As the Salvadoran population's life expectancy increases, fractures among the elderly are also increasing. There is a dearth of data available on the incidence and cause of fractures in the elderly within developing countries including El Salvador. Inadequate knowledge about bone health and osteoporosis among the elderly is contributing to health issues in the aging population. The purpose of this study was to investigate incidence, knowledge, causes, and risk factors affecting elderly patients admitted for fractures at Hospital Zacamil in order to develop programs targeted to prevention. Study objectives included: 1) determine incidence, causes, and treatment of elderly fractures including hip fractures, vertebral fractures, and forearm fractures and related post-morbidity and/or mortality; 2) compare patient knowledge, cause, treatment of fractures and related post-morbidity and/or mortality among those aged 45 to 65 years with those over 65 years; 3) determine the level of knowledge and presence of risk factors for fractures and osteoporosis among patients including diet, exercise, and environmental risk factors and compare by gender. The research was approved by IRB prior to data collection. The methodology included a researcher-designed and validated survey administered to an accepting sample of 155 patients presenting with fractures to Hospital Zacamil between January 2008 and May 2008. The data were analyzed with SPSS software. Findings indicate that the incidence of fractures in the study sample and those in developed countries are similar. Knowledge and presence of risk factors are similar by age and gender within the study sample. The primary conclusion was that education is needed to prevent falls and osteoporosis. Recommendations for further research include recognition of culturally-specific factors in prevention education and further study of the methods of addressing prevention in the specified population and the outcomes of the educational intervention. / Ph. D.

The purpose of this study is to identify the pivotal factors contributing to programmatic success of arts programs for people, age sixty-five and older, in the United States. This study examines select programs within five arts disciplines: Elders Share the Arts (theatre), Museum One (visual art), Liz Lerman Dance Exchange (dance), New Horizons Music (music), and Arts for the Aging (writing/literature). The selected programs serve a heterogeneous population of older adults and exist independently of larger, non-arts institutions, such as hospitals, nursing homes, or senior care facilities. Success factors were determined by three methods, including: (1) direct questioning of program staff members about what they believed made their programs successful, (2) observations of program delivery to determine success factors in action, and (3) research and review of literature. The conclusions of the aforementioned methods result in six universal factors among successful programming within arts programs. These common factors are: 1. Reminiscence regularly occurs among individual participants. Older adults who have the opportunity to reflect, without inhibition, on events from their past tend to experience more self-satisfaction, a reinforcement of their identity, and a ready connection with other adults. 2. Programs establish and maintain a safe, non-threatening environment. Allocating a small amount of time for everyone to acclimate to the new environment allows older adults to feel more at ease, encourages their participation, and increases their enjoyment. 3. Teaching artists are personally committed to the context in which they work and exhibit patience when engaging with older adults. Teaching artists find a balance between activities that are aesthetically enjoyable and educationally and socially rewarding. 4. Another organization or venue serves as a host for the program. This reciprocal relationship sustains the arts program and increases the vitality of the host organization by providing a wide range of programs. 5. The organization's leader is enthusiastic and mindful of both challenges and opportunities in the field. A single person in a highly-placed administrative position is identified as an essential driving force behind successful programs. 6. Teaching artists demonstrate loyalty by committing several years to the programs. The long-term retention of all teaching artists ensures consistent, reliable, and quality programs. / Master of Fine Arts

Yes / Conference abstract from the British Geriatrics Society Autumn Meeting, 14-16 Nov 2018, London, UK.

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

Thesis (Ph. D.)--State University of New York at Binghamton, Decker School of Nursing, 2007. / Includes bibliographical references.

