organizations should have stronger cooperation with each other so that resources can be shared. Older persons preferred a greater variety of courses and lessons and would like to receive grants or travel subsidy. Most of the elder learners were willing to be instructors, therefore they could be recruited as voluntary teachers, and more courses to train older learners as instructors should be offered. The duration of formal learning programmes may be too long for the elderly learners, and they asked for a credit-accumulating system to be implemented in those programmes. A central data bank and newsletters should be made available so that older persons could gain access to information more easily. In order to improve the quality of courses, evaluation and needs assessments should be carried out regularly by service providers, and they should consider designing the course curriculum with elder learners. In order to help those who did not receive much education when young, foundation literacy courses could be offered. In addition, instead of written course work, tests, and examinations, oral presentations and examinations could be carried out. Finally, certificates, qualifications, and public and large scale graduation ceremonies are found to be good reinforcements for older persons’ learning behaviour.
In conclusion, Hong Kong, as a beginner in the systematic development of LL for older persons, has much to do to improve the existing system. Irrefutably, making it perfect is arduous because both the service providers and the government have their own constraints. Nonetheless, trying the best to fill in the gaps between the ideal and the reality will bring the greatest benefits to older persons and the society.
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Edwards, David A. "ADL-Specific Versus Standard Aquatic Exercise in Older Persons." Scholarly Repository, 2011. http://scholarlyrepository.miami.edu/oa_dissertations/588.
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With aging there is a decrease in a person’s ability to perform activities of daily living (ADL) which may be most effectively addressed using training patterns that are biomechanically similar to ADL. Since aquatic exercise offers the opportunity to provide resistance with a high level of safety, the pool may afford the ideal environment for ADL-specific training in an aging population. Purpose: The purpose of this investigation was to compare a traditional aquatic exercise program (TRAD) to an aquatic program tailored to target ADL (ADLspec). Methods: Eighteen independently living individuals (68.7 + 7.5 years) were randomly assigned to a TRAD or ADLspec aquatic exercise group. The exercise groups attended 1 hr exercise sessions, 2 times per week for 8 weeks. ADL ability was assessed using the short version of the Continuous-Scale Physical Functional Performance Test (PFP-10); while strength and power were assessed using the 30s arm curl and 30 sec. chair stand tests. Results: Mixed design ANOVAs revealed a significant group x time interaction for floor sweep time with the ADLspec group outperforming the TRAD and control (CON) groups (p = .043). Additionally, the ADLspec group improved the pan weight and scarf time components of the PFP-10 (p < .020), while the TRAD group improved pan time and laundry time (p < .046). Both training groups showed similar improvements for jacket time, grocery weight, and 6-min walk, (p < .046). The ADLspec and TRAD groups also made similar improvements in upper and lower body strength, as well as lower body power across time, (p < .043). A student’s t-test revealed the TRAD group spent more time exercising during the hour session than the ADLspec group (p < .05). Conclusion: The results indicate that performing an ADLspec aquatic exercise program can increase performance of ADL that require more complex sequential movements; however, ADL more dependent on fitness may be better addressed using a TRAD intervention. These results can be helpful when designing a periodized aquatic training program to increase independence in older persons.
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Taraldsen, Kristin. "Activity Monitoring in Older Persons : Methodology and Clinical Applications." Doctoral thesis, Norges teknisk-naturvitenskapelige universitet, Institutt for nevromedisin, 2013. http://urn.kb.se/resolve?urn=urn:nbn:no:ntnu:diva-22614.
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Fysisk aktivitet handler om hva du faktisk gjør i løpet av en dag. Fysisk aktivitet endres som følge av økt alder og funksjonsnivå, men også som følge av skader eller sykdom. For eldre er linken mellom fysisk aktivitet og funksjon viktig, og å være i aktivitet er viktig for å opprettholde selvstendighet i daglige aktiviteter. Eldre som har vansker med å forflytte seg er ofte inaktive, og risikoen for ytterligere funksjonsnedsettelser vil dermed også øke. For disse vil mobilisering være ekstra viktig etter perioder med sengeleie grunnet sykdom eller operasjoner. Fysisk aktivitet over lengre perioder kan nå måles ved å benytte små, kroppsbårne, akselerometer-baserte aktivitetsmålere. Dette gjør det mulig å samle objektiv informasjon om hvor fysisk aktive eldre faktisk er i daglige aktiviteter. Slike akselerometer-baserte metoder har typisk blitt utviklet og validert på yngre og friskere personer. Derfor er det behov for å undersøke målesikkerheten og gyldigheten av slike metoder på eldre og de med forflytningsvansker, før man kan ta i bruk disse i klinisk forskning og praksis. Avhandlingen inkluderer en litteraturgjennomgang, to metodestudier og en klinisk studie, hvor målsetningen består av fire deler, og er som følger: 1) å gå systematisk gjennom litteratur på hvilke fysisk aktivitetsvariabler som er utledet fra kroppsbårne sensorer gjennom langtidsmåling av friske eldre og eldre med ulik helseproblematikk; 2) å evaluere nøyaktigheten til en-aksete aktivitetsmålere basert på akselerometer til å gjenkjenne stillinger, forflytninger og steg, sammenlignet med videoopptak, i ulike eldre pasienter: i akuttfasen etter hjerneslag, etter hoftebrudd og sykehuspasienter fra geriatrisk avdeling, sammenlignet med friske yngre voksne; 3) å evaluere nøyaktigheten av ulike antall og kombinasjoner av dager med opptak for å estimere tid i oppreist stilling gjennom en dag hos hoftebruddpasienter; og 4) å evaluere om det er forskjell i tid i oppreist stilling fjerde postoperative dag hos hoftebruddpasienter behandlet med bred geriatrisk utredning og behandling eller ortopedisk behandling, og sekundert å evaluere forskjeller i antall forflytninger, funksjon i underekstremitetene og behov for hjelp ved forflytning. Den systematiske litteraturgjennomgangen viste 134 studier som inkluderte ulike variabler fra aktivitetsmålere blant friske eldre og eldre pasientgrupper. Det er stor variasjon i hvilke aktivitetsvariabler som er brukt i de ulike studiene og også i metodene for aktivitetsmålingen, noe som gjør det vanskelig å sammenligne resultat mellom studier og ulike populasjoner. Valideringsstudien på aktivitetsmåling blant eldre med forflytningsvansker viste stor nøyaktighet for variablene tid i oppreist stilling og antall forflytninger fra sittende til stående, samtidig var antall steg under gange unøyaktig spesielt på lave ganghastigheter. Videre fant vi at det blant hoftebruddpasienter er stor variasjon i tiden de er i oppreist stilling, både når det gjelder variasjonen mellom dager for enkeltpersoner og mellom personer. Basert på disse resultatene, foreslår vi at minimum fire dager med aktivitetsmåling bør gjennomføres for å få et nøyaktig estimat av tid i oppreist stilling gjennom en uke. Studien som evaluerte fysisk aktivitet tidlig etter hoftebrudd avslørte at pasienter behandlet med bred geriatrisk utredning og behandling i en geriatrisk sengepost tilbrakte mer tid i oppreist stilling og hadde bedre funksjon i underekstremitetene sammenlignet med de som fikk ortopedisk behandling i en ortopedisk sengepost. Dette viser at mobilisering bør inngå i en systematisk tilnærming overfor eldre etter hoftebrudd. Denne avhandlingen gir ny kunnskap om fysisk aktivitet hos eldre, og særlig i forhold til eldre med forflytningsvansker. Det er behov for variabler som er pålitelige, noe som forutsetter evaluering for hver populasjon hvor metoden skal benyttes. Resultatet fra avhandlingen viser dessuten at fysisk aktivitet bør inngå som en del av ulike behandlingsmodeller. Basert på resultatet fra fysisk aktivitet tidlig etter operasjon for hoftebrudd, er forslaget at man bør ha fokus på å utnytte daglige aktiviteter til å være fysisk aktiv. Fysisk aktivitet hos eldre tidlig etter hoftebrudd vil være avhengig av omgivelsene, og utvikling av behandlingsmodeller med fysisk aktivitet som del av en systematisk tilnærming vil dermed være nødvendig. Aktivitetsmåling er et relativt nytt forskningsfelt, hvor det er behov for enighet om metodevalg og hvilke variabler som bør benyttes ved aktivitetsmåling av eldre.Physical activity refers to what you actually do during a day. Physical activity changes with increasing age and functional level, as following injuries or diseases. For older persons the link between physical activity and function is important, where living a physically active life will be important for independence in daily life activities. Older persons with mobility limitations could be at risk of further functional declines because of their low levels of physical activity. Thus, after periods of bed-rest caused by disease or surgeries, physical activity would be extra important. Physical activity over longer periods can now be measured by use of small, wearable, accelerometer-based activity monitors. This enables collection of objective information about how physically active older persons actually are during their daily life. Activity monitors have typically been developed and validated in younger and healthy samples. Thus, before taken into use in older persons and older persons with mobility limitations both in clinical research and in practice, assessment of reliability and validity of these methods are needed. The aim of this thesis, which includes one literature review, two method studies and one clinical study, was fourfold; 1) to systematically review the literature on physical activity variables derived from bodyworn sensors during long term monitoring in healthy and in-care older persons; 2) to assess accuracy of single-axis accelerometer-based activity monitors in recognizing postures and transitions and counting steps compared to video recordings, in different samples of older patients: in the acute phase after a stroke, following a hip fracture, and in a geriatric hospital ward, compared to healthy younger adults; 3) to evaluate the precision of estimated upright time during the day in hip-fracture patients, using different numbers and combinations of recording days; and 4) to assess if there are differences in time in upright position the 4th day after surgery between hip-fracture patients treated with comprehensive geriatric care as compared to orthopedic care, and secondary to assess differences in upright events, lower extremity function, and need for help during ambulation. The systematic literature search revealed 134 studies with different outcomes from activity monitoring for older healthy persons and patient groups. There were large inter-study variability in activity outcomes and great variety in activity monitoring methods, which makes it difficult to compare results across studies and populations. The studies on validation of physical activity monitoring in older people with mobility limitations demonstrated very good accuracy for the outcomes upright time and number of transitions from sitting to standing, but inaccuracy for step counts during walking, especially at low gait speeds. Furthermore, we found upright time in older hip-fracture patients to vary largely between persons and days. Based on the results, we suggest that activity monitoring should be performed for a minimum of four days in order to give a valid estimate of upright time during a week. Studying physical activity early after a hip fracture, we found more upright time and better physical function in patients treated with comprehensive geriatric care in a geriatric ward compared to orthopedic care in an orthopedic ward, suggesting that mobilization should be part of a systematic approach when treating older persons after hip fracture. This thesis provides new knowledge about physical activity in older persons, particularly in older persons with mobility limitations. It pinpoints the need for reliable outcomes and that reliability needs to be assessed in this particular population. Results from this thesis also highlight that physical activity should be included in caring models. Based on the results of physical activity in hip fracture patients early after surgery, the suggestion is to make the most out of daily life activities in order to increase physical activity. Physical activity in older persons early after hip fracture is dependent of the settings where it is being performed. Development of treatment models where systematical approaches for physical activity are included in treatment procedures is therefore warranted. Activity monitoring is a relative new field of research. The results from this thesis demonstrate the need for consensus on methodological aspects related to activity monitoring, including outcome measures when used in older persons.
