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Academic literature on the topic 'Senile dementia – Patients – Family relationships'
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Journal articles on the topic "Senile dementia – Patients – Family relationships"
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Wiegersma, Sjoerd, Emmy Van Dongen, and Hans Lomans. "Errors of Free Recall in Senile Dementia." Perceptual and Motor Skills 63, no. 2 (October 1986): 617–18. http://dx.doi.org/10.2466/pms.1986.63.2.617.
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Errors made in the free recall of nouns by patients with senile dementia were classified as to their paradigmatic, phonological, or syntagmatic relationships with presented words. Dementia patients at four levels of dementia severity made relatively more paradigmatic errors than normals. Syntagmatic errors only occurred for greater severity. Such errors show the relative preservation in dementia of semantic knowledge about words as well as the decreased paradigmatic and syntagmatic discriminability of words.
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Sun, Wei, Jinxia Liu, Lihua Liu, and Xiuzhi Wang. "Management Strategy of Alzheimer’s Patients under the Medical-Care Integration Model Based on Big Data Evaluation." BioMed Research International 2022 (October 11, 2022): 1–11. http://dx.doi.org/10.1155/2022/9896935.
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In the context of the era of big data, the management of Alzheimer’s patients has aroused widespread concern in the society. What should the elderly and people with dementia do and how the society should accommodate these special groups have aroused heated discussions in the society. The goal of the medical-nursing integration model is to realize the integrated model of medical care-nursing-rehabilitation-old care, and to better satisfy the needs by providing medical services, rehabilitation care, and health management. The medical needs of the elderly can help the elderly maintain a healthy state; the elderly care needs can be better met through elderly care services, and the burden on families and society can be reduced. With the advancement of the medical-care integration model, new solutions have been provided for the management of senile dementia patients. Therefore, under the medical-care integration model, this paper managed Alzheimer’s patients based on the big data algorithm based on association rules and compared it with the management of Alzheimer’s patients under the traditional model, and drew the following conclusions: compared with the management satisfaction of Alzheimer’s patients under the traditional model, family members and patients’ total satisfaction with nursing management under the medical-care integration model was greatly improved; compared with the management of Alzheimer’s patients under the traditional model, the incidence of adverse events in the management of Alzheimer’s patients under the medical-care integration model was greatly reduced, which was reduced to 17.6%; under the medical-care integration model, the anxiety and depression scores of the elderly patients with dementia decreased rapidly; under the medical-care integration model, the living ability of senile dementia patients has been greatly improved; the use of the medical-care integration model to manage senile dementia patients has greatly improved the sleep quality, mental quality, and quality of life of senile dementia patients.
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Chen, Jiamin, Shuyan Zhao, Qinghong Chen, and Shanglong Yao. "Experience and Insights of Family Caregivers for Patients with Senile Dementia: A Qualitative Study." Health 13, no. 09 (2021): 1010–19. http://dx.doi.org/10.4236/health.2021.139076.
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Melkina, L. "Role of district nurse in the organization of care for elderly and senile patients with dementia." Medsestra (Nurse), no. 1 (January 1, 2020): 20–23. http://dx.doi.org/10.33920/med-05-2001-03.
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The article is devoted to the study of the problem of dementia in elderly and senile patients and the role of the district nurse in organizing care for patients and helping family members at home. In the practical part, the organization of work in the district and the analysis of statistical indicators in the district for 2018 are shown. Information material for patients and their families in the form of information notes have been created as a result of the work.
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Theuns, J., and C. Van Broeckhoven. "Genes for Alzheimer Dementia." Acta Neuropsychiatrica 11, no. 2 (June 1999): 60–62. http://dx.doi.org/10.1017/s0924270800036176.
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Alzheimer disease (AD), the most common form of dementia in the elderly, is rapidly becoming a major health problem in developed countries where the number of elderly people continuously grows due to improved medical care. Consequently, the number of AD patients is increasing and thus far no effective therapies are available. Clinically the disease can be diagnosed with 90% reliability on the basis of neurological examination, neuropsychological testing and brain imaging techniques. A definite diagnosis, however, requires the post-mortem detection of senile plaques (SPs) and neurofibrillary tangles (NFTs) in the brain. The SPs are extracellular deposits mainly composed of amyloid P (Ap) surrounded by dystrophic neurites. NFT are intraneural inclusions of paired helical filaments composed of hyperphosphorylated tau.Although age is the major risk factor for AD, population survey and family studies have provided substantial evidence that genetic factors are major contributors to the expression of AD.
