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Living Apart Together As A “Family Form” Among Persons Of Retirement Age: The Appropriate Family Law Response, Cynthia Grant Bowman

Cornell Law Faculty Publications

As the Baby Boom generation enters retirement age, patterns of living among older persons are beginning to change. Unlike their predecessors, the Baby Boomers lived through the sexual revolution, divorced more easily and more often, and institutionalized new patterns of coupling, such as cohabitation. As a result, the rate of marriage has declined and the percent of the population classified as “single” has gone up. This age cohort has now moved into the sixty-five-plus group and makes up those we think of as the retirement generation, or the “Third Age” group. As longevity has increased and the divorce rate for …

Integrasi Dan Adaptasi Sosial Migrant Di Korea Selatan

Jurnal Ilmu Kesejahteraan Sosial

This research was conducted to find out the empowerment effort done by DKI Jakarta Provincial Government through technical unit namely Unit Pengelola Dana Bergulir (UPDB) as implementing unit of Community Economic Empowerment Program (Program Pemberdayaan Ekonomi Masyarakat Kelurahan) to the administrators/managers of cooperatives or Koperasi Jasa Keuangan Pemberdayaan Ekonomi Masyarakat Kelurahan (KJK PEMK) as partner of UPDB in implementing this program. The research was conducted at KJK PEMK Kelapa Gading Barat, which is KJK PEMK which is considered smoothly in installment refund. The research was conducted using qualitative approach, with descriptive research type, and informant selection technique was done by …

Dinamika Keterlibatan Stakeholders Pada Perencanaan Strategi Pemasaran Sosial Di Smile Train Indonesia

Jurnal Ilmu Kesejahteraan Sosial

This research discusses the dynamics, obstacles, and challenges that occur in the stage of social marketing strategy planning process undertaken by the management of Smile Train Indonesia with the organizational stakeholders as well as the efforts made by the organization management to overcome those. This research is a qualitative research with descriptive design. The results conclude that there is rarely conflicts between organizations and stakeholders in the organization’s social marketing planning process because of good conflict management and collaboration. But acknowledged by the stakeholders, there are several obstacles and challenges that are faced during the planning process. This research suggests …

Evaluasi Program Pendamping Youth Employment Di Kecamatan Cilingcing Dari Wahana Visi Indonesia

Jurnal Ilmu Kesejahteraan Sosial

This research describes the evaluation of Youth Employment Program of Wahana Visi Indonesia as well as the factors that supports and obstructs the program in achieving its objectives (Case Study in Cilincing Sub-district, North Jakarta). This research was conducted with qualitative approach. The type of research is Sumatif Evaluation Research which aims to obtain information for program implementors about whether the program is worth continuing or has the potential to be applied in different contexts. The results of this study indicate that, Youth Employment program conducted by Wahana Visi Indonesia in Cilincing Sub-district has succeeded in achieving its goal to …

Strategi Holding Company Dalam Melaksanakan Tanggung Jawab Sosial Perusahaan

Jurnal Ilmu Kesejahteraan Sosial

The one form of corporate intervention in development is implemented into Corporate Social Responsibility (CSR). In the last ten years, the number of corporate that implement CSR is getting increase. However, there are not many holding companies that implement CSR comprehensively and make CSR as part of the company’s strategy. This research describes the CSR strategy at holding company PT Astra International which is implemented comprehensively and internalized in the overall activity of the company with qualitative method. The results of the research shows that one of the implementation of these strategies is the implementation of community development program with …

Making A University Community More Dementia Friendly Through Participation In An Intergenerational Choir, Phyllis Braudy Harris, Cynthia A. Caporella

2018 Faculty Bibliography

A dementia friendly community is one that is informed about dementia, respectful and inclusive of people with dementia and their families, provides support, promotes empowerment, and fosters quality of life. This study presents data from four cohorts of undergraduate college students and people with dementia and their family members, using an intergenerational choir as the process through which to begin to create a dementia friendly community. This was accomplished by breaking down the stereotypes and misunderstandings that young adults have about people with dementia, thus allowing their commonalities and the strengths of the people living with dementia to become more …

A New Measure For End Of Life Planning, Preparation, And Preferences In Huntington Disease: Hdqlife End Of Life Planning, Noelle E Carlozzi, E A Hahn, S A Frank, J S Perlmutter, N D Downing, M K Mccormack, S Barton, M A Nance, S G Schilling, Hdqlife Site Investigators And Coordinators

Rowan-Virtua School of Osteopathic Medicine Departmental Research

BACKGROUND: Huntington disease is a fatal inherited neurodegenerative disease. Because the end result of Huntington disease is death due to Huntington disease-related causes, there is a need for better understanding and caring for individuals at their end of life.

