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Changes In Formal-Informal Caregiving In Elderly Stroke Survivors, Holly Anne Beard

Health Services Research Dissertations

The purpose of this study is to determine the extent to which the Andersen and Aday Model of Health Services Use to predict cross-sectional and longitudinal differences in the caregiving source among stroke survivors (n=477) over a six-year period. This study involves a secondary analysis of a longitudinal panel study focusing upon three waves of interview data from the HAS/AHEAD study spanning 1998 through 2002. Multinomial logistic regression was utilized to examine caregiving source cross-sectionally at each wave. Clustered multinomial logistic regression was used to examine relationships between predictor variables in the model and caregiving source across waves while holding …

Religion And Subjective Well-Being Among China’S Elderly Population, Philip H. Brown, Brian Tierney

Working Papers in Economics

Evidence from developed and developing countries alike demonstrates a strongly positive relationship between religiosity and happiness, particularly for women and particularly among the elderly. Using survey data from the oldest old in China, we find a strong negative relationship between religious participation and subjective well-being in a rich multivariate logistic framework that controls for demographics, health and disabilities, living arrangements and marital status, wealth and income, lifestyle and social networks, and location. In contrast to other studies, we also find that religion has a larger effect on subjective well-being on men than women.

Kearifan Dan Manifestasinya Pada Tokoh-Tokoh Lanjut Usia, Augustine Sukarlan Basri

Makara Human Behavior Studies in Asia

This study tried to identify the characteristics and factors of wisdom using three age groups: young adult, middle adult, and elderly. Forty three characteristics were established. Factor analysis and one-way analysis of variance were used and 5 factors were found: (1) Spiritual-Moral Condition; (2) Interpersonal Relationship Ability; (3) Judgment and Decision Making Ability; (4) Personal Condition; and (5) Exceptional/Specific Ability. Spiritual-Moral Condition was a unique factor that former researches did not mention this condition as a factor of wisdom. This condition was also judged as the prime contributor to describe wisdom. Using interview, this study also described the unique manifestations …

Kearifan Dan Manifestasinya Pada Tokoh-Tokoh Lanjut Usia, Augustine Sukarlan Basri

Makara Human Behavior Studies in Asia

This study tried to identify the characteristics and factors of wisdom using three age groups: young adult, middle adult, and elderly. Forty three characteristics were established. Factor analysis and one-way analysis of variance were used and 5 factors were found: (1) Spiritual-Moral Condition; (2) Interpersonal Relationship Ability; (3) Judgment and Decision Making Ability; (4) Personal Condition; and (5) Exceptional/Specific Ability. Spiritual-Moral Condition was a unique factor that former researches did not mention this condition as a factor of wisdom. This condition was also judged as the prime contributor to describe wisdom. Using interview, this study also described the unique manifestations …

Movement Patterns Used By The Elderly When Getting Out Of Bed, Julie Mount, Leslie Kresge, Gabrielle Klaus, Lynn Mann, Caitlin Palomba

Department of Physical Therapy Faculty Papers

Background and Purpose. Getting out of bed is difficult for 27.6% of people over 65. The purpose of this study is to describe movement patterns used by older adults for rising from bed.

Subjects. 42 healthy subjects between the ages of 65 and 90.

Methods. Subjects were videotaped performing 5 trials of getting out of bed. Movement patterns were categorized for each body part.

Results. A number of movement patterns occurred that were not reported in younger people. The most frequent movement patterns used were: “roll off” (38.3%) for the trunk, “double push” (34.7%) for the far arm, “multi-push” (36.0%) …

Aarp Online Portrayal Of Social Security: Engaging Aging Baby Boomers Through Interaction, Michael L. Hilt, Jeremy Harris Lipschultz

Communication Faculty Publications

Although baby boomers were not the sole focus of the American Association of Retired Persons' (AARP) website content on the issue of Social Security reform, their interests were addressed in a variety of ways. AARP provided information, position statements, a live chat forum, and message boards. Additionally, AARP had a partnership with the Rock the Vote website. It was unexpected that AARP would be so interested in younger people and in convincing them about their generation's need to support Social Security as it currently exists. It may be that as the baby boom generation enters retirement, AARP will become increasingly …

