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Willingness to use formal long-term care services by Korean elders and their primary caregivers
- Authors:
- KIM Hyungsoo, CHOI Won-Young
- Journal article citation:
- Journal of Aging and Social Policy, 20(4), 2008, pp.474-492.
- Publisher:
- Routledge
- Place of publication:
- Philadelphia, USA
Logistic regression models were estimated using 2001 national survey data on 1,168 Korean adults aged 65 or older, and their primary caregivers. More than 70% of the older people were female, mostly with very low levels of formal education, and the majority lived with adult children or spouses. The attitudes of both older people and primary caregivers towards care responsibility were the dominant predictor of willingness to use formal long term care services. These attitudes need to be taken into account as policy makers attempt to normalise the use of formal care (home-based or institutional) and reduce the burden on informal carers. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Rethinking needs assessment in planning services for older adults
- Authors:
- CHERNESKY Roslyn H., GUTHEIL Irene A.
- Journal article citation:
- Journal of Gerontological Social Work, 51(1/2), 2008, pp.109-125.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
A comprehensive needs assessment of older adults carried out in 2004 in Bermuda is described. Informal discussions and a preliminary synthesis of existing data were designed to scope the issue and gauge support for the needs assessment before the exercise was designed. This encompassed home-based interviews with 304 randomly selected adults aged 65 to 97; six focus groups conducted with a total of 53 family carers; and a questionnaire survey of all identifiable service providers. The findings are reported, together with the questions they raised, and it is argued that even when needs assessment is carefully planned, it cannot always provide the desired information. A revision of some key assumptions about what needs assessment can do is offered. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Eldercare and employed caregivers: a public/private responsibility?
- Authors:
- KOERIN Beverly B., HARRIGAN Marcia P., SECRET Mary
- Journal article citation:
- Journal of Gerontological Social Work, 51(1/2), 2008, pp.143-161.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Some 20% of the US population is estimated to provide care to a family member over the age of 18, the majority to older people. Most work full or part time, nearly two-thirds have to make work-related adjustments in order to provide care, and there has been relatively little support from legislation and public policy until recently. This paper examines the problems facing employed carers of older family members; identifies current private and public policies on carer needs, presents a process model for creating family-friendly workplaces, and identifies social work roles that support family caring. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Predicting longitudinal patterns of psychological distress in older husband caregivers: further analysis of existing data
- Authors:
- LEVESQUE Louise, et al
- Journal article citation:
- Aging and Mental Health, 12(3), May 2008, pp.333-342.
- Publisher:
- Taylor and Francis
Further analysis of existing data from a previous longitudinal Canadian study of older husband caregivers sought to determine whether primary objective and subjective stressors drawn from Pearlin's model of caregiving could predict three patterns of psychological distress observed in the sample over 1 year: (a) stable high (n = 115), (b) stable low (n = 44), and (c) rising (n = 46). Results of discriminant function analyses show that subjective stressors (level of role overload, role captivity and relational deprivation) at baseline, distinguish the stable low group of husbands from the stable-high. The results suggest that there is considerable stability over time. Many husband caregivers report high-psychological distress and need help, whereas there is a need of preventive interventions to keep psychological distress low. Implications for singular interventions.
Older people – recipients but also providers of informal care: an analysis among community samples in the Republic of Ireland and Northern Ireland
- Authors:
- MCGEE Hannah M., et al
- Journal article citation:
- Health and Social Care in the Community, 16(5), September 2008, pp.548-553.
- Publisher:
- Wiley
Data on both the provision and receipt of informal care among populations of older adults are limited. Patterns of both informal care provided and received by older adults in the Republic of Ireland (RoI) and Northern Ireland (NI) were evaluated. A cross-sectional community-based population survey was conducted. Randomly selected older people (aged 65+, n = 2033, mean age (standard deviation): 74.1 years (6.8), 43% men, 68% response rate) provided information on the provision and receipt of care, its location, and the person(s) who provided the care. Twelve per cent of the sample (251/2033) identified themselves as informal caregivers (8% RoI and 17% NI). Caregivers were more likely to be women, married, have less education and have less functional impairment. Forty-nine per cent reported receiving some form of care in the past year. Care recipients were more likely to be older, married, have more functional impairment, and poorer self-rated health. Receiving regular informal care (help at least once a week) from a non-resident relative was the most common form of help received. Five per cent (n = 102/2033) of the sample reported both providing and receiving informal care. Levels of informal care provided by community-dwelling older adults were notably higher than reported in single-item national census questions. The balance of formal and informal health and social care will become increasingly important as populations age. It is essential, therefore, to evaluate factors facilitating or impeding informal care delivery.
