Search results for ‘Subject term:"older people"’ Sort:
Results 1 - 10 of 413
Managing medication: older people and their families need support to deal with the hidden burden of medication
- Author:
- NATIONAL INSTITUTE FOR HEALTH RESEARCH
- Publisher:
- National Institute for Health Research
- Publication year:
- 2020
- Place of publication:
- London
Being prescribed many medicines places a huge, often hidden, burden on older people in the community and on their families or carers. This affects whether older people take medicines incorrectly or not at all, which puts them at risk of harm and wastes medicine. The MEMORABLE (Medication Management in Older people: Realist Approaches Based on Literature and Evaluation) study aimed to understand the difficulties patients have in managing medication. To consider various points of view, researchers interviewed health and social care professionals, older people and family carers. They also reviewed scientific papers on the subject. One of the key findings was that medication management places a large burden on older people and family carers and that this burden is often hidden. The study recommends that doctors, pharmacists and nurses consider burden when prescribing or changing medicines. The researchers identified key areas of difficulty that could be tackled with simple interventions. One, a short questionnaire or aid, would help identify older people who are struggling. A second, a patient-led, personalised record, could help inform shared decision-making about medicines. The researchers identified five burdens that occur at medicine review and suggested ways of tackling these burdens: ambiguities – could be partly dealt with by clarifying the purpose and content of medicine reviews; concealment issues – increasing the personalised information given to older people and carers could increase their feelings of being in control and coping; unfamiliarity – addressed by seeing the same practitioner, establishing continuity and developing trust; fragmentation – could be reduced by improving collaboration between and across health and social care services; exclusion – could be reduced by taking the opinions of older people and informal carers into account via shared decision-making. (Edited publisher abstract)
Perceived overload as a predictor of physical strain among spousal and adult child caregivers of frail elders in the community
- Author:
- KANG Suk-Young
- Journal article citation:
- Journal of Human Behavior in the Social Environment, 26(7-8), 2016, pp.636-647.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Family caregivers of frail elders can experience physical strain associated with caregiving. Identifying correlates of caregiver strain can provide an important impetus for tackling the causes and providing effective interventions. Utilizing data from the 1999 National Long-Term Care Survey, the current study examined correlates of caregiver physical strain among 956 family caregivers, using the stress process model. As multiple regression analyses indicated, the caregiver’s perceived overload predicted greater strain for both spousal and adult child caregivers. For both groups, common correlates of physical strain were caregiving demands, the caregiver’s perceived overload, and limitations placed on the caregiver’s life. The results demonstrate that the family relationship of the caregiver (spouse or adult child) leads to variations and dynamics in caregiver strains, due to qualitatively different relationships. (Publisher abstract)
Changes in adult child caregiver networks
- Authors:
- SZINOVACZ Maximiliane, DAVEY Adam
- Journal article citation:
- Gerontologist, 47(3), June 2007, pp.280-295.
- Publisher:
- Oxford University Press
Caregiving research has typically relied on cross-sectional data that focus on the primary caregiver. This approach neglects the dynamic and systemic character of caregiver networks. This analyses addressed changes in adult child care networks over a 2-year period from a sample in Florida. The study relied on pooled data from Waves 1 through 5 of the Health and Retirement Study. Based on a matrix of specific adult child caregivers across two consecutive time points, the study assessed changes in any adult child caregiver as well as in the primary adult child caregiver. More than half of all adult-child care networks, including more than one fourth of primary adult child caregivers, changed between waves. Gender composition of the caregiver network and availability of other adult child caregivers were particularly important for network change, but socioeconomic context, caregiver abilities and resources, and caregiver burden played a role as well. The results underline the need to shift caregiving research toward a dynamic life course and family systems perspective. They also raise concerns about the viability of informal care networks for future smaller birth cohorts and suggest that health care providers need to recognize and address coordination and potential conflicts among care network members.
Person-centred approaches and older families
- Authors:
- MAGRILL Dalia, SANDERSON Helen, SHORT Alison
- Publisher:
- Mental Health Foundation
- Publication year:
- 2005
- Pagination:
- 48p.
