This thesis reviews Pliny's career and the composition of his last work, the Naturalis Historia. In the first chapter, the hypotheses of Münzer and Syme relating to Pliny's career are examined and an alternative suggested, according to which Pliny's military career may be dated a decade later than is usually envisaged. Chapter two dates the composition of the NH to either 72-78 or 76-78. Chapter three examines Pliny's working time-table and offers comparison with Cicero's time-table in 45 B.C. Chapter four reviews the various resources available to Pliny for research. Chapter five examines his working-methods and suggests a possible format for his commentarii. There are thirteen appendices, seventeen figures, and eight maps.

Background: The concept of transition means a change in a person's life where he or she is forced to adapt. There are different phases in life that results in different adaptations. In this essay, transition is described as the physical and mental journey between the home and an elder care facility. The Aim was to describe elderly people's experiences of transition when moving from their previous home into an elder care facility. The Method used was a literature review. Ten scientific articles were used for the analysis. The concept of transition has been used as a theoretical frame of reference. Results: Reasons for moving were a decrease in health, loneliness and a need to lose the burdening responsibilities that were connected to their home. Many elderly experienced a loss of feeling secure when living at home. Therefore it was important to arrive in a place that could give them a sense of security. The elderly people experienced a difficulty in adapting to their new home. After some time at their new home, they experienced well-being since the help and relations they received from staff and other residents led to experiences of security. Conclusion: Elderly people described negative as well as positive experiences of the transition, which was also altered over a period of time. Most of the elderly got used to their new form of living and their previous negative attitudes changed into positive attitudes towards the elder care facility.

Thesis (M.A.) -- University of Adelaide, Dept. of English, 1974.

Thesis (M.S.)--Boston University / OBJECTIVE: The aim of this research study was to see if Nintendo Wii Fit is better able to improve balance in the elderly population when compared to the Matter of Balance program, which is evidence.-based and designed to promote health, balance and wellbeing to decrease the risk of falls. PARTICIPANTS: Residents of an independent living senior housing facility in the Boston area were recruited to participate in this study. A total of 32 residents ages 63 to 90 participated: Wii Fit n=11, Matter of Balance n=11, and Control n=1O. Methods: Participants were separated into three groups. Experimental group 1: The Wii Fit Group performed balance games on the Wii Fit in individual sessions twice a week for three weeks. Experimental group 2: The Matter of Balance Group performed exercises from the Matter of Balance Program in a group setting twice a week for three weeks. The control group received no intervention. Participants in the Wii Fit group had the addition of supplemental home exercises. Two balance and one health and wellness measure were used to determine whether there were any changes following intervention: the Berg Balance Scale, the Tinetti Gait and Balance Assessment, and the Short Form-36 Health Survey (SF-36). RESULTS: Repeated measures ANOV As were used to determine whether there was an effect of the interventions on balance, health and well-being and whether there were any differences between intervention groups. Scores were significantly improved at post-test for both balance assessments: Berg Balance Scale (F1,29= 17.034, p < 0.001); Tinetti Gait and Balance Assessment (F1,29 = 9.715, p < 0.004). The mean increases in balance scores were larger, but not significantly so, for the exercise groups as compared to the control group. Results from the Wii Fit Enjoyment Questionnaire showed that 81% of participants reported high levels of enjoyment while playing the Wii games. DISCUSSION AND CONCLUSION: The Wii Fit is an enjoyable form of exercise as self-reported from an elderly population. Balance improved in the Wii Fit group following intervention, but only a small amount and not significantly more than improvements made by the MOB-exercise and non-exercise control groups. It is likely that the three week duration of the Wii Fit intervention was too short a period to make a large and significant impact on elders' balance.