AIM: The purpose of this study was to develop a new measure to evaluate end of life planning.

DESIGN: We conducted qualitative focus groups, solicited expert input, and completed a literature review to develop a 16-item measure to evaluate important aspects of end of life planning for Huntington disease. Item response theory and differential item functioning analyses were utilized to examine …

Making A University Community More Dementia Friendly Through Participation In An Intergenerational Choir., Phyllis Braudy Harris, Cynthia A. Caporella

2018 Faculty Bibliography

A dementia friendly community is one that is informed about dementia, respectful and inclusive of people with dementia and their families, provides support, promotes empowerment, and fosters quality of life. This study presents data from four cohorts of undergraduate college students and people with dementia and their family members, using an intergenerational choir as the process through which to begin to create a dementia friendly community. This was accomplished by breaking down the stereotypes and misunderstandings that young adults have about people with dementia, thus allowing their commonalities and the strengths of the people living with dementia to become more …

Mapping Quality Of Life In Nebraska: Population Distribution By Race, Ethnicity, And Age, Sarah Taylor, Maria Rosario T. De Guzman, Grant Daily, Rodrigo Cantarero, Soo-Young Hong, Aileen S. Garcia, Jeong-Kyun Choi, Yan Xia

Mapping Quality of Life in Nebraska

KEY POINTS

This section details key points from the data on racial, ethnic, and age groups across Nebraska.

RACIAL AND ETHNIC MINORITIES IN NEBRASKA

• The proportions of Nebraska’s racial and ethnic minority populations tend to be smaller by 4% (i.e., Asian) to 8% (i.e., Black or African American, Hispanic/Latino) than those of the US, except for the Hawaiian and Pacific Islander and American Indian and Alaska Native populations (i.e., smaller only by 0.1% to 0.2%).

• Nebraska’s urban areas, which comprise 73.1% of the Nebraska population, have higher numbers of racial and ethnic minorities than suburban or rural areas. …

Differences In The Perceptions Of Gerotranscendence Between Certified Nursing Assistants And Older Adults, Amanda Perera

All Graduate Theses, Dissertations, and Other Capstone Projects

Many theories of aging have been proposed within the field of gerontology to explain both psychological and social changes that occur during the aging process. One of the theories is the theory of gerotranscendence, which explains that as individuals age they develop a new perspective on life that allows the aging individual to shift their conceptualization of the world, from a materialistic and rational view to a more transcendent and universal view. Previous research suggests that some behaviors associated with gerotranscendence have been misinterpreted as pathological. The purpose of this current study was to examine whether there are significant differences …

Agnosia Interferes With Daily Hygiene In Patients With Dementia, Ronald C. Hamdy, Amber Kinser, Jennifer E. Culp, Tracey Kendall-Wilson, Audrey Depelteau, Rebecca Copeland, Kathleen Whalen

ETSU Faculty Works

Patients with dementia, particularly Alzheimer’s disease, may not recognize that their clothes are dirty. They may see the food stains and discoloration of the clothes and yet because of their agnosia are unable to integrate these observations and deduce that their clothes are dirty and need to be changed. They will, therefore, resist attempts to get them to change clothes, especially if these clothes happen to be their favorite ones. This often causes caregivers to become frustrated, especially, if it represents a change in the patient’s previous habits of only wearing clean clothes. In this case study, we present a …

Fronto-Temporal Dementia, Diabetes Mellitus And Excessive Eating, Ronald C. Hamdy, Amber Kinser, Kara Dickerson, Tracey Kendall-Wilson, Audrey Depelteau, Kathleen Whalen

ETSU Faculty Works

Diabetes mellitus is common among older people. Hypoglycemia is a sign of poorly controlled diabetes mellitus and may lead to irritability, agitation, anxiety, hunger, and an excessive food intake, which in turn may make the control of diabetes more difficult. Excessive, inappropriate food intake is also a sign of Fronto-Temporal Dementia (behavioral variant: bvFTD). In this case study, we describe the events leading to an altercation that developed between an older diabetic patient with bvFTD and the staff in an Assisted Living Facility. His first dose of insulin was given early that morning while he was still asleep. He, subsequently, …

Erratum: A Comprehensive Analysis Of Morbidity Life Expectancies Among Older Hispanic Subgroups In The United States: Variation By Nativity And Country Of Origin (Table 3 & Figure 2), Marc A. Garcia, Catherine Garcia, Chi-Tsun Chiu, Mukaila Raji, Kyriakos S. Markides

Department of Sociology: Faculty Publications

No abstract provided.

