This Seed Will Bear No Fruit

2019 ◽  
pp. 262-283
Author(s):  
Friday A. Eboiyehi
Keyword(s):  
Older People ◽  
Family System ◽  
Extended Family ◽  
Family Members ◽  
Developed Countries ◽  
Western World ◽  
Continuous Increase ◽  
The Family ◽  
The Developed Countries ◽  
Old People's Homes

The continuous increase in the number of older people and the gradual erosion of the extended family system which used to cater to them are alarming. While older people in much of the developed countries have embraced old people's homes as an alternative, the same cannot be said of older people in Nigeria who still believed that it is the duty of the family to accommodate them. The chapter examined the perception of older people about living in old people's home in some selected local government areas in Osun State, Nigeria. The study showed that their perception about living in old people's home was poor as many of them still held on to the belief that it was the responsibility of their family members to house them as it was done in the olden days. Although a few of the interviewees (particularly those who are exposed to what is obtained in the Western world and those with some level of education) had accepted the idea, many preferred to live with their family rather than being dumped in “an isolated environment,” where they would not have access to their family members. Pragmatic policy options aimed at addressing this emerging social problem were highlighted.

The Manager Caregiver

2020 ◽  
pp. 103-125
Author(s):  
Elaine Wittenberg ◽  
Joy V. Goldsmith ◽  
Sandra L. Ragan ◽  
Terri Ann Parnell
Keyword(s):  
Health Information ◽  
Family System ◽  
Family Members ◽  
Role Expectations ◽  
Care Recipient ◽  
Social Psychological ◽  
Communication Climate ◽  
Professional Help ◽  
The Family

As the Manager emerges from a communication climate of HIGH/WARM conformity (strong pull to share in similar values, attitudes, beliefs, and familial role expectations) and HIGH/COLD conversation (frequent and restricted communication contacts within the family system), the priority and commitment to family is prioritized. This priority can subvert the needs of this caregiver, and the Manager can find themselves protecting the care recipient and, at times, other family members from the challenges associated with understanding a diagnosis and its treatment. The Manager is drawn to professional help and support as well as health information, but this does not mean the Manager is sure about either—and they are strongly reliant on opinions of providers and professionals in their midst. The Manager employs similar approaches to all manner of pain (physical, emotional, social, psychological, spiritual) and because of the vigilance of the Manager, serving as the expert on the patient is a key-defining trait that is communicated via interactions with providers, family, patient, and other players. This trait positions the Manager to plan and activate care and advance the dynamics of the family system in which they live.

scholarly journals Migrant Caregivers of Older People in Spain: Qualitative Insights into Relatives’ Experiences

2020 ◽  
Vol 17 (8) ◽  
pp. 2953
Author(s):  
María José Morales-Gázquez ◽  
Epifanía Natalia Medina-Artiles ◽  
Remedios López-Liria ◽  
José Manuel Aguilar-Parra ◽  
Rubén Trigueros-Ramos ◽  
...  
Keyword(s):  
Older People ◽  
Family Member ◽  
Culture Shock ◽  
Family Members ◽  
Family Care ◽  
Traditional Structure ◽  
Gradual Process ◽  
The Family ◽  
Phenomenological Design ◽  
Depth Interviews

The traditional structure of families is undergoing profound changes, causing the so-called “crisis of family care.” This study describes the experiences and emotions of the family member who hires migrant caregivers for the older people. This is a qualitative study using a phenomenological design with nine women participants between 53 and 72 years of age. The data collection was carried out through two in-depth interviews and a focus group. There were three major topics: (1) the women in this study recognized that they were not able to take care of the family member directly, due to their responsibilities as female workers and mothers. The fact that migrant caregivers were chosen was conjunctural, where economic reasons were more important. (2) The family members supported the caregivers by teaching them about care and also resolving conflicts produced by culture shock. (3) Trusting the caregiver was a gradual process; the family members felt a complex set of emotions (insecurity, gratitude for the help, moral obligation). In conclusion, they wanted a caregiver who would provide the elder dependent with the love and compassion that they, as daughters, would provide if they had time to do so. The family became the caregiver’s managers and assumed the responsibility of training and helping them.

