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The ESP Coordinating Center (ESP CC) is responding to a request from VA Health Services Research and Development Service (HSR&D) for an evidence brief on patient outcomes following long-term opioid dose reduction or discontinuation. Findings from this evidence brief will be used to inform prioritization of questions for a State-of-the-Art conference in September 2019.
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Medical personnel-caregiver relationships --- Veterans --- Services for
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Caregivers --- Services for --- National Family Caregiver Support Program (U.S.)
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Caregivers --- Older people --- Patient Care. --- Caregivers. --- Care --- Care. --- Eldercare --- Elder care --- Care givers --- Carers --- Family caregivers --- Home health caregivers --- Informal caregivers --- Volunteers --- Care Givers --- Family Caregivers --- Spouse Caregivers --- Care Giver --- Caregiver --- Caregiver, Family --- Caregiver, Spouse --- Caregivers, Family --- Caregivers, Spouse --- Carer --- Family Caregiver --- Spouse Caregiver --- Informal care --- Care, Patient --- Informal cares --- care, Informal --- cares, Informal --- Aged --- Aging people --- Elderly people --- Old people --- Older adults --- Older persons --- Senior citizens --- Seniors (Older people) --- Age groups --- Persons --- Gerontocracy --- Gerontology --- Old age --- Caregiver Burden
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The number of older subjects is rapidly increasingly worldwide. As a consequence, the nature of clinical conditions is also changing. Traditional medicine and models of care have been based on the evaluation and treatment of single and usually acute conditions occurring in relatively young individuals. Today, the usual clinical manifestation of diseases is characterized by multiple and often chronic conditions affecting older people. In this scenario, frailty and dementia have been triggering special interest both in research and clinical settings due to their high prevalence, impact on the individual’s quality of life, and consequences for public health worldwide. These conditions aptly reflect the complexity of age-related pathological conditions, finding as causal factor a myriad of heterogeneous, interacting, and often still unclear pathophysiological processes. Indeed, their study is strongly affected by the difficulty to differentiate the effects of a normal aging process from eventual pathological deviations of the underlying systems. Their occurrence and trajectories over time are strongly affected by a wide array of factors and determinants that can be hardly attributed to the deficit/involvement of single biological systems and/or health domains. Moreover, environment and social factors also play a key role in the determination of phenotypes. The present Research Topic is aimed at widening our understanding of the frailty and dementia phenomena occurring with aging, in order to improve the clinical and public health approaches to these burdening conditions.
Dementia. --- Aging --- cognition --- caregiver --- Frailty --- dementia --- mild cognitive impairment --- aging --- cognitive frailty --- Alzheimer --- Psychological aspects.
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Caregivers --- Older people --- Services for --- Home care --- National Family Caregiver Support Program (U.S.)
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Les personnes avec une maladie d'Alzheimer sont généralement perçues comme "incompétentes" (chaleureuses mais incompétentes) (O'Connor & McFadden, 2012). Il s'agit dans ce cas d'un stéréotype dit "paternaliste" qui engendrerait des émotions et attitudes "paternalistes" (Fisk & al., 2002). Selon Werner (2006), plus nous percevons les personnes avec une maladie d'Alzheimer comme "incompétentes", plus nous sommes susceptibles d'avoir des émotions "prosociales" (c'est-à-dire : se soucier de l'autre, avoir envie de le protéger et de l'aider / principe également des attitudes dites "paternalistes"). Ainsi, nous nous attendons à ce que plus les aidants perçoivent les personnes Alzheimer comme incompétentes, plus ils expriment un comportement d'aide (attitude prosociale / attitude paternaliste). Or, il a été démontré que "l'aide excessive" peut être nuisible, et ce aussi bien pour la personne aidée que pour l'aidant. La personne aidée peut, lorsqu'elle reçoit un soutien ou de l'aide de manière excessive, devenir plus dépendante que ce qu'elle n'est initialement (Avorn & al., 1983; Bonsang & al. 2013). L'aidant quant à lui, risque de se surcharger en procurant de l'aide non-indispensable, ce qui augmenterait sa détresse/épuisement (Malaquin-Pavan & Pierrot, 2007).
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Home care services --- Caregivers --- Medical personnel-caregiver relationships --- Caregivers and medical personnel --- Medical personnel and caregivers --- Relationships, Medical personnel-caregiver --- Care givers --- Carers --- Family caregivers --- Home health caregivers --- Informal caregivers --- Home health agencies --- Home health care --- Volunteers --- Community health services
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The authors have developed the ethical imagination inviting a sense of “otherness” towards the vulnerable self, rebounding care for the other as a way to understand our everyday neurotic (normal) tendency of small vices as the propensity and possibility for responsibility towards the other. The authors, inviting the reader into troublesome feelings such as laziness and anger, bring a Levinasian horizon into focus, so that even in the midst of laziness, there remains the small goodness to set the self free to care for the other, meeting the demands, challenges, hesitation, shuddering, tension and shocks of such alterity, of living “otherwise”.
Medical ethics & professional conduct --- caregiver --- philosophy --- science --- caretakers --- philosophers --- morality --- vulnerable --- neurotic --- small vices --- responsibility --- laziness --- anger --- Levinasian --- goodness --- demands --- challenges --- hesitation --- shuddering --- tension --- shock --- vulnerability of the caregiver --- vices for the virtuous caring of the caregiver --- group discussions amongst caregivers --- social sciences --- healthcare
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Family Caregiving in the New Normal discusses how the drastic economic changes that have occurred over the past few years have precipitated a new conversation on how family care for older adults will evolve in the future. This text summarizes the challenges and potential solutions scientists, policy makers, and clinical providers must address as they grapple with these changes, with a primary focus given to the elements that may impact how family caregiving is organized and addressed in subsequent decades, including sociodemographic trends like divorce, increased participation of women in
Caregivers -- Family relationships. --- Caregivers. --- Older people -- Care. --- Family --- Health Personnel --- Persons --- Sociology --- Population Characteristics --- Named Groups --- Social Sciences --- Psychology, Social --- Occupational Groups --- Health Care --- Health Care Facilities, Manpower, and Services --- Behavior and Behavior Mechanisms --- Anthropology, Education, Sociology and Social Phenomena --- Psychiatry and Psychology --- Caregivers --- Socioeconomic Factors --- Family Relations --- Family Relations. --- Socioeconomic Factors. --- Factors, Socioeconomic --- High-Income Population --- Inequalities --- Land Tenure --- Standard of Living --- Factor, Socioeconomic --- High Income Population --- High-Income Populations --- Inequality --- Living Standard --- Living Standards --- Population, High-Income --- Populations, High-Income --- Socioeconomic Factor --- Tenure, Land --- Economics --- Family Dynamics --- Family Relationships --- Family Relationship --- Dynamic, Family --- Dynamics, Family --- Family Dynamic --- Family Relation --- Relation, Family --- Relations, Family --- Relationship, Family --- Relationships, Family --- Care Givers --- Carers --- Family Caregivers --- Spouse Caregivers --- Care Giver --- Caregiver --- Caregiver, Family --- Caregiver, Spouse --- Caregivers, Family --- Caregivers, Spouse --- Carer --- Family Caregiver --- Spouse Caregiver --- Social Inequalities --- Social Inequality --- Inequalities, Social --- Inequality, Social --- Caregiver Burden --- Older people --- Family relationships. --- Care. --- Elder care --- Eldercare
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