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The intent of my project is to recognize the importance of the residential care home administrator by providing him or her with a training curriculum in order to have additional knowledge upon which to base program planning. Perhaps, someday, a unique type of care outside as well as inside California.

The purpose of this thesis was to help the East Baltimore Community Corporation define the nature and scope of a mixed care facility for the elderly which it would like to construct on the site of a former brewery in Baltimore, Maryland. Different options for the levels of care and housing types are stated and five separate case studies of existing environments for the elderly are included. Issues relating to the operation, financial feasibility, and architectural character of each particular setting are identified. Information gained from these studies and other resource persons in Baltimore formed a basis from which specific recommendations about the size, type of care and scope of the facility are made. Different attitudes about the delivery of care to older persons are also examined and provide a conceptual framework for the recommendations. / Master of Architecture

Illich, a critic of the medical profession in industrial societies, researched the "damage done" by the medical establishment on three levels. This study presents an application of Illich's three-level theory of iatrogenesis to a sample of elderly people in old-age homes in and around Pretoria. Fifty in-depth interviews were conducted with old-age home residents. In the focus on clinical iatrogenesis, the aspect of defenceless patients was investigated. With regard to social iatrogenesis, focus was on the interpretation of attitudes revealing an increased medical dependency. Cultural iatrogenesis, which involves the influence of values and norms on thinking patterns, is investigated in terms of the impact of institutionalisation on the autonomy, independence and personal responsibility of residents. Illich's solution to the problem of medicalisation is to be found in the de-bureaucratisation and de-industrialisation of society. Based on the assumptions of critical theory, the emancipation of the individual is suggested as a basis of Illich's proposed structural societal changes / M.A. (Sociology)

published_or_final_version / Public Administration / Master / Master of Social Sciences

Illich, a critic of the medical profession in industrial societies, researched the "damage done" by the medical establishment on three levels. This study presents an application of Illich's three-level theory of iatrogenesis to a sample of elderly people in old-age homes in and around Pretoria. Fifty in-depth interviews were conducted with old-age home residents. In the focus on clinical iatrogenesis, the aspect of defenceless patients was investigated. With regard to social iatrogenesis, focus was on the interpretation of attitudes revealing an increased medical dependency. Cultural iatrogenesis, which involves the influence of values and norms on thinking patterns, is investigated in terms of the impact of institutionalisation on the autonomy, independence and personal responsibility of residents. Illich's solution to the problem of medicalisation is to be found in the de-bureaucratisation and de-industrialisation of society. Based on the assumptions of critical theory, the emancipation of the individual is suggested as a basis of Illich's proposed structural societal changes / M.A. (Sociology)

published_or_final_version / Social Work and Social Administration / Doctoral / Doctor of Philosophy

The purpose of this research project is to develop concepts for doing cost-benefit analyses for governmental and nonprofit homes. Such concepts should facilitate a differential diagnosis which recognizes the wide individual differences among those served. Developing relevant concepts is a first step in measurement. An aim is to develop appropriate concepts and instruments that will make an ordinal measurement of resident satisfaction possible. This study makes no effort to develop monetary measures of either costs or benefits. These measures and the related cost-benefit analyses must await further developments. Of the home's employees, the nurses and nurses' assistants usually have the most prolonged and intimate contact with the residents. The nurses and nurses' assistants often are the home personified in that they provide the bulk of a home's services to the less able residents. This explains why the environment of the home, which includes the values, needs, and attitudes of nurses and nurses' assistants, is believed to influence resident satisfaction.

The study is exploring the inner world of old age home resident’s perceptions and how they felt on the general care they receive. The main themes were: Basic needs, psycho-social aspects, safety environment, safety medication aspect, nutrition, institutionalisation and support system. They felt aging not only meant losing independency, dignity and loneliness but also having more experiences. Not all is well at the old age home resident. BACKGROUND: Increasing life expectancy should be celebrated, but with it comes the challenges of the increased like hood of multiple health conditions. With a growing older population, aging has become an important issue for attention. Extension of services provide programmes and home resident services for senior citizens, but how much knowledge about ageing and home resident‘s perceptions regarding the general care they receive(Nina Chen2001). The motivation of the study had its origin on the ever increasing ageing population in the country and the observation made during case study on Stroke Assignment as a Gerontology Master’s student at the selected old age home resident. The observations made were less than satisfactory conditions of the general care received by the old age home residents made the researcher to seek on exploring their perception. PURPOSE: To examine old age home residents’ perceptions regarding the basic physical care they receive. To gain some more understanding on the ageing phenomenon at the Empilweni old age residence. To provide some answers that could be used by policy makers and professionals to formulate guidelines or interventions relevant to lived experiences of the older persons and the meaning attached to ageing or being old and consequently improve the basic quality of life of older person in Eastern Cape. METHODOLOGY: Phemenologic design within a qualitative approach to guide the research process: Data was collected from focus groups. Open ended group discussion was used. Data was collected using group discussions, field notes and through the medium of video and audio tape; raw data was transcribed, interpreted, and translated .data was analysed manually through generated into themes codes and into categorised and subcategories. PARTICIPANTS: An invitation in this study was announced at one of the only registered old age home at the O.R. Tambo district Eastern Cape. Purposive quota sampling was done. Twelve elderly residents participated in this study. Characteristics of the participants were described according to the age, length of stay, any chronic disease or disability, reason to stay at the residents and any relatives or family visiting. Participants were graded according to functional disabilities –active: 60-65 years semi-frail, older elderly: 65-75 years, and frail age: 75 and over years of age ranging from independency to dependency of their limitations. Senile dementia, those with cognitive impairment and very frail elderly were excluded.Data was collected. DATA ANALYSIS: The Tesch’s approach and elicitation method was used. Data collected and displayed from stage of entry to data analysis was analysed manually. Transcribed, translated and interpreted of raw data into meaningful concepts using data from the participants, observations field notes and confirming on video/tape records. Based on the data reduction, interpretations, decontexualisation and contextualisation to generate themes. Coding process was done after reducing repeated content and linking relevant concept getting sense of the whole, by colouring , marking , abbreviate the topics as codes and turn into themes .Codes were generated. The data was classified into categories and subcategories. The following categories immerged: Basic needs, Safety environment & medication, psychosocial aspect, Nutrition, Institutionalisation and Support system aspect. RESULTS: Not all residents were satisfied with the general care at the old age home residence. Loss of independency accompanied low dignity and loneliness in old age home residents. CONCLUSION: In examining the perception of old age residents regarding general care, gaps regarding the general care for elderly residents have been identified hence recommended for more health caregiver staff, in-service on ethics morals on the caregivers and extension of services to multidisciplinary approach. / Thesis (M.N.)-University of KwaZulu-Natal, Durban, 2012.

Thesis (Ph. D.)--University of Hawaii at Manoa, 1990. / Includes bibliographical references (leaves 177-181) / Microfiche. / viii, 181 leaves, bound ill. 29 cm