Emotional Adaptation over Time in Care-givers for Chronically Elderly People

1990 ◽  
Vol 19 (3) ◽  
pp. 185-190 ◽  
Author(s):  
CHRISTOPHER S. GRAY ◽  
PETER V. RABINS ◽  
MELINDA D. FITTING ◽  
JAMES EASTHAM ◽  
JAMES ZABORA
2020 ◽  
Vol 41 (1) ◽  
pp. 101-120 ◽  
Author(s):  
Qian Sun ◽  
Nan Lu ◽  
Nan Jiang ◽  
Vivian W. Q. Lou

AbstractPopulation ageing in China calls for evidence-based solutions, especially in terms of fulfilling long-term care needs among frail older adults. Respite services are identified as effective resources for alleviating care-giver burden and promoting the wellbeing of both older adults and their family care-givers. However, respite care is often under-used in China. This research aimed to examine factors associated with intention to use respite services among informal care-givers in Shanghai, mainland China. This study was part of the Longitudinal Study on Family Caregivers for Frail Older Adults in Shanghai. Pairs of older adults and their care-givers (N = 583) who successfully completed the 2013 and 2016 waves were included in the data analysis. Two logistic regression models were conducted, one with time-invariant and one with time-variant factors. The model with time-variant factors had greater explanatory power than the original Andersen model with time-invariant factors influencing intention to use respite services among care-givers. Care-givers had higher odds of intending to use respite services if they had higher care-giving burden, were caring elderly people who experienced care-giver transitions, or were caring for elderly people with increased function of ambulation or decreased function of feeding. The findings imply that change in functional health was a significant determinant of intention to use respite care. Relevant policy and service implications will be discussed.


PLoS ONE ◽  
2020 ◽  
Vol 15 (3) ◽  
pp. e0229594
Author(s):  
Frédéric Muhla ◽  
Fabien Clanché ◽  
Karine Duclos ◽  
Philippe Meyer ◽  
Séverine Maïaux ◽  
...  

2011 ◽  
Vol 31 (5) ◽  
pp. 849-869 ◽  
Author(s):  
NOAM SHOVAL ◽  
HANS-WERNER WAHL ◽  
GAIL AUSLANDER ◽  
MICHAL ISAACSON ◽  
FRANK OSWALD ◽  
...  

ABSTRACTCognitive impairment manifests in changed out-of-home mobility. Until recently, the assessment of outdoor mobility relied on the reports of family care-givers and institutional staff and used observational approaches, activity monitoring or behavioural checklists. This article presents data for 41 mildly demented, mildly cognitively impaired and healthy men and women aged 64–90 years in Tel-Aviv (Israel) who took part in an interdisciplinary project, SenTra, that is studying the outdoor activities of elderly people using advanced tracking technologies and that involves researchers from geography, social work, gerontology, psychology and medicine. The participants were tracked for 28 consecutive days using a location kit that combined a global positioning system (GPS) with radio frequency identification. The high-resolution spatial and temporal data enabled detailed analysis of the differences in the timing and distance of the participants' daily outdoor mobility patterns. It was found that the spatial range of the mobility of elderly people with cognitive impairment is severely restricted, with most out-of-home time spent in close proximity to their residences. We conclude that GPS is an advanced research tool able to understand out-of-home behaviour better than was possible with previous methods.


2015 ◽  
Vol 8 (1) ◽  
pp. 105
Author(s):  
Mauricio Ferraz Arruda ◽  
Murilo Ramos Peres ◽  
Claudemir Brumati Junior

