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Representation Of The Elderly In Counselor Education Textbooks, Alicia V. Fahr

Dissertations

The counseling profession requires multicultural competence in meeting the needs of diverse groups. The responsibility for training counseling students to work effectively with the elderly falls upon counselor educators. Textbooks convey cultural values and contribute to what is learned by students. Specifically,textbooks may contribute to how counseling students think about older adults and aging issues. This study was designed to determine how older adults and aging issues are represented in counselor education texts.

The textbooks used most frequently by 11 randomly selected master's degree programs accredited by the Council for Accreditation of Counseling and Related Educational Programs (2001) were identified …

Factors Influencing Middle-Aged And Older Latin American Women's Participation In Physical Activity, Stephanie Vaughn Phd

Dissertations

Ethnographic methodology was used to explore the factors that influence middle-aged and older Latin American women's participation in physical activity. Semi-structured interviews and field observations were used to elicit information from the twenty five Latin American women in this study sample. Perceptions of health, the health activities in which the women engage, and the factors that influenced their participation in physical activity comprised the three categories of responses. Facilitators and barriers were identified as the two primary groups and were further sorted into intrinsic or extrinsic factors. A sense of self, decreased feelings of stress, wellbeing, managing chronic disease, the …

Exercise Level And Age As Related To Self-Perceived Physical Health, Mental Health, And Social Health In Older Adults, Barbara Jean Leach Phd, Msn, Rn

Dissertations

The purpose of this study was to examine the relationship between the level of exercise and age and self-perception of physical, mental and social health in older adults. Voluntary quota sampling was used to recruit 224 older adults aged 55 and up. The Physical Activity Questionnaire for the Elderly (Voorrips, Ravelli, Dongelmans, Deurenberg, & Van Staveren, 1990) was used to determine the current level of exercise of the older adult. Age was measured using the Demographic Questionnaire by Leach (1999) and self-perception of physical health and mental health was measured using the SF-36 Health Survey by Ware (1993). The Texas …

Looking Forward, Looking Back, Looking Inward: Lessons From Vital Women Leaders In Old Age, Shelly Marks Valdez Edd

Dissertations

Current social paradigms, based on established theory about the aged, consider old age as a time of drastic decline and deterioration and view the aged as nonproductive takers of society's resources. Far from using the wisdom and resources of the aged population, our society marginalizes old adults and treats them as obsolete. This study looks into the lives of nine women over the age of 65 who have found within themselves the strength, courage and determination to overcome the stereotypes of aging in order to become leaders in their old age. Life stories were obtained through personal interviews. Data from …

Getting Back: Successful Rehabilitation After A Hip Fracture, Carole Florek Hair Phd, Ms, Rn

Dissertations

Fracturing a hip is a devastating experience for the older adult, and mortality and morbidity following a hip fracture are high among this vulnerable population. Mortality rates from 12 to 37 percent have been reported within one year after a hip fracture. It is estimated that 50 percent of individuals who experience hip fractures become partially dependent in activities of daily living, and 33 percent become totally dependent in activities of daily living. Reducing morbidity by improving rehabilitation outcomes is an important healthcare goal for older adults. Motivating participation in rehabilitation activities poses a challenge for professional caregivers. The purpose …

Resilience: The Lived Experience Of Elderly Widowers Following The Death Of A Spouse, Dorothy Battersby Crummy Phd, Msn, Rn

Dissertations

Aged widowers are at risk for increased incidence of health problems and higher mortality rates following the death of a spouse. Mens' abilities for dealing with loss have been questioned, but little research has been done with this group. Surviving widowers provided significant insights illuminating the experience of resilience and providing relevant information regarding this population. Utilizing interpretive phenomenology, a methodology advocated by van Manen, in-depth interviews were conducted researching the lived experience of resilience among nineteen elderly widowers between 71 years and 100 years of age. Participants, identified by network sampling, lived independently and had survived the death of …

A Study Of Quality Of Life Issues In Community-Dwelling Elders, Kimberly S. Mcclane Phd

