<p>This essay is about needs assessors within public elder care. The method is a quantitative vignette study. The aim of the study is to find out whether there is an existing consensus among the needs assessors when a relative to a client with reduced cognitive functions wants to make an application even though the client does not want to. We also wanted to find out whether there are any underlying circumstances which have influence on the needs assessors’ reactions to this specific situation. We used a questionnaire which consisted of four vignettes that illustrated a meeting between a needs assessor, a client and a relative to the client. The vignettes was complemented with questions that made it possible to find underlying circumstances that determine whether the needs assessors do accept the application from the clients relative. The result shows that professional experience and education is significant for whether the needs assessors choose to accept the application or not. It is also clear that there are variations depending on which town district the needs assessors work in. In some town district the needs assessors act with great similarity while there are huge differences in other town districts.</p>

This essay is about needs assessors within public elder care. The method is a quantitative vignette study. The aim of the study is to find out whether there is an existing consensus among the needs assessors when a relative to a client with reduced cognitive functions wants to make an application even though the client does not want to. We also wanted to find out whether there are any underlying circumstances which have influence on the needs assessors’ reactions to this specific situation. We used a questionnaire which consisted of four vignettes that illustrated a meeting between a needs assessor, a client and a relative to the client. The vignettes was complemented with questions that made it possible to find underlying circumstances that determine whether the needs assessors do accept the application from the clients relative. The result shows that professional experience and education is significant for whether the needs assessors choose to accept the application or not. It is also clear that there are variations depending on which town district the needs assessors work in. In some town district the needs assessors act with great similarity while there are huge differences in other town districts.

Elderly patients in the Emergency Department (ED) receive a different level of care than younger patients. The ED disproportionately deploys resources to serve the needs of the younger patient population, a decision that appears to be mediated by the acuity of the patient’s condition as defined by the institution. This study will seek to examine the institutional work processes by which this disparity in care is created. By looking at the needs of the elderly as ED patients and based on what they identify as important to them, this ethnographic study will examine the work organization of the nurses, physicians, and administrators in the ED. The goal of the research is, through the examination of the organization of work and the texts that mediate it, to explain the ruling relations through which elderly patients are subjugated as patients in the ED.

Elderly patients in the Emergency Department (ED) receive a different level of care than younger patients. The ED disproportionately deploys resources to serve the needs of the younger patient population, a decision that appears to be mediated by the acuity of the patient’s condition as defined by the institution. This study will seek to examine the institutional work processes by which this disparity in care is created. By looking at the needs of the elderly as ED patients and based on what they identify as important to them, this ethnographic study will examine the work organization of the nurses, physicians, and administrators in the ED. The goal of the research is, through the examination of the organization of work and the texts that mediate it, to explain the ruling relations through which elderly patients are subjugated as patients in the ED.

The purpose of this study was to inquire how social workers perceive and describe financial abuse of older persons. Six qualitative interviews were carried out and the assembled data was then categorized and analyzed using a theory considering exercise of power and ageism as a theoretical frame. Previous research has shown that at least 10% of older persons have been exposed to some form of abuse or violence; however, there is a lack of research carried out in a Swedish context regarding financial abuse specifically. The six persons interviewed in this study all presented financial abuse as some kind of violence and as previous research has shown the study suggests that this is an increasing problem. Further research ought to be carried out to increase the awareness of this particular form of abuse and to facilitate discovery and development of measures to prevent financial abuse of older persons. The result of this study as well as previous research indicates that there is a high amount of unrecorded cases; therefore, it is hard to define financial abuse since the use of the term varies among different contexts and that the term consists of very differing examples.

This PhD project by publication begins to explore how Scottish adult support and protection (ASP) policy and practice carves out its role and remit. It examines the ways that concepts like “abuse”, “vulnerability” and “protection” have been constructed, both by individual practitioners and at a policy level. The submission comprises five papers published in peer-reviewed journals and this contextualising document, which knits together the work and draws out overall conclusions and implications. The papers themselves report on a literature review, a further analysis of case study research into ASP practice and a critical policy comparison. The case study research was conducted immediately prior to legislative changes in Scotland with respect to ASP, and the policy comparison was conducted subsequently to these changes. Overall, the findings highlight the ways that a social constructionist approach can usefully deepen our understandings of ASP. That is, they show how understanding concepts like “protection”, “vulnerability” and “abuse” to be actively constructed in unique and complex contexts can promote criticality in policy-making, practice and research.