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Ploeg, E. S. van der. "Care for vulnerable older persons: need, utilization and appropriateness." [S.l.] : Rotterdam : [The Author] ; Erasmus University [Host], 2009. http://hdl.handle.net/1765/14760.
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WONG, Nga Man. "Images of older persons in Hong Kong popular films." Digital Commons @ Lingnan University, 2003. https://commons.ln.edu.hk/soc_etd/25.
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Film watching is a popular leisure activity in modern society. Films, as a medium, provide powerful tools to deliver social messages and to create images of particular social groups. The cinematic images portrayed by films toward a particular social group may consequently shape our social perceptions and expectations of that social group. The ways that cinematic images portray older persons are, therefore, a potentially major source for detecting social values and views about them.
As some cinematic images tend to reflect social attitudes and behaviours, the present research aimed at investigating how popular films portray the images of older persons. Focus was on the examination of: 1) the representation of older persons in Hong Kong movies, 2) whether older persons are positively or negatively portrayed in movies, and 3) any changes in the cinematic images of older persons over the last two decades.
The present research examined Hong Kong movies released between 1981 and 2001. The population of the present study is the most popular Hong Kong movies, based on the turnover of the Hong Kong ticket offices. The sampled films were derived from the three highest-turnover movies for each year from 1981 to 2001.
Content analysis was employed in this study to determine the representation and images of older persons in the 63 sampled movies. Generally speaking, older persons were found to be under-represented in the sampled movies relative to their presence in the population. Older persons were portrayed as having white hair, wrinkle skin, and walk independently in terms of physical appearance. Older persons were also portrayed as having generally good health status. However, older persons were portrayed to have a decline in both family status and socio-economic status in the 1990s as compared to that of the 1980s. In terms of occupation, most older persons were portrayed as retired persons in the movies. Apart from these features, the present research also found that there was a gender differences in the portrayal of older persons.
Many older persons were depicted in the movies in the home setting, perhaps reinforcing traditional Asian family values and stereotypes. However, this perhaps underplays older persons’ active roles and contributions in the light of such current concepts as productive and active aging. There is a temporal division in that older persons in many movies of the 1980s were portrayed as more home-based while, in the 1990s, they were becoming more actively involved in external activities.
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McNamee, Paul. "The resource implications of care for frail older people." Thesis, University of Newcastle Upon Tyne, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.270586.
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Cathcart, Noel C., University of Western Sydney, of Arts Education and Social Sciences College, and School of Social Ecology and Lifelong Learning. "Development and application of trans-subjective therapy for older persons." THESIS_CAESS_SELL_Cathcart_N.xml, 2002. http://handle.uws.edu.au:8081/1959.7/813.
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This thesis contends that older persons, whose mental capabilities remain intact, are capable of expanding their conscious awareness; they have not necessarily passed their prime as they begin the process of retiring. They may be showing a worn and weakened package but this does not mean they cannot live a fulfilling life. This is the reason for the development of a new form of therapy, called 'Trans-subjective Therapy', because it combines the objective and the subjective with the trans-personal, or unconscious levels of consciousness. Trans-subjective therapy connects the various systems of objectivity, subjectivity, and the transpersonal, or unconscious, so that the client can be facilitated into clearer, deeper understanding of themselves and others, and expand their conscious awareness in a wholesome, fulfilling manner. This thesis describes development and testing of this new therapeutic approach, which is designed specifically to enable older persons to experience more fulfilling and aware lives. Although building on existing therapeutic modalities, this new formulation is unique in that every feature of its design was selected, developed and tested with the specific needs of older persons in mind. This approach emphasises the personal responsibility of the client to expand his/her conscious awareness in the direction of personal choice. This has particular application to the needs of older persons, most of whom are at a stage in life where meaning and purpose have either become clarified or a sense of meaninglessness and resentment dominates their lives. Quotes from the transcripts of the author's testing of this approach with 12 individuals who undertook training in this methodology have been used throughout the text to illustrate the application of this approach. Its effectiveness is inferred from the manner in which each person in this group has expressed him/herself at a level of consciousness freely chosen and individually experienced in a manner that will be novel or completely new to the person involved.Doctor of Philosophy (PhD)
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Bouman, Anneke Ida Emilie. "Home visiting program for older persons with poor health status." Maastricht : Maastricht : Universitaire Pers Maastricht ; University Library, Universiteit Maastricht [host], 2008. http://arno.unimaas.nl/show.cgi?fid=11314.
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Valavičienė, Rasa. "Factors Affecting Care Outcome in Older Persons with Hip Fractures." Doctoral thesis, Lithuanian Academic Libraries Network (LABT), 2012. http://vddb.laba.lt/obj/LT-eLABa-0001:E.02~2012~D_20120301_120322-96615.
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Introduction
Patients with femoral neck fractures (FNFs) constitute an increasing health care problem which affect patient’s daily living after the trauma, reduce self-care possibilities, and increases mortality. Treatment of these patients is associated with increasing costs. Prospective systematic audit and national registers have been suggested as one of the best approaches to measuring and improving outcomes. Previously neither detailed audit of patients with hip fracture nor further analysis of data was conducted in Lithuania
Aim of the research project – to estimate factors affecting outcome in patients with FNF and to audit patients’ care, assessing importance to the outcome results, comparing FNF patients treated in Lithuania and Sweden.
Tasks of the research project:
1. To identify factors affecting functional outcome and quality of life in femoral neck fracture patients at four months follow-up.
2. To estimate the changes in functional outcome and quality of life in fe-moral neck fracture patients at four months and at one year follow-up.
3. To compare hip fracture patients care in Kaunas Clinics and Lund University Hospital and identify differences during patients’ trans¬por-tation, preoperative, and postoperative time periods.
4. To compare functional and quality of life outcome in femoral neck fracture patients treated in Kaunas Clinics and Lund University Hos-pital.
Patients and methods
To achieve the aims of the research project, three consequential stu¬dies... [to full text]Šlaunikaulio kaklo (ŠK) lūžis - trauma, stipriai įtakojanti ir pakeičianti kiekvieno paciento tolimesnį gyvenimą, kadangi mažina savarankiškumą, skatina negalią po lūžio, didina mirštamumo riziką. Šiuolaikinei sveikatos priežiūros sistemai tai didelis ekonominis iššūkis, susijęs su pacientų gydymu, reabilitacija, priežiūra bei poreikiais pirmaisiais metais po lūžio Tyrimo tikslas – nustatyti veiksnius, turinčius įtakos šlaunikaulio kaklo lūžius patyrusių pacientų gydymo rezultatams, įvertinant pacientų priežiūrą iki patekimo į gydymo įstaigą ir hospitalizacijos laikotarpiais, lyginant rezultatus su Lundo universitetine ligonine. Tyrimo uždaviniai: 1. Įvertinti veiksnius, turinčius įtakos pacientų, patyrusių šlaunikaulio kaklo lūžius, klubo sąnario funkcijai bei su sveikata susijusiai gyvenimo kokybei praėjus keturiems mėnesiams po traumos. 2. Nustatyti klubo sąnario funkcijos ir su sveikata susijusios gyvenimo kokybės pokyčius nuo keturių mėnesių iki vienerių metų po traumos. 3. Palyginti šlaunikaulio lūžius patyrusių pacientų priežiūrą Kauno klinikose ir Lundo universitetinėje ligoninėje, įvertinant skirtumus pacientų transportavimo į gydymo įstaigą, priešoperaciniu ir pooperaciniu laikotarpiais. 4. Palyginti klubo sąnario funkciją ir su sveikata susijusią gyvenimo kokybę tarp pacientų, gydytų Kauno klinikose ir Lundo universitetinėje ligoninėje, praėjus keturiems mėnesiams po traumos. Tyrimo metodika Tyrimas vykdytas Lietuvos Sveikatos mokslų universiteto Kauno... [toliau žr. visą tekstą]
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Lane, Kari Rae. "An intervention to assist older persons adjust to hearing aids." Diss., University of Iowa, 2012. https://ir.uiowa.edu/etd/2555.
