Thesis (Ph. D.)--University of Idaho, 2005. / Also available online in PDF format. Abstract. "Spring 2005." Includes bibliographical references (leaves 117-125).

Thesis (M.Arch.)--University of Hong Kong, 1997. / Includes special report study entitled : Man, nature and architecture : design methodology of Tadao Ando. Includes bibliographical references. Also available in print.

This discourse deals with the establishment of a third facility for the Little Eden Society for the Care of Persons with Mental Handicap in Prinshof, Pretoria. The Little Eden Society cares for persons with profound intellectual disability who require intense care and stimulation. A description of intellectual disability and mental illness, as well as the history of the treatment and social attitudes towards people afflicted by them, has been undertaken. This is reviewed together with the evolution of the architecture of various facilities for the care and treatment of intellectually disabled and mentally ill people. A number of precedent studies were undertaken of contemporary architecture, relevant to various aspects of the new facility. Finally, the client’s existing facilities and needs were examined and understood in the context of the new facility. With these studies as grounding, the design of the new facility could be undertaken. The resulting design seeks to embody the Little Eden Society’s ethos of complete care, addressing the needs of the mind, body and soul; seeking to stimulate and develop each person to their own individual potential. / Dissertation (MArch (Prof))--University of Pretoria, 2008. / Architecture / unrestricted

Class of 2006 Abstract / Objectives: To determine the economic impact of controlled substance destruction in multiple long term care facilities in Southern Arizona and to identify related demographic characteristics of the patients and facilities. Methods: Subjects had controlled substance prescriptions destroyed at nursing homes serviced by a pharmacy nursing home provider in Tucson, Arizona. Controlled substances destruction records and existing prescription records were reviewed and data was collected on the name, strength, number of units destroyed, date of destruction and schedule of each controlled medication that was destroyed for a particular patient over the course of a year. Demographic data was collected on patient gender, age, type of insurance coverage and the size of the nursing home facilities. Results: A total of 1095 controlled substance prescriptions were destroyed during the time period of the study and the total cost of destroyed medication was $26,886.37. The average cost of destroyed medication per prescription was $24.55 ± 60.38 (mean ± SD). Schedule II controlled substances accounted for the highest total cost per prescription destroyed and destruction of unused controlled substances cost indigent insurance programs more than any of the other payers studied. There was no difference in mean cost per prescription destroyed by facility, therapeutic class or between women and men. Conclusions: The value of controlled substance destruction in long term care facilities is sizeable. To reduce waste, prescribers and pharmacy providers should initially dispense moderate quantities of controlled substances until it is apparent that the medication is tolerable and efficacious for the patient.

<p>The project explores decision making in the context of end-of-life (EOL) care choices among adults with few social and economic resources. Although most American adults believe that planning for EOL is important, only about 30% report making formal EOL plans such as Advance Directives, wills, trusts, or any other formal documentation. Using qualitative methodology, 25, participants who were all living at the same long term care facility, were interviewed during two different waves of data collection. The transcribed interviews were analyzed using thematic analysis and guided by Normative Rhetorical Theory framework. Remarkable conclusions were that without social and economic resources, participants reported they did not make choices about EOL and care, but rather their decisions were made by default.</p>

No description available.