Age Of Migration And The Incidence Of Cognitive Impairment: A Cohort Study Of Elder Mexican-Americans, Marc A. Garcia, Adriana M. Reyes, Brian Downer, Joseph L. Saenz, Rafael A. Samper-Ternent, Mukaila Raji

Department of Sociology: Faculty Publications

Background and Objectives: To explore nativity and age of migration differentials in the incidence of cognitive impairment among older Mexican-Americans. Research Design and Methods: We employ maximum-likelihood discrete time hazard models to estimate risk ratios of cognitive impairment in a sample of 2,708 Mexican-Americans 65 and older who were cognitively healthy at baseline over a follow-up period of up to 20 years. Results: Late-life immigrant women have a 46% higher risk of cognitive impairment compared to U.S.-born Mexican- American women. Conversely, midlife immigrant men have a 29% lower risk of cognitive impairment compared to U.S.- born Mexican-American men. The incidence …

The Role Of Education In The Association Between Race/Ethnicity/Nativity, Cognitive Impairment, And Dementia Among Older Adults In The United States, Marc A. Garcia, Joseph Saenz, Brian Downer, Rebeca Wong

Department of Sociology: Faculty Publications

BACKGROUND—Older Black and Hispanic adults are more likely to be cognitively impaired than older White adults. Disadvantages in educational achievement for minority and immigrant populations may contribute to disparities in cognitive impairment.

OBJECTIVE—Examine the role of education in racial/ethnic and nativity differences in cognitive impairment/no dementia (CIND) and dementia among older US adults.

METHODS—Data comes from the 2012 Health and Retirement Study. A total of 19,099 participants aged ≥50 were included in the analysis. Participants were categorized as having normal cognition, CIND, or dementia based on the Telephone Interview for Cognitive Status (TICS) or questions from a proxy interview. We …

Life Expectancies With Depression By Age Of Migration And Gender Among Older Mexican Americans, Catherine García, Marc A. Garcia, Chi-Tsun Chiu, Fernando I. Rivera, Mukaila Raji

Department of Sociology: Faculty Publications

Background and Objectives: Prior studies examining depression among older Mexican Americans suggest both women and immigrants are at higher risk of depressive symptomatology than males and U.S.-born Mexican Americans. We use data from the Hispanic Established Populations for the Epidemiologic Study of the Elderly to examine whether life expectancy with depression and without depression varies by nativity, age of migration, and gender.

Research Design and Methods: Sullivan-based life tables were used to estimate depression life expectancies among Mexican Americans aged 65 years and older residing in the Southwestern United States. Depression is based on the 20-item Center for Epidemiological Studies …

Repetitive Questioning Ii, Ronald C. Hamdy, Amber Kinser, A. Depelteau, J. V. Lewis, Rebecca Copeland, Tracey Kendall-Wilson, Kathleen Whalen

ETSU Faculty Works

Repetitive questioning is a major problem for caregivers, particularly taxing if they are unable to recognize and understand the reasons why their loved one keeps asking the same question over and over again. Caregivers may be tempted to believe that the patient does not even try to remember the answer given or is just getting obnoxious. This is incorrect. Repetitive questioning is due to the underlying disease: The patient’s short term memory is impaired and he is unable to register, encode, retain and retrieve the answer. If he is concerned about a particular topic, he will keep asking the same …

Insomnia And Mild Cognitive Impairment, Ronald C. Hamdy, Amber Kinser, Kara Dickerson, C Kendall-Wilson, Audrey Depelteau, Rebecca Copeland, Kathleen Whalen

ETSU Faculty Works

Insomnia is a common problem in older people, especially in patients with mild cognitive impairment (MCI) whose circadian rhythm is often compromised. Insomnia exerts such a toll on caregivers that it is frequently the primary reason for seeking to institutionalize their loved ones. Three different types of insomnia are recognized: sleep-onset or initial insomnia, sleep maintenance or middle insomnia, and early morning awakening or late insomnia. Nocturnal hypoglycemia, as a cause of middle insomnia, is the main focus of this case study. Other types of insomnia are also briefly reviewed. The management of insomnia is then discussed including sleep hygiene, …

