This study is an investigation of the long-term care planning entered into by 170 adult children who had independent parents. A decision-making process with four stages was hypothesized. Sons and daughters entered into planning activities primarily at the "consideration" and "discussion" stages. This involvement proceeds along a sequence of stages with lower stage activities being completed before entering into more advanced stages. Minimal involvement from adult children in "preliminary planning" and "making final decisions" suggests the process does not continue unless independence is threatened. Age and family stressors positively influenced the likelihood that respondents gave consideration to future needs of their parents. The likelihood that discussion occurs between the generations was influenced negatively by family stressors and positively by personal authority. No variables were significant for the "preliminary planning" and "final decision" stages. Application is made to educational and clinical practice. / Ph. D.

This thesis investigates the effects of national patterns of migration on informal support for older adults in contemporary Scotland. It argues that geography matters, and develops a multi-scale conceptual framework to analyse the relationships among population mobility, contrasting local contexts in which older people live, and care and support from the intergenerational family and the community. 130 older persons from three locales with different migration patterns are recruited to the study and a mixed-method approach is adopted, using data from the census, a questionnaire survey and a set of in-depth interviews with both older people and formal service providers. The findings demonstrate significant differences between the three study locales in terms of the geography of the intergenerational family and the extent and nature of informal support received. Daughters provide more support than sons, suggesting the continuation of traditional gender norms. Local community is important, especially in the rural locale, but friends and neighbours are not providing a substitute for adult children living at a distance. It appears that non-kin respond to need where physical health is compromised but not where the older person suffers from depression. This raises serious questions about the future of family support in an increasingly mobile society with declining fertility and growing numbers of adult daughters in full-time employment. The relationships demonstrated confirm and extend many previous findings, but the discussion concludes that there are some grounds for optimism. The intergenerational family remains important to its members who can and do overcome geographical separation at times of crisis. Further, slowly changing gender norms, combined with contemporary demographic trends, may effect changes in the pattern of intergenerational support, which will, to some extent, offset the worsening older-age dependency ratios predicted for Scotland and other European countries over the next few decades.

楊之英. / Thesis (M.A.)--香港中文大學硏究院社會工作學學部. / Manuscript. / Includes bibliographical references (leaves 261-268). / Yang Zhiying. / Thesis (M.A.)--Xianggang Zhong wen da xue yan jiu yuan she hui gong zuo xue xue bu. / 銘謝詞 --- p.1 / Chapter 第一章 --- 緒論 --- p.9 / Chapter 第二章 --- 文獻探討 --- p.19 / Chapter 第三章 --- 研究方法與步驟 --- p.41 / Chapter 第四章 --- 社區環境與老人日常生活 --- p.60 / Chapter 第一節 --- 社區環境 / Chapter 第二節 --- 老人的日常生活 / Chapter 第五章 --- 遷居前的居住安排 --- p.79 / Chapter 第一節 --- 惡劣的居住環境 / Chapter 第二節 --- 與子女分開居住的安排 / Chapter 第三節 --- 老人獲知「配屋計劃」的消息來源 / Chapter 第六章 --- 老人和家人的關係 --- p.107 / Chapter 第一節 --- 與親屬同住的老人 / Chapter 第二節 --- 老人和子女的交往 / Chapter 第三節 --- 老人與其他家人的關係 / Chapter 第七章 --- 老人和同屋老人、鄰居、及朋友的關係 --- p.153 / Chapter 第一節 --- 老人和同屋老人的相處 / Chapter 第二節 --- 鄰居之間的交往 / Chapter 第三節 --- 老人與朋友的聯繫 / Chapter 第八章 --- 支援性質及支援來源 --- p.198 / Chapter 第一節 --- 社交的支援 / Chapter 第二節 --- 情緒的支援 / Chapter 第三節 --- 服務的支援 / Chapter 第四節 --- 物質的支援 / Chapter 第九章 --- 結論 --- p.245 / Chapter 第一節 --- 研究的重要發現 / Chapter 第二節 --- 進一步研究的建議 / 參考書目 --- p.261 / Chapter 附錄一 --- 啟業邨平面圖 --- p.269 / Chapter 附錄二 --- 個案摘錄 --- p.270 / Chapter 附錄三 --- 訪問大綱 --- p.303 / Chapter 附錄四 --- 老人服務的初步建議 --- p.307 / Chapter 附錄五 --- 個案基本資料一覽表 --- p.315 / Chapter 附錄六 --- 申請「老人優先配屋計劃」的規定 --- p.316

