Clinical Gerontologist最新文献_第4页

Engaging Sexual and Gender Minority Older Adults to Elicit Concerns and Recommendations for Communicating Care Preferences in Long-Term Care: Focus Group Findings. 让性少数群体和性别少数群体中的老年人参与进来，以了解他们对在长期护理中传达护理偏好的关注和建议：焦点小组调查结果。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2024-10-01 Epub Date: 2023-05-16 DOI: 10.1080/07317115.2023.2213682

Kristin G Cloyes, Gail L Towsley

{"title":"Engaging Sexual and Gender Minority Older Adults to Elicit Concerns and Recommendations for Communicating Care Preferences in Long-Term Care: Focus Group Findings.","authors":"Kristin G Cloyes, Gail L Towsley","doi":"10.1080/07317115.2023.2213682","DOIUrl":"10.1080/07317115.2023.2213682","url":null,"abstract":"Objectives: 1) Describe sexual and gender minority (SGM) older adults' current practices and concerns for communicating end-of-life (EOL) and daily care preferences in long-term care (LTC); 2) Elicit ideas about adapting a video-based intervention to facilitate communication.Methods: After consulting a community advisory board, we conducted two focus groups with SGM older adults ≥55 years of age recruited from a community-based service organization (n = 4) and a continuing care retirement community (n = 9). We audio-recorded, transcribed, and coded data using directed content analysis methods and summarized results descriptively.Results: Most participants were cisgender (n = 12), female (n = 11), lesbian (n = 10), White and non-Hispanic (n = 13); mean age was 70.62. Participants' concerns included discrimination, autonomy, chosen family, and community; they linked daily care preferences with personhood and quality of life. They advocated for building intentional community-based support networks to help peers discuss preferences and produce videos before LTC transition and ensure compliance after.Conclusions: For SGM older adults, asserting and protecting their full personhood, through daily care preferences, is essential to quality of life in LTC.Clinical implications: Video-recorded statements of daily preferences, facilitated and supported by a peer network, could promote culturally competent, person- and community-centered care for SGM older adults in LTC settings.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"950-961"},"PeriodicalIF":2.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9524745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of a Photo Captioning Cognitive Empathy Intervention for Dementia Caregivers. 针对痴呆症护理人员的照片字幕认知移情干预评估。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2024-10-01 Epub Date: 2024-02-19 DOI: 10.1080/07317115.2024.2317972

James K Rilling, Minwoo Lee, Julie McIsaac, Sophie Factor, Paige Gallagher, Joseph H Kim, Jiajin Zhang, Carolyn Zhou, Thomas W McDade, Kenneth Hepburn, Molly M Perkins

{"title":"Evaluation of a Photo Captioning Cognitive Empathy Intervention for Dementia Caregivers.","authors":"James K Rilling, Minwoo Lee, Julie McIsaac, Sophie Factor, Paige Gallagher, Joseph H Kim, Jiajin Zhang, Carolyn Zhou, Thomas W McDade, Kenneth Hepburn, Molly M Perkins","doi":"10.1080/07317115.2024.2317972","DOIUrl":"10.1080/07317115.2024.2317972","url":null,"abstract":"Objectives: The goal of this study was to develop and evaluate an intervention aimed at increasing cognitive empathy, improving mental health, and reducing inflammation in dementia caregivers, and to examine the relevant neural and psychological mechanisms.Methods: Twenty dementia caregivers completed an intervention that involved taking 3-5 daily photographs of their person living with dementia (PLWD) over a period of 10 days and captioning those photos with descriptive text capturing the inner voice of the PLWD. Both before and after the intervention, participants completed questionnaires, provided a blood sample for measures of inflammation, and completed a neuroimaging session to measure their neural response to viewing photographs of their PLWD and others.Results: 87% of enrolled caregivers completed the intervention. Caregivers experienced pre- to post-intervention increases in cognitive empathy (i.e. Perspective-Taking) and decreases in both burden and anxiety. These changes were paralleled by an increased neural response to photographs of their PLWD within brain regions implicated in cognitive empathy.Conclusion: These findings warrant a larger replication study that includes a control condition and follows participants to establish the duration of the intervention effects.Clinical implications: Cognitive empathy interventions may improve caregiver mental health and are worthy of further investigation.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"832-845"},"PeriodicalIF":2.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11331024/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139899443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Caregiver Preparedness: A Therapeutic Mechanism and Moderating Factor on Outcomes for the Savvy Caregiver Program. 照顾者的准备工作：精明照顾者计划的治疗机制和结果调节因素。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2024-10-01 Epub Date: 2023-08-02 DOI: 10.1080/07317115.2023.2242357