scholarly journals MELAS: A Multigenerational Impact of the MTTL1 A3243G MELAS Mutation

2014 ◽  
Vol 41 (2) ◽  
pp. 210-219 ◽  
Author(s):  
M. Prasad ◽  
B. Narayan ◽  
A.N. Prasad ◽  
C.A. Rupar ◽  
S. Levin ◽  
...  
Keyword(s):  
Maternal Inheritance ◽  
Extended Family ◽  
Family Members ◽  
Strong Support ◽  
Radiological Findings ◽  
Laboratory Findings ◽  
Clinical Presentations ◽  
The Family ◽  
Generation Family ◽  
Pathological Material

Background:the maternally inherited MTTL1 A3243G mutation in the mitochondrial genome causes MelaS (Mitochondrial encephalopathy lactic acidosis with Stroke-like episodes), a condition that is multisystemic but affects primarily the nervous system. Significant intra-familial variation in phenotype and severity of disease is well recognized.Methods:retrospective and ongoing study of an extended family carrying the MTTL1 A3243G mutation with multiple symptomatic individuals. tissue heteroplasmy is reviewed based on the clinical presentations, imaging studies, laboratory findings in affected individuals and pathological material obtained at autopsy in two of the family members.Results:there were seven affected individuals out of thirteen members in this three generation family who each carried the MTTL1 A3243G mutation. the clinical presentations were varied with symptoms ranging from hearing loss, migraines, dementia, seizures, diabetes, visual manifestations, and stroke like episodes. three of the family members are deceased from MelaS or to complications related to MelaS.Conclusions:the results of the clinical, pathological and radiological findings in this family provide strong support to the current concepts of maternal inheritance, tissue heteroplasmy and molecular pathogenesis in MelaS. neurologists (both adult and paediatric) are the most likely to encounter patients with MelaS in their practice. genetic counselling is complex in view of maternal inheritance and heteroplasmy. newer therapeutic options such as arginine are being used for acute and preventative management of stroke like episodes.

scholarly journals A COURTYARD HOUSE – SIHEYUAN 四合院 AS THE DWELLING PLACE OF THE TRADITIONAL CHINESE FAMILY

2020 ◽  
pp. 207-217
Author(s):  
Zbigniew Wesołowski SVD
Keyword(s):  
Ming Dynasty ◽  
Family System ◽  
Extended Family ◽  
Chinese Family ◽  
Chinese Society ◽  
Chinese History ◽  
Short Contribution ◽  
The Family ◽  
South Axis ◽  
Courtyard House

A Chinese courtyard house, called in Chinese siheyuan, equipped with a single entrance and with one or more open courtyards encompassed by one-storey buildings, represents traditional house dwelling in China. Throughout Chinese history, courtyard dwelling was the basic architectural pattern used for building governmental (palaces and offices) and family residences, and religious compounds (temples and monasteries). In this short contribution, the author depicts a standard traditional Beijing court house from the Ming dynasty (1368–1644) which would normally host an extended family of three and four generations. The physical construction and spatial structure of the traditional Chinese courtyard house were deeply rooted in ancient Chinese philosophical thought. The Chinese used fengshui (wind and water) principles to harmonize themselves with their environment in order to secure prosperity, longevity, and family blessings. From the viewpoint of fengshui, a basic courtyard house compound was not only a dwelling place, but also a structured and complicated vision of the cosmos that should function as an ideal container of qi (life energy). The fundamental north-south axis which rhythmically and continuously guarantee the vital flow of qi and the square shape of a courtyard house which means near to the earth, should promise health, prosperity, and the growth of the family. The fengshui system (nowadays mostly associated with Daoism) in the context of a Chinese courtyard house was intimately combined with China’s strict social and family system (Confucianism). The structure of the Chinese traditional family – and the author calls it “Confucian familism” – i.e., the Confucian conviction of family as a model for the whole state. This rigid and hierarchically structured family system, which had been the basis of Chinese society in imperial China for over two thousand years, has been reflected in courtyard house compounds. At the end of this contribution, the author mentions the efforts of present-day architects to find a way to revive traditional courtyard housing for modern times.

