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1.
A key component in the efforts to deal with elder abuse/inadequate care is the development of educational programmes for both the public and responsible staff. This article explores the development of training programmes that address the needs of adult learners in the caring professions. Central to the success of the training was the programme design that entailed three methods of teaching in response to the three ways adults learn. Participants acquired a knowledge base that will enable them to work in an environment with few legal directives.  相似文献   
2.
Emergency departments (EDs) are an important health care setting for the identification of elder abuse (EA). Our objective was to develop an ED-based tool to identify EA. The initial tool included a brief cognitive assessment, questions to detect multiple domains of EA, and a physical examination. Refinement of the tool was based on input from clinical experts and nurse and patient feedback. The revised tool, which included 15 questions about EA, was then tested in an academic ED. We calculated the inter-rater reliability, sensitivity, and specificity of individual EA questions. Among ED patients age≥65 (N = 259), 17 (7%) screened positive for suspicion of EA. We identified a combination of six questions that cover the included domains of EA, demonstrated good or excellent inter-rater reliability, and had a sensitivity and specificity of 94% (95% confidence interval (CI) 71–100%) and 90% (95% CI 85–93%), respectively. These results inform a proposed screening tool for multisite validation testing.  相似文献   
3.
ADULT DAY CARE     
No abstract available for this article.  相似文献   
4.
In this study, the experiences and needs of a sample of 1,963 current, global, English-speaking, transgender-identified adults responding to the Transgender MetLife Survey (TMLS) as related to a number of later-life and end-of-life (EOL) preparations and concerns were examined. EOL concerns are integrated with concerns and challenges around chronic illness and disability. Overall, this population was significantly ill-prepared for the major legalities and events that occur in the later to EOL time periods. The population was found to harbor significant fears around the future. Drawing on the author's decades of survey research in transgender aging and case data along with current scientific and online literature, illustrative quotations and case examples are provided.  相似文献   
5.
One hundred and thirty million Traditionalists and Baby Boomers are tackling the reality of aging. It may be captured by the lyrics to the Alan Menken–Tim Rice song “A Whole New World.” The salient characteristics and experiences of these two generations are examined along with a few of the mental and physical challenges they are encountering. Then the research on and applications of humor and laughter to these challenges are reviewed. Particular attention is given to the psychological, physiological, and medical studies that have specific implications for seniors. Coping strategies to deal with daily life challenges are described in terms of detachment from crises and problem situations and coping with interpersonal conflict. The Coping Humor Scale is provided for readers to assess their own coping skills. Then a list of techniques seniors can use to improve their own coping skills, including how to search for humor opportunities, is provided. Despite the potential research-based benefits of humor and laughter, their application to the lives of seniors are not well known. Those benefits should be part of the trend toward complementary or alternative medical treatments over the past two decades. It does not get any more “alternative” than “humor.”  相似文献   
6.
Dr. Cornelius Foley, a geriatrician, is Director of Parker Jewish Institute, New Hyde Park, New York. Dr. Foley discussed the use of humor in his work in a hospice and palliative care environment with Dr. Kathleen Monahan.  相似文献   
7.
Current statistics indicate that there are a fair proportion of American elderly who have been traumatized in a variety of ways during their lifetime. Social workers and health care workers are likely to encounter this population in a myriad of contexts. This article presents the benefits of humorous interventions in trauma work, guidelines for its use, and case examples when working with the elderly.  相似文献   
8.
《The aging male》2013,16(4):227-232
Introduction: Hypertension and prehypertension are correlated with future cardiovascular disease (CVD) and diabetes. Whether these harmful effects of the blood pressure (BP) could be found in normotensive is of interest. Methods: In this cross-sectional study, totally 2388 normotensive older men aged 65–80 years undergoing routine health examinations were enrolled. To eliminate the influence of age on BP, subjects were initially grouped in each age stratum. Then in each age-stratum, subjects were further grouped into low, middle and high-tertile systolic BP (SBP) subgroups. Finally, all the low-tertile subgroups in each age stratum were gathered to form Group-1. Similarly, Group-2 (middle-tertile) and Group-3 (high-tertile) were also created. Metabolic syndrome (MetS) was regarded as having risks for future CVD and diabetes. Results: Age, waist circumstance (WC), fasting plasma glucose (FPG) and log triglyceride (TG) were independently and significantly correlated with SBP by multiple linear regression analysis. On the other hand, logistic regression showed that Group-3 had significant higher odds ratios (ORs) for having abnormal WC, FPG and TG. In addition, Group-3 presented a 1.55–fold OR (p < 0.001) for having MetS than Group-1. Conclusions: In normotensive older men, the risk for having MetS was significantly associated with higher SBP. Primary prevention of hypertension should be stressed.  相似文献   
9.
随着中国步入老龄社会,如何更好地发展老龄事业成为一个前所未有而又迫切需要解决的现实课题.文章根据社会组织的社会性这一思路,在借鉴传统“礼俗社会”影响的基础上对农村老年协会的作用进行分析,并以此从逻辑上探究“礼俗社会”对农村老年协会建设的原动力价值.鉴于乡土社会“礼俗性”的重要特征,文章注意到农村老年协会作用的实现是建立在中国乡土社会基础之上的,且农村老年协会的作用又有正负之分;尝试在费孝通先生规范的礼俗社会角度下,探讨当代中国农村老年协会的作用问题,并藉以阐述农村礼俗社会传统对农村老年协会运行的重要影响,以探寻农村老年协会建设的新思路.  相似文献   
10.
Humor has been shown to assist in the process of aging, particularly in improving health, reducing stress, and improving psychological well-being. This article addresses the tasks of aging, or what Erickson (1963) terms, “the end stage of life,” through the lens of humor. These issues include: identity, self-esteem, heritage and culture, mortality, loss, and self-worth.  相似文献   
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