Submitted by Taís Regina da Silva null (tais.rsilva71@gmail.com) on 2018-03-07T10:40:03Z No. of bitstreams: 1 Dissertacao Mestrado - fev 2018 - Tais Regina da Silva (5).pdf: 1774137 bytes, checksum: bc90c39167e23317082e573c843da5ab (MD5) / Approved for entry into archive by Luciana Pizzani null (luciana@btu.unesp.br) on 2018-03-08T19:32:27Z (GMT) No. of bitstreams: 1 silva_tr_me_bot.pdf: 1774137 bytes, checksum: bc90c39167e23317082e573c843da5ab (MD5) / Made available in DSpace on 2018-03-08T19:32:27Z (GMT). No. of bitstreams: 1 silva_tr_me_bot.pdf: 1774137 bytes, checksum: bc90c39167e23317082e573c843da5ab (MD5) Previous issue date: 2018-02-08 / Introdução: A Síndrome da Fragilidade (SF) descreve o estado clínico no qual o idoso apresenta diminuição das reservas fisiológicas e da função de diversos sistemas e órgãos, de tal modo que a capacidade para lidar com fatores estressores do dia a dia fica comprometida, resultando em vulnerabilidade clínica. A hospitalização é considerada um evento que traz consequências importantes para a funcionalidade do idoso e se tratando de idosos frágeis essa consequência pode ser ainda mais grave. Objetivo: Avaliar a prevalência da Síndrome da Fragilidade em idosos internados através de dois instrumentos: Critérios do Cardiovascular Health Study (CHS) e Índice do Study of Osteoporotic Fractures (SOF) e associar a SF com desfechos da internação. Métodos: Estudo observacional analítico e prospectivo. Foram avaliados 98 pacientes internados e identificados através da análise de prontuário os dados sociodemográficos e clínicos e aplicados, no início da internação, os instrumentos CHS e SOF, que classificaram os pacientes como frágeis, pré frágeis ou saudáveis. Após a saída do paciente, através de análise de prontuário, foi observado o desfecho da internação (tempo de internação, complicações na internação, reinternação e óbito na internação/reinternação). Foram feitas associações das variáveis clínicas e desfechos com a SF e análise de concordância entre os instrumentos. Resultados: A amostra foi composta por 98 pacientes com média de idade de 75,30±9,40 anos, sendo 50% do sexo feminino. A prevalência da SF na amostra pelos critérios CHS foi de 82,65% e pelo índice SOF foi de 71,42%. Foi identificada associação significativa (p<0,05) entre a idade, Índice de Massa Corpórea (IMC) e internações prévias com a SF. Em relação aos desfechos observou-se associação significativa (p<0,05) entre as complicações da internação, tempo de internação, óbito na internação, reinternação e óbito na reinternação com a SF. Os instrumentos CHS e SOF apresentaram concordância substancial (K=0,6316). Conclusão: A amostra apresentou alta prevalência da SF. Idosos considerados frágeis pelos instrumentos CHS e SOF se mostraram mais propensos a ter o desfecho de mortalidade e desenvolverem maior número de complicações e tempo de internação e também apresentaram mais reinternações do que pacientes considerados não frágeis. / Introduction: The Frailty Syndrome (FS) describes the clinical stage in which the elderly people present a reduction of the physiological reserves as well as of the functions of diverse systems and body organs, in a way that the ability to deal with daily stress factors is compromised, resulting in a clinical vulnerability. Hospitalization is considered an event that brings important consequences to the elderly functionality and when dealing with frail elderly people this consequence can be even more serious. Objective: To evaluate the prevalence of the Frailty Syndrome in hospitalized elderly people through two criteria: Cardiovascular Health Study index (CHS) and the Study of Osteoporotic Fractures index (SOF) and to relate the FS with the hospitalization outcome. Methods: Analytical and prospective observational study. Ninety-eight hospitalized patients were evaluated, and based on the medical records, the sociodemographic and clinical data were identified and applied in the beginning of the hospitalization, the CHS and SOF indexes that classified the patients as frail, pre-frail, or healthy. After the patient was discharged from the hospital, the outcome of the hospitalization was observed based on the medical records analysis (hospitalization period, complications and death during the hospitalization and rehospitalization). Clinical variables associations were carried out with the FS and between indexes. Results: The sample was composed by 98 patients, with an average age of 75,30±9,40, and 50% of them were female. The prevalence of the FS in the sample by the CHS index was 82.65% and 71.42% by the SOF index. A significant association was identified (p<0,05) between the age, the Body Mass Index (BMI) and previous hospitalizations with the FS. Regarding the outcomes, a significant association was observed (p<0,05) between the complications during the hospitalization, the hospitalization period, the death, the rehospitalization and the death during the rehospitalization with the FS. The CHS and SOF indexes presented a substantial agreement (K=0,6316). Conclusion: The sample presented a high prevalence of the FS. The elderly people considered frail were more inclined to present death outcome, greater number of complications during the hospitalization, longer hospitalization period and more rehospitalization than the patients considered non-frail.

