Made available in DSpace on 2016-07-27T14:21:14Z (GMT). No. of bitstreams: 1 Ana Velasco Remigio Coelho.pdf: 280834 bytes, checksum: 953954ed33de85a6e30fe29c90f150ea (MD5) Previous issue date: 2006-11-30 / This study had as its aim to understand the constitution of the subjective sense of sexuality in elderly persons, supported by Gonzaléz Rey s subjective theory and Vygotsky s historic-cultural psychology. Both approches the history of the developing person. The qualitative method was utilized, whose principles are state as follows: knowledge is a constructivist-interpretative production; production has an interactive character; the singularity has a legitimate level of the knowledge production. Three female and a male students from the Third Age Open University- Goiás Catholic University (UCG) were extensively interviewed. The instruments used were: dynamic conversation and sentence completion. As its main result it was observed that the sexuality in persons with 60 years of age and over may be tangled with the subjective sense generated by the person in the trajectory of his/her life and can be experienced as: health, self-esteem, personal achievement, affectivity and fellowship, naturalization of the decline of the sexual desire or, ever, the exclusion of sexual activity. It was concluded therefore, that the process of sexuality development in the elderly is singular. / Este estudo objetivou compreender a constituição do sentido subjetivo da sexualidade na terceira idade, baseando-se na teoria da subjetividade de González Rey e na psicologia histórico-cultural de Vygotsky que estuda a história do sujeito em desenvolvimento. Utilizou-se o método qualitativo cujos princípios são: o conhecimento é uma produção construtiva-interpretativa; a produção tem caráter interativo; a singularidade tem um nível legítimo de produção do conhecimento. Os sujeitos foram três alunas e um aluno da Universidade Aberta à Terceira Idade- Universidade Católica de Goiás (UCG). Os instrumentos utilizados foram a dinâmica de conversação e o completamento de frases. Como principal resultado, observou-se que a sexualidade na terceira idade está implicada com os sentidos subjetivos gerados pelo sujeito ao longo de sua vida, podendo ser experimentada como: saúde, auto-estima, realização pessoal, afetividade e companheirismo, naturalização do declínio do desejo sexual ou até mesmo exclusão da atividade sexual. Concluiu-se, portanto, que o processo de desenvolvimento da sexualidade na terceira idade é singular.

We are aware of the fact that elderly people suffering from alcoholism doesn’t stop their be-haviour the day they turn 65. But when they do turn 65, they might become a case for social workers who only handle cases regarding people over 65, and we wanted to find out if they have any experience of working with elderly who have problems related to alcohol. We de-cided that a group interview, a focus group, would be the best method when our purpose was to try discovering their own experiences, so we interviewed seven social workers in the Stockholm area. The interview was based on four main questions: the social workers experi-ences, difficulties in the cases, how to handle the difficulties and how the social workers talk about these cases among themselves. These questions were analysed with the theory of social construction, Bourdieu´s theory of doxa and Goffman´s theory of stigma. The analyse showed that the social workers had experience but that they didn’t want more recourses, they wanted a cooperation with social workers who specializes on clients with alcohol related problems. They currently focus on the individual, not the alcohol issue which we believe might be a problem in the future.

