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Evaluation Of An In-Home Palliative Care Program's Management Of Pain, Mackenzie LaPorte 2016 Union College - Schenectady, NY

Evaluation Of An In-Home Palliative Care Program's Management Of Pain, Mackenzie Laporte

Honors Theses and Student Projects

With the growing population of chronically ill patients wishing to receive care at home, care providers face unique challenges managing the pain of patients with quickly changing illness trajectories. Treating patients outside of institutionalized settings, where regular monitoring is standard, requires careful symptom management. This project was a retrospective review examining nurses’ documentation of pain for patients enrolled in Care Choices, a new home-based palliative care program coordinated through a visiting nurse service and community hospital. The extent to which nurses documented patients' pain score, site, type and pain goal as well as nursing interventions and plan of care in ...


Evaluating The Effectiveness Of Care Choices A Home-Based Palliative Care Program, Katherine Pouliot 2016 Union College - Schenectady, NY

Evaluating The Effectiveness Of Care Choices A Home-Based Palliative Care Program, Katherine Pouliot

Honors Theses and Student Projects

Background: There is a growing need for home-based palliative care services, especially for seriously ill individuals who want to avoid unnecessary hospitalizations and remain with their regular outside care providers. Objective: To evaluate the effectiveness of Care Choices, a new in-home palliative care program provided by the Visiting Nurse Services of Northeastern New York and Ellis Medicine, a community healthcare system serving New York’s Capital District. Design: A prospective cohort study tracking patient outcomes over the course of one year. Subjects and setting: One hundred twenty-three patients (49 men, 74 women) with serious illnesses who were new enrollees in ...


The Case For Age-Friendly Communities, Margaret Neal, Alan Kenneth DeLaTorre 2016 Portland State University

The Case For Age-Friendly Communities, Margaret Neal, Alan Kenneth Delatorre

Margaret Neal

The report was funded by Grantmakers In Aging, an organization dedicated to promoting and strengthening grantmaking for an aging society. The movement toward age-friendly communities is growing, with the key impetus being population aging. Beyond what individuals themselves can do to age optimally, the movement to create communities that are age friendly focuses on how the economic, physical, and social environments can be improved to address not only the needs but also maximize the assets of an aging population, for the benefit of all.


Concerns And Supports Of Grandfamilies Using Formal Services: Do They Have The Help They Need?, Susan M. Collins, Christine A. Fruhauf, Kimberly Bundy-Fazioli 2016 University of Northern Colorado

Concerns And Supports Of Grandfamilies Using Formal Services: Do They Have The Help They Need?, Susan M. Collins, Christine A. Fruhauf, Kimberly Bundy-Fazioli

GrandFamilies: The Contemporary Journal of Research, Practice and Policy

The objective of this exploratory study was to discover the functional and psychosocial concerns of grandfamilies already receiving support services in their community, and to ask if they had the help they needed. Data were gathered from a convenience sample of 16 grandparents who were raising their grandchildren and were involved with a support group or a grandfamily workshop. Results indicated that grandparents affiliated with formal supports still experience psychosocial concerns (i.e., child’s emotional problems) and functional concerns (i.e., financial strain). Suggestions are included for further development on this measure as derived from the literature, service provider ...


Living Alone And Subsequent Living Arrangement Transitions Among Older Americans, Yao-Chi Shih 2016 University of Massachusetts Boston

Living Alone And Subsequent Living Arrangement Transitions Among Older Americans, Yao-Chi Shih

Graduate Doctoral Dissertations

Past research often considers living alone as a risk factor for older persons. In fact, adverse health outcomes are associated with living arrangement transitions, suggesting a need to consider the dynamic process of living arrangements. Using eight waves of the Health and Retirement Study (1998-2012), this study examines three research questions: (1) Do older Americans’ living arrangements exhibit a pattern of sequence? (2) What are implications of living arrangements at particular older ages on life expectancy? (3) What factors predict transitions out of a living alone arrangement?