Thesis (M. A. (Clinical Psychology)) -- University of Limpopo, 2019 / Demographical factors affect the way people perceive, conceptualise and make meaning of their daily living experiences, which in turn influence their decision-making abilities in certain situations. Therefore, perceptions and conceptualisations, together with the associated attitudes to organ donation, were defined and understood in participants’ socio-cultural context. A qualitative study was conducted among the African elderly community members of Madibaneng Village (Sekhukhune District), Limpopo Province (South Africa) to explore perceptions of organ donation. African elderly community members were selected using purposive sampling, after ethical clearance from the University and gate-keepers’ permission from the Tswako-Lekentle traditional council had been obtained. Six (6) males and six (6) females were interviewed. Data was collected using semi-structured interviews and analysed using the thematic analysis method. The following psychological themes and subthemes emerged from the study: African elderly community members’ understanding and knowledge about organ donation (inadequate knowledge and lack of awareness); community members’ feelings about organ donation; African elderly community members attitudes to organ donation (family dynamics relating to organ donation, culture and organ donation and psychological aspects of organ donation), and participants’ perceptions of those living with donated organs. The findings revealed that multiple demographical factors affect and influence people’s perceptions of organ donation. The study revealed that 80% of the elderly community members expressed some positive perceptions about the process of organ donation; however, some of the participants expressed conflicting factors that might affect their ultimate decision about becoming donors, such as associated psychological aspects. Other participants portrayed a negative perception that was more likely to have been affected by cultural factors, their family dynamics, belief systems and other social factors in their context. The findings from the current study emphasise that there is a need for effective awareness campaigns to curb the levels of illiteracy and inadequacy in knowledge concerning the subject of organ donation and to incorporate the demographical factors of particular social contexts in the healthcare system and related policies.

The intent of this qualitative, grounded theory study was to understand why the Nigerian (Igbo) adult immigrants in the United States provide long distance international caregiving to their elderly parents left behind in Nigeria, the challenges they encounter, and their views on long-term service care. This study was grounded in semi-structured interviews of 20 Igbo adult immigrants residing in the Dallas/Fort Worth Metropolis. Analysis of the literature demonstrates a lack of existent topic on long distance international caregiving to elderly parents left behind in Nigeria. Findings show that reasons for Igbo adult children immigrants providing care to their elderly parents left behind stem from filial obligation, immigrant’s position in the family, perceived vulnerability of parents, and lack of government support. Also because of cultural expectations, the participants felt obligated to reciprocate to the care their elderly parents gave to them when they were growing up. While providing long distance international care, the participants encountered some challenges like adjusting to their new country, distance, financial constraints, being available for family procreation, issues with means of communication, and legal papers and parental adjustment to life in the U.S. This study also revealed that the participants would support the Nigerian government and private sector to provide long-term service care for the aging population. The findings led to some policy recommendations.