Senstant kūno sudėtis keičiasi: liesoji masė – pirmiausiai skersaruožių raumenų masė ir kaulų mineralų masė – mažėja, o riebalų masė didėja ir vyksta riebalų masės regioninis persiskirstymas. Maža raumenų masė ir maža raumenų jėga arba fizinė funkcija yra vadinama sarkopenija. Siekdami ištirti ir įvertinti senų žmonių kūno sudėtį ir jos sudėtinių dalių tarpusavio sąsajas esant sarkopenijai, ištyrėme šešiasdešimties metų ir vyresnio amžiaus 151 vyrą ir 203 moteris. Kūno sudėtis buvo tirta dvisrautės radioabsorbciometrijos metodu, vyrams, kuriems nustatyta senatvinė sarkopenija, atlikta skersaruožių raumenų mikrobiopsija. Mūsų tyrimas parodė, kad vyrų liesoji masė bei vyrų ir moterų kaulų mineralų masė yra mažiausios 80 metų bei vyresnio amžiaus grupėje. Moterų liesoji masė amžiaus grupėse nesiskiria. Vyrų kaulų mineralų masė teigiamai koreliuoja su liesąja mase, o moterų kaulų mineralų masė teigiamai koreliuoja su liesąja mase ir riebalų mase. Esant senatvinei sarkopenijai vyrams galūnių raumenų masė yra reikšmingiausias veiksnys, nulemiantis viso kūno, bendrą šlaunikaulio ir šlaunikaulio kaklo KMT. Riebalų masė yra reikšmingiausias veiksnys nulemiantis moterų KMT esant sarkopenijai. Nustatėme, kad vyrų miocito plotas teigiamai susijęs su viso kūno liesąja mase, kojos raumenų mase, šlaunies apimtimi ir su bendru šlaunikaulio KMT. / Body composition in elderly and its features in persons with sarcopenia The body composition is changing with age: the lean body mass – first of all the skeletal muscle mass and later the bone mineral content – reduces and the fat mass increases, also the regional re-distribution of fat mass occurs. The combination of low muscle mass and low muscle strength or physical performance is called sarcopenia. The aim of this study was to investigate and evaluate the body composition in elderly and the associations of body components in age-related sarcopenia. We examined 151 male and 203 female aged 60 years and older. Body composition was investigated using dual energy x-ray absorptiometry. In men with age-related sarcopenia, microbiopsy of skeletal muscle was performed. It was found that in men, the lowest lean mass and bone mineral content (BMC) were at the age of 80 years and older. In women, there were no differences in lean mass between age groups, and the lowest bone mineral content was found in the age group 80 years and older. Bone mineral content was associated with lean mass in both genders, and in women BMC also was associated with fat mass. In men with age-related sarcopenia, appendicular skeletal muscle mass was the most consistently associated with the total body, total hip and femoral neck bone mineral density (BMD). In women, the fat mass was the most significant determinant of bone mineral density. Cross-sectional area of skeletal muscle fiber was positively... [to full text]

Abstract The aim of this study was to describe and evaluate the use of dance performance as an intervention in the care of elderly persons with dementia. The research task was to describe and evaluate how demented elderly persons experience dance performances and describe dance performance and its essence as an intervention. The method was qualitative evaluation research. The informants were demented elderly persons (13), their family members (4), nurses (7) and practical nurse students (3). Four dance performances based on elderly persons' memories of different seasons were performed in the nursing home. The data were collected using individual interviews of elderly persons, videotaping, heart rate measurements and focus group interviews of family members, nurses and students. The experiences of the demented elderly persons were related to dance performance as an activity, dance performance, performers, themselves, and to the audience and surroundings. Dance performance was evaluated as a process intervention with an effect on the elderly person and his/her interaction with the others and also on the family members. Dance performance as an intervention in the care of elderly persons with dementia has its own special features as does its implementation in nursing. Watching a dance performance is an active event to the demented elderly person. Feelings, memories and sense of community with the others aroused by dance performance are positively significant in the nursing care context. Dance performance is an interactive psychosocial intervention which promotes the well-being and elicits the resources of the elderly person with dementia. It can also be a contradictory intervention. This study has produced information for gerontological nursing. With this information dance performance can be used in similar situations as a goal-directed intervention. / Tiivistelmä