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Hearing loss affects millions of Americans each year, especially targeting older Americans. Elders aged 65-75 years are affected as much as 38% and those numbers rapidly rise to over 42% affected by the time a person is 75 years of age. The rise in the numbers of older persons in the United States makes hearing loss the third most common chronic illness in the US today. Of these persons approximately 30% chose to purchase hearing aids, but an astounding 47.2% of these individuals are able to adjust to the hearing aids in order to wear them daily. Ambient sounds and physical discomfort, from the presence of the device in the ear cause individuals either to never wear the devices or stop wearing them after a short time. This dissertation focused on an intervention to assist those older persons who have purchased hearing aids, but are not wearing them, in adjusting to those aids; in order to improve hearing aid satisfaction and hours of hearing aid use.
A one group pre/posttest design was implemented on a group of individuals who had previously failed to adjust to hearing aids between the ages of 65-75 years of age. The Glasgow Hearing Aid Benefit Profile (GHABP) and hours of hearing aid use time were the primary outcome variables. This intervention study occurred over a four week period of time, with weekly face-to-face meetings with participants.
Findings demonstrated that the intervention was feasible to administer in a group of community dwelling older persons (aged 65-75 years). All 15 participants completed the entire intervention, meeting each of 4 times with the researcher over a four week period. 40% of volunteers later declined to participate and 48% were turned away due to the small sample size of this study. An overall increase of hearing aid use time was between 1-9 hours per day. A Wilcoxin signed rank test was performed with a result of 60 (p=<0.0001). Participants who increased their hearing aid use time >4 hours equaled 53% while 46.7% increase their hearing aid use time <4 hours. Hearing aid satisfaction as measured by the GHABP improved between 1-5 with a median of 4. The Wilcoxin signed rank test result was 22.5 with a p value of 0.0039.
These results deem the intervention not only feasible, but statistically significant in improving both hearing aid use time and hearing aid satisfaction. Future studies should be aimed at advanced statistical analysis, randomized clinical trial with larger numbers to improve power, and expanding the age criteria for study inclusion. Implications for future research are great, improving communication in older persons, but also perhaps impacting third party reimbursement of hearing aids, as well as decreasing the biopsychosocial effects hearing loss has on the population as a whole.
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Cathcart, Noel C. "Development and application of trans-subjective therapy for older persons." Thesis, View thesis View thesis, 2002. http://handle.uws.edu.au:8081/1959.7/813.
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This thesis contends that older persons, whose mental capabilities remain intact, are capable of expanding their conscious awareness; they have not necessarily passed their prime as they begin the process of retiring. They may be showing a worn and weakened package but this does not mean they cannot live a fulfilling life. This is the reason for the development of a new form of therapy, called 'Trans-subjective Therapy', because it combines the objective and the subjective with the trans-personal, or unconscious levels of consciousness. Trans-subjective therapy connects the various systems of objectivity, subjectivity, and the transpersonal, or unconscious, so that the client can be facilitated into clearer, deeper understanding of themselves and others, and expand their conscious awareness in a wholesome, fulfilling manner. This thesis describes development and testing of this new therapeutic approach, which is designed specifically to enable older persons to experience more fulfilling and aware lives. Although building on existing therapeutic modalities, this new formulation is unique in that every feature of its design was selected, developed and tested with the specific needs of older persons in mind. This approach emphasises the personal responsibility of the client to expand his/her conscious awareness in the direction of personal choice. This has particular application to the needs of older persons, most of whom are at a stage in life where meaning and purpose have either become clarified or a sense of meaninglessness and resentment dominates their lives. Quotes from the transcripts of the author's testing of this approach with 12 individuals who undertook training in this methodology have been used throughout the text to illustrate the application of this approach. Its effectiveness is inferred from the manner in which each person in this group has expressed him/herself at a level of consciousness freely chosen and individually experienced in a manner that will be novel or completely new to the person involved.
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Cathcart, Noel C. "Development and application of trans-subjective therapy for older persons /." View thesis View thesis, 2002. http://library.uws.edu.au/adt-NUWS/public/adt-NUWS20031027.090021/index.html.
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Thesis (Ph.D.) -- University of Western Sydney, 2002.A thesis submitted in fulfillment of he requirements for the degree of Doctor of Philosophy at the University of Western Sydney, School of Social Ecology and Lifelong Learning, College of Arts, Education and Social Sciences, Oct. 2002. Bibliography : p. 303-321.
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Gowda, Vidya. "Credibility of a Person-Centered Design Decision-making Prototype: Spaces for Older Persons with Vision Loss." Diss., Virginia Tech, 2016. http://hdl.handle.net/10919/81388.
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Decline in both visual acuity and visual performance is a fact of life for older people and their increasing share of the population requires that buildings be designed with their visual needs in mind. As their field of vision decreases, people find it harder to identify an objects location, distance, and orientation. Elderly people with vision impairments usually find it harder to perform daily activities such as navigation through indoor spaces. Functional vision can be improved by modifying the design of spaces, for example, with better lighting. However, architects typically do not know how to take the needs of the visually impaired into account in their design process, or simply do not think of doing so. The researcher designed and feasibility-tested a prototype person-centered tool to help architects judge how appropriate a designed space will be for visually impaired people. The study was conducted as a qualitative mixed-methodology research analysis. The researcher used knowledge from literature interpretation to rationalize the development of a person-centered prototype. The researcher immersed design PhD students and vision science experts to inform the prototyping process. Along with an expert group of design and vision science professionals, the researcher beta-tested the prototype during a mock design-process scenario. The researcher also selected a small group of industry experts to participate in open-ended interviews on post-use demonstrations to qualitatively triangulate the findings on the prototypes usability. The study summarizes the feasibility including the challenges of using the prototype for professional purposes and suggests improvement.Ph. D.
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Johnson, Leah D. "Counseling older persons issues and implications for practitioners-a review of the literature /." Online version, 1999. http://www.uwstout.edu/lib/thesis/1999/1999johnsonl.pdf.
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Francis, Karen Lynn. "Force control characteristics in persons with Parkinson's disease and older adults." Digital version:, 2000. http://wwwlib.umi.com/cr/utexas/fullcit?p9992789.
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Kathler, Cheryl Joyce. "Participatory planning of housing for older persons : two televised case studies." Thesis, University of British Columbia, 1987. http://hdl.handle.net/2429/26849.
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"Population aging" is a worldwide occurrence facing both developed and developing countries alike. In Canada, significant public policy issues arise with the increasing number and proportion of older persons. One of the most important of these is meeting the housing needs of the more than one million older persons facing housing decisions in the next three decades. The greatest challenge to all those involved in producing, financing or managing housing for older persons is to assist the majority of older persons in their desire to remain in the community as they age.
The underlying premise of this explorative study is that older persons should and must be involved at all levels of planning current and future seniors' or retirement housing. The specific purpose of the thesis is to explore "collaborative planning" as a method of involving older persons in housing issues. The rationale for the participation of older persons is developed from the review of three areas of relevant literature. In contrast to the literature on "environment and aging" and gerontology, this study seeks an understanding of the broader social, political-economic forces as prerequisite to meaningful analysis of the lower levels of the housing context. This wider perspective also forms the basis for the rationale of including older persons in the planning process.
A discussion of "participation" as a process and a movement provides an introduction to two case studies as examples of "collaborative planning" involving older persons and professionals in discussing seniors' or retirement housing. The thesis research question is:
What do older persons view as their housing needs and preferences, and how successful is present seniors' or retirement housing in meeting these? The structure, format and objectives of the two case studies were framed within the thesis principles and assumptions in addition to this question. The case studies were assessed for their usefulness for defining housing needs and preferences of older persons, and for examining how closely these stated needs and preferences fit existing housing alternatives. The evaluation of the case studies revealed that collaborative planning took place, and that the stated objectives of each event and those of the sponsoring organization were met. The thesis assumptions and premises were thereby substantiated. The wide impact and numerous outcomes of the case studies within the seniors' communities were also noted. However, the research question was largely unanswered in terms of "product", and the analysis includes some possible explanations.
Analysis of the case studies within the broader context indicated that older persons and professionals alike are in a "reactive" mode of thinking rather than creative or "proactive" in what they visualize as seniors' housing options. Entrenched thinking and attitudes are difficult to change, and as this study concludes, education of all involved is necessary. The greater necessity is, however, the need to personalize the issue of inadequate and unsuitable seniors' or retirement housing, so that change is seen as imperative to one's own future life as an older person.Applied Science, Faculty of
Community and Regional Planning (SCARP), School of
Graduate
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Rabie, Tinda. "Self-care of older persons in the Potchefstroom district / Tinda Rabie." Thesis, North-West University, 2010. http://hdl.handle.net/10394/4006.
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The number of older persons is growing at a shocking rate. In spite of this reality, the South African health care sector does not prioritise older persons, causing their health to be poorly managed. Not only does poor health management affect the health of the older person, but also economic factors. This causes a high burden on the public health sector of South Africa, with specific reference to the Primary Health Care (PHC) clinics. PHC clinics in this country are not only overcrowded due to staff shortages, but also owing to the rapidly ageing population and the large number of younger persons affected by the high unemployment rate of South Africa.
