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Gajanayake, Thusitha. "Effects of endothelial cell protection in induction of transplantation tolerance." [S.l.] : [s.n.], 2009. http://www.zb.unibe.ch/download/eldiss/09gajanayake_t.pdf.
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Knight, Julie. "Dignity in elderly care : meaning and legal protection." Thesis, University of Reading, 2018. http://centaur.reading.ac.uk/77334/.
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We are living increasingly longer in a society that is struggling to define how to treat the very old, particularly those in care homes. The concept of dignity can guide how an older individual in care ought to be treated. In this dissertation I argue for an understanding of dignity that is built around the views of the persons cared for, and for the introduction of laws and policies aimed at creating conditions amenable to its realisation. Dignity must be viewed as rooted in our concrete autonomy, one that sees us embodied and embedded in the connections we make with others throughout our lives. Dignity, understood according to the views of the individual cared for, is aligned with this relational view of autonomy, one that prompts us to understand the individual through dialogical engagement. In order to realise the kind of dignity that matters to elderly individuals in care, it is essential to address a number of negative factors, including through law and policies. Addressing these factors means taking concrete steps towards converting potential dignity into actual dignity. One of these 'conversion factors' of dignity is vulnerability. In order for this personal conversion factor to be conducive to dignity, vulnerability ought to be conceptualised as inherent, universal and relational. Another conversion factor, this time environmental, is the regulatory system that controls care homes: for dignity to flourish, those affected by this system must be involved in its elaboration and monitoring. On a social level exists the conversion factor of ageism. Generational rapprochement is one way in which to help reduce it. This dissertation examines whether and how legal means responsive to these conversion factors help or hinder the creation of conditions amenable to dignity in long term aged care.
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Olivera, Javier, and Jhonatan Clausen. "Features of the Peruvian elderly and social protection policies." Economía, 2014. http://repositorio.pucp.edu.pe/index/handle/123456789/118278.
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The first goal of this paper is to analyze recent socio-economic characteristics of old-age peoplein Peru, with emphasis on poverty and social exclusion. For this, we use the National Household survey (Enaho) of year 2011 and find that the majority of the extreme poor elderly are living in the rural area. Furthermore, only 1% of the elderly living in extreme poverty receives a pension benefitand a vast majority of them live in one or two-person households, which intensify their vulnerability. The second goal is to review the most important social and economic policies towards old-age in Peru. And finally, we review the literature and policies for the elderly implemented in other countries with the aim to describe their most relevant impacts. Overall, our document might be a useful input to think and propose new policies towards old-age people in Peru based on evidences.El presente documento busca, en primer lugar, realizar una caracterización de las condiciones socioeconómicas de la población de adultos mayores en el Perú con énfasis en la situación de pobreza y desprotección social de este segmento de población. El análisis de la Encueta Nacionalde Hogares (Enaho) 2011 revela que la mayor cantidad de personas mayores de 65 años que se encuentran en situación de extrema pobreza residen en la sierra rural. Del mismo modo, se observa que únicamente el 1% de adultos mayores pobres extremos tienen acceso a algún tipo de pensión; y que la mayor proporción adultos mayores en situación de pobreza extrema viven en hogares de 1 o 2 miembros, lo cual acentúa su vulnerabilidad. En segundo lugar, se realiza una revisión de las principales intervenciones de política orientadas a los adultos mayores en Perú, incluyendo políticasde gran escala como la pensión social Pensión 65 e intervenciones más acotadas relacionadas al bienestar general y derechos de los adultos mayores. Finalmente, revisamos la literatura y políticas dirigidas al adulto mayor de otros países y mostramos algunas evidencias se sus impactos, lo cual puede ser útil para proponer nuevos programas dirigidos a los adultos mayores en Perú.
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Thomas-Holmes, April Lashawn. "Financial abuse of elders." CSUSB ScholarWorks, 2001. https://scholarworks.lib.csusb.edu/etd-project/1986.
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The proposed research study explored the extent and nature of financial abuse crimes amongst elders in San Bernardino County. This study utilized a descriptive research method. This study identified characteristics of victims and perpetrators, contributing factors associated with financial abuse, the degree of trauma an elder will experience depending on the type of financial crime committed. This study will provide an overview of the different types of financial abuse cases reported and determine if there is a significant difference and/or similarities of these types of crimes committed against male and female elderly in San Bernardino County.
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Bohl, Walter Brian. "Investigating Elder Self-neglect: Interviews with Adult Protective Service Workers." The Ohio State University, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=osu1281633493.
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Dakin, Emily K. "OLDER WOMEN'S PERCEPTIONS OF ETHICAL DILEMMAS IN ADULT PROTECTIVE SERVICES: AN EXPLORATORY STUDY." online version, 2004. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=case1081529078.
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Cornelius, Christel. "Drug use in the elderly - risk or protection? : findings from the Kungsholmen Project /." Stockholm, 2004. http://diss.kib.ki.se/2004/91-7349-805-X/.
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Kolacz, Kimberly S. "Analysis of Elder Abuse and Ohio's Adult Protective Law in Trumbull County." Connect to online version at OhioLINK ETD Connect to online version at Digital.Maag, 1999. http://hdl.handle.net/1989/4794.
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Sherwood-Johnson, Fiona. "Exploring the meaning of protection from abuse : problem construction in Scottish adult support and protection practice and policy." Thesis, University of Stirling, 2013. http://hdl.handle.net/1893/17004.
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This PhD project by publication begins to explore how Scottish adult support and protection (ASP) policy and practice carves out its role and remit. It examines the ways that concepts like “abuse”, “vulnerability” and “protection” have been constructed, both by individual practitioners and at a policy level. The submission comprises five papers published in peer-reviewed journals and this contextualising document, which knits together the work and draws out overall conclusions and implications. The papers themselves report on a literature review, a further analysis of case study research into ASP practice and a critical policy comparison. The case study research was conducted immediately prior to legislative changes in Scotland with respect to ASP, and the policy comparison was conducted subsequently to these changes. Overall, the findings highlight the ways that a social constructionist approach can usefully deepen our understandings of ASP. That is, they show how understanding concepts like “protection”, “vulnerability” and “abuse” to be actively constructed in unique and complex contexts can promote criticality in policy-making, practice and research.
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Powell, Sharon L. (Sharon Leigh). "Elder Abuse: A Multi-Case Study." Thesis, North Texas State University, 1986. https://digital.library.unt.edu/ark:/67531/metadc331213/.
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This descriptive study with quantitative aspects examined the phenomenon of elder abuse through the systematic review of 60 cases of elder abuse. Cases were randomly selected from the files of an Adult Protective Services agency in the North Central Texas area. Research questions examined the characteristics of the victims and abusers, types and duration of abuse, descriptions of abusive situations, the reporting and verification of abuse, case management strategies utilized by caseworkers, and the consequences of those strategies. The results of this study point to the probability of the elderly abuse victim being 75 years of age or older, female, white, and widowed. There did appear to be some connection between race and type of abuse with white victims more likely to experience physical and financial abuse. Approximately half of the elderly abuse victims had severe limitations in physical and/or mental functioning leading to some degree of dependence upon their abusers. However, eighty percent of the elderly victims resided in their own homes and half of these individuals were functionally independent. This study provided descriptions of the various types of abuse that were observed: physical, financial, emotional, passive neglect, and active neglect. Financial abuse was noted most frequently, and multiple types of abuse were noted in most cases with the combination of physical, financial, and emotional abuse being observed most frequently. Fifteen different categories of case management strategies were examined, averaging four different assistance strategies per case. Legal services appeared to be the most often refused form of assistance. This study also found no evidence that those who abuse the elderly are being prosecuted.
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Srithamrongsawat, Samrit. "Financial protection and enabling access to care for Thai elderly : the role of public insurance." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2005. http://researchonline.lshtm.ac.uk/4646522/.
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Improvement of health status and increased access to modem medical care among Thai elderly was apparent during the 1990s. Various factors explained this including improved socioeconomic conditions, availability of services, improved physical access, and expansion of health insurance. Nevertheless, differences in health status and access to care have persisted across socioeconomic groups and geographical areas. Despite the policy of free medical care for the elderly launched in Thailand in 1992, a substantial number of elderly were still uninsured in 2001, mainly among those residing in urban areas. In 2002, a universal coverage (UC) policy was introduced, to include the approximately 18 million Thais not covered by formal public insurance schemes. The UC scheme is tax funded, with a budget allocated to each province according to the number of beneficiaries (who must register for a UC card and at a primary health care unit). The aim of the study was to assess how effectively the UC scheme has been implemented, and performed the functions of financial protection and enabling access to care for the elderly across all socioeconomic groups and urban and rural geographical areas. Both quantitative and qualitative approaches were employed: document review, cross-sectional household survey, in-depth interviews, and focus group discussions. The study site was Yasothon province, one of the poorest provinces in the Northeast of Thailand. The main constraints in UC policy implementation included lack of appropriate health personnel to provide care in primary care units and lack of management capabilities in purchasing services. Registration of beneficiaries was almost 100%. Access to overall ambulatory care was quite equitable and was solely determined by health need. However, less emphasis was placed on services specific to the needs of the elderly. For hospitalization, urban respondents were admitted more frequently than rural respondents. Take-up of UC benefits was high among cardholding beneficiaries especially for hospitalization. A gradient of burden of out-of-pocket payment across income groups existed, due to the relatively high illness amongst the poor, their extremely low income, and the burden of non-medical expenditure. A few individuals experienced catastrophic payments as a result of non medical care expenditure, noncompliance with the requirements for accessing free care, and informal payments. The study concluded that the UC scheme was quite successful in its implementation; however, inequity in out-of-pocket payment remained and income inequity itself played a substantial role. To improve equity of access and financial protection, attention should be paid to primary geriatric care, non-medical care expenditure and physical access, insurance management and human resources, and the broader policy context relating to income inequity.
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Turner, Shirley. "Health protective behavior and the elderly: Hemoccult testing for early colorectal cancer detection." Thesis, The University of Arizona, 1989. http://hdl.handle.net/10150/291436.
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Colorectal cancer is second only to lung cancer as a leading cause of internal cancer death. Individuals over 65 years of age are most at risk yet least likely to engage in screening for colorectal cancer. The purpose of this descriptive-correlational study using a modified Pender Health Promotion Model was to identify motivations of elderly individuals to engage in health protective behavior. A convenience sample of 90 subjects answered a four-part motivations questionnaire in which three subscales--early detection, powerful others, and chance--met reliability standards (alpha >.70). Chance was significantly related to compliance (r = -.28; p =.003); Hemoccult compliers believed less in chance and powerful others than did non-compliers (p =.005;.002). The 88 percent who performed a Hemoccult stool test as a screening method for early detection of colorectal cancer demonstrated that these elders willingly engaged in health protective behavior and supported the nurses' role in promoting primary prevention in elderly clients.
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Wei, Nanzhi. "Legal system for the protection of welfare of the elderly : a comparative study of China, France and Britain." Paris, EHESS, 2010. http://www.theses.fr/2010EHES0062.
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Cette étude a recours à une méthode d'analyse historique comparative pour comprendre le contexte historique et le processus de formation des modèles juridiques de protection sociale de ces trois pays. Cette approche permet d'identifier quatre facteurs en interaction : les contextes politiques, économiques, idéologiques et sociaux. Ils forment un réseau imbriqué «PEIS » décisif pour la formation du modèle juridique de protection sociale. Il existe cinq types principaux de sujets juridiques : l'État, le marché, la famille, les institutions administratives et l'individu (la personne âgée). Les droits et devoirs des cinq sujets juridiques mentionnés constituent la cohérence légale de ces cinq relations, et conditionnent les modèles juridiques de chaque pays. Le modèle chinois de l'« l'État / guojia-corps intermédiaires-individu» est en transition. Le modèle français comprend deux volets : la division public-privé et la stratification socio-économique. Le modèle britannique correspond à la structure « gouvernement -marché -individu ». Les différents régimes reflètent les différentes compréhensions des droits et des responsabilités associés aux droits. La nature de ce type de droits et les moyens efficaces de protection de ces droits peuvent être développés selon l'histoire et l'actualité de chacun des pays étudiésThrough studying the evolution of social protection mechanisms for the elderly in these three countries, this study finds that the stratification of welfare right and social protection law are decided by the inter acting four factors: political, economic, ideological and social factors. Each country has its own stipulation on the rights and duties of the five legal subjects: the state, the welfare administrative bodies, the market (employers), the family and the individual (elderly). The differences of the legal status, the financial resources, the redistribution functions and appealing mechanisms form three different legal models. The Chinese model is under rapid transition: "state/guojia-intermediate bodies-individual". The French model has two tiers: the first tier is the "public-private" division; the second tier is the socio-economic stratification. The British model constitutes a "government -market -individual" structure. In different welfare state regimes, the economic well-being of the elderly can be legally protected through different legal mechanisms based on different understandings of welfare rights and different understandings of the responsibilities associated with rights
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Kerr, Judith. "A Survey of Georgia Adult Protective Services Staff Regarding Elder Abuse Laws and Policies: Determining Training Needs." Digital Archive @ GSU, 2010. http://digitalarchive.gsu.edu/iph_theses/151.
