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Western News, May 8, 2008, Western Michigan University

Western News (1972-2018)

Story highlights: Business college opens Career Center; Alumnus' $1 million gift spurs renovation for baseball; Three teams among NCAA's top 10 percent academically; On Campus with Selena Walker.

Tracing The History Of Medicare Home Health Care: The Impact Of Policy On Benefit Use, Joan K. Davitt, Sunha Choi

The Journal of Sociology & Social Welfare

We trace key policy changes that affected use of the Medicare home health benefit from the 1980s through the prospective payment system implemented in 2000, analyzing the impact on three measures of home care use: expenditures, users and visits. We demonstrate the impact of policies generated in the legislative, the judicial, and the executive branches of government and the gaming behavior of home health agencies in response to policy changes. Our analysis suggests that the policy itself and the implementation process are critical to understanding benefit use. The incentives in the policies and agency reactions had the potential to generate …

Prism #26, November 2007, Office Of The Provost

Prism: Western Michigan University's Newsletter for Academic Affairs

No abstract provided.

Effects Of Two Parkinson’S Disease Patient Education Models On Disease Self-Management And Quality Of Life, Lorraine Pearl-Kraus

Dissertations

Purpose. To compare the effects of Parkinson's Disease Collaborative Care (PDCC) and Parkinson's Disease Information Training (PDIT) patient education disease-management models on patients' (a) perceived self-efficacy in PD self-management, and (b) self-reported perceived PD-Health Related Quality of Life.

Methods. 41 middle-stage (Hoehn & Yahr Stages 2 & 3) patients (24 males & 17 females; age range 48-78; mean 67.59 years) were randomized to the PDCC (n = 21) or PDIT (n = 20) group. Prior to inception, 3 withdrew; after the first session, 3 more withdrew. Participants in both groups attended three consecutive weekly, 2-hour patient education sessions with presenters …

Prism #18, October/November 2006, Office Of The Provost

Prism: Western Michigan University's Newsletter for Academic Affairs

No abstract provided.

The Poet/Practitioner: A Paradigm For The Profession, Rich Furman, Carol L. Langer, Debra K. Anderson

The Journal of Sociology & Social Welfare

This article explores a new paradigm or model for the professional social worker: The poet/practitioner. The training and practice of the poet are congruent with many aspects of social work practice. An examination of the practice of the poet, and the congruence of these practices to social work, reveals a paradigm with the capacity to focus social workers on the essential values of our profession. This paradigm, which highlights the humanistic, creative, and socially conscience role of the social work practitioner, may be particularly important today given the medicalization of social problems and the conservitization of society.

Altruism Or Self-Interest? Social Spending And The Life Course, Debra Street, Jeralynn Sittig Cossman

The Journal of Sociology & Social Welfare

The primacy of self-interested individuals is often regarded as the appropriate basis for US social spending decisions. One thread of this argument has advanced age-based self-interest and politically powerful elderly to explain why Social Security and Medicare have thrived in a policy environment that has seen retrenchment in other programs. We argue that crude self-interest and individual programs considered in isolation are insufficient to understand social spending preferences. We use General Social Survey data to contrast conventional and critical explanations for understanding the role of age in preferences for social spending. Factor analyses demonstrate that social spending preferences cluster into …

Americans' Attitudes Toward Euthanasia And Physician-Assisted Suicide, 1936-2002, Jen Allen, Sonia Chavez, Sara Desimone, Debbie Howard, Keadron Johnson, Lucinda Lapierr, Darrel Montero, Jerry Sanders

The Journal of Sociology & Social Welfare

Public opinion polls conducted from 1936 to 2002 found that Americans support both euthanasia and physician-assisted suicide. Although public opinion regarding end-oflife decisions appears to have been influenced by the events of the times, Americans have consistently favored the freedom to end one's life when the perceived quality of life has significantly diminished, either by one's own hand or with the assistance of a physician. This paper indicates that existing policy regarding euthanasia and physician-assisted suicide conflicts with the American public's attitudes regarding the matter, as well as examines implications for social workers who serve clients facing end-of-life decisions.