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이은희. "A Study on the Level of Family Adaptation to Family Caregivers with Senile Dementia Patients: An Application of the Family Resiliency Model." Korean Journal of Gerontological Social Welfare ll, no. 39 (March 2008): 195–216. http://dx.doi.org/10.21194/kjgsw..39.200803.195.
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Pentzek, Michael, Michael Wagner, Heinz-Harald Abholz, Horst Bickel, Hanna Kaduszkiewicz, Birgitt Wiese, Siegfried Weyerer, et al. "The value of the GP’s clinical judgement in predicting dementia: a multicentre prospective cohort study among patients in general practice." British Journal of General Practice 69, no. 688 (October 8, 2019): e786-e793. http://dx.doi.org/10.3399/bjgp19x706037.
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BackgroundClinical judgement is intrinsic to diagnostic strategies in general practice; however, empirical evidence for its validity is sparse.AimTo ascertain whether a GP’s global clinical judgement of future cognitive status has an added value for predicting a patient’s likelihood of experiencing dementia.Design and settingMulticentre prospective cohort study among patients in German general practice that took place from January 2003 to October 2016.MethodPatients without baseline dementia were assessed with neuropsychological interviews over 12 years; 138 GPs rated the future cognitive decline of their participating patients. Associations of baseline predictors with follow-up incident dementia were analysed with mixed-effects logistic and Cox regression.ResultsA total of 3201 patients were analysed over the study period (mean age = 79.6 years, 65.3% females, 6.7% incident dementia in 3 years, 22.1% incident dementia in 12 years). Descriptive analyses and comparison with other cohorts identified the participants as having frequent and long-lasting doctor–patient relationships and being well known to their GPs. The GP baseline rating of future cognitive decline had significant value for 3-year dementia prediction, independent of cognitive test scores and patient’s memory complaints (GP ratings of very mild (odds ratio [OR] 1.97, 95% confidence intervals [95% CI] = 1.28 to 3.04); mild (OR 3.00, 95% CI = 1.90 to 4.76); and moderate/severe decline (OR 5.66, 95% CI = 3.29 to 9.73)). GPs’ baseline judgements were significantly associated with patients’ 12-year dementia-free survival rates (Mantel–Cox log rank test P<0.001).ConclusionIn this sample of patients in familiar doctor–patient relationships, the GP’s clinical judgement holds additional value for predicting dementia, complementing test performance and patients’ self-reports. Existing and emerging primary care-based dementia risk models should consider the GP’s judgement as one predictor. Results underline the importance of the GP-patient relationship.
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Wang, Qiong. "Computer Internet of Things-Based Intelligent Medical System to Be Applied in Home Care of Senile Dementia Patients." Wireless Communications and Mobile Computing 2022 (May 9, 2022): 1–12. http://dx.doi.org/10.1155/2022/1374835.
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It was to explore the accuracy of intelligent home medical system based on Internet of Things (IoT) technology and its application value in home care of senile dementia patients. Based on IoT, 5th generation wireless systems (5G), and smart wearable technology, intelligent home medical system was designed from the perspectives of system environment and system design. Smart wearable technology-based wearable smart clothes could recognize and collect electrocardiosignal, breathing signal, body sway signal, and body temperature signal. The data were transmitted to the application layer through the information transmission and processing modules of middle layer, and the extraction accuracy of behavioral features and behavior correct recognition rate of the system were analyzed. 64 senile dementia patients treated in the hospital between January 2019 and June 2020 were selected as the research objects. They were divided into control group (routine family care) and observation group (intelligent medical care system) according to different nursing methods. Each group included 32 cases. Activity of daily living (ADL) scores, nursing satisfaction, and the accidents during care of the patients in two groups before and after care were summarized. The results showed that the behavioral feature extraction accuracy of intelligent home medical system was above 74.59% and its correct recognition rate of different behaviors reached over 98.5%. ADL score in the observation group was lower than that in the control group 3 months after care ( P < 0.05 ). ADL score in the observation group was significantly lower than that in the control group ( P < 0.01 ) 6 months after care. The satisfaction of the observation group was 78.13% (25 cases), which was remarkably higher than that of the control group (31.25%, 10 cases) ( P < 0.001 ). The total satisfaction of the observation group amounted to 93.75% (30 cases), which was higher than that of the control group (68.75%, 22 cases) ( P < 0.01 ). The total incidence of accidents in the control and observation groups was 28.13% and 3.13%, respectively. Obviously, the total incidence of accidents in the observation group was higher than that in the control group ( P < 0.001 ). The above results showed that the established intelligent medical care system demonstrated potential application values in home care, which provided a new idea for the nursing methods for senile dementia patients.
