Reports of Neuropsychiatric Symptoms of Older Care Recipients by Their Family Members and Their Foreign Home Care Workers: Results From Triadic Data

2009 ◽  
Vol 23 (2) ◽  
pp. 115-122 ◽  
Author(s):  
Liat Ayalon
Keyword(s):  
Home Care ◽  
Neuropsychiatric Symptoms ◽  
Family Members ◽  
Care Recipients ◽  
Care Workers ◽  
Home Care Workers ◽  
Triadic Data

Abuse is in the eyes of the beholder: using multiple perspectives to evaluate elder mistreatment under round-the-clock foreign home carers in Israel

2010 ◽  
Vol 31 (3) ◽  
pp. 499-520 ◽  
Author(s):  
LIAT AYALON
Keyword(s):  
Older Adults ◽  
Home Care ◽  
Elder Abuse ◽  
Family Members ◽  
Multiple Perspectives ◽  
Elder Abuse And Neglect ◽  
Care Recipients ◽  
Care Workers ◽  
Abuse And Neglect ◽  
Home Care Workers

ABSTRACTThe overall goal of the study reported in this paper was to examine differences in the perceived occurrence of abuse and neglect as between older care recipients, their family carers, and foreign home-care workers in Israel. Overall, 148 matched family members and foreign home-care workers and 75 care recipients completed a survey of abuse and neglect. Significant discrepancies in their reports of neglect were found, with the foreign home-care workers more likely to identify neglect (66%) than the older adults (27.7%) or their family members (29.5%). Although the rates of reported abuse ranged between 16.4 and 20.7 per cent and the differences were not statistically significant, the different parties assigned the responsibility for the abuse to different perpetrators. The independent variables that significantly associated with abuse and neglect also varied by the three groups of participants. The findings suggest that even with round-the-clock home care, the basic needs of many older adults are not met, and that many experience substantial abuse. The study emphasises the subjective nature of abuse and neglect, and suggests that more education about what constitutes elder abuse and neglect may lead to more accurate and consistent reports across reporting sources. Incorporating data from the various stakeholders may enhance the early identification of elder abuse and neglect.

Fears come true: the experiences of older care recipients and their family members of live-in foreign home care workers

2009 ◽  
Vol 21 (4) ◽  
pp. 779-786 ◽  
Author(s):  
Liat Ayalon
Keyword(s):  
Home Care ◽  
Qualitative Interviews ◽  
Family Members ◽  
Home Care Services ◽  
Care Recipient ◽  
Care Services ◽  
Care Recipients ◽  
Care Workers ◽  
Home Care Workers ◽  
Care Worker

ABSTRACTBackground: Foreign home care services provided to frail older adults by individuals from the developing world are a global phenomenon. This study evaluated the challenges associated with live-in foreign home care from the perspective of older care recipients and their family members.Methods: Qualitative interviews were conducted with 23 family members and seven older care recipients. Interviews were analyzed thematically.Results: Three main themes were identified: (i) the intense fears associated with witnessing the decline of the older care recipient and the subsequent employment of a foreign home care worker; (ii) actual negative experiences within this caregiving setting; and (iii) the ways in which family members and older care recipients coped with these challenging experiences.Conclusions: The key to this caregiving arrangement is the establishment of trust. Yet, many care recipients experienced violations of trust that resulted in abuse and neglect, which served to further intensify fears and concerns about this caregiving arrangement. The same coping methods used to maintain this arrangement, despite fears and concerns, are the ones responsible for maintaining the older care recipient in an abusive situation.

Family and family-like interactions in households with round-the-clock paid foreign carers in Israel

2009 ◽  
Vol 29 (5) ◽  
pp. 671-686 ◽  
Author(s):  
LIAT AYALON
Keyword(s):  
Home Care ◽  
Qualitative Interviews ◽  
Family Members ◽  
System Of Care ◽  
Care Recipient ◽  
Social And Emotional ◽  
Care Givers ◽  
Care Workers ◽  
Home Care Workers

ABSTRACTThis paper reports a study of family and family-like interactions and transfers, or exchanges of goods and resources, between paid, round-the-clock, Filipino home carers and those they care for in a sample of households in Israel. Qualitative interviews about their experiences and attitudes concerning the care role were conducted with 22 family members and 29 Filipino home-care workers. A thematic analysis of the interview data identified three major themes: the structure and internal dynamics of the adapted family or family-like system of care; the role of family members; and the role of Filipino home-care workers in the new system of care. Sons and daughters tended to appropriate the care-management positions and to reduce their social and emotional support for the care recipient. In contrast, spouse care-givers continued to provide some of the personal and emotional care even when a Filipino home-care worker was employed. Filipino home-care workers were made responsible for daily care and domestic routines and provided emotional and social care. It was found that family members do not relinquish their role as care-givers when round-the-clock foreign carers are on hand, but the nature of their role changes. The results suggest that foreign home-care workers' job description needs to be redefined to acknowledge the substantial social and emotional care that they provide.

