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The family and ageing in Korea: a new concern and challenge
- Author:
- CHOI Sung-Jae
- Journal article citation:
- Ageing and Society, 16(1), January 1996, pp.1-25.
- Publisher:
- Cambridge University Press
Many changes in familial factors under the influence of modernisation have limited the Korean family's function or capability to support and care for elderly members, and are contributing to the problems of ageing. Ageing as a social problem is a new concern in Korea which has never been experienced before, and a new challenge to the family and the state. Problems associated with current policies are discussed and recommendations for future development are made.
Social work with the aged and their families
- Author:
- GREENE Roberta R.
- Publisher:
- De Gruyter
- Publication year:
- 1986
- Pagination:
- 261p., diags., bibliog.
- Place of publication:
- New York
Managing medication: older people and their families need support to deal with the hidden burden of medication
- Author:
- NATIONAL INSTITUTE FOR HEALTH RESEARCH
- Publisher:
- National Institute for Health Research
- Publication year:
- 2020
- Place of publication:
- London
Being prescribed many medicines places a huge, often hidden, burden on older people in the community and on their families or carers. This affects whether older people take medicines incorrectly or not at all, which puts them at risk of harm and wastes medicine. The MEMORABLE (Medication Management in Older people: Realist Approaches Based on Literature and Evaluation) study aimed to understand the difficulties patients have in managing medication. To consider various points of view, researchers interviewed health and social care professionals, older people and family carers. They also reviewed scientific papers on the subject. One of the key findings was that medication management places a large burden on older people and family carers and that this burden is often hidden. The study recommends that doctors, pharmacists and nurses consider burden when prescribing or changing medicines. The researchers identified key areas of difficulty that could be tackled with simple interventions. One, a short questionnaire or aid, would help identify older people who are struggling. A second, a patient-led, personalised record, could help inform shared decision-making about medicines. The researchers identified five burdens that occur at medicine review and suggested ways of tackling these burdens: ambiguities – could be partly dealt with by clarifying the purpose and content of medicine reviews; concealment issues – increasing the personalised information given to older people and carers could increase their feelings of being in control and coping; unfamiliarity – addressed by seeing the same practitioner, establishing continuity and developing trust; fragmentation – could be reduced by improving collaboration between and across health and social care services; exclusion – could be reduced by taking the opinions of older people and informal carers into account via shared decision-making. (Edited publisher abstract)
Perceived overload as a predictor of physical strain among spousal and adult child caregivers of frail elders in the community
- Author:
- KANG Suk-Young
- Journal article citation:
- Journal of Human Behavior in the Social Environment, 26(7-8), 2016, pp.636-647.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Family caregivers of frail elders can experience physical strain associated with caregiving. Identifying correlates of caregiver strain can provide an important impetus for tackling the causes and providing effective interventions. Utilizing data from the 1999 National Long-Term Care Survey, the current study examined correlates of caregiver physical strain among 956 family caregivers, using the stress process model. As multiple regression analyses indicated, the caregiver’s perceived overload predicted greater strain for both spousal and adult child caregivers. For both groups, common correlates of physical strain were caregiving demands, the caregiver’s perceived overload, and limitations placed on the caregiver’s life. The results demonstrate that the family relationship of the caregiver (spouse or adult child) leads to variations and dynamics in caregiver strains, due to qualitatively different relationships. (Publisher abstract)
Transitions in caregiving: evaluating a person-centered approach to supporting family caregivers in the community
- Authors:
- SUNDAR Vidyalakshmi, FOX Susan W., PHILLIPS Kimberly G.
- Journal article citation:
- Journal of Gerontological Social Work, 56(6-7), 2013, pp.750-765.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Caregivers of older adults provide a wide range of informal supports and services that enable older adults to continue living in the community. This study describes the use of a multicomponent intervention combined with a person-centered approach to assist caregivers of older adults in the community. Four hundred and eighteen caregiver and care recipient dyads participated in this study and their outcomes related to burden, depression, well-being, and care recipient functional status were evaluated. The findings suggest that adult child and spousal caregivers experience burden differently. Programs designed to support caregivers must tailor services to the unique needs of adult child and spousal caregivers. (Publisher abstract)
A family approach to delirium: a review of the literature
- Author:
- HALLOWAY Shannon
- Journal article citation:
- Aging and Mental Health, 18(2), 2014, pp.129-139.