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Abstract Background: The aging population is a rapidly growing demographic. Isolation and limited autonomy render many of the elderly vulnerable to abuse, neglect and exploitation. As the population grows, so does the need for Adult Protective Services (APS). This study was conducted to examine current knowledge of Georgia older adult protection laws and to identify training opportunities to better prepare the APS workforce in cases detection and intervention. Methods: A primary survey was developed in partnership with the Georgia Division of Aging Services’ leadership to identify key training priority issues APS caseworkers and investigators. A 47-item, electronic questionnaire was delivered (using Psychdata) to all APS employees via work- issued email accounts. Descriptive analyses, t-tests, and chi-square analyses were used to determine APS employees’ baseline knowledge of Georgia’s elder abuse policies, laws, and practices as well as examine associations of age, ethnicity, and formal education level with knowledge. A p-value of <0 >.05 and 95% confidence intervals were used to determine statistical significance of the analyses performed. Results: In total, 92 out of 175 APS staff responded to the survey (53% response rate). The majority of respondents were Caucasian (56%) women (92%). For over half the survey items, a paired sample t-tests revealed significant differences between what APS staff reported as known and what APS staff members indicated they needed to know more about in terms of elder abuse and current policies. Chi-square tests revealed that non-Caucasians significantly preferred video conferencing as a training format (44% compared to 18%), [χ2 (1) = 7.102, p < .008] whereas Caucasians preferred asynchronous online learning formats (55% compared to 28%) [χ2 (1) =5.951, p < .015]. Conclusions: Results from this study provides the Georgia Division of Aging with insights into specific content areas that can be emphasized in future trainings. Soliciting input from intended trainees allows public health educators to tailor and improve training sessions. Trainee input may result in optimization of attendance, knowledge acquisition, and intervention practices regarding APS service delivery. This in turn can enhance APS staff efficiency and response to cases of violence against older adults.
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Parrella, Theresa Angela. "Outcome measures in adult protective services interventions." CSUSB ScholarWorks, 2002. https://scholarworks.lib.csusb.edu/etd-project/2138.
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With the aging of the baby boomers there is a concern for the liklihood of an increase in reported cases of adult and dependent abuse with Adult Protective Services (APS). This study examined what the social work implications were regarding clients who refuse APS interventions and what subsequent outcomes existed. Data was extracted from closed case files for the period of January 1, 2000 and January 31, 2001 in the high desert region of San Bernardino County.
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Pass, Angelique Marie. "Elder Abuse in Illinois: A TwoâPronged Approach to Assessing the State's Response." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7567.
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The Adult Protective Services Program is tasked with enforcing the standards and policies created at the federal level relating to how provider agencies should respond to elder abuse. What has yet to be explored is whether the Adult Protective Services Program is efficiently responding to the issue of elder abuse through its monitoring and evaluation protocols, which are based on the current policies. The purpose of this study was to explore the role of the 13 planning and service areas in their response to elder abuse. The response to elder abuse is guided by the current policies and funding strategies and has determined that there is a need for a policy change. The primary research questions sought to determine if the current policies were effective in every aspect, from planning to execution of the policies as well as the funding in guiding the level of response to elder abuse. The narrative policy framework was used to assess the feelings and opinions of the 13 directors of the planning and service areas regarding the current policies and response strategies to elder abuse. The study utilized a qualitative methodology that procured data through methods such as interviews and secondary data. Content analysis and coding were the two main strategies for analyzing the data for this study. Key results indicated that the directors felt restricted in term of the current policies, while funding has remained stagnant despite an increase in new programs. A change of policy that allows more freedom for investigating elder abuse is needed, as well as a reinvigoration of funding in the area of elder abuse.
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Anderson, Karen Ann, and Ann Watschke-Dixon. "Dementia and elder abuse in domestic settings." CSUSB ScholarWorks, 2002. https://scholarworks.lib.csusb.edu/etd-project/2241.
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America's growing elder population affects every segment of the social, political and economic landscape. This population has generated public concern and debate reagarding the problems faced by this often-vulnerable group, including the issue of elder abuse. This research project examined associations between dementia and elder abuse in domestic settings utilizing secondary data obtained from Adult Protective Services of San Bernardino County.
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Stiltz, Rebecca Ruth. "Outcomes of adult protective service cases: Urban regions." CSUSB ScholarWorks, 2002. https://scholarworks.lib.csusb.edu/etd-project/2139.
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The study investigated the relationship between San Bernardino County Department of Adult Protective Services (APS) client refusal of services and the outcome of their cases. A data extraction tool was used to collect demographic information about the APS clients and their perpetrators, types and number of contacts made by the APS worker, types of abuse, reasons for refusal, and outcomes from closed APS cases for the San Bernardino, Ontario, and Rancho Cucamonga regions.
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Murdock, Susan Jan. "Conceptualizing Hoarding Behavior Among Elderly Women: A Mixed-Methods Approach." VCU Scholars Compass, 2006. http://scholarscompass.vcu.edu/etd/1368.
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Hoarding in the community involves substantial cluttering and impaired functioning, often exposing the hoarder to extensive health and safety risks. This research, based on Functionalism social theory, explores the three elements of hoardingrelentless acquisition, intense possessiveness of objects, and a reluctance to discard possessionsas a sociocultural phenomenon. The mixed methods methodology entailed a quantitative study involving a survey completed by 134 adult protective services workers throughout Virginia and a qualitative study of five randomly-selected adult protective services workers who volunteered for in-depth interviews.Findings revealed that adult protective services workers come in contact with very severe cases of hoarding, with over two-thirds of the cases cited having extremely hazardous, unsafe, and cluttered living conditions. Similar to other research studies, hoarding was most prevalent among elderly women and the most common objects hoarded included printed materials such as newspapers, magazines, and junk mail. Factor analyses resulted in three factors with high loadings and correlations, particularly the factor that associates hoarding with a relentless need or desire to acquire more possessions. Content analyses of the qualitative data found that workers recognized several ways in which hoarding was functional, including emotional attachment to possessions, reducing stress, and providing meaning and identity. The mixed methods approach demonstrated that adult protective services workers tend to ascribe mental illness explanations to many hoarding cases, often equating hoarding to an addiction, although other published research finds only a nebulous connection between mental illness and hoarding behavior.This research corroborates other studies that find that belief systems underlie hoarding behaviors, particularly how hoarders' possessions provide comfort and security; possessions are considered functional, valuable, and irreplaceable; and that the owner is responsible for maintaining control over possessions. The findings of this study have implications for social work practice and treatment models.
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Romano, Hélène. "Les professionnels de santé confrontés aux situations de maltraitance sur des mineurs et des personnes âgées vulnérables." Thesis, Bordeaux, 2019. http://www.theses.fr/2019BORD0389.
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Ce travail s’inscrit dans le contexte social bien particulier qui est celui d’une meilleure attention portée aux victimes, en particulier de maltraitance. Au-delà de cette évolution qui se traduit dans les multiples textes de loi à ce sujet, il apparaît dans la pratique des professionnels de terrain que les résistances sont nombreuses à signaler les plus vulnérables. C’est en particulier le cas des soignants qui se trouvent particulièrement concernés, car bien souvent les premiers à pouvoir repérer des signes de maltraitances (somatiques, psychologiques). Leur réticence, voire leur résistance à signaler n’a jamais été étudiée sous l’angle du droit à savoir les arguments utilisés par ces professionnels pour expliquer leur absence de signalement et les incidences en termes de protection juridique des plus vulnérables. Cette thèse a donc pour objectif de mieux comprendre les enjeux liés aux résistances à signaler des soignants. Pour des raisons pratiques, nous avons ciblé cette étude aux deux extrémités des âges de la vie, à savoir sur les mineurs et les personnes âgées vulnérables ; la question de la maltraitance des personnes handicapées ou des victimes de violences conjugales étant tout aussi essentielle, mais aurait nécessité un travail d’analyse encore plus complexe, car impliquant d’autres enjeux. L’étude s’est conçue à partir de l’analyse des résultats d’un questionnaire internet renseigné par 1157 soignants.L’objectif principal de cette recherche est donc de mieux comprendre les résistances des professionnels de santé face aux signalements lorsqu’ils prennent en charge une personne vulnérable pour laquelle une maltraitance est suspectée, en particulier lorsqu’il s’agit d’un enfant ou d’une personne âgée.Les objectifs secondaires dans une telle recherche sont multiples et visent à évaluer l’incidence des facteurs individuels (âges, ancienneté, niveau de formation, lieu d’exercice) et des facteurs collectifs (dynamique institutionnelle, travail en réseau) sur le positionnement des professionnels face au signalement.L’organisation des résultats est proposée en deux partie : la première aborde la question des professionnels de santé face aux enjeux cliniques en matière de repérage, la seconde celle des professionnels de santé face aux textes législatifs et à leurs obligations professionnelles en la matière.Cette étude ce centre sur l’analyse des pratiques des signalements des soignants en France, mais nous précisons d’emblée que cette problématique est loin d’être exclusivement nationale et que les questions qui y sont liées ne peuvent être assurées par un État que si une réglementation est mise en œuvre aussi au niveau internationalThis work is part of the very particular social context of better attention paid to victims, especially abuse. Beyond this development, which is reflected in the many pieces of legislation on this subject, it appears in the practice of field professionals that many resistances point to the most vulnerable. This is particularly the case for caregivers who are particularly concerned, as they are often the first to be able to spot signs of abuse (somatic, psychological). Their reluctance or even resistance to reporting has never been studied from the point of view of the right to know the arguments used by these professionals to explain their lack of reporting and the implications in terms of legal protection of the most vulnerable. For practical reasons, we targeted this study at both ends of the ages of life, namely on minors and vulnerable elderly people; the issue of abuse of persons with disabilities or victims of domestic violence is equally essential, but would have required even more complex analysis, as it involves other issues.The study was based on an analysis of the results of an internet questionnaire provided by 1157 caregivers. The main objective of this research is therefore to better understand the resistance.The main objective of this research is therefore to better understand the resistance of health professionals to reporting when they are caring for a vulnerable person for whom abuse is suspected, particularly when it is it is a child or an elderly person.The secondary objectives in such research are multiple and aim to assess the impact of individual factors (ages, seniority, level of training, place of practice) and collective factors (institutional dynamics, networking) on the positioning of professionals in the face of reporting.The organization of the results is proposed in two part: the first addresses the issue of health professionals in the face of clinical issues in the field of identification, the second that of health professionals in the face of legislation and their obligations professionals in this area.This study focuses on the analysis of the reporting practices of carers in France, but we make it clear at the outset that this problem is the lawof being exclusively national and that the issues related to itcannot be ensured state only if regulations are implemented at the international level as well
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Brown, Susan Lee. "Client outcomes in the adult protective service system." CSUSB ScholarWorks, 2001. https://scholarworks.lib.csusb.edu/etd-project/1736.
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This study examined the outcomes that clients are experiencing with the Adult Protective Services System in the County of San Bernardino. The study was exploratory and discriptive. Data were extracted from closed case records from the period of September 1, 1999 until August 31, 2000.
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LoCoco, Joseph Kenneth, and Christy Anne Herff. "Structured decision making in adult protective services." CSUSB ScholarWorks, 2007. https://scholarworks.lib.csusb.edu/etd-project/3242.
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The focus of this research project was to evaluate individual stakeholder perceptions of the implementation of Structured Decision Making (SDM) as a tool in risk assessment of elder abuse/neglect case referrals in Riverside County Adult Protective Services (APS). The researchers interviewed ten social workers from Riverside County APS, from line workers up to Deputy Director. Constructivist theory was used to develop a joint construct which indicated that the primary benefit of SDM was consistency. Consistency resulted in safety and proctection of the client, social worker and the agency.
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Medeiros, Ana Paula Roland Rocha. "Quem irá cuidar de nós? desproteção dos idosos na região do Butantã - São Paulo." Pontifícia Universidade Católica de São Paulo, 2015. https://tede2.pucsp.br/handle/handle/17750.
