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Physiotherapists' attitudes towards old and young patients in persistent vegetative state (PVS)
- Authors:
- INBAR Noit, DORON Israel, OHRY Avi
- Journal article citation:
- Quality in Ageing and Older Adults, 13(2), 2012, pp.111-124.
- Publisher:
- Emerald
Previous papers have addressed the ethical dilemmas raised by ageism in healthcare. This study aimed to reveal whether ageism exists in a context where age is of minor importance. Specifically, the study aimed to uncover attitudes of physical therapists towards treating patients in the vegetative state. The attitudes of the physical therapists were explored from 2 aspects: whether they are influenced by ageist perceptions; and whether they consider physiotherapy to be effective or futile. The study used a quantitative 6-point Likert scale questionnaire which presented 2 vegetative state cases (2 men aged 81 and 32 years) followed practical-ethical questions concerning key issues including: treatment choices; quality of life; prolongation of life; and futile treatment. The questionnaire was completed by 101 physical therapists working in general hospitals, rehabilitation centres and long-term care facilities. The results revealed a complex reality: on the one hand PTs expressed a positive perception of their profession, and consider all treatment components important for vegetative state patients and their families regardless of age; on the other hand, significant preference for treating the younger vegetative state patient were found.
Migrant workers in eldercare in Israel: social and legal aspects
- Authors:
- IECOVICH Esther, DORON Israel
- Journal article citation:
- European Journal of Social Work, 15(1), 2012, pp.29-44.
- Publisher:
- Taylor and Francis
In Israel, since the early 1990s, a growing proportion of the frail older population has employed migrant live-in homecare workers to provide around the clock care. Migrant workers in elder care are becoming a significant factor in enabling frail elderly people to age in place and avoid or delay institutionalisation. On the other hand, migrant caregivers pose serious challenges to existing social and legal institutions in the societies in which they operate. They demand policy responses that in many cases have socio-economic consequences that go beyond the older population they serve. The aim of this article is to describe and analyse the Israeli experience with migrant homecare workers for older persons. It discusses a number of key problems and dilemmas that are involved with employing migrant homecare workers. These problems include: the legal status of the migrant workers; abuse and exploitation both of and by the migrant worker; the rights of migrant workers; and working hours in home-based care. The article concludes by suggesting a number of key roles that should be played by social workers in this context.