Biomedical subjects

L Vinton

Publications and source records attributed to L Vinton.

5 recordsLinked to original sources

PubMed2000

A study of case managers' decision-making processes.

Decision-making processes were explored in a study of 122 case managers from community-based aging network agencies. Of interest was how often case managers employed a consumer-driven model whereby elders' input is always considered during the assessment and decision-making processes. Approximately 80% always used clients as a source of information during assessment but less than a majority always used client recommendations in decision making. The case managers indicated that safety was more frequently a guiding principle used in decision making than the least restrictive alternative, disruption to lifestyle, and freedom. When clients disagreed with the case managers' decisions, attempting to convince the client was the strategy the greatest proportion of respondents employed. Case manager characteristics (gender and degree) were not found to be associated with consumer-oriented methods of assessment or decision making. The authors concluded that the respondents tended to use a consumer-oriented approach when assessing clients but moved away from the consumer-driven model when making decisions with regard to clients. Safety, rather than freedom, was the prevailing guiding principle.

Adult↗

PubMed1999

Working with abused older women from a feminist perspective.

Domestic violence in older families is often referred to not as family violence but as elder abuse. This chapter will begin by discussing how perceptions of this type of violence impact informal and formal interventions. The prevalence and etiology of domestic violence are described, along with how the joint forces of ageism and sexism affect older female victims. National, state, and local efforts to prevent and remediate the abuse of older women are also covered. In conclusion, the author presents implications for working with groups and individual abused older women from a feminist perspective.

Aged↗

PubMed1996

Paying family members to provide home care: an evaluation of one program.

Paying family members for caregiving has received mixed reviews, but most agree that elders tend to prefer community to institutional living. This study describes an evaluation of a program that paid family caregivers to provide home care to elders from the perspective of care receivers (n = 151), caregivers (n = 211), and case managers (n = 71). The care recipients were primarily older, low-income individuals who were assessed to be at medium to high risk with respect to psychosocial functioning. Results indicated that caregiver subsidies were primarily used to pay for basic necessities, but few caregivers would cease caregiving in the absence of subsidies. The vast majority of care receivers and caregivers were very satisfied with case management services, and 42% of the care receivers named their case manager when asked whom they would contact if they had a problem with their caregiver. Case managers stressed the importance of formal care providers making home visits and referrals to other resources in order to lessen isolation and prevent institutionalization.

Aged↗

PubMed1994

Aggressive behavior directed at nursing home personnel by residents' family members.

Anecdotal evidence suggests there is a significant amount of aggressive behavior directed at nursing home personnel by residents' family members. This exploratory study describes a random sample survey of 70 Florida nursing homes. Administrators reported 1,193 acts of verbal aggression and 13 acts of physical aggression for a 6-month period. Dissatisfaction over how the specific and overall care needs of residents were being met was most frequently cited as the contributing factor. Social work staff and directors of nursing were most often called on to resolve these conflicts. The authors conclude with recommendations for research and conflict resolution.

Aged↗

PubMed1993

Educating case managers about elder abuse and neglect.

A recent study of clients referred to an intensive case management program, revealed that a substantial number had experienced physical and sexual abuse which was previously undetected because they were not asked about such experiences. This article describes the development, implementation, and evaluation of an elder abuse and neglect prevention program in Florida, a state estimated to have over 90,000 maltreated elders. Mean scores on an instrument administered to the 142 participants before and after the program indicated that case managers showed the most improvement among the various occupational groups. The findings point to the continuing need for educational programming, as evidenced not only by pretest scores but by the fact that almost one-fifth of the participants initially failed to even recognize that there was mandatory reporting of elder maltreatment in the state in which they worked.

Aged↗