The above-mentioned factors keep the professional nurses in the clinic from spending time on proper physical examinations and provision of health education to older persons. This causes older persons to lack knowledge regarding self-care, potentially leading to unintentional self-neglect, which decreases their quality of life. Studies conducted on older persons concluded that the older person wants to be involved in health promotion, but needs the necessary knowledge to take care of him- or herself. Therefore, the researcher's overarching aim with this study was to develop guidelines to facilitate self-care amongst older persons. Such guidelines aim at constituting an indirect approach to promote the health of the older person. Health education on self-care should be conducted in self-care support groups, since community experience teaches that some older persons in the community do not apply self-care skills learned without some form of support. The aim with these guidelines is to decrease unintentional self-neglect by empowering the older person to make autonomous decisions regarding self-care, in order to increase quality of life.
RESEARCH AIM AND OBJECTIVES
In order to reach the overarching aim of this study, which comprises the development of guidelines to facilitate self-care amongst the older persons in the Potchefstroom district, the study firstly includes a literature review to understand self-care and related constructs from a theoretical perspective. Secondly, the Appraisal of self-care agency scale-A (ASA-A) and Exercise of self-care agency scale (ESCA) were used as questionnaires to assess the self-care of the selected older persons. Lastly, after determining the self-care of the older persons, the study investigates the relationship between these two questionnaires through correlational analysis.
RESEARCH DESIGN
A quantitative, descriptive, correlational and contextual design was used in this study to .reach the overarching aim and respective objectives.
RESEARCH METHOD
The researcher firstly conducted a literature review to understand self-care and related constructs. Thereafter the researcher employed two structured questionnaires, the ASA-A and ESCA, were employed to collect data. The questionnaires were developed to measure self-care (self-care is determined by measuring the self-care agency). These questionnaires were based on Dorothea OrenYs self-care deficit theory of nursing, the same theory that this research study is based on. Minor adaptations were made to both the questionnaires prior to administration to the predominantly Setswana-speaking older population. The study formed part of the larger Multinational Prospective Urban and Rural Epidemiological study (PURE-SA study - ethical approval number 04M10). All the older persons identified in the peri-urban population of the PURE-SA study living in the Potchefstroom district and who were willing to participate were included in the sample. Trained fieldworkers assisted the researcher in data collection. Of the 198 older persons, 192 participated, accumulating to a 98% response rate. Lastly the researcher correlated the ASA-A and ESCA to determine their relationship as an added benefit to this research study.
RESULTS
The findings indicate that although the studied older population was of a lower socio-economic status with a lower literacy level, their overall self-care was relatively good. Seven self-care deficits were identified namely time management skills affecting self-care, energy deficit affecting self-care, sleep deprivation, lack of knowledge and ability to acquire knowledge with regard to health and self-care, lack of a rest, exercise and self-care programme, self-care deficit caused by physical deterioration and, lastly, the lack of performance of activities to prevent/decrease self-care deficits. These identified self-care deficits supported the development of guidelines to facilitate self-care amongst older persons, together with Menon's psychological health empowerment model, as well as an in-depth literature review on self-care and related constructs to understand self-care from a theoretical perspective. Furthermore, the study compared the ASA-A and ESCA questionnaires to determine the relationship between these questionnaires. The two questionnaires had a very good correlation with each other, conclusion that either of these two questionnaires could be used to measure self-care of a population.Thesis (M.Cur.)--North-West University, Potchefstroom Campus, 2010.
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Rivera-Marquez, Jose Alberto. "Malnutrition, food insecurity and poverty in older persons from Mexico City." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2006. http://researchonline.lshtm.ac.uk/1343271/.
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The relationship between malnutrition, food insecurity, and poverty in older persons from urban Latin America has, to date, received relatively little attention. This thesis aims to address this important issue in the setting of Mexico City and its Metropolitan Zone. A theoretical framework has been developed to understand the causal linkages between the determinants of malnutrition, food insecurity and poverty, and current data are then used to describe how this public health concern manifests itself in urban Latin American contexts. This is followed by a discussion of recent social policy interventions aimed at improving nutrition, access to food and well-being in older people in Latin America. The quantitative part of the thesis presents a study which assessed indicators of nutritional status, food security, health, quality of life and living conditions among 1,263 households with residents aged 70 and over from sociogeographically- defined poor areas of Mexico City and its Metropolitan Zone. The literature suggests that a regular source of economic resources is important to ensure food security during old age; thus the impact of an ongoing old-age monetary-transfer programme on nutrition-related indicators, food security and poverty was assessed at the levels of both older persons and households. This was carried out through a quasi-experimental study using an ex-post comparison of intervention and control groups with no baseline measures. Overall, results suggest differential access to food, quality of life and living conditions according to socioeconomic stratum among older persons and their household contexts. Differences in dietary diversity and food insecurity among older persons were also found, when data were disaggregated by monetarytransfer eligibility status. The old-age intervention analysed in this thesis showed little impact on access to food and other indicators of well-being at household level. There was, however, a high prevalence of people being overweight and obese among the older population under study. Given that this thesis is the first approach to food insecurity ever carried out among urban older populations in Mexico and Latin America, the conclusions emphasise the magnitude of uncertain access to food during old age, and they suggest guidelines for policy makers at different levels of government, stimulating further research on issues related to old age in the region.
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Chen, Yu-Hsien. "(Re)-regulating care : employing foreign carers for older persons in Taiwan." Thesis, Queensland University of Technology, 2013. https://eprints.qut.edu.au/61134/1/Yu-Hsien_Chen_Thesis.pdf.
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The purpose of this research was to develop a theoretical understanding of the social phenomenon of the employment of foreign carers for older Taiwanese in households.
Foreign carers were introduced into Taiwan in 1992 to address the care needs of the older population. By 2012, over 200,000 foreign caregivers from Indonesia, Philippines, and Vietnam were providing care in households in Taiwan. There has been little research on the interactions between and experiences of family employers, foreign carers and older persons receiving care. The theoretical framework brought together symbolic interactionist concepts and the social constructionism of Berger and Luckmann. Data collection and analysis were informed by Charmaz‘s formulation of grounded theory. Two focus groups and 54 in-depth interviews with a total of 57 Indonesian and Vietnamese foreign carers, Taiwanese family employers and older persons receiving care were undertaken. The analytical findings of the research reflect the ways in which the foreign carer, older persons receiving care and family employer participants were socially situated within the research context and how their respective social realities were shaped differently by changing social structures and cultural values within a globalising context. (Re)-regulating care was generated as the core category, forming a coherent and overarching framework that integrated the three analytical dimensions of the reality of the social change, resituating roles and struggling for control. The reality of social change refers to the employment of foreign carers as a manifestation of the reshaping of the social worlds of the three groups of participants. Resituating roles reflects the processes that underpin the hierarchical positioning of participants, the resultant asymmetrical power relations and associated interactions. Struggling for control, depicts how each group employed strategies to create space and identities that would sustain a sense of self and autonomy. In the current situation of economic and social change in Taiwan the three participant groups shared a desire for control. The autonomy of the women employers was negotiated through employment of foreign carers; for the foreign carers, a pragmatic decision to work abroad became a means for personal empowerment; and the older persons receiving care regained some authority through relationships with carers.
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Liu, Hong. "Development of residential care for older persons in China : a case study of Tianjin /." View the Table of Contents & Abstract, 2006. http://sunzi.lib.hku.hk/hkuto/record/B3640455X.
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Wong, Tsui-ling Elaine. "Effectiveness of a low cost hearing aid with elderly persons." Click to view the E-thesis via HKU Scholars Hub, 2003. http://lookup.lib.hku.hk/lookup/bib/B38890860.
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Thesis (B.Sc.)--University of Hong Kong, 2003."A dissertation submitted in partial fulfilment of the requirements for the Bachelor of Science (Speech and Hearing Sciences), The University of Hong Kong, April 30, 2003." Includes bibliographical references (p. 28-29) Also available in print.
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Grossman, Mina Postlethwait. "Loneliness among widowed persons in later life." Diss., Virginia Polytechnic Institute and State University, 1989. http://hdl.handle.net/10919/54530.
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This study was an investigation of loneliness among widowed elders using a model conceptually based on symbolic interaction theory. Symbolic interaction theorists contend that people are active, self-directing, and creative individuals who adjust to dramatic situational changes such as widowhood by defining the transition according to its symbolic meaning and their current perspective of the event. The loneliness model suggested that certain background characteristics, personality resources (morale and mastery), and perceived levels of social support would influence the sample’s perspective and definition of the social reality of widowhood, and thereby, serve to facilitate or impede the development of feelings of loneliness. In contrast to most studies of loneliness among widowed elders, this study included males (n=38) as well as females (n=135) and both short-term (6-24 months) and long-term (25-60 months) widowed persons. Participants were healthy, educated, unmarried community residents aged 69 to 91 years. In general, the sample was well adjusted with high levels of social support, morale and mastery, and low levels of loneliness. Data analyses included bivariate correlations, tests, and multiple regression. The regression analysis revealed that morale and the social provision of emotional attachment and morale were the strongest predictors of loneliness in the regression model (R²=.39). The results of the study partially supported the proposed model of loneliness. The findings also served to further substantiate Weiss's theory of relational provisions and the importance of various social provisions, especially attachment, in countering feelings of loneliness during widowhood in later life.Ph. D.
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Van, Rensburg Susanna Maria Jansen. "Die rol van die afgetrede vrywilliger in die funksionering van Potchefstroom Dienssentrum vir Bejaardes / Susanna Maria Jansen van Rensburg." Thesis, North-West University, 2009. http://hdl.handle.net/10394/4207.