Daniel Paulson, Nicole McClure, Tracy Wharton, Edith Gendron, Quinn Allen, Hanya Irfan

{"title":"Caregiver Preparedness: A Therapeutic Mechanism and Moderating Factor on Outcomes for the Savvy Caregiver Program.","authors":"Daniel Paulson, Nicole McClure, Tracy Wharton, Edith Gendron, Quinn Allen, Hanya Irfan","doi":"10.1080/07317115.2023.2242357","DOIUrl":"10.1080/07317115.2023.2242357","url":null,"abstract":"Objectives: Evidence-based interventions for dementia caregivers, such as the Savvy Caregiver Program (SC), seek to address skills and knowledge deficits, caregiver burden, depressive symptoms, and grief. Little research has examined mechanisms by which these interventions accomplish their goals. Caregiver preparedness may be a possible mechanism by which caregiver interventions may confer benefits.Methods: The sample included 76 dementia caregivers who completed the 6-session SC. Participants completed the Anticipatory Grief Scale, Center for Epidemiological Studies-Depression Scale, the Preparedness for Caregiving Scale, and the Zarit Burden Interview-Short Form.Results: A repeated measures ANOVA was utilized to determine the interaction between baseline scores and pre-post change in caregiver preparedness. Analysis significantly predicted caregiver burden, (F(1) = 6.68, p=.012, partial η2=.10), depressive symptom endorsement, (F(1) = 6.41, p=.014, partial η2=.09, and anticipatory grief, (F(1) = 6.22, p=.02, partial η2=.1), post-treatment.Conclusions: Pre-post change in caregiver preparedness significantly predicted pre-post change across measures of caregiver burden, depressive symptom endorsement, and anticipatory grief. Findings suggest that caregiver preparedness may be one mechanism by which the SC confers positive outcomes. These findings provide an empirical and theoretical basis for tailoring future dementia caregiver interventions.Clinical implications: Clinical Interventions may seek to improve caregiver preparedness and subsequent outcomes through utilization of programs like SC.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"870-884"},"PeriodicalIF":2.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10834848/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10296230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Application of the Person-Centered Care to Manage Responsive Behaviors in Clients with Major Neurocognitive Disorders: A Qualitative Single Case Study. 应用 "以人为本的护理 "管理重大神经认知障碍患者的反应行为：单例定性研究。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2024-10-01 Epub Date: 2023-01-02 DOI: 10.1080/07317115.2022.2162468

Sareh Zarshenas, Carmela Paulino, Isabelle Sénéchal, Josianne Décary, Audrey Dufresne, Anne Bourbonnais, Chloé Aquin, Marie-Andrée Bruneau, Nathalie Champoux, Patricia Belchior, Melanie Couture, Nathalie Bier

{"title":"Application of the Person-Centered Care to Manage Responsive Behaviors in Clients with Major Neurocognitive Disorders: A Qualitative Single Case Study.","authors":"Sareh Zarshenas, Carmela Paulino, Isabelle Sénéchal, Josianne Décary, Audrey Dufresne, Anne Bourbonnais, Chloé Aquin, Marie-Andrée Bruneau, Nathalie Champoux, Patricia Belchior, Melanie Couture, Nathalie Bier","doi":"10.1080/07317115.2022.2162468","DOIUrl":"10.1080/07317115.2022.2162468","url":null,"abstract":"Objectives: Our study aimed to describe \"how\" and \"why\" the person-centered care (PCC) approach was applied within a long-term care (LTC) community to manage responsive behaviors (RBs) in individuals with major neurocognitive disorders.Methods: A descriptive holistic single case study design was employed in the context of an LTC community in Quebec, using semi-structured interviews and non-participatory observations of experienced care providers working with clients with RBs, photographing the physical environment, and accessing documents available on the LTC community's public website. A thematic content analysis was used for data analysis.Results: The findings generated insight into the importance of considering multiple components of the LTC community to apply the PCC approach for managing RBs, including a) creating a homelike environment, b) developing a therapeutic relationship with clients, c) engaging clients in meaningful activities, and d) empowering care providers by offering essential resources.Conclusions: Applying and implementing the PCC approach within an LTC community to manage clients' RBs is a long-term multi-dimensional process that requires a solid foundation.Clinical implications: These findings highlight the importance of considering multiple factors relevant to persons, environments, and meaningful activities to apply the PCC approach within LTC communities to manage RBs.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"922-934"},"PeriodicalIF":2.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10465500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cross-Validation of the Financial Exploitation Vulnerability Scale. 金融剥削脆弱性量表的交叉验证。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2024-10-01 DOI: 10.1080/07317115.2024.2407581

