scholarly journals The implementation of elder-care in France and Sweden: a macro and micro perspective

2011 ◽  
Vol 31 (4) ◽  
pp. 625-644 ◽  
Author(s):  
INGRID JÖNSSON ◽  
ANNE-MARIE DAUNE-RICHARD ◽  
SOPHIE ODENA ◽  
MAGNUS RING

ABSTRACTThis paper presents results from a comparative project on the implementation of elder-care in France and Sweden. The transition to requiring care is understood as a process, and elder-care is seen as a part of a more general organisation of social care that reflects different welfare traditions. An overview of elder-care on the institutional level in the two countries is supplemented by case studies from the perspective of older people which identify ways of co-operation between actors, such as public eldercare providers, family members and help provided by profit and non-profit organisations. The interviews include approximately 20 older persons in each country as well as a small number of administrators and adult children. The study sheds light on how policies are implemented on the local level and puts the focus on who actually does what and when for older persons with care needs. The different roles played by the state, the family, the market and civil society are examined. Family members in France take on a more active role both as co-ordinators of care and as actual caregivers. The study shows that gender and social class remain associated with caring but that such differences are much larger in France than in Sweden.

Author(s):  
Veronica Dussel ◽  
Barbara Jones

In this chapter, we will focus on the importance of caring for the family of a child with a life-limiting condition (LLC) or life-threatening condition as a unit, each of the family members being integral to the well-being and care of the others. We recognize that the family unit itself is embedded within a wider context including the health and social care system, and more broadly within its society and culture. We discuss the concept of family, exploring the impact of having a child with an LLC, and how families adjust to this. We then expand on considerations about how to offer effective and timely support and help. We have included parents’ narratives with the aim of adding depth to the discussion, and in recognition of the truth of families’ own experiences.


2019 ◽  
Vol 10 ◽  
pp. 21-33
Author(s):  
LIZETH RODRIGUEZ ◽  
◽  
YULLY VASQUEZ

This article aims to raise awareness of the concept of pet within the context of multispecies families, where we will talk about the recognition of pets as family members, a new typology that has generated many controversies and has been the subject of study since many dimensions. However, this research will be analyzed from the perspectives of plurality and affectivity, due to the active role of the pet within the family that by having specific and distinctive functions generates affinity ties between its members. Accordingly, it is essential to conclude whether or not pets are part of the family, which can be determined by defining the terms of kinship and lineage; since this terminology has a different significance.


Rev Rene ◽  
2020 ◽  
Vol 21 ◽  
pp. e44395
Author(s):  
Giovana Peres Cardoso ◽  
Daniela Garcia Damaceno ◽  
Miriam Fernanda Sanches Alarcon ◽  
Maria José Sanches Marin

Objective: to understand the perception of health and law professionals regarding care for frail elderly people who live alone. Methods: qualitative research, carried out through interviews with health and law professionals, using a vignette as a trigger, presenting the description of the story of a frail elderly woman who lived alone. Data were submitted to the thematic analysis technique. Results: the 23 professionals pointed out that the family members should be the responsible ones for the elderly; that institutionalization should take place as the last option; stressed the importance of multi-professional and intersectoral work; and recognized the limitations of the state. The professionals reported the appropriate interventions for the case. Conclusion: in care for the elderly who live alone, there are limitations for families, social care, and health services for the elderly, as well as the State, with the need to strengthen legally guaranteed resources.


2020 ◽  
Vol 13 (2) ◽  
pp. 32
Author(s):  
S. M. Ayoob

The family is considered as the most important and outstanding primary group in the society. The extended family type is diminishing in the modern era due to multiple and unavoidable reasons. However in some countries, people give their support to preserve extended family system at least keeping their senior citizens in the same household. Senior citizens also play active roles by supporting the family members in numerous ways. This study was conducted to identify the living arrangements, roles played by the senior citizens in family and household and the reasons behind the active role taking behavior among senior citizens. Out of 20 Divisional Secretariat Divisions in Ampara district, 08 Divisional Secretariat Divisions where Muslims predominantly live have been selected as the study area using simple random sampling method. The sample size is 392. The primary data was collected from key informant interviews, case studies and focus group discussions. The study highlighted that 95% of the senior citizens in the study area are living with their family members. Maintaining household activities, guiding the family members, providing counselling, providing security, socialization, mediating, providing monetary support and mobile role are the major roles played by senior citizens. The reasons for this active role taking behaviour are physical fitness and healthy lifestyle of senior citizens, disaster situation, economic condition, loneliness and isolation, lack of organizational structure and social recognition in study area. Beyond their old age, the contribution of senior citizens to the family is immeasurable.


2019 ◽  
Vol 16 (1) ◽  
pp. 1-16 ◽  
Author(s):  
Shelley Peacock ◽  
Meridith Burles ◽  
Alexandra Hodson ◽  
Maha Kumaran ◽  
Rhoda MacRae ◽  
...  