Tämän tutkimuksen tarkoituksena oli kuvata ja arvioida tanssiesityksen käyttöä auttamismenetelmänä dementoituvien vanhusten hoitotyössä vanhusten, omaisten, hoitajien ja lähihoitajaopiskelijoiden näkökulmista. Tutkimuksen tehtävänä oli kuvata ja arvioida miten dementoituvat vanhukset kokevat hoitoyhteisöihin tuodut tanssiesitykset, kuvata tanssiesitystä auttamismenetelmänä dementoituvien vanhusten hoitotyössä dementoituvien vanhusten, omaisten, hoitajien ja lähihoitajaopiskelijoiden arvioimana sekä kuvata, millainen tanssiesityksen tulee olla auttamismenetelmänä dementoituvien vanhusten hoitotyössä. Tutkimus oli laadullinen arviointitutkimus. Siihen osallistui 13 dementoituvaa vanhusta, 4 omaista, 7 hoitajaa ja 3 lähihoitajaopiskelijaa. Hoitokodissa esitettiin neljä vanhusten vuodenaikamuistoihin perustuvaa tanssiesitystä. Aineistonkeruumenetelminä olivat dementoituvien vanhusten yksilöhaastattelut, videointi, sykemittaukset sekä omaisten, hoitajien ja lähihoitajaopiskelijoiden ryhmähaastattelut. Aineistot kerättiin neljän tanssiesityksen yhteydessä ja jälkeen. Aineistot analysoitiin laadullisella, induktiivisella sisällön analyysimenetelmällä. Vanhusten kokemukset tanssiesityksistä liittyivät tanssiesitystoimintaan, tanssiesitykseen, esiintyjiin, heihin itseensä sekä toisiin katsojiin ja ympäristöön. Tanssiesitys arvioitiin prosessina toteutuvaksi auttamismenetelmäksi, joka vaikuttaa vanhukseen ja hänen vuorovaikutukseensa toisten kanssa sekä omaisiin. Dementoituvien vanhusten auttamismenetelmänä toimivalla tanssiesityksellä on omat erityispiirteensä tanssiesityskokonaisuuteen, tanssiesityksen kokonaistunnelmaan, rakenteeseen, kestoon, sisältöön, visuaalisuuteen, äänimaailmaan, esiintyjiin ja ympäristöön liittyen. Tanssiesityksen hoidollisella hyödyntämisellä on myös omat erityispiirteensä. Tanssiesityksen katsominen on dementoituvalle vanhukselle aktiivinen tapahtuma, ja tanssiesityksen herättämät tunteet, muistot ja yhteisyys toisten kanssa saavat aikaan prosesseja, joilla on myönteistä hoidollista merkitystä. Tanssiesitys on vuorovaikutuksellinen, hyvinvointia edistävä ja vanhuksen voimavaroja esille nostava psykososiaalinen auttamismenetelmä, jonka avulla voidaan tukea dementoituvan vanhuksen normatiivista kehitystä. Tanssiesitys ei ole ristiriidaton auttamismenetelmä, ja sen hoidollisen hyödyntämisen lähtökohtana tulee olla dementoituvan vanhuksen yksilölliset tarpeet. Tutkimus on tuottanut tietoa kliinisen, gerontologisen hoitotieteen tietoperustaan tuomalla laadullista tutkimusnäyttöä aiemmin tutkimattomasta auttamismenetelmästä. Tuotetun tiedon avulla tanssiesityksiä voidaan hyödyntää vastaavissa tilanteissa tavoitteellisesti auttamismenetelmänä.

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Cette thèse porte sur le rôle des aidants familiaux dans la prise en charge et les évolutions qu’il devrait connaître dans les années à venir. Premièrement, l’étude d’une cohorte d’individus de plus de 65 ans suivis pendant vingt-deux ans remet en question la capacité des proches à garantir le maintien à domicile des personnes âgées face à la survenue de troubles cognitifs. Puis, une modélisation jointe des décisions d’aide prises au sein des familles d’individus âgés dépendants précise et nuance les effets supposés des évolutions socio-économiques et démographiques actuelles sur l’implication future des membres de la famille. Enfin, l’analyse de la relation entre aide professionnelle et aide familiale à domicile indique qu’une réduction du prix de l’aide formelle ne devrait pas permettre de libérer du temps aux proches mobilisés. Ces résultats suggèrent des pistes d’action publique en vue d’améliorer l’efficience de la prise en charge des personnes âgées dépendantes. / In France, in-home support of the elderly dependents is encouraged and should contribute to the care provided by family members. In this thesis, several microeconometric models are estimated to analyse the role of the family in long-term care for elderly dependents. First, the analysis of a cohort of elderly dependents followed for more than twenty years calls into question the ability of family caregivers to protect their elderly dependent parent against the risk of institutionalisation. Then, a joint model of caregiving decisions within families nuances the effects of current socio-economic and demographic evolution on the future involvement of children. Finally, the study of the relationship between family care and formal home care indicates that a lower price of professional care cannot efficiently contribute to free up time for the informal caregivers. These results fuel thoughts about new public policies devoted to increase the efficiency of long-term care for elderly dependents.

