Search results for ‘Subject term:"vulnerable adults"’ Sort:
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Conceptualising trust in aged care
- Author:
- GILBERT Andrew Simon
- Journal article citation:
- Ageing and Society, 41(10), 2021, pp.2356-2374.
- Publisher:
- Cambridge University Press
This article calls for a sociological understanding of the importance of trust to aged care. It connects existing theories of trust to empirical evidence from gerontology and nursing research. Trust is defined as a response to and management of social vulnerability. It is argued this makes trust a fundamental concept for understanding human service and social care institutions, including aged care. In light of Australia's Royal Commission into Aged Care Quality and Safety, as well as generational shifts in consumer expectations and care ethics, the article highlights four distinct yet interrelated forms of trust: interpersonal, institutional, organisational and public trust. All of these forms are shown to be critical in conceptualising and evaluating the perceived trust deficit facing contemporary aged-care systems, and existing evidence shows how these forms of trust can reinforce, conflict and misalign with each other. Efforts to rebuild trust in aged care at an organisational and institutional level should ensure mechanisms facilitate rather than hinder the formation of interpersonal trust relations between individual service users, their families and aged care staff. Broader social policy reforms must also consider and address the way cultural understandings of ageing, and media representations of aged care, have diminished the public's trust in the sector, and how the cycle of scandals, reviews and piecemeal reforms contributes to this. (Edited publisher abstract)
Stroke survivor: a personal guide to coping and recovery
- Author:
- McCANN Andy
- Publisher:
- Jessica Kingsley
- Publication year:
- 2006
- Pagination:
- 254p.
- Place of publication:
- London
At the age of 37 Andy McCann was physically fit, strong and in good health. Then, mid-way through instructing his weekly martial arts class, he experienced a stroke and was rushed to hospital. Until then, the word 'stroke' had meant little to Andy, and in this book he recounts the many difficulties in learning to live with his new situation. The book is not just a personal story, but also offers information for anyone who wants to know more about strokes. He explores a broad range of issues experienced by stroke survivors, from the very practical considerations of managing financial security and understanding medical approaches and terminology to the more personal challenges of coming to terms with a new sense of vulnerability and dealing with the attitudes of friends and family. The common thread throughout is Andy's insistence that he will not be a 'stroke victim' but a 'stroke survivor', determined to live with his new set of circumstances in a positive way.
Perspectives: own worst enemy?
- Author:
- WHITE Peter
- Journal article citation:
- Community Care, 18.4.02, 2002, pp.20-21.
- Publisher:
- Reed Business Information
The author expresses his concern that disabled people are their own best advocates, and would prefer someone who knows the opposition and how to represent disabled people against their prejudices.
‘Thinking you're old and frail’: a qualitative study of frailty in older adults
- Authors:
- WARMOTH Krystal, et al
- Journal article citation:
- Ageing and Society, 36(7), 2016, pp.1483-1500.
- Publisher:
- Cambridge University Press
Many older adults experience what is clinically recognised as frailty but little is known about the perceptions of, and attitudes regarding, being frail. This qualitative study explored adults' perceptions of frailty and their beliefs concerning its progression and consequences. Twenty-nine participants aged 66–98 with varying degrees of frailty, residing either in their homes or institutional settings, participated in semi-structured interviews. Verbatim transcripts were analysed using a Grounded Theory approach. Self-identifying as ‘frail’ was perceived by participants to be strongly related to their own levels of health and engagement in social and physical activity. Being labelled by others as ‘old and frail’ contributed to the development of a frailty identity by encouraging attitudinal and behavioural confirmation of it, including a loss of interest in participating in social and physical activities, poor physical health and increased stigmatisation. Using both individual and social context, different strategies were used to resist self-identification. The study provides insights into older adults' perceptions and attitudes regarding frailty, including the development of a frailty identity and its relationship with activity levels and health. The implications of these findings for future research and practice are discussed. (Publisher abstract)
Investigating social work students' perceptions of elders' vulnerability and resilience
- Authors:
- KANE Michael N., LACEY Debra, GREEN Diane
- Journal article citation:
- Social Work in Mental Health, 7(4), 2009, pp.307-324.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The aim of this study was to investigate the perceptions of social work students regarding the resilience of elders and the factors that influence those perceptions, focusing on a diverse group of social work students based in Florida. The authors note that perceptions about resilience have important implications for practice and policy with elders, and how social work services may be delivered to older adults, especially older adults affected by substance abuse and/or mental illness such as depression. Four predictive variables were identified to explain perceptions regarding the resilience of older adults: perceptions of elders' vulnerability, perceptions of elders' actions to treat themselves, perceptions of elders seeking professional help, and the respondents' educational programme. The findings showed that respondents did not perceive older adults as a resilient group in areas of mental illness or substance abuse; they perceived elders as unlikely to seek professional help, vulnerable, marginalised, and as only moderately resilient in overcoming depression or substance abuse. The authors identify implications in the study for social work educators.
