Search results for ‘Subject term:"older people"’ Sort:
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A family approach to delirium: a review of the literature
- Author:
- HALLOWAY Shannon
- Journal article citation:
- Aging and Mental Health, 18(2), 2014, pp.129-139.
- Publisher:
- Taylor and Francis
This literature review had the following objectives: (1) evaluate the current state of research into delirium management (prevention, identification, or treatment of delirium) with family approaches or involvement, (2) identify gaps and areas that require investigation, and (3) determine a future course of research. A comprehensive search of original research was conducted in six major databases using seven keywords in 2012. The literature search yielded a total of 2160 articles. Criteria for eligibility were met by a total of 11 articles. The articles were evaluated in regards to purpose, sample, research design, level of evidence, variables, and results. The literature review revealed that this topic is emergent and requires substantial additional research. The aspects of delirium care that researchers investigated were diverse and included bedside interventions (n = 3), screening strategies (n = 4), family education (n = 2), and care that employed multiple components (n = 2). Delirium outcomes improved significantly in two high-quality studies: one multi-component intervention and one bedside intervention program. Other noteworthy findings of lower quality studies warrant further examination. The review of the articles did not determine if the involvement of families in delirium management improves patient outcomes; however, the review revealed potential for program development and future courses of research.
Development of a new multidimensional individual and interpersonal resilience measure for older adults
- Authors:
- MARTIN A'verria Sirkin, et al
- Journal article citation:
- Aging and Mental Health, 19(1), 2014, pp.32-45.
- Publisher:
- Taylor and Francis
Objectives: To develop an empirically grounded measure that can be used to assess family and individual resilience in a population of older adults (aged 50–99). Methods: Cross-sectional, self-report data from 1006 older adults were analysed in two steps. The total sample was split into two subsamples and the first step identified the underlying latent structure through principal component exploratory factor analysis (EFA). The second step utilised the second half of the sample to validate the derived latent structure through confirmatory factor analysis (CFA). Results: EFA produced an eight-factor structure that appeared clinically relevant for measuring the multidimensional nature of resilience. Factors included self-efficacy, access to social support network, optimism, perceived economic and social resources, spirituality and religiosity, relational accord, emotional expression and communication, and emotional regulation. CFA confirmed the eight-factor structure previously achieved with covariance between each of the factors. Based on these analyses the multidimensional individual and interpersonal resilience measure was developed, a broad assessment of resilience for older adults. Conclusion: This study highlights the multidimensional nature of resilience and introduces an individual and interpersonal resilience measure developed for older adults which is grounded in the individual and family resilience literature. (Edited publisher abstract)
Family caregivers of the elderly: quality of life and coping in Estonia
- Authors:
- TAMMSAAR Krista, et al
- Journal article citation:
- European Journal of Social Work, 17(4), 2014, pp.539-555.
- Publisher:
- Taylor and Francis
This study analyses the assessments of elderly people aged 65 and family caregiving as a factor influencing their quality of life and coping. The study is based on the project SUFACARE, ‘Supporting family carers and care receivers in Estonia and in Finland', in the framework of which the Institute of Social Work of Tallinn University carried out postal surveys in 2010. The Estonian survey was conducted in Tallinn and Lääne-Viru County. The total number of respondents was 581 (70% female and 30% male), of whom 98 (n=74 female and n=24 male) were family caregivers. Caregiving has not influenced the physical and mental health of caregivers, the reason being that many people who receive care are not of very ill health or suffer from dementia. People mostly take care of their spouses. Based on the Estonian Family Law Act, adult descendants are required to provide maintenance if their relatives are not able to care for themselves. Caregivers whose health is below average consider caring to be physically demanding. Women report caregiving to be physically strenuous more often than men. The mental health of male caregivers is better and fewer male respondents claimed to feel unhappy or depressed compared to female respondents. (Edited publisher abstract)
Loneliness and social support of older people in China: a systematic literature review
- Authors:
- CHEN Yu, HICKS Allan, WHILE Alison E.
- Journal article citation:
- Health and Social Care in the Community, 22(2), 2014, pp.113-123.
- Publisher:
- Wiley
This systematic review aims to identify the prevalence of loneliness and its related factors and sources of social support of older people in China. Electronic literature searches were conducted in September 2011 using Web of Science, PsycINFO, MEDLINE, PubMed, CINAHL, China Academic Journal and VIP Database for Chinese Technical Periodicals. Twenty-six papers were identified and reviewed. The prevalence of loneliness varied across the studies, reflecting the different measurements and samples. Marital status, gender, age, educational level, economic level, living arrangements, health status and social support were significant factors related to loneliness. The family was the most important source of social support followed by friends. The receipt of family support improved subjective well-being and mental health, but the effects of support from friends were inconsistent. Chinese older people received relatively little support from neighbours, governmental or other social organisations. Further well-designed studies are needed to identify additional factors related to loneliness and to understand the support from friends, neighbours, formal organisations and other sources. (Edited publisher abstract)
Changing family structures and their impact on the care of older people
- Author:
- CENTRE FOR POLICY ON AGEING
- Publisher:
- Centre for Policy on Ageing
- Publication year:
- 2014
- Pagination:
- 63
- Place of publication:
- London
This brief review of the literature looks at how changing family structures will influence the supply and demand for formal and informal care by older people. Key findings include: most informal care for older people is provided by partners and adult children and changes in family structure may have an effect on the availability of care; the change factors often work against each other or appear to be having less effect than might be thought - while reduced family size reduces the number of children available to be carers, increasing male longevity, getting closer to that for women, increases the availability of spouses as carers; increased divorce rates, particularly among the over 60s, may help to increase the number of older people living alone and weaken relationships between parents and children, but a 2008 study found that, overall, partnership dissolution did not show the expected detrimental relationship with later life support. (Edited publisher abstract)
Care Quality Commission: sandwich generation survey summary report
- Author:
- MUMSNET
- Publishers:
- Mumsnet, Care Quality Commission
- Publication year:
- 2014
- Pagination:
- 24
- Place of publication:
- London
Summarises the findings from a survey of people who use the Mumsnet and Gransnet websites. Carers UK has estimated that 2.4 million carers are part of the 'sandwich generation' – those with dual care responsibilities as they juggle care for older relatives and young children. 84 per cent of those who took part in the survey describe choosing care for a parent or other older relative as 'very stressful' or 'quite stressful', ranking it higher than many of life's most stressful events, including divorce, separation, choosing a school, getting married or buying a house. The survey covers: preference of resources that may be useful when choosing care support; residents’ preferences in care homes; communication with care homes; and confidence in care support. (Edited publisher abstract)
The dance of communication: retaining family membership despite severe non-speech dementia
- Authors:
- WALMSLEY Bruce D., McCORMACK Lynne
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 13(5), 2014, pp.626-641.