Vad händer när en äldre person vill sälja bostaden och flytta till något som är lättare skött? Finns det möjligheter för äldre människor att bo kvar på landsbygden i samma by som innan? Vilka möjligheter finns för äldre personer som vill flytta till en mindre bostad? Kan ett koncept tas fram just för detta uppdrag? Detta examensarbete behandlar problematiken kring hur äldre personer står inför en utmaning att komma till ett enklare boende som är mer anpassat för den äldre i funktions- och underhållssyfte. Examensarbetet bygger på ett pågående projekt som äger plats i Norr Amsberg, en liten by tre kilometer norr om Borlänge. Detta examensarbete bygger på en kvalitativ metod då inga beräkningar skall utföras. Faktaunderlag för denna studie kommer från intervjuer, forskningsartiklar och statistik. Sex intervjupersoner har intervjuats under detta arbete, två forskare som finns stationerade i Falun, tre äldre personer som har passerat sextiofem år och slutligen eldsjälen som startat igång projektet gällande seniorbostäder i Norr Amsberg. Detta ger en bred grund att stå på för att dra de slutsatser som har upprättats i rapporten. Ett koncepthus har att ritats fram under tidensgång där hänsyn har tagits till de intervjuades önskemål som utseende, funktionskrav och platsplacering. Huset uppfyller alla tillgänglighetskrav som en modern bostad innehåller. Byggnaden som tas fram är ett koncept och inte den färdiga produkten. Viktiga slutsatser som har framkommit under denna studie är hur viktigt boendets utformning är och hur den påverkar äldre betydligt mer än vad man allmänt tror och att behovet kommer öka markant gällande anpassade boenden i framtiden. Vikten av boendets utformning och hur den påverkar äldre är några stora nyckelfaktorer som samtliga kommuner lär ta till sig när planering av en typ av ”mellan boende” för ädre ska tas fram. / What happens when an elderly person wants to sell the property and move on to something that is easier to handle? Are there opportunities for older people to live in the same city as before? What opportunities are there for elderly people who want to move to a smaller residence? Can a concept be drawn up just for this assignment? This degree project will address the problem of how elderly people face a challenge to get to a simpler accommodation that is more suited to the elderly for functional and maintenance purposes. The thesis is based on an ongoing project that takes place in Norr Amsberg, a small town three kilometer north of Borlänge. In this degree project, a qualitative method will be used which means no calculations is needed. Thus, facts will be gathered from interviews, research articles and statistics. Six people have been interviewed during this project. Those who have been interviewed are two scientists who are stationed in Falun, three older people who have passed sixty-five years of ages and finally the enthusiast who started whole project in Norr Amsberg. This provides a broad ground for the conclusions drawn in the report. A concept house has been drawn up during this time, taking account of the wishes of the interviewees as appearance, functional requirements and location. The house has all accessibility requirements that a modern home will have. The building that is produced is a concept and not the finished product. Important conclusions that have been made during this study are how important the housing design is and how it affects the elderly significantly more than is generally believed and that the need will increase significantly in terms of custom housing in the future. The importance of housing design and how it affects older people are some major key factors that all municipalities learn to address when planning a type of "senior housing" for elderly people.

Bakgrund: Hjärtsvikt är en sjukdom som har ökat i samhället särskilt hos äldre personer. Sjukdomens konsekvenser tvingar äldre personer att göra stora livsförändringar för att kunna hantera vardagen. Sjuksköterskor har en omfattande roll att utbilda och informera om sjukdomen samt ge stöd till patienter med hjärtsvikt att utföra egenvård. Syfte: Syftet var att beskriva äldre personers upplevelser av att leva med hjärtsvikt. Metod: Metoden var en litteraturöversikt. Totalt inkluderades nio artiklar framsökta med hjälp av databaserna CINAHL Complete och PubMed. Åtta artiklar var kvalitativa och en tillämpade mixad metod. Artiklarna kategoriserades och tematiserades baserat på likheter och skillnader i resultaten. Resultat: I resultatet framkom tre teman utifrån äldre personers upplevelser. Det första temat handlar om otillräcklig information, andra tema en förändrad kropp och det tredje handlar om äldre personers behov av stöd från anhöriga och vårdpersonal. Slutsats: Äldre personer med hjärtsvikt har behov av stöd och vägledning för att kunna hantera sin egenvård. Framtida forskning behövs, från ett individinriktat perspektiv, för att undersöka vilka strategier som kan stödja äldre personers egenvård. / Background: Heart failure is a disease that has increased in the society, especially in elderly people. The consequences of this disease force older people to make major life changes to manage everyday life. Nurses have an extensive role to educate and inform about the disease and provide support to patients with heart failure to perform self-care. Aim: The objective for this study is to describe elderly person’s experiences of living with heart failure. Method: The method was a literature review. A total of nine articles searched using the databases CINAHL Complete and PubMed were included. Eight articles were qualitative, and one applied a mixed method. The articles were categorized and themed based on similarities and differences in the findings. Results: The results revealed three themes based on the experiences of elderly persons. The first theme is about insufficient information, the second theme relates to a changed body, and the third theme is about elderly people's need for support from relatives and healthcare professionals. Conclusion: Elderly persons with heart failure need more support and guidance to be able to manage their own self-care. Future research needs, from an individual-oriented perspective, to investigate which strategies can support elderly people's self-care.

