{"title":"Post-Acute Services to Older Patients With Heart Disease","authors":"N. Morrow-Howell, E. Proctor, P. Doré, S. Kaplan","doi":"10.1177/073346489801700206","DOIUrl":"https://doi.org/10.1177/073346489801700206","url":null,"abstract":"This article describes the assistance provided to 209 elderly patients with heart disease who received discharge planning before returning home from the hospital. Telephone interviews at two weeks postdischarge focused on their needs and the assistance received. The findings reveal that patients are very needy in the posthospital period and that families provide the bulk of care. Formal service use is most frequent in nursing care, bathing, and grooming but limited in areas of highest need-transportation, housekeeping, and shopping. Of the patients interviewed, 30% report insufficient help with personal care Patients rate the quality of care provided by formal sources higher than care provided by informal sources Questions are raised about the ability of families to meet the demands of post-acute care.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"234 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1998-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121421768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Views of Elderly People Concerning End-of-Life Decisions","authors":"V. Cicirelli","doi":"10.1177/073346489801700208","DOIUrl":"https://doi.org/10.1177/073346489801700208","url":null,"abstract":"The aim of this study was to determine elders' views regarding the acceptability of seven end-of-life decision options; existing research provides only partial information. A total of 447 Black and White elders ages 60 to 100 years responded to 17 decision situations depicting conditions with a low quality of life, rating acceptability of each decision option. Mean percentage (over 17 decision situations) of participants finding each decision option acceptable were: striving to live, 52%; refusing or withdrawing treatment, 47%; letting someone close decide, 36%; suicide, 7%; assisted suicide, 12%; voluntary euthanasia, 12%; and allowing the physician to decide to end life, 19%. Views were related to age, ethnicity, education, occupation, and religious affiliation using MANOVA analyses.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1998-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122850751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Predictors of the Psychological Well-Being of Primary Caregivers Living With a Demented Relative: A 1-Year Follow-Up Study","authors":"L. Lévesque, S. Cossette, L. Lachance","doi":"10.1177/073346489801700211","DOIUrl":"https://doi.org/10.1177/073346489801700211","url":null,"abstract":"This 1-year follow-up study aimed to examine the predictors of change in psychological well-being, using two negative indicators (psychological distress and negative feelings about the caregiver role) and two positive indicators (positive feelings about the caregiver role and positive affect) of well-being. The sample consisted of primary caregivers (n = 180) cohabiting with a demented relative. Four variables were involved in predictive relationships with psycho logical well-being The first variable, appraisal of the disturbance from dysfunctional behaviors at Time 1, was selectively predictive of an increase in the two negative indicators over a year. The second and third variables, increased conflicts in the exchange of informal support and less frequent informal support at Time 1, were predictive of an increase in psychological distress. The fourth variable, frequent use of affective-stimulative dementia management strategies at Time 1, appeared to predict an increase in the two positive indicators of well-being. Knowledge of these four predictors can be useful in designing interventions that target the improvement of well-being.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1998-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130956449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Applied Gerontology and Minority Aging: A Millennial Goal","authors":"R. Gibson, E. Stoller","doi":"10.1177/073346489801700203","DOIUrl":"https://doi.org/10.1177/073346489801700203","url":null,"abstract":"stract reasoning of scientific research and the personal reasoning of gerontological practice (negotiation within life worlds). For ease of movement, neither the scientific nor the personal modality should be taken as foundational ; rather, modalities should be viewed as par and complementary to each other. Applied gerontology ideally is an interplay among multiple modalities. Capturing the essence, clients’ desires should be supplementary and not subservient to abstract reasoning models. In brief, the facile movement of applied gerontology between scientific research and practice depends on resolving certain philosophical issues that underlie choices in modalities. Lisa Groger, in this issue of the journal, focuses on minority aging and asserts that applied gerontology does not move easily between scientific research and practice due to certain problems: objectification of minorities in the research process, failure to share research funds with minority respondents, and a research focus on inappropriate factors-race instead of poverty and race differences instead of race similarities. Thus, the movement of applied gerontology between scientific research and practice is constrained under certain conditions during the research process. Although Groger takes issue with the Murphy-Longino model, the difference in the two conceptualizations seems more apparent than real. The Groger and Murphy-Longino arguments may be two sides of the same coin: MurphyLongino presenting philosophical conditions that help applied gerontology","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"127 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1998-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133373267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Mammography Screening for Older Minority Women","authors":"J. Buelow, A. H. Zimmer, M. Mellor, R. Sax","doi":"10.1177/073346489801700205","DOIUrl":"https://doi.org/10.1177/073346489801700205","url":null,"abstract":"This project facilitated access to mammography screening for older ethnic minority women through health education and coordination of service networks for aging and health care services. Health education sessions were held in senior centers, followed by a mammography screening in a mammography van or at a health care facility. Of the participants in the education sessions, 38% received a mammogram. More women who did not obtain a mammogram believed that cancer treatments were worse than the disease. Also, more African American and White women than Hispanic women did not recognize age as a risk factor for cancer Of the Hispanic women, 30% believed that early diagnosis did not make a difference in one's outcome, compared with 20% of White women and 8% of African American women.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"113 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1998-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132283635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
