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To review the admission criteria and to study the role being played byhome for the aged in the community care networksLai, Po-yi., 黎寶儀. January 2000 (has links)
published_or_final_version / Social Work and Social Administration / Master / Master of Social Sciences
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Young Children in Foster Care: A Phenomenological Study of Early Childhood Teachers ExperiencesUnknown Date (has links)
The purpose of this phenomenological study was to understand, describe, and
make meaning of the experiences of early childhood educators of young foster care
students. The researcher examined the experiences of teachers regarding the attachment
behaviors of their foster care students. This study also sought to explore how early
childhood teachers implement their curriculum and how they design their classroom
environment to meet the needs of young foster care children.
Data collection and analysis included 20 questionnaires and 20 face-to-face semistructured
interviews. Data analysis consisted of a three step process. The first step began
by reading interviews through a holistic approach. During this step, the researcher read
the entire transcript as a whole before digging deeper. The second step in coding was a
selective reading. In this step, the researcher read through each transcript by finding key
words and/or phrases. The third step in the coding process was a detailed reading. The researcher read the text word-by-word. This step aided the researcher in finding those
words that captured the phenomenon of the teachers.
The researcher found three major overarching themes: social and emotional
behaviors, triad relationship, and classroom accommodations. This study revealed three
main themes: attachment-related behaviors of social and emotional development, teacher
relationship strategies with student and caregiver, and classroom curricular and
environmental adjustments. Within all three of these themes was an underlying theme of
a teacher-as-mother perceived attachment from the teachers. The teacher-as-mother
perceived attachment was embedded in the experiences of the teachers. It is
recommended that this main theme be explored in future research. The experiences of the
teachers were completely based on their experiences in this study. The way they
intervened on behalf of their foster care students did not appear to relate to any
professional development or training; it was entirely based on their experiences. It is
recommended that the arena of early childhood would benefit immensely with a course,
training, or professional development in learning about the foster care system and dealing
with young children in foster care. / Includes bibliography. / Dissertation (Ph.D.)--Florida Atlantic University, 2018. / FAU Electronic Theses and Dissertations Collection
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The effects of group self-instructional training on positive verbalizations in an aged populationDutro, Jack William 14 February 1983 (has links)
This study examined the effects of a group treatment of Self-Instructional
Training (S.I.T.) with an institutionalized aged (65
or over) population. The purpose of the S.I.T. program was to
increase the positive content of speech elicited in a structured
social interaction. S.I.T., as developed for this study, followed
Meichenbaum's three phase model. First was the educational phase,
where the rationale and introduction were presented. Second was the
rehearsal phase where therapeutic techniques were developed and
modeled. Third was the application phase where newly acquired
skills were practiced. Four groups (total N = 51) were randomly
assigned to either the experimental group or the no-treatment
control group at each of two residential care facilities. The
S.I.T. program emphasized substitution of negative self-statements
with positive self-statements aimed at developing a more successful
repertoire of social interaction skills. Results were analyzed by
comparing tabulated positive minus negative self-statements elicited
during tape recorded standard interviews. Statistical analysis
showed significantly more positive response sets for the
experimental subjects on four of the ten hypotheses that reflected
the ten standard interview questions. The analysis of the combined
responses from the entire interview showed significant differences
favorinq a positive response pattern for the experimental subjects.
These findings were interpreted to demonstrate the effectiveness of
S.I.T. for increasing positive speech content in an
institutionalized aged population. A case was made for increased
use of S.I.T. programs as a therapeutic means of ameliorating a
range of problems faced by the aged. / Graduation date: 1983
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Exploring accounts of care : two sides to the story.Forbat, Liz. January 2001 (has links)
Thesis (Ph. D.)--Open University. / A book by the author, "Talking about care", based on her thesis, is also available.
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An analysis of the decision-making process within households in relation to the residential care services for the elderly in Hong KongSin, Shun-ying, Maria, 冼順英 January 2013 (has links)
Background
Population ageing is a major public health concern globally as older people with disabilities or suffering from chronic diseases are expected to live longer. The demographic shift in Hong Kong is particularly pronounced and increasing resources on elderly healthcare will add substantially to the government’s financial burden. Research has shown the importance of better understanding the healthcare challenges posed by an ageing population in order to promote informed choice, align policy with need, and deliver effective, efficient and sustainable health services.
Objectives
This dissertation explores the circumstances and factors that influence a household’s decision to place an elderly person in a care home. It considers the decision-making process in the contexts of the interactions and negotiations that take place within and between household members; a key objective is to examine the extent to which the elderly are themselves participants in this decision-making process.
