Social and Behavioral Sciences Commons^™

Dementia And Dementia Care: The Contributions Of A Psychosocial Perspective, Phyllis Braudy Harris

Phyllis Braudy Harris

The social sciences have and continue to play a unique role in the study of dementia and dementia care. For central to the social sciences, particularly the discipline of sociology is a history of critical inquiry that challenges long held societal assumptions, a concern for issues of social justice, social exclusion and the treatment of marginalized populations. All significant areas to consider when caring for a person with dementia. This chapter will trace the development of the study of dementia and dementia care starting with its biomedical roots, examine the contributions of the social sciences in furthering the conceptual development …

Selfhood In Younger Onset Dementia: Transitions And Testimonies., Phyllis Braudy Harris, John Keady

Phyllis Braudy Harris

Younger people with dementia and their carers are an overlooked population for research, policy and practice attention. In this study, data were collected from both the United States and the UK in order to explore the meaning and construction of selfhood and identity. The US data collection included in-depth interviews with 23 people diagnosed with younger-onset dementia, while the UK data collection comprised 15 face-to-face interviews with younger carers of younger people with dementia; all carers were/had been caring for a younger person with dementia diagnosed through the DSM-IV-R criteria. A grounded theory analysis of the data resulted in the …

Introduction Of A Waterless Alcohol-Based Hand Rub In A Long-Term Care Facility, Lona Mody, Mcneil A. Shelly, Rongjun Sun, Bradley Suzanne, Carol A. Kauffman

Rongjun Sun

OBJECTIVE: To examine the impact of introduction of an alcohol-based hand rub on hand hygiene knowledge and compliance and hand colonization of healthcare workers (HCWs) in a long-term-care facility (LTCF). METHODS: Two floors of an LTCF participated. Ward A used the hand rub as an adjunct to soap and water; ward B was the control. HCWs' hands were cultured using the bag-broth technique for Staphylococcus aureus, gram-negative bacilli (GNB), Candida, and vancomycin-resistant enterococci (VRE). HCWs completed a questionnaire at baseline and after an educational intervention and introduction of rub. RESULTS: Hand hygiene practices, knowledge, and opinions did not change after …

Review Of Sex Cells: The Medical Market For Eggs And Sperm, By Rene Almeling., Medora Barnes

Medora W. Barnes

Sudden Death And The Myth Of Cpr / Book Review, David B. Sugarman

David B Sugarman

Whether we think about Miracle Max, quoted above, or Dr. Mark Green from the television show, ER, our society harbors a stereotype of emergency healthcare practitioners who serve the public interest by rescuing critically ill or injured individuals from sudden death, that is, the termination of cardiopulmonary functioning. Stefan Timmermans, a Brandeis University sociologist, offers both the general public and the academic reader a backstage view of our healthcare system's failing attempt to live up to the mythical images that we have constructed. His observations are simultaneously enlightening and disturbing.

Connecting The Dots: Threat Assessment, Depression And The Troubled Student, Valerie Harwood

Valerie Harwood

On April 18, 2007, a package containing over twenty digital videos arrived at the NBC building in New York city. Within a short time the material had been publicly broadcast, and images of Seung Hui Cho soon appeared on Youtube. Two days earlier the twenty-three year-old university student had been responsible for what has been claimed to be the worst mass shooting in the United States. Just days after the mass shooting, the Governor of Virginia, Timothy M. Kaine convened a review panel that was comprised of nine “nationally recognized individuals” across the disciplines of “law enforcement, security, governmental management, …

Worry About Medical Care, Family Support, And Depression Of The Elders In Urban China, Rongjun Sun

Rongjun Sun

This study examines the role of family support in reducing the elders’s depression in the face of the perceived inadequate public medical care in urban China. Using data from the Survey on Aging and Intergenerational Relations in Baoding City, this article investigates the overall depression level, somatic symptoms, and affective symptoms, respectively. The findings suggest that perceived inadequate public medical care, which results from dramatic changes in China’s socioeconomic transformation, has a stressful impact on all measures of depression. Family support, by its structure and function, shows both direct and moderating effects in counteracting such stress from the public domain. …

Assessment Of Pneumonia In Older Adults: Effect Of Functional Status, Lona Mody, Rongjun Sun, Suzanne F. Bradley

Rongjun Sun

OBJECTIVES: Evaluate the effect of preadmission functional status on severity of pneumonia, length of hospital stay (LOS), and all-cause 30-day and 1-year mortality of adults aged 60 and older and to understand the effect of pneumonia on short-term functional impairment. DESIGN: Prospective cohort study. SETTING: University hospital. PARTICIPANTS: One hundred twelve patients with radiograph-proven pneumonia (mean age 74.6) were enrolled. MEASUREMENTS: Functional status and comorbidities were assessed using the Functional Autonomy Measurement System (SMAF) and Charlson Comorbidity Index. Clinical information was used to calculate the Pneumonia Prognostic Index (PPI). RESULTS: Eighty-four (75%) patients were functionally independent (FI) before admission, with …

Community-Acquired Pneumonia In Older Veterans: Does The Pneumonia Prognosis Index Help?, Lona Mody, Rongjun Sun, Suzanne Bradley

Rongjun Sun

OBJECTIVES: Mortality rates from pneumonia increase steadily with age. Recently, a disease severity model (the Pneumonia Prognosis Index (PPI)) has been developed to predict mortality from community-acquired pneumonia (CAP). PPI ranks severity of pneumonia from 1 to 5, with 5 being most severe. This retrospective study utilizes the PPI to address the prognosis of CAP in older adults. DESIGN: Retrospective review of medical charts. SETTING: Department of Veterans Affairs Medical Center. PARTICIPANTS: All adults aged 60 and older admitted to a Veterans Affairs Medical Center with CAP between January 1 and December 31, 1998. MEASUREMENTS: PPI was calculated using subjects' …

Infertility Help Seeking And Social Support: Do Conventional Theories Explain Internet Behaviors And Outcomes, Kathleen S. Slauson-Blevins

Kathleen S. Slauson-Blevins

This dissertation uses data from the National Survey of Fertility Barriers (NSFB), a nationally representative sample, to assess factors associated with face-to-face and internet help seeking (study 1) and perceived social support (study 2). In study one, I examine whether the General Help Seeking Model, a theory that has been used to explain in-person help seeking, generalizes to internet help seeking. I assess four types of help seeking: (1) no help seeking, (2) only internet help seeking, (3)only medical help seeking, and (4) both online and medical help seeking. Results suggest that online help seeking is differentiated from in person …

The Role Of ‘Workplace Family’ Support On Worker Health, Exhaustion And Pain, Linda A. Treiber, Shannon N. Davis

Linda A. Treiber

De-Medicalizing Addiction: Toward Biocultural Understandings, Kerwin A. Kaye

Kerwin Kaye