The aim of this qualitative study was to explore which inner conceptions about the abused older women the professional social workers had and how they experienced the enconter of an abused old woman in an intimate partner relation. The theoretical background is social construction by Berger and Luckmann. This theory was uset to analyze the transcribed interviews. This study is based on nine interviews with five professionals in social services, three volunteers from the voluntary sector and one social worker who worked in a community based support group for abused older women. The result of this study shows that older women were often abused, by a relative they were dependent on, in their home. The participants describe emotions of insecurity and frustration in their efforts to help the older women. They also described difficulties in creating confidence with the women. The conclusion is that the abused older women don´t always get the support of interventions from the social service agencies.

Made available in DSpace on 2014-12-17T15:46:29Z (GMT). No. of bitstreams: 1 DeriscleiaRR.pdf: 395162 bytes, checksum: f30ae84fd662fbd205a7c312e9e1bb36 (MD5) Previous issue date: 2006-08-22 / This research comprises a study about the social assessment performed by the Social Worker in the review process of the Benefit of Continued Installment. The Benefit of Continued Installment was implemented in 1996 and guarantees a minimum salary to the deficiency person and to an elder with sixty five years or more and that proves not to have ways to support neither himself/herself nor his/her own family. It is a demand to include in the BPC that the maximum income of a family does not exceed ? of minimum salary and that every two years this benefit to be revised to evaluate its continuity based in its original conditions. This study was carried out in the municipality of Natal/RN, with thirteen social workers, being the collection of data performed through interviews and social assessments of the users that count with the benefit. The results show that the users selected by the criterion of the income, present a profile of poverty and deprivations demonstrated through several situations survived in its daily life, indicative of vulnerability. It was demonstrated that the Social workers has relative autonomy in the evaluations along with the users and that it denotes the necessity of inclusion. However, by following the imposed criteria, it corroborates with the logic of exclusion. So, it is identified in the Municipality of Natal/RN, following the orientation given the politics of social work at national level, the implementation of revision of the BPC, for the social workers, from rigorous processes of selection and exclusions / Esta pesquisa compreende um estudo sobre a avalia??o social realizada pelo Assistente Social no processo de revis?o do Benef?cio de Presta??o Continuada. O Benef?cio de Presta??o Continuada come?ou a ser implementado em 1996 e garante um sal?rio m?nimo ? pessoa portadora de defici?ncia e ao idoso com sessenta e cinco anos ou mais e que comprove n?o possuir meios de prover a pr?pria manuten??o e nem de t?-la provida por sua fam?lia. ? exig?ncia para inclus?o no BPC que a renda m?xima da fam?lia n?o ultrapasse ? de sal?rio m?nimo per capita e a cada dois anos o benef?cio ? revisto para avalia??o da continuidade das condi??es que lhe deram origem. A pesquisa foi realizada no munic?pio de Natal/RN, com treze assistentes sociais, sendo a coleta de dados efetuada atrav?s de entrevistas e das avalia??es sociais dos usu?rios indicados ao corte do benef?cio. Os resultados revelam que os usu?rios selecionados pelo crit?rio da renda apresentam um perfil de pobreza e priva??es, demonstradas atrav?s de diversas situa??es vivenciadas em seu cotidiano, indicativas de vulnerabilidade. Demonstrou que o assistente Social possui relativa autonomia nas avalia??es junto aos usu?rios e que denota a busca pela inclus?o, mas, ao seguir os crit?rios de seletividade impostos, corrobora com a l?gica de exclus?o. Assim, identifica-se no munic?pio de Natal/RN, seguindo a orienta??o dada ? pol?tica de assist?ncia social no ?mbito nacional, a implementa??o da revis?o do BPC, pelos assistentes sociais, a partir de processos de sele??o rigorosos e excludentes

