Digital Commons Network^™

Management Decisions Made By Caregiver Spouses Of Persons With Alzheimer's Disease., Mary A. Corcoran

Department of Occupational Therapy Faculty Papers

OBJECTIVES: As the incidence of Alzheimer's disease increases, so does the effect on families and friends who assume caregiving responsibilities. Despite the proliferation of caregiving studies reported in the literature, little is known of the day-to-day management styles and preferences of caregivers. To develop, implement, and test interventions designed to sustain caregivers in their role, more information is needed about the caregiving experience. Results of a descriptive study are presented as a first step in understanding the complex process of choosing, organizing, and implementing everyday caregiving tasks.

METHOD: Subjects of the study were 26 persons who provide care for a …

Professional Inter-Rater & Client Self Report Reliability Of The Environmental Section Of The Functional Assessment Of The Elderly, Stacie J. Bronkema, Amy M. Haan, Julie L. Johnston

Masters Theses

Health care needs of the growing elderly population place a great demand on the health care system. Information regarding a client's function is essential in geriatric care. Therefore, continuing research to develop reliable functional evaluation tools is imperative. One functional evaluation tool available to health care professionals is Functional Assessment of the Elderly (FAE). The purpose of this study is to examine the professional inter-rater and client self report reliability of the environmental section of FAE.; A random sample of 18 subjects was obtained. Subjects were required to be age 60 and older, and clients of the West Michigan area …

Lounge Chair Criteria For The Elderly, Edna M. I. Bosco

Masters Theses

This study investigated relationships between lounge chair design, functional positioning and comfort for the elderly. Thirty-five elderly residents from two local congregate living residences were assessed utilizing lounge chairs located at the residence. Measurements of the chairs were taken, coded and compared to specific norms established by Harris and Mayfield (1983b). Measurements consisted of armrest dimensions, seat depth and height, seat slope, and backrest dimensions. Each chair was scored based on the number of recommended standards for comfort met in the Harris and Mayfield research (1983b).

Frequency counts were taken and descriptive data collected and analyzed to determine relationships between …

A Model To Promote Activity Competence In Elders., Ruth E. Levine, Laura N. Gitlin

Department of Occupational Therapy Faculty Papers

This paper describes an occupational therapy home-based intervention in which purposeful activities were used to promote adaptation and competence in older adults with chronic disabilities. Seven home care therapists visited 17 randomly selected, community-living elders who were chronically disabled and who volunteered to participate in the program. The number of visits ranged from 3 to 10 and occurred over a 3-month period according to clients' needs and wishes. Therapists enhanced their ability to enter the client's social and cultural system by using participant-observation techniques and collaboratively identified activities. Therapists documented each home visit with a structured fieldnote form. An analysis …

Quality Assurance Issues In The Delivery Of Assistive Technology Services, Donald N. Olson

Physical Therapy Scholarly Projects

This independent study report provides an overview of the current state of the field of assistive technology for persons who have significant disabilities.

The field is extremely broad, and encompasses both low and high technology. Personnel working in field are diverse as well, representing nearly a dozen different disciplines. Two key issues confronting the collective field are professional education and credentialing.

In general, pre service professional programs do little to prepare students to deal with technological interventions. Some professionals who want to improve their competence in this area are doing so through graduate or post-graduate study, workshop attendance, or clinical …

Utilization Of Community Based Health Care Services By The Well Elderly, Rachelle Hesselberg, Kristen Wagner, Yolanda Zimmerman

Masters Theses

The purpose of this study was to determine if the elderly used community based health care services, to which they had been referred, following discharge from an acute hospital stay. The sample consisted of twenty elderly recruited from various senior centers in the West Michigan area. Of the respondents surveyed, 18 out of 20 were Caucasian. The average age of respondents was 73 years old. Of the services surveyed, all were under utilized by our sample except those in the clinic. An 18-item questionnaire was developed and distributed to the participants. Results from the data implied that it was more …

Gender Differences In Dementia Management Plans Of Spousal Caregivers: Implications For Occupational Therapy., Mary A. Corcoran

