611 research outputs found
Exploring the Support and Involvement of Family Caregivers for Reablement Programs: A Qualitative Study
No full textBACKGROUND: Reablement is a person-centered, holistic approach promoting older adults' participation through social, leisure, and physical activities. Family caregivers are seldom involved in reablement services despite their wish to be an active member of the care team and expressing a need for more support and recognition. The voice of family caregivers is often forgotten when evaluating services such as reablement. Little is known how family caregivers can be involved and supported more effectively in reablement services, therefore the aim of our research is to investigate the perceived support and involvement of family caregivers. METHODS: As part of the TRANS-SENIOR project, we studied perceived support and involvement of family caregivers during and after geriatric rehabilitation, a setting in which principles of reablement, like goal setting and training of daily activities, are applied. In total, fourteen semi-structured interviews were conducted with family caregivers of people admitted to a geriatric rehabilitation facility. Thematic analysis was used. RESULTS: Results reflected four themes: (1) support for family caregivers, (2) involvement in care, (3) trusting care professionals, and (4) asking for and accepting support. Family caregivers' experiences with support from care professionals were mainly ambivalent. While caregivers expressing a lack of support and information whilst also indicating that they do not expect to be supported by care professionals. Regarding involvement, caregivers wanted to be involved; ie express their opinion and be involved in decision-making. However, more involvement could also lead to a higher burden. CONCLUSION: There is a discrepancy between the perceived support and involvement of family caregivers, their expressed needs, and their expectations of care professionals. A personalized approach is needed to create room for the family caregiver to be an active participant in the care process while also providing the right amount of support, when preferred by the caregiver
What matters to you? A mixed-method evaluation of goal setting and attainment within reablement from a client perspective
No full textBACKGROUND: Goal setting is an essential component of reablement programmes. At the same time it is also an important aspect in the evaluation of reablement from the perspective of clients. OBJECTIVES: As part of the TRANS-SENIOR project, this research aims to get an in-depth insight of goal setting and goal attainment within reablement services from the perspective of the older person. MATERIAL AND METHODS: A convergent mixed methods design was used, combining data from electronic care files, and completed Canadian Occupational Performance Measure (COPM) forms with individual interviews. RESULTS: In total, 17 clients participated. Participants' meaningful goals mainly focused on self-care, rather than leisure or productivity. This mattered most to them, since being independent in performing self-care tasks increased clients' confidence and perseverance. Regarding goal attainment, a statistically significant and clinically relevant increase in self-perceived performance and satisfaction scores were observed. CONCLUSION: Although most goals focused on self-care, it became apparent that these tasks matter to participants, especially because these often precede fundamental life goals. SIGNIFICANCE: Reablement can positively contribute to goal setting and attainment of clients and may contribute to increased independence. However, effectiveness, and subsequently long-term effects, are not yet accomplished and should be evaluated in future research
Development and content of a community-based reablement programme (I-MANAGE): a co-creation study
No full textObjectives As age increases, people generally start experiencing problems related to independent living, resulting in an increased need for long-term care services. Investing in sustainable solutions to promote independent living is therefore essential. Subsequently, reablement is a concept attracting growing interest. Reablement is a person-centred, holistic approach promoting older adults’ active participation through daily, social, leisure and physical activities. The aim of this paper is to describe the development and content of I-MANAGE, a model for a reablement programme for community-dwelling older adults.Design The development of the programme was performed according to the Medical Research Council framework as part of the TRANS-SENIOR international training and research network. A co-creation design was used, including literature research, observations, interviews, and working group sessions with stakeholders.Setting and participants The interviews and working group sessions took place in the Dutch long-term home care context. Stakeholders invited to the individual interviews and working group sessions included care professionals, policymakers, client representatives, informal caregiver representatives, informal caregivers, and scientific experts.Results The co-creation process resulted in a 5-phase interdisciplinary primary care programme, called I-MANAGE. The programme focuses on improving the self-management and well-being of older adults by working towards their meaningful goals. During the programme, the person’s physical and social environment will be put to optimal use, and sufficient support will be provided to informal caregivers to reduce their burden. Lastly, the programme aims for continuity of care and better communication and coordination.Conclusion The I-MANAGE programme can be tailored to the local practices and resources and is therefore suitable for the use in different settings, nationally and internationally. If the programme is implemented as described, it is important to closely monitor the process and results
In Sarbiewski's Circle − Albert Ines' Lyric Poetry
