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Biomedical subjects

A Lowenstein

Publications and source records attributed to A Lowenstein.

At least 19 recordsLinked to original sources
PubMed2000

A case management demonstration project for the frail elderly in Israel.

This article presents an evaluation of an innovative community-based case management demonstration project for the frail elderly in Israel. The evaluation study was part of a nine-countries European project within the framework of the 1999 International Year of the Older People. The Department for the Aged of the Israeli Ministry of Labor and Social Affairs and the author initiated the project. The basis for the project development is described, including institutional structure, workers' qualifications, technical resources, and clients assessment criteria. The findings showed increased quality of life for the elders and their caregivers, more coordination and cooperation between various social and health services, activation of a variety of services, and client satisfaction. Recommendations are made to continue and expand this type of project to a larger segment of the elderly population.

Activities of Daily Living↗
PubMed2000

A legislative infrastructure that fosters case management. The Israeli Long-Term Care Insurance Law.

This article presents a legislative infrastructure that fosters the development of case management model and demonstration projects within the framework of the Israeli Long-Term Care Insurance Law of 1988. A brief demographic description of the aged population of Israel is presented along with an outline of the basic policy and service structures. The basic principles of the Long-Term Care Insurance law are presented, discussed and analyzed, outlining the pathways that the law guarantees that foster case management interventions and projects.

Activities of Daily Living↗
PubMed1999

Intergenerational family relations and social support.

A parallel process to the aging of societies in the Western world occurs in changing family structures and network compositions. The shape of families is shifting from horizontal to vertical, where the size of generations is becoming smaller but the number of living generations is increasing. Recently there is an increased emphasis in the study of intergenerational relations on the interdependence of generations. The "aging of the aged", though, means the need for more care and support. It is well documented that there is continued high involvement of families in care giving. However, as the age structure of the society and the family change so does the availability and ability for care of its networks. The presentation will, thus, discuss and analyze the following three issues: First, a theoretical perspective on family intergenerational relationships will be presented, based on social exchange theory and the intergenerational solidarity model. Empirical findings will focus on grandparent-grandchild relations and on immigrant families, stressing the importance of ethnicity. Second, care giving and support to frail elderly family members, in different types of living arrangements, will be described and analyzed, as a major topic in research and policy. Third, the relations and impact of family solidarity, support and care on the quality of life of the older people will be discussed.

Aged↗
PubMed1999

Caring for parents with Alzheimer's: comparing perceptions of physical and mental health in the Jewish and Arab sectors in Israel.

This study examines the effects of demographic, ethnic, personal and familial resources on well-being--perceptions of physical and mental health--of children caring for parents with Alzheimer's, comparing Jewish and Arab caregivers. Two groups of 64 Jewish and 50 Arab caregivers were selected from a cognitive diagnostic unit operating in a geriatric rehabilitative hospital in the north of Israel. The theoretical base was family systems and stress theories, using the ABCX model. The results show that ethnicity and parent-child relations were the strongest predictors of physical and especially mental health of these caregivers, followed by employment status of the caregivers and patient's functioning.

Journal Article↗
PubMed1998

The meaning of grandparenthood: a critical review and research agenda.

Despite the importance of grandparenthood in the personal and family context, as well as its increasing economic, political and legal implications, research addressing its meaning and significance has been sparse and characterized by theoretical and methodological limitations. The main theoretical limitation is the lack of a clear definition at the conceptual level. Methodological limitations include not only the use of small and non-inclusive samples, most of which pertain to only one or two generations, but also the lack of a well-developed multidimensional measurement approach. The aim of the present paper is to describe the status of research on the meaning of grandparenthood, and discuss its conceptual and methodological developments, especially regarding measurement issues. An example of an ongoing research program is provided as a guideline for future research.

Aging↗
PubMed1997

Resources, stigma, and patterns of disclosure in rural women with HIV infection.

A growing number of cases of HIV infection are being diagnosed in rural communities especially among women. Although HIV-specific education and care delivery programs have been focused on rural areas in recent years, limited data are available on the impact of such initiatives on the lives of women with HIV infection. The purpose of this study was to examine characteristics of women with HIV disease living in rural communities. The study used a cross-sectional sample of rural women in Georgia. Data analysis indicated that although a majority of the women reported adequate resources, there was a group of women for whom resources for basic needs were not always adequate. Additionally, women with HIV who had not progressed to AIDS had greater difficulty in obtaining a number of resources. Almost half of the women felt stigmatized due to having HIV. Yet, a high percentage of these women had disclosed their HIV status to health care workers, sexual partners, and family. Study results provide insight into the needs of HIV-infected rural women from their perspective. This information can be important to nurses working in public health and community settings as they face the challenge of developing effective health care services for this population.

Adolescent↗
PubMed1994

Developing a charging system for a nursing specialty: ET nursing.

Because of limited resources and economic constraints, justifying the existence of ET nurses has become an economic challenge for hospitals and nurses. To justify the role of the ET nurse, a charging system for enterostomal therapy was developed at a corporate, for-profit hospital. Three months after implementation, an evaluation of the system demonstrated that revenue was generated in excess of the ET nurse's salary.

Accounting↗
PubMed1994

King's theory as a framework for quality: linking theory to practice.

Quality care has long been an elusive concept. The pushing of health care services into community settings by health care reform demands new attention to the concept of quality. King's theory of goal attainment can provide a framework for the definition and delivery of quality care in community-based health services.

Community Health Nursing↗
PubMed1991

Elderly differential resources and patterns of intergenerational exchange.

The relationships between personal resources of elderly parents and intergenerational interactions were studied. On the basis of a fourfold typology of intergenerational exchange, it was hypothesized that the amount of parents' resources, including familial, economic, physical and cognitive resources, would be differentially related to three exchange types: instrumental aid, shared leisure, and affective relations. Data were collected from 145 Jewish elderly persons residing in the community, through structured personal interviews, and analyzed by a stepwise multiple regression procedure. The findings show the multidimensionality of intergenerational bonds, and support the hypothesis that the amount of personal resources is positively related to expressive interactions and inversely to instrumental aid.

Aged↗
PubMed1989

The relation of widows' needs and resources to perceived health and depression.

The study investigated the relationship of widowhood-related needs and resources to physical health and to depressed affect. Participants were 246 widowed women of all ages, who were widowed from 1 to 7 years, and who were drawn by stratified-random sampling from widows living in urban areas in Israel, and receiving social insurance payments. The findings show that although there was a significant added contribution by resources, the unique contribution of needs to the health and depression variance was generally maintained. Length of widowhood was not related either to health or depression, while widows' age was significantly related to both. The findings suggest that needs, as well as resources are necessary concepts for a fuller understanding of the coping process of widows.

Adaptation, Psychological↗