T. Field, M. Hernandez-reif, Olga Quintino, S. Schanberg, C. Kuhn
{"title":"Elder Retired Volunteers Benefit From Giving Massage Therapy to Infants","authors":"T. Field, M. Hernandez-reif, Olga Quintino, S. Schanberg, C. Kuhn","doi":"10.1177/073346489801700210","DOIUrl":"https://doi.org/10.1177/073346489801700210","url":null,"abstract":"This exploratory within-subjects study compared the effects of elder retired volunteers giving massage to infants with receiving massage themselves. Three times a week for 3 weeks, 10 elder volunteers (8 females, mean age = 70 years) received Swedish massage sessions. For another 3 weeks, three times per week, the same elderly volunteers massaged infants at a nursery school. Receiving massage first versus giving massage first was counterbalanced across subjects. Immediately after the first- and last-day sessions of giving massages, the elder retired volunteers had less anxiety and depression and lower stress hormones (salivary cortisol) levels. Over the 3-week period, depression and catecholamines (norepinephrine and epinephrine) decreased and lifestyle and health improved. These effects were not as strong for the 3-week period when they received massage, possibly because the elder retired volunteers initially felt awkward about being massaged and because they derived more satisfaction massaging the infants.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1998-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125230479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Church's Response to Alzheimer's Disease","authors":"J. Stuckey","doi":"10.1177/073346489801700102","DOIUrl":"https://doi.org/10.1177/073346489801700102","url":null,"abstract":"This study examined churches'responses to families living with Alzheimer's disease (AD). Forty informants (19 spousal caregivers and their respective clergy) were interviewed with four research goals in mind: (a) to identify the importance of church participation, (b) to examine the nature of the caregiver-clergy dyad, (c) to identify church-based intervention programs, and (d) to develop guidelines for offering assistance to congregants. Findings show that churches can play an important support role to AD families. Church participation remained important for most informants, even with the added demands of caregiving. Most provided information congruent with that of their clergy and most were satisfied with their churches'responses to their situations. Several successful church-based programs were identified, and six guidelines for responding to AD families emerged from the data. Future research should examine how non-Christian faiths are responding to members who have AD or related illnesses.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"73 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1998-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130999222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Demographic Characteristics of Supplement Users in an Elderly Population","authors":"D. Houston, T. D. Daniel, M. Johnson, L. Poon","doi":"10.1177/073346489801700106","DOIUrl":"https://doi.org/10.1177/073346489801700106","url":null,"abstract":"This study investigated the association of demographic characteristics with supplement use in 257 elderly participants of the Georgia Centenarian Study in their 60s (n = 89), 80s (n = 92), and 100s (n = 76). Of these elders, 44% used a specific vitamin or mineral supplement. Multivitamins/minerals (28%), vitamin C (13%), and vitamin E (7%) were the most common vitamins reported; whereas calcium (8%) and potassium (5%) were the most common minerals reported. Centenarians were as likely as those in their 60s and 80s to use a supplement. Females were more likely than males to report consuming any supplement and multivitamins/minerals; Whites were more likely than Blacks to report consuming any supplement, vitamin E, and vitamin C. Health care providers must be aware that even the oldest old are frequent users of supplements, but being male and of minority status may be a barrier to the use of nutritional supplements.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1998-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121854157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Book Review : Jordan I. Kosberg and Lenard W. Kaye (Eds.), Elderly Men: Special Problems and Professional Challenges. New York: Springer, 1996; $49.95 (cloth","authors":"T. Schmutte","doi":"10.1177/073346489801700107","DOIUrl":"https://doi.org/10.1177/073346489801700107","url":null,"abstract":"former. Consequently, research has illustrated the rich diversity found among women in later life, whereas older males remain largely homogenized in the research. This book highlights the heterogeneity found among men and the challenges to men in later life that are often overlooked by the general public and by research. The book is divided into six major topical categories: Introduction, Special Settings, Special Populations, Special Problems, Formal and Informal Assistance, and Conclusions. The chapters describe the social, cultural, psychological, physical, and economic variables that affect elderly males. The book is more definitive than scholastic in writing style, as Kosberg and Kaye explain that it follows an applied, as opposed to a theoretical, perspective. Accordingly, each chapter includes suggested interventions to meet the needs of older men.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1998-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122570652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Dementia Day Care Endings: The Uncertain Limits of Care","authors":"B. R. Hasselkus, A. Labelle","doi":"10.1177/073346489801700101","DOIUrl":"https://doi.org/10.1177/073346489801700101","url":null,"abstract":"The purpose of this study was to gain an understanding of the endings of day care for people with dementia. Staff members from a statewide random sample of dementia day care facilities were asked to think back over their practices and describe especially satisfying and dissatisfying experiences. The day care endings—either by death or by termination for other reasons—were governed by the uncertain limits of care. Dimensions of uncertainty included the capacities of the family, client, and staff, the ethical dilemmas embedded in the care; and the working relationship between staff and family. The staff experiences were shaped by Western ideologies about the \"good\" of community care and the \"bad\" of institutional care. Findings suggest the need for increased staff awareness of the uncertainty that dominates the endings of day care and for better contextualization of the endings into each client's ongoing life story.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1998-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123319027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}