- Publisher:
- Sage
There is minimal research investigating non-speech communication as a result of living with severe dementia. This phenomenological study explores retained awareness expressed through non-speech patterns of communication in a family member living with severe dementia. Further, it describes reciprocal efforts used by all family members to engage in alternative patterns of communication. Family interactions were filmed to observe speech and non-speech relational communication. Participants were four family groups each with a family member living with non-speech communication as a result of severe dementia. Overall there were 16 participants. Data were analysed using thematic analysis. One superordinate theme, Dance of Communication, describes the interactive patterns that were observed during family communication. Two subordinate themes emerged: (a) in-step; characterised by communication that indicated harmony, spontaneity and reciprocity, and; (b) out-of-step; characterised by communication that indicated disharmony, syncopation, and vulnerability. This study highlights that retained awareness can exist at levels previously unrecognised in those living with limited or absent speech as a result of severe dementia. A recommendation for the development of a communication programme for caregivers of individuals living with dementia is presented. (Edited publisher abstract)
Dementia and the family: activities and guidance for families and carers
- Author:
- JOHNSTONE Rachel
- Publisher:
- Southgate Publishers
- Publication year:
- 2014
- Pagination:
- 96
- Place of publication:
- Crediton
This book is about helping families to live well with dementia, and to care for, and about, a loved one with dementia. It contains more than 160 intergenerational activities designed to spark memories, stimulate engagement, and encourage interaction, focusing on loved one’s capabilities and interests. Activities are organised by themes, including: reminiscence trips and activities, games, arts, crafts and music, relaxation exercise and outside home, food and shopping. This resource can be used in care homes and memory cafes and by people working in day services and voluntary organisations. It include sections on: how to talk to children about dementia, how memory works, creating a dementia-friendly home, communicating with loved one, why stimulation and activities are so important to a person with dementia, and how to design inter-generational, dementia-friendly activities. (Edited publisher abstract)
Older adult and family member perspectives of the decision-making process involved in moving to assisted living
- Authors:
- KOENIG Terry L., et al
- Journal article citation:
- Qualitative Social Work, 13(3), 2014, pp.335-350.
- Publisher:
- Sage
The decision to move into assisted living (AL) can be viewed as a life-changing process for older adults and their families; and each may possess differing views of this process. This qualitative study examined the AL decision-making process as described by twenty-two older adult and family member dyads. Participants described emotional and logistical components related to the AL moving decision. Further, fifteen of twenty-two dyads expressed conflicting or differing views of the AL moving decision. Our discussion examines the need for future studies to explore the impact of family and older adult disagreements on the older adult’s AL adjustment; the necessity for community-based agencies and AL settings to provide social services over the duration of the decision-making process; and the importance of employing social workers skilled in family practice in the AL setting. (Publisher abstract)
The experience of family care-givers and migrant paid care-givers' relief of burden: a contrasted qualitative analysis
- Authors:
- DE LA CUESTA-BENJUMEA Carmen, ROE Brenda
- Journal article citation:
- Ageing and Society, 34(7), 2014, pp.1219-1242.
- Publisher:
- Cambridge University Press
Older people are increasingly being cared for in the community across Europe. Dependent care in Spain largely remains a private issue involving family carers and migrant women from developing countries. Qualitative research on respite care has contributed to our understanding of respite as a subjective experience. Nonetheless, how care-givers relieve the burden of care is still not fully understood. Migrant care-givers are present in family life but their need for rest remains unseen. The aim of the study presented in this paper was to contrast family care-givers and migrant care-givers' strategies for relief from their caring role. Care-givers rest by thinking, doing and being but in a different manner from that of care-giving, that is: when they are a different person. To leave the life of care-giving is the general strategy that family care-givers use to rest from their care-giving selves while turning to one's own world describes the way migrant care-givers seek to relieve the burden of care. The comparative analysis shows that both strategies have in common the necessity to disconnect from the care-giving identity and that both migrant and family care-givers employ strategies that are false exits to a care-giving identity: they apparently relieve the burden of care. Respite goes beyond places, times and activities; as family care itself, it requires identity. (Publisher abstract)