Purpose The number of prisoners over 55 years is increasing and many are at risk of developing dementia. This has generated new responsibilities for prisons to provide health and social care for older persons. The purpose of this paper is to synthesize the existing research literature regarding the phenomenon of the health and social care needs of older persons living with dementia in correctional settings. Design/methodology/approach Using an integrative review method based on Whittemore and Knafl, the inclusion criteria for the review are: articles written in English; a focus on some form of dementia and/or older persons with discussion of dementia; to be set in a correctional context (correctional facility, prison and jail); be derived from a published peer-reviewed journal or unpublished dissertation/thesis; and be a qualitative, quantitative or mixed methods study. Based on those criteria, a search strategy was developed and executed by a health sciences librarian in the following databases: Medline, CINAHL, Embase, PsychINFO, Proquest Nursing and Allied Health and Web of Science; searches were completed up to April 2019. After data were extracted from included studies, synthesis of findings involved an iterative process where thematic analysis was facilitated by Braun and Clarke’s approach. Findings Eight studies met the inclusion criteria. Key findings of the eight studies include recognition of dementia as a concern for correctional populations, dementia-related screening and programming for older persons and recommendations for improved screening and care practices. Most significant is the paucity of research available on this topic. Implications for research are discussed. Originality/value This paper identified and synthesizes the limited existing international research on the health and social care needs of older persons with dementia living in correctional settings. Although existing research is scant, this review highlights the need for increased awareness of dementia as a concern among older persons living in correctional settings. As well, the review findings emphasize that enhanced screening and interventions, particularly tailored approaches, are imperative to support those living with dementia in correctional settings.


2017 ◽  
Vol Volume 12 ◽  
pp. 985-993 ◽  
Author(s):  
Clare Lewis ◽  
Zena Moore ◽  
Frank Doyle ◽  
Alan Martin ◽  
Declan Patton ◽  
...  

2012 ◽  
Vol 10 (1) ◽  
pp. 43-49 ◽  
Author(s):  
Breffni Hannon ◽  
Valerie O'Reilly ◽  
Kathleen Bennett ◽  
Karen Breen ◽  
Peter G. Lawlor

AbstractObjective:The World Health Organization (WHO) definition of palliative care as “an approach that improves the quality of life of patients and their families facing the problem associated with life-threatening illness …” recognizes the importance of family members in this setting. In practice, family meetings account for a significant amount of the weekly workload in a specialist inpatient palliative care unit. Despite this, there is little empirical evidence to support the benefits of family meetings from the perspective of family members.Method:A prospective study over 6 months, invited a designated family member to complete a self-report instrument (SRI) and the Family Inventory of Needs (FIN) questionnaire prior to, immediately following, and 48 hours after a planned family meeting attended by several members of the multidisciplinary team.Results:Thirty-one designated family members completed the study. The SRIs completed prior to a family meeting identified particular areas of concern and worry for family members, and also helped to generate an agenda based on the family's particular needs. The pre-meeting FIN identified areas of patient care of greatest importance to each family member, and asked them to rate whether particular care needs were presently met or unmet, in their opinion, by the healthcare team caring for the patient. Following the family meeting, repeat SRIs showed an overall reduction in concerns and increased confidence in dealing with those issues raised. Post-family meeting FIN scores confirmed a greater number of met care needs compared with pre-meeting scores, all of which were sustained over time.Significance of results:This study confirms the value of planned multidisciplinary family meetings for patients in specialist inpatient palliative care units. It identifies the often unmet needs of family members and the sustained benefits associated with formal family meetings.


2013 ◽  
Vol 2013 ◽  
pp. 1-6
Author(s):  
Brandalyn C. Riedel ◽  
Jamie K. Ducharme ◽  
David S. Geldmacher

Objective. To understand who dementia patients identify as their family and how dementia affects family life.Background. Dementia care is often delivered in family settings, so understanding the constituency and needs of the family unit involved in care is important for determining contributors to family quality of life.Design/Methods. Seventy-seven families receiving care at an academic dementia clinic completed questionnaires regarding the affected person and the family. Responses were categorized as focused on an individual’s needs or the family’s needs.Results. Respondents identified a mean of 3.77 family members involved in care. Spouse (80.5%), daughter (58.4%), son (46.8%), and stepchild or child-in-law (37.7%) were the most frequently listed family members. Questions regarding the effect of dementia-related changes in cognition and mood were most likely to elicit a family-focused response. Questionnaire items that inquired about specific medical questions and strategies to improve family function were least likely to elicit a family-focused response.Conclusions. Both caregivers and persons with dementia frequently provided family-focused responses, supporting the construct of dementia as an illness that affects life in the family unit. This finding reinforces the potential utility of family-centered quality of life measures in assessing treatment success for people with dementia.


2019 ◽  
Vol 7 ◽  
pp. 205031211882341 ◽  
Author(s):  
Åsa Dorell ◽  
Karin Sundin

Objectives: The purpose of this study was to describe the topics relatives with a family member in a nursing home for older persons choose to talk about and focus on when participating in a nurse-led “Family Health Conversations” intervention. Family Health Conversations consisted of a series of three nurse-led conversations with each family, with a 2-week interval between meetings. Methods: The Family Health Conversations meetings were tape-recorded and analyzed using qualitative content methods. The participants were relatives of family members living in a nursing home for older persons in a municipality in Sweden. Results: The findings showed how the relatives talked about their suffering and difficulties concerning the new situation. The relatives talked about frustration and sadness together in a new way, with a focus on how to manage the future. They also wished that they had been offered an opportunity to talk about this with nurses earlier in the illness trajectory. Conclusion: The relatives had a significant need to talk about their experiences together within the family and together with the nurses. Nurses have an especially important task in supporting relatives having a family member living in a nursing home.


2010 ◽  
Vol 29 (4) ◽  
pp. 259-261 ◽  
Author(s):  
Deb Discenza

A NEONATAL NURSE SEES SOME truly stressful situations in the NICU. Day in and day out, infants are brought into the NICU, others are discharged to go home, and in between there are a lot of health care needs to tend to for each patient. Add to those demands caring for each patient’s family—helping them address the reality of their child’s special needs now and going forward. Although most nurses in the NICU love their jobs and thrive on the ever-changing environment, one of the most difficult tasks is likely working with the family of an infant who is dying. It is heartbreaking to see a child die and to watch family members go through such trauma. But you can help prepare grieving families for this stressful life event and support them so that they can handle it with dignity.


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