The first analysis displays and classifies ordered patterns of living arrangements over time ...


Grief Is A Journey, Kenneth J. Doka 2016 The College of New Rochelle

Grief Is A Journey, Kenneth J. Doka

Kenneth J. Doka

No abstract provided.


The Potential Of Three Computer-Based Communication Activities For Supporting Older Adult Independent Living, Melinda Heinz, Jinmyoung Cho, Norene Kelly, Peter Martin, Johnny Wong, Warren Franke, Wen-Hua Hsieh, Joan Blaser 2016 Upper Iowa University

The Potential Of Three Computer-Based Communication Activities For Supporting Older Adult Independent Living, Melinda Heinz, Jinmyoung Cho, Norene Kelly, Peter Martin, Johnny Wong, Warren Franke, Wen-Hua Hsieh, Joan Blaser

Human Development and Family Studies Publications

Technology has become an increasingly integral part of life. For example, technology allows individuals to stay in touch with loved ones, obtain medical services through telehealthcare, and enjoy an overall higher quality of life. Particularly for older adults, using technology increases the likelihood that they will maintain their independence and autonomy. Long-distance caregiving has recently become a feasible option where caregivers for older adults can access reports and information about their loved one’s patterns that day (e.g., food and medication intake). Technology may be able to offset age-related challenges (e.g., caregiving, accessing healthcare, decreased social networks) by ...


Using Ritual With Children And Adolescents, Kenneth J. Doka 2016 The College of New Rochelle

Using Ritual With Children And Adolescents, Kenneth J. Doka

Kenneth J. Doka

No abstract provided.


Performing Feminine Aging: The Marschallin’S Body In Der Rosenkavalier, Alexandra Krawetz 2016 Rice University

Performing Feminine Aging: The Marschallin’S Body In Der Rosenkavalier, Alexandra Krawetz

Nota Bene: Canadian Undergraduate Journal of Musicology

This paper applies theories from gerontology to analyze the music and text from Richard Strauss and Hugo von Hofmannsthal’s Der Rosenkavalier (1911) in order to examine the Marschallin’s attitude towards her aging female body. After illustrating the signifiers that code the Marschallin’s body as feminine, this paper incorporates Chris Gilleard’s idea from gerontology, that embracing feminine sexuality prevents the desexualizing process of aging, to examine the Marschallin’s sexual escapism. Then, with the incorporation of biographical accounts discussing reflection on past experiences and Marja Saarenheimo’s gerontological theory that memories are embodied processes, the paper analyzes ...


Ageism: Abilene Christian University Students’ Perception Of Aging Adults, Taylor A. Nix 2016 Abilene Christian University

Ageism: Abilene Christian University Students’ Perception Of Aging Adults, Taylor A. Nix

Electronic Theses and Dissertations

The world is aging at a rapid pace. This creates a need for society to focus attention toward issues that are affecting the elderly population. This shift in focus regarding the elderly population also calls for the need of additional geriatric education as well as training while working with this vulnerable population. Research targeting college students’ shows that there is a lack of desire among students for working with the aging adult population. This lack of desire to work with the elderly population is associated with ageism; or, biased perceptions about age. The purpose of this study was to determine ...


Predicting Depression In Older Adults: Community Vs. Nursing Home, Hannah Vitello, Skye Leedahl 2016 University of Rhode Island

Predicting Depression In Older Adults: Community Vs. Nursing Home, Hannah Vitello, Skye Leedahl

Senior Honors Projects

With the population of the United States slowly growing older, the issues surrounding long-term services and supports (LTSS) will become more prevalent. Little research has been done comparing older adults living in nursing homes to older adults living in the community, especially regarding mental health and depression. Depression is a mental illness that affects people emotionally and physically, as well as mentally, which can lead easily into other health complications in the older adult population. This study seeks to determine if factors such as demographics, health, social interaction, and family relationships affect mental health in nursing home residents differently than ...


