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照顧者實用資訊手冊, 嶺南大學亞太老年學研究中心 Asia-Pacific Institute of Ageing Studies, Lingnan University, Meng Soi, Florence FONG, Chak Kwan, Dickson CHAN, Kin Chung CHEUNG, Lai Ieng Jay LAU, Sin Yui Sharon CHAN, Kin Ho William LI, Ka Ho, Alan LI 2023 Lingnan University

照顧者實用資訊手冊, 嶺南大學亞太老年學研究中心 Asia-Pacific Institute Of Ageing Studies, Lingnan University, Meng Soi, Florence Fong, Chak Kwan, Dickson Chan, Kin Chung Cheung, Lai Ieng Jay Lau, Sin Yui Sharon Chan, Kin Ho William Li, Ka Ho, Alan Li

Manual & Guide 手冊及指引

手冊源起

香港面對人口高齡化,醫療和福利系統無可避免面臨持續的挑戰。照顧者因壓力問題而引發的家庭悲劇時有發生,反映照顧者自身亦極需要社會的重視和支援。

現時照顧者人數眾多,當中不乏配偶、父母、子女、女婿、媳婦,對長者照顧及社會無酬的付出,確實值得社會的認同和肯定。然而,儘管本港為長者及照顧者提供不少支援服務,由於不同的原因,照顧者似乎未有善用現有的服務,常常需要一力承擔所有照顧的責任,這無疑增加了他們的壓力。

照顧者需求多樣性

照顧者有不同種類,所需要的服務或支援亦有所不同。例如:「新手照顧者」剛開始接觸照顧工作,需要盡快提升日常護理和相關的疾病知識,以及獲得合適的離院/復康服務支援。「隱蔽照顧者」一直承擔照顧工作但沒有接受任何支援,因此,他們需要的是服務提供者/鄰里的主動接觸,並被轉介合適的照顧服務,以分擔他們部分照顧工作。「高危照顧者」幾乎長時間被照顧的工作佔據了其生活,他們需要的是喘息空間和暫託服務,甚至可能是情緒支援。即使「資深的照顧者」也可能需要喘息或暫託的支援服務去減輕壓力;而結束了照顧工作的「畢業照顧者」,無論是情緒的支援,還是重新規劃財務與就業的安排,都有非常實際的需求。基於照顧者的不同需要,照顧者的支援和服務也是多樣化,如何讓不同種類的照顧者能夠輕易了解現有的社區支援服務、可考慮甚麼因素選取相關服務、如何獲取所需的支援包括申領經濟支援或預早準備長期護理開支、如何自強增值等,都是這本手冊希望解答的問題。

手冊的目的

編製這本手冊的目的就是要減少照顧者四處尋找資訊的麻煩,提供一個整全且易於瀏覽的資訊來源。本手冊主要有兩大目標:其一,幫助照顧者認識不同的服務和資源,積極尋求援助;其二是一站式提供豐富的資訊服務,提升照顧者的能力和平衡身心健康。

手冊的意義

此手冊的社會意義是期望提高大眾對照顧者需要的關注,並引導更多的行動以支援照顧者。如果您的親友是照顧者,又或您認識的朋友甚至鄰居正面對照顧家人的困難,您可以主動伸出援手,又或利用這本手冊作為啟示,向他們介紹相關的服務。

另外,這本手冊可以視作為支援照顧者的工具,讓照顧者明白在承擔照顧家人的重任時並不需要孤軍奮戰,也可以善用社區提供的各種資源和服務。

手冊架構

本手冊由四個主要部分組成,每部分都專注於特定的主題,旨在提供照顧者的全方位支援和資訊,幫助他們在面對挑戰時能夠有所依賴,並從中獲得力量:

第一部分主要提供基礎知識,其中包括不同種類的照顧者的介紹、四種長者常見疾病(包括認知障礙、中風、老年抑鬱和癌症)的病徵說明、以及照顧者可能面臨的壓力與「喘息服務」的重要性。第二部分專注介紹長者常用的社區及健康服務。我們按照地區將服務機構進行了分類,羅列「認知障礙、中風、老年抑鬱、癌症」常用的服務機構,此外,我們還提供家居安全、樂齡科技租賃服務,以及財務支援等相關建議。第三部分將焦點重新放回照顧者身上,提供了支援照顧者的社福機構介紹、照顧者同路人的心得分享,以及照顧者的培訓資訊,旨在幫助照顧者在面對困難時能自強不息。最後,在本手冊的結尾部分,我們特別邀請了四位專家學者就照顧者政策提出見解和建議,為加強照顧者支援服務提供新思路。

