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Worlds Of Connection: A Hermeneutic Formulation Of The Interdisciplinary Relational Model Of Care, Susana Lauraine Mccune

Antioch University Dissertations & Theses

Despite a general agreement across health care disciplines that Advanced Care Planning (ACP) and Advanced Directives (ADs) add important elements to a patient's end-of-life care desires, and can inform their loved ones and advocates, help create ease of mind, and enhance quality of care, they continue to remain significantly underused. More than half of Americans transition to chronic and terminal illness without having completed them. The aim of this study was to increase the frequency and enhance the quality of communication about Advance Directives and Advance Care Planning within the clinical relationship. The resulting Interdisciplinary Relational Model of Care (IRMOC) …

Paradoxes In Physical Health, Robert Crosnoe, Aida Ramos-Wada, Claude Bonazzo

Faculty Publications - Department of Sociology

This chapter reviews the evidence from social science and medical research that sheds light on this potential immigrant paradox in health -- when, where, and for whom it holds or does not apply. In doing so, two important points need to be kept in mind. First, the existence of the paradox does not necessarily mean that immigrants are doing than everyone else. Rather, it means that they are doing better than social and economic positions suggest that they should be. Second, paradox may apply in general but not hold in specific domains of health for certain subgroups or at certain …

The Impact Of Acculturation On Perceptions Of Elder Abuse And Help-Seeking Behaviors Among Elderly Polynesians, Myra Halaevalu Te’O Aukusitino

Theses and Dissertations

This applied dissertation was conducted to determine whether or not acculturation affects the process of help-seeking patterns and behaviors for Polynesian victims of elder abuse. The researcher utilized a quantitative correlation design to employ structured survey measures to collect statistical data to determine the impact of acculturation on perception of elder abuse and help-seeking behaviors among elderly Polynesians. Acculturation was measured using the Polynesian Self-Identify Acculturation Scale and the 13 case scenarios developed by Moon and Williams. The study looked at the extent to which elderly Polynesians perceived that the scenarios depicted abusive situations, and to what extent they indicated …

Exploring The Lived Experiences Of Seniors Aging In Place, Magaly C. Dante

Walden Dissertations and Doctoral Studies

Baby boomers are living longer, and as they age, they will need more supportive services that may include housing, mobility, nutrition, personal care, or health care. Despite the studies that have been conducted on baby boomers aging in place (choosing to stay in their home versus move to an institution), the focus has been on the old and frail and very little has been done to address the lifestyle of active (physically functioning) baby boomers. The purpose of this phenomenological study was to understand the lived, shared experiences of active baby boomers regarding their beliefs and attitudes about aging in …

A Study Of Nurses' Attitudes Toward Medical Ageism, Stephanie Cameron

Walden Dissertations and Doctoral Studies

Medical ageism in the United States affects senior citizens' activities of daily living (ADL) and the quality of their medical care. Medical ageism refers to discrimination against, abuse of, stereotyping of, contempt for, and avoidance of older people. Nurses who take care of the elderly are responsible for ensuring that older patients are treated fairly and in a timely manner, so it is important to know whether or not nurses have any bias regarding the elderly. The research questions addressed in this quantitative study explored whether or not there were differences in nurses' perceptions of ageism as moderated by the …

Assisted Technology For Daily Living, Raymond K.Y. Tong

Practical Social and Industrial Research Symposium

Prof Tong will introduce two major assisted technologies he recently developed to assist elderly people’s daily living and promote healthy ageing : i) the telecare system for monitoring the safety of single elderly at home; and ii) Kinect system for elderly to carry out home-based exercise.

Primetimes Newsletter, Winter 2014, Office Of Lifespan Studies

PrimeTimes Newsletter

PrimeTimes is the newsletter of the Office of Lifespan Studies in the College of Science at Coastal Carolina University.

Aging In Place In Marion: A Community Endeavor, Bernard A. Steinman, Hayley Gleason, Maryam Khaniyan, Ceara Somerville, Jan Mutchler

Gerontology Institute Publications

This report describes collaborative efforts undertaken by the Friends of the Marion Council on Aging (FMCOA) and the Center for Social and Demographic Research on Aging, within the McCormack Graduate School at the University of Massachusetts Boston (UMass Boston). Beginning in Fall 2014, these organizations partnered to conduct a study to investigate the needs, interests, preferences, and opinions of the Town’s older resident population, and the priorities of other stakeholders in the Town, with respect to living and aging in Marion.