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The present study resulted from 20 years of practice as a social worker with experience in the healh field and primarily engaged in service provision for the elderly. The growth of the elderly population and longevity are worldwide phenomenom that encompass all social-economic classes. If, in one hand, longevity means social conquest, on the other hand, it might mean people growing old the "hard way", without enough financial benefits to cover their basic needs. The goal of the present study was to gather information on the needs and demands of the elderly living in the Butantã region as recorded in reports written by CRAS Butantã professionals. Both qualitative and quantitative methodologies were used. After a careful review of the pertinent literature, research participants were selected based on reports from social workers on Home visits performed between march and december 2014, after contact through the Disque 100 hotline. Data gathering and analises employed estudo documental bibliográfico and non-participant observation methodologies. Results reinforce the hypothesis that the elderly of Butantã don't have their needs met and are unprotected. They are victims of what is known in the literature as structural violence, which has aspects of social inequality, poverty and discrimination expressed in many different ways. We have made immense progress in the legislation that protect the elderly population, but that progress seem to still be only words on pape
O presente estudo é resultado de vinte anos de prática profissional enquanto assistente social, com vivência na saúde, assistência com ênfase no idoso. O crescimento da população idosa e da longevidade é um fenômeno mundial e está ocorrendo a um nível sem precedentes, atingindo todas as classes sociais; o fato de que se por um lado o aumento da longevidade caracteriza-se como conquista social, por outro pode significar um cenário de pessoas envelhecidas a duras penas , sem recursos financeiros para atender suas necessidades básicas. Portanto o objetivo desta pesquisa foi de conhecer as demandas dos idosos da Região do Butantã a partir dos relatórios dos profissionais do CRAS Butantã. O tipo de metodologia utilizada foi qualitativa e quantitativa; inicialmente realizamos um levantamento bibliográfico sobre o tema. Os sujeitos da pesquisa foram selecionados a partir de relatórios produzidos pelos assistentes sociais, após as visitas domiciliares realizadas mediante solicitação das denúncias do Disque 100, no período de março de 2014 a dezembro de 2014. Para a coleta e análise dos dados utilizou-se o estudo documental e bibliográfico, e observação não participante para análise. Os resultados encontrados comprovaram nossa hipótese de que hoje os idosos da região passam por uma desproteção de atenção as suas demandas. Sofrem do que a literatura denomina de violência estrutural, a qual reúne os aspectos resultantes da desigualdade social, da penúria provocada pela pobreza e pela miséria e a discriminação que se expressa de múltiplas formas. Avançamos muito nas leis e nos direitos aos idosos, contudo, o que assistimos é que a maioria das leis e das políticas formuladas ainda está no terreno das palavras
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Matos, Kelly Uchôa Hagenbeck Sobral de. "Envelhecimento e proteção social no Brasil contemporâneo: um estudo com idosos beneficiários do benefício de prestação continuada em Aracaju - SE." Universidade Catolica de Salvador, 2014. http://hdl.handle.net/123456730/274.
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O tema central do trabalho é o significado do Benefício da Prestação Continuada (BPC) na vida dos idosos que recebem este benefício. Apenas em 1996, o BPC, assegurado pela Constituição Federal de 1988 e pela Lei Orgânica da Assistência Social (LOAS), foi implementado no Brasil. Esse benefício não vitalício e não contributivo, apresenta-se através da transferência de renda no valor de um salário mínimo às pessoas idosas, acima de 65 anos, e às pessoas com deficiência consideradas incapazes para a vida independente e para o trabalho, e cuja renda per capita seja inferior a um quarto do salário mínimo. Apesar de expressar o grande avanço da inserção da Assistência no tripé do sistema de Seguridade Social brasileiro, o que significou uma ruptura com as práticas históricas de Assistência Social no Brasil, marcadas pelo assistencialismo e favor, o BPC expressa também os limites e contradições da Assistência Social pública no Brasil contemporâneo, diante das políticas macroeconômicas de ajuste fiscal. Nesse sentido, a discussão sobre os impactos do BPC na vida dos idosos passam, necessariamente, pela discussão relativa ao contexto da Seguridade Social e em especial na política de Assistência Social. Do mesmo modo, é nesse contexto que a construção social do envelhecimento no Brasil vem se dando a partir de transformações sociais como o desemprego, a precarização das políticas públicas, mudanças nas relações entre as gerações, as quais alteram o papel do idoso na sociedade e no interior dos arranjos familiares. O trabalho buscou, pois, atingir seus objetivos, por meio de uma pesquisa com os idosos beneficiários do BPC, na realidade da cidade de Aracaju no Estado de Sergipe, especialmente aqueles inseridos nos grupos de convivência desenvolvidos nos quadros da própria Política de Assistência Social. A metodologia foi constituída de várias fases, destacando-se a pesquisa bibliográfica e a empírica. A pesquisa de campo conseguiu delinear o perfil sociodemográfico do idoso, entendendo sua trajetória profissional e sua inserção familiar. Vinte e cinco idosos foram entrevistados com questionários que permitiram uma análise quantitativa e qualitativa de dados que possibilitam compreender o impacto que o BPC gerou na vida desses idosos.
The central theme of the work is the meaning of the Continuing Provision Benefit (BPC) in the lives of older people receiving this benefit. Only in 1996, BPC, guaranteed by the Constitution of 1988 and the Organic Law of Social Assistance (LOAS), was implemented in Brazil. This benefit is not lifelong and non-contributory, is presented by transferring income amounting to a minimum wage to the elderly above 65 years, and persons with disabilities considered unable to live independently and to work, and whose income per capita is less than one quarter of the minimum wage. While expressing the breakthrough of the insertion of the tripod support of the Brazilian Social Security system, which meant a break with the historical practices of Social Welfare in Brazil, marked by welfarism and favor, the BPC also expresses the limits and contradictions of Assistance public social in contemporary Brazil, given the macroeconomic policies of fiscal adjustment. In this sense, the discussion on the impacts of BPC in the lives of seniors passes necessarily by discussion of the context of Social Security and especially in social assistance policy. Similarly, it is in this context that the social construction of aging in Brazil has been taking from social changes such as unemployment, casualization of public policy changes in relationships between generations, which alter the role of the elderly in society and the inside the family arrangements. The work sought, therefore, achieve their goals, through a survey of the elderly BPC beneficiaries, in fact the city of Aracaju in Sergipe State, especially those placed in groups of coexistence developed in the frames of own Social Assistance Policy . The methodology consisted of several phases, with emphasis on the literature and the empirical. Field research could delineate the socio-demographic profile of the elderly, understanding your career and your family insertion. Twenty-five seniors were interviewed with questionnaires that allowed a quantitative and qualitative data analysis that allow understanding the impact that the BPC generated in the lives of seniors.
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Franzén, Arvid, and Richard Lundstedt. "Individanpassat brandskydd : En studie om hur dödsbränder kan minskas för ålderskategorin 65 år och äldre." Thesis, Luleå tekniska universitet, Institutionen för samhällsbyggnad och naturresurser, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-81906.
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Äldre är överrepresenterade i dödsbrandsstatistiken där 90 procent av bostadsbränderna som inträffar i Sverige drabbar personer över 65 år. 2011 presenterade MSB en nollvision med målet att ingen ska dö eller skadas allvarligt till följd av brand, för att motverka att bland annat äldre omkommer och för att höja kunskapen kring individanpassat brandskydd hos kommunerna. Att bo kvar i sitt hem trots åldrande, sjukdom och funktionsnedsättning är en stigande trend hos den svenska befolkningen. Vid flytt till ett särskilt boende följer mer omfattande krav på det byggnadstekniska brandskyddet, vilket är en följd av att bland annat funktionsförmågan hos de boende kan vara nedsatt. Denna studie består av litteraturstudier, intervjuer och en kostnad- och nyttoanalys där målgruppen var personer över 65 år som är hemmaboende och fått en behovsprövning med hemtjänst som följd. Litteraturstudierna undersöker hur lagar, regler och rekommendationer behandlar individanpassat brandskydd. Genom litteraturstudien har också vägledningar som beskriver för kommunerna hur det går att arbeta med individanpassat brandskydd granskats och jämförts mot verkligheten. Intervjuerna genomfördes för att undersöka hur de upprättade vägledningarna implementeras hos kommunerna, i vilken utsträckning arbetet med individanpassat brandskydd bedrivs och vilka svårigheter och utmaningar som finns. Kostnad-och nyttoanalysen berör de tekniska tillämpningar som både kan och har använts hos de riskutsatta personer som identifieras i verksamheten. Denna genomfördes för tre olika fall där kostnaden av olika tekniska lösningar, så som brandvarnare, brandfilt, brandsläckare, spisvakt och portabel sprinkler, jämfördes med deras effekt. Målet var att undersöka om det fanns en samhällsnytta med att installera ett tekniskt brandskydd för olika fall, där effekten varierar mellan 10, 50 och 90 procent för tre olika fall med olika brandtekniska skyddsnivåer. Kostnad- och nyttoanalysen visar på en samhällsnytta för två av de tre fallen där flertalet liv kan räddas vid installation av ett aktivt brandskydd. Studien visar på att lagar, regler och rekommendationer i dagsläget inte direkt behandlar hur arbetet med individanpassat brandskydd ska bedrivas. Genom vissa tolkningar av befintlig lagtext och gällande regelverk kan dock ett visst arbete motiveras, dock har intervjuerna i denna studie visat att en tydligare styrning och ansvarsfördelning behöver tillkomma för ett mer enhetligt arbete i landet. Intervjuerna visar på att kommunerna är medvetna om vikten och innebörden av att bedriva ett arbete med individanpassat brandskydd. Dock finns det stora skillnader i hur långt i arbetet olika kommuner har kommit. Till grund för detta ligger ofta organisatoriska och ekonomiska svårigheter, där det upplevs oklart vem som har ansvaret samtidigt som uppfattningen är att det är dyrt att bedriva arbetet. Samtidigt prioriteras de uppgifter som är kravställda i större utsträckning än övrigt. För att uppnå MSB:s nollvision om att Ingen ska omkomma eller skadas allvarligt till följd av brand och de upprättade målen krävs mer än bara tekniska lösningar hos de boende. En av många svårigheter är ansvarsfrågan, vilken behöver förtydligas från politiskt håll. En annan problematik finns i hanteringen av vägledningar som är för svåra för kommunerna och dess verksamheter att implementera med dagens utformning. Som en lösning på detta bedriver MSB tillsammans med Socialstyrelsen ett arbete med att uppdatera befintlig vägledning Brandsäker bostad för alla. Detta för att kommunerna enklare ska kunna upprätta och bedriva arbetet med individanpassat brandskydd, som en naturlig del i den befintliga verksamheten samtidigt som ansvarsfrågan också hoppas kunna bli tydligare än i dagsläget. Studien visar att en tydligare politisk inriktning, ett bättre underbyggt stöd från MSB och en insikt i organisation, ansvar och ekonomi kan leda till att arbetet med individanpassat brandskydd kraftigt underlättas för kommunerna.The elderly is over-represented in the death statistics regarding fires at home, 90 percent of the housing fires resulting in deaths in Sweden affect persons over 65 years. In 2011 MSB presented a vision that nobody should die or be severely injured as a result of fire, to counteract that elderly die and to raise the knowledge amongst the municipality. Continued living in your own home despite increasing age, sickness and disability is a rising trend among the Swedish population. When moving to a retirement accommodation, the demands on the building's fire protection are increased and the expectations of the residents are reduced. But what happens to the fire protection and expectations regarding, for example, evacuation for the elderly who want to, or are forced to stay in their homes? This study consists of literature studies, interviews and a cost-benefit analysis in which the target group was persons over 65 years of age, who lives in their own homes and has a need for home care. The literature studies examine how laws, rules and recommendations deal with individualized fire protection. Through the literature study, guidance documents describing how to work with personalized fire protection in municipalities has been reviewed and compared to reality. The interviews were conducted to investigate how the established guidance documents are implemented in the municipalities, the extent to which they work on personalized fire protection is conducted and the difficulties and challenges that exists. The cost- and benefit analysis concerns the technical applications that both has been- and can be used in the homes of risk-sensitive persons. This was carried out for three different cases where the cases of various technical solutions, such as fire detectors, fire blanket, fire extinguisher, stove guard and portable sprinkler, were compared with their effect. The goal was to investigate whether there was a societal benefit in installing a technical fire protection for different cases, where the effect varies between 10, 50 and 90 percent for cases 1–3. The cost and benefit analysis show a societal benefit for two out of three cases where most lives can be saved when installing an active fire protection. The study shows that laws, rules and recommendations does not directly address how the work with personalized fire protection should be conducted. Interpretations of existing legal texts and regulatory frameworks may provide guidance for some work to be justified. However, the interviews have led to the result that clearer governance and responsibilities need to be added for more uniform work in the country. The interviews show that the municipalities are aware of the importance and meaning of pursuing a work with individualized fire protection. However, there are major differences in how far the work in different municipalities have come. The reason for this is often organizational and financial difficulties, where it is unclear who is responsible at the same time as the perception is that it is costly to carry out the work. At the same time, priority is given to other things in the municipality, which are required and must be carried out instead of something that is not controlled or followed up. In order to achieve the MSB's vision that Nobody should die or be seriously injured as a result of fire and the defined goals, it takes more than just technical solutions. One of many difficulties is the question of responsibility, which needs clarification from political quarters. Another problem exists in the handling of guidance documents that are too difficult for the municipalities and its occupations to implement with the current design. As a solution to this, MSB along with the National Board of Health and Welfare conducts a work to update the existing guidance Brandsäker bostad för alla. This is to make it easier for the municipalities to both establish and carry out work on personalized fire protection, as a natural part of the existing business. While the liability issue also hopes to be clearer than it is at present.
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Gonçalves, João Manuel Grossinho. "Fatores de sustentabilidade das instituições de solidariedade social – um estudo no concelho de Vila Velha de Ródão." Doctoral thesis, Instituto Superior de Ciências Sociais e Políticas, 2015. http://hdl.handle.net/10400.5/12739.
