Search results for ‘Subject term:"older people"’ Sort:
Results 1 - 3 of 3
Aggression exhibited by older dementia clients toward staff in Japanese long-term care
- Authors:
- KO Ayako, et al
- Journal article citation:
- Journal of Elder Abuse and Neglect, 24(1), January 2012, pp.1-16.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Aggression as a symptom of dementia is often directed at the caregivers of dementia clients. This study investigated the experiences of staff members from seven Japanese hospitals who had been treated aggressively by older dementia clients. Altogether, 170 questionnaires were analysed. Findings revealed that, over the course of one year, 75% of staff members had experienced physical aggression and 64% verbal aggression. Working numerous night shifts, working shifts other than 3-shifts, and being allotted assignments with clients who had a lower average level of physical capacity were the factors associated with recurrent client aggression. Those staff members who spent adequate time caring for their clients, who gained client consent before providing care, and who tried to build a trusting relationship with their clients were found to have experienced less aggression. Stress, which was likely to enhance the risk of the staff mistreatment and neglect of older clients, was found to be higher among those who experienced aggression. Implications for practice are discussed.
Governing home care: a cross-national comparison
- Authors:
- BURAU Viola, THEOBALD Hildegard, BLANK Robert H.
- Publisher:
- Edward Elgar
- Publication year:
- 2007
- Pagination:
- 224p., bibliog.
- Place of publication:
- Cheltenham
This book offers a comprehensive analysis of the principle issues surrounding the governance of home care. In this context home care is taken to mean any care and support offered to older people in their homes. The analysis maps out governing arrangements in relation to formal and informal care services, informal care, care workers and users of care across nine countries: Estonia; New Zealand; Italy; the United Kingdom; Sweden; Japan; Germany; the Netherlands; the United States. The authors explore the ways in which country specific contexts shape governing arrangements and bring together insights form social care and public policy literature.
Disparities in systems development for elder abuse prevention among municipalities in Japan: implications for strategies to help municipalities develop community systems
- Authors:
- NAKANISHI Miharu, NAKACHIMA Taeko, HONDA Tatsuo
- Journal article citation:
- Social Science and Medicine, 71(2), July 2010, pp.400-404.
- Publisher:
- Elsevier
In 2006, a national elder abuse prevention and caregiver support law was passed in Japan, with prevention of elder abuse a municipal (cities, ‘special wards’ legally equivalent to cities, towns and villages) responsibility with a public, long-term care insurance program funding care support and intervention costs. This study examines factors at baseline affecting disparities in the progress of systems development for elder abuse prevention among municipalities and what type of help and support municipalities are requesting from ‘prefectural’ or national government. For two weeks in December 2006 (T1), 1840 municipalities asked ‘the most knowledgable person in the department responsible for reporting elder abuse’ to complete a written questionnaire. In 2 weeks of October 2008 (T2), questionnaires were completed again and this paper reports data from 489 (26.6%) municipalities (average 25, 859.4 residents 65+ years) who responded at T1 and T2. Those municipalities with high levels of implementation originally showed higher rates of reports of abuse per 1000 older people and greater involvement of police and advocacy groups at baseline. Cities, being the largest had the highest number of activities at T2. ‘Prefectural’/national government should vary their support according to municipality type, encourage sharing of experts by municipalities limited by resources, aggregate information for difficult cases in larger municipalities, and promote symptom recognition training, say these authors.