Department of Occupational Therapy Faculty Papers

Occupational therapists treating older people with Alzheimer disease know that they must also consider the others who are affected by the disease, the informal caregivers. Intervention is most effective when it enables both the impaired person and the primary caregiver to manage the secondary symptoms of dementia. Unfortunately, little is understood about how caregivers approach and carry out their tasks and about why male and female caregivers respond differently to their caregiving role in terms of depression, burden, stress, and substance abuse. This paper discusses the effects of gender on dementia management plans of spousal caregivers. Husbands and wives have …

Dementia Management: An Occupational Therapy Home-Based Intervention For Caregivers., Mary A. Corcoran, Laura N. Gitlin

Department of Occupational Therapy Faculty Papers

This paper describes an occupational therapy intervention designed for family caregivers of persons with dementia. The intervention, based on the framework of a competence-environmental press model and the principle of collaboration, was implemented during 5 home visits. Each visit was designed to build caregiving skills through collaboration in identifying problem areas, developing and implementing environmental strategies, and modifying management approaches. A case vignette illustrates the therapeutic process and outcomes. The theoretical rationale and structure of the intervention and innovative documentation for evaluation of the theoretic process are also presented.

A Study Of The Relationship Between Improvement In Physical Status And Self-Esteem In Geriatric Patients, Kate A. Hayner

Masters Theses

The improvement in physical abilities in the geriatric population after occupational therapy was investigated to determine whether self-esteem would also improve. Fifteen subjects from three different nursing homes were measured. All of the subjects were referred to occupational therapy by their physician.

Treatment was implemented by trained rehabilitation aides after an occupational therapist assessed each subject and determined the need for therapy. Measurable goals were set for each subject to improve dysfunctional areas and reviewed with each resident and rehabilitation aide responsible for implementing the treatment program.

Types of treatment consisted of active and passive range of motion, strengthening, retrograde …

Congruence Between Type Of Activity And Volition And Its Relationship To Life Satisfaction In Nursing Home Residents, David De Noble

Masters Theses

This study examines the relationship between life satisfaction and the volition subsystem of 32 older adults who reside in nursing homes. Specifically, it attempts to measure congruence or the perception of the individual that the inherent characteristics of an activity "fit" his or her sense of personal causation, values and interests. The study examines the relationship between this congruence and life satisfaction.

Results of the study identified positive correlations between congruence and life satisfaction. Correlations between congruence of volition subsystem components and activity were at a statistically significant level (p <.05) for personal causation, values and total volition. Correlations between congruence of volition subsystem components and some specific activities were also found.

Issues In Assessing Community Resources For The Leisure-Time Needs Of The Elderly, Jordan I. Kosberg, Juanita L. Garcia

The Journal of Sociology & Social Welfare

The growth of leisure-time, following retirement, is potentially problematic for the elderly and can result in such adversities as depression, problem drinking, loneliness, and boredom. Leisure-time resources include recreation, education, volunteerism, training, voluntary associations, familialism, and solitary activities. The use of resources for leisure-time needs of the elderly are influenced by idiosyncratic differences; cultural background, financial resources, geographic variations; and the characteristics of programs and services. There is a need to better prepare individuals for the use of leisure-time. Each community must ensure that leisure-time resources exist and do not exclude any elderly from possible involvement, for either structural, programmatic, …

Dance-Movement Therapy For Geriatric Populations, Sharon Kirsch

Theses

The aging process is characterized by the onset of physical limitations and emotional stress. It is vital to find outlets for social interaction, physical activity, and relaxation.

Dance-movement therapy is a form of psychotherapy in which the therapist utilizes movement interaction as the primary means for accomplishing goals . Dance- movement therapy is the use of rhythmic movement as a means of self-expression and communication, which aids in the healthier integration of mind and body.

This study investigates the effect s of dance- movement therapy for the elderly. Dance-movement sessions were presented to three groups of senior adults: an active …

A Study To Compare The Strength Changes After Training The Abductor Digiti Minimi In Young Adults And In Geriatric Adults, Timothy Lee Kauffman

Theses and Dissertations

A paucity of research exists in the strength training and aging literature. Hettinger (1958) reported that strength declined with age and that older persons gained less with strength training than younger persons. This study altered Hettinger's design by using a different muscle and a different strengthening routine. The purpose of this study was to compare the effects of isometric strength training of the non-dominant left abductor digiti minimi muscles of young subjects and old subjects. The ten young female subjects, mean age 22.6 years, were all nursing students. The ten older female subjects, mean age 69.2 years, did not constitute …