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[Home care of terminal patients with cancer].
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The support worker. Multi-purpose home care.
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The evaluation of the National Long Term Care Demonstration. 6. The effect of channeling on informal caregiving.
Publicly funded programs that increase the use of formal community-based care by the elderly could cause less reliance on informal care. The effect of channeling on informal caregiving was examined using data collected from frail elderly and from their primary caregivers. The findings suggest some withdrawal from caregiving on the part of neighbors and friends during the demonstration. Overall, however, these reductions were not large relative to the increased use of formal community-based services.
Community care for the frail elderly: the case of non-professional home care workers.
With the aging of the population there will be a growing demand for non-professional home care workers to augment family caregivers in the care and support of the frail elderly. Despite the present and future importance of these workers, little is known about their job problems and satisfactions and their relationships with clients and their families. This paper presents an overview of what is known about this vital component of home care and suggests policy and research implications.
The elderly at home: service needs and provision.
This paper arises from research to develop a profile of the elderly living in the community. Data are presented from interviews with a stratified random sample of 1406 elderly people living in the Trafford area of Greater Manchester. The findings suggest that in reality community care for the elderly means care by lay carers. Assistance with all tasks ranging from intensely personal care, for example bathing and dressing, to the practical household tasks, such as cooking and cleaning, was more often provided to the elderly by spouses and daughters/daughters-in-law than by the statutory services.It is suggested that some form of eligibility criteria may be used either consciously or unconsciously by general practitioners and other health care workers when referring elderly people to the nursing and social services which may mean that the statutory services do not complement the care given by lay carers. Furthermore, the presence of a lay carer may prevent the situation coming to the attention of the primary health care team.
[Home helpers grossly downgraded by Preben Rudiengaard].
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Supporting the family: village volunteers.
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Homemaker classes: an alternative to foster care.
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[Typology and differential diagnosis of nursing requirements. Results of an empirical study of social status and further research concepts].
The present analysis confirms the advantage of costs of mobilee health care services compared to nursing homes as well as the user-preference of this form of services. Nevertheless, mobil health care services offer the individual needed care only to a special target-group of cases. It seems to be necessary to create objective instruments for a unique extensive differential diagnostic of care needs including - in addition to the medical indication - all essential life conditions within the personal and social surroundings of nursing cases.
[How do relatives cope with the care of patients at home?].
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Care for elders with chronic disease and disability.
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Seniors' perceptions of and attitudes toward the British Columbia continuing care system.
This paper presents the findings of a study of 300 British Columbia seniors living independently in the community, in regard to their knowledge of and attitudes toward the continuing care service delivery system. The study also examined their preferences regarding the type of care they would like to receive if they were to become sick or disabled for an extended period. Seniors living in the community were relatively unaware of the range of formal care services available and how to access them. They were interested in potential new services such as "handyman" services and a medical alert system, and were relatively willing to pay fees for most continuing care services. However, the more "medically" oriented the service (e.g., home nursing care), the less willing they were to pay for it. With regard to care preferences if they were to become sick or disabled, the most popular alternative among those interviewed was to stay at home and receive care from local community agencies.
Community nursing care study: father and son.
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Supporting the homemaker-home health aide as a valuable player on the home care team.
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Using homemaker-home health aids in a high-risk infant program.
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New Hampshire. Training the trainers. Homemaker-home health aides caring for Alzheimer's patients.
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Burke Rehabilitation Center. A homemaker-home health aide program for disadvantaged adults.
In response to an area shortage of homemaker-home health aides, the Burke Rehabilitation Center has instituted a training program for financially disadvantaged persons, teaching them work in a home setting, caring for the frail elderly, children, and/or mentally impaired individuals. Both clients and homemaker-home health aides have benefited from this innovative program.