Policy Brief: Lifespan Respite Care Reauthorization Act, The 2015-2016 Cohort of New Hampshire Leadership Education in Neurodevelopmental and Related Disabilities (NH LEND) Program Trainees. 2016 The University of Maine

Policy Brief: Lifespan Respite Care Reauthorization Act, The 2015-2016 Cohort Of New Hampshire Leadership Education In Neurodevelopmental And Related Disabilities (Nh Lend) Program Trainees.

Policy Analysis

The Lifespan Respite Care Act (PL 109-442) provides critical support for families caring for loved ones at home. Family caregivers in the United States provide an estimated $470 billion worth of uncompensated care—a figure that exceeds the total Medicaid budget for 2013 (NAC Task Force, 2016). According to the National Respite Coalition, access to respite care helps protect caregiver health, strengthens families, keeps marriages intact, and prevents the need for expensive institutional long-term care. Reauthorization of the Lifespan Respite Care Act is essential to the well-being of individuals in need of long-term care and their families affected by long-term ...


Unmarried Midlife Adults And Economic Well-Being, Katie Finch 2016 Bowling Green State University

Unmarried Midlife Adults And Economic Well-Being, Katie Finch

Honors Projects

Much research has been conducted on how married older adults fare in comparison to unmarried older adults. Since the amount of unmarried older adults is increasing, I found it important to see how these unmarried groups (early divorcees, gray divorcees, never-marrieds, and widoweds) stacked up against each other in terms of economic well-being. Using the 2012 Health and Retirement Study, I looked at how demographic factors and economic well-being indicators were correlated to another. The demographic factors examined included gender, marital status, race, and educational attainment. Income, poverty level, and assets were used to assess economic well-being. Similar to previous ...


Enriching Or Discouraging? Competing Pictures Of Aging And Paid Work In Later Life, Rebecca Casey, Ellie Berger 2016 York University

Enriching Or Discouraging? Competing Pictures Of Aging And Paid Work In Later Life, Rebecca Casey, Ellie Berger

Population Change and Lifecourse Strategic Knowledge Cluster Discussion Paper Series/ Un Réseau stratégique de connaissances Changements de population et parcours de vie Document de travail

The picture and experience of work and retirement are continuously changing in Canada and will likely continue to change into the future with the aging of the population. There are two pictures of work in older age presented in the literature: a positive and enriching picture and a picture that highlights the challenges facing some older workers. The positive and enriching picture focuses on the experiences of older individuals who are able to continue working if they want to work and are able to work; those who continue working because they are motivated by work rather than pay or new ...


Helping Staff Deal With Difficult Deaths, Kenneth J. Doka 2016 The College of New Rochelle

Helping Staff Deal With Difficult Deaths, Kenneth J. Doka

Kenneth J. Doka

No abstract provided.


Spirituality, Death, Loss And Grief: A Life Cycle Perspective, Kenneth J. Doka 2016 The College of New Rochelle

Spirituality, Death, Loss And Grief: A Life Cycle Perspective, Kenneth J. Doka

Kenneth J. Doka

No abstract provided.


Helping Survivors: The Role Of Other Organizations, Kenneth J. Doka 2016 The College of New Rochelle

Helping Survivors: The Role Of Other Organizations, Kenneth J. Doka

Kenneth J. Doka

No abstract provided.


Intervening In Sudden And Traumatic Loss, Kenneth J. Doka 2016 The College of New Rochelle

Intervening In Sudden And Traumatic Loss, Kenneth J. Doka

Kenneth J. Doka

No abstract provided.


The Church Of Jesus Christ Of Latter-Day Saints And End-Of-Life Care, Kenneth J. Doka 2016 The College of New Rochelle

The Church Of Jesus Christ Of Latter-Day Saints And End-Of-Life Care, Kenneth J. Doka

Kenneth J. Doka

No abstract provided.


Introduction To Who We Are, How We Grieve, Kenneth J. Doka 2016 The College of New Rochelle

Introduction To Who We Are, How We Grieve, Kenneth J. Doka

Kenneth J. Doka

No abstract provided.


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