The purpose of this Heideggerian phenomenological study was to understand the meaning of the lived experience of seclusion in a psychiatric hospital. Five people with a long standing mental illness who had spent time in a locked seclusion room in a psychiatric hospital were asked to describe their experience in seclusion.Consistent with the method, purposive sampling was used in order to obtain an understanding from those who had lived the experience of seclusion and could articulate their experience. Interviews were audiotaped and the data were transcribed by the researcher. Audiotapes were destroyed when the study was completed. Transcribed data were shared with other researchers who were familiar with Heideggerian phenomenology and hermeneutics for the purpose ofgaining insight into the interpretations. When data were shared, names of participants and other identifying information were removed. Sharing of data for purpose of interpretation is inherent in the Heideggerian method as described by Diekelmann, Allen, and Tanner (1989). Data were analyzed using Diekelmann, Allen, and Tanner's (1989) seven stages. The following patterns emerged constituted pattern- Seclusion, A Paradox Being Powerless yet Hopeful with the supporting themes of 1.) Being Punished, 2) Being Abandoned, and 3) An Opportunity for Reflection and Self Growth. / School of Nursing

The purpose of the study was to validate the use of the Geriatric Functional Rating Scale (GFRS) in assessing cognitively impaired individuals 65 years of age and older to determine the need for institutionalization. The population of interest consisted of individuals 65 years of age and older exhibiting cognitive impairment and residing in Delaware County, Indiana. A nonrandomized two-group experimental design was utilized for the study. Eighty subjects were selected from two subpopulations consisting of 40 institutionalized and 40 noninstitutionalized elderly.Two geriatric assessment tools were used for the study, the Mental Status Questionnaire (MSQ) and the Geriatric Functional Rating Scale (GFRS). The hypothesis for the study stated that the mean GFRS score of the noninstitutionalized subjects, the control group, would be significantly greater than the mean score of the institutionalized subjects, the experimental group.The MSQ scores as well as the means and standard deviations for the seven subscales of the GFRS were reported for the two groups. A one-tailed t-test was used to test the hypothesis. A decision with regard to the hypothesis was made at the .05 level.Findings of the study included the following:1. The subjects ranged in age from 65 to 92 years, were 90 percent female, and predominantly Protestant, 88 percent.2. The MSQ scores for the combined groups ranged from minimal cognitive impairment, 71 percent, to severe cognitive impairment, four percent.3. The total mean score on the GFRS for the institutionalized group was 6.8 indicating a need for institutionalization.4. The total score on the GFRS of the noninstitutionalized was over 10 times higher at 70.7.5. The noninstitutionalized group scored significantly higher in the GFRS (p<.00) than the institutionalized counterparts.In conclusion, the research supports the use of the Geriatric Functional Rating Scale in assessing the need for institutionalization in cognitively impaired individuals, 65 years of age and older in Delaware County, Indiana. / Department of Educational Administration and Supervision

This thesis is a study of the experiences of young people living together in groups. It uses two children's homes in the north east of Scotland as its research sites. The ways in which data were collected were devised in consultation with the young people involved and required the researcher to 'live-in' th units for a year long period. This thesis concentrates on the ways in which the young people structured their resident groups and gained status and position within them. It argues that fixed roles or positions were not in play; rather there was constant change and fluidity. Young people, it is argued, gained position through a complex set of negotiations which required them to consider their skills and abilities as well as the social context in which they were operating. This inter-relationship supports some of the ideas put forward by Pierre Bourdieu and the conceptual analysis developed during the course of this thesis draws upon his work. The thesis as a whole contributes to the debates both within the study and practice of residential child care and broader sociological debates around children and young people. It illustrates the wide range of skills and knowledge used by the young people thus challenging bully/victim stereotypes and beliefs about the solely 'negative' influence of peers. Furthermore this thesis demonstrates the ways in which young people use their social agency to negotiate around 'adult' influences and controls.

<p>Aggressive and violent behaviour in inpatient mental health facilities is found worldwide and is a frequent and serious clinical and nursing care problem. Despite the importance of international research findings and recommendations, it appears that patients perceptions of the possible contributing factors toward aggressive and violent behaviour in mental health facilities is an area of enquiry that has not been widely explored in South Africa in general, or in the Western Cape, in particular. It is against this background that this study endeavoured to investigate the external and situational contributing to patients aggressive and violent behaviour in mental health facilities in Cape Town, as seen from patients perspectives.</p>

The purpose of this study was to determine the oral health status and treatment needs of elderly persons living in residential institutions in Melbourne. A total of 175 elderly persons aged 65 years and over were selected from 20 hostels located within a 10 km radius of the Melbourne GPO. A two stage field design was used to collect data. First, subjects were interviewed using a standard questionnaire, then clinical examinations were performed using a fiber optic light, plane mouth mirror, dental probe and periodontal probe. Coronal caries (DMFT), root caries (R-DF), periodontal status (CPITN), denture status, and treatment needs were assessed. The mean age of the subjects was 83.7 (sd 7.2) years. Eighty per cent were female and 20% were male.

Thesis (M.Sc.)--Memorial University of Newfoundland, Faculty of Medicine, 2001. / Typescript. Bibliography: leaves 127-132.

Thesis (D. Min.)--Temple Baptist Seminary, 1999. / Abstract. Includes bibliographical references (leaves 174-177).

