scholarly journals Caring Again: Parent Caregivers for Their Wounded Adult Children Veterans

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 358-358
Author(s):  
Linda Nichols ◽  
Jeffrey Zuber ◽  
Robert Burns ◽  
Jennifer Martindale-Adams
Keyword(s):  
Adult Children ◽  
Intervention Study ◽  
Functional Limitations ◽  
Full Time ◽  
Care Systems ◽  
Personal Savings ◽  
Parent Caregivers ◽  
Employed Parents ◽  
The Military ◽  
Physical Care

Abstract With military personnel in Iraq and Afghanistan surviving what were previously fatal injuries, there is ongoing discussion about how to provide care for them and support their families. Parents frequently provide care for their unmarried, injured adult children, especially those returning with polytraumatic injuries, PTSD, or Traumatic Brain Injury (TBI). Parents (n=160) of combat injured adult children who participated in a DoD-funded behavioral intervention study are described. Parents were mainly mothers, average age 60.2 years, with ages ranging from 45 to 79. The veterans had functional limitations, and only 9.2% were employed. Parents, on average, had been caregivers for 6.6 years and daily spent 7.7 hours providing care and 17.2 hours on duty, primarily focused on supervision and daily life management rather than physical care. Average caregiver burden score approached high and was related to veteran TBI diagnosis, aggressive behavior toward others, and functional limitations. Few parents (22.7%) worked full-time; 85.3% had decreased personal spending, 84.0% dipped into personal savings, and 58.9% reduced retirement saving. These findings are similar to those of aging parent caregivers of adult children with serious mental illness or developmental disabilities in amount of care provided to their adult children, their level of burden, financial and career cost to themselves, and concern about their future and their children’s future. As these parents and their adult children age, providing care and resources will present greater challenges for them, for the military and veteran care systems they rely on for support, and for society.

Incidence of cardiovascular disease in a historical cohort of Danish firefighters

2018 ◽  
Vol 75 (5) ◽  
pp. 337-343 ◽  
Author(s):  
Julie Elbæk Pedersen ◽  
Kajsa Ugelvig Petersen ◽  
Niels Erik Ebbehøj ◽  
Jens Peter Bonde ◽  
Johnni Hansen
Keyword(s):  
Trade Unions ◽  
Population Sample ◽  
Epidemiological Studies ◽  
Full Time ◽  
Calendar Time ◽  
Historical Cohort ◽  
Increased Risk ◽  
National Patient ◽  
Part Time ◽  
The Military

ObjectivesFirefighters are exposed to multiple cardiovascular hazards, but few epidemiological studies have addressed their cardiovascular morbidity. The objective of this study was therefore to examine the incidence of cardiovascular diseases (CVD) in Danish firefighters.MethodsWe used individual historical employment records on 11.691 male Danish firefighters supplied by trade unions and fire agencies. The Supplementary Pension Fund Register was used to establish two occupational reference groups (a random sample from the male employed population and military employees). Information on CVD incidence was retrieved from the nationwide Danish National Patient Registry. SIRs and Poisson regression analyses (incidence rate ratio) were used for estimation of risks, including 95% CIs.ResultsIn comparison with the population sample, the age-adjusted and calendar time-adjusted SIR for all CVDs combined was increased in firefighters (SIR=1.10, 95% CI 1.05 to 1.15). The risk was also elevated for the most frequent outcomes, including angina pectoris (SIR=1.16, 95% CI 1.08 to 1.24), acute myocardial infarction (SIR=1.16, 95% CI 1.06 to 1.26), chronic ischaemic heart disease (SIR=1.15, 95% CI 1.06 to 1.24) and atrial fibrillation/flutter (SIR=1.25, 95% CI 1.14 to 1.36). This analysis showed the most elevated SIRs for CVD in full-time firefighters compared with part-time/volunteer firefighters. Both types of firefighters employed <15 years had an increased risk of CVD. Similar risk patterns appeared in comparisons with the military. Internal analysis supported external findings.ConclusionThe risk of overall CVD, including the most frequent subtypes was modestly increased in Danish firefighters and was most elevated in full-time firefighters compared with other male employees.