The mass media influences our worldviews and perceptions, especially of social problems and potential solutions. Importantly, media messages, especially when repeated over time and during a crisis (real or perceived), tend to influence future public policy. Consistent with other periods of crisis and uncertainty, the COVID-19 pandemicization has led to an increased consumption of and reliance on news for accurate information and guidance on what to do and how to act amidst changing public health regulations and social norms. While the aging demographic has made media headlines before the COVID-19 pandemic was declared, the death of nearly 4,000 long-term care facility patients in Ontario alone since March 2020, most of them older adults, has increased the salience of Long-Term Care in the news (television, radio, newspapers, and digital news platforms). In this regard, many claims have been made in the media regarding older adults and their care and safety. But how are the problems leading to mass deaths in LTCFs defined and subsequent solutions presented in the mass media? In order to answer this question, this research asks: how are aging, care, and safety constructed or portrayed in newspaper coverage of LTC in Ontario during the first eight months of the COVID-19 pandemicization? Moreover, what are the implications of these portrayals for an aging population whereby nearly all of us will either need assistance at some point in our lives, provide this assistance to others, or both? Newspaper articles in the National Post on the topic of LTC from March to November 2020 were reviewed using Critical Discourse Analysis. Findings indicate event bias in reporting, journalistic ignorance on the issues in LTC and for those confined therein, dehumanization of older adult subjects, and highly medicalized notions of care and safety. / Thesis / Master of Arts (MA) / The mass media influences our perceptions, especially of societal problems and potential solutions. Consistent with other periods of uncertainty, since the declaration of the COVID-19 pandemic, consumption of and reliance on news has increased among the public. Importantly, media messaging during a crisis often influences future public policy with the potential to further exacerbate the crisis. The death of nearly 4,000 long-term care facility patients in Ontario alone since March 2020, most of them older adults, has increased the salience of Long-Term Care in the news, but toward what end? In order to deconstruct media messages during this time of tremendous upheaval, this research asks: how are age(ing), care, and safety portrayed in newspaper coverage of LTC in Ontario during the first eight months of the COVID-19 pandemic? What are the consequences of these portrayals for an aging population whereby nearly all of us will either need assistance at some point in our lives, provide this assistance to others, or both?

京都大学 / 新制・論文博士 / 博士(社会健康医学) / 乙第13455号 / 論社医博第17号 / 新制||社医||11(附属図書館) / 京都大学大学院医学研究科社会健康医学系専攻 / (主査)教授 長尾 美紀, 教授 近藤 尚己, 教授 中川 一路 / 学位規則第4条第2項該当 / Doctor of Public Health / Kyoto University / DFAM

Yes / Many intervention studies lack an investigation and description of the factors that are relevant to its success or failure, despite its relevance to inform future interventions. This study aimed to explore the facilitators and barriers to the implementation of a psycho‐educational intervention for care assistants caring for people with dementia in aged‐care facilities. A process evaluation was carried out alongside a pretest/post‐test controlled study conducted in aged‐care facilities. Seven focus‐group interviews involving 21 care assistants (female; mean age 43.37 ± 10.0) and individual semi‐structured interviews with two managers (female; mean age 45.5 ± 10.26) were conducted 2 weeks and 6 months after the intervention, in two aged‐care facilities. Interviews were recorded, transcribed and submitted to content analysis by two independent researchers. Results were organised into implementer, participant and organisation level hindered and facilitator factors. Findings enable the interpretation of the experimental results and underscore the importance of collecting the perception of different grades of staff to obtain information relevant to plan effective interventions. / Foundation for Science and Technology (FCT). Grant Number: SFRH/BD/72460/2010 and RIPD/CIF/109464/2009

Yes / This study assessed the effects of a psycho-educational intervention on direct care workers' person-centredness during morning care to residents with dementia. A controlled pretest–posttest study was conducted in four aged-care facilities with 56 direct care workers (female, mean age 44.72 ± 9.02). Two experimental facilities received a psycho-educational intervention comprising person-centred care competences and stress management skills; control facilities received an education-only intervention, without stress support. In total, 112 video-recorded morning care sessions were coded using the Global Behaviour Scale. Both groups reported significantly higher scores on eight of 11 items of the Global Behaviour Scale and on the Global Behaviour Scale total score at posttest (F=10.59; p=0.02). Global Behaviour Scale total score improvements were higher for the experimental group, with values close to significance (F=3.90; p=0.054). The findings suggest that a psycho-educational intervention may increase care workers' person-centredness. Further research is needed to explore the long-term sustainability and extent of its benefits on workers and residents. / Foundation for Science and Technology