- Publisher:
- Taylor and Francis
This literature review had the following objectives: (1) evaluate the current state of research into delirium management (prevention, identification, or treatment of delirium) with family approaches or involvement, (2) identify gaps and areas that require investigation, and (3) determine a future course of research. A comprehensive search of original research was conducted in six major databases using seven keywords in 2012. The literature search yielded a total of 2160 articles. Criteria for eligibility were met by a total of 11 articles. The articles were evaluated in regards to purpose, sample, research design, level of evidence, variables, and results. The literature review revealed that this topic is emergent and requires substantial additional research. The aspects of delirium care that researchers investigated were diverse and included bedside interventions (n = 3), screening strategies (n = 4), family education (n = 2), and care that employed multiple components (n = 2). Delirium outcomes improved significantly in two high-quality studies: one multi-component intervention and one bedside intervention program. Other noteworthy findings of lower quality studies warrant further examination. The review of the articles did not determine if the involvement of families in delirium management improves patient outcomes; however, the review revealed potential for program development and future courses of research.
The effectiveness of dyadic interventions for people with dementia and their caregivers
- Authors:
- MOON Heehyul, ADAMS Kathryn Betts
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 12(6), 2013, pp.821-839.
- Publisher:
- Sage
To review the effects of dyadic interventions on caregivers and care recipients in the early stages of dementia searches were carried out on four databases (AgeLine, Medline, EBSCO, and PyscINFO) and relevant literature from 2000 onwards reviewed. The twelve studies identified used a variety of intervention approaches including support group, counseling, cognitive stimulation, skill training, and notebook-keeping. This review suggests that intervention programs for early-stage dementia caregiving dyads were feasible and well accepted by participants. The reviewed studies provided rich evidence of the significance of mutual understanding and communication to partners’ well-being and relationship quality within the caregiving process. The findings suggest that these intervention approaches improved cognitive function of the care recipients, social relations, and the relationship between the primary caregivers and the care recipients, although evidence of long-term effectiveness is lacking. (Edited publisher abstract)
Changes in adult child caregiver networks
- Authors:
- SZINOVACZ Maximiliane, DAVEY Adam
- Journal article citation:
- Gerontologist, 47(3), June 2007, pp.280-295.
- Publisher:
- Oxford University Press
Caregiving research has typically relied on cross-sectional data that focus on the primary caregiver. This approach neglects the dynamic and systemic character of caregiver networks. This analyses addressed changes in adult child care networks over a 2-year period from a sample in Florida. The study relied on pooled data from Waves 1 through 5 of the Health and Retirement Study. Based on a matrix of specific adult child caregivers across two consecutive time points, the study assessed changes in any adult child caregiver as well as in the primary adult child caregiver. More than half of all adult-child care networks, including more than one fourth of primary adult child caregivers, changed between waves. Gender composition of the caregiver network and availability of other adult child caregivers were particularly important for network change, but socioeconomic context, caregiver abilities and resources, and caregiver burden played a role as well. The results underline the need to shift caregiving research toward a dynamic life course and family systems perspective. They also raise concerns about the viability of informal care networks for future smaller birth cohorts and suggest that health care providers need to recognize and address coordination and potential conflicts among care network members.
Person-centred approaches and older families
- Authors:
- MAGRILL Dalia, SANDERSON Helen, SHORT Alison
- Publisher:
- Mental Health Foundation
- Publication year:
- 2005
- Pagination:
- 48p.
- Place of publication:
- London
This booklet highlights good practice in using person-centred approaches with older families. It is aimed at person-centred planning coordinators and facilitators, but is a useful resource for anyone working with older families. The booklet particularly helps to unpick some of the key issues that might impact on the way that person-centred planning approaches are used with older families.
Access to assets: older people with impaired capacity and financial abuse
- Authors:
- McCAWLEY Anne-Louise, et al
- Journal article citation:
- Journal of Adult Protection, 8(1), May 2006, pp.20-32.
- Publisher:
- Emerald
This article draws upon findings from a secondary analysis of suspected financial abuse cases in files of the Guardianship and Administration Tribunal in Queensland, Australia. The article explores the association between formal and semi-formal asset management arrangements and suspected financial abuse cases. The role of families as formal asset managers is also considered.