provision of care
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2022 ◽  
Vol 25 (3) ◽  
Author(s):  
Magdalena Malczewska ◽  
Edyta Janus

Introduction: There are many difficulties connected with caring for an elderly person sufferring dementia. Symptoms such as aggression or apathy, as well as the progressive nature of the disorder, affect the attitude of both home and institutional caregivers towards the people for whom they care. An important element related to the provision of care is the relationship between a senior with dementia and those who provide the care (home and institutional caregivers). The aim of the article is to characterise and compare these relations. Material and methods: The study comprised 124 participants, 57 professional caregivers and 67 home carers. Two standardised questionnaires were used: the Neuropsychiatric Inventory Questionnaire (NPI-Q) and the Quality of Carer-Patient Relationship - QCPR Questionnaire. Additionally, the respondents provided socio-demographic data. The study was conducted via electronic media in the first quarter of 2021. Results: It was found that there is a significant difference in the relationship between home and institutional caregivers, with their charges in the dimension of "warmth and attachment" (measured by QCPR). People providing professional care have significantly higher scores in this area. There was also a significant difference between scores in the 'no conflict and criticism' dimension (measured by QCPR) for home and professional caregivers. Institutional caregivers, in relation to their care recipients, have a higher level of this indicator than home caregivers. Conclusions: Relationships between seniors with dementia and institutional or home carers differ with regard to some issues. The differences in relationships with seniors suffering dementia may be due to the time spent caring for this person and the caregiver's response to symptoms of dementia.


2021 ◽  
pp. 0192513X2110675
Author(s):  
José Ángel Martínez-López ◽  
Juan Carlos Solano Lucas ◽  
Lola Frutos Balibrea ◽  
Marcos Bote Díaz

Long-term care in Spain has traditionally been provided by women as consequence of a family welfare system based historically on familism and sexual division of labour. The Autonomy and Dependence Law, passed in 2006, involved the regulation by the State of informal care. However, the economic crisis is maintaining and stressing gender differences in relation to care since a new profile of women is being built: poor caregivers, as a specific group responsible for the provision of care, becoming an ‘internal market’ linked to the application of the so called Dependence Law. This study presents an analysis of key secondary sources from the System of Autonomy and Attention to Dependency, the Unemployment System and the most relevant indicators of poverty and social exclusion. In addition, an ad hoc survey and semi-structured interviews were conducted. 55.2% of caregivers are poor women, inactive or unemployed and use the cash-for-care as basic income.


2021 ◽  
Vol 10 (4) ◽  
pp. 79-87
Author(s):  
G. K. Zoloev ◽  
D. G. Zoloev ◽  
D. V. Andreychuk ◽  
T. M. Yankina ◽  
V. I. Vindyurin ◽  
...  

Aim. To conduct comparative analysis of the activities of the department of vascular surgery before and during the spread of new coronavirus infection COVID-19 (SARS-CoV-2).Methods. The analysis was performed on the number of outpatient visits of vascular surgeon for types of diagnosis, number and type of surgeries performed at the inpatient facilities of the LLC “Grand Medica” over 2019 (whole year) and 2020 (quarterly).Results. Significant decrease was noted in the number of visits of patients with cardiovascular diseases to vascular surgeon in the outpatient facility. The number of surgeries on limb arteries in patients among Kuzbass residents decreased by 26.4 %, among residents of other regions – by 59.5 %; in brachiocephalic arteries – by 12.5 % and 54.5 %, respectively. The number of percutaneous transluminal coronary angioplasty (PTCA) in patients among Kuzbass residents increased by 25.3 %, among residents of other regions remained unchanged.Conclusion. Decrease in the volume of provision of care for patients with cardiovascular diseases over 2–4 quarters of 2020 is caused by two groups of factors. The first one is associated directly to the epidemiological situation and countermeasures against the spread of SARS-CoV-2 while the second one is associated indirectly.