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Tese de Doutoramento em Ciências Sociais na especialidade de Política SocialO envelhecimento e os efeitos daí decorrentes como o isolamento e a dependência, conjugados com a ausência de apoio familiar e a insuficiência de recursos económicos, despertam o interesse da comunidade nas instituições de solidariedade social, atendendo à função de apoio social que desempenham, particularmente aos grupos mais vulneráveis, designadamente à população idosa. Daí que, pela relevância que assumem estas instituições no contexto da proteção social em Portugal, importa que as mesmas sejam sustentáveis. Neste contexto, desenvolvemos o presente estudo com o objetivo de identificar os fatores que condicionam a sustentabilidade social, cultural e económica e financeira das instituições de solidariedade social e analisar de que forma estas instituições poderão otimizar os recursos de que dispõem, de modo a satisfazer as necessidades emergentes da população idosa, circunscrevendo-se às instituições particulares de solidariedade social (IPSS) do concelho de Vila Velha de Ródão. Da análise da informação recolhida, constatámos que as instituições de solidariedade social desenvolvem, em boa medida, práticas sustentáveis enquadradas na literatura da especialidade, mas, no que respeita à captação de recursos financeiros, tal prática está prejudicada pela debilidade da economia local, o que, conjugado com as características do território, é suposto que a sustentabilidade das instituições dependa do apoio do público.
Ageing and its consequences, such as isolation and dependence, together with a lack of family support or insufficient financial resources, stimulate the community's interest in social solidarity institutions, in light of the social support they provide, particularly for the most vulnerable groups, including the elderly. The significant role played by these institutions in social protection in Portugal means, therefore, that it is important for them to be sustainable. In this context, this study aims to identify the factors that affect the social, cultural, and economic and financial sustainability of social solidarity institutions and examine how they can make the best use of the resources they have available so as to satisfy the emerging needs of the elderly population. The study was limited to private social solidarity institutions (IPSS) in the municipality of Vila Velha de Ródão. The analysis of the information gathered revealed that social solidarity institutions largely use sustainable practices defined in specialist literature. However, their ability to raise funds is harmed by the fragile situation of the local economy. This, and the characteristics of the area, means that the institutions' sustainability relies on public support.
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Juin, Sandrine. "Care for dependent elderly people : dealing with health and financing issues." Thesis, Paris Est, 2016. http://www.theses.fr/2016PESC0052/document.
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Dans un contexte de vieillissement rapide de la population, cette thèse explore les liens existants entre santé et modes de prise en charge des personnes âgées dépendantes et s'intéresse à la question du financement de la dépendance.La satisfaction des besoins d'aide des personnes âgées dépendantes constitue un objectif central de politiques publiques. Le Chapitre 1 estime l'effet de l'aide informelle (i.e. familiale) et de l'aide formelle (i.e. professionnelle) à domicile sur la santé mentale des personnes âgées dépendantes en France. Les résultats montrent que l'aide informelle réduit le risque de dépression et que l'aide formelle peut améliorer la santé mentale générale.De récentes études reconnaissent qu'aider un proche dépendant a des effets négatifs sur la santé des aidants et soulignent l'importance de les soutenir. Le Chapitre 2 s'intéresse à l'effet du soutien social sur la santé des aidants informels. Il montre que l'aide formelle et le soutien informel réduisent les problèmes de santé mentale associés à l'activité d'aide.Enfin, étant donné la pression financière et fiscale qui pèse sur les systèmes publics, le Chapitre 3 étudie dans quelle mesure les Européens seraient capables de financer leurs périodes de dépendance sur la base de leurs revenus et de leur patrimoine financier et immobilier. Il s'intéresse également au rôle du prêt viager hypothécaire. Les simulations soulignent que seule une faible proportion des individus serait capable de financer l'ensemble de ses dépenses de dépendance. Par ailleurs, le patrimoine immobilier pourrait jouer un rôle important dans le financement de la dépendanceIn the context of a rapidly aging population, this doctoral dissertation explores the relationship between health and long-term care arrangements and addresses the issue of the financing of long-term care.Meeting the needs of dependent elderly is an important objective of public policy. Chapter 1 estimates the effects of both informal (i.e. family) care and formal (i.e. professional) home care on the mental health of French dependent elderly. The results highlight that informal care decreases the risk of depression and that formal care can improve general mental health.Recent studies acknowledge that providing informal care has adverse health effects and emphasize the importance of supporting caregivers. Chapter 2 examines the effect of social support on caregivers' health. It shows that formal care and informal support limit the negative consequences of caregiving on mental health.Finally, given the increasing financial and fiscal pressure on public systems, Chapter 3 investigates to what extent Europeans elderly are able to pay for their periods of long-term care needs on the basis of their income, financial assets and home equity. It also studies the role of reverse mortgages. The simulations stress that only a small proportion of individuals would be able to finance totally their long-term care expenses and that housing assets may play an important role in long-term care financing
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Da, Roit Barbara. "Welfare systems, welfare packaging and coping strategies of social risks : the case of elderly dependence in a comparative perspective." Paris, Institut d'études politiques, 2005. http://www.theses.fr/2005IEPP0019.
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Les transformations des systèmes de "welfare" - systèmes sociaux caractérisés par la prévalence d'une combinaison particulière d'Etat, marché et famille comme agences de protection sociale - sont analysées à partir des changements dans la gestion de la dépendance des personnes âgées. Ils sont observés à partir d'une perspective de micro à macro, considérant les choix et les stratégies des acteurs à la fois comme conditionnés par la cadre institutionnel, les relations sociales et les normes sociales et comme forces de changement. La comparaison porte sur les trajectoires de deux systèmes se situant aux extrêmes de modèles de politiques de prise en charge de la dépendance durant les années 1990. Le travail empirique se base sur la comparaison de deux cas nationaux (Italie et Pays-Bas) et de deux cas locaux (Milan et Amsterdam) en combinant des techniques qualitatives et quantitatives pour mettre en lumière à la fois les transformations et les mécanismes sociaux sous-jacentsTransformations in welfare systems - social systems characterised by a specific combination of state, market and family as agents of welfare - are analyzed through changes in responses to dependence in old age. The observation proceeds according to a micro-to-macro approach, that considers choices and strategies at the same time as influenced by the institutional framework, social relations and social norms and as able to produce changes. The comparison focuses on the trajectories of two opposite systems, as for social policy in the field of elderly dependence, throughout the 1990s. The fieldwork, focusing on two national cases (Italy and Netherlands) and two local cases (Milan and Amsterdam), is based on a combination of quantitative and qualitative methods in order to highlight ongoing changes and to explore the underlying social mechanisms
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Oliveira, Thaís Aparecida Eustáquio Rodrigues de. "O envelhecimento populacional no contexto brasileiro sob a égide da (des) proteção social." Universidade de São Paulo, 2016. http://www.teses.usp.br/teses/disponiveis/6/6135/tde-05122016-162440/.
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No Brasil a população idosa cresce de maneira acentuada devido a dois fatores que são, respectivamente, baixa fecundidade das mulheres e redução nas taxas de mortalidade. O envelhecimento populacional traz significativas mudanças nas áreas econômica, política, social, ambiental e da saúde, bem como desafios para seu enfrentamento, dentre os quais citam-se a oferta de serviços de saúde adequados as necessidades de cada idoso, sejam de prevenção, promoção ou reabilitação, fornecimento dos medicamentos necessários; rede de atendimento e cuidado compartilhada, que envolva a família e os serviços públicos, já que a configuração familiar foi modificada na contemporaneidade; também, acrescenta-se a necessidade de serem criadas políticas públicas monetárias para equidade de acesso aos bens e serviços diversos. Nesse sentido, foram instituídos pela Constituição Federal de 1988, a garantia de direitos sociais, sendo esses ofertados a todo e qualquer cidadão de que dele necessitem, regidos pelo princípio da Seguridade Social, o mecanismo mais importante de proteção social. São fornecidos meios para a garantia da vida, redução de danos e prevenção de riscos, atuando nos setores saúde, previdência e assistência social. O foco dessa pesquisa se deu sobre os idosos assistidos tanto pela assistência quanto pela previdência social. Foi utilizada a técnica da história oral, sendo realizadas entrevistas em profundidade com nove idosos, dois deles frequentadores do Centro de Convivência do Idoso de um município da grande São Paulo e os demais, usuários do Centro de Saúde Escola Samuel Barnsley Pessoa (CSEB) localizado no Butantã- São Paulo. A partir das narrativas foram criados quatro eixos temáticos: I) Trabalho Feminino x Trabalho Masculino; II) Benefício Social/ Aposentadoria: direito social ou filantropia?; III) Envelhecimento Ativo: ideologia ou possibilidade? e IV) Percursos de Vida: a migração nas histórias. Os eixos foram analisados com base nos preceitos da dialética-hermenêutica. Como resultados, observou-se uma desvantagem feminina quando atingem a velhice, pois o trabalho doméstico não é utilizado para fins de aposentadoria e, em sua maioria, ao longo da vida, desenvolveram trabalhos autônomos, por isso sua fonte de renda restringe-se ao BPC ou aposentadoria por idade. Muitos dos idosos estão na posição de cuidadores contrariamente a de serem alvos de cuidados, abrigam filhos e netos em suas residências. Se tornam provedores ao invés de dependentes e, não raro, a principal fonte de renda da casa é oriunda dos seus benefícios assistenciais e/ou previdenciários. Verificou-se que os valores monetários mostram-se insuficientes para romper com o ciclo da pobreza, oferecem subsídios apenas para a garantia dos mínimos sociais, o que está aquém das necessidades da população como um todo. A fim de se manterem, muitos idosos permanecem ativos no mercado de trabalho por questões de ordem objetivas - com vistas ao complemento da renda e também subjetivas, atreladas ao desejo do reconhecimento, da satisfação e da sensação de se sentirem socialmente úteis.In Brazil the elderly population increases sharply due to two factors which are, respectively, low fertility of women and reduction in mortality rates. Population aging brings significant changes in the economy, political, social, environmental and health, as well as challenges to face, such as the provision of health services appropriate to the needs of each elderly, are prevention, promotion or rehabilitation, and the supply of the necessary medicines; service network and shared care, involving family and public services, as the family configuration was modified in contemporary times; also adds to the need for monetary policies designed to equity of access to multiples services. In this sense, were established by the Constitution of 1988, the guarantee of social rights, and those offered to any citizen who need it, which the principle of Social Security, the most important social protection mechanism providing the provision of means to guarantee the life, harm reduction and risk prevention, working in the health sector, social security and welfare. They offer different ways to guarantee the conditions of life, harm reduction and risk prevention, working in the health sector, social security and assistance. The focus of this research took on the elderly assisted by both the assistance and social security. The technique used was their storytelling about their lives and interviews being conducted in depth with nine seniors, and two of them from the Elderly Center Community a municipality in the Greater area of São Paulo and the other members from the Health Centre Samuel Barnsley Pessoa (CSEB), located in Butantã- São Paulo. From the narratives were created four themes: I) Female Work x Male Work; II) Social Benefit / Retirement: social right or philanthropy; III) Active Ageing: ideology or possibility and IV) Pathways of Life: Migration in Stories. The analyses were based on the precepts of the dialectic-hermeneutic. As a result, a female disadvantage when they reach old age was observed, as domestic work is not used for retirement purposes and, in most cases, lifelong developed autonomous work, so their source of income is limited to the BPC or retirement age. Many of the elderly are in caregivers position becoming responsible to look after their children and grandchildren in their homes. They become providers and most times the main source of income comes from them instead using their unique resource from the social security benefits. It was found that monetary values are insufficient to break the cycle of poverty, provide subsidies only to guarantee the minimum social standards in order to cover their needs. In order to be able to survive economically, many seniors remain active in the labor market - in order to supplement the income - linked to desire for recognition, satisfaction and sense of feel socially useful.
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Efrem, Micheline. "Vers une institutionnalisation du droit de l'aide et de l'action sociales au Liban à la lumière de l'expérience française." Thesis, Paris 2, 2018. http://www.theses.fr/2018PA020021/document.
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L’exclusion sociale est aujourd’hui l’une des questions sociales majeures de nos sociétés, qu’elles soient développées ou en voie de développement.En France, le régime de l’aide et de l’action sociales a connu, au fil des temps, une évolution importante, aux niveaux juridique, administrative et financière, au terme de laquelle ce pays a pu assurer à toutes les personnes en situation d’exclusion une aide sociale destinée à répondre à leurs besoins primordiaux, et une action sociale visant à leur permettre d’améliorer ladite situation.Au Liban, l’aide et l’action sociales, règlementées par quelques textes éparpillés, demeurent jusqu’ici en grande partie l’oeuvre des associations caritatives et institutions religieuses, en l’absence de plan social adopté par l’État dans ce domaine.La présentation de l’expérience française, très riche en la matière, permet d’offrir de nouvelles perspectives en vue de la mise en place au Liban d’un régime socio-juridique d’aides et d’actions en faveur notamment de la famille, de l’enfance, des personnes handicapées, des personnes âgées dépendantes et d’autres. Grâce à l’institutionnalisation d’un droit de l’aide et de l’action sociales, le Liban pourrait ainsi évoluer vers un « État social », c’est-à-dire un État qui reconnaît et garantit des droits sociaux à chacun et à tousSocial exclusion is today one of the major social issues of our societies, whether developed or developing. In France, the system of social assistance and social action has, over time, undergone a significant evolution, at the juridical, administrative and financial levels, which has enabled it to ensure to all persons in situations of exclusion, social assistance to answer their primordial basic needs ; and social action to help them overcome the situation. In Lebanon, aid and social action, regulated by a few scattered texts, have so far largely been the work of charitable associations and religious institutions, in the absence of a social plan adopted by the State in this domain. The presentation of the French experience, very rich in the material and field, allow to offer new perspectives for the establishment in Lebanon of a socio-juridical regime and rule of aids and actions for the family, childhood, the disabled, dependent elderly, and others. Through the institutionalization of a social aid and social action law, Lebanon could evolve as a "Social State" that recognizes and guarantees social rights for everyone and for all
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Oubaya, Nadia. "Mesure de la fragilité chez les personnes âgées vivant à domicile : intérêt et outils." Thesis, Reims, 2018. http://www.theses.fr/2018REIMS029.