The diploma thesis presents both benefits and threats brought about by Act No. 108/2006 coll., on Social Services, for users and providers of social services since 2007. The criticism is based on data on beneficiaries of care allowance as well as sources of revenue obtained by social service providers in the four-year force of the law. The thesis aims to assess the effects of the Act on Social Services on the quality and financing of social services for the elderly and verify these results on the data and development of Home for elderly Háje, allowance organization, founded by the City of Prague. The new legislation established a number of tools to ensure the quality of social services. However, it appears that the new settings of financing of this field may endanger the quality of services, particularly in residential social care services. The development of social services is significantly influenced by the process of aging, therefore, one part of the thesis analyzes the age structure of population of the City of Prague and the need of social services for the elderly in this region in the future. The conclusion summarises the most serious consequences of Act on Social Services in practice.

Pagrindinių universitetinių studijų baigiamasis darbas 93 puslapių, 17 paveikslų, 4 lentelės, 65 literatūros šaltiniai, 4 priedai, lietuvių kalba. Tyrimo objektas - Tauragės, Šilalės, Pagėgių rajonų senelių globos namai. Tyrimo dalykas - socialinių paslaugų teikimo organizavimas. Darbo tikslas – parengti rekomendacijas Tauragės apskrities strateginio plano papildymui, išplečiant socialinių paslaugų teikimo organizavimą Tauragės apskrities senelių globos namuose. Uždaviniai: 1. Išanalizuoti socialinių paslaugų teikimo organizavimą teoriniu aspektu. 2. Ištirti specialiųjų socialinių paslaugų teikimo organizavimo pagyvenusiems asmenims ypatumus. 3. Nustatyti specialiųjų socialinių paslaugų teikimo organizavimo pagyvenusiems asmenims prieinamumą ir pasiekiamumą Tauragės apskrityje. 4. Pasiūlyti specialiųjų socialinių paslaugų teikimo organizavimo pagyvenusiems asmenims gerinimo kryptis ir geresnio organizavimo galimybes Taurgaės apskrrityje. Tyrimo metodai: Mokslinės literatūros, norminių dokumentų, statistinių duomenų, pirminių ir antrinių duomenų analizė, palyginimo, anketinio ir interviu – diskusijos, grafinio vaizdavimo metodai. / Final work of University Undegradeduate Studies, 93 Pages, 17 Figures, 4 Tables, 65 References, 4 Appendix, the Lithuanian language. Research object – Tauragė, Šilalė, Pagėgiai regions rest - homes. Research subject - organizationg of social services. Research aim. – to prepare recomendations for Tauragė region strategy supplement, expanding organization of social services in Tauragė rest - homes. Objectives: 1. To analyse organization of special social services rendering in theoretical method. 2. To investigate organization of social services specific features for elderly persons. 3. To find out organization of special social services accessibility and possibilities for elderly persons in Tauragė region. 4. To propose offering planing of social favour for elderly persons improving directions and better organizing possibilities in Tauragė region. Research methods: sciential literature, the analysis of articles, induction and standart documents, statistical, primary and second facts analysis, comparision, questionnaire questioning and interview researches, graphic depiction.