Dissertations

In the year 2000, there were approximately 35 million people in the United States who were 65 years of age or older, a ten-fold increase since 1900. The growth of this population has presented opportunities and challenges to American society. Health care needs, physical changes of aging, and the allocation of health care resources are several of the issues that need to be addressed (Federal Interagency Forum on Aging-Related Statistics, 2000). Quality of life measurement tools have been used to assess the health and social needs of aging people both in the United States and internationally since their conception in …

Binge Drinking And Salutogenesis: Sense Of Coherence, Stress, Religiousness And Spirituality, Jeanne C . Debruyn

Dissertations

No abstract provided.

Aging Beauty: The Adaptive Reconstruction Of The Aging Process In Women, Sheila Marie Bluhm

Dissertations

The youth-based, patriarchal culture in which we live bestows valuable status, power and prestige upon young, beautiful women. Within the standards of this society, the natural aging process progressively deteriorates a woman's beauty, and, therefore, her social worth. A vast network of media and societal messages prompt middle-aged women to react to this devaluation. Several pathways or behavioral alternatives are available as reactions, adaptive reconstructions, and/or the medicalization of the aging process in women. The goal of this sociological/gerontological exploratory research is to identify, examine, label, and categorize the multiple options available to midlife women.

The primary method used for …

The Grandparent-Raising-Grandchildren Phenomenon In Michigan, Linda Gail Kimball

Dissertations

Role theory, specifically the incongruous and time-disordered role fit confronted by grandparent caregivers, provides the theoretical basis for this inductive qualitative research study.

A cohort of thirty-five grandparent caregivers, predominantly White, middle-income, older and married, participated in this study. Also included were seven leaders of support groups for grandparents responsible for raising their grandchildren.

Instrumentation included 23 questions to elicit demographic information from the grandparent caregiver. Additionally, the grandparents and the support group leaders responded to a set of focused questions designed to identify (a) the issues facing grandparents who are primary caregivers for their grandchildren, (b) the implications for …

Correlates Of Life Satisfaction After Retirement, Richard A. Tackett

Dissertations

Much of the literature on aging, retirement, and stages of life has focused on men. The changing role from productive members of society to that of being retired can be either viewed as an opportunity to experience new adventures or depressing for those who are unable to move successfully into the next developmental stage of life. This study examined factors that could contribute to life satisfaction in 144 individuals who were over 65 years of age. The factors that were included in this examination are self-esteem, morale, depression, and demographic characteristics (e.g., age, gender, ethnicity, educational level, marital status, income, …

Intergenerational Transmission Of Values Through Adages In An Ecuadorian Family, Norma Albán-Lowry

Dissertations

Problem. This study explored the function of adages in intergenerational value transmission in an Ecuadorian family. Drawing on the richness of Hispanic culture, the study documents a method used by parents and grandparents to pass on their wisdom to younger generations.

The transmission of values to younger generations has always been of special interest to parents, teachers, and religious educators. While the role of the family in the transmission of values has been researched, the use of adages, long practiced as a traditional parenting method in Ecuadorian families, had not been studied.

Method. The ethnographic method, as proposed …

A Comparison Of Beginning And Advanced Counselor Education Students On The Health Locus Of Control Scale, Christina Minger

Dissertations

Traditional counselor training incorporates a combination of didactic and experiential learning. Through this process of learning, counseling students have the opportunity to develop principles of self-learning and self-awareness leading them to counseling self-efficacy. Through this self-development, students may make choices pertaining to their health. By examining the health locus of control in beginning counselors, not only were the student counselors’ historical view of health-related issues examined, but their current perceptions of external and internal coping devices were also investigated. The Health Locus of Control Scale (HLCS) was developed to provide more sensitive predictions of the relationship between internality and health …

A Comparison Of African American Elderly Women Abstainers And Light To Moderate Consumers Of Alcohol, Treva L. Bostic

Dissertations

The purpose of this study was to examine the differences that may exist between two identified groups of older African American women: (1) light to moderate consumers of alcohol, and (2) abstainers from alcohol. Within these two groups are four subgroups of women that were studied: (1) abstainers with high social support, (2) abstainers with low social support, (3) light to moderate consumers of alcohol with high social support, and (4) light to moderate consumers of alcohol with low social support.