如果按持份者來分類,手冊的四個部分的重點如下:

第一部分:照顧者的基礎知識

◎ 針對預備照顧者、新手以及隱蔽照顧者,讓他們了解照顧者的角色和需要;照顧體弱長者的基礎知識,並提供應對壓力的建議,包括自我照顧和喘息服務等。

第二部分:照顧者支援

◎ 針對所有護老者,提供長者常用的社區服務、健康服務和支援計劃,包括暫託、住宿、護送及陪診、善別支援、情緒支援、復康用品津貼及租賃的支援計劃,以及財務策劃師提供的理財貼士。

第三部分:照顧者自強

◎ 針對照顧者,資訊包括不同的照顧者支援組織、同路人和畢業照顧者的經驗心得、培訓課程,以及實用的電子資訊平台推介。

第四部分:對照顧者支援政策的看法和展望

◎ 針對服務提供者、政策倡議者及制定者,提供專家學者對照顧者服務及政策的未來發展方向的看法和建議,以期引發更多關於「如何為照顧者提供更好支持」的討論。

給讀者的使用指引

本手冊內容十分豐富,讀者可以先瀏覽目錄,選擇與您相關的部分進行細讀。對於新手照顧者或剛接觸/關注護老服務的人士(例如:學生、社區人士),我們建議您可以參考手冊第24-33頁「給照顧者的智慧錦囊」的個案,了解不同照顧者可能面對的情境,這可能會給您一點概念,讓您可以考慮尋求哪些支援服務,又或您身邊照顧者朋友有哪些需要,以及如何協助他們獲取所需要的支援。我們深知閱讀本手冊時,您可能會遇到一些不明白的地方,請不必感到困惑。您可以嘗試找身邊的朋友、鄰居或社會服務機構的工作人員一起閱讀,或者向本中心的職員進行查詢。

此外,為方便讀者可以隨時隨地閱讀而不需要攜帶整本手冊,我們為本手冊設立了一個專屬網頁,免費下載整本手冊或某些章節內容。

希望您在閱讀的過程中能找到有用的資訊,並能從中獲得實際的幫助。


Singapore Resilience Study, Paulin T. STRAUGHAN, Grace CHEONG, Wensi LIM, Rachel NGU, Yan Er TAN, Yen Cong WONG 2023 Singapore Management University

Singapore Resilience Study, Paulin T. Straughan, Grace Cheong, Wensi Lim, Rachel Ngu, Yan Er Tan, Yen Cong Wong

ROSA Research Briefs

This study was conducted in partnership with Income Insurance and ROSA to establish the baseline measurement of resilience in the Singapore population so as to provide the benchmark for future longitudinal studies and render visible the significance of resilience to well-being. In view of the COVID19 pandemic, notable emphasis has been placed on resilience as a vital quality to better prepare our population against future uncertainties and maintain well-being in spite of adversity. Through this study, a set of validated measures were developed to assess resilience levels across the four domains – mental, social, physical and financial resilience. The present …


Regulating The Care Boom: Labor Standards Enforcement And Paid In-Home Care Work, Isaac Jabola-Carolus 2023 CUNY Graduate Center

Regulating The Care Boom: Labor Standards Enforcement And Paid In-Home Care Work, Isaac Jabola-Carolus

Dissertations, Theses, and Capstone Projects

In the United States, population aging has driven explosive growth in care-sector occupations, especially among low-wage home care aides who provide long-term assistance to older adults. These aides, predominantly women and disproportionately people of color, now represent one of the country’s largest and fastest-growing occupational groups. In recent decades, economic inequality and meager social policies have also spurred demand for nannies, housecleaners, and other domestic workers—occupations heavily reliant on immigrant women, many undocumented. While scholarly and public discourse has addressed labor shortages and job quality in such occupations, a related problem is the widespread violation of labor standards, including minimum …


Investigating The Link Between Iadl And Depressive Symptoms In Older Adults: A Cross-Sectional Serial Mediation Model, Wee Qin NG, Hwajin YANG 2023 Singapore Management University