Mothers Caring for Adult Children With Substance Use Disorder: Understanding Lived Experience

2021 ◽  
pp. 084456212110374
Author(s):  
Oona St-Amant ◽  
Jasna K. Schwind
Keyword(s):  
Substance Use ◽  
Lived Experience ◽  
Family Involvement ◽  
Substance Use Disorder ◽  
Adult Children ◽  
Service Provision ◽  
Health Care Systems ◽  
Anticipatory Grief ◽  
Care Systems ◽  
Mothers Experiences

Background Most persons with substance use disorder (SUD) live in family settings. In the absence of adequate mental health services, mothers are often called upon to provide care for their adult children with SUD. Despite positive outcomes such as decreased rates of hospitalization associated with family involvement, mothers are often stigmatized within the health care systems as contributors to trauma and/or family dysfunction. Purpose The purpose of this study is to explore mothers’ lived experience of caring for adult children with SUD. Method Guided by critical feminist theory, this study used interpretive descriptive qualitative research design to identify patterns within mothers’ experiences for practical relevance and application to service provision. Results The findings yielded in this study identified mothers’ experiences as: longing for wellness, identity as loving mother, loss, anticipatory grief, shame and blame and feeling excluded from services. Ultimately, the findings from this study extend the limited research to date on mothers’ experiences of stigma, especially when they are blamed for their child’s illness. Conclusions Findings from this study advocate for family-centered approaches that attend to mothers’ unique experience, from their standpoint, and offer recommendations for change to service provision.

Family medicine physicians’ report strong support, barriers and preferences for Registered Dietitian Nutritionist care in the primary care setting

2020 ◽  
Author(s):  
Lauren R Sastre ◽  
Leslie T Van Horn
Keyword(s):  
Family Medicine ◽  
Online Survey ◽  
Interprofessional Collaboration ◽  
Health Care Systems ◽  
Descriptive Analysis ◽  
Strong Support ◽  
Full Time ◽  
Registered Dietitian ◽  
Cross Sectional ◽  
Care Systems

Abstract Background Previous studies have examined barriers (e.g. time) for Family Medicine Providers (FMPs) to provide nutrition and lifestyle counseling, however, to date no studies have examined access or interest to Registered Dietitian Nutritionist (RDN) care for patients. Objective The objective of this study was to explore FMP access, referral practices, barriers and preferences for RDN care. Methods A cross-sectional online survey, with content and face validation was conducted with Family Medicine Departments within large academic health care systems in the Southeastern United States. The main variables of interest included: FMP access, interest, current referrals and referral preferences for RDN care, barriers to referrals and overall perceptions regarding RDN care. Descriptive analysis of close-ended responses was performed with SPSS 26.0. Open-ended responses were analysed using inductive content analysis. Results Over half of the respondents (n = 151) did not have an RDN on-site (64%) yet were highly interested in integrating an RDN (94.9%), with reported preferences for full-time on-site, part-time on-site or off-site RDN care (49.1%, 39.5% and 11.4% respectively). The greatest reported barriers to RDN referrals were perceived cost for the patient (64.47%) and uncertainty how to find a local RDN (48.6%). The most consistent theme reported in the open-ended responses were concerns regarding reimbursement, e.g. ‘Insurance does not cover all of the ways I would like to use an RDN’. Conclusions FMPs report interest and value in RDN services despite multiple perceived barriers accessing RDNs care. Opportunities exist for interprofessional collaboration between dietetic and FMP professional groups to address barriers.

