À medida que o ser humano envelhece as doenças crônicas tornam-se mais frequentes, o que faz com que os idosos necessitem de mais atenção à saúde. Paralelo a este cenário, a estrutura familiar brasileira vem passando por modificações e, atualmente, fica cada vez mais difícil que o cuidado fornecido ao idoso venha de membros da família. Muitas empresas privadas já contam com a oferta de cuidadores de idosos para atendimento domiciliar, outras poucas estão utilizando um novo formato de assistência à saúde do idoso, com a inclusão de gerontólogos na gestão do cuidado. Objetivo: compreender o significado do gerontólogo bacharel como gestor do cuidado formal domiciliar, através da perspectiva dos gerontólogos e cuidadores formais envolvidos diretamente no cuidado ao idoso. Método: A pesquisa foi qualitativa e teve como referencial metodológico a fenomenologia social. Foram entrevistados 20 participantes, que trabalhavam em empresas de atendimento domiciliar localizadas na cidade de São Paulo, sendo 15 cuidadores formais e cinco gerontólogos. Os depoimentos foram coletados por meio de perguntas norteadoras, gravados e transcritos. Para análise dos dados foi realizada a categorização dos significados a partir da redução fenomenológica. Resultados: a partir dos depoimentos foi possível verificar que os gerontólogos zelam pelo cuidado à saúde do idoso; capacitam e orientam os cuidadores de idosos; dão suporte integral e eficaz aos cuidadores; administram as informações; dão orientação e suporte aos familiares; unem a equipe interprofissional, familiares e cuidadores; gerenciam os conflitos familiares; auxiliam o cuidador no processo de adaptação com o paciente; entre outras categorias. Conclusão: A compreensão dos significados do gerontólogo como gestor do cuidado formal domiciliar mostra que este profissional, com sua formação generalista e interdisciplinar sobre o envelhecimento e a velhice, consegue desenvolver uma visão integral do idoso, compreender e atender suas necessidades biopsicossociais, trabalhar em equipe e atuar ativamente na assistência. Todos os cuidadores entrevistados apresentam uma visão definida e positiva em relação à atuação do gerontólogo. Enfatizaram que a falta de uma gestão gerontológica afeta diretamente na qualidade do cuidado prestado ao idoso / As the human being ages, chronic diseases become more frequent, which makes the elderly need more attention to health. In parallel to this scenario, the Brazilian family structure has been undergoing changes and, at present, it is increasingly difficult for the family members to provide the care needed by the elderly. Many private companies already have the supply of caregivers of elderly people for home care, others are using a new form of health care for the elderly, with the inclusion of gerontologists in the management of care. Objective: to understand the meaning of the bachelor gerontologist as manager of the formal home care, from the perspective of gerontologists and formal caregivers directly involved in care for the elderly. Method: The research is qualitative and had as methodological reference the social phenomenology. Twenty participants were interviewed, who work in home care companies located in the city of São Paulo, 15 formal caregivers and five gerontologists. The testimonies were collected through guiding questions, recorded and transcribed. For the analysis of the data the categorization of the meanings was carried out from the phenomenological reduction. Results: from the testimony it was possible to verify that the gerontologists: care for the health care of the elderly; train and mentor caregivers of the elderly; provide comprehensive and effective support to caregivers; manage the information; give guidance and support to family members; unite interprofessional staff, family members and caregivers; manage family conflicts; assist the caregiver in the process of adaptation with the patient; among other categories. Conclusion: The understanding of the gerontologist\'s meanings as a manager of formal home care shows that this professional, with his general and interdisciplinary training on aging and old age, is able to develop an integral view of the elderly, understand and respond to their biopsychosocial needs, work as a team and act actively in the care. All caregivers interviewed present a definite and positive view regarding the performance of the gerontologist. They emphasized that the lack of gerontological management directly affects the quality of care provided to the elderly

