Search results for ‘Subject term:"older people"’ Sort:
Results 1 - 2 of 2
Nonpharmacological pain management by ethnically diverse older adults with chronic pain: barriers and facilitators
- Authors:
- PARK Juyoung, at al
- Journal article citation:
- Journal of Gerontological Social Work, 56(6), 2013, pp.487-508.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
As key players in multidisciplinary health care systems, geriatric social workers must understand the dynamics of pain management among older adults with chronic pain. This study identified perceived barriers to, and facilitators for, utilizing nonpharmacological pain management through face-to-face interviews with 44 ethnically diverse community-dwelling older adults. Constant comparative analysis identified barriers not recognized in prior studies: (a) embarrassment/self-consciousness, (b) unavailability of certain treatments, and (c) lack of faith in effectiveness of nonpharmacological treatments. Most frequently reported facilitators were (a) social support, (b) positive attitude, and (c) available resources. Social workers can provide counseling to motivate older adults to exercise to manage chronic pain and refer them to exercise programs tailored for older adults. To resolve the most frequently reported barrier—transportation—social workers can link older adults with transportation services offered by senior centers or other nonprofit agencies.
A preliminary typology of caregivers and effects on service utilization of caregiver counseling
- Authors:
- PEPIN Renee, at al
- Journal article citation:
- Aging and Mental Health, 17(4), 2013, pp.495-507.
- Publisher:
- Taylor and Francis
The two studies reported in this article describe the characteristics of caregivers of older adults and caregiving situations (CG) and how these relate to carer's therapy utilization patterns in a community mental health setting. Study 1 used chart review to explore service utilization patterns and identify preliminary typologies of Caregiver Family Therapy (CFT) clients. Twenty three carer records were included in the study..Study 2 conducted a second chart review to determine whether the categories that emerged in Study 1 applied to a second group of CFT clients. Thirty six CG records were included in the study. In study 1, four distinct categories of carers emerged: High-Distress (high disorganization, high complexity), Resourceful but At-Risk (low disorganization, high complexity), Non-Committal (high disorganization, low complexity), and Model CGs (low disorganization, low complexity). In study study 2, while the ability to classify CGs into category proved to have some inconsistencies, preliminary evidence suggests the ability to predict utilization once CGs were placed into category was good. In Study 2 a fifth category emerged: High Functioning but Static, which suggests CGs were on a continuum ranging from high to low on family organizational style and CG situation complexity. While caregiving situations vary widely among families and across time, this article provides a preliminary typology of CGs that may assist clinicians in tailoring CG interventions to meet the needs of their clients based on information garnered early in therapy, perhaps as early as the intake process. (Edited publisher abstract)