Thesis (doctoral)--University of Tartu, 2006. / This dissertation is based on 3 papers. Includes bibliographical references.

Thesis (doctoral)--München, 1934.

Thesis (Ph. D.)--University of Washington, 2000. / Vita. Includes bibliographical references (leaves 93-101).

nÃo hà / A AvaliaÃÃo Multidimensional RÃpida da Pessoa Idosa (AMRPI) à um instrumento que pode ser utilizado para identificar problemas de saÃde condicionantes de declÃnio funcional em pessoas idosas. Indica, quando necessÃrio, a utilizaÃÃo de outros instrumentos mais complexos: cartÃo de Jaeger; Escala de AvaliaÃÃo de Medida de IndependÃncia Funcional; Escala de Katz; Escala de Lawton; APGAR; Escala de DepressÃo GeriÃtrica; ECOMAPA; Mini exame do estado mental; e Escala de AvaliaÃÃo do EquilÃbrio e da Marcha de Tinneti. Este estudo objetivou avaliar a aplicabilidade do instrumento AvaliaÃÃo multidimensional rÃpida da pessoa idosa, na consulta de Enfermagem no contexto da EstratÃgia SaÃde da FamÃlia; e como objetivos especÃficos, verificar a concordÃncia dos especialistas acerca da aplicabilidade do instrumento AMPI na atenÃÃo bÃsica e considerar os aspectos do instrumento que foram consensuais entre os especialistas para propor as adequaÃÃes necessÃrias. Pesquisa metodolÃgica do tipo intencional. A populaÃÃo do estudo constituiu-se de enfermeiros, experts ou especialistas, do Brasil que possuÃsse conhecimento na Ãrea da saÃde do idoso com no mÃnimo cinco anos de experiÃncia. A coleta de dados foi realizada de fevereiro a abril de 2012, via correio eletrÃnico, utilizando o mÃtodo "Delphi" com duas rodadas. Para avaliaÃÃo do instrumento, foram utilizados os critÃrios da psicometria propostos por Pasquali (1999): comportamental, simplicidade, clareza e relevÃncia atribuido uma nota (-1,0 e +1). A concordÃncia esperada foi de 80%. Os dados foram agrupados e analisados estatisticamente, por meio do programa Statistical Package for the Social Sciences, versÃo 18.0, e software Excel. A pesquisa foi aprovada pelo Comità de Ãtica em Pesquisa da Universidade Federal do CearÃ, conforme protocolo n.302/11. Os participantes foram do sexo feminino e a mÃdia de idade de 45 anos. Atuava na regiÃo Nordeste (36,3%), seguidas da regiÃo Sudeste (22,7%). Quanto à Ãrea de especialidade, 72,7% tinham formaÃÃo em gerantologia. Referente à titulaÃÃo mÃxima, 54,5 % concluÃram doutorado e 36,3% mestrado; com tempo de atuaÃÃo na Ãrea de 5 a 15 anos (50%) e mais de 16 anos (49,9 %), com mÃdia do tempo de 21,13 anos. Na Ãrea de atuaÃÃo profissional, atuavam no ensino (45,4%) e na assistÃncia na EstratÃgia SaÃde da FamÃlia (36,3%). Na primeira rodada, com exceÃÃo do item atividade sexual, todos alcanÃaram concordÃncia, com proporÃÃes estatisticamente significativas. Na segunda rodada, apÃs revisÃo do item âatividade sexualâ, obteve-se concordÃncia estatisticamente significativa. Conforme os resultados apresentados, o instrumento AvaliaÃÃo multidimensional rÃpida da pessoa idosa constitui ferramenta importante na consulta de Enfermagem no contexto da EstratÃgia SaÃde da FamÃlia, na busca pelo envelhecimento ativo.

No description available.

M.A. / The mid-life transition is the focus of this research. It is an in-depth qualitative study based on a small sample of women between forty to sixty years of age. The research also examines the significance of the story medium as a means of generating psychological data concerning the experience of the mid-life transition. This data was analysed using grounded theory methodology. The results suggest that there is a merging of the cognitive and affective functions during the mid-life transition causing disequilibrium and the shifting of elements within the psychic structure. The data further suggest that mid-life is a meaning generating process at two levels. There is a clarification of goals, values and life direction. At a deeper level there is a search for an inner purposiveness or soul centredness. Themes centred around questions of identity and relationship. Identity issues surfaced with regard to appearance, roles, future and the death/rebirth motif Relationship issues concerned relationship to marriage, motherhood, work and money. Ultimately, at mid-life, there is an inner search for soul purposiveness.