Submitted by Filipe dos Santos (fsantos@pucsp.br) on 2017-11-07T11:43:28Z No. of bitstreams: 1 Christina Mello Amorim Costa.pdf: 959471 bytes, checksum: 50cb352ef6d9b8cc1219bbe76781e433 (MD5) / Made available in DSpace on 2017-11-07T11:43:28Z (GMT). No. of bitstreams: 1 Christina Mello Amorim Costa.pdf: 959471 bytes, checksum: 50cb352ef6d9b8cc1219bbe76781e433 (MD5) Previous issue date: 2017-09-27 / This dissertation was elaborated with the intention of knowing lived experiences of the relatives along the elderly people, in relation to the dismissed care to them, in a intergenerational perspective, emphasizing the concept of invisible loyalties. The dissertation was executed from the systematic review of literature about the family and elderly people; we conducted a brief history of family in Brazil, including the legal questions. We treat the unfairness and violence suffered by the elderly in brazilian society, as well as the contributions of the family vital cycle theory, emphasizing the last phase, from a reflection about experiences of people with more than eighty years old. We discussed about the situation of family and professional caregivers, how they behave and their impacts inside the family nucleus. Inside the family psychological parameter, the invisible loyalties present a dynamic interaction among the elements which compose a family, through generations that, in coexistence, confers an adherence to the relation system. We count with the participation of four families, which their experiences enriched the comprehension and elucidation of the treatment given to the old people through one construction of genograms and interviews, that shows us the quality of the relationship between sons and elderly parents are the consequences of a whole history of past generations / Esta dissertação foi elaborada com o intuito de conhecer as experiências vividas dos familiares junto ao idoso, no que se refere aos cuidados dispensados a eles, numa perspectiva intergeracional, enfatizando o conceito de lealdades invisíveis. A dissertação foi executada a partir da revisão sistemática de literatura em família e idosos; realizamos um breve histórico da família no Brasil, incluindo questões jurídicas. Tratamos, na sociedade brasileira, das deslealdades e violência sofridas pelos idosos, bem como das contribuições da teoria do ciclo vital familiar, enfatizando a fase última, a partir de uma reflexão acerca das vivências das pessoas com mais de oitenta anos. Discorremos sobre a situação dos cuidadores familiares e profissionais, como eles se portam e seus impactos dentro do núcleo familiar. Dentro do parâmetro psicológico familiar, as lealdades invisíveis apresentam uma dinâmica de interação entre os elementos que compõem a família, por meio das gerações, que, na convivência, confere uma adesão ao sistema relacional. Contamos com a participação de quatro famílias que com suas experiências enriqueceram a compreensão e elucidação do tratamento dado aos idosos, por meio da construção de genogramas e entrevistas, que nos mostra a qualidade da relação entre filhos e pais idosos são consequências de toda uma história de gerações passadas

This study was designed to explore how Chinese families managed the care of an adult member with advanced cancer both in home and hospital settings, to identify factors that affected care management, to examine the influence of cultural beliefs and practices on caregiving, and to examine the preference for location of care, from the perspective of one family member. The method used in conducting this study was the grounded theory approach of qualitative research. Data were collected through a series of interviews with six Chinese informants (five adult children and one spouse). The initial interviews were guided by the research questions. Constant comparative analysis was employed throughout data collection to permit analytic material to guide and focus the process of constructing the core social process. The informants' degree of ethnic identity was measured using the Ethnic Identity Questionnaire to further validate the researcher's observations pertaining to cultural orientation. The results indicated that Chinese families managed the care of an adult member with advanced cancer through the balancing process. This process, used when patients were in hospital and home, characterized the struggle the families experienced in managing everchanging caregiving demands and everyday family demands. Balancing was comprised of four interrelated management strategies: gauging, anticipating, sharing the load, and resourcing. It was concluded that the process is not culturally-bound although activities of trying out and patterns of help-seeking were thought to be culturally based. Factors which were found to influence the balancing process were past experiences and the patients' and family members' style or previous patterns of coping. Cultural beliefs influenced family members' actions and the reasons given for their actions. The results also indicated that Chinese families preferred care at home to care in the hospital. However, care at home was contingent on four factors: availability and ability of caregivers, family support, information from physician, and patients' physical condition and symptom management. The hospital setting was identified as the place where the ill family would die. In terms of nursing practice, the results support the need for nurses to be family-focused and support the actions of family members as the families manage the care. The results also suggest nurses to explore their own beliefs as well as beliefs of patients and families to ensure sensitivity is shown to differences. The findings reinforce the importance of educating families, as well as other health care professionals, about nursing's role in providing care, especially in the community. With regard to nursing research, the results reinforce the need to conduct family unit research and further explore the validity of the balancing process with more Chinese families and other ethnic groups. / Applied Science, Faculty of / Nursing, School of / Graduate