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L’objectif de la thèse était d’effectuer la validation psychométrique de la grille de fragilité SEGA modifiée (Short Emergency Geriatric Assessment) chez des sujets âgés vivant à domicile. Nous avons mené une étude longitudinale prospective dans deux régions françaises, incluant des sujets de 65 ans ou plus, vivant à domicile. Nous avons étudié l’acceptabilité et la faisabilité de l’instrument, sa validité de structure, sa fiabilité, sa validité discriminante, ainsi que sa capacité prédictive. Au total, 167 patients ont été inclus. Ils étaient âgés de 77 ± 7 ans, avec une majorité de femmes (70,7%). La faisabilité et acceptabilité du volet A de la grille SEGAm étaient excellentes : il n’y avait aucun refus de participation ni arrêt de passation, aucune donnée manquante ni aucun effet plancher ou plafond. Le temps moyen de passation était de 5,0 ± 3,5 min. Il s’agissait d’un outil unidimensionnel présentant une bonne cohérence interne (coefficient alpha de Cronbach à 0,68) et une bonne reproductibilité (coefficient de corrélation intraclasse à 0,88 pour le test-retest entre J0 et J7). La grille SEGAm avait également une très bonne capacité discriminante concernant l’état thymique, nutritionnel, l’équilibre, le niveau d’indépendance, et les comorbidités. La grille SEGAm avait une bonne capacité prédictive vis-à-vis de la perte d’indépendance ; le niveau de fragilité à l’inclusion était significativement associé à la perte d’indépendance à 12 mois (OR = 4,52 ; IC 95 % [1,40-14,68] ; p=0,01). La grille SEGAm nous apparaît comme un outil de choix dans la stratégie de dépistage de la fragilité en communauté, pour permettre la mise en place précoce d’interventions cibléesWe aimed to validate the modified version of the Short Emergency Geriatric Assessment (SEGAm) frailty instrument among elderly community-dwelling subjects. A longitudinal, prospective study was conducted in two French regions and subjects aged 65 years or more and living at home were included. For psychometric validation, feasibility, acceptability, internal structure validity, reliability, discriminant validity and predictive validity of the SEGAm instrument were studied. Overall, 167 patients were included. Average age was 77±7 years, the majority were women (70.7%). Feasibility and acceptability of the sheet A of the SEGAm instrument were excellent: no refusal to participate, no drop-out during administration, no missing items, no ceiling or floor effects were noted. Administration time was short (5.0±3.5 min). By factor analysis, the instrument proved to be unidimensional. It showed good internal consistency (Cronbach’s alpha coefficient: 0.68) and good test-retest (intra-class correlation: 0.88). Discriminant validity showed a significant difference for mood and depression risk, nutritional status, fall risk, dependency, and comorbidities. Frailty status at baseline was significantly associated with loss of autonomy at 12 months of follow-up (OR=4.52, 95% CI=1.40-14.68; p=0.01). The SEGAm appears to be an easy-to-use instrument that is particularly suitable for use in the community to identify frail elderly people who could benefit from early targeted interventions
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Toledo, Ana Cláudia Sônego de. "Tutelas de urgência para a efetivação dos direitos dos idosos /." Franca : [s.n.], 2007. http://hdl.handle.net/11449/89880.
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Orientador: Yvete Flávio da CostaBanca: Antônio Márcio da Cunha Guimarães
Banca: Riva Sobrado de Freitas
Resumo: O interesse pelos problemas da efetivação dos direitos, em especial, dos direitos dos idosos, após o advento do Estatuto do Idoso, Lei nº 10.741, de 1º de outubro de 2003, levou-nos à pesquisa de instrumentos para concretizar a obtenção dos referidos direitos. Após transpor as várias etapas da vida, os idosos encontram obstáculos econômicos, sociais e materiais para ter uma vida com dignidade, com respeito. A sociedade, a família e o Estado têm deveres para com os idosos, que se houvesse o reconhecimento natural de referidos deveres, não haveria a necessidade de positivar normas morais com escopo de proteção destes, pois são direitos humanos inerentes à sadia condição de vida. Reconhecidos os direitos nos planos constitucional e infraconstitucional, cabe a sua efetivação espontânea, ou através do Poder Judiciário. O processo civil é instrumento a aperfeiçoar e concretizar os direitos dos idosos. Porém, o fator tempo evidencia que os direitos não podem esperar. As tutelas de urgência do processo visam a abreviar a espera pela consecução dos direitos. A insuficiente política pública relacionada aos direitos dos idosos e a negação de recursos públicos para a consecução dos programas de apoio a eles são as justificativas mais freqüentes. Então, dentre os mais variados meios processuais cabíveis à proteção do cidadão, a tutela jurisdicional deve fazer valer os direitos humanos inerentes aos idosos, em face dos Poderes Públicos, da família do idoso e da sociedade.
Mestre
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Assis, Ana Maria do Rosario. "A aposentadoria por idade como instrumento de proteção social após o advento da constituição de 1988: uma questão de direitos humanos." Pontifícia Universidade Católica de São Paulo, 2010. https://tede2.pucsp.br/handle/handle/9119.
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Previous issue date: 2010-08-09The universal declaration of human rights is constituted as a starting point for the overall process of human rights and for the historical awareness that humanity has in relation to fundamental values built in the 20th century. The retirement age programme is a kind of benefit discussed in this dissertation because it is a tool for the protection of elderly people and in connection with the principle of dignity of human rights. Following this point of view, various aspects for the protection of elderly people will be analysed considering that due the legislation they are not capable to work. In order to demonstrate the importance of this kind of benefit, it is made a historical approach regarding elderly people's protection from old age onwards. In Brazil, the first instrument to protect elderly people was called act of sexagenarians and taking into account its importance for the older generations of slaves, it will be presented and discussed in this work, highlighting some socio political aspects which motivated the publication of the law 3270 in september 28, 1885. The church was a vehicle of expansion os social security around the world, reason why the historical aspects will be discussed briefly because they are important in order to understand the institution of the benefit and its evolution until social security was created, having unversality as vector for social protection. The higher point of this dissertation will the the retirement age programme and the law relation for social welfare protection making relevant the presentation of all those requirements needed for the worker's retirement, the way the benefit is calculated, improved, and going further into compulsory retirement. As a conclusion for this work, it will elaborate a panoramic analysis of international systems for human rights and the way those treats were absorbed in Brazil
A Declaração Universal dos Direitos Humanos constitui-se num ponto de partida para o processo global dos direitos humanos e à consciência histórica que a Humanidade tem dos próprios valores fundamentais construídos no Século XX. A aposentadoria por idade é a espécie de benefício discutida nesta dissertação, por ser um instrumento de proteção ao idoso e sintoniza-se com o princípio da dignidade da pessoa humana. É com este olhar que serão analisados diversos aspectos da proteção ao idoso que, por ficção legislativa, está incapacitado para o trabalho. Para melhor demonstração da importância desta espécie de benefício, fazse uma incursão histórica sobre a proteção à velhice desde a Antigüidade até os dias atuais. No Brasil, o primeiro instrumento de proteção ao idoso foi a Lei dos Sexagenários, e tendo em linha de conta a sua importância, a velhice dos escravos será apresentada neste trabalho acadêmico e discutida, panoramicamente, alguns aspectos sócio-políticos que ensejaram a publicação da Lei nº. 3.270, de 28 de setembro de 1885. A Igreja foi um veículo de expansão do seguro social no mundo, motivo pelo qual este momento histórico será debatido em breves linhas, por serem necessárias para a compreensão do instituto do seguro e sua evolução até o surgimento da seguridade social, tendo a universalidade como vetor da proteção social. A culminância desta dissertação será o tema da aposentadoria por idade e a relação jurídica de proteção previdenciária, oportunizando a apresentação de todos os requisitos necessários para a jubilação do trabalhador, a forma de cálculo do benefício, seu reajustamento, debruçando-se também sobre a aposentadoria presente estudo, será elaborada uma análise panorâmica do sistema internacional dos compulsória. Concluindo o direitos humanos e a internalização dos tratados dos direitos humanos no Brasil
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Nováková, Vendula. "Specifika marketingové komunikace cílené na seniory a nekalé praktiky vůči nim." Master's thesis, Vysoká škola ekonomická v Praze, 2013. http://www.nusl.cz/ntk/nusl-196545.
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This master thesis "Specifics of Marketing Communication Targeted on Seniors and Unfair Practices Against Them" aims to familiarize the reader with the ways and coercive methods by which traders force seniors to buy overpriced goods or services during the selling events or doorstep sales. Another aim is to identify the reasons that lead elderly to attend sales events, or use the services of door-to-door seller. Next, I will try to make recommendations to public authorities and elderly how to prevent unfair trade practices. The thesis also deals with legal regulations, the demographic situation and development, and manipulation.
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Carneiro, Francis Anne Teplitzky. "O sentido interno de coerência em mulheres com mais de 74 anos com e sem diagnóstico de cancro da mama." Master's thesis, ISPA - Instituto Universitário das Ciências Psicológicas, Sociais e da Vida, 2012. http://hdl.handle.net/10400.12/2284.
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Dissertação de Mestrado em Psicologia da SaúdeO envelhecimento engloba diversas perdas na dimensão biológica, psicológica e social, mas também inúmeros ganhos a ser enfatizados. Dado que o cancro da mama é o mais frequente no sexo feminino, o seu diagnóstico e tratamento apresentam um potencial de impacto significativo na estrutura psicológica e no Sentido Interno de Coerência (SIC) do indivíduo. Os objetivos desta investigação são os seguintes: (a) Analisar se existem diferenças significativas no SIC das idosas com cancro da mama, (b) Aferir a existência de relação entre o cancro de mama e o SIC de idosas e (c) Averiguar se idosas com cancro da mama apresentam diferenças significativas nas dimensões compreensibilidade, significância e gestão do SIC. A amostra é constituída por 124 idosas (74-96 anos), sendo que 62 participantes apresentam cancro de mama. Os instrumentos utilizados são i) o Questionário de caracterização socio-demográfico, ii) a Escala de Sentido Interno de Coerência e iii) o Mini-Exame do Estado Mental (MEEM). O grupo com diagnóstico de cancro da mama em remissão não apresentou diferenças significativas comparativamente ao grupo sem cancro da mama. A correlação entre o ‘SIC’ e o ‘Estatuto profissional’ (r = 0.827; p = 0.02) foi positiva e bastante elevada, a correlação entre o SIC e os ‘Rendimentos’ foi positiva e reduzida (r = 0.219; p= 0.02) e associação entre o SIC e os ‘Anos de escolaridade’ foi moderada (r = 0.391; p < 0.01). Apesar de o SIC não ter apresentado diferenças significativas nas mulheres idosas com e sem cancro da mama, este constructo parece estar associado a um elevado estatuto profissional e uma elevada escolaridade, mesmo em mulheres com cancro da mama com mais de 74 anos de idade. ------- ABSTRACT ------ Aging encompasses several losses in biological, psychological and social dimensions. Yet, innumerous gains should be emphasized. Since breast cancer is the most frequent cancer above feminine gender, its diagnosis and treatment presents a potential and significant impact on individual’s psychological structure and his Sense of Coherence (SOC). This research aims at: (a) Analyzing whether there are significant differences in elderly women’s SOC within breast cancer, (b) Assessing the relation between breast cancer and older women’s SOC and (c) Determining whether older women with breast cancer have significant differences in SOC’s dimensions (comprehensibility, significance and management). The sample consists of 124 older women (74-96 years-old), from which, 62 with breast cancer. The instruments utilized are: ii) the Sense of Coherence Scale, ii) the Mini- Mental Sate Examination (MMSE) and iii) demographics. There were no statistical significant differences between both groups (Group with breast cancer in remission and group without breast cancer). Correlation between ‘SOC’s total value’ and ‘professional status’ (r = 0.827; p = 0.02) was positive and very high, correlation between ‘SOC’s total value’ and ‘Income’ was positive and reduced (r = 0.219; p= 0.02) and correlation between SOC’s total value’ and ‘years of schooling’ was moderate (r = 0.391; p < 0.01). Although SOC’s value didn’t have significant differences between older women with and without breast cancer this construct seems to be associated to individual’s higher professional status and individual’s higher schooling even on women with breast cancer and with more than 74 years old.