Investigating The Link Between Iadl And Depressive Symptoms In Older Adults: A Cross-Sectional Serial Mediation Model, Wee Qin Ng, Hwajin Yang

Research Collection School of Social Sciences

Objectives: There is a dearth of research on the psychological processes that underlie the negative relation between impaired instrumental activities of daily living (IADL) and depressive symptoms in older adults. Drawing on the stress process model and the resilience framework, we investigated whether purpose in life and resilience serially mediate the relationship between impaired IADL and depressive symptoms.Methods: We recruited 111 cognitively healthy community-dwelling older adults (ages 54-85; M = 66.5) who scored a minimum of 25 points on the Mini-Mental State Examination.Results: We found that purpose in life and resilience serially mediated the relationship between IADL and depressive symptomatology …


Public Sentiments And The Influence Of Information-Seeking Preferences On Knowledge, Attitudes, Death Conversation And Receptiveness Towards Palliative Care: Results From A Nationwide Survey In Singapore, Su Lin YEO, Raymond Han Lip NG, Tan Ying PEH, May O. LWIN, Poh Heng CHONG, Patricia Soek Hui NEO, Jamie Xuelian ZHOU, Angel LEE 2023 Singapore Management University

Public Sentiments And The Influence Of Information-Seeking Preferences On Knowledge, Attitudes, Death Conversation And Receptiveness Towards Palliative Care: Results From A Nationwide Survey In Singapore, Su Lin Yeo, Raymond Han Lip Ng, Tan Ying Peh, May O. Lwin, Poh Heng Chong, Patricia Soek Hui Neo, Jamie Xuelian Zhou, Angel Lee

Research Collection Lee Kong Chian School Of Business

Background: Low awareness about palliative care among the global public and healthcare communities has been frequently cited as a persistent barrier to palliative care acceptance. Given that knowledge shapes attitudes and encourages receptiveness, it is critical to examine factors that influence the motivation to increase knowledge. Health information-seeking from individuals and media has been identified as a key factor, as the process of accessing and interpreting information to enhance knowledge has been shown to positively impact health behaviours. Objective: Our study aimed to uncover public sentiments toward palliative care in Singapore. A conceptual framework was additionally developed to investigate the …


Beyond Economics And Politics : A Sociological Review Of Local Long-Term Care Service Provision In China, Zhen TIAN 2023 Lingnan University

Beyond Economics And Politics : A Sociological Review Of Local Long-Term Care Service Provision In China, Zhen Tian

Lingnan Theses (MPhil & PhD)

The socio-demographic transition presents a significant challenge that impacts the renewal of welfare arrangements and the reallocation of welfare responsibilities across sectors. Long-term care (LTC) services have emerged as a widely accepted strategy to promote the active daily living and human dignity of senior citizens. This study aims to assess the effective policy strategies employed in various Chinese contexts to address significant LTC policy concerns and synthesise lessons that can guide future policy decisions. The study addresses three questions to explore local variations in China's LTC service provision: (1) What differences exist in the long-term care services provision? (2) How …


The Role Of Occupational Therapy Practitioners In The Care Of Pets And Animals: A Guide To Aging In Place With Pets And Animals, Blake Randell, Mary Jan Greer, Sherry Pidgeon 2023 University of St. Augustine for Health Sciences

The Role Of Occupational Therapy Practitioners In The Care Of Pets And Animals: A Guide To Aging In Place With Pets And Animals, Blake Randell, Mary Jan Greer, Sherry Pidgeon

Summer 2023 Virtual OTD Capstone Symposium

This capstone project explored the role of occupational therapy practitioners in the care of pets and animals among older adults which has been referred to as the forgotten instrumental activity of daily living (or IADL) for this population. A needs assessment was conducted to determine how to provide facilitators and remove barriers or hindrances to occupational performance in the care of pets and animals among a group of older adults (with a variety of disability- and non-disability-related needs) in independent living communities. This needs assessment identified compounding health disparities of physical and/or cognitive impairments and lack of financial and necessary …


The Impact Of Social Determinants Of Health And Acculturation On Quality Of Life In Older Chinese American Adults With Chronic Pain: A Quantitative Study, Chi Lam 2023 The University of Southern Mississippi

The Impact Of Social Determinants Of Health And Acculturation On Quality Of Life In Older Chinese American Adults With Chronic Pain: A Quantitative Study, Chi Lam