In the earliest phase of the project, we met several times with members of the FMCOA to discuss and …

Aging In West County Communities: Coming Together To Age In Place, Bernard A. Steinman, Hayley Gleason, Ceara Somerville, Maryam Khaniyan, Jan Mutchler

Gerontology Institute Publications

This report describes collaborative efforts undertaken by the Towns of Ashfield, Buckland, and Shelburne Consortium of Councils on Aging (hereafter, The Consortium) and the Center for Social and Demographic Research on Aging, within the McCormack Graduate School at the University of Massachusetts Boston (hereafter, UMass Boston). Beginning in Fall 2014, these organizations partnered to conduct a study to investigate the needs, interests, preferences, and opinions of older residents in communities in West Franklin County (hereafter, West County), and priorities of stakeholders who interact with older adults in various capacities.

Early in the project, researchers from UMass Boston communicated with stakeholders …

Effects Of Video Enhancement In A Stated-Choice Experiment On Medical Decision Making, Susanne Hoffmann, Joachim Winter, Francis G. Caro, Alison Gottlieb

Gerontology Institute Publications

Background. The internet can be useful in administering stated-choice experiments to understand medical decision making and refine the content of patient decision aids. In internet-based stated-choice experiments, video and audio files can be used to provide information to respondents. Quality of data may or may not be affected.

Objectives. In a methodological experiment concerned with administration of a stated-choice experiment on the internet concerned with knee-replacement surgery, we compared the data quality obtained with video-enhanced and conventional text formats.

Methods. Members of the RAND Corporation’s American Life Panel and 50 years of age or older (n=1616) were randomly assigned to …

Transition Experiences Out Of Intercollegiate Athletics: A Meta-Synthesis, Rhema D. Fuller

The Qualitative Report

Given the renewed focus as to the degree in which institutions of higher education are preparing their student-athletes for life after sports, this study used a qualitative meta-synthesis research method design to examine the transition experiences of college athletes out of intercollegiate sport. The researcher synthesized data from nine qualitative studies, leading to the identification of six themes characteristic of the transition experience: athletic identity, anticipation and preparation, branching out, satisfaction with athletic performance, loss of camaraderie and support systems. Finally, the manuscript discusses the results of the meta-synthesis in light of their theoretical and practical implications.

Dialogues - About "U"

Asia Pacific Institute of Ageing Studies Newsletter 亞太老年學研究通訊

No abstract provided.

Columnist - Implementing Mediation To Solve Parental Maintenance Conflicts, King Yung, Anna Tang

Asia Pacific Institute of Ageing Studies Newsletter 亞太老年學研究通訊

The world has changed. As industrialisation and urbanisation supersede agricultural society and technological innovation is valued more than experience accumulation, and as universal values including freedom, democracy, and human rights flourish, the concept of intergenerational equality has replaced traditional mentality. The function of family has been gradually undermined, rendering the traditional practice of "bringing up children to provide against old age" obsolete. Hong Kong has recently seen the number of elderly neglect, abandonment, violence and abuse incidents skyrocket. It is pitiful that affection amongst family members has become so fragile, and whether our elderly can live a honourable late life …

Asia - Pacific Panaroma - Development Of Pension In China From A Historical Perspective, Ting Cao

Asia Pacific Institute of Ageing Studies Newsletter 亞太老年學研究通訊

Traditionally in Chinese society, raising children to get support in old age had been the social norm and ethical value which people complied. Family took the main responsibility for taking care of older parents, and it was only when family could not afford to do so would society provide help. In a society where agriculture was the basis of economy, individuals would continue to work in the field as long as they could so as to earn a living, which is to say, in most cases, people would not stop working because of reaching a certain age, not to mention …

Training - Hong Kong Elderly Care Service Industry : Human Resources Training And Qualifications Framework Development, Chun Yin Fok

Asia Pacific Institute of Ageing Studies Newsletter 亞太老年學研究通訊

In order to facilitate life-long learning, the Hong Kong SAR Government officially launched the Qualifications Framework (QF) in 2008. The aim of QF is to "set clear goals and directions for continuous learning to obtain quality-assured qualifications. In the long run, it will help enhance the overall quality and competitiveness of the local workforce.

The QF used in Hong Kong is a qualification classification system with 7 Generic Levels, covering different interfaces such as academic, vocational and continuing education. Its objective is to provide employees with a clear pathway to further education and development, which allows individuals to draw up …

Highlights

Asia Pacific Institute of Ageing Studies Newsletter 亞太老年學研究通訊

No abstract provided.

