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1/4/41AN- 00053318|TI- Resident behavior and staff distress in
the nursing home|AU- Everitt, Daniel E.|Fields, David R.|Soumerai,
Stephen S.|Avorn, Jerry|JN- Journal of the American Geriatrics
Society|VO- Vol. 39|IS- No. 8|PD- Aug 1991|PG- p. 792-798|TP-
7p.|PY- 1991|FS- John A. Hartford Foundation^National Institute on
Aging|DT- Journal Article|AB- Assessed the prevalence of specific
behaviors among patients taking
psychoactive medications, the distress reported by nursing staff
as aresult of such behavior, and the cognitive and physical
function ofthese patients. Information on all ordered and
administered medicationswas collected for one month on each of the
850 residents of 12intermediate care level facilities. A total of
346 patients whoreceived at least 5 days of psychoactive medication
during that periodwere included in the study. Most participants
(281) were administeredthe Folstein Mini-Mental State Examination,
and all were assessed bynurses regarding their functional ability
and behavior. Nurses
specified the frequency and severity of seven behaviors
(noisiness,bizarre behavior, physical abuse, verbal abuse,
wandering, withdrawal,or agitation) and the level of distress they
experienced at the time ofthe behavior. The most common behavior
problems reported were agitation(42 percent), withdrawal (33
percent), and noisiness (27 percent). Eventhe least prevalent
behavior, physical abusiveness, was reported in 11percent of
residents. Staff members reported substantial variation inthe level
of distress they experienced, but overall, only half of
theinstances of behavior disorder were described as distressful by
nurses.Day and evening nurses rated the frequencies of behavior and
thedegrees of distress equally, on average. (UH)|
DE- Institutionalized Elderly|Nursing Homes|Drug
Effects|BehaviorProblems|Institutional Personnel|Stress||
1/4/42AN- 00053311|TI- Sharing or competition: multiple views of
the intergenerational flow of
society's resources|AU- Hirshorn, Barbara|JN- Marriage and
Family Review|VO- Vol. 16|IS- No. 1-2|PD- 1991|PG- p. 175-193|TP-
19p.|PY- 1991|
NT- Included in special issue "Families: Intergenerational and
GenerationalConnections, Part One"|
DT- Journal Article|AB- Analyzes the debate concerning the
intergenerational flow of society's
resources, focusing on two concepts: sharing and competition.
Fourfactors appear to underlie the differing viewpoints on
generationalflow: the notion of a generation as a group that shares
a collectivementality and set of concerns, the lack of consensus
regardingindividual and group assessments of the fairness of
resourcedistributions, the concern over whether to select an
absolute or a
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relative context to measure loss or pain, and the perception of
theresource "pie" as either fixed or expandable. Six
conflict-basedarguments are described that emphasize tension
between identifiablesubgroups of the population regarding the
amount of resources at stakeas well as the distribution process.
Solidarity-based arguments arereviewed, which stress a commonality
of needs and the assumption thatwhat is good for individuals in one
group is usually good forindividuals in other groups. They also
tend to use multiple meaningsfor the concept of "generation."
Heterogeneity-based arguments minimizethe concept of generation per
se, stressing a needs-based approach tothe distribution of
resources. (UH)|
DE- Intergenerational Relationships|Intergenerational
Conflict|ResourceAllocation|Social Values|Social Attitudes||
1/4/43AN- 00053308|TI- Intergenerational caregivers of the
oldest old|AU- Sanborn, Beverly|Bould, Sally|JN- Marriage and
Family Review|VO- Vol. 16|IS- No. 1-2|PD- 1991|PG- p. 125-142|TP-
18p.|
PY- 1991|NT- Included in special issue "Families:
Intergenerational and GenerationalConnections, Part One"|
DT- Journal Article|AB- Uses a family systems perspective to
explore caregiving situations
involving the "oldest old" (people aged 85 and older) and
theirintergenerational caregivers. It is noted that this age group
isgrowing more rapidly than any other segment of the population,
and,overwhelmingly, the care of those who reside in the community
is theresponsibility of women--primarily adult daughters. A family
systemsperspective that encompasses past history, expectations,
rolerelationships, and feelings of inadequacy and loss, is used to
explorethe motivations of those who serve as caregivers. Case
studies depict
two families responding in very different ways to the need to
care foran aged family member. The family life cycle approach to
caregivingholds that dependent old age can be viewed as an
anticipated life eventthat may call for a rearrangement of family
roles or for householdmembers to incorporate the care of the parent
in late old age. Oldercaregivers can anticipate becoming the elder
of the family when theoldest old member dies, strengthening the
bonds of reciprocity andproviding a role model to younger
generations. The postponement ofcaregiving into the retirement
years appears to present less stress andallow for the integration
of sons and daughters into the caregivingprocess. (UH)|
DE- 75+|Filial Responsibility|Intergenerational
Relationships|Caregivers|Dependent Parents|Life Cycle|Informal
Support Systems||