2021 ◽  
Vol 15 (1) ◽  
pp. 326-334
Author(s):  
Anderson Reis de Sousa ◽  
Cléa Conceição Leal Borges ◽  
Isabella Félix Meira Araújo ◽  
Éric Santos Almeida ◽  
Edson de Andrade Nhamuave ◽  
...  

Introduction: The provision of primary care to men by nurses has been relevant, but there are challenges to be overcome. Objective: To analyze the challenges faced by Brazilian nurses in the provision of primary care to men. Methods: This was a qualitative descriptive study carried out by including 40 nurses working in the Family Health Strategy of a Basic Health Unit in Northeastern Brazil. Individual in-depth interviews were carried out and analyzed using the Discourse of the Collective Subject (CSD) method, supported by the Praxis Intervention Theory for Nursing in Collective Health – Tipesc. Results: The challenges faced by nurses in the provision of care to men originate in the academy and are transposed into professional practice, manifesting as limitations in the work process, lack of a specific health agenda, difficulties in raising male adherence, and professional demotivation. Conclusion: These challenges significantly affect the development and promotion of men’s health, resulting in the maintenance of the indicators of male morbidity and mortality in Brazil.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 798-799
Author(s):  
Kylie Meyer ◽  
Arielle Chinea ◽  
Sara Masoud ◽  
Kevin Hamilton ◽  
Ashlie Glassner ◽  
...  

Abstract Family members are critical to dementia care and the U.S. long-term services system. Yet, little is known about how to support the quality of care provided by family members, who often receive little training. We hypothesize that on days when caregivers feel more appreciated, they report providing a higher quality of care. To test this hypothesis, we asked spousal dementia caregivers (N=21) to complete 14 daily surveys that asked about their daily caregiving experiences. Our measure for “quality of care” was based on the Exemplary Caregiving Scale, and included 3-items pertaining to provision of care (e.g., “You considered your spouse's wishes and opinions when providing assistance”). Response options included “Most of the time,” “Some of the time,” and “Never”; scores were summed (range 0 to 6). Caregivers were also asked to what extent their spouse appreciated the care provided (“Not at all,” “Some,” or “A lot”). We applied multi-level mixed models to the data, and controlled for age, gender, Hispanic ethnicity, number of behavioral symptoms of dementia each day and months since diagnosis. In adjusted models, we found that on days when caregivers believed care recipients appreciated care provided “Some” or “A lot,” they reported providing higher quality care (B=0.52, p=0.010 and B=0.79, p<0.001, respectively) compared with days when caregivers believed care recipients appreciated care provided “Not at all”. Preliminary results may inform programs to support caregivers’ ability to provide high quality care (e.g., by helping caregivers to perceive rewards) and to identify caregivers at risk of providing low-quality care.


2021 ◽  
Vol 10 (4) ◽  
pp. 778
Author(s):  
Rajkumar Krishnan Vasanthi ◽  
Lee Cai Ling ◽  
Yughdtheswari Muniandy

Digital health intervention (DHI) can solve the patient's problem, such as geographical inaccessibility, delayed provision of care, low-level adherence to clinical protocols, and financial burden. DHI does not necessary to work as a substitution for a functioning health system but helps strengthen its function. Therefore, this study aimed to determine the awareness, perception, and acceptability of digital physiotherapy intervention (DPI) among Malaysian physiotherapists. A total of 209 practicing physiotherapists representing all the regions in Malaysia participated in this online self-reported questionnaire, including demographics profile, continuous professional development, awareness, perception and acceptability of DPI. Analyzed the collected data to determine the knowledge of DPI by using descriptive statistical methods. A 75.1% of the Malaysian physiotherapist aware of digital physiotherapy intervention, 69.38% perceived it reduces the cost for face to face, reduce the time for traveling 47.85%, improve adherence to exercises 42.58%, 78% of them agree with the DPI and 75.1% of them accepted to recommend the digital tools to their patient. Malaysian physiotherapists are aware, agree and recommend the digital physiotherapy intervention to their treatment plan. However, it should still raise awareness about digital physiotherapy intervention to lead them to the future. Developing new digital tools, utilization, and overcoming the various healthcare institutions' low acceptability considering the cost, conventional interventions, and time-consuming should be strategized in Malaysia.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 53-53
Author(s):  
Jeongeun Lee ◽  
Natasha Peterson ◽  
Steven Zarit

