Disruptive, institutionalized elderly: a cost-effective intervention.

1. Psychomotor agitation can be decreased without the use of physical or chemical restraints. 2. A structured activity program can be integrated into the treatment plan of disruptive patients. 3. Nurses working in long-term care settings are in positions to be advocates for change.     

Arousal seeking and the maintenance of mutual gaze in same and mixed sex dyads

Thirty male and thirty female undergraduates were randomly paired in either same or mixed sex dyads and were asked to maintain silent mutual gaze for as long as possible over two or three trials. The results indicated that high arousal seekers were better able to do this than low arousal seekers, and that this difference was especially strong in same sex dyads.     

Residential Adjustment of Elders: Learning from Experiences With Parents and Peers

The ways elders learn from the experiences of their parents and peers in coping with declining health can affect residential adjustments they make themselves to minimize their exposure to long-term-care risks. Experiences of parents and peers can affect predisposition toward residential options, and parental and peer experiences sometimes can have major influences in elder residential choices. Drawing on qualitative interviews with community-residing elders, we illustrate how elders critically assess how their own parents and peers responded to declining health. We then show how these assessments influence the residential thinking and adjustments of these elders in anticipation of their own declining self-care capacity.     

Strengthening Australian Families: Socioeconomic Status,Social Connectedness,and Family Functioning

Abstract

Social connectedness has been promoted as one factor that may facilitate optimal functioning for families experiencing economic adversity. Using data from 218 Australian families, the current study explored the relative importance of social connectedness to the functioning of economically diverse families. Overall, results indicated similar levels of social connectedness and family functioning across low- and high-income groups. However, important differences were identified with regards to the relative contribution of social connectedness to the functioning of families across the economic spectrum. Clinical implications arising from these findings include the potential benefit of exploring social connectedness as a routine part of clinical assessment and ongoing intervention for families experiencing economic vulnerability.     

Screening Elders in the Emergency Department at Risk for Mistreatment: A Pilot Study

Impaired functional status is associated with risk of elder mistreatment. Screening for functional impairment in elderly patients admitted to emergency departments could be performed to identify patients at risk for elder mistreatment who might benefit from further evaluation. This study utilized a modified Identification of Seniors at Risk (ISAR) screening tool to identify the proportion of elderly at risk for mistreatment due to functional difficulties presenting to two emergency departments in southeastern Virginia, one urban, the other rural. Of a 180-patient cohort (90 per site), 82 screened positive (46%), ISAR > 2 (range 0–6), indicating nearly half of all patients enrolled are at risk for mistreatment. Patients presenting to the urban emergency departments were potentially more at risk than their rural counterparts (p < 0.01). Health care professionals, particularly in urban settings, should consider screening seniors with a simple tool to identify patients at risk of elder mistreatment.     

Strengthening Citizenship Through Deliberative Polling

This article describes the experience and results of a deliberative poll on transportation priorities and funding, with particular attention to the power of the process to foster citizenship learning and engagement. Evidence from predeliberation and postdeliberation surveys, as well as direct observation of the deliberation day event, indicated that the process could be instituted as a regular means to expand the voice of citizens in public policy debates and to strengthen the formation of citizens in the moral and political habits of democratic self-governance.     

‘Footnotes to Miller and Moore’: Monomyth and Transnationality in the 1986 Superhero Comics

Abstract

New developments in comics studies have begun to consider the superhero comic as a transnational, rather than American, phenomenon. This approach offers a new way of thinking about the typical story that Frank Miller’s The Dark Knight Returns and Alan Moore’s Watchmen jointly upended the comics world in 1986. While there is robust criticism to challenge the idea that 1986 was a miraculous year for comics, the continuing attention drawn by the two works requires us to think further about their apparent similarity. This article proposes the importance of a narrative of American exceptionalism within comics culture as a defining feature of the contemporary context for the production of the works. It then examines their responses to this context, arguing that they undermine the American monomyth of the superhero in different ways that originate in the different national positions of the two writers.