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Wollney, Easton N., Melissa J. Armstrong, Noheli Bedenfield, Monica Rosselli, Rosie E. Curiel-Cid, Marcela Kitaigorodsky, Ximena Levy, and Carma L. Bylund. "Barriers and Best Practices in Disclosing a Dementia Diagnosis: A Clinician Interview Study." Health Services Insights 15 (January 2022): 117863292211418. http://dx.doi.org/10.1177/11786329221141829.
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The vast majority of individuals with dementia want to receive a diagnosis. Research suggests, however, that only a fraction of individuals with dementia receive a diagnosis and patients and families often feel the information is poorly explained. We thus aimed to assess clinician-reported barriers to dementia disclosure and recommendations for giving a dementia diagnosis. To accomplish this, we performed telephone interviews with 15 clinicians from different specialties using a semi-structured interview guide. Transcripts were analyzed thematically. Clinician-reported barriers fit 3 categories: patient and caregiver-related barriers, clinician-related barriers, and barriers related to the triadic interaction. Patient and caregiver-related barriers included lack of social support, misunderstanding the diagnosis, and denial. Clinician barriers included difficulty giving bad news, difficulty communicating uncertainty, and lack of time. Triadic interaction barriers included c hallenges meeting multiple goals or needs and family requests for non-disclosure. Recommendations for best practice included for clinicians to foster relationships, educate patients and family, and take a family-centered approach. Clinicians described recommendations for fostering relationships such as using empathic communication and developing and maintaining connection. Educating patients and families included tailoring communication, explaining how the diagnosis was reached, and following up. Family approaches included meeting with family members prior to delivering the diagnosis and involving the caregiver in the discussion. Findings may inform updated recommendations for best practices when communicating a dementia diagnosis.
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Sidenkova, A. "Correlation of neurotrophic and neuropsychological parameters in alzheimer’s disease." European Psychiatry 64, S1 (April 2021): S134. http://dx.doi.org/10.1192/j.eurpsy.2021.371.
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IntroductionAlzheimer’s disease (AD) is a neurodegenerative pathology that develops mainly in elderly and senile people. Disruption of BDNF transport or suppression of its production appears to be typical for people of old age.ObjectivesObjective: To investigate the influence of Alzheimer’s disease on the secretion of brain factors and correlate with neuropsychological profiles.Methods12 men (2) and women (10) with Alzheimer’s disease were examined. The average age of the subjects was 76.25 + 4.89. Methods: MMSE, ADAS-COG, laboratory - BDNF was performed using the G7611 BDNF Emax (R) ImmunoAssaySystem 5 x 96 wells, BDNF Emax® Immunological test.Results2 patients have mild dementia, 8 patients have moderate dementia, 2 patients have severe dementia. The average age of patients with mild dementia was 72.0 + 1.0. The average MMSE score is 16.7 + 3.4. Correlation analysis showed a close relationship between a pronounced decrease in memory in memory tests (ADAS-COG) and a pronounced decrease in blood BDNF content (r = 0.676). A close statistically significant relationship was found between a low result of the recognition test and a low blood BDNF content (r = 0.598).Conclusionswe assume that blood BDNF is a marker of pathologically accelerated aging of the central nervous system, since low test results for mnestic function are an indicator of severe degeneration in Alzheimer’s diseaseDisclosureNo significant relationships.