Abstract Informal caregivers provide substantial practical and emotional support for individuals with chronic and acute conditions. Consequently, many experience caregiver burden and are at high-risk for psychological morbidity and associated breakdown in the provision of care for care recipients. Many psychosocial interventions have been designed to help caregivers. However, more work is needed to identify which, or what kind of, interventions are optimal for identifying suitable strategies and care management. The main objectives of this symposium are to (1) address psychosocial and demographic factors contributing to caregiver resilience, (2) understand the role of cognitive and behavioral factors that have implications for caregivers’ psychological well-being, and (3) specify different caregiving styles and adaptive outcomes. This symposium assembles a panel of experts and brings together empirical research on various challenges that need to be addressed and potential opportunities for creating effective psychosocial intervention targets for caregivers. The first session will discuss several psychosocial and demographic factors associated with resilience among caregivers. The second session will share how caregiving appraisals are closely related to positive and negative affect and whether the level and changes in caregivers’ activity participation moderate this linkage. The third session will identify caregiving styles and strategies utilizing k-modes machine learning analysis and share how caregivers adapt to care situations. The final session will present caregivers’ stress experiences related to dementia patients’ behavior and psychosocial symptoms in dementia during the day. The session will conclude with Dr. Zarit, who will integrate the four papers and offer insight on implications across studies.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 319-319
Author(s):  
Giorgio Di Gessa ◽  
Valeria Bordone ◽  
Bruno Arpino

Abstract Policies aiming at reducing rates of hospitalisation and death from Covid-19 encouraged older people to reduce their physical contacts. For grandparents in England, this meant that provision of care for grandchildren was allowed only under very limited circumstances. To date, evidence on changes in grandparenting during the pandemic is scarce and little is known about whether and to what extent reduction in grandchild care provision impacted grandparents’ mental health. Using pre-pandemic data from Wave 9 (2018/19) and the second Covid-19 sub-study (November/December 2020) of the English Longitudinal Study of Ageing, we first described changes in grandparenting since the start of the pandemic. Then, using regression models, we investigated associations between changes in grandparenting and mental health (depression, quality of life, life satisfaction, and anxiety) during the pandemic, while controlling for pre-pandemic levels of the outcome variables. Almost a third of grandparents reported that the amount of grandchild care during the pandemic reduced or stopped altogether, whereas 10% provided as much or more care compared to pre-pandemic levels, mostly to help parents while working. Compared to grandparents who provided grandchild care at some point during the pandemic, those who stopped altogether were more likely to report poorer mental health, even taking into account pre-pandemic health. A reduction in grandparenting was only marginally associated with higher depression. Although policies to limit physical contacts and shield older people reduced their risks of getting ill from Covid-19, our study shows the consequences of stopping childcare provision in terms of poorer mental health among grandparents.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 341-341
Author(s):  
Kelly Fitzgerald ◽  
Kim Stoeckel

Abstract When gerontological education and training are grounded in a rights-based approach, this framing provides a tool to ensure the rights of older people are advocated for and experienced. A “train the trainer” program was given to non-governmental organizations (NGOs) providing services to refugees in Jordan. The goal of the training was to educate NGOs on how to use a rights-based approach when responding to and supporting older refugees. The training covered a range of topics in ensuring the rights of older people in the provision of care, protection, and inclusion. Training outcomes revealed an increased awareness of the rights of older people. Skills and knowledge gained as a result of this training empowered participants to further develop their own work, within their cultural context, to reflect a rights-based approach to services and programs.


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