Dissertations

Despite a rapid increase in the older Chinese American adult population, there are very few research studies examining the impact of social determinants of health and acculturation on the quality of life in older Chinese American adults. The purpose of the study was to determine the impact of social determinants of health and acculturation on quality of life in older Chinese American adults with chronic pain. This quantitative, descriptive correlational study utilized Madeleine Leininger’s Transcultural Theory as its theoretical framework. Two research questions guided this study: (1) Was there a difference in the quality of life in older Chinese American …


「社交媒體、視訊會議平台和樂齡產品在長者院舍的應用情況」研究簡報, Chak Kwan, Dickon CHAN, Sheung Wan, Wanda WONG, Meng Soi, Florence FONG, Le GAO 2023 嶺南大學亞太老年學研究中心

「社交媒體、視訊會議平台和樂齡產品在長者院舍的應用情況」研究簡報, Chak Kwan, Dickon Chan, Sheung Wan, Wanda Wong, Meng Soi, Florence Fong, Le Gao

APIAS Research Report 研究報告

香港的老年人口增長迅速,從1988年至2018年間,老年人口由46萬增加到127萬(政府經濟顧問辦公室, 2019)。隨著人口老化,長期護理服務需求也相對增加。資助安老院舍的平均等待時間長達20個月(香港政府, 2021)。在2017至2018年間,有40,000人在輪候資助安老院舍,其中6,600人在等候期間去世(香港政府, 2018)。安老服務業一直面臨人力短缺的問題,2017年的相關職位空缺率為15-20%(香港政府, 2017)。2013年的研究統計發現超過一半的安老服務前線員工超過50歲(勞工及福利局, 2019)。隨著退休潮的來臨,人力短缺的問題會進一步加劇。因此,科技與安老服務的結合被視爲減輕人手壓力的方向。結合科技和院舍服務不僅可以減輕工作量,還能提高服務質量和效率。社交媒體和視訊會議平台可以減少在訊息傳遞上的時間和人力成本。樂齡科技產品,諸如可穿戴設備和遠程監控傳感器,可以讓護理人員更快捷和系統化地掌握服務對象的狀態,從而減少親自監測的次數(Chen, 2020)。因此,自2017年起,香港政府與各部門積極推廣樂齡科技,並於2018年設立樂齡及康復創科應用基金,幫助合資格的安老及康復服務單位購置、租借和試用科技產品。香港政府於2022年更將此計劃擴展至其他非資助的私營或自負盈虧的安老院舍及殘疾人士院舍。在過去三年的新冠疫情影響下,大部分安老院舍因為防疫工作量的增加而面臨更嚴重的人手短缺,不少院舍開始將科技融入服務,以應對疫情衍生的需求和改善現有服務質素。然而,香港院舍對於如何應用社交媒體、會議平台和樂齡科技產品的研究甚少。在此背景下,本研究旨在瞭解院舍應用相關科技的情況,並提供應對有關障礙的政策建議。


Household Environments And Functional Decline Among Middle-Aged And Older Adults In China, Dandan Zhao 2023 Clemson University

Household Environments And Functional Decline Among Middle-Aged And Older Adults In China, Dandan Zhao

All Theses

This thesis investigates the associations between household social, economic, and physical environment conditions and the trajectory of self-reported functional limitations over time among middle-aged and older adults in China. Despite the increasing interest in the impact of household environments on functional decline, most existing studies are cross-sectional or concern changes in functioning observed in two waves of surveys, and they primarily focus on the influence of one condition. This thesis explores how the trajectory of functional decline is influenced jointly by multiple household factors, including living arrangement, annual living expenditure per capita, indoor air pollution resulting from solid fuels, and …


Implementing An Alzheimer’S And Dementia Library Outreach Program: A Partnership Between The Nebraska Chapter Of The Alzheimer’S Association And Nebraska Libraries, Casey Wilkinson 2023 University of Nebraska at Omaha

Implementing An Alzheimer’S And Dementia Library Outreach Program: A Partnership Between The Nebraska Chapter Of The Alzheimer’S Association And Nebraska Libraries, Casey Wilkinson