Trend - Retirement Planning For Quality Retirement Life, Pak Hang Tang

Asia Pacific Institute of Ageing Studies Newsletter 亞太老年學研究通訊

The Wong couple is in their 50s now and has a son in secondary school. Earning around HK$30,000 per month, they don't find it too difficult to afford their $10,000 monthly rent and other living expenditures. However, they can't help but give a frown upon their future: After their retirement in 10 years, their living expenses will solely depend on their son whose income is yet unpredictable, yet their personal saving and Mandatory Provident Fund (MPF) may not last for long.

Many Hong Kong citizens are facing similar situations. With the extending longevity, many have more than 20 years of …

Research - Shall We Talk About Filial Piety?, Man Yin Chan

Asia Pacific Institute of Ageing Studies Newsletter 亞太老年學研究通訊

Several cases of "parents murdering" have been reported in Hong Kong recently, which raised the alarm that whether teenagers nowadays have no sense of "Filial Piety". So how important is filial piety to the younger generation? To find out, Commission on Youth has commissioned Asis-Pacific Institute of Ageing Studies through Home Affairs Bureau to conduct a research entitled " Views on Filial Piety among Youth in Hong Kong".

Research - Exploring Joint Tcm And Western Treatment In Curing Gynaecological Disease, Man Yin Chan, Chun Kiu, Tony Lai

Asia Pacific Institute of Ageing Studies Newsletter 亞太老年學研究通訊

Gynaecological diseases can only be found in women, although the state of illness is generally not severe, it is not easy to be "rooted-out". Yet, symptoms as brought by Gynaecological diseases will result in prolonged disturbance to patients' normal livelihood. For example, patients suffering from Anemia often feel dizzy, and women with gynaecological inflammation feel painful from time to time, etc. These illnesses adversely affect patients' quality of life.

People - 40 Years Of Social Work, Life-Long Service To The Community : Mr. Chi-Tong Lai, Bbs, Mh, Chun Kiu, Tony Lai, Man Yin Chan

Asia Pacific Institute of Ageing Studies Newsletter 亞太老年學研究通訊

Mr. Chi-tong Lai is veteran social worker who worked in the field for over 40 years before retirement. Having been Head of AKA (formerly Aberdeen Kai-fong Welfare Association) for over 3 decades and overseen over 20 service units, involving youth and elderly services, community development and social enterprises, he is particularly expert in organizing regional and territory-wide functions. For nearly half a century, Mr. Lai has not stopped his contribution to the society via voluntary work, that he continued to take up responsibilities of consultancy and other public services, including Honorary Financial Secretary of CIFA as well as Member of …

Feature - From Pupil To Teacher : Macau Overtakes Hong Kong As The Regional Role Model In Ageing Policy, Chun Kiu, Tony Lai

Asia Pacific Institute of Ageing Studies Newsletter 亞太老年學研究通訊

Back in the colonial era, the Portuguese Macau Government handled city management less comprehensively in comparison to its British Hong Kong counterpart, such that Macau has mostly looked to Hong Kong for inspiration in policy making, as both cities share a similar culture. Such a trend has basically remained unchanged even after the return of sovereignties of both cities. However, while elderly policy development has stagnated in Hong Kong, Macau has already caught up or even pulled away. What is the next step for Hong Kong? And how has Macau's foresight shown the way forward for Hong Kong's ageing policy?

Recent Development

Asia Pacific Institute of Ageing Studies Newsletter 亞太老年學研究通訊

No abstract provided.

留聲區 - 我眼中的「你」

Asia Pacific Institute of Ageing Studies Newsletter 亞太老年學研究通訊

No abstract provided.

