Elder Abuse and Neglect in an Urban Chinese Population

ABSTRACT

This study aims to investigate the prevalence of elder abuse and neglect in an urban Chinese population. A cross-sectional study was performed in a major urban medical center in NanJing, China. A total of 412 participants completed the survey and 145 (35%) participants screened positive for elder abuse and neglect. The mean age of the victims was 69 years and 59% were male. Caregiver neglect was the most common form of abuse, followed by financial exploitation, psychological abuse, physical abuse, sexual abuse, and abandonment. Thirty-six percent of the victims suffered multiple forms of abuse and neglect. In the logistical regression analyses of the data, female gender, lower education and lower income were demographic risk factors associated with elder abuse and neglect. A better understanding of these and additional risk factors associated with elder abuse and neglect in older Chinese people is needed.     

As Parents Grow Older:

For those older persons with families, the family is the vital, natural support system while also being the link between the older person and formal community supports. No matter how many community services and supports are provided for older persons, these services only supplement the emotional ties and support from the families. Enhancing the family's supportive role is crucial. This paper describes a community based support group model called "As Parents Grow 0lder" as an example of a systematic, effective effort to provide services to this natural system. This model has evolved and been used with 10 different groups totalling l25 participants over the past four years.     

Aging Women and Long-Term Care: Truth and Consequences

As the primary givers and recipients of care, elderly and middle-aged women comprise the population segment most significantly affected by the long-term care issue. Salient demographic and social factors relating to this phenomenon are explored, and the benefits and shortfalls of the current long-term care payment sources are identified. Despite the recent financial protection afforded by Medicare "Catastrophic Coverage," financing (or directly providing) long-term care still remains the responsibility of the elderly and their families. Privately purchased long-term care insurance provides some protection to those who can afford it, but elderly women continue to constitute a group at high risk for devastation by long-term care needs and costs.     

基于职业能力培养的老年服务与管理专业社会实践模式探究

职业能力的培养,是高职专业人才培养的关键。老年服务与管理专业应立足养老技术领域实际,结合老龄事业和产业岗位的任职要求,充分发掘自身专业优势,改革社会实践模式,创新人才培养模式,提升学生的职业能力。     

Conflicting views on elder care responsibility in Japan

I examine the attitudinal ambivalence created by conflicting social expectations regarding parent-child devotion, filial obligation and family membership, and gender norms in a national population of Japanese adults. I ask: in a context of rapidly changing family and elder care norms, how do different beliefs and attitudes overlap and conflict and how are they related to elder care preferences? I analyze data from the 2006 Japanese General Social Survey and use Latent Class Analysis to identify latent groups in the population defined by their beliefs and examine the relationship between class membership and elder care preferences. I found variation in the population with respect to the measured beliefs as well as a relationship between patterns of beliefs and choice of elder caregiver. I found conflicting expectations regarding elder care responsibility in one latent class and this class also expressed elder care preferences that conflict with at least some of their strongly held beliefs.     

综合保温措施对全麻老年骨科手术患者体温的影响

目的：观察综合保温措施对全麻老年骨科手术患者体温的影响。方法80名全麻下行骨科手术的老年患者被随机分成对照组（Ⅰ组,n＝40）和综合保温组（Ⅱ组,n＝40）。Ⅰ组不进行额外的保温措施,Ⅱ组使用综合保温措施。监测麻醉前,切皮时,切皮后30分钟、60分钟、90分钟患者的鼻咽温和记录术后患者寒颤发生情况。结果两组患者切皮后30分钟、60分钟、90分钟的鼻咽温和术后寒颤发生率差异有统计学意义（ P＜0.05）。结论使用综合保温措施有利于减少患者体温降低、术后寒颤发生率和促进术后康复。     

城乡老年人尊重需求的满足现状及影响因素——基于江苏省南通市1440份问卷调查

对南通市1440名城乡老人尊重需求的满足现状及影响因素进行了问卷调查,发现城乡老年人中感受到子女尊重的人数最多,感受到村居成员尊重的次之,感受到村居领导尊重的最少。农村老年人比城市老年人更多感受到来自子女、村居成员和村居领导的不尊重。影响城乡老年人尊重需求满足的因素主要有老年人个人情况、老年人所在村居尊老敬老宣传和实际敬老行为、老年人整体社会保障状况等。社会可改善各相关影响因素,以提高老年人尊重需求的满足程度。     

SERVING FAMILIES OF THE INSTITUTIONALIZED AGED

No abstract available for this article.     

Developing Strategies for the Prevention,Detection and Management of Elder Abuse: The Irish Experience

ABSTRACT

It is only within the past two decades that elder abuse has received governmental attention in Ireland. There had been little awareness, and no structures in place to tackle this problem prior to this. Media highlighting of particular cases, and an exploratory study undertaken in 1998, prompted the setting up of a governmental working group on elder abuse. Unique to this group was the trialling of a proposed system in two pilot sites. This allowed for recommendations based on actual practice, and has lead to the adoption of a network of elder abuse caseworkers, among other recommendations.