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Age brings about that physical strength diminishes and in many cases there is also a loss of social contact. Older people possess years of knowledge based on experience which can be applied effectively in a service centre to the advantage of other older people.
Amongst others, Section A contains the problem statement, research objectives and procedures that were undertaken. The overarching aim of this investigation was to establish the role of the retired volunteer in the functioning of Potchefstroom Service Centre for Older People. To reach the aim, the following objectives were aimed at:
Obiective 1. To establish what the reasons are for retired people to become involved in Potchefstroom Service Centre of Older People as volunteers.
Obiective 2. To establish in what area of the service centre retired people are involved as volunteers.
Obiective 3. To establish the psychosocial functioning, self-perception, work values and profile of the retired volunteer involved in Potchefstroom Service Centre for Older People.
Obiective 4. To determine what volunteers of the service centre for older people expect of the staff regarding, for instance, acknowledgement, responsibilities and remuneration.
Section B contains the two articles in which the outcomes of the research were reported. Article 1 pertains to the reasons why older people become involved in service centres as volunteers and in which areas. Article 2 enters into the psychosocial functioning, self-perception, work values, profile and expectations of the retired volunteer.
In Section C a synopsis of the most important findings and conclusions regarding the investigation was presented in its entirety. Additionally, recommendations were made and the contribution of the investigation was highlighted. Section D contains addendums to the research report such as the self-compiled questionnaire and the standardised questionnaire.
The dissertation was concluded in Section E with a comprehensive reference list.Thesis (M.A. (MW))--North-West University, Potchefstroom Campus, 2009.
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Lau, Lam. "Factors affecting influenza vaccination among non-instutionalized elderly persons in Hong Kong /." View the Table of Contents & Abstract, 2005. http://sunzi.lib.hku.hk/hkuto/record/B3149514X.
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Malherbe, Ethel Denise. "Intergenerational solidarity and the provision of support and care to older persons." Thesis, University of the Western Cape, 2010. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_3503_1274312139.
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This thesis deals with a very important issue in South African society, i.e. the provision of financial and non-cash support to older persons. Older persons in South Africa can be described as a sizeable but vulnerable group requiring specific protection. Section 27 of the South African Constitution of 1996 obliges the state to take reasonable legislative and other measures within available resources to progressively realise the right of access to social security. Hence, the steps taken by the state to promote older persons&rsquo
right of access to social security and to protect their right to dignity need to be evaluated. The legislative framework for the provision of financial and non-cash support to older persons currently is fragmented into various statutes dealing with retirement income, state grants to older persons and care and support services for older persons. Therefore, the current legislation lacks an integrated approach to the provision of support and care to older persons, as well as a central principle on which to base future legislation concerning older persons. One such principle that could potentially be adopted is intergenerational solidarity, which can be described as the solidarity between the active working-age population, as one generation, from which benefits flow to older persons as the other. This thesis evaluates whether intergenerational solidarity should form the basis of South African legislation on the provision of retirement income and the provision of care and support to older persons, and if so, whether it in fact does. If the answer to the latter is in the negative, the thesis further examines whether the current process to reform the retirement income system and related legislation in South Africa would be a suitable platform to introduce the concept of intergenerational solidarity to legislation concerning older persons.
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Adler, Geri Lynn. "Longitudinal study of driving habits and cessation in older persons with dementia /." Diss., ON-CAMPUS Access For University of Minnesota, Twin Cities Click on "Connect to Digital Dissertations", 2001. http://www.lib.umn.edu/articles/proquest.phtml.
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Midjo, Malin Andrea. "The Association between Physical Activity and Lower Extremity Strength in Older Persons." Thesis, Norges teknisk-naturvitenskapelige universitet, Institutt for bevegelsesvitenskap, 2013. http://urn.kb.se/resolve?urn=urn:nbn:no:ntnu:diva-23110.
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Background and aim: Age-related physiological changes are well documented, such as loss of muscle fibers and muscle strength. Although there are many studies documenting the effect of resistance training on lower extremity strength, there has been less focus on the effect of general daily-life physical activity on lower extremity strength. The main purpose of the present study is therefore to investigate whether there is an association between general physical activity and lower extremity strength. Secondary aims are to investigate whether the relationship is different for self-reported and directly measured estimates of physical activity, for different estimates of lower extremity strength, and for different levels of physical activity. Possible gender differences will also be investigated. Methods: 486 men and women (mean age 71.5) performed a concentric functional chair rise task, Sit-to-Stand test, and an isometric leg press task as estimates of lower extremity strength. The participants filled out a questionnaire about physical activity based on the HUNT survey. Physical activity level was also measured directly using ActiGraph GT3X accelerometers. Results: There was a significant moderate association between the directly measured vertical acceleration and the movement of chair rise, and the intensity of daily physical activity and movement of chair rise. There was also a strong association between the parameters derived from ActiGraph, and moderate to strong associations between some of the questionnaire parameters. Between ActiGraph and the questionnaire parameters, there is a moderate association between the total number of activity minutes per week and vertical acceleration. In addition there was a moderate association between at least 30 minutes of activity per day and acceleration in all three directions. For the lower extremity strength parameters there was a strong association both within and across the different parameters for two tasks. Both genders reported to be less active than when their daily activity was directly measured by accelerometer. The men were more physically active and stronger in the lower extremities than the women. There was also an association between physical activity and lower extremity strength for both genders, but the association is stronger with respect to the men. Conclusion: There is an association between physical activity and lower extremity strength. There were significant findings for all of the paratmeters, but there was only a moderate association between both directly measured and self-reported physical activity and movement of chair rise. Finally, the participants are a rather active group, but tend to underestimate their activity level. There is also an association between physical activity and lower extremity strength for both genders.
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Izugbara, Chibuogwu. "Livelihoods and associational life among rural older Igbo persons in southeastern Nigeria." Thesis, University of Pretoria, 2017. http://hdl.handle.net/2263/65562.
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Indigenous community associations make a significant social and economic contribution to development in Nigeria. They are structures and units of organisation in a community that encompass the norms, values, and beliefs that guide social interaction. This study explored rural older people’s membership and participation in indigenous community associations in relation to their social and economic well being in a context of inadequate social protection for the elderly, rapid changes in the customary household arrangements, and wide economic hardship in Nigeria. The specific objectives were to: (i) describe the types and roles of indigenous associations in Nigeria (ii) discuss the profiles and membership patterns of older members of indigenous community associations (iii) explore the experiences of older people’s membership in indigenous community associations and (iv) determine the theoretical and policy implications of the key findings. To achieve these objectives, a qualitative research method was used. The data was generated through in-depth interviews and focus group discussions with two purposively selected rural communities in two Southeastern Nigerian States. The sample comprised 60 respondents of equal sexes aged 65 years and above, who were not receiving state pensions. Social capital framework provided the theoretical and analytical framework for the study. This framework is based on the idea that social networks can influence the productivity of individuals and groups in much the same way that physical capital and human capital can increase individual and collective productivity. The findings of the study suggest that rural older people are proactively managing their social- and economic lives through their membership of indigenous community associations, in the absence of comprehensive social protection for the elderly and the increasing waning of intergenerational care and reciprocity for the elderly in Nigeria. Social engagement, companionship, and mutual support in indigenous community-association participation help older people to deal with the transitions and losses common to growing old. The findings of the study also suggest that accessibility and the efficacy of social capital is possibly determined by several factors in the social structure such as power relations, social position, access and capacity to utilise resources, as well as the broader economic and socio-political context. The study finds that although indigenous community associations serve as a safety net in providing social and economic support to older people, they are also societal mirrors that reflect people’s needs and circumstances. The study concludes with the following policy recommendations: The state and local government should strengthen indigenous community associations. A key recommendation for strengthening indigenous institutions is capacity strengthening, through grants and capacity-training programmes At a time when the discourse on active ageing is gaining momentum and neo-liberal discourses in health policy are shifting the responsibility to consumer and citizen, indigenous community associations may have a significant role to play in fostering positive ageing, and deserve greater government support.Thesis (PhD)--University of Pretoria, 2017.
Sociology
PhD
Unrestricted
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Hu, Xinru, and Zhilin Wang. "The influencing factors of pre-frailty among older persons : A literature review." Thesis, Högskolan i Gävle, Avdelningen för vårdvetenskap, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-36817.
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SO, Shuk Ching Crystal. "Older persons' perceptions of their future : a qualitative study in Hong Kong." Digital Commons @ Lingnan University, 2009. https://commons.ln.edu.hk/soc_etd/6.
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This study examines older persons’ hopes, fears and expectations for the future, a topic little explored in Hong Kong. The study of twenty-five people aged 65-85 years adopts a qualitative approach to explore the experiences that shape older persons’ views of their future lives. Three models emerged from the empirical study, namely The Model of Resignation, The Model of Predestination and The Model of Adaptation.
The findings suggest that respondents who had and still have little social support from friends tend to live very much in the present; they do not look forward to the future nor do they have a strong anticipatory sense of it. In addition, the research identifies “turning points” related to life events mainly in the domain of marriage, health, work and living arrangements that shape people’s attitudes toward their future. Turning points are identified by individuals as a moment when life is redirected into a different path. Turning points continue to influence subsequent events over their life-course. The concept of turning points helps us understand the life trajectories and transitions throughout the life-course.
The research also identifies variables that influence respondents’ perceptions of their future. This research indicates that current living environment and living environment does not appear to play an important part in how respondents view their future. Respondents who believed they had performed their responsibilities to their family and society or have strong religious belief did not report any fears related to their health. Respondents who failed to maintain good marital relationships in the past or in the present did not create future hopes in the domain of social relationships.