Made available in DSpace on 2014-08-13T14:50:42Z (GMT). No. of bitstreams: 0 Previous issue date: 2013-11-29Bitstream added on 2014-08-13T18:00:57Z : No. of bitstreams: 1 000750035.pdf: 2030515 bytes, checksum: 03239f5573eff2a95bc9a82c9eec449d (MD5) / O aumento recente da incidência e gravidade de Staphylococcus aureus tem suscitado diversos estudos abordando sua epidemiologia em instituições fechadas. Isolados de S. aureus resistentes à meticilina (methicillin resistant S. aureus, MRSA) são agentes comuns de infecção em hospitais. Nos últimos anos, a atenção dos epidemiologistas e clínicos tem se voltado aos MRSA de origem comunitária, associados a infecções graves de pele e trato respiratório. Nesse contexto, as Casas de repouso representam espaços de especial interesse, já que são instituições intermediárias entre a comunidade e os serviços de saúde. Não há dados sobre prevalência de S. aureus e MRSA em Casas de repouso no Brasil, um país onde somente 0,8% da população idosa são institucionalizadas. O presente estudo teve delineamento transversal e objetivou identificar a prevalência e fatores de risco para colonização por S. aureus como um todo e MRSA em particular. Foram incluídos 300 idosos vivendo em Casas de repouso no município de Bauru (SP). A colonização foi analisada através de coleta de swabs nasais dos sujeitos da pesquisa. Estes foram cultivados, e nos casos de isolamento de S. aureus, foi realizada a caracterização molecular da resistência à meticilina. Adicionalmente, os isolados de MRSA foram submetidos à genotipagem por Pulsed-Field Gel Electrophoresis (PFGE). Para análises de fatores de risco, foram levantados os prontuários dos sujeitos de pesquisa. Dados demográficos, internações, procedimentos e uso de antimicrobianos foram identificados. Análises univariadas e multivariadas (regressão logística) foram aplicadas. As prevalências identificadas para S. aureus e MRSA foram 17,7% e 3,7%, respectivamente. A idade avançada e a internação recente em hospitais foram preditores independentes para colonização por S. aureus como um todo. Os fatores associados à colonização por MRSA foram à residência em instituições de ... / The recent increase in the incidence and severity of Staphylococcus aureus gave rise to many studies on its epidemiology in closed institutions. Isolates of methicillin-resistant Staphylococcus aureus (MRSA) are usual agents of infection in hospitals. In recent years, the attention of epidemiologists and clinicians has turned to MRSA of community origin, associated with severe infections of skin and respiratory tract. In this context, nursing homes represent areas of special interest, since they are intermediary institutions between the community and health services. No data on the prevalence of S. aureus and MRSA in nursing homes in Brazil, a country where only 0.8% of the elderly population is institutionalized. This cross-sectional study aimed to identify the prevalence and risk factors for colonization by S. aureus as a whole and MRSA in particular. We enrolled 300 elderly living in nursing homes in the city of Bauru, São Paulo State, Brazil. Colonization was analyzed by collecting nasal swabs of research subjects. Whenever S. aureus was isolated, we performed molecular characterization of methicillin resistance. Additionally, MRSA isolates underwent genotyping by pulsed-field gel electrophoresis (PFGE). For analysis of risk factors, we reviewed the charts of research subjects. Demographics, hospitalizations, procedures and uses of antimicrobials were identified. Univariate and multivariate (logistic regression) were applied. The prevalence identified for S. aureus and MRSA were 17.7% and 3.7%, respectively. Old age and recent hospitalization in hospitals were independent predictors of colonization with S. aureus as a whole, while small or medium-sized facilities and recent hospital admission were associated with carriage of MRSA. In the molecular analysis of 11 MRSA isolates, six were identified as carriers of chromosome cassette SCCmec type II (typically hospital), and two as carriers of SCCmec IV (associated with the community). ...

The study sought to obtain an insightful understanding of the life-world of youth who have not only experienced long-term separation from their biological parents and families but who have also simultaneously experienced prolonged institutional life in a children'e home. Using a descriptive praxis in the context of an existential phenomenological perspective, the study elicited from participants written descriptions of their personal experiences of the phenomenon of self-fulfilment. The data were structurally analysed, expressed in the form of extended descriptions and utilised as the basis for an exposition/appreciation of the life-world relationships of institutional youth. The target group of teenagers was drawn from a specific children's home. However, in order to enhance the findings of the study, data from a comparative group of youth from intact families in the community were also utilised. The study yielded some useful comparative insights which not only formed the basis for certain recommendations but also served as directions for future research. Hopefully, these recommendations and research proposals will be of some immediate interest and comfort to both reeearchers and practitioners in the field of residential child and youth care

The thesis deals with the leisure time of children in the period of adolescence, which are placed in children's homes, with analysis of assumptions and possibilities of actual implementation of their free time. The theoretical part presents the definition of leisure, its functions and educational appreciation. Characterized children's homes, leisure activities for children growing up in children's homes, educational influence in these institutions and individuals in the period of adolescence. The research section contains a more detailed presentation of respondents and two selected facilities: a children's home in South Moravia and a children's home in the Vysocina region. It describes and compares the leisure activities of children during adolescence, which are placed here and resolving the satisfaction of responding children of spending their free time.