ISSN:1525-3279    

出版商:OVID    

年代:2003

数据来源: OVID

ISSN:1525-3279    

出版商:OVID    

年代:2003

数据来源: OVID

ISSN:1525-3279    

出版商:OVID    

年代:2003

数据来源: OVID

ISSN:1525-3279    

出版商:OVID    

年代:2003

数据来源: OVID

ISSN:1525-3279    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

Family caregivers play a vital role in the care of the impaired elderly and generally need a great deal of support, assistance, and understanding from their families and friends and from the formal care system. The majority of caregivers are spouses of the patients, and generally elderly themselves. Spouse-caregivers often take over tasks traditionally performed by their husbands or wives, and curtail other activities to do so. Many elderly spouse-caregivers become socially isolated. Interventions for caregivers should take into account cultural norms and gender differences in role expectations. Psychosocial interventions for caregivers can improve caregiver knowledge of the illness and ability to provide care, change their understanding and appraisal of their relative's behavior, and alleviate depression and burden. The New York University (NYU) caregiver intervention includes individual and family counseling, support group participation, and counseling on demand (“ad hoc” counseling) and takes into account the diversity and variability in caregiver problems and the need for counseling and support for the entire course of the illness. The NYU intervention improves knowledge of the disease, increases emotional support for the caregiver, and assists caregivers in development of caregiving management skills. The long-term results of the study support the effectiveness of the intervention in maintaining the mental health of caregivers and helping them keep their ill spouses at home.

ISSN:1525-3279    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

There are 2 major barriers to the successful translation of effective behavioral interventions into daily nursing home (NH) care practice. First, many effective behavioral interventions to improve care quality are labor intensive and, therefore, cannot be implemented in most NHs with conventional staffing levels. Second, most NHs do not have accurate information systems related to daily care process implementation, which is critical to staff management because most effective behavioral interventions depend on the consistent daily delivery of intervention care processes. The purpose of this article is to review barriers to providing quality feeding assistance to NH residents and present a 4-step protocol for overcoming these barriers to improve daily care implementation.

ISSN:1525-3279    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

Physical pain is a significant problem for many elderly adults. Effective pain management is a complex clinical process that requires thorough assessment, appropriate intervention, and systematic reassessment. Dementia complicates this process because the ability to recall, recognize, and verbally report pain is compromised in persons with dementia. Evidence suggests that persons with dementia are less likely to report and be treated for pain than cognitively intact elders. This article provides an overview of pain, discusses specific issues pertaining to pain assessment and management in persons with dementia, summarizes barriers to effective pain management, and highlights key methodological issues in research on pain in persons with dementia.

ISSN:1525-3279    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

This article presents an overview of end-of-life care for individuals with Alzheimer's disease (AD) and their family caregivers. We define end-stage AD, and review neuropsychological and behavioral characteristics along with concomitant issues in therapeutic assessment. We then review the literature regarding programs and treatments for end-stage AD, the need for advance care planning and family participation in medical decision-making, familial caregiving stress, and issues associated with palliative care and bereavement outcomes. Methodological issues in the extant research literature are addressed, including issues of treatment implementation, validity, and clinical significance. Translational research and demonstration projects are encouraged.

ISSN:1525-3279    

出版商:OVID    

年代:2003

数据来源: OVID