Search results for ‘Subject term:"older people"’ Sort:
Results 11 - 20 of 191
Long-term care for the elderly: Britain and Germany compared
- Authors:
- EVERS Adalbert, HARDING Tessa
- Publisher:
- Anglo-German Foundation for the Study of Industrial Society
- Publication year:
- 1997
- Pagination:
- 28p.,bibliog.
- Place of publication:
- London
Paying for long-term care
- Authors:
- RICHARDS Edward, WILSDON Tim, LYONS Sean
- Publisher:
- Institute for Public Policy Research
- Publication year:
- 1996
- Pagination:
- 162p.,tables,bibliogs.
- Place of publication:
- London
Report looking at future provision of long-term care. Projects future patterns of demand and supply and costs a range of options for funding long-term care. Includes a section on the German system.
Gradual retirement in the OECD countries: macro and micro issues and policies
- Editors:
- DELSEN Lei, REDAY-MULVEY Genevieve
- Publisher:
- Dartmouth
- Publication year:
- 1996
- Pagination:
- 223p.,tables,bibliogs.
- Place of publication:
- Aldershot
Uses comparative analysis of evidence from Sweden, France, Germany, the United Kingdom, the Netherlands, Japan and the USA to look at future directions for policy on the employment of older people. Places this in the context of current trends towards retirement at a variety of ages.
International perspectives on community care for older people
- Editors:
- SCHARF Thomas, WENGER G. Clare
- Publisher:
- Avebury
- Publication year:
- 1995
- Pagination:
- 243p.,tables,bibliogs.
- Place of publication:
- Aldershot
Research study.
The '1992 reform' of public pensions in Germany: main elements and some effects
- Author:
- SCHMAL Winifried
- Journal article citation:
- Journal of European Social Policy, 3(1), 1993, pp.39-51.
- Publisher:
- Sage
This article gives an overview of central aspects (aims and measures) of the German Pension Reform Act of 1989, implemented in 1992. One main element is the redefinition of the pension adjustment procedure aimed at a constant net pension level. It is integrated in a self-regulating mechanism making financing a dependent variable. Other important measures are aimed at increasing the average retirement age and introducing a partial pension into social insurance. The article discusses possible economic effects of these measures as well as consequences of their introduction in East Germany after the German unification, taking into account the quite different situations in the East and West Germany.
Self sufficiency in residence
- Author:
- JERVIS Margaret
- Journal article citation:
- Social Work Today, 3.5.90, 1990, pp.20-21.
- Publisher:
- British Association of Social Workers
Residents at the Lore Agnes House, in Dusseldorf, suffer from mental illness, often in addition to dementia. The home offers a form of family living.
Contrasting European policies for the care of the elderly
- Editors:
- JAMIESON Anne, ILLSLEY Raymond
- Publisher:
- Avebury
- Publication year:
- 1990
- Pagination:
- 199p., tables, bibliogs.
- Place of publication:
- London
Looks at Belgium, Denmark, France, Greece, Germany, Ireland, Italy, the Netherlands, and the UK. Part 1 examines the relationship between formal and informal care, Part 2 deals with care systems and care delivery problems. Includes chapter by Ian Sinclair, Peter Gorbach, Enid Levin and Jenny Williams: 'Community care and residential admissions: results from two empirical studies'.
Patient-centeredness in older adults with multimorbidity: results of an online expert delphi study
- Authors:
- KIVELITZ Laura, et al
- Journal article citation:
- Gerontologist, 61(7), 2021, pp.1008-1018.