The study further investigates how older people translate their future hopes into daily activities and how they obstruct fears of the future. Furthermore, the research finds that respondents reported their own health and the well-being of their family members as the most important life domain. The research provides both formal and informal caregivers with ideas suited to motivating older persons to think positively about their daily lives and their future.
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Blommer, Susan Elaine Witzeman 1948. "SOCIOECONOMIC AND SOCIODEMOGRAPHIC FACTORS AFFECTING PARTICIPATION IN GROUP FITNESS ACTIVITY BY RETIRED PERSONS IN TUCSON, ARIZONA." Thesis, The University of Arizona, 1986. http://hdl.handle.net/10150/276604.
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Sedick, Samiera. "The perceptions of older persons in residential care facilities regarding how they are portrayed in the print media / Samiera Sedick." Thesis, North-West University, 2010. http://hdl.handle.net/10394/4895.
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Despite the growing numbers and valuable contributions of older individuals to society, they continue to face negative attitudes towards them. Such attitudes are largely influenced by portrayal of older persons in the media. Understanding how the media portrays older people to the public can provide significant insights into the nature of the images from which older people may make comparisons and which inform the perceptions, opinions, and attitudes of other people. There is little knowledge of perceptions of media portrayal in old age, and this study aimed to obtain insight from the point of view of older people regarding how they are portrayed in the printed media. Qualitative research has been applied to gain insight in the older persons’ perceptions. The case study method was chosen since it allowed the researcher to gain an in–depth understanding of older person’s perceptions regarding how they are portrayed in the media. The participants in this study consisted of nine male and 12 female individuals residing in a residential care facility. Persons between the ages of 60 and 85 were purposively chosen since they can contribute to meaningful insight regarding how they are portrayed in the print media. Data was collected by means of conducting focus group discussions and individual interviews. The use of these methods enabled dynamic interactions resulting in the production of rich, detailed information. Data was analyzed using thematic content analysis and key–word–in–context analysis. Guidelines to ensure the integrity of the findings have been applied.
The findings indicated that older persons perceive their portrayal in the media to be minimal in terms of the exposure that they receive. Older persons feel that on the seldom occasion when they are in the media, they are presented as an isolated population separated from younger persons. The portrayal of older persons in the media is also perceived as stereotypical in the sense that older persons are presented as sick, inactive, weak and fragile. The implications of such portrayal according to older persons are that they influence intergenerational relationships and they also confirm stereotypical assumptions about older persons. Older persons feel that they rather want to be portrayed in terms of the valuable contributions that they are making to all spheres of life, despite old age. The media should thus promote positive ageing, which could contribute to the stimulation and motivation of older persons. Findings of this study also indicate that while older persons enjoy reading magazines and newspapers they are often limited to do so due to financial restrictions and physical limitations such as poor eyesight. The findings of this research of older persons perceptions regarding their portrayal in the media has implications for intergenerational relationships as well as to advertisers and marketers who are looking to appeal to the older population.Thesis (M.A. (Research Psychology))--North-West University, Potchefstroom Campus, 2011.
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Meyer, Tania. "A social work perspective on the socio-emotional experience of older persons with visual impairments." Thesis, Link to the online version, 2006. http://hdl.handle.net/10019/1112.
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Kutame, Mamie Mariama. "Understanding self-neglect from the older person's perspective." Columbus, Ohio : Ohio State University, 2007. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1186597966.
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Parker, Lillian D. "A Study about Older African American Spousal Caregivers of Persons with Alzheimer's Disease." Digital Archive @ GSU, 2008. http://digitalarchive.gsu.edu/nursing_diss/6.
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The purpose of this descriptive correlational study was threefold: (a) to assess the relationships between boundary ambiguity, spirituality, marital relationship quality, and caregiver strain and depression among older African American spousal caregivers of persons with Alzheimer’s Disease (AD); (b) to identify which variables are the best predictors of caregiver strain; and (c) to identify which variables are the best predictors of depression. The sample consisted of 25 female and 15 male spouses, who were ages 60 to 87. The data were analyzed using descriptive statistics, Pearson correlation coefficients, and multiple regression. Marital relationship quality was correlated with the two dependent variables, caregiver strain and depression. In hierarchical multiple regression, a model containing gender, years since spouse’s diagnosis with AD and marital relationship quality predicted 40% of the variance in caregiver strain. Marital relationship quality was the only significant predictor for depression. The model containing marital relationship quality predicted 22% of the variance in depression. Additional findings were that participants scored high on the spirituality measure, that years since diagnosis of AD was negatively correlated with boundary ambiguity, spirituality, and caregiver strain, that there was a significant decrease in the quality of the marital relationship since the spouse became a caregiver, and that almost half had no help with caregiving. There was limited support for the proposed conceptual model, therefore, a revised model was proposed. Based on the study results, in dealing with spouses who are providing caregiving to AD patients, nurses need to assess the quality of the marital relationship, and to recognize that the longer the spouse is a caregiver the greater the strain and depression, and that community resources need to be mobilized to assist the spouse with caregiving. A depression screen and marital assessment may provide cues regarding psychosocial needs of spousal caregivers.
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Fenech, Maria Aurora. "Physical restraint use within long term care settings for older persons in Malta." Thesis, University of Nottingham, 2016. http://eprints.nottingham.ac.uk/38980/.
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Purpose: To study this locally unexplored scenario and provide a platform of knowledge base and information on physical restraint use, securing relevant information of essence to the older person, care provider and policy makers within care homes. Aims and objectives: This dissertation focuses on care providers’ observations and perceptions concerning (a) the types of restraint devices used in government and privately managed long term care homes for older persons in Malta, (b) their mode and extent of application, (c) older person characteristics which may be conducive to physical restraint use, (d) older persons’ reactions to restraint use (e) care providers’ perceptions to physical restraint use within the context of work, environmental and safety concerns, and (f) how the effects of physical restraint use could influence the older person’s rights, autonomy and integrity. Relevance: The demand for long term care for older persons increases as the population ages. This, coupled with an increasing demand for human resources, aggravates the risk for less humane care for frail and vulnerable older persons. Person centred care is the fulcrum for the quality of service delivery in the care of older persons. It recognises the distinctiveness of each and every person irrespective of mental and functional capabilities, and moves away from the routine-driven, task-oriented and depersonalised services to focus on specific personal needs. Although there is an increasing international body of literature, exploring the concept of physical restraint use in care homes, there is a lack of research-based evidence exploring care providers’ holistic approach to physical restraint use in long term care settings in Malta. More importantly, published papers fail to captivate the human and humane elements of the physically restrained older person. The relevance of physical restraint use is central within care home environments. The knowledge of the framework within which this use operates is necessary for the establishment of a paradigm that places the older person within the hubs of her/his care. Study design: A questionnaire booklet incorporating quantitative and qualitative components was developed, designed and adopted. The questionnaire was anonymous and self-administered by care providers within all Maltese care homes (n=13), managed by the government and private sectors. All care providers within these care homes were eligible for study participation, (medical, allied health, nursing, and nursing support staff). Care providers have direct contact with the older persons, and are therefore in a position to provide first-hand information about the use of physical restraints. Participants were requested to complete and return ‘Physical Restraint Use’ (PRU) questionnaire booklet developed for this study. Four hundred and thirty four questionnaire booklets were distributed and 180 booklets were returned over a 3 month time frame, providing a response rate of 41.5%. Findings: A high observed incidence of physical restraint devices particularly for bed rails and harnesses was registered within both the government and privately managed care homes. Moreover, respondents acknowledged the use of 16 different types of devices, which raised questions as to multiple use of restraining. Privately managed care homes reported a slightly higher incidence of observed devices in use. The observed total duration of restraints in excess of 2 hours by far exceeded durations less than 2 hours in both government and privately managed care homes. Data pertaining to the private care homes points to the existence of potential continual application of restraint. With respect to observations of modalities of physical restraint use (person recommending, explaining, monitoring and deciding, and documentation), within government and privately managed care homes, a consistent statistically higher involvement of management staff in all of the procedures related to the use of restraining was reported. This was however not evident with respect to documenting restraint use within the private sector. Additionally family members/substitute decision makers had a greater influence on recommending restraint use and its removal within privately managed care homes. Nursing support staff offered a greater contribution to monitoring, documenting restraint use in private than in government managed care homes, whilst nurses in government homes contributed more to monitoring restraint use than their professional counterparts within private homes. Care providers’ attitudes on the use of restraining were reported to be the strongest advocators for using physical restraints within care homes, rather than issues related to older persons themselves such as mobility and physical limitations, cognitive problems, continence issues, problems with communication/hearing/vision and activity participation and pharmacological treatment. Respondents also acknowledged observing adverse reactions to restraint use. Care providers reported restlessness to be the most observed reaction from older persons to physical restraint use (87.9%), followed by physical and cognitive consequences (66.7%) and apathy (30.3%). Participants were uncertain that there would be no serious concerns related to work, environment, safety, and caring, should restraints be reduced, scoring between 3.0 and 4.0 on a 5-point Likert scale, with high scores expressing high concerns. Further analysis revealed that both care home sectors tended to favour least restraint use but were reluctant to remove restraint completely. Similarly, private care home respondents disagreed more than government care home respondents with the statement that the majority of physical restraints in use are necessary while nursing and nursing support staff showed a higher agreement with physical restraining being an invasion of a human right than did managers. Training did not impact on the use of restraining within the care homes. . Conclusion: This study highlighted the sensitivity surrounding physical restraint use. It substantiated published data and also offered novel contributions to the body of knowledge pertaining to the physical restraints and their use. Primarily, the study indicated that training had no impact to effecting restraint minimisation approaches within the care homes. Secondly, respondents acknowledged the use of 16 different types of restraining devices. Also, arguments that bed rail use was not considered a restraining device, having become unconditionally and unquestionably the accepted norm within care homes was corroborated through the high reported observed incidence of use. The study also offered a fresh insight into the modalities of physical restraint use, (recommendation to, explaining on, and monitoring/removing restraint device). Few insights into the impact of physical restraining on the human and humane aspects of older person care were captivated in this study, more so as the sensitivity surrounding physical restraining required that the investigation be carried out through care providers’ observations. This situation, within this project, was perhaps the biggest contribution yet, moreover when the study was indicative that care providers’ attitudes towards restraint use were reported to be the strongest advocator for their use. At its most basic level, physical restraining is tantamount to blocking or limiting a person’s free ability to move as she/he pleases, thus infringing on the older person’s human rights. Indeed, physical restraining is the inability of care providers’ to identify and address the needs of the older persons and provide innovative paradigms of care. Restraining implies a failure in people relationships and consequently in the system of care delivery. The message in the bottle must address the urgent provision for personalised services that enable the older person to make full decisions about her/his care through the support of care providers when called for and at later stages through advocates. It is only through these approaches that policies and guidelines could be put in place and managed effectively and efficiently.