Older Single Women In Transition: Moving To A Supportive Retirement Community, Linda L. Hansen-Kyle Phd

Dissertations

This study explored role changes, resilience, social, and health challenges encountered by older women who transitioned to a retirement community that provided social, health, and safety support structures. The aim of this study was to analyze and describe the transition from the viewpoint of the participants. Although previous research has shown transitions lead to psychosocial, emotional, physical, and health changes, the importance of this study stems from the lack of research on older women moving to supportive communities and their unique challenges. A convenience sample of 39 women, aged 70-94, who had been living alone before moving to a church …

Binaural Beats Enhance Alpha Wave Activity, Memory, And *Attention In Healthy-Aging Seniors, Janice Colleen Mcmurray

UNLV Retrospective Theses & Dissertations

Human aging will be one of the biggest challenges we face during this century and optimizing health for the rapidly growing older population is imperative to avoid end of life suffering. Uncovering stimuli and methods that may enhance memory and attentional focus in the aging brain has become a priority. Current research demonstrates a connection between neurocognitive decline in seniors over 65 years and deficits in alpha frequency brainwave activity. Studies indicate that specific auditory tones have a significant effect on our brainwaves and provide a positive influence. These tones have been defined as alpha-harmonic sound patterns and they are …

Influences On Health Related Quality Of Life In Community Dwelling Adults Aged 60 Years And Over, Hilary Beth Greenberger

Theses and Dissertations

Interest in patient-reported health care outcomes such as health related quality of life (HRQL) has increased dramatically over the past two decades. Typically, HRQL has been conceptualized as having at least three domains: physical, psychological, and social functioning. Although research has attempted to identify factors that influence HRQL,few studies have simultaneously examined how various factors impact HRQL in the elderly. The purpose of this study was to develop and test a causal model to identify factors influencing HRQL. The constructs and observed variables hypothesized to influence HRQL included medical burden, housing satisfaction, socioeconomic status,religion/spirituality, age, gender, and marital status.Three hundred …

Interventions With Family Caregivers, Jonathan G. Sandberg

Faculty Publications

As a typical self-centered teenager, I struggled to find anything good about grandma moving in with us. Grandma required a lot of help with stairs, dressing, bathing; I noticed this brought a new kind of stress into our home. I think it was particularly hard on my mother, who provided most of the daily care for her mother-in-law. Living in a basement bedroom, I could escape form the stress if I wanted. I did not share a bathroom or hallway, I did not have to listen to incoherent talk and cries in the night as Alzheimer's disease began to take …

A Report On An Exploratory Study On Visual Conditions Of Older People Living In Public Housing, Cheung Ming, Alfred Chan, Meng Soi, Florence Fong, Hon Yui, Eric Wong, Ka Yu, Kenneth Au-Yeung

APIAS Monograph 專題論文

HOPE worldwide (HWW) has been a chartered charity organization in Hong Kong since 1993, with its focus on organizing service programmes in China and Hong Kong. Volunteers for Seniors Day (formerly Hope for Seniors Day) is one of the many programmes initiated by HWW to meet the urgent needs of the growing ageing population in Hong Kong. Starting in 1996, volunteers from corporations and social organizations have been recruited for Volunteers for Seniors Days on an annual basis. Since 2000, the programme has been jointly organized with the Housing Authority to provide cleaning and painting services to single elderly tenants …

An Exploratory Study On The Significance Of Outbound Travelling For The Older Persons In Hong Kong, Cheung Ming, Alfred Chan, David Rosser Phillips, Meng Soi, Florence Fong, Hon Yui, Eric Wong

APIAS Monograph 專題論文

Hong Kong has been experiencing demographic ageing with an increasing number of older population and prolonged life expectancy. It is projected that population will increase from 12% in 2004 to 24% in 2031 (Census and Statistics Department of Hong Kong, 2002). Older people in the future are expected to be wealthier and healthier and the potential demand for recreational activities will strongly be associated with this group. As highlighted in the Chief Executive of the HKSAR 2001 policy address, the future direction of elderly care and services is to improve the quality of life of older persons, ensuring that they …