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Gouttefangeas, Alice. "Le réseau d'obligations et la dette d'hébergement collectif des personnes âgées : Contribution à l'étude de la mobilisation du droit par les acteurs sociaux." Thesis, Lyon, 2016. http://www.theses.fr/2016LYSES047.
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Comme dans la plupart des pays européens, la population française est soumise au défi du vieillissement. Au I" janvier 2016, les personnes âgées de 60 ans ou plus représentaient 23 % de la population. Selon les projections les plus récentes, cette catégorie de personnes va continuer d'augmenter et représentera 30 % de la population à l'horizon 2060.Un grand nombre d'entre elles ne disposent pas des ressources nécessaires pour supporter le coût de l'hébergement collectif devenu souvent nécessaire, ce qui pose la question du financement de cet accueil.La présente étude propose de résoudre ce problème par l'analyse du réseau d'obligations construit autour de la personne âgée, à la fois débitrice du coût de l'hébergement collectif vis-à-vis de la structure d'accueil et créancière d'aliments vis-à-vis de la collectivité et de certains membres de sa famille. Le montant des créances alimentaires doit servir à couvrir le montant de la dette d'hébergement.Ce réseau d'obligations est mobilisé par les acteurs concernés pour obtenir l'extinction totale de la créance des établissements en respectant les recours et procédures prévus par le législateur ou par le juge. Néanmoins, ces techniques légalement encadrées ne permettent pas toujours d'atteindre l'objectif visé: les règles très strictes du régime de l'obligation alimentaire restreignent significativement les montants obtenus devant le juge aux affaires familiales.Sous l'impulsion des créanciers insatisfaits, la mobilisation du réseau d'obligations a donc dépassé le cadre organisé. De l'élaboration de barèmes de calcul jusqu'à la signature de contrats en passant par l'émission de titres exécutoires, la famille de la personnes âgée est sollicitée par des techniques diversifiées, plus ou moins légales, qui la privent de la protection du régime de l'obligation alimentaire mais qui permettent aux établissements créanciers d'augmenter leurs chances d'être payés intégralementAs in most of the European countries, the French population is facing the challenge of ageing. On January I st, 2016,23 % of the population was aged 60 years or aider. According to the most recent projections, this category is going to increase and will represent 30 % in 2060. A large number of them do not have sufficient resources to pay the price of the collective accommodation they often need.The present study proposes to salve this problem by analysing the network of obligations built around the elderly persan. She is the debtor of the cost of the collective accommodation but she also is the maintenance creditor towards the society and towards certain members ofher family. The amount of the maintenance claims has to caver the amount of the debt of accommodation. The concerned actors mobilise this network of obligations to obtain the extinction of the claim of establishments by respecting the legal remedies and proceedings planned by the legislator or by the judge. Nevertheless, these techniques legally organised do not always reach their goal : the legal regime of the maintenance obligation restrict significantly the amounts obtained in front of the family court.For this reason, the dissatisfied creditors decided to mobilise the network ofobligations in other ways. From the elaboration of calculation scales to the signature of contracts, including the issuance of enforceable titles, the family of the elderly is requested by diversified, more or less legal techniques, which deprive them of the protection of the regime of the maintenance obligation but which allow establishments creditors to increase their chances to be entirely paid
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Canto, Diego Eidelvein do. "A vulnerabilidade agravada do consumidor-idoso nos planos privados de assistência à saúde." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2017. http://hdl.handle.net/10183/170635.
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O presente trabalho analisa as relações de consumo nos planos privados de assistência à saúde a partir dos princípios da vulnerabilidade e da confiança. Aborda o contexto pós-moderno no qual este pacto está inserido e os reflexos que o avançar da idade podem trazer aos serviços médico-ambulatoriais. Analisa o tema a partir da doutrina, legislação e jurisprudência, investigando qual a resposta dada pelos operadores do direito para enfrentar os desafios que o agravamento da vulnerabilidade do consumidor-idoso traz aos planos e seguros de saúde. Busca verificar quais os instrumentos necessários para a tutela da saúde do idoso e de sua confiança, permitindo que ingressem nestes pactos com padrões mínimos e inderrogáveis de proteção, para que haja um desenvolvimento social harmônico e um crescimento econômico equilibrado desta importante parcela do mercado de consumo. Aborda a vulnerabilidade inerente à relação de consumo e a imprescindibilidade de uma hermenêutica jurídica adequada à proteção dos idosos nos contratos de planos e seguros de assistência à saúde, bem como a importância do diálogo das fontes para reconstruir a confiança dos consumidores-idosos. Examina o fenômeno crescente da judicialização da saúde suplementar no Brasil para o controle de cláusulas e práticas abusivas neste importante setor do mercado de consumo. Por fim, ressalta a necessidade de ações afirmativas no campo dos serviços privados médico-assistenciais através do diálogo das instituições como forma de reconstruir e reforçar a confiança do consumidor.The present work analyzes consumer relations in the healthcare plans and in the health insurance based on the principles of vulnerability and trust. It addresses the postmodern context in which this pact is inserted and the reflexes that advancing age can bring to the medical outpatient services. It analyzes this issue from the doctrine, legislation and jurisprudence, investigating the response given by legal operators to the challenges that the aggravation of the vulnerability of the elderly consumer can bring to health insurance and healthcare plans. It seeks to verify the necessary mechanisms to protect the health of the elderly and their confidence, allowing them to enter in these contracts with minimum and non-derogable standards of protection, so it can be had a harmonious social development and balanced economic growth of this important part of the consumer market. It discourses the vulnerability inherent in the relationship of consumption and the indispensability of proper legal interpretation to the protection of the elderly in healthcare plans and health insurance, and the importance of the dialogue of the sources to rebuild elderly consumer confidence. Examines the growing phenomenon of the development of the number of claims at the Judiciary, associated to matters related to health insurance and healthcare plans in Brazil and to the control of clauses and abusive practices in this important sector of the consumer market. Finally, it emphasizes the need for affirmative action in the field of private medical care services through institutional dialogue to rebuild consumer confidence and strengthen the principle of trust, contributing to a harmonious social development and balanced economic growth. Finally, it emphasizes the need for affirmative action in the field of private medical care services through institutional dialogue to rebuild consumer confidence and strengthen the principle of trust.
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Tisserand, Romain. "Mécanismes du rattrapage de l’équilibre et évaluation du risque de chute chez une population âgée autonome." Thesis, Lyon 1, 2015. http://www.theses.fr/2015LYO10240/document.
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La chute est un problème de santé publique qui touche principalement les personnes âgées. Nos travaux portent sur la caractérisation des stratégies biomécaniques et cognitives impliquées dans le maintien et le rattrapage de l'équilibre et qui permettent à une personne âgée d'éviter de chuter. En particulier, nous nous sommes intéressé à une population âgée, encore autonome et en bonne santé, dans le but d'identifier les personnes à risque et de permettre une intervention le plus tôt possible. Nous avons pu mettre en évidence que, dans cette population, les tests cliniques classiques ne permettent pas de bien discriminer les « chuteurs » des « non-chuteurs » et que le problème de la chute ne réside pas que dans une déficience musculaire mais aussi cognitive et/ou sensorielle qui affecte les réponses biomécaniques de rattrapage. Les tests les plus discriminants sont identifiés et un outil d'évaluation du risque de chute, permettant d'identifier rapidement les déficiences, est proposé. Enfin, nous fournissons des informations sur les mécanismes impliqués dans les pas protectifs, une stratégie d'équilibration prévalente mais peu évaluée dans les tests cliniquesFalling is a common and concerning health problem for the elderly population. This research work focuses on the characterization of the biomechanical and cognitive strategies involved in the balance maintain and balance recovery that help elderly to avoid a fall. Particularly, we interested in a community-dwelling elderly population, in order to identify the persons who are at risk of fall and suggest a forward preventive intervention. We show, for this population, that usual clinical tests do not well discriminate between “fallers” and “non-fallers” and that the fall problem is more concerned by cognitive and/or sensorial troubles than by muscular troubles that affect biomechanical responses. The most discriminant tests are identified and a risk of fall assessment tool is suggested to give informations about the deficient mechanisms. Finally, we provide informations about the mechanisms involved in protective steps, a prevalent balance strategy which not used in balance clinical assessments
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Toledo, Ana Cláudia Sônego de [UNESP]. "Tutelas de urgência para a efetivação dos direitos dos idosos." Universidade Estadual Paulista (UNESP), 2007. http://hdl.handle.net/11449/89880.
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O interesse pelos problemas da efetivação dos direitos, em especial, dos direitos dos idosos, após o advento do Estatuto do Idoso, Lei nº 10.741, de 1º de outubro de 2003, levou-nos à pesquisa de instrumentos para concretizar a obtenção dos referidos direitos. Após transpor as várias etapas da vida, os idosos encontram obstáculos econômicos, sociais e materiais para ter uma vida com dignidade, com respeito. A sociedade, a família e o Estado têm deveres para com os idosos, que se houvesse o reconhecimento natural de referidos deveres, não haveria a necessidade de positivar normas morais com escopo de proteção destes, pois são direitos humanos inerentes à sadia condição de vida. Reconhecidos os direitos nos planos constitucional e infraconstitucional, cabe a sua efetivação espontânea, ou através do Poder Judiciário. O processo civil é instrumento a aperfeiçoar e concretizar os direitos dos idosos. Porém, o fator tempo evidencia que os direitos não podem esperar. As tutelas de urgência do processo visam a abreviar a espera pela consecução dos direitos. A insuficiente política pública relacionada aos direitos dos idosos e a negação de recursos públicos para a consecução dos programas de apoio a eles são as justificativas mais freqüentes. Então, dentre os mais variados meios processuais cabíveis à proteção do cidadão, a tutela jurisdicional deve fazer valer os direitos humanos inerentes aos idosos, em face dos Poderes Públicos, da família do idoso e da sociedade.
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Ben, Hadj Mohamed Asma. "Réseau de capteurs sans fil comportementaux pour l'aide au maintien à domicile par la surveillance en habitat intelligent." Thesis, Toulouse 2, 2015. http://www.theses.fr/2015TOU20077/document.
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Ces dernières années, les réseaux de capteurs sans fil ont vu leurs champs d'applications s'élargir pour toucher plusieurs domaines dont celui de surveillance. En parallèle, le domaine à vocation médicale pour l'assistance aux personnes n’a pas manqué de s'intéresser lui aussi à cette technologie émergente face aux nombreux attraits qu'elle représente. C'est dans ce contexte que se situe notre travail de thèse. Nous nous intéressons à l'utilisation des réseaux de capteurs de type vidéo non intrusif pour la surveillance continue de personnes âgées évoluant dans leur environnement naturel. L’objectif est la proposition d’un système associant capteur vidéo et analyse intelligente locale, à un système de communication sans fil permettant la surveillance de personnes dans son habitat ou en milieu spécialisé. Nous désirons avant tout être capable d’identifier la personne surveillée et détecter son comportement, ses actions, ses mouvements afin d’agir sur son environnement via un système de communication sans fil et domotique, détecter une chute et émettre une alerte à travers le réseau. Une telle proposition, représente une solution avantageuse pour plusieurs raisons. Sur le plan économique, surveiller une personne âgée tout en la gardant dans son environnement normal permettrait de diminuer les charges d'assistance aux personnes en les traitant par un personnel spécialisé à l'hôpital ou à une maison de retraite. Un apport non négligeable est celui lié aux aspects psychiques et sociaux de la personne âgée, à qui cette surveillance discrète et imperceptible lui assure à la fois le sentiment de sécurité, de respect de la vie privée et d'autonomieIn recent years, wireless sensor networks have seen their fields of application expand to affect several areas, including monitoring. In parallel, the field medical projects to assist people did not fail to be interested in this emerging technology thanks to the attractions it represents. It is in this context that our thesis is subscribed. We are interested in the use of a non-intrusive video sensors network to monitor elderly people continuously in their natural environment. The objective is the proposal of a video sensor system combining local and intelligent analysis, a wireless communication system for monitoring people in their habitat or specialized environment. We want above all, to be able to identify and detect the monitored person's behavior as well as his actions and his movements to act on his environment via a wireless communication system and home automation. Then we aim to detect a fall and communicate an alert through the network. This proposal represents an advantageous solution for several reasons. Economically, monitor an elderly person while keeping it in his normal environment would reduce the charges of assistance to people by treating them with specialized staff at the hospital or a nursing home. A significant contribution is the one related to the psychological and social aspects of the elderly, to whom this discreet and invisible monitoring ensures both the feeling of security, respect for privacy and autonomy
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Ishii, Karine. "Le système de prise en charge des personnes âgées dépendantes : le Japon un modèle pour la France ?" Thesis, Paris 9, 2015. http://www.theses.fr/2015PA090032/document.