Dissertations / Theses on the topic "Senile dementia – Patients – Family relationships"
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Henschel, Peter W. (Peter William). "Distress and Causal Attributions Associated with Caring for Family Members with Senile Dementia." Thesis, University of North Texas, 1993. https://digital.library.unt.edu/ark:/67531/metadc501261/.
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A sample of 22 persons who care for relatives exhibiting initial symptoms of senile dementia were administered paper-and- pencil questionnaires to determine their level of subjective burden and psychological symptomatology. Each participant's attributional style was measured on an internal-external dimension, and their causal attributions regarding their relative's symptomatic behaviors were assessed. Results indicated that attributional style did not predict specific attributions about illness-related behaviors, but the tendency to not blame an afflicted relative for their behavior was predictive of subjective burden and symptoms of depression and anxiety. Subjective burden was found to predict feelings of hostility in caregivers.
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Chung, Yin-kwan Carol. "Stress, appraisal, coping and perceived social support as predictors of mental health outcomes of spouse-caregivers of persons withdementia." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1998. http://hub.hku.hk/bib/B29697888.
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Deist, Melanie. "Resilience factors in families caring for a family member diagnosed with dementia." Thesis, Stellenbosch : Stellenbosch University, 2013. http://hdl.handle.net/10019.1/80360.
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Thesis (MA)--Stellenbosch University, 2013.ENGLISH ABSTRACT: Dementia is a chronic illness characterised by the progressive deterioration of cognitive functions. Patients diagnosed with dementia are most often cared for by family members. Families caring for dementia patients are faced with tasks that are physically exhausting and psychologically distressing. Nevertheless, some families show resilience and are able to overcome the adversity of the illness. This study aimed to identify and explore the resilience factors these families utilised to rise above the hardships faced when caring for a demented family member. The study was based on McCubbin and McCubbin’s (1996) Family Resiliency Model of Family Stress, Adjustment and Adaptation and Walsh’s (2002, 2003) Family Resilience Framework. A mixed-methods approach was followed to collect data from a convenience sample drawn from the Cape Metropolitan area in the Western Cape, South Africa. The study sample comprised of families in which either a spouse (n = 44) was caring for a partner with dementia or adult children (n = 47) were caring for a parent with dementia. The family resilience factors of these subgroups were explored separately and were compared with each other. The quantitative data analysis was conducted using analyses of variance (ANOVA), Pearson’s product-moment correlation coefficients, and a best-subsets multiple regression analysis. Qualitative data were analysed using thematic content analysis. These analyses revealed that positive communication patterns, acceptance, optimism, family hardiness, family connectedness, and the effective management of symptoms facilitated family adaptation in both the spouse and child subgroups. Negative patterns of communication within the family was the only variable that was inversely related to family adaptation in both family subgroups. The level of adaptation in the different family subgroups did not differ significantly, but the subgroups did differ slightly in terms of their communication patterns, coping strategies and social support avenues utilised. In addition to expanding the current literature regarding family resilience, the body of information collected in this study could be used to help families caring for dementia patients to create a family environment that maximises adjustment and adaptation. The results could also be used in the development and evaluation of intervention programmes tailored to the needs of these family subgroups.
