Theorising the hospice gaze: A Foucauldian collaborative ethnography of a palliative day care service

Since independence in sub-Saharan Africa, decentralization of psychiatric services has been accepted as a policy, but it has resulted so far only in developing small units attached to the provincial hospitals. Because of the shortage of qualified psychiatrists, the latter are invariably staffed by locally trained psychiatric or sometimes general nurses. With one or two exceptions most of the mental hospitals were built in the colonial times and they often resemble penal institutions and are geared mainly to offering custodial care.

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Impact of day care services on physical and cognitive functions in old people with dementia

10.21203/rs.3.rs-34793/v1 ◽

2020 ◽

Author(s):

Cheng-Fu Lin ◽

Jia-Jyun Wu ◽

Yu-Hui Huang ◽

Li-Ying Ju ◽

Shih-Yi Lin ◽

...

Keyword(s):

Cognitive Functions ◽

Day Care ◽

Nutritional Assessment ◽

Short Form ◽

Care Service ◽

Care Center ◽

Mini Nutritional Assessment ◽

Disease Stage ◽

Old People ◽

People With Dementia

Abstract Background Day care service (DCS) provides various activities in a professionally environment to meet the old people with functional limitations. However, relatively little is known about the effects of DCS on physical and mental functions. Methods We used a comprehensive geriatric assessment to evaluate the changes before and after DCS among participants in a hospital-affiliated geriatric day care center. The burden of the participants’ families was also assessed. Results The 18 participants with a median age of 80.9 (interquartile range (IQR): 75.2–86.6 y/o) were enrolled and followed up for six months. Based on the clinical dementia rating (CDR), disease stage was very mild in 3 participants, mild in 10, moderate in 3, and severe in 2. The activities of daily living (ADL) scores of the participants improved significantly from 75 (IQR: 60.0–80.0) at baseline to 77.5 (IQR: 65.0–90.0) at the sixth month (p < 0.001), and mini-mental state examination (MMSE) scores from 15 (IQR: 11.5–20.0) to 18 (IQR: 15.8–24.0) (p = 0.026). There was a positive correlation of baseline mini-nutritional assessment-short form score and the 3-level version of the European Quality of Life-5 dimensions utility index with both ADL and MMSE scores at the six-month follow-up. In addition, the family burden scale was reduced from 22 to 15 (p = 0.002). Conclusion The physical and cognitive functions in old people with dementia who received DCS were improved, and their families’ stress burden was alleviated.

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Where will our children go? A Study on the Impact of Children’s Day Care Services on Working Parents

Bangladesh Journal of Public Administration (BJPA) ◽

10.36609/bjpa.v29i1.267 ◽

2021 ◽

pp. 68-87

Author(s):

Md. Shhariar Bulbul Tonmoy ◽

Kazi Rabiul Islmal

Keyword(s):

Day Care ◽

Care Service ◽

Present Condition ◽

Dhaka City ◽

Process Data ◽

Working Parents ◽

Service Centre ◽

Childhood Environment ◽

Almost All ◽

The Impact

Working parents in Bangladesh are facing tremendous challenges to be self-dependent both socially and economically in addition to raise and to educate their children in a sound and secure way. Regarding the issue, caring for the children has been appeared as a vital social demand due to the increasing number of working parent’s attachments to a variety of economic and social activities which displays timely Day Care service requirements. To find out the present condition of the daycare centres in Bangladesh and to know the impact of daycare centres on working parents in Dhaka city, a research has been carried out in Dhaka city based on qualitative data. In this rigorous process, data has been gathered from 30 respondents, which includes working parents who have babies, experts, owners of Day Care service centre, and staff. The study found that almost all the respondents are satisfied with the services are providing by the private sector's daycare centres and the working parents who keep their babies in Daycare service centre, they can continue their work and job unworriedly by keeping their babies in Day Care Centres. Both father and mother are contributing to their family, their standard of living is increasing, and economically working parents are getting solvent. Findings revealed that the enhancement of working parents creates the demand of healthy daycare centres exponentially. The endorsement has been made to augment the services provided by these daycare centres with the aid of proper amenities. Lastly, these types of services can play a significant role in promoting a suitable, healthy, and secure childhood environment for our children, and even it can be the essential stakeholder of Sustainable Development if it is flourished and patronized properly.

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