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Novieto, Divine Tuinese. "Adapting a human thermoregulation model for predicting the thermal response of older persons." Thesis, De Montfort University, 2013. http://hdl.handle.net/2086/9489.
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A human thermoregulation model has been adapted for predicting the thermal response of Typical Older Persons. The model known as the Older Persons Model predicts the core body temperature and regulatory responses of the older people in environmental exposures of cold, warm and hot. The model was developed by modifying an existing dynamic human thermoregulation model using anthropometric and thermo-physical properties of older people. The Model defines the body as two interrelating systems of the body structure (passive system) and the control system of the central nervous system (active system). The Older person's passive system of the model was developed by meticulously extracting relevant experimental data from selected published research works relating to anthropometric and thermo-physical properties of older people. The resultant body structure (passive system) is a multi-segmented representation of a Typical Older Person. The active system (central nervous system) was developed by the application of a novel optimization method based on the working principles of Genetic Algorithms. The use of Genetic Algorithm enables the complex characteristics of the central nervous system of the older persons to be well represented and evaluated based on available data. Active system control signal coefficients for sweating, shivering, vasodilation and vasoconstriction were explicitly derived based on experimental data sourced from literature. The Older Persons Model has been validated using independent experimental data and its results show good agreement with measured data. Furthermore, the Older Persons Model has been applied to several test cases extracted from published literature and its results show good agreement with published findings on the thermal behaviour of older persons. An interview study conducted as part of this research revealed that, professionals (built environment specialists) found the Older Persons Model useful in assisting to further understand the thermal response of the older persons. In conclusion, the adaptation of an existing human thermoregulation model has resulted in a new model, which allows improved prediction of heat and cold strain of the older person although there exist limitations.
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Droti, B. "Availability of health care for older persons in primary care facilities in Uganda." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2014. http://researchonline.lshtm.ac.uk/2021054/.
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Background. This thesis evaluated the health care available and delivered to older persons (≥50years) at primary care facilities in Uganda in order to identify gaps and weaknesses and to suggest potential solutions for improving the quality of their care. Methods. The study was conducted in 48 primary care facilities across Uganda. It involved structured interviews with the persons in-charge of the facilities to determine what health care was provided at their facility; analysis of the numbers of outpatients attending the clinics to determine the absolute and relative caseloads due to older persons; structured interviews with health workers to determine their knowledge, attitudes and practices regarding the care of older persons; and structured exit interviews with older persons and younger adults (35-49 years) to determine their perceptions of the services they had received from the facility. Study participants were selected through a multistage stratified random sampling method designed to give a representative sample of Ugandan government primary care clinics and outpatients. Data were analysed using methods for complex multistage surveys. Findings. Availability of services: The study found important gaps and weaknesses in the availability of services, equipment and amenities that were considered to be particularly important for the care of older persons and that were enquired about in the study. Availability was particularly low for non-communicable diseases and at lower level (levels II and III) primary care facilities. Caseload: A total of 11,847 out of 140,338 total visits (8%) were made by older persons. Infectious illnesses (63%), as opposed to chronic non-communicable diseases (32%), were the most commonly diagnosed illnesses among the older persons. Knowledge, attitudes and practices of health workers: In total, 145 health workers (92% of target) were interviewed. Using predefined criteria, 32% of them were classified as having poor knowledge of geriatrics and 68% as having at least satisfactory knowledge. Most of them (97%) were classified as having neutral attitudes towards older persons. Although hardly any of them (0.6%) was classified as having bad practices overall; a substantial proportion reported not giving older persons and younger adults autonomy (46-49%), health education (15-35%), prompt attention (19-30%), and or screening for diseases that are common in older persons (14-17%). Perceptions of older persons and younger adults of the services they had received: In total, 244 older persons (96% of target) and 96 younger adults (100% of target) were interviewed. Although only 16-17% were classified as having received poor treatment overall, a substantial proportion reported not being screened for common diseases found in older persons (65-70%), receiving prompt attention (66-76%), having autonomy (70-80%), or receiving health education (30-39%). Only 1-2% perceived they had received poor service from the primary care facilities. Generally, older persons were not treated differently from younger adults (p=0.52) and their perceptions of the services were similar (p=0.21). Conclusion. There were important gaps and weaknesses in services important for the care of older persons, and in the knowledge, attitudes and practices of the health workers. The Ministry of Health should therefore investigate how they might improve services for older persons at all levels of primary care facilities.
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Ferdous, Tamanna. "Determinants and Functional Impact of Nutritional Status Among Older Persons in Rural Bangladesh." Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-107369.
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Lai, Hoi-wai. "Are residential developments in Southern China a retirement paradise for Hong Kong older persons? : a case-study in Shunde Country Garden /." View the Table of Contents & Abstract, 2008. http://sunzi.lib.hku.hk/hkuto/record/B40697307.
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Wong, Wing-tung Tony. "A study on the health status of the single elderly persons in Kwai Chung District." Hong Kong : University of Hong Kong, 1997. http://sunzi.lib.hku.hk/hkuto/record.jsp?B19470058.
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Dahlberg, Julia, and Daniella Johansson. "Ofrivillig ensamhet hos äldre personer : En kvalitativ litteraturstudie om äldres erfarenheter av ofrivillig ensamhet." Thesis, Umeå universitet, Institutionen för omvårdnad, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-184898.
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Bakgrund: Den äldre befolkningen ökar i rask takt och bor i större utsträckning hemma längre. Människan är beroende av gemenskap och de äldre är en utsatt grupp som löper större risk att drabbas av ensamhet. Ensamhet kan idag ses som en folksjukdom och kan bidra till flertalet somatiska sjukdomar, psykisk ohälsa och en känsla av utanförskap. Syfte: Syftet med denna kvalitativa litteraturstudie var att beskriva äldres erfarenheter av ofrivillig ensamhet. Metod: En kvalitativ artikelöversikt har tillämpats för att genomföra denna litteraturstudie. Sökningar genomfördes i tre olika databaser och artiklar valdes utifrån inklusions- och exklusionskriterier samt efter genomgången kvalitetsgranskning. Nio kvalitativa studier som svarade mot studiens syfte valdes ut, analyserades och sammanställdes till ett resultat. Resultat: I resultatsammanställningen identifierades tre huvudkategorier och åtta subkategorier. Huvudkategorierna var: Orsaker till ensamhet, konsekvenser av ensamhet och faktorer som lindrar ensamhet. Konklusion: Ensamhet är komplext och en högst individuell upplevelse. Många äldre upplever ensamhet som något plågsamt och ett hinder som skapar en barriär mellan dem och den sociala världen. En åldrande kropp och förlust av relationer samt en känsla av utanförskap var vanligt förekommande teman i samtliga valda studier. Sjuksköterskan kan med enkla medel eventuellt lindra lidande, förebygga ohälsa och stärka de äldres känsla av sammanhang.Background: The elderly population is increasing rapidly and are living at home longer. The human being is dependent on solidarity and the elderly are a vulnerable group who are at greater risk of suffering from loneliness. Loneliness can today be seen as an public health disease and can contribute to a lot of different somatic diseases, mental illnes and a feeling of exclusion. Aim: The aim of this qualitative literature study was to describe older persons experiences of involuntary loneliness. Methods: A qualitative article review has been applied to this litteraturestudy. The search was conducted in three different databases and the articles were selected based on the inclusion- and exclusioncriteria and a quality review. Nine qualitative studies that answered to the authors purpose were selected, analyzed and compiled into a result. Results: In the compilation of the results, three different main categories and eight subcategories emerged. The main categories were: Causes of loneliness, experiences of loneliness and factors the alleviate loneliness. Conclusion: Loneliness is a complex and highly individual experience. Many older persons experience loneliness as something painful, and an obstacle that created a barrier between them and the social world. An aging body and loss of relationships as well as a feeling of exclusion were common themes in all selected studies. The reg. nurse can with simple means possible alleviate suffering, prevent ill health and strengthen the elderly’s sense of coherence.