- Place of publication:
- London
This booklet highlights good practice in using person-centred approaches with older families. It is aimed at person-centred planning coordinators and facilitators, but is a useful resource for anyone working with older families. The booklet particularly helps to unpick some of the key issues that might impact on the way that person-centred planning approaches are used with older families.
Access to assets: older people with impaired capacity and financial abuse
- Authors:
- McCAWLEY Anne-Louise, et al
- Journal article citation:
- Journal of Adult Protection, 8(1), May 2006, pp.20-32.
- Publisher:
- Emerald
This article draws upon findings from a secondary analysis of suspected financial abuse cases in files of the Guardianship and Administration Tribunal in Queensland, Australia. The article explores the association between formal and semi-formal asset management arrangements and suspected financial abuse cases. The role of families as formal asset managers is also considered.
Supporting older families: making a real difference
- Author:
- MAGRILL Dalia
- Publisher:
- Mental Health Foundation
- Publication year:
- 2005
- Pagination:
- 107p.
- Place of publication:
- London
Older families are a priority group for support, but it is important that their needs are linked in to the mainstream agendas of services for people with learning disabilities, older people and carers generally. It is important that we make sure that older families have their needs met now, and are supported to remain together for as long as they wish whilst planning for the future with confidence. However, it is equally important that we get things right for older families now so that others who are growing older do not face the same anxieties, uncertainty and fears that so many older family carers have lived with for decades.
Living arrangements, family solidarity and life satisfaction of two generations of immigrants in Israel
- Authors:
- LOWENSTEIN Ariela, KATZ Ruth
- Journal article citation:
- Ageing and Society, 25(5), September 2005, pp.749-767.
- Publisher:
- Cambridge University Press
This paper reports a study of the relationships between shared and separate living arrangements and the life satisfaction of two generations of migrants from the former Soviet Union to Israel, adult children (the younger generation) and their elderly parents. An attempt was made to identify the social, familial and personal factors that affect life satisfaction, and special attention was devoted to inter-generational family solidarity and to informal and formal social support. Data were collected from a stratified random sample of 425 respondents - 248 in the older generation and 177 in the younger. The results show that for both generations, contrary to expectations, life satisfaction was higher when the two generations lived in separate rather than shared households. Affectual solidarity was positively associated with life satisfaction for both generations, but functional solidarity for the older generation only. Among the older generation, the subjective evaluation of health contributed most to the explained variance; while among the younger, standard of living and employment contributed most. For both generations, family solidarity and social support had little impact. The findings are discussed in relation to the structural and economic factors that influence co-residence and which differentially affect the two generations.
The influence of the family on the future housing preferences of seniors in Canada
- Authors:
- WEEKS Lori E., BRANTON Olive, NILSSON Thomy
- Journal article citation:
- Housing Care and Support, 8(2), June 2005, pp.29-34.
- Publisher:
- Emerald
This article addresses how family factors influence the future housing preferences of seniors. A total of 100 adults ranging in age from 65 to 98 participated in face-to-face interviews. The vast majority had no plans to move, and most wanted to remain living in close proximity to family. The results showed several linkages between family support currently provided and the future housing preferences of seniors.
Social support in later life: a study of three areas
- Authors:
- PHILLIPS Judith, et al
- Journal article citation:
- British Journal of Social Work, 30(6), December 2000, pp.837-853.
- Publisher:
- Oxford University Press
The research reported in this article examines elderly people's family and community networks in three urban areas of England: Bethnal Green, Wolverhampton and Woodford. These were the locations for a number of major studies in the 1940s and 1950s. Four decades on from the original studies, a social network approach was used to explore changes in the social relationships in these three areas. The research sought to assess whom older people identified as 'important' in their lives, and the role such people played in the provision and receipt of support.
Enforcing family care obligations for the elderly in China through mediation
- Authors:
- LEUNG Joe C.B., LAM Debbie O.B.
- Journal article citation:
- Asia Pacific Journal of Social Work, 10(1), March 2000, pp.77-89.
- Publisher:
- Times Academic
Demographic and social changes are challenging the capacity and willingness of the Chinese traditional virtue of adult children providing financial and social support for their aged parents. Because of the underdevelopment of formal social services in China, the Chinese Government has to rely on legislation and neighbourhood-based mediation service to enforce family care obligations. Describes the operation of the service and assesses its effectiveness in practice.