Description of the sample
The researcher interviewed a total of nine Hong Kong Chinese residents from two private nursing homes. They were between 63 and 92 years of age at the time of the interview and had been residing in a care home for an average of 2.5 years.
Methods
This is a qualitative research study in which primary data were gathered through face-to-face, semi-structured interviews. The research focused on subjects with high-functional status. An inductive approach to thematic analysis was adopted.
Results
The majority of the subjects had been admitted to hospital as a result of an acute health incident. They were subsequently transferred to the care home directly from the hospital. The subjects drew a direct link between the health incident and their placement in the care home. It became apparent in the course of the interviews, however, that other contextual factors had played an important role in the decision-making process, determining how the subjects themselves retrospectively rationalized their relocations. Over the course of data analysis, family relations, assumed gender roles, perceptions of self-identity, and practical constraints were identified as themes that impacted upon the decision-making process in relation to placement decision within a household setting. The findings suggested the degree to which the broader context of the subjects’ past life experiences permeated the decision-making process. It also underscored the importance of the roles and responsibilities assumed by the elderly.
Conclusion
By examining how the elderly themselves discuss their experiences and justify their choices, the study sheds light on the cultural assumptions, conventions and traditions that shape how subjects perceive norms of behaviour, expectations and responsibilities.
Future studies might extend the scope of research further to incorporate the views of household members, who are also potential caregivers. Given that the subjects were admitted to care homes after an acute health episode, which resulted in hospitalization, it would also be worth exploring alternative options in relation to the discharge arrangements for elderly persons. This study would also benefit from further research into the comprehensive long-term care system in Hong Kong, including the provision of services, long-term housing, healthcare choices, and the financing of long-term care. / published_or_final_version / Public Health / Master / Master of Public Health
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Cultures of consumption within residential care homes : understanding elderly bricoleurs' cultural maps of meaningStone, Timothy T. January 2006 (has links)
Set within the context that the world’s population is ageing at an unprecedented rate, it is argued that care of the elderly, and their everyday lived experiences are poised to become prominent concerns. In the shadow of this, the ageing population poses a myriad of challenges not only for the elderly but also for policy makers who put in place systems for the provision of services within residential care homes. By virtue, given that communities of elderly consumers voices are often muted within many academic analyses of social policy and service provision this study illuminates and distils communities of elderly consumers understandings of residential care homes. Given the absence of suitable literature within the fields of marketing and interpretive consumer research, this study turns to the sociological and anthropological literature of Hall and Jefferson (1976) and Levi-Strauss (1966). In doing so, communities of elderly consumers within residential care homes can be theorised as a cultural community of ‘bricoleurs’ within a ‘cultural map of meaning’. Furthermore, viewed through this lens, such bricoleurs can be seen to understand their meaningful everyday lived experiences within, and through, the use of ‘bricolage’. Emanating from eight existential-phenomenological interviews, a rich picture emerges wherein bricoleurs understandings of residential care homes can be seen to be embedded not only within, but also through, such things as the body, leisure trips, noise disturbances, death, large items of furniture, small hand-sized objects, mobility aids, quality of care and social interaction. Moreover, in the light of the resultant interpretations common themes can be seen to emerge within communities of bricoleurs social and material understandings of residential care homes, namely the notion of cultures of dependency, trauma and comfort. This research contributes to marketing knowledge in that it argues that communities of ‘elderly bricoleurs’ within residential care homes can be seen to be held together by unique understandings of cultures of dependency, trauma and comfort. Furthermore, it is also argued that elderly bricoleurs address themselves to a relatively limited amount of bricolage that enables them to keep alive actual, desired, imagined and fictional community ties. Furthermore, the reality and efficacy of cultural communities of elderly bricoleurs seems to depend on their ability to address ‘whatever is to hand’ (Levi-Strauss, 1966) in order to construct and understand their cultural maps of meaning within residential care homes.
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The Mental Deficiency Acts 1913-48 : medical care, control and eugenicsDale, Pamela Louise January 2001 (has links)
No description available.
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Prediction and control of wandering behavior : simulating natural contingencies of controlHolmes, Thomas R. January 1986 (has links)
This study investigated the effects of an intervention designed to reduce the wandering of an 80 year old female resident of a long term care facility. A behavioral analysis of natural contingencies which maintained behaviors incompatible with wandering was conducted and the data from this analysis used to develop an intervention. The intervention simulated a dining room table and coffee break which naturally maintained sitting. An ABAC design revealed that this intervention was functionally related to a reduction in the proportion of a twenty minute interval spent wandering. The discussion focuses on possible causes of wandering and future directions for establishing a behavioral technology to control wandering.
