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This thesis presents a study about the experience of becoming a nursing home resident as it affects the identity and self-esteem of very old persons. / In a qualitative study with six female residents of an English-speaking Centre d'Acceuil in Montreal, themes are explored in the light of theory about the effects of institutionalization. Consideration is given to the dynamics of relationships with family, friends, peers and staff. Loss of autonomy is singled out as the factor having the most impact on the individuals in the study. / As life draws to a close, each of the women interviewed struggles in her own way with conflict between the value of self-determination and the value of acceptance of dependence on others. The author suggests that the attempt to reconcile these two values may be a "life-task" for very old institutionalized persons. Questions are raised at the level of planning for institutional policy and a direction is indicated for the education of social workers planning to work with an elderly clientele.

The actual fluid intake of forty (40) residents of a nursing home was determined by an analysis of detailed three-day food and fluid intake records obtained by direct observation. Intake was compared to an established standard to determine the adequacy of fluid intake for this population. Subjects were grouped in two groups according to age (<85 years and >85 years) to determine whether age influenced fluid intake. In addition, data such as number and frequency of medications and dependency factors, such as ability to feed self, ability to communicate, ability to move and ability to make decisions, were collected and correlated.There was no significant difference between actual fluid intake and required fluid intake for the population a whole and for the two age groups. However, there were individuals who had very low fluid intakes suggesting other factors which influence fluid intake. There were positive correlations between fluid obtained from non meal feedings and frequency of medication delivery and number of medications delivered during a 24 hour period. In addition, there were positive correlations among the dependency factors. There was no correlation among any of the dependency factors and fluid intake for the group as a whole or for the two age groups.It was concluded from this study that this population of elderly nursing home residents obtained adequate fluid. Medication frequency and number appeared to influence the amount of fluid that a resident might obtain during non meal feedings. However, as a subject became more dependent, this factor did not affect the fluid intake of this population. / Department of Home Economics

Using an analysis of secondary data from the Health and Retirement Survey, this thesis provides the groundwork for understanding factors for nursing home placement using matching techniques to understand the differences between those persons with similar health characteristics who are not residents of nursing homes, and who are temporary residents or permanent residents of nursing homes. / Fisher Institute for Wellness and Gerontology

Thesis (D. Min.)--Concordia Seminary, St. Louis, MO, 2006. / Abstract. Includes text of five sermons plus "Case study interview transcripts" with 9 nursing home residents. Includes bibliographical references (leaves 146-151).

Thesis (D. Min.)--Concordia Seminary, St. Louis, MO, 2006. / Abstract. Includes text of five sermons plus "Case study interview transcripts" with 9 nursing home residents. Includes bibliographical references (leaves 146-151).

Thesis (M.S.)--University of Michigan, 1986.

Thesis (M.S.)--University of Michigan, 1998. / eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 41-44).

Thesis (M.S.)--University of Michigan, 1998. / eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 41-44).