Journal Of Sociology & Social Welfare Vol. 33, No. 2 (June 2006)

The Journal of Sociology & Social Welfare

TABLE OF CONTENTS

• AMERICANS' ATTITUDES TOWARD EUTHANASIA AND PHYSICIAN-ASSISTED SUICIDE, 1936-2002 - Jen Allen, Sonia Chavez, Sara DeSimone, Debbie Howard, Keadron Johnson, Lucinda LaPierre, Darrel Montero and Jerry Sanders
• PROFESSIONAL HOPE IN WORKING WITH OLDER ADULTS - Terry Koenig and Richard Spano PROGRAM DEVELOPMENT DURING FISCAL CRISIS: A COMMUNITY/UNIVERSITY RESPONSE - Dianne Rush Woods, Phu Tai Phan and Terry Jones
• THE POLITICS OF INDIGENIZATION: A CASE STUDY OF DEVELOPMENT OF SOCIAL WORK IN CHINA - Miu Chung Yan and Kwok Wah Cheung 63
• RESHAPING RETIREMENT POLICIES IN POSTINDUSTRIAL NATIONS: THE NEED FOR FLEXIBILITY - Angela L. Curl and M. C. …

Reshaping Retirement Policies In Post-Industrial Nations: The Need For Flexibility, Angela L. Curl, M. C. "Terry" Hokenstad Jr.

The Journal of Sociology & Social Welfare

Social Security programs in post-industrial nations are facing the need for policy reforms. Fiscal shortfalls in current Social Security programs are a major driving force promoting these reforms. At the same time, changes in longevity and the nature of work and retirement also suggest the need for policy reform. This article begins with a broad overview of some of the policy innovations of the Europe Union as a whole, and then focuses more indepth on policy reforms in three countries that exemplify Esping-Andersen's (1990) typology of welfare states: Sweden, Germany, and Canada. These three countries have passed policies that promote …

The Entrepreneurial University: Rewards & Risks, Samuel M. Hines Jr.

Center for the Study of Ethics in Society Papers

Published by the Center of the Study of Ethics in Society Western Michigan University.

Professional Hope In Working With Older Adults, Terry Koenig, Richard Spano

The Journal of Sociology & Social Welfare

Writings about hope within gerontological literature assume social workers already possess hope that they can use in their practice. The purpose of this article is to challenge this assumption and to examine ways in which social workers can sustain hope in personal life, in their agencies, and in the reform of larger social structures that impact older adults. The authors examine culture change in nursing homes as an emerging approach that can be more fully developed by applying the strengths perspective to interpersonal work with elders, agency change and broader structural change.

Review Of Perspectives On The Economics Of Aging. David A. Wise (Ed.). Reviewed By Martin B. Tracy., Martin B. Tracy

The Journal of Sociology & Social Welfare

Book review of David A. Wise (Ed.), Perspectives on the Economics of Aging. Chicago, IL: University of Chicago Press, 2004. $90.00 hardcover.

“See Your Healthcare Provider For A Prescription Today!” The Influence Of Direct-To-Consumer Drug Advertising On Nurse Practitioners And Their Patients, Kelly A. Getman-Dissette

Masters Theses

In 1997, the U.S. Food and Drug Administration relaxed the guidelines regarding the advertising of prescription drugs directly to consumers (i.e., direct-to-consumer advertising, DTCA). The purpose of this research was to examine the impact of DTCA on the relationships of healthcare providers with their patients. In order to accomplish this task, in-depth, semistructured interviews were conducted with ten nurse practitioners (NPs). The interviews sought out provider perceptions on four topics as they relate to DTCA: diagnosis and treatment decisions, prescribing practices, additional burden on the provider, and patient trust in the provider. The findings reveal that DTCA has had both …

The Teaching Archives, Sharon Carlson

Gatherings: Friends of the University Libraries Newsletter

No abstract provided.

