Australian journal on ageing

Australian Journal on AgeingVolume 16, Issue 2 p. 79-82 Partnership and Participation: Older Women Have Their Say About Health and Well-being M. Steinberg, Corresponding Author M. SteinbergPrincipal Research Fellow, Social and Preventive Medicine, University of Queensland, Herston Road, Herston, Queensland 4006.Search for more papers by this author M. Steinberg, Corresponding Author M. SteinbergPrincipal Research Fellow, Social and Preventive Medicine, University of Queensland, Herston Road, Herston, Queensland 4006.Search for more papers by this author First published: 05 December 2008 https://doi.org/10.1111/j.1741-6612.1997.tb01032.xCitations: 2AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat Citing Literature Volume16, Issue2June 1997Pages 79-82 RelatedInformation

M. Steinberg

Australian Journal on Ageing

Partnership and Participation: Older Women Have Their Say About Health and Well‐being

伙伴关系与参与：老年女性畅谈健康与福祉

While the role of family members and spouses as informal care‐givers of older people is increasingly valued in Australia, few studies have investigated the impact of pre‐care‐giving abuse or violence on these relationships. This paper presents results of semi‐structured interviews conducted with 43 primary care‐givers in 47 care‐giving relationships. Two risk factors for abuse and violence in older people's care‐giving relationships were examined: the mental health status of the care‐receiver and the pre‐care‐giving history of abuse or violence. Care‐receivers with mental health problems (including dementia) appeared no more likely than others to have initiated abuse or violence, although their care‐givers were more likely to have directed violence towards them. A series of associations indicated that pre‐care‐giving experiences of abuse and violence were key risk factors for similar experiences during care‐giving. This was even the case in those relationships involving a care‐receiver with mental health problems. Implications for research, social policy and service delivery are considered.

M. Hughesy

“That Triggers Me Right Off”: Factors Influencing Abuse and Violence in Older People's Care‐giving Relationships

“这让我立刻爆发”：影响老年人照护关系中虐待和暴力的因素

Australian Journal on AgeingVolume 16, Issue 2 p. 71-72 Effect of Dementia on Pain: a Case Report E. Ashpole, E. Ashpole Registrar, North West Hospital. Melbourne.Search for more papers by this authorB. Katz, Corresponding Author B. Katz Consultant Physician in Geriatric Medicine, North West Hospital, Melbourne.North West Hospital, Poplar Road, Parkville Victoria 3052Search for more papers by this author E. Ashpole, E. Ashpole Registrar, North West Hospital. Melbourne.Search for more papers by this authorB. Katz, Corresponding Author B. Katz Consultant Physician in Geriatric Medicine, North West Hospital, Melbourne.North West Hospital, Poplar Road, Parkville Victoria 3052Search for more papers by this author First published: 05 December 2008 https://doi.org/10.1111/j.1741-6612.1997.tb01030.xAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL No abstract is available for this article. Volume16, Issue2June 1997Pages 71-72 RelatedInformation

E. Ashpole

B. Katz

Effect of Dementia on Pain: a Case Report

痴呆对疼痛的影响：病例报告

Opinion is divided about the extent to which the interests of the aged are amenable to rights strategies. It is argued here that rights strategies have a limited contribution. On an educative plane, there is an important place for measures which promote cultural respect for civil participation of the aged: a ‘rights orientation’. The trend towards enunciation of a separate charter of rights for the aged has some attractions, but these are outweighed by the fragmentation entailed: accentuating the processes of segregation and social stereotyping which may be responsible for much of the disadvantaged status of aged people. Universal statements of rights are preferable. The most fundamental difficulty with rights based approaches, however, is their lack of power in addressing the resourcing, service delivery and other structural issues which undergird the disadvantage experienced by some aged people. This is compounded in a federal system of government, with its rationale of preventing concentration of governmental power. This is not to deny the need for individual case‐by‐case remedies of injustice, or the symbolic and educative role of the law. An inclusive Australian Bill of Rights would advance this agenda as effectively as any measure. But it is neither a panacea nor necessarily the top agenda item. Too much store can be placed in legal remedies for social ills.

