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Biomedical subjects

E R Chichin

Publications and source records attributed to E R Chichin.

8 recordsLinked to original sources
PubMed1993

A center on ethics in long-term care.

Long-term care institutions are beginning to grapple with ethical issues on a regular basis. This has encouraged facilities to develop new mechanisms to deal with these issues. Described is a tripartite program that incorporates direct service, education, and research in ethics.

Biomedical Research↗
PubMed1992

The home care industry: strategies for survival in an era of dwindling resources.

The home care component of our long-term care system is increasingly being recognized as the preferred alternative to institutional care for the frail elderly and disabled. Dwindling resources, both human and financial, are likely to have a deleterious effect on home care. Findings from a 1987-88 survey of paraprofessional home care workers of the frail elderly in New York City are used to draw implications for the home care industry. The scope of problems inherent in the industry imply that changes are necessary on both the micro and macro levels; the article concludes with recommendations for both levels.

Adult↗
PubMed1992

Home care is where the heart is: the role of interpersonal relationships in paraprofessional home care.

While the provision of an adequate floor of wages and benefits for paraprofessional workers in the home care component of our long-term care system is desirable, efforts to provide it are curtailed by cost constraints. As a result, other factors which encourage the retention of an adequate home care workforce are all-important. Findings from a study of a representative sample of 487 paraprofessional home care workers in New York City indicate that the ability to develop close interpersonal relationships with home care clients and their families is one of the most attractive and rewarding aspects of the work. It is suggested that agencies focus on their roles in providing an optimum environment for the development of such relationships.

Adult↗
PubMed1991

AIDS, older people, and social work.

The acquired immune deficiency syndrome (AIDS) epidemic is significantly affecting older people. Older people themselves may be HIV positive, or they may be the caregiving spouse, partner, parent, or grandparent of a person with AIDS. In addition, older people may share housing or institutional space with people with AIDS. Concerns about the allocation of long-term care resources may create conflict between the needs of older people and people with AIDS. Social workers are particularly suited to lead the discussion of the impact of AIDS on older people, a role the profession has not yet embraced. Four areas of social work leadership are discussed: education, direct service, research, and advocacy.

Acquired Immunodeficiency Syndrome↗
PubMedDate not supplied

A support group for nursing assistants: caring for nursing home residents at the end of life.

Certified nursing assistants (CNAS) provide the hands-on care to residents in nursing homes, often developing close relationships with those in their care. The current study used a support program model to explore CNAS' feelings, experiences, and needs when caring for the dying. Special attention was given to the experience of caring for residents who opted not to continue life-sustaining treatment. Second, the efficacy of this type of support program for CNAS was examined. Care of the dying elicited complex reactions: most CNAS reported that caring for dying residents can be a very rewarding experience. At the same time, most thought that caring for a dying person is always emotionally draining. Moreover, CNAS said they felt sad and felt stressed at least some of the time when caring for the dying. CNAS participated openly in the discussion and expressed positive feelings about participating in this type of support program.

Aged↗