Aging And Family Policy: A Sociological Excursion, Jason L. Powell

The Journal of Sociology & Social Welfare

The contemporary focus on family policy and old age has become increasingly important in social discourses on aging both within the discipline of Sociology and social policy practices of welfare institutions that attempt to define later life. Using the United Kingdom as a case study, sheds light on wider current trends associated with aging in United States, Canada, Europe and Australia. Social welfare is a pivotal domain where social discourses on aging have become located. Narratives are 'played out' with regard to the raw material supplied by family policy for identity performance of older people. Therefore, grounding developments in 'narrativity' …

A Behavioral Model For The Assessment And Management Of Dehydration In Older Adults, Leilani Feliciano

Dissertations

Dehydration is a serious health concern in the elderly, constituting 1 of the 10 most common causes for hospitalization in this population (Sanservo, 1997). Previous research on dehydration has typically been conducted within nursing home settings (Chidester & Spangler, 1997; Holbren, Hassell, Williams, & Helle, 1999; Spangler, Risley, & Bilyew, 1984) without specific attention to the variables maintaining dehydration for any given individual. A functional behavioral approach to assessment and prevention or intervention for dehydration would involve identifying maintaining variables in the environment that can be altered to produce effective, non-intrusive interventions to increase healthy fluid consumption. The current project …

Gatherings No. 36 Spring/Summer 2005, Friends Of The University Libraries

Gatherings: Friends of the University Libraries Newsletter

Complete issue of Gatherings no. 36. Edited by Laurel Grotzinger.

Survey Of Current Occupational Therapist Practice In The Emerging Field Of Home Modification And Barrier Free Design, Christian Michael Petrovich

Masters Theses

OBJECTIVE

We conducted a national survey of occupational therapists to ascertain what current trends are taking place in the field of home modification and barrier-free design and to examine how occupational therapists view their role in the practice of home modification and barrier free design.

METHODS

A 16-question survey was developed and included two hundred and fifty US licensed and or registered occupational therapists randomly selected from the AOTA membership listing.

CONCLUSIONS

The role of occupational therapy in the emerging practice of home modification and barrier -free design is regarded as important by occupational therapists in the United States. Many …

Grandfathers And The Impact Of Raising Grandchildren, Karen Bullock

The Journal of Sociology & Social Welfare

Objectives. As grandparents are continuing to take on the responsible of raising their grandchildren in the absence of parents much attention in the literature is given to women. Little is known about the adjustment that older men make in these families. This study explored the experiences of grandfathers raising grandchildren.

Methods. Data were gathered by semi-structured interviews in a rural community in southeastern North Carolina and analyzed using a qualitative content analysis mode. Twenty-six men, age 65+, who were responsible for the care of at least one grandchild, participated.

Results. Eighty-one percent (N = 21) reported that their perception of …

The Peculiarities Of Men Aging: A Collection Of Anecdotes, Robert Blundo, Tamara Estes

The Journal of Sociology & Social Welfare

Men are reticent to share with others the slow realization that with age they begin to confront a world that they had not expected. They had not expected to grow old. Now that this is happening, men have few relationships that permit them to share their thoughts and moments of recognition. The anecdotes that men share are revealing in that they demonstrate basic human uncertainties about the later part of life's cycle.

Viagra: Medical Technology Constructing Aging Masculinity, Gregory Gross, Robert Blundo

The Journal of Sociology & Social Welfare

Medicalization and commodification of the body through technology in the form of Viagra and other erectile dysfunction drugs is reinforcing the cultural expectations that ageing men are required to age well to maintain youthful masculinity. Ageing well is explored as it relates the construction of masculinity, sexuality and ageing men's bodies.

