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Elderly : health

Partnerships between older people and their carers in the management of medication

Background.  Responsibility for medication can be an integral part of the informal caring role. Aims and objectives.  To explore partnerships between older people and their carers in the management of medication and consider the implications for health professionals. Methods.  Older people and their carers were identified through community pharmacies in four randomly selected areas of England. Data regarding their activities, responsibilities and experiences of managing medication were collected in semi-structured interviews conducted in respondents' own homes.

Thu, 07/20/2017 - 15:22

Re-Shaping Social Care Services for Older People in England: Policy Development and the Problem of Achieving 'Good Care'

The first part of the paper argues that the care relationship is crucial to securing care quality, which has implications for the way in which quality is achieved and measured. However, for more than twenty years, governments have emphasised the part that increasing market competition and, more recently, user choice of services can play in driving up the quality of care. The second part of the paper analyses the development of social care services for older people, from the reform of 1990 to the changes following the general election of 2010.

Thu, 07/20/2017 - 15:19

A longitudinal study of home care clients and their informal carers

The objective of the longitudinal study was to monitor physical and cognitive changes in a population of 330 older people being supported at home by health services. The participants were 75 years and older and classified as having moderate-to-high needs. A total of 210 primary informal carers were recruited to determine their specific needs and how they coped as dependency levels of their care-recipients changed. Data were collected using six different tools. Two questionnaires were mailed out to participating carers.

Thu, 07/20/2017 - 15:15

Older caregivers' coping strategies and sense of coherence in relation to quality of life

AIM: This paper reports a study to investigate coping strategies and sense of coherence in relation to gender, the extent of care, caregiving activities and health-related quality of life in a population-based sample of caregivers aged 75 and over.

Thu, 07/20/2017 - 15:13

A qualitative investigation of seniors' and caregivers' views on pain assessment and management

The literature suggests that pain in the elderly, especially among seniors with dementia, is under-assessed and under-treated. This qualitative study solicited the perspectives of seniors, front-line nursing staff, nursing-home administrators, and informal caregivers of seniors with dementia on the current status of pain assessment and management. The views of these participants complement the research findings reported in the literature.

Thu, 07/20/2017 - 15:11

The case for involving adult children outside of the household in the self-management support of older adults with chronic illness

Objectives: This study sought to (1) identify barriers to spousal support for chronic illness self-care among community-dwelling older adults; and (2) describe the potential availability of self-care support from adult children living outside of the household.

Thu, 07/20/2017 - 15:11

Coping and subjective burden in caregivers of older relatives: a quantitative systematic review

Aim.  This article is a report on a review of the effect of coping strategies on subjective burden in informal caregivers of older adults.

Background.  Informal care has negative effects on caregivers’ health, and subjective burden is one of these. It has been linked with other effects (e.g. anxiety and depression). Thus, greater prevention of subjective burden will mean increased prevention of these effects. To achieve this, identification of factors related to subjective burden is essential.

Thu, 07/20/2017 - 15:11

Quality of life among older people in Sweden receiving help from informal and/or formal helpers at home or in special accommodation

The present study describes and compares quality of life (QoL) and factors which predict QoL among people aged 75 years and over who receive help with activities of daily living (ADLs) from formal and/or informal helpers. The subjects were living at home or in special accommodation in Sweden. A postal questionnaire was sent to a randomly selected and age-stratified sample of 8500 people. The response rate was 52.8% (n = 4337), and 1247 people [mean age (± SD) = 86.4 ± 5.9 years] received help and indicated who helped them with ADLs.

Thu, 07/20/2017 - 15:10