No full textAlbert Ines is discussed here as the author of the lyrical poem Lyricorum centuriae (Gdańsk 1655). In the collection there are many religious poems, especially ones taking up Virgin Mary as their subject matter, and hence Ines is described as vates Marianus. Ines' religious poems are bound by a double convention: that of the use of biblical and ancient metaphors; they are also even ”garrulous” because of motives of praise accumulated in a litany-style manner. His reflective poems are more interesting; they are a kind of intellectual-lyric poetry abouding in clever sayings, pointed antitheses, etc. Ines imitates Sarbiewski but being consistent with the rule ”imitari non expilare” he limits himself to only two ”parodies”; and even they are not very typical. The fact that Ines imitates Sarbiewski is also seen in taking up the same subjects in his poems. This similarity is sometimes rather faint so its significance for our interpretation will be limited
The Story of Sor Juana Ines de la Cruz
No full textabstract: The story of Sor Juana Ines de la Cruz is one of a woman who defied the odds of her time. Sor Juana was a nun born in the 1600's in Mexico. From an early start, she had an endless passion for knowledge and always strove to learn as much as she could. She went on to become a nun at the Convent of Santa Paula and used her intellect to advocate for women's rights. Though met with opposition, she wrote many poems, letters, and even plays which included her strong push for women's equality. However, the name Sor Juana Ines de la Cruz is almost never mentioned in popular feminist discourse, despite Sor Juana being credited as one of the first feminist authors. This paper works to not only tell the story of Sor Juana Ines de la Cruz in detail, but also works to answer the question, "Why do people not know about Sor Juana". By diving into the origins of the Feminist movement in the United States, the dark underbelly of Feminism is uncovered. Primarily, the topic of how racism in feminism has plague the civil rights movement, what damage has been done to people of color because of feminism's history, and how does that pertain to modern day feminism and Sor Juana. By telling her story through both written and visual aids, the voice of Sor Juana Ines de la Cruz is no longer silenced but free to tell her tale and move a generation
Managing everyday life:exploring the essential components of reablement and user experiences
Full text linkGrip op het dagelijks leven: de essentiële elementen van reablement:samenvatting proefschrift
No full textThe Encounter between the West and the Arab World in the Age of Nahdah (Renaissance). The Translation Movement in the Arab Literary Reviews
No full textIn quest'articolo si riflette sul ruolo giocato dalla riviste letterarie arabe nella diffusione della conoscenza della cultura occidentale. Il movimento di traduzione avviato durante la Nahda (la Rinascita) in Egitto e nella Grande Siria condusse a cambiamenti sostanziali dei canoni estetici, ma suscitò anche un movimento di forte opposizione da parte dei conservatori
Dall’esclusione all’inclusione. Questioni e possibili itinerari di vita per le persone con impairment intellettivo
Full text linkThe aim of this paper is continuing to think about the issues relating to inclusion, because of aseries of reasons that will be illustrated by the author. The same concept of inclusion needs tobe disambiguated, in order to act a transformative process that is necessary for the whole societyfor becoming welcoming to all. Exactly as happened in the seventies of the twentieth century,we think that the educational institution is a privileged place for the encounter with the other(and, therefore, capable of triggering the inclusive process). In order to remove the stigmawhichstill is around disability, it is important to promote as much as possible such socialization opportunities.With respect to disability (as will emerge from this paper), it should be reiterated that it is a sociohistorical-cultural construct and, therefore, that it varies with the changing of practices linked toit. In this regard, turning our gaze towards adult life (and towards the institutional practices implementedso far), we think is important to continue to problematize the housing conditions of thosewho have intellectual impairment, in order to imagine solutions which could be different fromthose acted up to now. If implemented, these solutions would allow the identity developmentof the people involved (changing the same meaning of disability)
Growth, genes, genomes: iInsights into microbial respiration of arsenic and selenium
No full textArsenic (As) and selenium (Se) are naturally occurring metalloids in the Earth’s crust. Their speciation is governed by the microbial communities in various environments which influences their mobility among the soil, water, and air interface. Microorganisms can utilize As and Se oxyanion as terminal electron acceptors in dissimilatory reduction. These organisms are ubiquitous and phylogenetically diverse. The objectives of the studies in this thesis were to gain an understanding of the metabolism of As and Se respiring bacteria, analyze the genes encoding enzymes involved in respiration and understand how these enzymes are regulated in the presence of various electron acceptors. We were able to isolate two novel As and Se respiring bacteria from different environments; from a wastewater treatment facility in Verona, NJ and an estuarine canal from Chennai, India. Based on 16S rRNA gene analysis, strain S4 was classified as a novel genus and species, Selenovibrio woodruffi and strain S5 as a novel species, Desulfurispirillum indicum. We analyzed the genome of D. indicum and examined the expression of putative reductases to further understand respiratory metabolism of As and Se oxyanions. Five molybdoenzyme genes were identified in the genome of strain S5, three of which we were annotated to encode for a respiratory arsenate reductase arr, periplasmic nitrate reductase nar, and respiratory nitrate reductase nap. Also, an arsenate resistance system, ars, was identified. We were not able to positively identify a selenate reductase gene. Gene expression studies revealed that arr was an inducible gene and the only gene highly expressed during arsenate respiration. Growth studies showed that selenate respiration was inhibited by nitrate. Lastly, we also enriched activated sludge samples for tellurium oxyanion respiring bacteria. Thus, we not only added novel, phylogenetically different organisms to the ever-increasing list of As and Se respiring microbes, we also provided insights into the genes and enzymes involved in As and Se respiration and how they are regulated.Ph. D.Includes bibliographical referencesby Ines Rauschenbac
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