Impulsive, Disinhibited Behavior—Dining In A Restaurant, Ronald C. Hamdy, Amber Kinser, Tracey Kendall-Wilson, Audrey Depelteau, Kathleen Whalen

ETSU Faculty Works

Dining in a restaurant with a loved one who has dementia can be an ordeal, especially if the expectations of the caregiver do not match those of the patient and the restaurant environment is not suitable for patients with dementia. The size of the dining area, lighting, background music or noise, décor of the room, number of customers, variety of the items on the menu, number of plates and cutlery on the table, in addition to flowers, candles, and other decorations on the table are all potent distractors. There are so many stimuli; the patient can be overwhelmed with information …

Driving And Patients With Dementia, Ronald C. Hamdy, Amber Kinser, Tracey Kendall-Wilson, Audrey Depelteau, K. Whalen, J. Culp

ETSU Faculty Works

Driving is a symbol of autonomy and independence, eagerly awaited during adolescence, cherished during adulthood and reluctantly rescinded during old age. It is nevertheless an individual’s privilege, not right, especially as driving may affect other drivers and pedestrians on the road. It is therefore not only the individual patient who is at stake but essentially the entire community. In this case scenario, we describe the situation that arose when a patient with multi-infarct dementia wanted to go for a drive and his son and grandson tried to convince him that he could no longer drive. What went wrong in the …

Resilience In American Indian And Alaska Native Public Health: An Underexplored Framework, Nicolette I. Teufel-Shone, Julie A. Tippens, Hilary C. Mccrary, John E. Ehiri, Priscilla R. Sanderson

Department of Child, Youth, and Family Studies: Faculty Publications

Objective: To conduct a systematic literature review to assess the conceptualization, application, and measurement of resilience in American Indian and Alaska Native (AIAN) health promotion.

Data Sources: We searched 9 literature databases to document how resilience is discussed, fostered, and evaluated in studies of AIAN health promotion in the United States.

Study Inclusion and Exclusion Criteria: The article had to (1) be in English; (2) peer reviewed, published from January 1, 1980, to July 31, 2015; (3) identify the target population as predominantly AIANs in the United States; (4) describe a nonclinical intervention or original research that identified resilience as …

The Experiences And Perceptions Of African American Women Who Reside In Nursing Homes, Lakeisha De Lon Riley

Walden Dissertations and Doctoral Studies

The purpose of this qualitative case study was to examine the experiences and perceptions of African American women who reside in a nursing home and to understand African American women's decisions for admitting to the facility. Social Learning Theory was applied to answer the question of how African American women's experiences and perceptions toward long-term care influence healthcare decisions and admission to a nursing home. Eleven participants interviewed in the study were at least 60 years old, admitted into the facility within the past two years and who had not previously resided in a nursing home. Yin's five step approach …

Prevalence And Trends In Morbidity And Disability Among Older Mexican Americans In The Southwestern United States, 1993–2013, Marc A. Garcia, Adriana M. Reyes

Department of Sociology: Faculty Publications

This study examines the prevalence of morbidity and disability among older Mexican Americans using 5-year age groups. Twenty-year panel data from the Hispanic Established Populations for the Epidemiological Study of the Elderly are used to make detailed comparisons by nativity and gender. Results show that prevalence rates for most chronic conditions for both males and females do not vary by nativity. For disabilities, nativity is a significant predictor of increased instrumental activity of daily living disability for foreign-born females and reduced activity of daily living disability for U.S.-born males. Additionally, results show significant interactions between nativity and age cohorts, with …

A Comprehensive Analysis Of Morbidity Life Expectancies Among Older Hispanic Subgroups In The United States: Variation By Nativity And Country Of Origin, Marc A. Garcia, Catherine Garcia, Chi-Tsun Chiu, Mukaila Raji, Kyriakos S. Markides

Department of Sociology: Faculty Publications

Background and Objectives: Although a clear advantage in mortality has been documented among older Hispanic subgroups, particularly the foreign-born, research examining health selectivity in morbidity life expectancies among older Hispanics are scarce. Differences in sociocultural characteristics among Hispanic subgroups may influence racial/ethnic and nativity disparities in morbidity. Research examining the heterogeneity among older Hispanic subgroups may further our understanding of why some Hispanics are able to preserve good health in old age, while others experience a health disadvantage. Thus, the primary goal of this analysis is to examine racial/ethnic, nativity, and country of origin differences in morbidity life expectancies among …

