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

The quality of care of residents in nursing homes receive is an important issue facing our society, and reliable methods to assess and measure important indicators of quality of care are necessary to ensure that nursing homes are providing adequate services. Previous researchers have developed methodologies to evaluate indicators of quality of care, including environmental conditions, resident conditions, resident activities, and staff activities using momentary-time sampling procedures across a variety of settings and populations. The purpose of the present study was to replicate and extend the time-sampling methodology used in previous research in two units in a nursing home.

No description available.

Chronic constipation is a very common problem that negatively affects the quality of life of patients, especially the elderly population. It can also lead to significant health care expenditure. Careful assessment by obtaining a thorough history and physical examination with limited indicated diagnostic testing is important to identify potential underlying etiologies and to treat effectively.