Lack of elder abuse awareness and underreporting is an increasing problem in the United States in that only 1 in 14 cases of elder abuse is reported. The failure to report incidents of elder abuse and suspected elder abuse allows further abuse of elders and for elder abusers to go unpunished. The purpose of this quantitative nonexperimental study was to understand the relationship between race, gender, and elder abuse awareness and fill the gap in elder abuse literature. Research questions tested mean differences between race and gender, respectively, and elder abuse awareness. The theoretical frameworks for this study were the social cognitive theory, self-perception theory, and Dunning Kruger Effect. The study included a convenience sample of 75 federal corrections retirees with diverse educational and professional backgrounds living in the United States. Data were collected using an online survey that ascertained the respondents' attitudes toward elder abuse and knowledge of elder abuse laws. Independent samples t tests were performed to test the mean differences of elder abuse awareness between different races and genders. Results of the study revealed African Americans have a statistically significant higher mean than Caucasians. However, there was not a statistically significant mean difference between males and females, respectively, and elder abuse awareness. The implications for social change include aiding public and private sector elder abuse prevention advocates adopt programs and policies that will increase elder abuse awareness campaigns, increase elder abuse reporting behavior of different races and genders, and prevent deaths resulting from a lack of elder abuse awareness.

Neste estudo, de natureza qualitativa, conduzido segundo a abordagem fenomenológica, tendo como sujeitos as pessoas idosas, ou seja, com 60 anos de idade ou mais, freqüentadoras de dois Centros de Convivência do Idoso, localizados na cidade de Campo Grande, Mato Grosso do Sul, Brasil. busquei a compreensão da vivência do envelhecer. A opção pela fenomenologia se deu pelo fato da minha busca ser no sentido de compreender a experiência vivida pelo sujeito que está envelhecendo, descrevendo a mesma sob a perspectiva da pessoa idosa. Utilizei os recursos da entrevista fenomenológica, conforme proposto por Carvalho (1987), tendo como questão norteadora \"Como é chegar a esta idade? Viver tantos anos?\" Deste modo, ao interrogar qual o significado de viver até a chamada terceira idade, encontrei sentido para a prática de enfermagem voltada a essas pessoas que, talvez, possa contribuir para uma formação acadêmica mais humana, visando a assistência integral a este segmento populacional significativo na nossa sociedade, compreendendo quem é este ser humano a quem cuido. As principais preocupações das pessoas entrevistadas são mostrar que não perdem sua identidade por ficarem velhas e, às vezes, apesar da idade cronológica, não se sentem envelhecidas; esperam o reconhecimento enquanto cidadãs, reafirmam que ter saúde é essencial e as possibilita manter autonomia sobre suas vidas; enfatizam a importância do apoio, da convivência e do cuidado na família; valorizam a independência financeira e evitam falar sobre a finitude do ser humano. / In this study, of qualitative nature, driven according to the sight phenomenological, we have as subjects the older person, with 60 years of age or plus, visitors of two Centers of Coexistence of the Elder, located in the city of Campo Grande, Mato Grosso do Sul, Brazil, I looked for the understanding of the existence of the aging. The option for the phenomenology felt for the need of understanding the experience lived by the subject that it is aging, describing that experience under the old person\'s perspective. Did I use the presuppositions of the interview phenomenological, as proposed by Carvalho (1987), establishing the following question \"As it is to arrive that age? How is it to live so many years?\" This way, when interrogating which the meaning of living to the call third age, I found sense for the practice of returned nursing the those people that, maybe, it can contribute to a more human academic formation, seeking the intere attendance to that significant population\'s segment in our society, understanding that he is of who we had the care. The main concerns of the interviewees were: to show that they don\'t lose their identity because they age and, sometimes, in spite of the chronological age, they don\'t feel old; they wait for the recognition while citizens, and it reinforces that to have the health it is essential and she makes possible to maintain the autonomy about their lives; they give emphasis to the importance of the support, of the coexistence and of the care in the family; the financial independence and they also value they avoid to talk about the human being\'s finite condition.