Juno Moray, Peter A Lichtenberg

{"title":"Cross-Validation of the Financial Exploitation Vulnerability Scale.","authors":"Juno Moray, Peter A Lichtenberg","doi":"10.1080/07317115.2024.2407581","DOIUrl":"10.1080/07317115.2024.2407581","url":null,"abstract":"Objectives: The present study is a cross-validation of the Financial Exploitation Vulnerability Scale (FEVS), a measure of contextual risk for financial exploitation.Methods: The sample was drawn from both the community and the SAFE program, a service for older adults who have been financially scammed. FEVS was administered within a larger assessment battery. The total score ability to differentiate exploitation groups and its correlates were examined. ROC analysis and logistic regression evaluated the clinical utility of the FEVS to detect exploitation. Results were compared to the initial validation study.Results: FEVS score was significantly higher for those who were exploited and correlated with age. ROC analysis revealed adequate detection of financial exploitation. FEVS total score remained a strong predictor of exploitation when compared to demographic factors and several measures of cognitive functioning.Conclusions: Cross-validation demonstrates strong evidence that the FEVS detects financial exploitation in older adults, beyond the ability of many known risk factors.Clinical implications: FEVS is an evidence-based tool for identifying exploitation and is accessible to many professionals working with older adults. Items query contextual factors that allow professionals to support clients with the appropriate standard of care.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-10"},"PeriodicalIF":2.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142342846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prospective Impacts of Social Participation Activities on Cognitive and Psychopathological Statuses in Community-Dwelling Older Adults. 社会参与活动对社区老年人认知和心理病理状态的前瞻性影响。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2024-10-01 Epub Date: 2024-07-05 DOI: 10.1080/07317115.2024.2374518

Kai-Chieh Chang, Hsin-Shui Chen, Chi-Shin Wu, Chin-Kai Chang, Juey-Jen Hwang, Su-Hua Huang, Yung-Ming Chen, Bor-Wen Cheng, Min-Hsiu Weng, Chih-Cheng Hsu, Wei-Lieh Huang

{"title":"Prospective Impacts of Social Participation Activities on Cognitive and Psychopathological Statuses in Community-Dwelling Older Adults.","authors":"Kai-Chieh Chang, Hsin-Shui Chen, Chi-Shin Wu, Chin-Kai Chang, Juey-Jen Hwang, Su-Hua Huang, Yung-Ming Chen, Bor-Wen Cheng, Min-Hsiu Weng, Chih-Cheng Hsu, Wei-Lieh Huang","doi":"10.1080/07317115.2024.2374518","DOIUrl":"10.1080/07317115.2024.2374518","url":null,"abstract":"Objectives: This study investigated the impact of social activities on cognitive functioning and psychopathological symptoms.Methods: Participants aged 55 or older were enrolled through communities. Initial measures assessed demographic data, neuropsychological functioning, psychopathological state, and happiness. Social activities were evaluated using a modified 12-item tool, with 3-4 activities as the cutoff. Follow-up after 6-9 months included Mini-Mental State Examination (MMSE), Beck Depression Inventory - II (BDI-II), Beck Anxiety Inventory (BAI), Health Assessment Questionnaire (HAQ), and Patient Health Questionnaire-15 (PHQ-15) measurements. Predictive models for psychiatric and cognitive statuses were built using multiple linear regression, adjusting for baseline conditions.Results: Initially, 516 older individuals enrolled, with 403 undergoing follow-up. During follow-up, the low participation group reported lower MMSE scores, higher BAI scores, and increased PHQ-15 risk. Negative correlations between social activity numbers and PHQ-15 results were found. Engagement in social clubs correlated positively with higher MMSE scores, while regular interactions with one's adult child(ren) were linked to decreased BAI scores.Conclusions: The quantity of social activities was associated with lower somatic distress. Social club engagement positively influenced cognition, and regular interactions with one's adult child(ren) mitigated anxiety among older individuals.Clinical implications: Enough types of social activities, participating in social clubs, and adequate interactions with children protected against psychopathologies.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"996-1007"},"PeriodicalIF":2.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141533781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mental Health Literacy Reduces the Impact of Internalized Stigma on Older Adults' Attitudes and Intentions to Seek Mental Health Services. 心理健康扫盲可减少内化耻辱感对老年人寻求心理健康服务的态度和意愿的影响。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2024-09-29 DOI: 10.1080/07317115.2024.2408762