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Cette thèse étudie les politiques d’aide aux personnes âgées dépendantes à domicile menées au Japon, afin d’en tirer des enseignements pour la France. Nous développons notre étude à travers trois axes : i) l’analyse des différences entre le systèmes japonais et français dans l’organisation de l’aide publique et dans l’aide réellement perçue par les personnes en perte d’autonomie, ii) l’examen des barrières potentielles à l’accès aux aides publiques au Japon, iii) l’étude des conséquences de l’aide informelle sur l’emploi des femmes seniors au Japon. Dans cette perspective, nous avons effectué deux études qualitatives comparant les politiques japonaises et françaises, puis deux études micro-économétriques des comportements individuels et familiaux de prise en charge dans le contexte japonais. Ce travail met ainsi en exergue les spécificités des politiques menées dans les deux pays, et souligne les avantages et les faiblesses du modèle japonaisThis thesis focuses on the long term home care policies conducted in Japan, in order to draw lessons for France. Our analysis is developped through three topics : i) the analysis of the differences between the Japanese and the French systems in the public care organisation and in the care received by the elderly, ii) the examination of potential barriers to access to public elderly care in Japan; iii) the study of the impact of informal care on the labor participation of Japanese middle-aged women. In this regard, we carried two qualitatives studies comparing Japanese and French policies, and two microeconometrics studies of individual and family behaviour of caring in Japan. This study outlines the specificities of the policies conducted in both countries, and highlights the strenghts and weakness of the Japanese model
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Hege, Robin. "La régulation du marché de l'aide professionnelle à domicile pour les personnes âgées dépendantes." Thesis, Paris 1, 2018. http://www.theses.fr/2018PA01E006/document.
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Le marché de l’aide professionnelle à domicile pour les personnes âgées dépendantes en France est régulé. L’APA solvabilise une partie de la demande d’aide professionnelle à domicile tandis que certaines structures d’aide professionnelle sont tarifées et ont l’obligation de répondre à l’ensemble des demandes qu’elles reçoivent. Ces politiques de régulation sont décentralisées au niveau des Conseils départementaux et ont pour objectif de réduire les inégalités financières et géographiques d’accès à l’aide professionnelle à l’intérieur de chaque département. L’objectif de la thèse est de déterminer si ces politiques de réduction des inégalités intra-départementales conduisent à des inégalités interdépartementales. Le premier chapitre de la thèse utilise une enquête menée au niveau des Conseils départementaux afin de déterminer si la décentralisation des politiques de régulation conduit à une forte hétérogénéité de politiques entre départements. Le deuxième chapitre de la thèse analyse l’impact de l’hétérogénéité constatée. Ce chapitre propose une estimation de l’élasticité au reste à charge de la demande d’aide à domicile des personnes âgées dépendantes, à l’aide d’une enquête nationale. Le troisième chapitre de la thèse analyse, à l’intérieur d’un département, la répartition des financements publics en fonction des revenus et son impact sur les écarts de consommation. Pour cela nous utilisons des données de facturation d’un service d’aide à domicile. Enfin le quatrième chapitre de la thèse propose un modèle théorique de marché mixte, étudiant les effets de l’obligation de service d’une partie des structures du marché sur la qualité de l’aide offerteThe professional home-care market for the disabled elderly in France is regulated. The APA partially reimburses the professional home-care demand and the price of some home-care producers are fixed by the regulator. These producers must serve every area on the territory. The departmental councils set up these regulation policies. Their goal is to reduce financial and geographical inequalities in terms of access to home-care inside each department. Our thesis tries to determine if reductions of inequalities inside each department increase inequalities between department. The first chapter uses a departmental survey to check if the decentralization of regulation policies creates a heterogeneity between department. The second chapter aims to estimate the effects of the heterogeneity observed in the previous chapter on the home-care consumption. We use a national survey to estimate the price-elasticity of the professional home-care demand. The third chapter uses firm’s billing data to analyze the distribution function of the public support according to personal income and its impact on consumption. Finally, the fourth chapter presents a theoretical model of a mixed market where two firms compete on a market, one of which has a ubiquity constraint. The model studies the effect of this ubiquity constraint on the quality
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Michel, Juliette. "Les Centres Sociaux et Socioculturels et le vieillissement : Quels rôles comme acteurs du bien-vieillir dans les territoires ?" Thesis, Angers, 2019. https://tel.archives-ouvertes.fr/tel-03167598.
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Les Centres Sociaux et socioculturel offrent accueil, animation, activités et services à finalité sociale en proximité. Par leur histoire et leurs affiliations partenariales, ils sont des acteurs reconnus de l’animation de la vie sociale, des politiques familiales et de l’animation enfance/jeunesse. Depuis une dizaine d’années, les CSX se positionnent également comme des acteurs du «bien-vieillir» et de santé publique auprès de la population âgée. Cette thèse propose une réflexion autour de la place des Centres Sociaux comme acteurs gérontologiques de proximité dans un contexte d'évolution de l’action sociale sur le vieillissement illustré entre autres par la Loi d’adaptation de la société au vieillissement (2015), et face au défi démographique du vieillissement de la population. Pour cela, il s’agit d’interroger l’action des Centres Sociaux sur ce public ainsi que les enjeux de l’inscription de celle-ci dans le paysage gérontologique. Notre analyse est construite à plusieurs échelles allant de la considération du Bien-vieillir dans un Centre Social à celle dans les Centres Sociaux, en tant que réseau fédéré. Pour définir le rôle des Centres Sociaux comme acteurs du Bien-vieillir dans les territoires, il convient également de comprendre l’impact de leurs actions sur les populations, ainsi que la dimension territoriale de cet impact. Pour cela, nous interrogeons, entre autres, la notion d’«action en proximité». Enfin, le rôle des Centres Sociaux en tant qu’acteur du Bien-vieillir se comprend également par le regard que portent sur eux d’autres acteurs du champ du vieillissement. Les résultats présentés reposent sur l’utilisation de différentes méthodes qualitatives et quantitatives (entretiens, questionnaires, observations…) mises en place dans le cadre du projet I-CARE porté par l’Union Régionale des Centres Sociaux des Pays de la Loire dans lequel s’inscrit cette recherche par un dispositif CIFRESettlement and Neigboorhoods Centers (SNC) offer a local reception, animation, activities and social services. Through their history and their partnership affiliations, they are recognized as stakeholders social life animation, family policies and child/youth animation. For the past ten years or so, SNC have also positioned themselves as stakeholders in “well aging" and public health for the elderly population. This thesis proposes a reflection on the place of SNC as local gerontological stakeholders in a context of evolution of social action on ageing illustrated inter alia by the Law on the adaptation of society to ageing (2015), and in the face of the demographic challenge of an ageing population. To do this, it is necessary to question the action of SNC on this public as well as the stakes of its inclusion in the gerontological landscape. Our analysis is built on several scales ranging from the consideration of Well-aging in a SNC to that for SNC, as a federated network. To define the role of SNC as stakeholders of Well-aging in territories, it is also necessary to understand the impact of their actions on populations, as well as the territorial dimension of this impact. To do this, we question, among other things, the notion of "local action". Finally, the role of SNC as stakeholders in the field of Aging is also understood by the way other stakeholder actors in that field view them. The results presented are based on different qualitative and quantitative methods (interviews, questionnaires,observations, etc.) implemented as part of the I-CARE project carried out by the Union Régionale des Centres Sociaux des Pays de la Loire, which encompases this research through a CIFRE system
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Dantas, Jaylson GonÃalves. "AvaliaÃÃo do Programa de AÃÃo Integrada para o Aposentado â PAI: o caso do Projeto Integrado de PreparaÃÃo para a Aposentadoria-PIPA." Universidade Federal do CearÃ, 2013. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=11816.
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nÃo hÃEste trabalho de pesquisa tem por objetivo geral investigar se o Programa de AssistÃncia ao Idoso - PAI, por meio do Programa Integrado de PreparaÃÃo para a Aposentadoria - PIPA, patrocinados pelo Governo do Estado do CearÃ, tem como essÃncia cuidar e incentivar o idoso para uma atividade prazerosa e produtiva na aposentadoria, por meio de aÃÃes que nÃo sejam meramente lÃdicas e que, muitas vezes "infantilizam" essas pessoas, atravÃs de brincadeiras e atividades atà mesmo constrangedoras. Esta pesquisa adotou, como grupo empÃrico, uma amostra de 36 (trinta e seis) sujeitos participantes do citado programa, que se dispuseram, apÃs uma prÃvia autorizaÃÃo, a participar. Utilizou-se como metodologia a aplicaÃÃo de um questionÃrio composto de perguntas abertas e fechadas, cujos dados analisados permitiram traÃar o perfil socioeconÃmico dos sujeitos envolvidos, bem como perceber o alcance dos objetivos propostos pelo programa. De modo geral, os participantes, estÃo satisfeitos com o programa e com as atividades oferecidas, constatando-se que os objetivos da pesquisa foram alcanÃados, uma vez que a investigaÃÃo deparou-se com um grande nÃmero de servidores que estÃo confiantes para enfrentar o fantasma da inatividade. Contudo, por se tratar de uma polÃtica pÃblica voltada para o bem estar dessa faixa da populaÃÃo, à importante frisar que como demanda pÃblica, pelo fato de nÃo ser estÃtica, requer avaliaÃÃes periÃdicas. No caso especÃfico do PIPA, surge a necessidade de que este estudo seja feito numa outra conjuntura, haja vista que a criaÃÃo e reformulaÃÃo de leis emanadas do Estado possibilitam uma realidade, hoje, que poderà ser diferente amanhÃ. Portanto, os participantes do PIPA sÃo servidores que se aproximam do tÃrmino do tempo de serviÃo e que poderÃo ser reinseridos na economia por vias de programas sociais, especialmente nesse momento de crise pelo qual passa o mundo, o Brasil e o Estado do CearÃ, onde o neoliberalismo està cada vez mais presente e os governos sentem a necessidade de evitar seus dÃficits.
This research aims at investigate whether the Assistance Program for the Elderly - PAI, by way of the Integrated Program of Retirement Preparation - PIPA, both sponsored by the Government of the State of CearÃ, has the essence of caring and encourage the elderly for a pleasurable and productive activity in the retirement, with actions that are not merely ludic and often "infantilize" these people, through games and activities, even embarrassing. This research adopted as empirical group, 36 (thirty six) subjects participating in the said program, who made themselves ready, after a prior authorization, to participate. It was used as a methodology the application of a questionnaire consisting of open and closed questions, which analyzed data allowed us to outline the socioeconomic profile of the individuals involved, as well as realize the scope of the objectives proposed by the program. In general, participants are satisfied with the program and the activities offered, revealing that the research objectives were achieved, since the research came across itself with a large number of servers that are confident to face the ghost of the inactivity. However, as it is a public policy for the welfare of this population group, it is important to emphasize that public demand, because it is not static, requires periodic evaluations. In the specific case of PIPA, arises the need for this study to be done in another conjuncture, considering that the creation and reformulation of laws issued by the State allow that a reality, today, may be different tomorrow. Therefore, the participants of PIPA are servers that are approaching the end of the period of service and may be reinserted into the economy by social programs, especially in this time of crisis in which the world passes, Brazil and state of CearÃ, where the neoliberalism is increasingly present and governments feel the need to avoid fiscal deficits.
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Guibert, Emile. "L'impensé de la maltraitance : du désaveu à la répétition institutionnelle en gériatrie." Phd thesis, Université Nice Sophia Antipolis, 2013. http://tel.archives-ouvertes.fr/tel-00918570.
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L'objectif de cette recherche a été de montrer comment l'impensé institutionnel de la maltraitance dérive d'une modalité spécifique du pacte dénégatif nommée pacte de désaveu, mettant en échec la déontologie et précipitant ainsi les sujets de l'institution dans une mise en acte répétitive du phénomène.Notre thèse s'articula autour de deux axes majeurs : un axe central autour du désaveu et un axe transversal centré sur la répétition. Celle-ci envisagée comme le corrélat du désaveu. L'examen de l'action de cet opérateur, à travers l'inquiétante étrangeté et la construction métaphoro-métonymique du Double, a permis de démontrer l'existence d'un pacte de désaveu, et l'enjeu de son utilisation lorsque son objet est la maltraitance dans une institution gériatrique : dissimuler l'existence de la maltraitance ; écarter la responsabilité de l'acte ; couvrir la participation des soignants à la maltraitance institutionnelle.L'existence d'un double désaveu a pu être mise en évidence : un désaveu de la parole du résident lié par circularité à un désaveu de l'acte de maltraitance. Ces deux désaveux se sont révélés comme secondaires, dans le sens de témoins d'un désaveu originel : le désaveu de la loi. Ce désaveu originel se basant sur une réalité fondamentale : la perte d'autonomie pouvant aller jusqu'à la grande dépendance.Ce premier axe de notre thèse a conduit nécessairement à prendre en compte un champ supplémentaire : la déontologie professionnelle en évaluant les effets et conséquences de ce désaveu dont nous avons fait mention. L'examen de la déontologie a conduit à formuler l'hypothèse d'une mise en échec de celle-ci, corrélée à cette opération de désaveu. Le second axe de recherche, transversal quand à notre problématique et dont le phénomène de répétition de l'acte de maltraitance constitue le corrélat, a permis de mettre en évidence avec quelle force contraignante, l'institution précipite ses sujets dans la répétition sous l'action du désaveu qui, en entravant la construction du souvenir, entraîne une impossible mise au passé de la maltraitance.
