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Measuring social-work activities with older people
- Authors:
- DELLI-COLLII Nathalie, et al
- Journal article citation:
- Practice: Social Work in Action, 25(5), 2013, pp.281-296.
- Publisher:
- Taylor and Francis
The aim of this pilot study was to obtain accurate and valid data on how much time social workers spend on their different activities in the home-care programme. Data collection required two steps. Beginning with a list of social-work activities was developed and validated. The final list consisted of 75 activities in four main categories: direct activities, indirect activities, non-clinical activities and personal time. The list was programmed in TEDDI (French acronym for clinician time and motion) a software running on a handheld computer to carry out continuous-time-and-motion through self-reporting. Secondly, eight social workers used TEDDI for 12 days: 2632 activities and 94 working days were analysed. Analysis revealed that 68% of the total time was allocated to direct (19%) and indirect activities (49%), 16% to non-clinical activities and 16% to personal time. The social workers spent 14.3% of their time with the older person and 4.5% with the older person’ families; 14.2% of social worker time was allocated to record keeping, which was the most time-consuming activity. This study documented the nature of tasks carried out as well as the time used to perform them. (Publisher abstract)
Nutritional status of community-dwelling older people with dementia: associations with individual and family caregivers' characteristics
- Authors:
- RULLIER Laetitia, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 28(6), 2013, pp.580-588.
- Publisher:
- Wiley
The object of this study was to explore the associations of individual characteristics of both older people with dementia and family caregivers with the nutritional status of older people with dementia. The cross-sectional study comprising community-dwelling older persons with dementia and 56 family caregivers was conducted at home by a psychogerontologist working for a community gerontological center. Older people with dementia were assessed with Mini mental state examination, Instrumental Activities of Daily Living, Activities of Daily Living (ADL), and NeuroPsychiatric Inventory (NPI) and family caregivers with the Burden Interview (Zarit scale), the State-Trait Anxiety Inventory, the Center for Epidemiologic Studies Depression Scale, and the emotional impact measure of NPI. For both, nutritional status was evaluated using the Mini Nutritional Assessment (MNA). Among older people with dementia, 58.9% were at risk of malnutrition and 23.2% presented a poor nutritional status, and among the family caregivers, 32.1% and 5.4%, respectively. The MNA score of older people with dementia was strongly and inversely associated with the ADL score and was strongly and positively associated with the MNA score of family caregiver. These two factors significantly explained 32% of variation of MNA score of older people with dementia. These findings confirm the value of investigating nutritional deficiencies in dementia within the caregiving dyad and suggest that the functional status of older people with dementia and the nutritional status of family caregivers should be carefully assessed. (Publisher abstract)