'I know I signed something': older people,families and social workers' understanding of the legal aspects of entry to residential care

This purpose of this paper is to report findings that older people are legally vulnerable when entering an aged care facility, that social workers lack knowledge of the legal aspects of this move and do not necessarily view this information as core to their practice. The structure of social work services mirror the disjuncture older people and their families experience at this time and this may, in part, explain social work's lack of attention to these issues. Although many social workers are in contact with older people, the profession in Australia has been slow to develop a knowledge base to support effective practice with this group.     

数学教育的人文化

数学教育的人文化有着深刻的哲学和史学根源。数学教育人文化表现在数学课程的人文化、数学教学的人文化和数学教育研究的人文化等方面。数学史的学习与教学渗透是实现数学教育人文化的有效途径之一。     

Weaving cohesive identities: New Zealand women talk as mothers and workers

Abstract

This exploratory study examines the discourses which construct women as mothers and workers and explores the strategies the women use to weave these sometimes contradictory identities together. Discourse analysis was used to explore the talk of two focus groups of first‐time mothers, all New Zealanders of European descent in stable heterosexual partnerships with babies aged less than six months. The women deployed an intensive mother discourse which privileged their maternal role and positioned the babies as needing parental care and mothers as the natural providers of that care. However, they also felt the pressure of successful woman and economic rationalist discourses in which paid work is essential to wellbeing and good citizenship while motherhood is devalued. The women's decisions about re‐entering the paid workforce were characterised by conflict and constraint. The analysis focuses on the strategies of resistance that the women used to warrant their life choices, including constructing motherhood as a job, and deploying an independent mother discourse which serves to facilitate their striving for the best of both worlds. Also explored are some of the structural barriers that serve to further limit women's choices.     

Understanding looked‐after childhoods

The absence of a sociological discourse about children in the past meant that child and family social work has largely relied on psychological interpretations of children and their behaviour. However, since the 1990s, the sociology of childhood has been developed in the UK. The aim of this paper is to explore the relevance of the sociology of childhood in understanding looked‐after childhoods and in informing contemporary social work practice with looked‐after children and young people. The central argument of this paper is that, in order to fulfil professional responsibilities and to implement current and forthcoming UK social policies for looked‐after children, social work needs to employ broad understandings of children, young people and looked‐after childhoods. The paper goes on to discuss the ways in which a social work approach drawing on the sociology of childhood can offer such a conceptualization.     

苏州市新大学生医疗保险制度实施现状调查

大学生医疗保险在全国范围内逐步落实,改变了我国改革开放以来大学生游离在医疗保险体系之外的局面。在基于对苏州大学学生调查的基础上分析了新大学生医保实施情况,从促进大学生医保制度完善的角度提出了相应的对策建议。     

论医疗改革的伦理本位

从哲学视角反思始于1999年的医疗改革失败的根本原因,探讨医疗改革成功的基础是中国当代哲学需直面的时代课题。研究发现,医疗制度设计过度理性、伦理缺失是导致改革失败的最核心的原因。为此,构建医疗卫生改革的伦理内涵,回归医改的伦理本质是中国医疗改革成功的哲学基础。     

Assisted Living and the Aging Trajectory

ABSTRACT

Assisted living (AL) is a caregiving option between independent living and nursing home placement. This study explores women residents' experience of AL in four Midwestern facilities, using interview and field research methods. We found that most residents wanted to stay in AL rather than move to a nursing home; they looked backward nostalgically toward home, and complied with staff rules and directives in order to remain in place. In contrast to nursing homes, AL allows residents to experience continuities with self and home: a private room, some of their own belongings, and access to relationships and activities associated with self and home. Given the expanded lifespan and growing popularity of AL, it is becoming a new stage in the trajectory of women's aging.     

Socioeconomic Factors in Menopausal Women's Use of Hormone Replacement Therapy

This study examines if education, income, and medical insurance coverage are primary factors in determining whether menopausal women use hormone replacement therapy (HRT). To accomplish this purpose, the author conducted a survey of 62 women between 30 and 60 years of age. These women completed a self-administered questionnaire that provided both quantitative and qualitative information. The results suggest that these socioeconomic factors increase the likelihood that menopausal women will receive treatment with HRT. Implications for clinical practice are discussed.     

Care Arrangement Decisions for Frail Older Women: Quantitative and Qualitative Perspectives

ABSTRACT

This study uses both quantitative and qualitative methods to investigate how a range of care arrangement decisions for frail older unmarried women are made. Quantitative data from the 1989 National Long-Term Care Survey provides information concerning factors that predict the probability of five categories of care arrangements, including self only care, nursing home care, informal only care, formal only care, and a mix of formal and informal care. Qualitative interview data provides information on what occurs during care arrangement decision-making processes. Results are combined to explain the choice of care arrangements for a small sample of chronically disabled older unmarried women. Results show that need factors, such as age and disability, are strong predictors of the need for assistance. Family members played a central role in determining care arrangements and often helped an older woman to avoid an unwanted care arrangement. The use of a broad measure of impairment resulted in high levels of disability for the sample participants. Both disability status and care arrangements were transitory in nature.     

"I Do" or Don't:

Although the health and social benefits of physical activity have been well documented, a majority of females at every life stage are insufficiently active to acquire those benefits. Explanations for this lack of commitment to physical activity have not been found. Marriage, as a social role and life circumstance, has been neglected as a possible explanation for the inactive lie patterns of women. This paper highlights the available scientific evidence on the relationships of marital status and spousal influence with the leisure-time physical activity of women throughout the lifespan. Research showed that women's leisure-time physical activity decreased upon marriage. The major factor in the maintenance of healthy levels of exercise for married women at all ages appeared to be a physically active and supportive spouse.