scholarly journals Senior Citizens and Their Roles in Family and Household

2020 ◽  
Vol 13 (2) ◽  
pp. 32
Author(s):  
S. M. Ayoob
Keyword(s):  
Living Arrangements ◽  
Extended Family ◽  
Senior Citizens ◽  
Family Members ◽  
Active Role ◽  
Social Recognition ◽  
Family Type ◽  
Role Taking ◽  
The Family ◽  
Family And Household

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.

Partnership between healthcare professionals and family members in caring for older people during hospitalization: a literature review

2020 ◽  
Vol 24 (2) ◽  
pp. 137-142
Author(s):  
Watchara Tabootwong ◽  
Frank Kiwanuka
Keyword(s):  
Health Care ◽  
Literature Review ◽  
Older People ◽  
Health Care Professionals ◽  
Healthcare Professionals ◽  
Family Members ◽  
Family Satisfaction ◽  
Older Person ◽  
Content Type ◽  
The Family

Purpose Partnership is both a goal and an approach to family-centered care (FCC). Family members play an important role alongside the health-care team when an older family member is admitted to the hospital. Family involvement in care for an older person forms a partnership approach where health professionals and the family engage collaboratively in care. This enhances the quality of care and family satisfaction with care. The purpose of this paper is to highlight the potential areas of partnerships of family members with health-care professionals while caring for older people based on the perspective of FCC. Design/methodology/approach A literature review was carried out. Findings The findings of this study focus on how healthcare professionals can listen to, respect the perspectives of family members, and share useful information with the family while caring for an older person. Family participation in providing care and collaboration between healthcare professionals and families is a seminal goal strategy in caring for older people during hospitalization. It is helpful to family members as a way of training and preparing them to assist their loved one after hospital discharge. Furthermore, it can establish a good relationship between healthcare professionals and families. Originality/value Partnership between health-care professionals and families helps and supports the older people and the family in managing the health condition the following discharge from the hospital.

Superficial and systemic diagnosis of family

2010 ◽  
Vol 41 (3) ◽  
pp. 113-121 ◽  
Author(s):  
Waldemar Świętochowski
Keyword(s):  
Factor Analysis ◽  
Theoretical Model ◽  
Personality Traits ◽  
Family System ◽  
Family Members ◽  
Family Assessment ◽  
Assessment Measure ◽  
The Family ◽  
Systemic Model ◽  
Psychological Questionnaires

Superficial and systemic diagnosis of family The distinction between two types of diagnosis of family was inspired by the concept of surface and source features of personality by R.B. Cattell. By means of existing psychological questionnaires we can only know the surface of consciously available mental phenomena. The same is true in the diagnosis of family. The McMaster model of family, systemic in its assumptions, developed research tools giving access only to the surface of the phenomena. Although they are divided into certain thematic categories they do not reveal what is really important in the family system. In this article, the author, after a detailed discussion of one of the tests based on the McMaster theoretical model, is attempting to identify the source features (here: unavailable for conscious cognition) of the family, hereinafter called systemic traits. In this research the exploration factor analysis was used. Three perspectives of the opinion of the family were maintained (like in the Family Assessment Measure). Factor analysis allowed identification of three factors for each perspective of the family assessment. Confirmative analysis proved a satisfactory match (using RMSEA, GFI and AGFI statistics). The accuracy of the identified systemic model was then tested by a confirmation study (confirmative factor analysis using Amos from SPSS). The authors also prepared a provisional questionnaire for measuring these systemic traits of the family. The tool proved to be promising and the work worth continuing. Incidentally, it turned out that the characteristics of the family system are relatively independent of personality traits of family members.