AFRIKAANSE OPSOMMING: Demensie is 'n chroniese siekte wat gekenmerk word deur die progressiewe agteruitgang van kognitiewe funksies. Pasiënte wat met demensie gediagnoseer word, word meestal deur familielede versorg. Gesinne wat sorg vir demensiepasiënte word gekonfronteer met take wat fisies uitputtend en sielkundig ontstellend is. Tog toon sommige families volharding en is hulle in staat is om die teëspoed van hierdie siekte te oorkom. Hierdie studie het gepoog om die veerkragtigheidsfaktore te identifiseer en verken wat deur families wat 'n familielid met demensie versorg, aangewend word om bo hulle omstandighede uit te styg. Die studie is gebaseer op McCubbin en McCubbin (1996) se Family Resiliency Model of Family Stress, Adjustment and Adaptation en Walsh (2002, 2003) se Family Resilience Framework. Beide kwalitatiewe en kwantitatiewe data-insamelingsmetodes is in hierdie studie gebruik. 'n Gerieflikheidsteekproef is uit die Kaapse Metropolitaanse gebied in die Wes-Kaap, Suid- Afrika gewerf en het bestaan uit gesinne waarvan eggenote (n = 44) vir hulle eggenoot met demensie sorg of volwasse kinders (n = 47) vir ’n ouer met demensie sorg. Die gesinsveerkragtigheidsfaktore van hierdie subgroepe is afsonderlik ondersoek en met mekaar vergelyk. Die kwantitatiewe data-analise is via variansieontleding (VARO), die berekening van Pearson se produkmoment-korrelasiekoëffisiënte, en beste-subset regressie-analises uitgevoer. Kwalitatiewe data is met behulp van tematiese inhoudanalise ontleed. Hierdie analises het getoon dat positiewe kommunikasiepatrone, aanvaarding van die situasie, optimisme, familie gehardheid, familie verbondenheid, en die doeltreffende bestuur van demensiesimptome familie aanpassing in beide die eggenoot- en kind-subgroepe gefasiliteer het. Negatiewe, opruiende kommunikasiepatrone binne die gesin was die enigste veranderlike wat in beide subgroepe 'n omgekeerde verwantskap met familie aanpassing gehad het. Die vlak van aanpassing in die verskillende familie subgroepe het nie beduidend verskil nie, maar die subgroepe het effens verskil in terme van hulle kommunikasiepatrone, streshanteringstrategieë, en bronne van sosiale ondersteuning. Die resultate van hierdie studie brei uit op die huidige literatuur oor gesinsveerkragtigheid en kan gebruik word om families wat vir demensiepasiënte sorg te help om 'n familie-omgewing te skep wat die gesin se aanpasbaarheid verbeter. Die resultate kan ook gebruik word in die ontwikkeling en evaluering van intervensieprogramme wat die behoeftes van hierdie subgroepe teiken.
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Achor, Sam Ndu. "Family visits or contact to dementia elderly at long term care facilities." CSUSB ScholarWorks, 2000. https://scholarworks.lib.csusb.edu/etd-project/1581.
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Tweedy, Maureen P. "Change in Depression of Spousal Caregivers of Dementia Patients." Thesis, University of North Texas, 2006. https://digital.library.unt.edu/ark:/67531/metadc5338/.
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Caring for a family member or loved one with dementia places a heavy burden on those providing the care. Caregivers often develop chronic depression because of having to deal with this burden. A great deal of literature has been published discussing coping effectiveness, effects of social support, and other internal and external means of support for the caregiver. However, little has been written about the changes, if any, in depression that the caregiver experiences after the termination of care, either through institutionalization or death of the person with dementia. This study examined whether there is a change in depression of spousal caregivers after institutionalization of the dementia care recipient as well as any changes in depression that may have occurred as a result of the death of the dementia care recipient. Two theoretical models, the wear and tear model and the adaptation model were discussed in terms of caregiver depression after institutionalization of the dementia care recipient. Two other theoretical models, the relief model and the stress model, were discussed in terms of caregiver depression after the death of the dementia care recipient. Datasets from the National Institute on Aging sponsored Health and Retirement Study were analyzed. Results indicate that both male and female spousal caregivers report an increase in depression after the institutionalization or death of the dementia care recipient, but that as time passes, males report a decrease in depression while females continue to report an increase in depression.
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Earnheart, Kristie. "Cardiovascular Problems as a Predictor of Later Cognitive Decline: Moderating Effect of General and Spousal Social Support." Thesis, University of North Texas, 2006. https://digital.library.unt.edu/ark:/67531/metadc5377/.
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Individuals are living longer now than they have in the past. As a result, there is an increased incidence in illnesses that are more prevalent in later life. One group of illnesses that is more prevalent is age related dementia. Alzheimer's disease (AD) and vascular dementia (VaD) are two common types of dementia found in the older adult population. Recent research suggests that these two types of dementia may both have a vascular component that is instrumental in their development. Not only may this vascular component be present in both these illnesses, but also it may be related to a more severe cognitive decline in the aging process. Results indicate that both cardiovascular disease and general and spousal social support in middle age are all three independent significant predictors of mild cognitive impairment and other non-normative cognitive impairment in later life. However, results do not indicate that social support moderates the relationship between cardiovascular disease and cognition.