智者專欄 - 引入調解制度 處理贍養父母糾紛的實踐, King Yung, Anna Tang

Asia Pacific Institute of Ageing Studies Newsletter 亞太老年學研究通訊

時代轉變，工業化、城市化取代農耕社會，科技創新遠勝經驗累積；自由、民主、人權等普世價值的興起，兩代平等的概念，逐漸取代了傳統思想。家庭功能漸被削弱|傳統觀念「養兒防老」再也不是天經地義之事。近年香港，疏忽照顧、棄養、爭產、家暴及虐老數字不斷飈升，親情為何變得如此脆弱淡薄令人嘆惜|長者如何能得以善養終老備受關切。

有許多國家、地區，透過賁施稅務、房屋、發展長者產業服務等優惠政策，鼓勵子女與父母同住，但家庭結構、分工、個人價值觀的轉變，兩代取向的差異，出現「同住難」的問題。也有些國家透過立法規範子女必須贍養父母，誠然，立法可以立竿見影，但傳統華人社會一向有「厭訟」、「懼訟」的觀念，有「生不入官府•死不進地獄」的說法。所謂「家醜不可外揚」，做父母的認為到法院向子女追討米飯錢是件丟臉的事，因此要達到令有需要的父母得到有能力的子女給予供養的目的，單靠「高壓」的立法手段，深恐傷害家庭成員的感情。引入調解制度處理贍養父母糾紛可補救對抗制訴訟對家庭成員造成感情的傷害•也可以緩和「同住難」的氛圍。

放眼亞太 - 從歷史發展看中國的退休保障制度, Ting Cao

Asia Pacific Institute of Ageing Studies Newsletter 亞太老年學研究通訊

在傳統中國社會，養兒防老一直是人們所遵從的社會道德規範和倫理價值。贍養父母主要職責在於家庭，只有當家庭由於各種原因而無力承擔養老責任時，社會才會加以援手。而在農業佔主要地位的經濟基礎上，個人只要是能力許可，都會繼續勞動以維持生計，在大多數情況下並不會因到了某一年紀而停止勞作，更未有退休之。

培訓 - 香港安老服務業 : 人力資源培訓與資歷架構的發展, Chun Yin Fok

Asia Pacific Institute of Ageing Studies Newsletter 亞太老年學研究通訊

香港特區政府為促進終身學習，早在2008年正式推行資歷架構，目的是協助市民確立進修的目標和方向，獲取有質素保證的資歷。長遠而言，資歷架構可提升整體工作人口的質素及競爭力。

香港的資歷架構是一個七級的資歷級別制度，涵蓋學術、職業、持績教育及培訓等不同界別，旨在為市民提供清晰的進修及發展途徑，方便他們制定個人進修計劃，以取得有質素保證且認可的資歷。除對個人發展有重大影響外，全面推行資歷架構能在各種行業內培養終身學習的風氣，藉此鼓勵培訓機構開辦更多具質素及符合界別需要的培訓課程，全面推動各行業人力資源的可持續發展。

活動剪影

Asia Pacific Institute of Ageing Studies Newsletter 亞太老年學研究通訊

No abstract provided.

趨勢 - 退休準備須及早 優質老年定可期, Pak Hang Tang

Asia Pacific Institute of Ageing Studies Newsletter 亞太老年學研究通訊

現時五十歲，月入共三萬多元的黃生與黃太，有一名正唸高中的兒子。一家三口扣除每月近萬元的租金及各項開支，生活暫雖無憂，但每當想到十年後他們便會退休，那時兒子收入是否足以支持兩老的生活，為數不多的儲蓄和強積金也不知何時用完，都不禁眉頭一皺。

以上的處境相信是不少香港人的寫照。隨著人均壽命增長，很多香港人在退休後還有廿年以上的退休生活要過。以往中國人奉行的「養兒防老」，不論子女是否孝順，現時已難以實現，以大學畢業生起薪平均只有約一萬元，扣除個人開支後要再供養父母便頗見吃力，且別兒女之後還要成家立室！

研究 - 言孝 ? 說教 ?, Man Yin Chan

Asia Pacific Institute of Ageing Studies Newsletter 亞太老年學研究通訊

近年香港接連發生多宗「逆子弒親」的倫常慘案，不禁令人懷疑現今香港青年是否已視 「孝」為無物。究竟「孝」在青年眼中有多重要？為了解時下青年對孝的概念，青年事務委員 會就透過民政事務局委託亞太老年學研究中心，進行「香港育年對孝的看法研究」。

研究 - 病向淺「中醫」: 中西醫療法互補平衡醫療需求, Man Yin Chan, Chun Kiu, Tony Lai

Asia Pacific Institute of Ageing Studies Newsletter 亞太老年學研究通訊

婦科病為女士獨有，雖然它的病情一般不太嚴重，但並不容易完全根治。其所引發的病症會長時間干擾患者的正常活動，例如貧血患者經常出現頭暈症狀、患婦科炎症的婦女長期飽受痛症之苦等，對患者之生活素質造成負面影響。