Through a contact-and-referral technique, a purposive sample of 97 African American women who were 65 years and over living …

Cognitive Components Of Social Anxiety: A Comparison Of Elderly And Young Adults, Jeffrey Alan Mcneil

Dissertations

The present study investigated the underlying cognitive elements of social anxiety in elderly and young adult samples. The young adult participants in this study were 99 undergraduate students from a Midwestern university, recruited through scheduled undergraduate classes from both the Communication and Education Departments. Fifty elderly participants from two independent living senior residence centers were recruited through organizational meetings and contacts coordinated through the housing director or the wellness director. One senior residential center was located in the Midwest, while the other was in the Southeast. The study employed well recognized self-report cognitive measures to assess social anxiety: the Fear …

Lifting The Veil Off Widowhood: Portraits Of Transformation, Louise A. Stanger Edd

Dissertations

This qualitative research study has explored the lives of 13 women who were widowed before the age of 55, who are professionals, educators, businesswomen, and community activists, to learn how their lives have been transformed since the death of their spouse. For this study, the death of a spouse was seen as a transforming event in the life of a married woman. The nature of this transformation varied with each respondent. Portraiture was the primary biographical methodology used. Purposive sampling provided the opportunity to interview women from diverse backgrounds. Five global, open-ended interview questions were used and demographic data were …

Giving Up And Giving In: Young Adolescents' Dilemmas When Caring For A Grandparent With Alzheimer's Disease, Diane Lee Beach Edd

Dissertations

Caregivers of persons with Alzheimer's disease have been studied extensively; the vast majority of caregiver research has focused on spouses and adult children, negating the impact caregiving has on younger family members. Importantly, 75% of caregivers are female; 31% of these women have children at home under the age of 12 and 23% live with a child aged 12–17. As such, adolescents will be increasingly involved in the care of Alzheimer's victims. This study sought to examine the experiences of these individuals. Specifically, what is it like for an adolescent to provide care for a grandparent afflicted with Alzheimer's disease? …

Loss Of The Lifelong Partner: Implications For Social Adaptation, Anora Ackerson Grinwis

Dissertations

The death of a partner has long been recognized for its ability to alter the lifestyle of the survivor. This life event can be even more significant for older adults who may be facing loss in several areas of their lives simultaneously. The focus of this qualitative study is on how older adults socially reconstruct their lives following a partner's death. The social construction of reality (Berger and Luckmann, 1966) guides design and analysis. Semistructured interviews were conducted with 29 individuals following the death of a lifelong partner, described as a relationship of 45 or more years. Participants had been …

Being Alone: The Experience Of Elderly Homebound Females, Sharon Davis Burt Dnsc, Msn, Rn

Dissertations

Elderly women comprise one of the fastest growing segments of the population in the United States. This growth is due in large part to increasing longevity, and a woman's life expectancy has now reached 79 years. However, along with those added years comes an increase in morbidity and a greater likelihood of living alone. This study describes the life experience of a specific group of elderly women, those who are homebound and living alone. When elderly women are included in research, the same combination of descriptors used for the participants in this study has not been incorporated. Consequently, while much …

The Effects Of Priming On Children's Attitudes Toward The Elderly, Sony Hoe

Dissertations

No abstract provided.