Confidence in caring: a framework for best practice
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2008
- Pagination:
- 37p.
- Place of publication:
- London
In a rapidly changing world it is vital that nursing continues to command the confidence and trust of patients. For the growing numbers of older people admitted to our busy hospital wards this is determined by the whole care experience; yet we constantly hear of deficiencies in caring. Confidence in caring developed in response to this. It emerged from a national project with patients, relatives and staff in several hospitals across the country; it aimed to help nurses meet the many challenges of caring today and put the values and ideals on which nursing is founded, into practice. Confidence in caring offers a shared language and shared understanding of what caring means for older people and describes what caring looks like so that it can be observed, improved and rewarded.
Report into older people and domiciliary care: together with minutes of proceedings of the committee relating to the report and the minutes of evidence
- Author:
- NORTHERN IRELAND. Northern Ireland Assembly. Public Accounts Committee
- Publisher:
- Northern Ireland. Northern Ireland Assembly. Public Accounts Committee
- Publication year:
- 2008
- Place of publication:
- Belfast
Many workers are deserting their posts because of poor morale, a report from the Public Accounts Committee said. It examined how the Department of Health is trying to transform its system from mainly residential care to supported care at home. It said steps must be taken to raise the esteem of the caring profession. The report added: "The committee advised that failure to address this issue could lead to a shortfall in the standard and supply of domiciliary care services for older people." The recommendations come in a paper entitled "Report into Older People and Domiciliary Care at home". Some workers are paid close to the minimum wage of £5.52 per hour and private companies which provide the care have accused health authorities of failing to set aside enough money, said the committee. In the voluntary sector, the lack of guaranteed hours, the low hourly rates payable and the often poor conditions of employment can affect the morale of staff and hinder recruitment and retention of staff.
Being old is different: person-centred care for old people
- Author:
- PORTNER Marlis
- Publisher:
- PCCS Books
- Publication year:
- 2008
- Pagination:
- 96p., bibliog.
- Place of publication:
- Ross-on-Wye
This publication is not about specific nursing or therapy methods but about fundamental principles, which are vital in many areas of care. The term ‘carer’, therefore, is used here for all those who, professionally or voluntarily, work with older people, and the term ‘care’ embraces nursing as well as family, therapeutic and supportive activities. Being Old is Different describes some basic person-centred principles and their implementation in everyday care for the elderly. Marlis Pörtner, who describes herself as an old person, aims to demonstrate why the person-centred approach is particularly useful in this field; how it can be transferred into practice; how it helps to improve the life quality of older people and, at the same time, make work more satisfying for carers.
Caregivers of older clients with severe mental illness: perceptions of burdens and rewards
- Authors:
- CUMMINGS Sherry M., MacNEIL Gordon
- Journal article citation:
- Families in Society, 89(1), January 2008, pp.51-60.
- Publisher:
- The Alliance for Children and Families
Approximately 1 million older persons have a severe mental illness (SMI) and this number is expected to double in the coming decades. While research studies have examined the experiences of family members of younger persons with SMI, very little is known about caregivers of older SMI clients. This study examined the characteristics, burdens, and rewards of 60 caregivers of older SMI clients in the US using a modified version of family caregiver scales of Tessler, Fisher, & Gamache (1992). Hierarchical linear regression analyses indicated that increased client symptoms, higher levels of help provided, increased caregiver income, and knowledge about the care recipient’s diagnosis were predicative of caregiver burden. Decreased number of client symptoms, care recipient being female, and greater experience of the presence of God predicted caregiver rewards. Implications of these findings are discussed.
Managing money in later life: help from relatives and friends
- Authors:
- ARKSEY Hilary, et al
- Journal article citation:
- Benefits, 16(1), February 2008, pp.47-59.
- Publisher:
- Policy Press
Growing numbers of older people need help with financial matters, and relatives and friends are likely to be the first involved. At the same time, older people's financial resources are increasingly complex. In some families, differences in expectations or conflicts of interest among different members may bring further complications. A scoping study found a lack of systematic information on the role of carers in helping older people manage money and assets. Other findings from the scoping study indicate both the growing importance and the complexity of asset management in later life; the information needs of older people and their relatives and friends; and the need for further research into these issues to inform the development of policy and practice.