This qualitative study explored the foster care emanicipation experience of adults who had "aged out" of the foster care system. This study found that foster care had negative impacts on participants' ability to form attachments while in foster care and in their adult relationships.

Submitted by Filipe dos Santos (fsantos@pucsp.br) on 2017-10-19T12:02:34Z No. of bitstreams: 1 Regislaine Leoncio Pereira.pdf: 940942 bytes, checksum: 3107b12e70f9958ec6d190d66d75b5a3 (MD5) / Made available in DSpace on 2017-10-19T12:02:34Z (GMT). No. of bitstreams: 1 Regislaine Leoncio Pereira.pdf: 940942 bytes, checksum: 3107b12e70f9958ec6d190d66d75b5a3 (MD5) Previous issue date: 2017-09-26 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES / The demographic revolution and the change in the epidemiological profile confront us with an unwanted reality in the aging process. Although old age is not synonymous with illness, many seniors are aging with morbidities that affect their physical and cognitive ability making them dependent on care. In this scenario the figure of the family caregiver or the care professional appears. Researches that has proposed to look at the care done by family members indicates that caregivers often become ill and succumb to the caring process. However, for reasons pursued in this study, the experience is not common to all caregivers, it is possible to find other possibilities of care in caregivers who developed a healthy relationship in this path. This study aims to discuss the issue of care and the elements that may contribute to overcome the difficulties inherent in family care at home. To do so, we rescued the history of a municipal service and interviewed family caregivers who participate in the Caregiver Support Group. The bibliographic survey pertinent to the theme was fundamental to the research. To deepen the research we used the qualitative method which will allow us to observe and understand the different stories of 06 (six) caregivers and their relationship of care to the elderly family. Center for Reference to the Elderly Health (CERESI) in Guarulhos was our scenario of observation and meeting of respondents who answered open questionnaires, semi-structured interviews and life history narratives / A revolução demográfica e a mudança no perfil epidemiológico nos confrontam com uma realidade não desejada no processo de envelhecimento. Embora a velhice não seja sinônimo de doença, muitas pessoas estão envelhecendo com morbidades que afetam sua capacidade física e cognitiva tornando-as dependentes de cuidados. Neste cenário, surge a figura do cuidador familiar ou do profissional do cuidado. Pesquisas que propuseram se debruçar sobre o cuidado realizado por familiar, indicam que não raramente os cuidadores adoecem e sucumbem ao processo de cuidar. Entretanto, por razões perseguidas neste estudo, a experiência não é comum a todos cuidadores, é possível encontrar outras possibilidades de cuidado em cuidadores que desenvolveram uma relação saudável neste percurso. O presente trabalho tem como objetivo discutir a questão do cuidado e os elementos que podem contribuir para a superação das dificuldades inerentes ao cuidado familiar no domicílio. Para tanto, resgatamos a história de um serviço municipal e entrevistamos familiares cuidadores que participam do Grupo de Apoio ao Cuidador. O levantamento bibliográfico pertinente ao tema foi fundamental para a pesquisa. Para aprofunda-la, recorremos ao método qualitativo, que permitirá observar e compreender as diferentes histórias de 06 (seis) cuidadoras e sua relação de cuidado ao idoso familiar. O Centro de Referência à Saúde do Idoso (CERESI) em Guarulhos foi o nosso cenário de observação e de encontro das entrevistadas que responderam a questionários abertos e entrevistas narrativas