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Robertson, Jane M. "Making sense and finding meaning : comparing narratives of older people with dementia and carers about the quality of an ordinary life." Thesis, University of Stirling, 2010. http://hdl.handle.net/1893/2530.
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This research examines narratives about the quality of everyday life with dementia. The aim of the study is to compare and contrast differing perspectives about the impact of ageing and dementia upon the lives of older people with dementia. A total of 50 interviews with six older people with dementia and ten family and paid carers were conducted over a two-year period. Narrative analysis was used to examine the content and structure of their accounts to understand their perspectives on what matters most to people living with dementia. This in-depth analysis enabled an exploration of different social concepts and narrative constructions that people draw upon in making sense of their experiences of caring and living with dementia. The analysis demonstrated that older people incorporate ageing and dementia into a continuing sense of self. Positive constructions of living with dementia involve the ability to lead a meaningful life that supports pre-existing social roles and relationships and active engagement within the family and community. The emphasis is on living an ordinary life while responding to the challenges associated with cognitive impairment and social stigma. For family and paid carers, perceptions of a meaningful life depend on how the identity of the older person with dementia is positioned relative to past social roles and relationships. Positive constructions assume continuity as opposed to focusing on disruption in the person’s identity and life. Carer perspectives are also influenced by how the person is perceived to conform to social standards of normality. The narratives of older people with dementia reflect their active struggle to find meaning in terms of realising their sense of self within a social world that largely defines them as different and out of the ordinary. The narratives of carers resonate with emotional difficulty, reflecting their struggle to make sense of a life that is not represented as essentially normal. These findings show that, for all, finding meaning in everyday life depends upon making sense of that life as normal and ordinary.
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Liu, Chin-Yi, and 劉錦螢. "Relationships between Mutuality and Role Strain from Caregiving Activities in Family Caregivers of Patients with Dementia." Thesis, 2006. http://ndltd.ncl.edu.tw/handle/55004920564901073743.
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碩士長庚大學
護理學研究所
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The purpose of this study was to explore the relationships between mutuality and role strain from caregiving activities in family caregivers of patients with dementia. This study used the cross-sectional design with purposive sampling. One hundred and twenty elderly persons with dementia and their family caregivers from the “memory clinics” at a medical center in the northern Taiwan participated in this study. Instruments were structured questionnaire including the Mutuality and the Role Strain from Caregiving Activities Scale, both developed by Archbold. The results indicated that mutuality and role strain from caregiving activities were below mild to moderate. Those family caregivers with children under age eighteen in household, and caregivers being daughter-in-law reported a worse mutuality. The predictors of role strain from caregiving activities, including mutuality, having hire personnel, and caregivers being daughter-in-law, predicted 27.2% of the total variances in overall role strain outcome. Family caregivers who reported worse mutuality predicted higher role strain from caregiving activities. Mutuality was the best predictor and was able to explain 10.6% of the variances in overall role strain outcome independently. The results of this study may help clinical nurses to understand mutuality and role strain from caregiving activities in family caregivers of patients with dementia. It may also provide guidance to development of individualized care plan and interventions to improve family caregivers’ ability, and was provide a reference for future research.
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Huang, Wen-Yu, and 黃文妤. "Effects of Group Art Therapy on Interactions and Relationships of Dementia Patients and Their Family Caregivers." Thesis, 2018. http://ndltd.ncl.edu.tw/handle/2t4hke.
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碩士臺北市立大學
視覺藝術學系
106
Recent studies on dementia patients and their caregivers shed light on the importance of interactions and relationships between the two. This research examines how group art therapy affects interactions and relationships between dementia patients and their family caregivers. Ten families, each containing a dementia patient and his/her family caregiver(s), were recruited into a group art therapy program designed to enhance interactions and relationships within family members. The program lasts 9 weeks, 1 session per week, 30 hours in total. After the program ends, 4 participants, who are caregivers and have child-parent relationships with the patients, are interviewed with a semi-structural questionnaire. Results show that the program affects interactions and relationships between dementia participants and their caregiving respondents by making the caregivers (1) contemplate the interactions and the relationships, (2) make self reflections and adjustments, (3) look deeper into the patients’ psyche, (4) promote the autonomy of the patients, (5) experience new interactions and relationships during the sessions, (6) experience affectionate interactions, (7) transcend losses and regrets, (8) discover meanings and wills for caretaking within child-parent relationships, (9) generate new mindsets facing life and the patients, (10) improve personal wellbeing, (11) obtain social supports and senses of belonging, (12) improve abilities of caretaking, (13) improve daily life interactions.