T. Carney

‘Righting’ Wrongs for the Aged: a Bill of Rights?

为老年人“正名”：权利法案？

There are surprising paralles between aged care developments in Japan and Australia This paper outlines the Japanese system and contrasts it with the situation in Australia. It also describes recent reforms and current policy issues in Japanese aged care.

J. Nishimura

Aged Care in Japan and Australia: a Comparative Overview

日本与澳大利亚的老年护理：比较概述

This report examines the validity and reliability of the Dysfunctional Behaviour Rating Instrument (DBRI), designed for completion by caregivers of individuals with dementia residing in the community. Randomly selected carers completed the instrument and scores were compared to scores on measures of ADL, cognition and caregiver burden. The DBRI correlated weakly with cognition, r = ‐0.20 (p &lt; .05), but moderately with burden r = 0.49 and ADL r = 0.33 (both p &lt; 0.001), The DBRI is considered to be both valid and reliable for use with an Australian population.

I. Kneebone

R. Clarnette

L. Frendin

The Dysfunctional Behaviour Rating Instrument: Utility in an Australian Population

功能失调行为评定量表：在澳大利亚人群中的应用

Appointing an agent with a medical power of attorney in the event of future incompetency is a relatively new concept in Australia. This qualitative study explores some of the associated issues raised in focus groups and interviews with 62 well elderly people in South Australia. Findings reveal some confusion about current rights and responsibilities and concerns about selecting the most suitable person, the burden this would impose and the degree of trust implicit in such an arrangement. The majority favoured a written form of advance directive, with or without an agent. Clarification and further discussion are required to ensure that the wishes of individuals are respected when dying.

M. Brown

Who Would You Choose? Appointing an Agent with a Medical Power of Attorney

你会选择谁？指定医疗代理人

A postal survey seeking information about the use of physical restraints was completed by 93 out of 130 Directors of Nursing (DONs) of nursing homes in South Australia. Of a total of 3419 nursing home residents, 28.4% (970) were physically restrained, of which 74.2% (720) were female and 25.8% (250) were male. The commonest forms of physical restraint were bedrails (34.4%) and vests (23.7%), The commonest patient‐oriented reason for using physical restraints was to “prevent falls” (84.9%) and the commonest nurse‐oriented reason was “because no alternative exists” (39.8%), The use of physical restraints did not appear to be influenced by nursing home size or staff numbers. The extent to which physical restraints are used is cause for concern. Further efforts, particularly through education programs which fully apprise all staff of the deleterious effects of physical restraints, and which also provide alternatives, are needed.

A.P. Retsas

Use of Physical Restraints in South Australia's Nursing Homes

南澳大利亚养老院中物理约束的使用

Australian Journal on AgeingVolume 16, Issue 4 p. 146-146 New Directions for the Journal First published: 05 December 2008 https://doi.org/10.1111/j.1741-6612.1997.tb01037.xCitations: 1AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat No abstract is available for this article.Citing Literature Volume16, Issue4November 1997Pages 146-146 RelatedInformation

R Graves

W McGraw

New Directions for the Journal

期刊的新方向

Consumer groups and health professionals have expressed concerns about the impact of casemix funding on the elderly. Hospital admission and discharge policies have been advanced as a mechanism for ensuring quality of care for the aged. A questionnaire survey of Queensland public hospitals with a bed size of 15 or more (N = 98) was undertaken to determine the extent to which admission and discharge policies have been formulated and examine whether or not these policies take into account the special needs of the aged. Descriptive statistics revealed a relative policy void in that many hospitals do not have formal admission or discharge policies for the general population let alone formal policies which specifically address the needs of the aged. Moreover, a large number of hospitals do not employ discharge planning nurses or routinely inform the patients' carers about discharge matters. It would appear that despite prolonged calls for hospitals to address the special needs of the aged, many are yet to do so, at least as measured by their formal admission and discharge policies.

出版信息	出版商: Australian Council on the Ageing，出版周期: ，期刊类型: journal，开源期刊: 否
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