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Olaison, Anna. "Negotiating needs : Processing older persons as home care recipients in gerontological social work practices." Doctoral thesis, Linköpings universitet, NISAL - Nationella institutet för forskning om äldre och åldrande, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-15968.
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The study concerns the needs assessment processes that older persons undergo to gain access to home care. The participation of older persons, their relatives and municipal care managers was studied from a communicative perspective. The assessment meetings functions as formal problem-solving events. The older persons´ accounts are negotiated discursively in interaction. Various storylines are used by the older persons and their relatives whether they view home care as an intrusion, as a complement or as a right. In case of divergent opinions the older person has the final say as prescribed by the Swedish social service act. One conclusion is that the role of relatives is not defined and a family perspective is not present. In the study the institutional structure of the assessment process was also analyzed. Older persons are processed into clients; their needs are fitted within the framework of documentation and institutional categories. In the transfer of talk to text all the particulars are not reflected and two types of documentation was identified; a fact-oriented objective language or an event-oriented personal language. Care management models and a managerialist thinking has influenced the assessment process by bureaucratisation of older people trough people processing, which is in contradiction to the individual-centric perspective prescribed by the law. The introduction of care management models in gerontological social work has lead to an embedded contradiction and constitutes a welfare political dilemma. Improved communicative methods are needed in order to achieve a holistic assessment situation.Studien tar sin utgångspunkt i de bedömningsprocesser äldre personer genomgår för att få tillgång till hjälp i hemmet. Bedömningsprocessen där äldre, deras anhö-riga och kommunala behovsbedömare deltog studerades ur ett kommunikativt perspektiv. Interaktionen vid behovsbedömningssamtalet fungerar som en pro-blemlösningsprocess. Den äldre personens redogörelse för behov förhandlas diskursivt i interaktionen och tre olika berättelselinjer identifierades, baserade på om de sökande betraktar hemtjänsten som ett intrång, som ett komplement och stöd eller som en rättighet. När olika åsikter uttrycks har de äldre sista ordet i enlighet med Socialtjänstlagens föreskrifter. En slutsats är att de anhörigas roll i behovsbedömningsprocessen inte är definierad och att ett familjeperspektiv sak-nas. I studien analyserades också bedömningsprocessens institutionella struktur. De äldre behovssökande processas till att bli klienter, deras behov anpassas till dokumentationens ramverk och kategoriseras i enlighet med institutionella kate-gorier. I transfereringen av tal till text redovisas inte samtliga element i samtalet. Två typer av utredningstext identifierades, den faktaorienterade och den händelse-orienterade. I studien diskuteras det marknadsekonomiska tänkande som kommit att påverka bedömningsprocessen genom byråkratisering vilket står i motsatsställ-ning till det individcentrerade perspektiv som lagen förespråkar. Introduktionen av marknadsmodeller i det gerontologiska sociala arbetet har medfört en inbyggd motsättning och utgör ett välfärdspolitiskt dilemma. Förbättrade kommunikativa metoder behövs för att uppnå en holistisk bedömningsprocess.
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Liu, Hong, and 劉紅. "Development of residential care for older persons in China: a case study of Tianjin." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2006. http://hub.hku.hk/bib/B37034030.
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Sin, Hiu-lam, and 冼曉琳. "Modeling family caregivers' willingness to continue care in community for older persons with dementia." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2013. http://hdl.handle.net/10722/193470.
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This study aimed to model the process and its relevant variables in predicting the willingness in home care and actual institutionalization of older persons with dementia in a Hong Kong context.
This was a secondary data analysis of a previous research study which collected 122 sample of Chinese caregivers and their older care recipients with clinical diagnosis of dementia, all of whom recruited from a local NGO. Participants were assessed on a battery of instruments that collected both caregivers and patients' characteristics, including demographic details, patients “physical states affected by dementia, caregivers” perceived burden. The period of study was 12 months, with follow up phone calls on state of care every 6 months.
Only a very weak relation was shown between expressed intention to care and actual placement at 12M. Higher odds in intention for home care was significantly predicted by male gender in caregiver gender and lower caregiver burden (ZBI score); ZBI was a total mediator between patients' agitation (CMAI score) and willingness. Higher odds of actual institutionalization was related to the use of day care centre.
Results called for a need to carefully distinguish the genuinely effective services in helping to delay nursing home placement; rather than assuming all to be useful. While caregivers training was not popular among current sample, current model showed the importance of caregivers' perceived burden in altering objective environmental stress' effect on caregiving outcomes. While more than half of the current sample was using day care centre, model suggested day care centre could have encouraged placement. More resources should be allocated in programmes that aimed to manage caregivers' stress and cognition. There should also be more promotions to heighten awareness and participation of such programmes amongst caregivers of HKG.published_or_final_version
Social Work and Social Administration
Master
Master of Philosophy
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Brewster, Glenna Shemida. "Sleep, Depressive Symptoms and Cognition in Older Adults and Caregivers of Persons with Dementia." Scholar Commons, 2015. http://scholarcommons.usf.edu/etd/5647.
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Caregivers of persons with dementia, who are often older adults, report sleep disturbance, high rates of depressive symptoms and may be at risk for impaired cognition. This dissertation examined sleep, depressive symptoms, and cognition in older adults and caregivers of persons with dementia. The aims of the review of literature were to understand, in community dwelling adults 60 years and older, the relationships among sleep parameters (sleep onset latency, wake after sleep onset, sleep efficiency, total sleep time, and general sleep complaints), and the domains of cognition (Executive Function, Attention, Episodic Memory, Working Memory, Processing Speed), and global cognition. Based on the findings, the research on the association of subjective sleep parameters and cognition is inconclusive and there is insufficient evidence to confirm or deny the existence of a relationship between objective sleep parameters and cognition. The methods section examined whether in adults 60 years and older, Radloff’s postulated 4-factor structure replicates across Afro-Caribbean Americans, African-Americans, Hispanic-Americans, and European-Americans and determine whether there is evidence for measurement invariance across the four ethnic groups in their responses to the Center for Epidemiological Depression Scale (CES-D) statements. Radloff’s postulated 4-factor model fit the data adequately and the results suggest that there is evidence for configural and partial metric invariance. The final section examined the relationships among subjective sleep parameters (Sleep Onset Latency, Wake After Sleep Onset, Total Sleep Time, Time in Bed, Sleep Efficiency, Sleep Quality), depressive symptoms, and, crystallized, fluid and total cognition in caregivers of persons with dementia with poor sleep. Based on the findings, depressive symptoms also did not mediate the ability of the sleep parameters to predict cognitive performance. With the knowledge that there are potential associations among sleep parameters, depressive symptoms and cognition in caregivers, healthcare providers should collect baseline assessments on sleep, depressive symptoms and cognition from caregivers and monitor them on an ongoing basis to identify changes and intervene in a timely manner. More research studies incorporating measures to capture sleep variability and similar cognitive measures, are needed to clarify the relationships both in older adults and caregivers of persons with dementia.
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Ramakhale, Mathapelo Winnie. "Self–care and medication adherence amongst older persons in a rural area / Ramakhale M.W." Thesis, North-West University, 2012. http://hdl.handle.net/10394/8224.
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This study focuses on the older person with chronic diseases, something that yields them vulnerable to a decline in self–care and medication adherence. South Africa has the highest percentage of older persons in Africa, and the North–West Province where the study was conducted presents with 7.34% persons older than 60 years. The growing population of older persons not only poses challenges to the primary health care (PHC) facilities, but also to the older persons themselves, their family members and the community where they live. Health services to the older persons have become overshadowed by an emphasis on child– and maternal care, as well as communicable diseases such as HIV/AIDS and TB. The reality however is that the older population is subjected to an ageing process that predisposes them to a number of chronic diseases, such as hypertension, cardiac diseases, diabetes mellitus and arthritis. This often requires that the older person be put on multiple chronic medications and therefore be made aware of the importance of self–care and medication adherence to deal effectively with their chronic diseases and in turn improving quality of life.
Non–experimental, quantitative research design was used to reach the aim of the study, namely to explore and identify possibilities for the enhancement of self–care and medication adherence of older persons in a rural area. This was done through objectives to explore and describe the factors of self–care and medication adherence in relation to age, gender, relationship status, behaviour and medication use amongst older persons in a rural area of the North–West Province.
A literature review was first conducted by the researcher for a clear understanding of self–care and medication adherence of older persons. Thereafter a structured questionnaire consisting of a demographic–, self–care– and medication adherence section was employed. Trained field workers assisted with data collection. The questionnaires were distributed to 150 participants and 143 were completed in the homes of the older persons, resulting in a participation rate of 95%. Data collected was analysed in a sequential order; demographic data was first analysed with results shown in a frequency table; the exploratory factor analyses were done for data reduction on the self–care and the medication adherence questionnaire. Descriptive statistics and Cohen’s effect sizes for the factors of self–care and medication adherence in relation to age, gender, relationship status, behaviour and medication use amongst the older persons in a rural area.
v
The results revealed that the oldest participants, those older than 80 years, will seek help when they are unable to care for themselves, thus gender, relationship status and whether they smoke or not, showed no practical effect on self–care and medication adherence. There was however results that showed that different aspects of medication use can have a medium and/or large practical effect on factors of self–care and/or medication adherence. The results gave direction to the researcher to make recommendation to the nurses working in PHC facilities, future nursing research and nursing education.Thesis (MCur)--North-West University, Potchefstroom Campus, 2012.
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Bok, Amy Jo. "Meanings to Rehabilitation Nurses When Institutionalized Older Persons Fall or a Fall is Prevented." University of Toledo Health Science Campus / OhioLINK, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=mco1372448170.
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