Corey S Mackenzie, Melissa A Krook, Dallas J Murphy, Li-Elle Rapaport

{"title":"Mental Health Literacy Reduces the Impact of Internalized Stigma on Older Adults' Attitudes and Intentions to Seek Mental Health Services.","authors":"Corey S Mackenzie, Melissa A Krook, Dallas J Murphy, Li-Elle Rapaport","doi":"10.1080/07317115.2024.2408762","DOIUrl":"https://doi.org/10.1080/07317115.2024.2408762","url":null,"abstract":"Objectives: Older adults are the least likely age group to seek mental health services, and internalized stigma is an important reason why. We sought to further our understanding of which older adults are particularly likely to be affected by internalized stigma, and why, by investigating mental health literacy (MHL) as a moderator within the internalized stigma model of help-seeking.Methods: We utilized a conditional process analysis of cross-sectional, secondary data from 350 distressed older adults. Participants completed an online survey consisting of measures of distress, perceived control, experiential avoidance, MHL, public and self-stigma of seeking help, help-seeking attitudes, and conditional help-seeking intentions.Results: MHL moderated the internalized stigma model; distressed older adults with lower MHL were more likely to have public stigma internalized as self-stigma, which then reduced their intentions to seek help. More specifically, low MHL magnified the negative effect of self-stigma on attitudes and intentions.Conclusions: These results increase our understanding of which older adults are less likely to seek mental health services: distressed older adults with poor MHL and high self-stigma.Clinical implications: MHL is a malleable construct that can be targeted by interventions designed to increase help-seeking among distressed older adults in need of professional help.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-13"},"PeriodicalIF":2.6,"publicationDate":"2024-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142342847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Feelings of Empowerment Scale for Family Caregivers: Development, Exploratory, and Confirmative Analysis. 家庭照顾者赋权感量表：开发、探索和确认分析。

IF 2.8 3区医学

Clinical Gerontologist Pub Date : 2024-09-12 DOI: 10.1080/07317115.2024.2399588

Sydnie Schneider,Tyler N Livingston,Lauren Elliott,Lauren Chrzanowski,Amir Abu-Samaha,Jonathan Singer

{"title":"Feelings of Empowerment Scale for Family Caregivers: Development, Exploratory, and Confirmative Analysis.","authors":"Sydnie Schneider,Tyler N Livingston,Lauren Elliott,Lauren Chrzanowski,Amir Abu-Samaha,Jonathan Singer","doi":"10.1080/07317115.2024.2399588","DOIUrl":"https://doi.org/10.1080/07317115.2024.2399588","url":null,"abstract":"OBJECTIVESThis study aimed to validate a measure of feelings of empowerment among family caregivers of persons with life limiting illnesses.METHODSFamily caregivers (N = 295) completed a survey on their feelings of empowerment and psychosocial constructs.RESULTSUtilizing exploratory and confirmatory factor analyses, the study validated the Empowerment in the Context of Caregiving scale, revealing a two-factor structure related to influencing the care recipient and controlling personal outcomes, with high reliability and validity. Convergent validity was supported by a strong association with an established measure of power. Discriminant validity was demonstrated through weak associations with theoretically less relevant constructs, confirming the scale's validity.CONCLUSIONSThis scale provides a reliable tool to identify feelings of disempowerment among caregivers, with implications for theory and practice. Future research should explore predictive validity and consider cultural factors to enhance its applicability in diverse caregiving contexts.CLINICAL IMPLICATIONSThis study provides a reliable tool to identify feelings of empowerment among family caregivers of persons with life limiting illnesses for clinicians. It also allows future studies to reliably investigate a theory-driven intervention target, feelings of power, and allows clinicians to tailor this into theory-driven intervention for family caregivers of persons with life limiting illnesses.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":"399 1","pages":"1-17"},"PeriodicalIF":2.8,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142199014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Purpose in Life and Cognitive Function in the Malaysian Ageing and Retirement Study. 马来西亚老龄化与退休研究》中的生活目标与认知功能。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2024-09-08 DOI: 10.1080/07317115.2024.2400283