The purpose of this study was to explore how social workers identify elder abuse, factors they find contribute to or protect from elder abuse, and cultural considerations they identify as important. The qualitative research approach was utilized, and an interview instrument was created to explore participants’ perceptions and generate recommendations for developing cultural sensitivity in practice. The study sample consisted of 10 social workers with experience working with the elderly population recruited by snowball sampling. Face-to-face interviews were conducted, audio-recorded, and transcribed for analysis. This study found that social workers are particularly knowledgeable about risk factors for elder abuse and cultural considerations, such as client perception of seeking help and accepting services as taboo, and the greater effectiveness of a social worker who shares the same cultural background. A key finding was social workers’ perceived need for education in developing cultural sensitivity, including formal trainings, consultation with client families, and self-awareness. Implications for social work practice include the development of new and more comprehensive training programs, such that specifically incorporates cultural sensitivity. Greater opportunities for education call for increased funding, and mandatory cultural sensitivity trainings call for changes in policy. Future research is needed to understand client perceptions of elder abuse and of service providers. Finally, future research on elder abuse and cultural factors beyond race and ethnicity, such as sexual orientation and religion, is also needed.

<p>Syftet: Avsikten med denna studie var att belysa distriktssköterskans/sjuksköterskansattityd till nutrition i omvårdnad av äldre över 65 år med hemtjänst.Metod: Utifrån ostrukturerade fokusgruppsintervjuer fick sjuksköterskor i enkommun i Mellansverige diskutera nutrition som ett omvårdnadsproblem utifrån ettpatientfall. Intervjuerna analyserades med kvalitativ innehållsanalys.Resultat: Analysen resulterade i fyra teman, medvetenhet om personens behov,ansvar för den andre, kunskap om att möta behoven samt relationsetik.Sjuksköterskorna förmedlade en positiv syn på att arbeta med nutrition och de hadeen stor förståelse för vilka konsekvenser ett för dåligt energiintag har på den äldresvälbefinnande. De upplevde att de har ett stort ansvar och tillräckligt med kunskapför att möta nutritionsproblemen i omvårdnaden. De anser att alla äldre har ett egetval så hänsyn måste visas och respekt måste tas för deras vilja när det gäller nutrition,vården kring den enskilde måste vara den bästa tänkbara.Slutsats: Studien visar att sjuksköterskorna tar ett stort ansvar i nutritionsfrågorna.Allt från att tillgodose individens enskilda behov till att lära ut och stötta övrigpersonal i vården. Sjuksköterskorna upplever att de har den rätta kunskapen för attkunna hantera nutritionsproblem i vården. Kunskapen har ökat de senaste åren.Denna kunskap anser författarna ligger till grund för sjuksköterskans positiva syn tillnutrition i omvårdnaden.</p> / <p>Aim: The aim of this study was to illuminate the nurse’s attitudes to nutrition whencaring elderly people over 65 years of age in their homes.Method: With unstructured interviews in focus groups the nurses discussed nutritionas a care problem from a patient’s situation. The interviews were analysed withcontent analysis.Result: The analyse resulted in four subjects, awareness of the persons needs,responsibility for the other, knowledge of meeting needs and relations ethics. Thenurses had a positive attitude to work with nutrition tasks and they had a greatunderstanding for the consequences of a low energy intake and how it will influencethe wellness of the elderly. They experienced that they had a big responsibility andenough knowledge to meet the nutrition problems in the care of the elderly. Theyconsidered that the elderly had their own choice, consideration and respect must beenshown for their own wish when it comes to nutrition. The care always must be of thehighest quality for the single person.Conclusion: The study showed that the nurses had a great responsibility in nutritionquestions. That means everything from providing the individuals needs to educateand support the staff in the care. The nurses experienced they had the adequateknowledge to handle the nutrition problems in the care. The knowledge aboutnutrition among the nursing staff tends to increase in the past years. This knowledgethe authors consider be the basis of positive attitude to nutrition among the nursesinterviewed.</p>