- Publisher:
- Oxford University Press
Background and Objectives: Older adults suffering from multimorbidity represent a priority target group for patient-centeredness (PC). We aimed to investigate the transferability of an existing integrated model of PC comprising 15 dimensions on the care of older adults with multimorbidity from an expert perspective. Research Design and Methods: A total of 242 experts were invited to participate in a 2-round online Delphi study. In round 1, they were asked to (a) individually rate relevance and clarity of the dimensions, (b) add missing dimensions, and (c) prioritize the dimensions. In round 2, experts received results of round 1 and were asked to rerate their ratings. Results: Forty-eight experts participated in round 1 and 39 in round 2. Ten dimensions were rated as sufficiently relevant and clear, including one new dimension (“prognosis and life expectancy, burden of treatment”). Four dimensions were rated as relevant but insufficiently clear. One dimension failed to reach our validation threshold on both criteria. The 5 dimensions rated as most important were: “patient as a unique person,” “clinician–patient communication,” “patient involvement in care,” “physical, cognitive, and emotional support,” and “involvement of family and friends.” Discussion and Implications: The experts’ ratings were higher regarding relevance than regarding clarity, which emphasizes the still existing conceptual uncertainty of PC. Our results give further directions regarding the operationalization of PC in older adults with multimorbidity, which is essential for its implementation in routine care. Further refined using focus groups with geriatric patients, our adapted model serves as a basis for a systematic review of assessment instruments. (Edited publisher abstract)
Prominent physical inactivity in acute dementia care: psychopathology seems to be more important than the dose of sedative medication
- Authors:
- FLEINER Tim, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 34(2), 2019, pp.308-314.
- Publisher:
- Wiley
Introduction: To objectively quantify patients' physical activity and analyze the relationships between physical activity levels, psychopathology, and sedative medication in acute hospital dementia care. Materials and Methods: In this cross‐sectional study, the authors assessed the patients' physical activity based on data collection by hybrid motion sensors attached on their lower back. Daily doses of antipsychotics have been converted to olanzapine‐equivalents and daily benzodiazepine medication is reported as diazepam‐equivalents. The authors assessed patients' neuropsychiatric symptoms with the Neuropsychiatric Inventory and the Cohen‐Mansfield Agitation Inventory. Results: The authors analyzed motion sensor data from 64 patients (MMSE M = 18.6). On average, patients were lying for 11.5 hours, sitting/standing sedentary for 10.3 hours, sitting/standing active for 1.0 hours, and walking for 1.2 hours per day. The analysis revealed no correlations between patients' physical activity and antipsychotic or benzodiazepine medication. More severe neuropsychiatric symptoms were associated with a decrease in the patients' physical activity (r = .32, P = .01). In particular, patients with apathy symptoms were less physically active than patients without apathy symptoms. Discussion: The results reveal that most of the patients in acute dementia care had very low levels of physical activity. Their physical inactivity may be due to the severity of their neuropsychiatric symptoms, especially apathy. Antipsychotic and benzodiazepine medication appeared to have less impact on patients' physical activity. Dementia care should pay more attention to prevent physical inactivity in patients. (Edited publisher abstract)
Does a physical activity program in the nursing home impact on depressive symptoms? A generalized linear mixed-model approach
- Authors:
- DIEGELMANN Mona, et al
- Journal article citation:
- Aging and Mental Health, 22(6), 2018, pp.784-793.
- Publisher:
- Taylor and Francis
Objectives: Physical activity (PA) may counteract depressive symptoms in nursing home (NH) residents considering biological, psychological, and person-environment transactional pathways. Empirical results, however, have remained inconsistent. This studyexamined the effect of a whole-ecology PA intervention program on NH residents’ depressive symptoms using generalized linear mixed-models (GLMMs). Method: The study used longitudinal data from residents of two German NHs who were included without any pre-selection regarding physical and mental functioning (n = 163, Mage = 83.1, 53–100 years; 72% female) and assessed on four occasions each three months apart. Residents willing to participate received a 12-week PA training program. Afterwards, the training was implemented in weekly activity schedules by NH staff. We ran GLMMs to account for the highly skewed depressive symptoms outcome measure (12-item Geriatric Depression Scale–Residential) by using gamma distribution. Results: Exercising (n = 78) and non-exercising residents (n = 85) showed a comparable level of depressive symptoms at pretest. For exercising residents, depressive symptoms stabilized between pre-, posttest, and at follow-up, whereas an increase was observed for non-exercising residents. The intervention group's stabilisation in depressive symptoms was maintained at follow-up, but increased further for non-exercising residents. Conclusion: Implementing an innovative PA intervention appears to be a promising approach to prevent the increase of NH residents’ depressive symptoms. At the data-analytical level, GLMMs seem to be a promising tool for intervention research at large, because all longitudinally available data points and non-normality of outcome data can be considered. (Edited publisher abstract)