Family, Loss, and Change

2018 ◽  
pp. 221-232
Author(s):  
Katherine R. Allen
Keyword(s):  
Nuclear Family ◽  
Extended Family ◽  
Family Members ◽  
Relationship Dissolution ◽  
Same Sex ◽  
The Family ◽  
Family Loss ◽  
Legal Marriage

Same-sex relationship dissolution has reverberations for individuals beyond the nuclear family. This chapter discusses a lesbian-parent family, consisting of two moms and two kids—when it broke up nearly two decades ago, many other family members, including the donor and his husband, were deeply affected. This chapter reflects on this experience from the author’s perspective of a family scholar and an activist for LGBTQ family rights. In the absence of legal marriage and thus legal divorce, family lives turned out in ways that even the most careful, deliberate efforts could not anticipate nor protect. The experiences described highlight many losses and regrets, despite the intentional love and concern for all of the parents, children, and extended family members involved. These reflections on this experience are intended to honor the family as it once was and the families they have become.

Session 8: Family Roles, Communication, and Support

2020 ◽  
pp. 95-102
Author(s):  
Bryan D. Carter ◽  
William G. Kronenberger ◽  
Eric L. Scott ◽  
Christine E. Brady
Keyword(s):  
Family Communication ◽  
Family Systems ◽  
Family System ◽  
Family Members ◽  
Parenting Behaviors ◽  
Family Roles ◽  
Family Dynamic ◽  
Family Situation ◽  
The Family ◽  
The Impact

Session 8 is again focused primarily on family communication and dynamics for the purposes of identifying and addressing parenting behaviors and parent–teen dynamics that may unwittingly undermining teen confidence in becoming more independent in managing their illness and lifestyle. The clinician engages the family in a discussion of parental and teen roles within the family system and an examination of the impact of the teen’s illness on family members’ roles. Behavioral family systems concepts of “misguided support” and “strong beliefs” that family members hold, but that inadvertently may be serving to maintain a dependent or even overprotective/enmeshed family dynamic, are introduced and applied to the family situation, along with strategies for moving these dynamics in a more independence-engendering direction.

scholarly journals Care homes and COVID-19 in Hong Kong: how the lessons from SARS were used to good effect

2020 ◽  
Author(s):  
Lina Chow
Keyword(s):  
Hong Kong ◽  
Older People ◽  
Asymptomatic Carrier ◽  
Care Home ◽  
Family Members ◽  
Virus Transmission ◽  
Developed Countries ◽  
Care Homes ◽  
Good Effect ◽  
Influenza Outbreaks

Abstract In Hong Kong, about 15% of older people (aged 80 and above) live in care homes, one of the highest proportions in the world. During the spread of severe acute respiratory syndrome in 2003, the crude fatality rate for older people in care homes that were infected was 72%. After taking the advice of a team of international experts, the Hong Kong Government implemented comprehensive preventive measures to cope with the future epidemics. This commentary evaluates the effectiveness of these measures in coping with both influenza outbreaks and COVID-19 and suggests the lessons learnt are relevant to both developed and less developed countries? Lockdown in care homes is very effective under two conditions. Healthcare workers must wear surgical masks in the care home. Hospitals must adopt a strict policy to prevent virus transmission by discharged patients. Care homes situated within high-rise residential towers are particularly vulnerable to COVID-19 transmission; their residents can more easily be infected by asymptomatic carriers from the community. Airborne virus can also be transmitted more swiftly in care homes with open-plan layouts. Lockdown had been shown to significantly reduce influenza outbreaks in care homes. On the other hand, lockdown causes loneliness to residents. Care homes allow residents to move freely within the care home though with the risk of spreading the virus by resident who is an asymptomatic carrier. Finally, lockdown may cause family members to have guilty feelings. Family members can only make video call or window visit to residents.

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