Urinary incontinence has been described as a devastating symptom, an embarrassing condition, and a major geriatric problem, creating substantial personal, medical, and social difficulties. Urinary incontinence is a problem which affects men and women of all ages, but is predominantly a concern for elderly women! It is estimated that 50% to 75% of cases of incontinence are hidden or unreported. A review of the literature on urinary incontinence reveals numerous studies describing prevalence rates and types of incontinence. Characteristics of incontinent individuals and experimental studies comparing different treatments are also available. However, qualitative studies of urinary incontinence as it is experienced by elderly women are nonexistent. The purpose of this study is to explore and describe the impact of living with untreated urinary incontinence upon the daily lives of elderly women living in the community. The phenomenological approach to qualitative methodology was used for this study. This approach seeks to discover and describe the human experience as it is lived, and for this study, that experience was living with untreated urinary incontinence. Incontinent women, 60 years of age and over, were contacted through seniors' community centres, seniors' newspapers, and community service agencies. Nine women served as informants and participated in intensive interviews guided by open-ended questions. Verbatim transcriptions of these interviews and field notes from contact with seniors provided the data for analyses. Four major themes comprise the research findings: the recognition of incontinence, the avoidance of exposure, the need for information, and the redefinition of normal. The first theme describes the women's struggle to recognize the incontinence for what it was, acknowledging to themselves that it was an ongoing problem. Even after incontinence was recognized, the women emphasized the importance of keeping their symptoms hidden. This avoidance of exposure necessitated reorganization of their lives and limited opportunities to talk about problems with incontinence. Despite their hesitation in talking about incontinence, the women identified a compelling need for information. Finally, over and above these three management strategies, living with incontinence led to an attitudinal strategy of redefining what would constitute normal. For these women, this new definition of normal included incontinence. In light of these findings, implications for nursing education and practice are identified. Suggestions for future research stemming from this study conclude the discussion. / Applied Science, Faculty of / Nursing, School of / Graduate

The effects of weight training on the strength, power and size of arm flexor muscles in older women and the relationship between physical self-efficacy and changes in strength and power were investigated. Being reasonably strong is clearly desirable for older women to be able to live independently and safely; both strength and power are important. Although most older people living alone are women, very little research has been concerned with strength or power, or with training for strength, in older women. A 2 (experimental and control groups) x 2 (before and after training) experimental design was used. Subjects (N = 68) were randomly assigned to the 2 groups. Right arm strength (6RM), peak power, fat-free cross-sectional area (FCA), and Physical Self-efficacy (PSE) were measured before and after 12 weeks training, which was carried out at home. The experimental group trained elbow flexors 3 times a week, using dumbells; the control group trained for increased flexibility, for a similar amount of time weekly. For various reasons (no-shows, drop-outs, medical, incomplete cases) only 50 cases were available for analysis, 30 in the experimental group and 20 in the control group. Eighteen of these 50 subjects had initially reported minor disorders such as controlled hypertension or joint problems. Adherence was approximately 92%. In the experimental group, 6RM increased 20% more than in the control group, but peak power was slightly lower in both groups. There was no change in FCA. PSE was not correlated with the increase in 6RM, but was significantly linearly correlated with peak power. These results, and particularly the different response to training for strength and power in this group, are discussed. The mean reduction in peak power over the training period was not expected; possible reasons are discussed. The expectation of a relationship between PSE and changes in physical performance was not realized, although there was a statistically significant correlation between PSE and peak power. Possible reasons for this are discussed. In general, it was concluded that, after twelve weeks of training, the increase in weight-lifting performance using arm flexors: -shows that older women can, through a simple programme of progressive weight training done at home, improve the amount of weight they can lift -was not accompanied by hypertrophy of arm flexors -was not accompanied by an increase in peak power of the arm flexors -was not related to physical self-efficacy as measured In this study. / Education, Faculty of / Curriculum and Pedagogy (EDCP), Department of / Graduate

Yes / This literature review aims to conduct an extensive systematic literature review of the nursing interventions on discharge planning among geriatric patients with hip fractures. Design: The review applied multiple research designs, and the literature search was based on PRISMA’s publication standard. Data Sources: The articles were selected from three primary online databases: Scopus, Science Direct and Web of Science and one supporting database, Google Scholar. Review Method: After searching the eligible articles, 15 articles were selected for thematic analysis. Results: The systematic review came out with five central themes 1) assessments of the patient’s and family member’s needs: 2) diagnosis of an individual discharge planning: 3) prescription of the appropriate nursing interventions; 4) implementation of the nursing interventions and 5) follow -up after the patients have been discharged from hospital. Conclusion: The review’s findings explained the nursing intervention implemented and its effectiveness on elderly patients with hip fractures. Apart from that, this review also highlighted the methodology approach and health outcomes measured, which will help the scholars better understand the study area. Impact: The review contributes needed information for future nursing research and practice of the elderly with hip fractures.

Thesis (Ph.D.)--University of Tulsa, 1993. / Bibliography: leaves 87-96.