O estudo inseriu a interlocução da área de Educação em Saúde com a de Gerontologia como alvo de nosso olhar e focalizou a questão da experiência de vida de idosos com Diabetes Mellitus tipo 2 e seus cuidadores. Teve como objetivo elencar pontos de referência da Educação em Saúde para uma metodologia de cuidado ao idoso com diabetes em nível ambulatorial. Partiu-se da premissa que o idoso com diabetes pode ter um envelhecimento bem-sucedido. Isso não significa necessariamente viver por mais anos. Significa, sim, viver o processo de envelhecimento com qualidade e dignidade mesmo diante das limitações impostas pela doença. Nesse sentido, foi fundamental planejar estratégias educativas com a participação de idosos e seus cuidadores com a finalidade de melhorar o controle da doença, a fim de possibilitar à pessoa idosa realmente viver melhor e, não necessariamente, viver mais. Atualmente, a assistência ambulatorial nos serviços de saúde ainda se pauta em abordagens individualizadas e prescritivas no tratamento dos idosos, desconsiderando a participação potencial de cuidadores familiares. As complicações tardias do diabetes tipo 2 podem comprometer o processo natural de envelhecimento, repercutindo de forma negativa na qualidade de vida do idoso. Essas podem ser evitadas se o cuidador familiar estiver capacitado para gerenciar no domicílio as dificuldades inerentes à situação de cronicidade do idoso. A perspectiva de longevidade da população torna esse fato relevante. Na realização da pesquisa tomou-se como referencial teórico o processo de Educação em Saúde com base na ação educativa dialógica, oportunizando as relações entre sujeitos. Optou-se pela pesquisa convergente-assistencial, de caráter qualitativo, observando uma abordagem dialética. Foram aplicadas estratégias educativas participativas com um grupo de idosos e seus cuidadores cujos resultados desvelaram a dinamicidade do fenômeno diabetes em suas vidas, capturaram as relações históricas dos sujeitos, identificaram as contradições no contexto do setor saúde e mostraram a visão de totalidade e de realidade concreta entendidas pelos sujeitos. A partir dos encontros do grupo e com base no referencial teórico construído foi possível elencar elementos constitutivos essenciais da Educação em Saúde para uma metodologia de cuidado de idosos com Diabetes Mellitus, visando intervir na realidade. / This study joined the interlocution of Health Education and Gerontology areas as our main goal and it focused on the issue of life experience of elders with Diabetes Mellitus type 2 and their caregivers. This aims to enlist points of reference of Health Education for a methodology of care to the elder with Diabetes in ambulatory service, from the supposition that the elder with Diabetes may go though a successful aging process. Though, this does not mean necessarily living longer. It means, living the aging process with quality and dignity even though facing limitations imposed by the disease. In this sense, it was crucial to establish educative strategies with the participation of elders and their caregivers, in order to improve the control of the disease, making possible for the elders to really live better, but not necessarily live longer. Nowadays, ambulatory assistance in the health services is still based on the individual and prescriptive approaches during the treatment of elders, ignoring the potential participation of caregivers from the family. Later complications of Diabetes type 2 may damage the natural aging process, having negative effects on the elder's life quality. They can be avoided if the caregiver from the family is capable to manage at home the typical difficulties resulting from the chronic state of the elder. The longevity perspective of the population makes this fact relevant. During this research it was used as a theoretical reference the process of Health Education, based on a dialogic educative action, making the relationship between the subjects better. The option made was for the convergent-assistant research, of a qualitative character, following a dialectic approach. Participative education strategies used with a group of elders and their caregivers showed results which revealed the dynamic aspect of Diabetes Mellitus phenomenon in their lives, captured the historical relation of the subjects, identified the contradictions in the context of the health sector and, showed the general view and the concrete reality of the subjects. From the group's meetings and based on the theoretical referential formulated it was possible to list essential constitutive elements of Health Education for a methodology to care about elders with Diabetes Mellitus, aiming at interfering in their reality. / El estudio insirió la interlocución del área de Educación en Salud con la de Gerontología como blanco de nuestra mirada y focalizó la cuestión de la experiencia de vida de ancianos con Diabetes Mellitus tipo 2 y sus cuidadores. Tuvo como objetivo elencar puntos de referencia de la Educación en Salud para una metodología de cuidado al anciano con diabetes en nivel ambulatorial. Se partió de la premisa que el anciano con diabetes puede tener un envejecimiento bien-sucedido. Eso no significa necesariamente vivir por más años. Significa, sí, vivir el proceso de envejecimiento con cualidad y dignidad mismo delante de las limitaciones impuestas por la enfermedad. En ese sentido, fue fundamental planear estrategias educativas con la participación de ancianos y sus cuidadores con la finalidad de mejorar el control de la enfermedad, a fin de posibilitar a la persona anciana realmente vivir mejor y, no necesariamente, vivir más. Actualmente, la asistencia ambulatorial en los servicios de salud aún se pauta en abordajes individualizadas y prescritivas en el tratamiento de los ancianos, desconsiderando la participación potencial de cuidadores familiares. Las complicaciones tardías de la diabetes tipo 2 pueden comprometer el proceso natural de envejecimiento, repercutiendo de forma negativa en la cualidad de vida del anciano. Ésas pueden ser evitadas si el cuidador familiar estuviera capacitado para gerenciar en la vivienda las dificultades inherentes a la situación de cronicidad del anciano. La perspectiva de longevidad da populación torna ese hecho relevante. En la realización de la pesquisa se tomó como referencial teórico el proceso de Educación en Salud con base en la acción educativa dialógica, dando oportunidad en las relaciones entre sujetos. Se optó por la pesquisa convergente-asistencial, de carácter cualitativo, observando un abordaje dialéctica. Fueron aplicadas estrategias educativas participativas con un grupo de ancianos y sus cuidadores cuyos resultados desvelaron la dinamicidad del fenómeno diabetes en sus vidas, capturaron las relaciones históricas de los sujetos, identificaron las contradicciones en el contexto del sector salud y mostraron la visión de totalidad y de realidad concreta entendidas por los sujetos. A partir de los encuentros del grupo y con base en el referencial teórico construido fue posible elencar elementos constitutivos esenciales de la Educación en Salud para una metodología de cuidado de ancianos con Diabetes Mellitus, visando intervenir en la realidad.