D.Cur. / Like in many countries, Namibia is experiencing social and economic health care problems related to care provision at state health facilities. The Namibian State has acknowledged that it can no more afford to provide care for all the sick people alone, especially at its health facilities. It is now calling upon the society to take up the responsibility of caring for their sick people at home. Although this call is genuine and necessary, one cannot help to always wonder about the expectations of stakeholders involved in home care provision in rural Namibia. The purpose of the study was to develop and describe a model for capacity building to facilitate quality home care in rural Namibia. To achieve this the following specific objectives were formulated: 1) to explore and describe the expectations of the stakeholders involved in home care situation in rural Northern Namibia; 2) to assess the status of available resources in relation to quality home care; 3) to analyse the concept capacity as a management process and conceptualise the whole study into existing theoretical frameworks to facilitate home care in rural Namibia and 4) to develop and describe practical guidelines for the implementation of the model. A qualitative case study design was used to carry out the study. Explorative, descriptive, theory generative and inductive strategies were utilised. Face to face interviews were conducted with thirty stakeholders in home care using an interview guide. Purposive and Snowballing/networking sampling were used to identify the stakeholders involved with home care. Observations were also made with regard to the status of the resources, its availability and accessibility to the stakeholders. From the empirical phase, various expectations were expressed related to resources, namely, physical structures, knowledgeable human resources, financial and logistics, information, safe water supply, transport and communication means, support systems and mechanisms at home and community levels, food and nutrition. It was clear that resources were lacking as well as the support systems for home care.

This thesis researches the need for increased social engagement among isolated elderly population receiving home care service in Sweden. The notion of ‘social engagement’ and how to stimulate it is a central point throughout the work. The author finds that the isolation issue is related to political factors, sustainability and Swedish culture and how they interact with the individual. The theoretical framework is comprised of the field of care science and theories regarding isolation and sense of community. Using such empirical research and more in-depth own research such as interviews, the author concludes that social isolation is, in fact, a problem. The answer or suggested solution to this problem takes the shape of a design proposal: Play, Share, Connect, Repeat. Play, Share, Connect, Repeat is a game introduced by home care service that aims to create bonds and stimulate social engagement between care receivers.

This study concerns itself with the pros and cons of placing children whose adoptability is questioned on a boarding or foster-home basis. Because of the growing recognition that early, continuous and warm parental relationships offer the most security for a child, it is important that children should reach their permanent homes early, and that the home be well chosen. This is of particular consequence for children those adoptability is obscure in infancy. For exploratory purposes, fourteen wards of the Vancouver Children's Aid Society were selected for study. Each child was in good health when taken into agency care at the age of a few weeks, and each was eventually adopted. The child's file, the relevant foster home files, and the adoption file were studied in every case; and the material was considered in the light of child welfare standards and principles. An attempt was made to distinguish systematically the pros and cons of the procedure and its effects on all the parties to the situation--natural parents; foster parents and/or adoptive parents; the agency and the workers and, above all, the child. The assessment indicates clearly the hazards involved when decision for adoption is delayed. The natural parents (many of whom are unmarried mothers) may react by trying to plan for the child themselves. If these plans do not materialize, the result is unnecessary moves for the child. The refusal of the parents' request for adoption may lead to difficulties later in obtaining consent to the adoption. The child's uncertain status may prejudice the development of enduring affection for him. Lack of decision about adoption makes the social workers' tasks more difficult in interpreting the child's needs to substitute parents, supervising the home, and planning consistently. What stands out as significant from the point of view of the children's development, is that finding a suitable final home can be more critical than the generally-disapproved fact of several foster-home placements. Implications for policy and practice are considered in a final chapter. / Arts, Faculty of / Social Work, School of / Graduate

The purpose of this study has been to determine the feasibility of introducing a foster home placement service for the aged in British Columbia, A number of social agencies have concerned themselves with old people who are no longer able to care for themselves, and are dependent upon others for many of their dependency needs. With many senior citizens, ability to function independently in the community is limited by problems of health, nutrition, or other basically economic considerations. Very often, family support, and help from relatives are not available, and they must seek assistance from social welfare agencies. At the present time, the resources offered by agencies are, for the most part, institutional, i.e., care in licensed boarding homes, nursing homes, hospitals et cetera. Institutional care is, of course, required for those whose dependency needs are acute. It is not considered the best resource, however, for those who are dependent to the extent where they cannot live alone, but whose dependency needs are not sufficiently grave to require Institutional protection. The theme of this study has been an exploration of the values of foster family placement as an additional and appropriate resource for the care of the aged. Social agencies in the Greater Vancouver and New Westminster areas were most co-operative in permitting the use of case files for purposes of research. Over fifty cases were examined, of which twenty-four were selected as conforming to the definitions outlined in Chapter II, Home visits were made in each case, and brief social histories obtained from both clients and foster guardians. The development of the criteria outlined in Chapter III has been based to some extent on comparable studies of placement services for the chronically ill, mentally ill, as well as for adoptive and foster children. In setting forth the implications of the study, emphasis is given to the professional requirements of the social work practitioners engaged in the finding of suitable foster homes, the selection of clients, and the supervision of those placed in foster care. Practical suggestions have been offered on subjects as, desirable physical standards of the prospective homes, the qualifications desired in those who assume the major responsibility for the care of the client, and the organization of community resources to facilitate the operation of the programme. The study not only illustrates the validity of establishing a programme of foster home placement for the dependent aged, but emphasizes the need of immediate action to alleviate the urgent housing problems of old people. / Arts, Faculty of / Social Work, School of / Graduate