A descriptive correlational design based on an adapted model of Donabedian’s Structure, Process, Outcome model and Benner’s Novice to Expert theory was used to examine the clinical decision-making of nurses regarding elder abuse. The relationship of the nurses applied knowledge (assessment cues) of elder abuse; demographic questions (e.g. years of experience as a Registered Nurse (RN) and their clinical level of practice status), the use of intuition in nursing practice; and clinical decision outcomes (interventions) for patients in cases of suspected elder abuse was examined. A convenience sample of RNs who worked in the emergency department (ED) in three acute care hospitals, in southeastern United States were asked to complete questionnaires on education about elder abuse, their intuition use, demographic information, applied knowledge of elder abuse, and clinical decision outcomes for suspected elder abuse. The majority of the nurses had participated in the clinical level of practice status program.The convenience sample of 84 RNs consisted of 68 females (81%) and 16 males (19%). The average age of the respondents was 41.43 years. The mean number of years worked as a RN was 13.87 years. Multiple regression results indicated an overall model of two predictors (RNs applied knowledge (assessment cues) and years worked as a RN) significantly predicted clinical decision outcomes (interventions). The model accounted for 25.1% variance in clinical decision outcomes. The t-test revealed there was no difference (applied knowledge (assessment cues) of elder abuse, intuition use in nursing, years working as a RN, clinical level of practice status, and clinical decision outcomes (interventions)) between RNs who received elder abuse education at orientation and those who did not receive the education. The study results suggest that years of working as a nurse supported elder abuse recognition and intervention. The clinical level of practice status of nurses was found not to be a sensitive indicator. Elder abuse education during orientation varied between the hospital settings. The results indicate the educational need for nurses regarding suspected elder abuse.

Syftet: Avsikten med denna studie var att belysa distriktssköterskans/sjuksköterskansattityd till nutrition i omvårdnad av äldre över 65 år med hemtjänst.Metod: Utifrån ostrukturerade fokusgruppsintervjuer fick sjuksköterskor i enkommun i Mellansverige diskutera nutrition som ett omvårdnadsproblem utifrån ettpatientfall. Intervjuerna analyserades med kvalitativ innehållsanalys.Resultat: Analysen resulterade i fyra teman, medvetenhet om personens behov,ansvar för den andre, kunskap om att möta behoven samt relationsetik.Sjuksköterskorna förmedlade en positiv syn på att arbeta med nutrition och de hadeen stor förståelse för vilka konsekvenser ett för dåligt energiintag har på den äldresvälbefinnande. De upplevde att de har ett stort ansvar och tillräckligt med kunskapför att möta nutritionsproblemen i omvårdnaden. De anser att alla äldre har ett egetval så hänsyn måste visas och respekt måste tas för deras vilja när det gäller nutrition,vården kring den enskilde måste vara den bästa tänkbara.Slutsats: Studien visar att sjuksköterskorna tar ett stort ansvar i nutritionsfrågorna.Allt från att tillgodose individens enskilda behov till att lära ut och stötta övrigpersonal i vården. Sjuksköterskorna upplever att de har den rätta kunskapen för attkunna hantera nutritionsproblem i vården. Kunskapen har ökat de senaste åren.Denna kunskap anser författarna ligger till grund för sjuksköterskans positiva syn tillnutrition i omvårdnaden. / Aim: The aim of this study was to illuminate the nurse’s attitudes to nutrition whencaring elderly people over 65 years of age in their homes.Method: With unstructured interviews in focus groups the nurses discussed nutritionas a care problem from a patient’s situation. The interviews were analysed withcontent analysis.Result: The analyse resulted in four subjects, awareness of the persons needs,responsibility for the other, knowledge of meeting needs and relations ethics. Thenurses had a positive attitude to work with nutrition tasks and they had a greatunderstanding for the consequences of a low energy intake and how it will influencethe wellness of the elderly. They experienced that they had a big responsibility andenough knowledge to meet the nutrition problems in the care of the elderly. Theyconsidered that the elderly had their own choice, consideration and respect must beenshown for their own wish when it comes to nutrition. The care always must be of thehighest quality for the single person.Conclusion: The study showed that the nurses had a great responsibility in nutritionquestions. That means everything from providing the individuals needs to educateand support the staff in the care. The nurses experienced they had the adequateknowledge to handle the nutrition problems in the care. The knowledge aboutnutrition among the nursing staff tends to increase in the past years. This knowledgethe authors consider be the basis of positive attitude to nutrition among the nursesinterviewed.