Theses/Capstones/Creative Projects

This paper focuses on the establishment of an Alzheimer’s and dementia library outreach program in Nebraska, initiated by the Nebraska Chapter of the Alzheimer’s Association. The program aims to address the lack of community resources and support for individuals affected by dementia-related diseases in Nebraska. Extensive research, including interviews with successful library outreach programs globally, informed the program's foundation. A survey distributed to Nebraska libraries had a stellar response rate, with 57 libraries expressing interest in collaborating. An in-depth guide was created and distributed to the interested libraries, outlining program components such as educational programming, support groups, and a designated …


Neighbourhood Satisfaction And Networks Among Older Adults In Singapore, Rachel NGU, Micah TAN, William TOV 2023 Singapore Management University

Neighbourhood Satisfaction And Networks Among Older Adults In Singapore, Rachel Ngu, Micah Tan, William Tov

ROSA Research Briefs

The built and social environment surrounding one’s place of residence is an important factor that shapes well-being and quality of life. This is especially so for older adults as their sphere of mobility decreases and their functional capacity may decline as they age, making their immediate environment more vital in shaping their lives. Studies have established the importance and impact of the physical environment on health and well-being of older adults across various communities (Addae-Dapaah 2008; Alidoust and Bosman 2015; Gale et al. 2011; Oswald et al. 2007). A study on older adults in Singapore found that living environment and …


Perspectives Of Hispanic/Latina Women Ages 60 And Over On The Impact Of Single Motherhood And Their Long-Term Financial Well-Being, Tess Juno Anselm 2023 University of Massachusetts Boston

Perspectives Of Hispanic/Latina Women Ages 60 And Over On The Impact Of Single Motherhood And Their Long-Term Financial Well-Being, Tess Juno Anselm

Graduate Doctoral Dissertations

Unmarried women over the age of 60 continue to experience disproportionate rates of adult poverty in the United States, while families headed by single mothers experience the highest poverty rates. This study explores the long-term impact of single motherhood on financial wellness through the perspective of Hispanic/Latina women ages 60 and over who have experienced single motherhood in Massachusetts. A transdisciplinary study, it utilizes intersectionality as a theoretical framework, employs feminist standpoint informed inquiry methods to document lived experiences through in-depth interviews, and engages diffraction as a mode of praxis as it intra-acts with narratives and explores the systems and …


Key Determinants Of Life Satisfaction In Older Adults, Barry NUQOBA, Yi Wen TAN, Yen Cong WONG, Wensi LIM 2023 Singapore Management University

Key Determinants Of Life Satisfaction In Older Adults, Barry Nuqoba, Yi Wen Tan, Yen Cong Wong, Wensi Lim

ROSA Research Briefs

Life satisfaction constitutes a fundamental facet of wellbeing, exerting an influence on an individual's mental and emotional state (Zissi & Barry, 2006). Among older adults, elevated levels of life satisfaction are frequently linked to a more optimistic outlook, contributing to improved health and resilience (Khodabakhsh, 2022; Zheng, Huang, & Fu, 2020). This in turn enhances societal involvement, both in the professional and social domains (Khodabakhsh, 2022). It is also vital to acknowledge that life satisfaction is a multifaceted construct, intricately influenced by an array of external and internal determinants. Life satisfaction is essentially a subjective judgement and assessment of one’s …


Older Adults With A History Of Psychiatric Conditions Experience More Cognitive Decline Than Older Adults Without This History, Maria T. Brown, Miriam Mutambudzi 2023 Syracuse University

Older Adults With A History Of Psychiatric Conditions Experience More Cognitive Decline Than Older Adults Without This History, Maria T. Brown, Miriam Mutambudzi

Population Health Research Brief Series

Having psychiatric conditions (such as bipolar disorder, schizophrenia, and major depressive disorder) throughout one’s life can lead to faster rates of cognitive decline as one ages. This data slice explores the associations between psychiatric history and cognitive function among U.S. White, Black, and Hispanic adults ages 65 and older from 1995-2014. Findings demonstrate that having a history of psychiatric problems is related to lower cognitive functioning and a faster rate of cognitive decline for all three groups, but Black and Hispanic adults experience steeper declines compared with White adults.