Angelina R Sutin, Norma Mansor, Martina Luchetti, Yannick Stephan, Antonio Terracciano

{"title":"Purpose in Life and Cognitive Function in the Malaysian Ageing and Retirement Study.","authors":"Angelina R Sutin, Norma Mansor, Martina Luchetti, Yannick Stephan, Antonio Terracciano","doi":"10.1080/07317115.2024.2400283","DOIUrl":"https://doi.org/10.1080/07317115.2024.2400283","url":null,"abstract":"Objectives: Evidence for the association between purpose in life and cognitive health is primarily from North American and European samples. This study evaluates this association in a large sample from Malaysia, an upper-middle-income country in Southeast Asia.Methods: Participants (N = 5,579) from the Malaysian Ageing and Retirement Study reported on their purpose in life and subjective memory and were administered tasks that measured episodic memory, verbal fluency, and overall cognitive function.Results: Purpose was associated with better subjective memory (β=.13), episodic memory (β=.06), verbal fluency (β=.12), and overall cognitive function (β=.07) (ps < .001). The associations were similar across sex and retirement status; purpose was more strongly related to subjective memory and overall cognitive function among older participants. Behavioral/social factors accounted for up to one-third of the associations, but all associations remained statistically significant.Conclusions: The positive association between purpose and cognition generalizes to a middle-income country in Southeast Asia. Similar to Western samples, behavioral and social factors accounted for part but not all the association. More research is needed in lower- and other middle-income countries to fully evaluate generalizability.Clinical implications: Purpose may help support healthier cognitive aging across diverse populations and be a useful target to improve cognitive aging outcomes.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-10"},"PeriodicalIF":2.6,"publicationDate":"2024-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142153287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Navigating Gender Identity and Dementia in Transgender Older Adults: Ethical Challenges and Patient-Centered Care. 引导变性老年人的性别认同和痴呆症：伦理挑战和以患者为中心的护理。

IF 2.6 3区医学

Clinical Gerontologist Pub Date : 2024-09-05 DOI: 10.1080/07317115.2024.2399575

Jeremiah B Joyce, Sirinapa Aphisitphinyo, Melanie T Gentry, Sandeep R Pagali, Maria I Lapid

{"title":"Navigating Gender Identity and Dementia in Transgender Older Adults: Ethical Challenges and Patient-Centered Care.","authors":"Jeremiah B Joyce, Sirinapa Aphisitphinyo, Melanie T Gentry, Sandeep R Pagali, Maria I Lapid","doi":"10.1080/07317115.2024.2399575","DOIUrl":"10.1080/07317115.2024.2399575","url":null,"abstract":"Objectives: As transgender individuals age, they are at risk for neurocognitive disorders which pose not only medical but also bioethical questions. We present a case study of a transgender older adult with dementia who experienced changes in gender identity and explore the bioethical implications of identity over time, including end-of-life care.Methods: We reviewed clinical notes and relevant medical history to describe the transition and detransition process and examined ethical frameworks related to autonomy, psychological continuity, and transgender care.Results: The individual transitioned as a transgender woman in mid-life but detransitioned shortly before being diagnosed with dementia. This case highlighted conflicts between precedent autonomy and current gender identity in the context of neurocognitive decline and end-of-life care.Conclusions: The case underscores the complexity of managing gender identity in transgender older adults with dementia, emphasizing the need for personalized and ethically sound care plans.Clinical implications: Clinicians should be vigilant about the impact of neurocognitive disorders on gender identity, balancing respect for patients' prior decisions with their current values, and develop personalized end-of-life care plans that honor the evolving identities and preferences of transgender individuals with dementia.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-6"},"PeriodicalIF":2.6,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142139492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0