Identification Of Core Multidisciplinary Competencies In An Integrated Public Health And Human Service System, Brian Winslow Thomas Moffitt Edd

Dissertations

In response to economic, legislative and social forces, public health and human service systems are becoming more integrative, requiring direct service practitioners to acquire new competencies to successfully perform in these new settings. In a review of the literature, competencies pertaining to team effectiveness, interprofessional collaboration and cross-functional knowledge and skills all appear to be relevant considerations. Moreover, an examination of competencies must consider individual, team and organizational dimensions in a context of health and welfare reform. However, the current literature is fragmented, limited in scope and empirically inconclusive. A descriptive, qualitative study was therefore warranted. The following research question …

The Experiences Of Taiwanese Women Caregiving For Parents-In-Law, Shu-Yuan Chao Dnsc

Dissertations

Using grounded theory, a semi-structured in-depth interview was conducted to explore the experiences of Taiwanese women who were caregivers for their parents-in-law. Thirty-one Taiwanese women aged 23 to 58 participated in this study. Just Doing was identified as the core category to indicate the caregivers' striving process once they committed to their in-laws' care. Recognizing Duty, Experiencing Trials, and Responding to Caregiving were subcategories and reflected how a caregiver perceived her role, how she was affected by caregiving tasks, and what responses she had to the caregiving situation. The findings also suggested that caregiving behaviors were influenced by cultural expectations …

The Phenomenology Of Being Restrained, Mary Elizabeth Johnson

Dissertations

No abstract provided.

Fluency Training On Quantitative Skills Tested By The Graduate Record Examination, Pamela L. Vunovich

Dissertations

This research consisted of an evaluation of a Graduate Record Examination (GRE) preparation course and two ancillary studies. Eighteen students enrolled in one of three courses (spring, summer, or fall) during which they spent approximately 140 hours preparing for the GRE using self-instructional texts and supplementary materials. Two sets of fluency practice drills with both accuracy and speed criteria were developed to improve students' performance on the quantitative portion of the GRE. The first set of four drills used in the spring and summer courses covered basic skills (basic math, fractions, decimals, and percentages). The second set of 42 drills, …

The Effects Of Organizational Culture On Quality Of Life For Older Veterans, Michelle Diane Stone

Dissertations

The organizational culture in a Veteran's Administration Medical Center (VAMC) was described using triangulated methods which included both secondary quantitative survey data, and internal documentary data sources. The initial survey data collected, from staff and elder veterans revealed an overall positive perception from both samples regarding the quality of life for elder veterans living on extended care wards. The study investigated the extent to which the VAMC's organizational culture affected these perceptions of quality of life.

Documentary data were collected from a variety of VAMC sources regarding behaviors, ideologies, leadership trends, mechanisms of control, and the formal organizational structure. A …

Personal Meaning In The Elderly: A Heideggerian Hermeneutical Phenomenological Study, Diane Heliker

Dissertations

No abstract provided.

Factors Related To Registered Staff Nurse Clinical Competency, Marsha Daniels Snyder

Dissertations

No abstract provided.

Caring For Dementing And Nondementing Chronically Ill Elderly In Belgium: Modeling Salutogenic And Pathogenic Processes, Timothy John Gallagher

Dissertations

The predominant model in the study of stress and disease has been identified as the pathogenic orientation. The underlying assumption of this orientation is that stress is, by nature, disease causing. An alternative model is the salutogenic orientation (Antonovsky, 1979). Researchers using the salutogenic approach are concerned with explaining the origins of health. In the present study, a sample of Flemish caregivers {N = 126) to persons with chronic dementing and nondementing disorders is examined in order to detail how sense of coherence (a measure of personality disposition), the nature of patient pathology, demographic characteristics, coping resources, and perceived negative …

A Qualitative Study In Medical Sociology And Geriatric Medicine: Challenging Perspectives, Practices, Programs, And Services For Successful Aging In The Twenty-First Century, Marian L. Watson

Dissertations

No abstract provided.

Elders Caring For Elders: Risk Of Abuse And Neglect?, Marjorie F. Bendik Dnsc, Msn, Rn

Dissertations

This study was designed to examine the phenomena of mood disturbance and associated potential to abuse in an elderly caregiver population. The data from which the results were obtained came from structured interviews, using quantitative measures, with 110 men and women caregivers aged 55 and over, living at home and caring for another physically or mentally ill elder (usually a spouse or other relative) who was living with them. A causal model was developed to examine the effects of locus of control, social support, physical health, stress perception, and coping efficacy on total mood disturbance and potential to abuse. Standardized …