Safeguarding vulnerable adults: the Skills for Care knowledge set for adult social care
- Author:
- DAY Malcolm
- Publisher:
- OLM-Pavilion
- Publication year:
- 2009
- Pagination:
- 84p., bibliog.
- Place of publication:
- Brighton
This book is based on the Skills for Care Knowledge set for safeguarding vulnerable adults. Its four chapters are based on the main areas of the knowledge set: roles and boundaries; danger, harm and abuse; social norms, values and perceptions; legislation and guidance in relation to the safeguarding of vulnerable adults. Each chapter is illustrated by case studies derived from current policy or research. Learning activities, quizzes and a continuing professional log are also included.
The health care experiences of adult survivors of child sexual abuse: a systematic review of evidence on sensitive practice
- Author:
- HAVIG Kirsten
- Journal article citation:
- Trauma Violence and Abuse, 9(1), January 2008, pp.19-33.
- Publisher:
- Sage
Ten empirically based studies (three based on the same sample) from the medical literature are reviewed to identify lessons about sensitive health care practice with adult survivors of child sexual abuse. Such abuse can influence the experience of care, health behaviours and outcomes. The studies provide patient-based information, which is used as the basis for recommendations to health care providers in two main areas: facilitation of communication and disclosure; and improving the experience of the health care encounter. The implications for research, practice and policy for patients, health care providers and social workers in health care settings are discussed.
Evaluation of Adult Protective Services: perspectives of community professionals
- Authors:
- DAUENHAUER Jason A., MAYER Kim Cattat, MASON Art
- Journal article citation:
- Journal of Elder Abuse and Neglect, 19(3/4), 2007, pp.41-57.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Difficulties with client characteristics, funding and the expectation of poor outcomes means that few studies have evaluated services provided by Adult Protective Services. This paper is based on responses by 58 community-based professionals in the US to a 12-item quantitative survey. It shows that respondents were most satisfied with the intake process, followed by assessment and case management. Satisfaction levels were higher than expected although areas for improvement were identified. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Violence against psychiatrists by patients: survey in a London mental health trust
- Authors:
- DHUMAD Saleh, WIJERATNE Anusha, TREASADEN Ian
- Journal article citation:
- Psychiatric Bulletin, 31(10), October 2007, pp.371-374.
- Publisher:
- Royal College of Psychiatrists
A survey was undertaken to investigate assaults of psychiatrists by patients in a 12-month period. Surveys were sent to 199 psychiatrists representing all sub-specialties and grades in a London mental health trust. There were 129 returned responses (response rate 64.8%). In the 12-month study period, 12.4% of all psychiatrists and 32.4% of senior house officers were assaulted. None received or took up offers of formal, as opposed to informal, psychological support. Most assaults occurred on a psychiatric ward. Vulnerability to assaults was not influenced by courses on prevention and management of violence or by the attitudes of psychiatrists to violence by psychiatric patients. Senior house officers are most vulnerable to assaults. Greater attention may need to be given to psychiatric wards where most assaults occurred. Trusts should ensure that those assaulted are identified and offered support.
Abuse of people with learning disabilities: everyone's responsibility
- Authors:
- DAVIES Rachel, et al
- Journal article citation:
- Llais, 75, Winter 2005, pp.17-20.
- Publisher:
- Learning Disability Wales
Reports on a 2-year study into issues surrounding protection of vulnerable adults. The study looked at how the policies that existed to protect people are applied in practice, and also at the training staff have in preventin abuse. The study included focus groups with staff.