ABSTRACT
A study of 127 informal caregivers of Alzheimer's disease patients in Florida's Tampa Bay area was undertaken to determine the correlates of the five components of burden, as measured by the Cost of Care Index, a multidimensional measure of caregiving burden. Significant relationships between predictor variables and burden components suggest that global scores and measures of burden do not identify specific problem areas relative to the various components of burden.
Subject(s)
Alzheimer Disease/psychology , Home Nursing/psychology , Stress, Psychological/prevention & control , Aged , Alzheimer Disease/economics , Female , Humans , Male , Psychological Tests , Stress, Psychological/etiologyABSTRACT
Prior planning for and problems associated with the evacuation of 1,860 nursing home patients in Pinellas County, Florida, due to Hurricane Elena in 1985 were studied through questionnaires administered to nursing home administrators and public documents. The most serious problems were transporting patients to shelters in a timely fashion, delayed passage of recalled staff through police checkpoints, and staff burnout.
Subject(s)
Disasters , Homes for the Aged/organization & administration , Aged , Burnout, Professional , Disaster Planning , Florida , Humans , Transportation of Patients/methodsABSTRACT
A Hospice Caregiver Assessment Inventory was developed to identify the problems of those caring for dying patients. A corresponding Caregiver Intervention Plan was developed from the inventory data and utilized by agency professionals. Findings revealed the problems of caregivers of dying older persons and suggested that they often need counseling and assistance prior to the death of their loved one, as well as following death.
Subject(s)
Hospices , Patient Care Planning , Terminal Care/psychology , Aged , Aged, 80 and over , Bereavement , Florida , Humans , Nursing Assessment , Patient Care TeamSubject(s)
Chronic Disease/economics , Home Nursing/economics , Aged , Cost-Benefit Analysis , HumansSubject(s)
Education, Medical, Graduate , Geriatrics/education , Women , Adult , Age Factors , Educational Measurement , Female , Florida , Humans , Middle Aged , Socioeconomic FactorsSubject(s)
Geriatrics , Job Satisfaction , Social Work/education , Adult , Analysis of Variance , Employment , Female , Florida , Humans , Interviews as Topic , Male , Motivation , Pilot Projects , Professional Competence , School Admission CriteriaABSTRACT
This research empirically examines the hypothesis that the aged person's attitudes toward doctors have behavioral consequences in terms of whether or not a doctor's help in sought. A multivariate analysis of data collected from 122 older respondents indicates that attitudes related to technical aspects of medicine or physician performance are insignificant in terms of help-seeking, but a perception of physicians as personally interested in the welfare of patients is a significant predictor of both the inclination and actual behavior of seeking medical help. Implications of these data are discussed.
Subject(s)
Aged/psychology , Patient Acceptance of Health Care , Personal Health Services/statistics & numerical data , Attitude to Health , Behavior , Female , Humans , Male , Middle Aged , Physician-Patient RelationsSubject(s)
Alcoholism/therapy , Attitude of Health Personnel , Community Mental Health Services/organization & administration , Social Work , Adolescent , Adult , Aged , Female , Health Services Needs and Demand , Health Services for the Aged , Humans , Male , Middle Aged , Ohio , Social Responsibility , WorkforceABSTRACT
Many studies have found that social workers often have negative feelings about the elderly. The authors review research findings in this area, offer explanations for the negative feelings of professionals, and provide suggestions for insuring appropriate attitudes among those who work with elderly clients.
Subject(s)
Aged , Attitude , Social Work , Health Services/supply & distribution , Humans , Inservice Training , Middle Aged , Prejudice , Social Change , Social Values , Social Work/education , Social Work/standards , United StatesABSTRACT
This is a study of 39 social work consultants to nursing homes in the Southeast who continued their consultation activities after the federal government removed the requirement for nursing homes to employ social work consultants to qualify for reimbursement of cost through federal programs. It examines their knowledge and attitudes about aging and their consultative skills in relation to case, process, and program consultation and three types of group work.
Subject(s)
Consultants , Nursing Homes , Social Work , Aged , Aging , Attitude , Demography , Florida , Group Processes , Humans , Surveys and Questionnaires , Time Factors , United StatesSubject(s)
Nursing Homes , Social Work , Aged , Counseling , Family , Group Processes , Hospitalization , Humans , Inservice Training , Occupational Therapy , Organization and Administration , Recreation , Social Adjustment , United States , Volunteers/educationSubject(s)
Administrative Personnel , Nursing Homes , Social Work , Aged , Attitude of Health Personnel , Counseling , Health Services , Humans , Individuality , RecreationSubject(s)
Aged , Attitude of Health Personnel , Homes for the Aged , Rehabilitation , Adult , Educational Status , Humans , Middle Aged , Surveys and QuestionnairesSubject(s)
Community Participation , Geriatrics , Skilled Nursing Facilities/standards , Accreditation , Aged , Certification , Community Health Services , Consumer Behavior , Continuity of Patient Care , Family , Humans , Licensure , Nursing Homes/standards , Quality of Health Care , Referral and Consultation , Social Control, Formal , Social Welfare , Societies , United States , Volunteers/statistics & numerical data , WorkforceABSTRACT
Both researchers and practitioners have become increasingly concerned with the plight of elderly mental hospital patients who are often inappropriately confined in state hospitals and then discharged from these facilities with little preparation for survival or attention given to the quality of community resources. This paper proposes the establishment of a new community care setting, a sub-acute center (SAC), which is designed to meet present inadequacies in the mental care system for the aged and combines elements of a foster home and a protective setting with a mental health aftercare component for more effectively preparing the elderly for independent community living. The SAC combines at least three concepts which are discussed: (a) the receiving station; (b) continuity of care; and (c) advocacy. The professional SAC staff and aides have many potential roles to play as practitioners, spokesmen, educators, consultants, and researchers.