scholarly journals Squalor, chaos and feelings of disgust: care workers talk about older people with alcohol problems

2017 ◽  
Vol 38 (8) ◽  
pp. 1624-1644 ◽  
Author(s):  
LIS BODIL KARLSSON ◽  
EVY GUNNARSSON
Keyword(s):  
Home Care ◽  
Older People ◽  
Older Persons ◽  
Alcohol Problems ◽  
Older Individuals ◽  
Daily Lives ◽  
Care Recipients ◽  
Care Workers ◽  
The One ◽  
Home Care Workers

ABSTRACTOlder persons with alcohol problems have today become an all too common part of everyday elder care, but research in this area is still scarce. This article has a Swedish context with the aim of describing and analysing home care workers’ narratives about older people who can be characterised as heavy drinkers, i.e. people with severe alcohol problems who need considerable care for extended periods. Limited knowledge is available concerning this age group. This article therefore fills a knowledge gap about home care workers’ perspective about body work and the abject, and breaches the myth that older individuals should be able to drink as they prefer and/or notions of drinking alcohol as a last enjoyment in life. The care workers talked about how they got drawn into the daily lives of the care recipients and how they ended up in situations where they, on the one hand, removed the consequences of drinking, and on the other, felt that they sustained the drinking by cleaning out dirt and washing the care recipients’ bodies.

Family caregiving at the intersection of private care by migrant home care workers and public care by nursing staff

2013 ◽  
Vol 25 (9) ◽  
pp. 1463-1473 ◽  
Author(s):  
Liat Ayalon ◽  
Sara Halevy-Levin ◽  
Zvi Ben-Yizhak ◽  
Gideon Friedman
Keyword(s):  
Home Care ◽  
Family Caregiving ◽  
Family Members ◽  
Main Role ◽  
Public Care ◽  
Private Care ◽  
Care Workers ◽  
Hospitalized Older Adults ◽  
Caregiving Roles ◽  
Home Care Workers

ABSTRACTBackground: This study evaluated private family caregiving at the intersection of private migrant home care and public nursing care on the hospitalization of an older patient.Methods: Seventy-three individuals were interviewed, including older hospitalized patients, their family members, accompanying migrant home care workers, and nursing personnel.Results: There was no clear consensus concerning the role of family members. Although family members emphasized care management as their main role, the other three groups emphasized that the family members’ mere physical presence was their main role. All four groups identified potential barriers to family caregiving, rather than motives for family caregiving, hence pointing to a potential discrepancy between expected and performed family caregiving roles.Conclusions: An indication of the lack of clarity concerning family caregiving roles stems from the finding that family members were frequently viewed as unengaged and neglectful, yet at times they were criticized for being overly involved in patient care. Implications for the care of hospitalized older adults are discussed.

Impact of a New Home-Care Payment Mechanism on Growth of the Home Care Workforce in Taiwan

2021 ◽  
Author(s):  
Shih-Cyuan Wu ◽  
Mei-Chi Peng ◽  
Jui-Yuan Hsueh ◽  
Tung-Liang Chiang ◽  
Yu-Kang Tu ◽  
...  
Keyword(s):  
Home Care ◽  
Long Term Care ◽  
Institutional Care ◽  
Term Care ◽  
Care Recipients ◽  
Care Workers ◽  
Home Care Workers ◽  
Rates Of Growth ◽  
Payment Mechanisms

Abstract Background and Objectives Taiwan implemented its first National 10-Year Long-Term Care Plan in 2008 and its second in 2017. Over the first 10 years, the number of home care workers grew too slowly to meet demand. To increase the home care workforce, the government introduced two new payment mechanisms in 2018. This study assesses these mechanisms’ impact on growth in numbers of home care workers and use of home care services in Taiwan. Research Design and Methods Data was collected from the Ministry of Health and Welfare (2014–2019) and the Division of Long-Term Care (2017–2019). Generalized estimating equations compared rates of growth in the number of home care, institutional care, and foreign care workers and the number of care recipients receiving care from each group before and after 2018. Results Before 2018, rates of growth in all three groups of care workers increased slowly. After 2018, the rate of growth for home care workers increased to 31.8% from 9%, while growth in the other two groups remained stable. While there was greater workforce growth among home care than institutional care workers post implementation of the payment mechanisms (p < .05), the number of home care recipients (p < .05) and monthly home care visits (p < .05) also increased. Discussion and Implications The new payment mechanisms improved home care workers’ autonomy and salaries and appear to have contributed to immediate increased recruitment and retention. Whether this increase continues over the long run will need to be determined.

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