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Lee, Youjung 1977. "Korean American dementia caregivers' attitude toward caregiving: the role of culture." Thesis, 2007. http://hdl.handle.net/2152/3786.
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The purpose of this study was to explore how Korean American caregivers view dementia caregiving and analyze the role of culture in their attitude toward caregiving. Demographic characteristics, stressor factors, social support factors, and cultural factors were examined in the model. Stressor factors were measured by care receivers' problem behaviors, duration of caregiving, and amount of caregiving. Social support factors were composed of the amount of social support and the quality of social support. Cultural factors included level of acculturation, years in the U.S., filial piety, and familism. The study compared a group of spouse caregivers with a group of children providing care in order to investigate the differences in their attitude toward caregiving. In addition, the interaction effect between social support and acculturation on dementia caregiver's attitude toward caregiving was examined. Eighty five Korean American dementia caregivers participated in the survey through a convenience sampling method. Among the Korean American dementia caregivers, child caregivers showed a more positive attitude toward caregiving then spouse caregivers. The effects of social support on caregivers' attitude toward caregiving did not vary with the level of acculturation. Hierarchical multiple regression analysis indicated that, among the study factors including stressor factors, social support factors, and cultural factors, only social support factors contributed significantly to Korean American dementia caregivers' positive attitude toward caregiving. Among the predictors of Korean American dementia caregivers' attitude toward caregivng, the amount of caregiving per day was the most significant variable, followed by the quality of social support and care receivers' problem behaviors. Higher levels of daily caregiving and higher quality of social support were positively related to positive attitude toward caregiving. A higher level of care receivers' problem behaviors was negatively related to positive attitude toward caregiving. Comparison of the beta coefficients from the spouse caregiver group and nonspouse caregiver group revealed that there was a discrepancy of predictors of Korean American caregivers' attitude toward caregiving between the two caregiving groups. The model had a better fit for immigrant spouse caregiver groups indicated by significantly different R² from spouse caregivers and non-spouse caregivers, 85% and 33%, respectively. The results of this study imply the importance of incorporating cultural diversity in social policy. Because of the salient findings in this study, inclusion of content on increasing and enhancing quality of social support is recommended for social work practice with Korean American dementia caregivers.
Books on the topic "Senile dementia – Patients – Family relationships"
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Pei ta zou geng yuan: Shi zhi zhao hu zhuan ke yi shi tui jian de qing song zhao hu fang an, yan huan huan zhe bing cheng fa zhan, jian qing jia ren ya li, chang zhao bi bei wan yong shou ce. Taibei Shi: Shi bao wen hua chu ban qi ye gu fen you xian gong si, 2016.
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Navarro, Jesús Rivera. Redes familiares en el cuidado del anciano con demencia: Análisis evolutivo de un estudio poblacional. Madrid: Comunidad de Madrid, Consejo Económico y Social, 2001.
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Santos, Silvia Maria Azevedo dos. Idosos, família e cultura: Um estudo sobre a construção do papel do cuidador. Campinas, SP: Alínea Editora, 2003.
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1930-, Glenner Joy A., ed. When your loved one has dementia: A simple guide for caregivers. Baltimore: Johns Hopkins University Press, 2005.
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Being my mom's mom: A journey through dementia from a daughter's perspective. West Conshohocken, PA: Infinity Publishing, 2013.
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Karrer, Dieter. Der Umgang mit dementen Angeho rigen: U ber den Einfluss sozialer Unterschiede. Wiesbaden: VS, Verl. fu r Sozialwiss., 2009.
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Until there's a cure: How to help Alzheimer's patients and families now : forum before the Special Committee on Aging, United States Senate, One Hundred Eleventh Congress, second session, Washington, DC, December 8, 2010. Washington: U.S. G.P.O., 2011.
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V, Rabins Peter, ed. The 36-hour day: A family guide to caring for people who have Alzheimer disease, other dementias, and memory loss in later life. 4th ed. New York: Wellness Central, 1999.
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