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Caregivers to the institutionalized elderly : a training manualTomlinson, Carol D. January 1986 (has links)
The purpose of this manual is to provide information for caregivers to enhance the understanding of the confused, institutionalized geriatric resident, and to identify, describe, and develop skill areas for implementing an effective plan of caregiver/resident interaction.The intended learner population for use of the manual is the institutional caregiver providing direct, daily care for the older facility resident. The manual is designed for either individual or small group training.ContentThe training manual is divided into five instructional units. Unit 1, "A Profile of the Confused, Geriatric Resident," provides a sketch of the physical and emotional considerations so much a part of the institutionalized geriatric population. Unit 2, "The Role of Attitudes in Caregiving for the Institutionalized Elderly," explores how attitudes toward the elderly resident are developed, and explains the use of stereotyping in the development of attitudes and through the care provided by the worker.The third unit, "Abandoning Old Roles, Assuming New Roles," focuses upon the various social roles forfeited or lost as a consequence of institutionalization of the older adult. In addition, functional and dysfunctional roles often assumed by the long-term care resident are presented as well. The final narrative unit, "Communication: Its Role and Practice in the Long-term Care Facility," outlines the function of communication skills in the resident/caregiver interaction and discusses ways of developing various communication techniques to support the therapeutic role of the institutional caregiver.The closing unit provides professional growth references for institutional caregivers. Materials include annotated bibliographical references, simulation and gaming materials, films, and videotapes.Design and ApplicationAs mentioned, the material in the manual is designed for either group or individual use. Each learner unit is prefaced with intended learner objectives. The various manual units conclude with unit material summaries and unit glossary. In addition, each narrative unit contains exercises or discussion guides to further promote and reinforce intended objectives for individual units.Those learners desiring additional resources for growth and development may utilize the annotated bibliographic and information unit, arranged by unit topics, to further individual pursuits.
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Community home based care for people living with HIV-AIDS in the Goodhope sub-district : Botswana : policy planning and implementation.Dikgope, Sebokwane. January 2003 (has links)
Botswana occupies an unenviable position of having the highest HIV / AIDS
infection rate in the world, and this has generated pressures on health
facilities as they are over stretched beyond their coping capacities to attend
to the ever-increasing numbers of people who are infected. To relieve the
health care system, the Botswana government has adopted the CHBC
programme as an instrument for taking care of the infected and affected
people. The CHBC programme, which is care given to long term and
terminally ill people adopts the approach that, the family and the community
assisted by the health professionals are the primary source of support and
care. CHBC has always been in existence, though it was not given the
attention it deserves until the realities of HIV / AIDS pandemic striked and
doubted the ability of the health facilities to accommodate the ever increasing
HIV / AIDS cases.
CHBC gained more support as a result of the HIV / AIDS pandemic. This is
the case because of the programmes' rationale that, the home is the best place
to care for many of the people with terminal illness. The programme gives
patients chance to be looked after in a familiar environment and by their
relatives.
The aim of this study is to establish the existence of a CHBC Policy in the
Good hope Sub-district in Botswana, and if it exists to find out whether
implementation is congruent to the Policy guidelines, whether its
implementation is done in the most effective way, and if not, to identify
obstacles to effective implementation of the Policy in the Goodhope Subdistrict.
The hypothesis of this study is that, CHBC for people living with
HIV / AIDS is ineffective in the Good hope Sub-district of Botswana because
of shortage of resources, the unexpected (low) support the Programme gets
from the community and the incorrect understanding of HIV / AIDS issues
especially the modes of transmission by the community. The sample used
consisted of 57 research participants (10 HIV / AIDS patients, 10 care-givers,
10 Policy makers, 10 health professionals, 5 traditional doctors, 5 spiritual
healers, 5 village headmen, 1 village chief and 1 NGO representative).
The literate respondents were given structured questionnaires to complete
while those who are illiterate were helped by the researcher to fill in the
questionnaires. The focus group discussion and participant observation
methods of data collection were engaged. The study's findings were that, the
CHBC Policy does exist in the Good hope Sub-district of Botswana. The
study further discovered that, implementation of the Policy is not as effective
as expected, and this has been attributed to the following problems; shortage
of resources (manpower, transport, food etc) and the community's reluctance
to give it support.
The study recommends that, the government should provide resources to
train more professionals who would address the problem of manpower
inadequacies. There is need for communities to be mobilised so that they join
hands in the fight against HIV / AIDS. The Government has to see to it that
enough resources are allocated to the CHBC Programme. There is need for
HIV / AIDS education in order to equip the community with the necessary
information on HIV / AIDS issues. All caregivers need to be given relevant
training on HIV / AIDS issues. Lastly there is need for further research in
this field in order to find better ways of improving CHBC Programme. / Thesis (M.A.)-University of Durban-Westville, 2003.
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