Made available in DSpace on 2014-12-17T14:13:48Z (GMT). No. of bitstreams: 1 RodrigoSPM_DISSERT.pdf: 416202 bytes, checksum: c46404cdfcdcfd2fbc6150512bbaf7b3 (MD5) Previous issue date: 2009-11-16 / Um envelhecer saud?vel compreende fundamentalmente, o atendimento de necessidades que v?o al?m da manuten??o de um bom estado de sa?de f?sica. Faz-se necess?rio valorizar o idoso como pessoa socialmente ?til, favorecendo, direta e indiretamente, o idoso, a fam?lia e comunidade para o alcance de um estilo de vida desej?vel. Pautando-se nessas reflex?es, a partir da import?ncia de um estudo em que se procure avaliar at? que ponto, segmentos da sociedade e o pr?prio idoso, conhecem os direitos deste, e com isto, procurar pontuar conceitos de cidadania, vinculando os idosos a essas pr?ticas, tendo como ponto de partida neste estudo, a sa?de, como pr?tica muito questionada no cotidiano. Este estudo, portanto, tem como objetivo verificar o conhecimento de estudantes universit?rios sobre os direitos do idoso no que se refere ? sa?de, contemplados no Estatuto do Idoso e explorar os direitos do idoso no ?mbito da sa?de na concep??o de estudantes universit?rios. Trata-se de um estudo explorat?rio descritivo, numa abordagem qualitativa, centrando-se na an?lise dos aspectos legais (jur?dicos) sobre o conhecimento dos direitos do idoso no ?mbito da sa?de pelos estudantes e sua implica??o na pr?tica da cidadania. O estudo foi realizado na cidade de Jo?o Pessoa - Pb, estudantes universit?rios de diferentes cursos do Campus I da Universidade Federal da Paraiba. O instrumento utilizado para coleta de dados foi uma entrevista semi-estruturada. Os coletados foram qualitativamente, explorando-se as falas dos sujeitos, utilizando-se a t?cnica de an?lise de conte?do tem?tica categorial. Os resultados encontram-se apresentados em quadros e temas. A partir de diferentes artigos realizados no decorrer do curso. Diante da expressividade dos resultados encontrados nesta pesquisa, ? poss?vel afirmar que os estudantes universit?rios ainda conhecem pouco o direito dos idosos, em particular, no campo da sa?de, mesmo os estudantes da referida ?rea. No contexto interdisciplinar este estudo sugere a??es dirigidas ? popula??o do estudo propiciando pesquisas com maior impacto na m?dia dirigida tanto aos idosos como a sociedade em geral

Bakgrunden till denna c-uppsats är den utredning som resulterade i bland annat införandet av en nationell värdegrund för äldreomsorgen. Enligt denna ska äldreomsorgen bland annat vara personcentrerad. I verkligheten är den dock ofta mer uppgiftscentrerad. Genom att intervjua fem personer som har jobbat/jobbar på äldreboenden har jag undersökt vad som behövs för att äldrevården ska vara personcentrerad. Jag har fått veta vilka organisatoriska förutsättningar som finns för att vårdbiträden ska kunna ha ett personcentrerat arbetssätt samt vilka arbetsmetoder och förhållningssätt som kan göra vårdbiträdets arbete mer personcentrerat. Min teoretiska referensram har varit Nightingales omvårdnadsteori samt Orlandos teori om en reflektiv omvårdnadsprocess.     De organisatoriska förutsättningarna visade sig vara att hela arbetsgruppen strävar efter ett personcentrerat arbetssätt. I annat fall kan det vara svårt för det enskilda vårdbiträdet att göra det. Att chefen inte är motsträvig till ett sådant sätt att arbeta är även det en faktor som kan påverka hur personcentrerad vårdbiträdenas arbete är, men chefens åsikter verkar inte påverka lika mycket som kollegornas åsikter och arbetssätt. En tillräcklig personaltäthet är även det viktigt. När det gäller arbetsmetoder eller arbetssätt som främjar en personcentrerad äldrevård, kom jag fram till att ett mer flexibelt till skillnad från ett mer rutinfast arbetssätt är främjande. Att ha som rutin att varje vårdbiträde läser varje vårdtagares nedskrivna ”livshistoria” är en annan arbetsmetod som gör det lättare att personcentrera vården till varje individ. Ytterligare sätt är att använda sig av de nationella riktlinjerna som ett verktyg i sitt arbete, att man lär av varandra samt reflekterar över sitt eget arbetssätt och att man utnyttjar erbjuden extern hjälp. Attityder och förhållningssätt hos personalen, som kan främja en personcentrerad äldreomsorg visade sig vara att fokusera på människan bakom arbetsuppgiften och att prioritera vårdtagarens behov och önskningar före ens egna. Ett annat förhållningssätt som främjar en personcentrerad vård är att vårdbiträdet ser äldreboendet som vårdtagarens hem, inte enbart som sin arbetsplats.