A má postura é um mau hábito e é de incidência mais alta em tarefas que demandem força associada ao movimento, onde os defeitos posturais têm origem no mau uso das capacidades funcionais do sistema musculoesquelético, onde entre as principais alterações posturais estão a escoliose, a hipercifose e a hiperlordose, além das lesões osteomusculares. O objetivo deste trabalho foi analisar a prevalência de sintomas osteomusculares e sua correlação com distúrbios posturais de cuidadores de idosos do município de Tabapuã (SP). Este estudo consiste em uma pesquisa transversal, quantitativa e sugestiva, em que foram observados cuidadores de diferentes faixas etárias e ambos os sexos; foram excluídos do estudo indivíduos com problemas neurofuncionais. Para a concretização do estudo, foram utilizados o Questionário Nórdico de Sintomas Osteomusculares que é um instrumento identificador de distúrbios osteomusculares nas diversas regiões anatômicas e a Biofotogrametria computadorizada (posturograma) onde se obtêm, através de fotografias, as distâncias entre pontos anatômicos para determinação de assimetrias, as quais são evidenciadas por emissão de um laudo técnico, baseado nas determinadas distâncias aferidas por uma escala métrica. Com os dados comparados e estabelecidos concluímos que a maior incidência é relatada na região lombar (40%), seguida de membros inferiores (35%), relativas considerações que todos possuem relatos de dores e relatos de alteração postural de escoliose, sejam essas mesuradas por ângulo de tales, ângulo inferior da escápula e acrômio. Index of Osteomuscular Lesions and Their Co-Relationship with Posture Disorders in Care-Givers of Elderly People ABSTRACT: An incorrect posture is a bad habit, with high occurrence in tasks that demand force and movement. Posture defects originate from incorrect use of the functional capacities of the muscle-skeleton system in which the main posture changes comprise scoliosis, hyperciphosis, hyperlordosis and osteomuscular lesions. Current paper analyzes the predominance of osteomuscular symptoms and their co-relationships with posture disturbances of caregivers of elderly people in Tabapuã SP Brazil. The transversal, quantitative and suggestive research included caregivers of several age brackets and of both genders; only caregivers with neurofunctional problems were excluded from the sample. The Nordic Questionnaire of Osteomuscular Symptoms, an identifying tool for osteomuscular disorders in several anatomic regions, and computerized biophotogrammetry (posturegram), were employed. The latter obtains the distances between anatomic points by means of photographs to determine asymmetries evidenced by a technical report based on determined distances measured by a metric scale. Data showed that the highest occurrence was reported at the lumbar region (40%), followed by the lower limbs (35%). All registered pain and reports on the postural alteration of scoliosis were measured by Thales´s angle, the lower angle from the scapula to the acromion.


2016 ◽  
Vol 17 (3) ◽  
pp. 254-264 ◽  
Author(s):  
Caterina Romaniello ◽  
Chiara Simoni ◽  
Marina Farinelli ◽  
Erik Bertoletti ◽  
Vincenzo Pedone ◽  
...  

The literature about the care givers of patients with Disorders of Consciousness (DOCs) has highlighted the impact on both mental and physical dimensions of quality of life. This study aimed to: (1) describe emotional burden, quality of life, and coping styles in care givers of hospitalized patients with DOCs, compared to Italian normative data; (2) explore the relationships between these variables and their associations with socio-demographic features; and (3) describe their changes over time.Fifteen care givers of patients with DOCs, mostly middle-aged women, were assessed using the Family Strain Questionnaire, the SF-36 Health Survey, and the Coping Orientation to Problems Experienced – Nuova Versione Italiana. Eleven subjects were also assessed after 6 and 12 months. Data were analysed through descriptive statistics, correlations, and nonparametric tests of group differences.Compared to the Italian normative data, our sample showed a worse outcome in mental health, social functioning, global mental component, and emotional role functioning. Furthermore, subjects with high emotional burden had more thoughts of death compared to subjects with low emotional burden. Follow-up analyses revealed no variables changed over time.These results highlight the need for psychological interventions and support, since care givers represent an important part of an all-embracing support and care network for patients with DOCs.


2003 ◽  
Vol 23 (4) ◽  
pp. 507-525 ◽  
Author(s):  
NORMAND CARPENTIER ◽  
FRANCINE DUCHARME

This paper reviews recent research on care-giver networks and the concepts and approach that they apply, with particular reference to the support networks of the primary care-givers of older people with Alzheimer's disease. It makes the case for an integrated approach to the explanation of the various combinations of formal and informal support that are found. It argues that more attention needs to be given to transformations in care-giver networks over time, and that this will require more development of both theoretical perspectives and analytical tools. The stages of a care-giver's commitment towards an elderly relative are examined, to understand the associations between changes in the ailing person's needs, the structure of the support network and the primary care-giver's roles. This approach makes useful contributions to the understanding of the development, maintenance and dissolution of supportive ties. Following the work of Pescosolido (1991), we propose an integrated perspective that combines the ‘care-giver career’ approach and the methods of ‘social network’ analysis.


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