U.S. Military Families

2018 ◽  
Author(s):  
Judith Dekle
Keyword(s):  
World War I ◽  
Military Families ◽  
Service Members ◽  
Military Children ◽  
Full Time ◽  
Education Standards ◽  
Time Basis ◽  
Key Indicators ◽  
The Military ◽  
The Impact

Social work with members of the U. S. military began during World War I and continues to evolve along with the military, its service members, and their families. This article provides an overview of the U. S. military as an organization that produces a unique culture; demographics that describe service members, military spouses, and military children; and some key indicators of the impact of military life derived from scientifically structured surveys and studies of service members and their families. It also identifies relevant professional practice and education standards for social workers who work with military families regularly and/or on a full-time basis as well as for those who are working with them for the first time and/or only on occasion. Woven together, the understanding of military families and adherence to established standards of practice discussed in this paper can provide the reader with a solid foundation for their practice when working with military families.

scholarly journals LONGITUDINAL CHARACTERISTICS OF INFORMAL CAREGIVERS OF COMMUNITY-DWELLING PERSONS WITH DEMENTIA

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S450-S450
Author(s):  
Eric Jutkowitz ◽  
Joseph E Gaugler ◽  
Amal Trivedi ◽  
Lauren L Mitchell ◽  
Pedro L Gozalo
Keyword(s):  
Nursing Home ◽  
Adult Children ◽  
Functional Limitations ◽  
Informal Caregivers ◽  
Mixed Effects ◽  
Community Dwelling ◽  
Mixed Effects Models ◽  
Linear Mixed Effects Models ◽  
Linear Mixed Effects ◽  
Retirement Study

Abstract Alzheimer’s disease and related dementias (ADRD) affect &gt;5 million Americans. Persons with ADRD experience functional limitations and often require support from informal caregivers (e.g., help with feeding). Little is known about how caregiving evolves over the full course of the disease. We used data from the Health and Retirement Study to identify incident predicted community-dwelling persons with ADRD (n=565), their informal caregivers, and the total hours of care they received in a month from predicted incidence up to 8-years post incidence. We estimated linear mixed-effects models to determine the characteristics of the person with ADRD that are associated with trajectories of caregiving hours. At predicted incidence, persons with ADRD received 120 hours of care in a month of which spouses provided 30% of care hours, adult children provided 32% of care hours, other relatives provided 12% of care hours, and non-relatives (including paid support) provided 25% of care hours. By 8-years post incidence, persons with ADRD still in the community (n=23) received 303 hours of care in a month of which spouses provided 28% of care hours, adult children provided 41% of care hours, other relatives provided 3% of care hours, and non-relatives provided 28% of care hours. Having great grandchildren and more functional limitations were associated with receiving more hours of informal care. Attrition (mortality and residing in a nursing home) was influenced by hours of care received in the previous interview and resulted in those that remained in the community being persons that required less care.

scholarly journals Revisiting Intergenerational Contact and Relationship Quality in Later Life: Parental Characteristics Matter

2020 ◽  
Vol 42 (5-6) ◽  
pp. 139-149
Author(s):  
Hye Won Chai ◽  
Steven H. Zarit ◽  
Karen L. Fingerman
Keyword(s):  
Relationship Quality ◽  
Adult Children ◽  
Functional Limitations ◽  
Later Life ◽  
Middle Aged ◽  
Aging Parents ◽  
Life Problems ◽  
And Gender ◽  
Middle Aged Adult ◽  
Middle Aged Adults

Contact and relationship quality between adult children and aging parents are two widely used indicators of intergenerational solidarity and are often assumed to be positively correlated. However, the association between the two may depend on characteristics of the parent involved. Using Family Exchanges Study Wave 1, this study assessed whether parental difficulties—measured as functional limitations and life problems—and gender moderated the associations between middle-aged adults’ contact and relationship quality with their parents. We found that more frequent email or phone contact was associated with worse relationship quality for fathers who had functional limitations. For life problems, however, more contact was not related to relationship quality for fathers with life problems. The associations did not differ by mother’s difficulties. These results suggest that frequent contact between middle-aged adult children and aging parents does not uniformly reflect better relationship quality but rather depends on parents’ characteristics.