Social Security And The African American Male (A Cash Transfer System), Eddie Davis

The Journal of Sociology & Social Welfare

All employed workers are required to contribute to the Social Security System; however,a disproportionatep ercentage of African American males never live long enough to collect any benefits from their contributions. On the other hand, the life-expectancy of white males is significantly longer than the life expectancy of African American males, and their collection of Social Security benefits tends to exceed their contributions to the system. The federal government keeps the Social Security system from becoming completely solvent by raiding it of any surplus funds it collects; thereby, preventing the Social Security Fund from developing interest income, and accumulating funds for …

Review Of The Changing Of The Guard: Lesbian And Gay Elders, Identity And Social Change. Dana Rosenfeld. Reviewed By John F. Longres., John F. Longres

The Journal of Sociology & Social Welfare

Book review of Dena Rosenfeld. The Changing of the Guard: Lesbian and Gay Elders, Identity and Social Change. Philadelphia: Temple University Press. 2003. $59.50 hardcover, $18.95 papercover.

The Contemporary Older Man: Summary And Discussion, Roberta Greene, Michael Wright

The Journal of Sociology & Social Welfare

This edition of the Journal has included a series of articles on the contemporary man in his elder years and the challenges and opportunities he may face. For example, an article by Bullock brings attentions to the increasing number of grandfathers who are becoming responsible for their grandchildren in the absence of fathers. Her study of 26 men age 65 and above who are responsible for the care of at least one grandchild revealed perceptions of powerlessness as grandfathers made this family role transition. Bullock argues that such feelings of powerlessness can be stemmed by programs that provide opportunities for …

Aging And Older Men: Thoughts, Reflections And Issues: Introduction, Robert Blundo, Deborah E. Bowen

The Journal of Sociology & Social Welfare

Efforts across many fields engaged in addressing the population of aging in this country have tended to create a nearly homogenous cohort that often does not recognize the heterogeneity of aging across gender, race, ethnicity, geography, socioeconomic status, cultural and sexual orientation. The diversity within aging members of our society brings about many variations and unique issues that need to be recognized and explored by policy makers and practitioners. Among these is aging related to gender, which has tended to pay much less attention to men than women. Content analysis of journals and texts on aging has revealed a significant …

Meeting The Needs Of Older Men: Challenges For Those In Helping Professions, Jordan I. Kosberg

The Journal of Sociology & Social Welfare

The uniqueness of men's lives has not been revealed in the social service literature. Therefore policy makers and practitioners are without the necessary knowledge base and research to create programs and services that will engage men and, in particulara, ging men. This articlep resents an overview of the state of knowledge in general and the specific areas significant to policy and practice development.

Shifting Identity: Process And Change In Identity Of Aging Mexican-American Males, Gary L. Villereal, Alonzo Cavazos

The Journal of Sociology & Social Welfare

This article addresses the shift in machismo identity that occurs in Mexican-American male identity and the developmental process and the change in one's role as an elderly Mexican-American man.

Socialization of male-ism in Mexican-American boys begins with the cultural expectation that a young boy is and will be a man. There are also explicit expectations that girls should be respected but that, in contrast to boys, girls should be submissive and obedient. This is the beginning of machismo and the separation of being a "man" versus being a "woman."

Aging results in a loss of machismo and this is evident …

Principles Of Clinical Practice With Older Men, Lenard W. Kaye, Jennifer A. Crittenden

The Journal of Sociology & Social Welfare

Older men are much less likely to be aware of community services available to them and they are less likely to utilize services generally. This underutilization is affected by the way in which social services are organized and how practitioners function within them. Since there are greater numbers of elderly women and women utilize services more readily, practice tends to be female-centered. It is important that gender-sensitive intervention processes are established that recognize the unique experiences and concerns of older men in order to better serve them. The uniqueness of men's experiences with such issues as loss of a spouse, …

Honoring The Elders: Interviews With Two Lakota Men, Deborah E. Bowen

The Journal of Sociology & Social Welfare

The beliefs that honoring the elders, commitment to family, and the connectedness to all creation are paramount are intrinsic to Lakota culture. Two Lakota elders, Albert White Hat, Sr. and Sylvan White Hat, Sr. are interviewed for this article. They express their concerns with major social justice issues, and offer hope for future generations of Lakota children. A strengths-based perspective of social work practice is compared to traditional Lakota customs and practices.