Happy Farming Programme : An Exploratory Study From An Intergenerational Perspective, Asia-Pacific Institute Of Ageing Studies, Lingnan University, Institute Of Humanities And Social Sciences, Lingnan University, Cheung Ming, Alfred Chan, Meng Soi, Florence Fong, Hon Yui, Eric Wong, Hoi To, Calvin Wong

APIAS Monograph 專題論文

Background:

To extend the successful experience learnt from the Golden Organic Farming Programme in Tsuen Wan organized by Produce Green Foundation in 2004, a new farming programme entitled “Happy Farming” has been launched in Tuen Mun. A plot of land was leased to Good Tiding Church of Christian National’s Evangelism Commission in Lai Wai Tuen Mun (屯門泥圍佳音福音堂) by the Government. APIAS was invited to design and implement the farming programme in January 2005. Nine volunteers were recruited, including five older people and four youngsters to work together on farming activities including land exploitation, trainings, ploughing, weeding and mass activities such …

Consideration Of Protective Legislation On Family And Residential Care For Older Persons In Hong Kong, Cheung Ming, Alfred Chan, Chao Li

APIAS Working Paper 工作論文

Older persons, like all members of any society, have the right to be free from mistreatment at family care and residential care. Furthermore, older persons are the special collectiveness, different from children or other adults, so elder abuse or neglect is a more complicated issue. Protective legislation aiming at protecting older persons from possible mistreatment as one of the various intervention approaches is essential. By analyzing the pros and cons in applying the legislation on institutional care (i.e. family and residential places) in Hong Kong, for three case examples, plus referencing to China’s experience, the goals and contents of the …

Informing Discharge Plans. Assessments Of Elderly Patients In Australian Public Hospitals: A Field Study, Karen Grimmer, Esther May, Anna Dawson, Claudia Peoples

Internet Journal of Allied Health Sciences and Practice

This paper describes assessment practices related to discharging elderly patients from Australian acute public hospitals. Common assessments were of cognition, continence, wound care, hygiene needs, nutrition, mobility and self-care. Nurses and social workers commonly took non-standardised assessment approaches, whilst therapists were more likely to use published assessment instruments. Patients’ perspectives were rarely incorporated into assessments. The relationship between many common assessment items and patients’ ability to manage safely after discharge from hospital was unclear. The validity of assessment items, the reliability with which assessments were taken, ‘normal’ variability in responses, and interpretation of instrument ‘scores’ with respect to post-discharge independence …

Enhancing Weight Gain In Long-Term Care Residents At Risk For Weight Loss Through Protein And Calorie Fortification., Shannon Marie Tolbert

Electronic Theses and Dissertations

Purpose of this study was to compare two methods of supplementing diets in order to provide additional protein and calories to increase body weight. The study consisted of two groups from the James H. Quillen Veterans Affair Medical Center Nursing Home Care Unit. Experimental group received foods fortified with increased calories and protein at mealtimes. Control group received nutrition supplements between meals. Fifteen subjects began the study. Analysis of weight change revealed that those in the experimental group had no weight change over the four months. Subjects in the control group gained an average of 4.8 lbs of body weight …

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 …

Report On The Study Of The Relationship Between Formal And Informal Caregivers In Caring For Older People, Asia-Pacific Institute Of Ageing Studies, Lingnan University, Christian Family Service Centre

APIAS Monograph 專題論文

Christian Family Service Centre (CFSC) has been striving for better caring services for older people in Hong Kong. However, many studies often focus only on a single dimension of caregivng in either informal or formal caregivers. Few studies have viewed caring as an integrative approach, with limited examination and exploration on the caring processes and interactions between the caregivers and carees and the reasons for this pattern. Therefore, CFSC invited the Asia-Pacific Institute of Ageing Studies (APIAS) to conduct the research. The present research aimed to explore caregiving relationships and care patterns among caregivers and carees. The goal was also …

Elderly American And The Internet: E-Mail, Tv News, And Entertainment Websites, Michael L. Hilt, Jeremy Harris Lipschultz