The Role Of Education In The Relationship Between Age Of Migration To The United States And Risk Of Cognitive Impairment Among Older Mexican Americans, Brian Downer, Marc A. Garcia, Joseph Saenz, Kyriakos S. Markides, Rebeca Wong

Department of Sociology: Faculty Publications

Prior research indicates age of migration is associated with cognitive health outcomes among older Mexican Americans; however, factors that explain this relationship are unclear. This study used eight waves from the Hispanic Established Populations for the Epidemiologic Study of the Elderly to examine the role of education in the risk for cognitive impairment (CI) by nativity, age of migration, and gender. Foreign-born women had a higher risk for CI than U.S.-born women, regardless of age of migration. After adjusting for education, this risk remained significant only for late-life migrant women (risk ratio [RR] = 1.28). Foreign-born men who migrated at …

Type 2 Diabetes Management For Geriatric Veterans, Fachecia L. Fort

Walden Dissertations and Doctoral Studies

Managing diabetes in the geriatric long-term care population can be challenging, yet important because diabetes is a chronic, progressive disease. The purpose of this project was to identify clinical practice guidelines for managing Type 2 diabetes in geriatric veterans and to develop a class to educate providers on diabetes management in the geriatric long-term care population at a community living and rehabilitation center. The practice focused question asked if providing education to providers about the clinical practice guidelines for managing Type 2 diabetes in geriatric long-term care veterans would improve knowledge as measured by a pre- and posttest. The project …

Impact Of Patient Demographics And Health Insurance On Hospital Discharge, Ana Acosta

Open Access Theses & Dissertations

Based on discharge data collected with 241 patients who received medical care from a fall injury between 2014 and 2015 at the emergency room in a general hospital in El Paso, Texas, I will examine whether individuals over age 55 have health insurance and the type of care that is recommended to patients after being discharged. In particular, I will examine demographics, including ethnicity, age, and language on whether the patient paid with insurance and the disposition of discharge from the emergency department after a fall. Additionally, I will examine which demographic factors are associated with disposition of discharge- facility, …

Self-Rated Health Trajectories Among Married Americans: Do Disparities Persist Over 20 Years?, Terceira A. Berdahl, Julia Mcquillan

Department of Sociology: Faculty Publications

The purpose of this study is to understand self-rated health (SRH) trajectories by social location (race/ethnicity by gender by social class) among married individuals in the United States. We estimate multilevel models of SRH using six observations from 1980 to 2000 from a nationally representative panel of married individuals initially aged 25–55 (Marital Instability Over the Life Course Study). Results indicate that gender, race/ethnicity, and social class are associated with initial SRH disparities. Women are less healthy than men; people of color are less healthy than whites; lower educated individuals are less healthy than higher educated individuals. Women’s health declined …

Sociocultural Variability In The Latino Population: Age Patterns And Differences In Morbidity Among Older Us Adults, Catherine Garcia, Marc A. Garcia, Jennifer A. Alishire

Department of Sociology: Faculty Publications

BACKGROUND—The US Latino population is rapidly aging and becoming increasingly diverse with respect to nativity and national origin. Increased longevity along with medical advancements in treatment have resulted in a higher number of older Latinos living with morbidity. Therefore, there is a need to understand variability in Latino health among older adults.

OBJECTIVES—This paper documents mid- and late-life health differences in morbidity by race/ethnicity, nativity, and country of origin among adults aged 50 and older.

METHODS—We use data from the 2000–2015 National Health Interview Survey to calculate age-and gender-specific proportions based on reports of five morbidity measures: hypertension, heart disease, …

The Influence Of Multimorbidity On Leading Causes Of Death In Older Adults With Cognitive Impairment, Nicholas K. Schiltz, David F. Warner, Jiayang Sun, Kathleen A. Smyth, Stefan Gravenstein, Kurt C. Stange, Siran M. Koroukian

Department of Sociology: Faculty Publications

Objective: The aim of this study is to evaluate the relationship of leading causes of death with gradients of cognitive impairment and multimorbidity. Method: This is a population-based study using data from the linked 1992- 2010 Health and Retirement Study and National Death Index (n = 9,691). Multimorbidity is defined as a combination of chronic conditions, functional limitations, and geriatric syndromes. Regression trees and Random Forest identified which combinations of multimorbidity associated with causes of death. Results: Multimorbidity is common in the study population. Heart disease is the leading cause in all groups, but with a larger percentage of deaths …