scholarly journals Mason biodiesel: A family℉s new venture in a new industry

2009 ◽  
Vol 12 (2) ◽  
pp. 63-70
Author(s):  
Matthew Eriksen ◽  
George H. Tompson
Keyword(s):  
United States ◽  
Rhode Island ◽  
The United States ◽  
New Venture ◽  
Full Time ◽  
Bank Debt ◽  
Start Up ◽  
Personal Savings ◽  
New Industry ◽  
Biodiesel Industry

This case describes a real family that has been running a labor-intensive business since 1992. The father, Phil Mason, runs the business with the help of his wife and two of his sons in southwestern Rhode Island. The business is a franchisee of ServiceMaster Clean. In 2006, the franchise employed 20 full-time employees and was the 50th largest ServiceMaster Clean franchise among the approximately 1,200 franchises located in the United States. Annual revenue is approximately $2.5 million. In late 2005, one of Phil℉s sons began researching the biodiesel industry. As he was growing weary of the labor-intensive nature of his franchise business, Phil fully researched the industry himself. By the middle of 2006, Phil was convinced that he could profitably manufacture biodiesel in his spare warehouse space. In July 2006, he formed Mason Biodiesel, LLC and financed the $1.5 million start-up costs through a combination of personal savings and bank debt.

Home, front, and mobile phones: The case of the Second Lebanon War

First Monday ◽  
2018 ◽  
Author(s):  
Hananel Rosenberg
Keyword(s):  
Home Front ◽  
High Price ◽  
Full Time ◽  
The Family ◽  
Chain Of Command ◽  
Time Availability ◽  
Senior Officers ◽  
Second Lebanon War ◽  
The Military ◽  
Depth Interviews

This paper deals with the cellphone’s role in the Second Lebanon War. Via in-depth interviews (N=20) with officers and combat soldiers, the study shows how soldiers’ cellular devices served a range of objectives: military, personal documentary, communication with home and family, and updating the home front and other battle sectors. On the military level, cellular enables the generation of the “cellular buddy” phenomenon, or the ability to consult with extra-organizational parties — such as friends who are former senior officers — which led to impeding the army’s internal chain of command. On the personal-experiential level, this section presents the “availability conflict” that the soldiers described, between their desire to be in touch with home during the war and the high price thereof. Full-time availability and the lack of ability to disconnect “brings” the home front, the home, and the family directly to the battlefield, thus affecting the soldiers’ already-complex experiential and mental state.

Leaving nursing: an event-history analysis of nurses' careers

2005 ◽  
Vol 10 (3) ◽  
pp. 150-157 ◽  
Author(s):  
David Barron ◽  
Elizabeth West
Keyword(s):  
Event History Analysis ◽  
Maternity Leave ◽  
Health Care Systems ◽  
Strong Support ◽  
Family Care ◽  
Nurse Retention ◽  
Individual Characteristics ◽  
Full Time ◽  
Care Systems ◽  
The Uk

Objectives: The current shortage of nurses is a major problem for health care systems around the world and has revitalized interest in the dynamics of nurses' careers. This paper investigates the factors associated with qualified nurses in Britain moving to different employment statuses, including jobs outside nursing, unemployment, maternity leave and family care over time. Methods: British Household Panel Survey (BHPS) data collected between 1991 and 2001 were used to estimate the effects of covariates on transition rates between different employment statuses. Results: Individual characteristics associated with shorter tenure in the profession include being male, being younger, having a degree, and having been born in the UK. Many nurses leave to care for their families, which suggests the possibility of returning to the profession at a later date. A number of job characteristics are also related to leaving, including low pay, managerial responsibility, full-time work and lack of opportunities to use initiative. Nurses seem to be particularly vulnerable to leaving early in their careers, but those who survive the first few years are likely to remain in the profession for the rest of their working lives. Conclusions: It is particularly important in policy terms that ability to use initiative is related to leaving nursing for another form of full-time employment and, in particular, to leaving for a better job. This finding is consistent with results from studies of the Magnet hospitals in the US. Taken together, these results suggest that strategies to improve nurse retention must attend to nurses' status, authority and position in the hierarchy if they are to be successful. The results also provide strong support for those who argue that better rates of pay are necessary in order to improve nurse retention.

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