Communication Faculty Publications

Older Americans, like other groups, vary in their use of the Internet. The participants for this study—elderly computer users from a Midwestern mid-size sample—used e-mail and considered it the most important Internet function. It was common for them to use e-mail with family and friends on a regular, if not daily, basis. When this group of older people did surf the Web, they were more likely to seek information about their special interests rather than visiting mass media sites. They were most likely to use Google.com or Yahoo.com to find sites dealing with weather, health, games, jokes, and entertainment. Additionally, …

Meeting The Challenge: Training An Aging Population To Use Computers, Carol Bean

The Southeastern Librarian

Older adults present a special challenge to libraries offering computer training. Many of those seeking training have little, if any, prior experience with the concepts and skills necessary to use computers, yet their ability to learn those concepts and skills is hampered by the aging process. This article summarizes the factors in aging which most affect learning computer skills, and how those factors can be mitigated.

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 …

An Exploratory Study Of Older Persons' Computer And Internet Usage In Hong Kong, Cheung Ming, Alfred Chan, David Rosser Phillips, Meng Soi, Florence Fong

APIAS Monograph 專題論文

Computer usage and internet access for older persons have been increasingly emphasized in Hong Kong, particularly as a live access tool for keeping frequent contacts with the outside world and the applicability in online medical consultation for those who are frail and isolated. But how are these computer communication technologies being used among the older persons? The question has not been much explored. Hence, this study aims, as a first step, to find out the profiles of older persons using computer aided communications including internet and e-mails. The objectives of the present study are to:

1. measure the proportion of older …

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 …

Determinants Of Living Arrangements Of Lesotho’S Elderly Female Population, Chuks J. Mba

Journal of International Women's Studies

The paper addresses the demographic and socioeconomic correlates of living arrangements of women aged 60 years and over in Lesotho using the 1996 Census of Lesotho data file. Simple cross-tabular and multivariate techniques are applied to the household distribution of the census. The results show that a majority of elderly women in the country are widows, live in the rural areas, have had little education, and dwell in extended family households of which a significant proportion of them are the head. The findings further indicate that the age of the women’s surviving children, and advancing age of the elderly themselves …

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 …

Clinical Assessment Of The Quantitative Posturography System (Qps), Jacinta Browne, G. O'Hare, A. Finn, J. Colin

Articles

The objectives of this study were to evaluate a novel design dynamic force platform the Quantitative Posturography System (QPS). The evaluation consisted of identifying the effects due to ageing and disease of the postural control system and also to examine the relationship between functional performance and postural sway. An AOVA design and Pearson-Product correlation design were used. Seventy healthy subjects, seven subjects with Parkinson’s disease and eight subjects with a history of falls took part in the study. It was found that the QPS was able to identify changes due to both the ageing process and disease on the postural …

Delirium In The Hospitalized Elderly: Clinical Indicators Found In Medical Records, Diane M Elmore

UNLV Retrospective Theses & Dissertations

Delirium, which can be reversible and preventable, is one of the most significant complications affecting the hospitalized elderly today. The purpose of this descriptive retrospective chart review was to determine if medical records contain sufficient evidence to identify elderly patients who were at risk for developing delirium within 72 hours of hospital admission, and if accepted, evidence-based criteria were used to document the acute confusion. The chart's of 100 patients, at least 65 years of age, admitted to a rural hospital were reviewed retrospectively. The review indicated that there was sufficient evidence, based solely on the descriptors and clinical information, …

Perceptions Of Caring Behaviors By Elderly Residents In Extended Care Facilities, Ludy Sta Maria-Llasus

UNLV Retrospective Theses & Dissertations

The purpose of this descriptive study was to describe elderly residents' perceptions of which caring behaviors they want exhibited by the nursing staff in extended care facilities. Consequently, this study was able to identify which caring behaviors are important and least important to this population. Using Jean Watson's Theory of Transpersonal Caring as the framework, this study utilized Wolf's Caring Behaviors Inventory instrument to answer the study's research questions. Forty-eight participants wanted nursing staff to demonstrate behaviors under the professional knowledge and skill dimension of the CBI. The sample also identified five most important and least important nurse caring behaviors; …