Made available in DSpace on 2014-06-11T19:26:49Z (GMT). No. of bitstreams: 0 Previous issue date: 2007-08-03Bitstream added on 2014-06-13T18:55:16Z : No. of bitstreams: 1 lima_ah_me_sjrp.pdf: 2198598 bytes, checksum: 84d01f6e19b2e2278207e7cf56eda70f (MD5) / Este estudo etnográfico (CONSOLO e VIANA, 1997; WATSON-GEGEO, 1988), tem por objetivo investigar as crenças e a motivação de um grupo de alunos da terceira idade que fizeram o curso de língua francesa na (UNATI) Universidade Aberta à Terceira Idade, pertencente a uma instituição pública de ensino superior do interior paulista. O trabalho analisa como as crenças dos alunos sobre a língua francesa e a aprendizagem desse idioma se relacionam com a motivação individual para aprender e de que forma essa relação implica na aprendizagem da língua estrangeira. Como embasamento teórico, tomam-se as premissas de que as crenças são formadas por experiências educacionais anteriores (BARCELOS, 2005), são instáveis e construídas socialmente (BARCELOS e KALAJA, 2003), e de que a motivação é um processo dinâmico que norteia as decisões de um indivíduo (LIMA, 2005; JACOB, 2002). Os instrumentos de pesquisa utilizados foram o diário da professorapesquisadora, as notas de campo da professora-observadora, as gravações das aulas em vídeo, uma sessão de auto-relatos, os logs elaborados pelos alunos e uma entrevista semi-estruturada realizada individualmente. A análise dos dados sugere que esses alunos trazem, para a sala de aula, crenças e motivações vinculadas à vida escolar pregressa. Esse grupo de aprendizes se mantém motivado, dentre outras razões, pelo convívio social, pois prezam por estudar com pessoas da mesma faixa etária que nutrem um interesse em comum: a língua e a cultura francesa. Essa motivação, classificada como motivação social, mostrou-se presente ao longo de todo o curso. Além disso, foi possível observar que as crenças e a motivação se interrelacionam, podendo exercer, no processo de aprendizagem, tanto o papel de agente influenciador como o de paciente influenciado. / These ethnographic study (according to CONSOLO and VIANA, 1997; WATSON-GEGEO, 1988) aims on investigating students beliefs and motivation who are over 65 years old and have been taken French classes at the Open Senior University (UNATI) were investigated. UNATI is part of a higher educational public institution program located in the state of Sao Paulo. It was possible to find evidences that the students' beliefs about the French language and about its learning process are related to their individual motivation to learn, and that such relationship affects the process of learning a foreign language. The theoretical premises under consideration are that beliefs are formed by previous educational experiences (BARCELOS, 2005), they are unstable and socially constructed, and that motivation is a dynamic process that guides peoples' decisions (LIMA, 2005; JACOB, 2002). The data collection procedures were the teacher-researcher journal, the teacher-observer field notes, classes video recording, students' self-statements, students' logs, individual semi-structured interviews, and a beliefs' inventory. The data analysis suggested that these students bring to the classroom beliefs and motivation connected to their schooling background. The socializing process, among other reasons, keeps the group of students motivated, because it is meaningful to them to study with similar age peers who share a common interest: the French language and its culture. Social motivation, as classified, was present at all times. Furthermore, it was possible to observe that beliefs and motivation have an interrelationship because it can be either an influential or a passive agent in the process of learning.