Of the 177 wards of the Children's Aid Society between the ages of 6 and 10 years inclusive at the end of 1949, there were 63 who were found to be emotionally disturbed. The purpose of this study was to evaluate the facilities available in this community for the diagnosis and treatment of this group of disturbed children. The overall statistical material for the study was obtained as part of a group project, a group of students having co-operated in recording significant data on a card-index schedule for all children aged 6 - 10 in care during that year. When the group of disturbed children was sifted out of the whole, specific cases were then chosen for more detailed study and illustration. Results from the study show there is a great lack of both diagnostic and treatment facilities in this area to deal adequately with this problem. In addition, there is a need to evaluate certain policies and expand certain resources already existing in the Agency to allow increased efficiency in helping these disturbed children. Greater awareness and more concentrated action in the preventive aspects of this problem would eventually help to decrease the number of children handicapped in this way. / Arts, Faculty of / Social Work, School of / Graduate

This study surveyed the self perceptions of thirty individuals over sixty-five years of age, who lived in the Vancouver Quadra electoral district, in order to gather information about their needs. The study was designed to answer three questions. Do the elderly living at home in a specific geographical area of Vancouver perceive themselves as having needs in the need areas defined by the literature, namely housing, health, independent living, employment, economic security and interpersonal relations? Do the elderly in the selected sample perceive their needs as being met? Do the elderly in the selected sample perceive nurses as involved in helping them meet their needs? A semi-structured interview schedule was used to obtain information relevant to the research problem. The results of this study indicated that more than half the respondents, or 53 per cent, perceived needs in the need areas defined by the literature. The majority of perceived needs, or 76 per cent, were not met. None of the elderly whose needs were met perceived nurses as involved in helping them meet these needs. Moreover, the majority of the study sample, or 87 per cent, did not perceive nurses as potentially helpful in assisting them to meet their needs. The study recommends that nurses extend their current role and become actively involved in assessing and meeting the needs of the elderly living at home. / Applied Science, Faculty of / Nursing, School of / Graduate

Objective: To explore adult cancer symptom management by home care nurses. Scoping review: A scoping review was conducted to describe interventions used by nurses for cancer symptom management in the home care setting. Five included studies revealed that home care nursing contributed to positive client- and system-level outcomes. Study: A mixed-methods descriptive study explored usability of a set of 13 cancer treatment-related symptom management protocols for nurses in the home care setting. Thirty-eight nurses in home care participated. Qualitative and quantitative data indicated the protocols were highly usable. Several barriers suggested they would be better used as resources to support and train nurses rather than documentation tools. Conclusions: Few studies have evaluated interventions for cancer symptom management by home care nurses. This set of protocols was well-received, but further research is required to determine their effectiveness and interventions for implementing with home care nurses providing cancer symptom management.

No description available.

The purpose of this study was to analyze potential relationships between the domains of behavioral outcomes, social skills, and academic performance for youth in foster care and remaining longer in care. This study utilized data from three waves in the NSCAW II dataset, including youth (N =296) between the ages of 11 and 17 years. Multiple linear regression was utilized to assess the association between the three domains and the number of days spent in foster care. Findings were not significant, exposing the need for more studies on contextual variables that might be consistent with children living in out of home care. Limitations of the study were reviewed. Potential research and practice implications of the results were considered. / Includes bibliography. / Dissertation (Ph.D.)--Florida Atlantic University, 2020. / FAU Electronic Theses and Dissertations Collection