Living Below The Line: Racial And Ethnic Disparities In Economic Security Among Older Americans, 2022, Jan Mutchler, Yan-Jhu Su, Nidya Velasco Roldán 2023 University of Massachusetts Boston

Living Below The Line: Racial And Ethnic Disparities In Economic Security Among Older Americans, 2022, Jan Mutchler, Yan-Jhu Su, Nidya Velasco Roldán

Center for Social and Demographic Research on Aging Publications

New estimates based on the 2022 Elder IndexTM show that the risk of economic insecurity in later life is especially high for people of color. Comparing household incomes to the Elder Index, we calculate the percentage of independent older adults with incomes that fall short of what is required to support economic security. National averages suggest that among older people living alone, 43% who are White, 59% of those who are Asian, 61% of those who are Black, and 67% of those who are Latino have annual incomes below the Elder Index. The risk of economic insecurity is lower among …


Aging In Berlin: A Community Needs Assessment, Mary Krebs, Caitlin Coyle 2023 University of Massachusetts Boston

Aging In Berlin: A Community Needs Assessment, Mary Krebs, Caitlin Coyle

Center for Social and Demographic Research on Aging Publications

This report describes research undertaken by the Center for Social & Demographic Research on Aging (CSDRA) within the Gerontology Institute at the University of Massachusetts Boston, on behalf of the Town of Berlin. The goals of this project were to investigate the needs, interests, preferences, and opinions of Berlin residents age 18 or older by engaging the community regarding their experiences and needs relevant to the Social Services alongside the Council on Aging’s objectives to serve the needs of all Berlin citizens 60 and older. The contents of this report are meant to inform the Town of Berlin, the Berlin …


Singapore's Hospital To Home Program: Raising Patient Engagement Through Ai, John ABISHEGANADEN, Kheng Hock LEE, Lian Leng LOW, Eugene SHUM, Han Leong GOH, Christine Gian Lee ANG, Andy Wee An TA, Steven M. MILLER 2023 National Healthcare Group

Singapore's Hospital To Home Program: Raising Patient Engagement Through Ai, John Abisheganaden, Kheng Hock Lee, Lian Leng Low, Eugene Shum, Han Leong Goh, Christine Gian Lee Ang, Andy Wee An Ta, Steven M. Miller

Research Collection School Of Computing and Information Systems

Because of their complex care needs, many elderly patients are discharged from hospitals only to be readmitted for multiple stays within the following twelve months. John Abisheganaden and his fellow authors describe Singapore’s Hospital to Home program, a community care initiative fueled by artificial intelligence.


Striving For Being In The Line Of Life: Personal Active Ageing Strategies In Iranian Seniors, fatemeh raeesi dehkordi, Ahmad Ali Eslami, Fereshteh Zamani Alavijeh, Hossein Matlabi, Mehdi Nakhodaeezadeh 2023 Lorestan university of medical science

Striving For Being In The Line Of Life: Personal Active Ageing Strategies In Iranian Seniors, Fatemeh Raeesi Dehkordi, Ahmad Ali Eslami, Fereshteh Zamani Alavijeh, Hossein Matlabi, Mehdi Nakhodaeezadeh

The Qualitative Report

Active ageing is a multidimensional, relative, and context-dependent concept with different paths and outcomes. This qualitative study aimed to explore personal active aging strategies in a specific context. Following a directed thematic analysis procedure, we conducted semi-structured individual interviews with 39 seniors (men and women) between the ages of 60-97 years selected with purposeful sampling, data collection and analysis were concurrent. We used directed content analysis to analyze the data from interviews, written narratives, and field notes. The reliability of data was fulfilled following Lincoln and Guba criteria. We stopped data collection when no new concepts were added, and data …


Paperwork, Paradox, And Prn: Psychotropic Medication Deficiencies In Assisted Living, Sarah Dys, Paula Carder 2023 Portland State University

Paperwork, Paradox, And Prn: Psychotropic Medication Deficiencies In Assisted Living, Sarah Dys, Paula Carder

Institute on Aging Publications

Individual state approaches to assisted living/residential care (AL/RC) licensing and oversight in the United States result in different practice standards and requirements, including psychotropic medication use. We examined 170 psychotropic medication deficiency citations issued to 152 Oregon AL/RC settings from 2015 to 2019. Applied thematic analysis resulted in the following themes: (1) documentation issues are primarily responsible for noncompliance, (2) unclear parameters place direct care workers in a role paradox, and (3) there is a persistent disconnect about when to seek qualified expertise before requesting psychotropic medications. AL/RC-specific mechanisms for medication prescription and administration are necessary to improve the structure …


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