scholarly journals PSYCHOSOCIAL NANISM AS A RESULT OF ATTACHMENT DEFORMATION IN CHILDREN LEFT WITHOUT PARENTAL CARE

2020 ◽  
Vol 13 (1) ◽  
pp. 70-78
Author(s):  
Anastasiya Valerevna Butyakova ◽  
Zhaniya Serikpaevna Tasbulatova

Background. An important feature of psychosocial nanism is its openness to corrective influences. However, in residential care facilities, it is possible to provide only external conditions that guarantee physical security but do not form a feeling of social attachment. A way to solve the problem can be sending a child to a foster family. Aim. The article deals with considering the phenomenon of psychosocial nanism in the context of social attachment in children left without parental care (hereinafter, LWPC children) and brought up in different conditions (in foster families and residential care facilities). Materials and methods. The study was conducted on the following premises: Sandyktau Orphanage (village of Sandyktau, Akmola Region, Kazakhstan), Esil Orphanage (Esil, Akmola Region, Kazakhstan), foster families of the villages of Baitus and Kenashchi (North Kazakhstan Region, Kazakhstan). The sample consisted of the LWPC children of preschool age brought up in an orphanage (25 people) and in foster families (25 people). Results. In LWPC children from an orphanage, the type of attachment relationship in the final diagnosis has insignificant changes in comparison with the initial diagnosis. In LWPC children from a foster family, the type of attachment has a significant difference in comparison with the initial diagnosis. There are statistically significant differences in the growth rate of LWPC  children brought up in foster families and in orphanages. Anthropometric development in children raised in a foster family is faster than in children raised in an orphanage. The type of attachment was determined using a story-completion task. Statistical processing of the research results was carried out by calculating using a story-completion task. Statistical processing of the research results was carried out by calculating the criteria for the significance of the ᵡ² differences and Mann-Whitney using the Statistica v. 15.0 software. Conclusion. Psychosocial nanism as a functional feature of the body manifested in reduced body length compared with peers and being the result of adverse conditions of the external and internal environment is leveled into normal physical developmentprovided that there is an object of attachment, who will act as a stabilizer of emotional, psychological and physical safety of a child.

2020 ◽  
Vol 36 (3) ◽  
pp. 24-36
Author(s):  
Caz Hales ◽  
◽  
Isaac Amankwaa ◽  
Lesley Gray ◽  
Helen Rook ◽  
...  

Little is known about the level of service demand and preparedness of Aotearoa New Zealand’s aged residential care facilities to care for older adults with extreme obesity. The aim of this study was to assess the current state of bariatric (extreme obesity) services within aged residential care. An environmental scan was conducted to identify bariatric resident needs and gaps in service provision to inform the development of policy and service provision. Observational and interview data from three facilities in Aotearoa New Zealand was collected along with a retrospective review of national resident admissions over a three-year period. Poor environmental design that included infrastructure deficiencies and financial barriers impacted on the ability to deliver safe and equitable care for this population. Specifically, equipment procurement and safe staffing ratios were of concern to the sector. There is an increasing need for bariatric level support within aged care, necessitating more equipment and staff, adaptation of physical care environments, and enhanced funding. Significant investment is required to address care concerns of older adults with extreme obesity at government and organisational levels.


Diabetes Care ◽  
2013 ◽  
Vol 36 (3) ◽  
pp. e37-e37 ◽  
Author(s):  
H. E. Resnick ◽  
G. L. Foster

2021 ◽  
Vol 15 (2) ◽  
pp. 253-273
Author(s):  
Virginia Miller ◽  
Seumas Miller ◽  
Bruce Stevens

Abstract The issues of elder sexual abuse and sexual freedom in residential care facilities are complicated by the existence of many residents with cognitive impairments of a kind that compromise their ability to make decisions based on informed consent. The issues of elder sexual abuse and sexual freedom in faith-based residential care facilities, in particular, are further complicated by restrictive, theologically based, ethical principles pertaining to sexual activity – for instance, prohibitions on extra-marital sex and the use of prostitutes by residents. The tension that arises must necessarily deal with the integrity of faith-based aged-care facilities and current legislation that promotes the rights of age-care residents to sexual freedoms. In the midst of much public concern about the level and quality of institutional age care this particular aspect seldom attracts notice. It nevertheless exposes a quandary to do with how ought public theology and ethics respond.


2018 ◽  
Vol 74 (7) ◽  
pp. e72-e83 ◽  
Author(s):  
Marianne Granbom ◽  
Nancy Perrin ◽  
Sarah Szanton ◽  
Thomas K.M. Cudjoe ◽  
Laura N Gitlin

Abstract Objectives It is unclear how home environmental factors influence relocation decisions. We examined whether indoor accessibility, entrance accessibility, bathroom safety features, housing type, and housing condition were associated with relocations either within the community or to residential care facilities. Methods We used prospective data over 4 years from the nationally representative National Health and Aging Trends Study in the United States of Medicare beneficiaries 65 years and older living in the community (N = 7,197). We used multinomial regression analysis with survey weights. Results Over the 4 years, 8.2% of the population moved within the community, and 3.9% moved to residential care facilities. After adjusting for demographics and health factors, poor indoor accessibility was found to be associated with moves within the community but not to residential care facilities. No additional home environmental factors were associated with relocation. Discussion One-floor dwellings, access to a lift, or having a kitchen, bedroom, and bathroom on the same floor may help older adults age in place. Understanding which modifiable home environmental factors trigger late-life relocation, and to where, has practical implications for developing policies and programs to help older adults age in their place of choice.


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