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Biomedical subjects

K Pillemer

Publications and source records attributed to K Pillemer.

At least 19 recordsLinked to original sources

Building bridges between families and nursing home staff: the Partners in Caregiving Program.

Compelling evidence exists that conflict and communication problems occur between nursing home staff and family members of residents. However, few interventions have been documented that simultaneously address the needs of both groups. The Partners in Caregiving program was created to train staff and family members in communication techniques and conflict resolution skills. Through a joint meeting with facility administrators, both groups also have the opportunity to influence facility practices. Evaluation data indicated that satisfaction with the program was extremely high, and that positive changes in staff-family interactions occurred.

Aged↗

Learning to lead.

Explore the source record for details and available documents.

Communication↗

"It takes one to help one": effects of similar others on the well-being of caregivers.

It is commonly assumed that bringing together caregivers with other persons who have been through the caregiving experience is highly beneficial. However, research has not established the degree to which such "experientially similar" others benefit caregivers. We analyzed data from a study of 254 individuals caring for relatives with Alzheimer's disease or a related disorder and 2,659 members of their social networks. The presence of experientially similar individuals in the caregivers' social networks was strongly associated with lower levels of depression, especially for persons in more stressful caregiving situations. We discuss possible explanations for this effect, and suggest implications of the findings for future research and practice.

Aged↗

Sources of support and interpersonal stress in the networks of married caregiving daughters: findings from a 2-year longitudinal study.

This research uses data collected on 57 married daughters and 1,069 members of their social networks to examine patterns of social support and interpersonal stress across the first two years of caring for parents with dementia. Reports by the caregivers indicated that friends were the most prominent source of emotional support, while siblings were the greatest source of instrumental support and interpersonal stress, both shortly after the parent's diagnosis and two years later. Multivariate analyses demonstrated that associates who had cared for family members themselves were more likely to have been sources of instrumental support both shortly after diagnosis and two years later. Caregiving similarity was also the most important factor in explaining both emotional support and interpersonal stress at T1; however, its effect diminished across the subsequent two years. These findings suggest that experiential similarity may become less important in explaining some dimensions of interpersonal relations as individuals move further from status transitions.

Adult↗

Setting the White House Conference on Aging agenda: recommendations from an expert panel.

The next White House Conference on Aging (WHCoA) will take place in May, 1995. In preparation for the conference, a panel of expert policy researchers was convened to develop recommendations regarding the WHCoA theme and agenda. This article presents in summary form the key findings of this panel. Six major themes are proposed for the agenda. In addition, a strategy is proposed for organizing and prioritizing recommendations that emerge from the 1995 WHCoA.

Aged↗

What's new in elder abuse programming? Four bright ideas.

This article presents four "best practice models" that address some common problems faced by community agencies working with elder abuse cases: a multidisciplinary case consultation team; a senior advocate volunteer program; a victim support group; and a master's of social work degree specialization in adult protective services. Their relatively low cost, flexibility, and level of success make them worthy of replication.

Aged↗

Support and interpersonal stress in the social networks of married daughters caring for parents with dementia.

Data collected on 95 married daughters and 1,195 members of their social networks are used to investigate factors differentiating individuals who were and were not a source of social support or interpersonal stress to women caring for parents with dementia. Reports by the caregivers indicated that siblings and friends were almost equally important sources of support, but that siblings were overwhelmingly the most important source of interpersonal stress. Multivariate analyses demonstrated the importance of some dimensions of status similarity in explaining which network members were a source of support or stress. Individuals who had cared for an elderly relative were more likely to have been a source of support and less likely to have been a source of stress; individuals who were more similar in age to the caregivers were also less likely to have been a source of stress. Gender similarity was also associated with the provision of support; however, gender-similar network members were also a greater source of interpersonal stress.

Age Factors↗

A model abuse prevention program for nursing assistants.

This article describes the development, implementation, and evaluation of a model abuse prevention curriculum designed for nursing assistants. Findings from the evaluation showed high satisfaction with the program and improvement on a number of indicators, including reduced conflict with and abuse of residents.

Aged↗

Violence and violent feelings: what causes them among family caregivers?

We present a conceptual framework for understanding two distinct but related phenomena: violent feelings (i.e., the fear of becoming violent) and violent behaviors by family caregivers toward relatives with dementia. Based on both the literature on family caregiving and on family violence, four factors are hypothesized to explain these two dimensions of violence: caregiving demands, interactional stressors, caregiver characteristics, and caregiving context. Analyses of quantitative and qualitative data on 236 family caregivers to dementia victims revealed several characteristics that were predictive of violent feelings on the part of caregivers, including physical aggression by the care recipient, disruptive behaviors, and a shared living situation. Structural relationship and caregiver's age were found to be related to actual violence; spouses were more likely to engage in violence than other relatives, as were older individuals. In addition, violence by the care recipient was positively related to caregiver violence.

Aged↗

Sharing a residence with an adult child: a cause of psychological distress in the elderly?

The effects of residence-sharing on the psychological well-being of the elderly is examined among a stratified random sample of elderly persons in a major metropolitan area. Multivariate analysis produces findings that counter the generally held belief that elderly people who share a residence with an adult child are more likely than other elderly people to experience psychological distress.

Adaptation, Psychological↗

Abuse of patients in nursing homes: findings from a survey of staff.

Despite persistent allegations that abuse of nursing home residents is widespread, the topic has received only limited research attention. Data are presented from a survey of a random sample of 577 nurses and nursing aides working in long-term care facilities. Rates of abuse based on staff self-reports are presented, and subgroups of staff who are more likely to engage in abusive behaviors are identified.

Adolescent↗

Causes of elder abuse: caregiver stress versus problem relatives.

Elderly abuse victims and a nonabused control group were compared to test the widely accepted proposition that such abuse results from the burden and stress placed on those caring for infirm and dependent elderly people. The study found substantially more support for the idea that abuse is associated with personality problems of the caregiver.

Aged↗