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Boudin, Bertrand. "L'acceptation des nouvelles technologies par les personnes agées." Thesis, Lyon 2, 2011. http://www.theses.fr/2011LYO20129/document.
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Dans les trente prochaines années la génération du baby boom va atteindre le troisième âge et participer au vieillissement de la société. Cette population aura un besoin massif d’aide et de soins dont il n’est pas garanti que l’on puisse les assurer. Les nouvelles technologies adressées aux personnes âgées peuvent aider à résoudre ce problème mais pour cela il est indispensable que les aînés les acceptent. L’objectif de cette thèse est d’offrir un moyen de mesurer l’acceptation de ces technologies et de prédire leur utilisation. L’analyse de la documentation scientifique a permis d’identifier un modèle ayant les qualités requises pour cela, le modèle d’acceptation technologique proposé par Davis en 1989 (Technology Acceptance Model, TAM). Ce modèle se révèle parcimonieux et bien documenté mais il n’existait qu’en langue anglaise. D’autre part, la documentation scientifique montrait que la technologie la plus répandue parmi la population âgée et dépendante était la téléalarme. Ainsi, il a été décidé de traduire en français, adapter et valider un questionnaire issu du TAM pour prédire l’utilisation de la téléalarme par les personnes âgées dépendantes. Quatre études ont donc été menées, la première a consisté en une série d’entretiens, la deuxième en un questionnaire papier, et les deux dernières en un questionnaire par téléphone. Ce travail a abouti à l’obtention d’un instrument à dix items dont les qualités psychométriques se sont révélées acceptables. Le TAM fonctionne de la manière attendue il est donc possible de prédire l’utilisation de la téléalarme. Cependant deux limites doivent nuancer ces résultats, la première est que les études réalisées sont transversales ce qui empêche de parler de validité prédictive, la seconde et la modeste variance expliquée du questionnaire en français comparativement aux résultats publiés. En conclusion, le modèle doit s’enrichir de concepts spécifique à la population âgée afin d’affiner ses prédictionsIn the next thirty years the baby boomers are going to reach the third age and participate in the ageing of the whole French society. But no one can guarantee that their massive need of assistance and care will be provided. Information and communication technologies have the potential to help the elderly but only if they accept it. The aim of this thesis is to build a tool to assess the acceptance of these technologies and to predict their use. The scientific literature analysis revealed that the technology acceptance model proposed by Davis in 1989 had all the required qualities to build this tool. This model shows itself parsimonius and well documented but only existed in English. According to the literature the most widespread technology among the dependent elderly was the warning alarm. Thus, it was decided to translate into French, to adapt and to validate a questionnaire stemming from the technology acceptance model to predict the use of the warning alarm by dependent elderly. Four studies were thus led, the first consisted in a series of qualitative interviews, the second used a paper a pencil questionnaire, and both last ones in a phone questionnaire. This work ended in a ten items instrument with acceptable psychometric properties. The technology acceptance model works as expected and thus it is possible to predict the use of the remote alarm by dependent elderly. However, two shortcomings have to qualify these results, first the studies presented are cross-sectional which prevents from testing predictive validity, second the amount of explained variance by the questionnaire in French is limited compared with the published results. Finally, the model need to incorporate elderly specific constructs in order to make more accurate predictions
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Kohler, Robert. "Etat des lieux de la Médiation animale dans les Etablissements d'hébergement pour personnes âgées dépendantes en France : De la théorie vers la conception d’un cahier des charges." Thesis, Lyon 3, 2011. http://www.theses.fr/2011LYO30044.
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Nous nous interrogeons sur les enjeux de la présence animale au sein d’une institution médico-sociale pour tenter de répondre aux controverses juridiques, mais également managériales, que soulève cette question. Notre questionnement s’inscrit dans une évolution sociétale favorable à la reconnaissance citoyenne de la personne âgée dépendante, et plus particulièrement dans ses droits sociaux et culturels. Notre problématique renvoie aux questions essentielles sur le pouvoir d’une personne vieillissante de décider elle-même de la conduite de sa vie. C’est ce que nous étudions au travers de cet outil particulier, mais symptomatique en milieu institutionnel, qu’est l’animal d’accompagnement social.Nous débutons notre travail autour d’une réflexion pratique et théorique d’un projet d’introduction d’un chien éduqué dans un établissement d’hébergement pour personnes âgées dépendantes. Nous y abordons tout d’abord les questions liées à la connaissance et à la compréhension des usagers que les activités de médiation animale mettent en exergue (1ère partie), puis à partir de ce constat, de développer les aspects managériaux qui s’y trouvent liés en leurs propensions à insérer un projet dans un cadre institutionnel et en leurs facultés d’introduire un nouvel espace de réflexion et de construction du sens (2ème partie) - le résumé de l’ensemble de ces éléments constituant le cahier des charges de la médiation animaleWe are researching the implications of animal assisted therapy within a social care facility in an attempt to respond to the legal and managerial controversies surrounding the scheme. Our research is part of a societal trend towards recognizing the citizen rights of dependent elderly people, and in particular their social and cultural rights. We are studying important questions relating to the power of ageing people to make their own decisions about their lives. That is our main aim in researching the use of companion animals, which may be a revealing tool when used in an institutional setting.We will begin our work by discussing the practical and theoretical implications of the plan to introduce a trained dog into a nursing home for dependent elderly people. We will first discuss the issues related to the knowledge and understanding of the users which will be highlighted through animal assisted therapy (1st part). Secondly, we will develop the managerial implications related to the implementation of this idea in an institutional framework and the possibility of introducing a new space for reflection and the construction of meaning (2rd part). These elements will be used to develop specifications for the animal assisted therapy project
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Brito, Silvia Jeni Luiz Pereira de. "O acesso ao Benefício de Prestação Continuada no município de Campinas(SP): desafios para sua consolidação como direito socioassistencial." Pontifícia Universidade Católica de São Paulo, 2009. https://tede2.pucsp.br/handle/handle/17984.
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Previous issue date: 2009-05-18Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
This research tried to highlight the inauguratory character of the Benefício de Prestação Continuada - BPC (Cash Transfer Program) as a no-contributory social right in a country which historically had as its mark a regulated citizenship and therefore waged work and social protection for its population were never made universal. The analysis made located the historical movement of the conquest of this right in the cultural, political and social Brazilian dynamic that displaces the poor from their citizenship condition, struggled to approve the BPC in the Constitutional Convention, from which the 1988 Federal Constitution was originated, as well as discussed thoroughly the ambiguities that pass throughout the very own history of the social work in the Brazilian society. In the perspective to discuss thoroughly and contribute to the BPC consolidation, this study analyzed the support and resistance power in the process of the BPC constitution, discussed the nature of this benefit in the bounds of social work and identified the attempts of dismemberment and retrocession that surrounded its definition and implementation. It was also possible to think about BPC in its articulation with Unified System for Social Assistance - SUAS, its challenges and possibilities to include its beneficiaries in programs, projects and social work services. It's assumed that the social work is bound to social protection fields as one of the social politics that constitutes the Brazilian Social Security. Being so, to assume that the social protection as a right to all citizens expresses a rupture of a culture that forwards social rights to waged work, defining a new relation between the state and the society based on the conception of universal citizenship. From Campinas, SP, focusing on the BPC beneficiaries - elderly and disabled people and their interlocutors; this study tried to demonstrate the BPC perception as a social assistance right, highlighting the conditions of access and maintenance of this benefit, an identification of its expenses by the beneficiaries, its articulation with CRAS (Social Reference of Social Assistance Center), the social control and its interfaces with INSS (Social Security) related to its operationalization. As well as methodological procedures, documental and bibliographic research, this essay was based on empiric research with a qualitative approach and semi-structured interviews with BPC beneficiaries, social workers who work for CRAS (Social Assistance Reference Center), social workers responsible for the revision of this benefit in Campinas city, INSS (Social Security) solicitor and members of the City Council for the elderly and the disabled. The produce of this work is displayed in four chapters and the results show a fragile vision about BPC as a social assistance right with constitutional base, a consequence of a political culture with low inscription in the fields of human rights
Esta pesquisa procurou ressaltar o caráter inaugural do Benefício de Prestação Continuada BPC como um direito social não-contributivo, num país que historicamente teve como marca a cidadania regulada e que, portanto, nunca universalizou o trabalho assalariado e a proteção social para toda a população. A análise empreendida situou o movimento histórico de conquista deste direito na dinâmica cultural, política e social brasileira, que destitui o pobre da condição de cidadania, retomando os embates para a aprovação do BPC na Assembléia Constituinte que deu origem à Constituição Federal de 1988, bem como discutiu as ambigüidades que perpassam a própria historicidade da assistência social na sociedade brasileira. Na perspectiva de problematizar e contribuir para a consolidação do BPC, este estudo analisou as forças de apoio e resistência no processo de sua constituição, discutiu sua natureza no âmbito da assistência social e identificou as tentativas de desconstrução e retrocesso que cercaram a sua definição e implementação. Também foi possível refletir sobre o BPC em sua articulação com o Sistema Único de Assistência Social SUAS, os desafios e possibilidades para inclusão dos seus beneficiários em programas, projetos e serviços socioassistenciais. Partiu-se do pressuposto de que a assistência social se vincula ao campo da proteção social como uma das políticas sociais que compõem a seguridade social brasileira e que, desse modo, assumir a proteção social como direito de todos os cidadãos expressa a ruptura com uma cultura que remete direitos sociais ao trabalho assalariado, demarcando uma nova relação entre o Estado e a sociedade fundada na concepção da cidadania universal. A partir de dados coletados no município de Campinas (SP), focalizando-se os beneficiários do BPC idosos e pessoas com deficiência e seus interlocutores, buscou-se demonstrar a percepção do BPC enquanto direito socioassistencial, enfatizando as condições de acesso e manutenção deste benefício, a identificação do seu gasto pelos beneficiários, sua articulação com os Centros de Referência de Assistência Social CRASs o controle social e as interfaces com o INSS, no que diz respeito a sua operacionalização. Como procedimentos metodológicos, além da pesquisa documental e bibliográfica, a dissertação apoiou-se em pesquisa empírica com uma abordagem qualitativa, realizando-se entrevistas semi-estruturadas com beneficiários do BPC, assistentes sociais que trabalham nos CRASs, assistentes sociais responsáveis pela revisão do benefício na cidade Campinas, procuradores do INSS e membros dos conselhos municipais do idoso e da pessoa com deficiência. O produto deste trabalho está disposto em quatro capítulos e os resultados indicam uma frágil visão do BPC como direito socioassistencial de base constitucional, conseqüência de uma cultura política de baixa inscrição no campo dos direitos humanos
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Benaim, Anne. "Vieillesse et fragilité : le parcours et le devenir des personnes âgées de 75 ans ou plus hospitalisées pour fracture du col du fémur à Strasbourg." Thesis, Strasbourg, 2015. http://www.theses.fr/2015STRAG020/document.
Full textAbstract:
L’état de santé des personnes âgées se dégrade, les niveaux de dépendance s’accroissent, induisant de profondes conséquences sur l’organisation sanitaire en France. Les fractures du col du fémur illustrent ce défi au regard de leur fort impact sur la qualité de vie et sur la morbi-mortalité des patients. Notre étude quantitative et qualitative, (Jan. 2012 - Jan. 2013) au sein du principal service de chirurgie orthopédique d’Alsace, a permis de retracer le parcours de soin de 107 patients âgés de 75 ans et plus. Notre principale conclusion est que le patient n’a que très peu de place dans le processus décisionnel de son parcours de soin. Cela est d’autant plus dommageable que cette fracture revêt une double signification: physique (besoin d’assistance accrue) et symbolique (dépendance anticipée). Notre étude interactionniste permet de dégager des pistes d’actions opérationnelles dans les domaines sanitaires, politiques et éthiques afin de limiter les effets délétères de cette pathologieIn a context of depressed health-conditions for elderly people, the levels of dependency are rising. It induces deep consequences for the entire health care organisation. For instance, the fractures of the femoral neck (FFN) represent a healthcare challenge regarding their strong impact on patients’ quality of life and on their morbity-mortality. We conducted a qualitative and quantitative study (Jan. 2012- Jan. 2013) within the main department of orthopedic surgery in Alsace in order to track the healthcare paths of 107 patients of 75 years-old or more. Our main conclusion is that patients are poorly involved in the decisions for their care. This is all the more harmful because the FFN is in fact dual. It is both a physical (higher assistance needed) and a symbolic (earlier dependency) breakage. Our interactionist study identifies areas for pragmatic actions in health-care, public policies and ethic that could contribute to absorb / reduce the pernicious effects of this pathology
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Holmedal, Samuel. "Förslag till reform av den upphovsrättsliga skyddstiden : En argumentsorienterad studie över skyddstidens längd." Thesis, Uppsala universitet, Juridiska institutionen, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-248067.
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