Hessnedergaard5447

Although long-term care (LTC) home staff of nurses and personal support workers spend the most time providing direct care, their role in end of life decision-making for residents with dementia has largely been unacknowledged. Staff's perceptions of their role play a significant part in how they support people with dementia and family care partners. The purpose of this study was to examine LTC home staff's perspectives of their role in end of life decision-making for LTC home residents with dementia. For this interpretive descriptive study, 21 semi-structured interviews were conducted in two urban LTC homes with nine personal support worker (PSWs), eight registered practical nurses (RPNs), and four registered nurses (RNs). Additionally, a focus group was conducted, consisting of each a PSW, RPN, and RN. A voice-centred relational analysis was used to situate LTC home staff's perspectives within broader social contexts. Findings suggest that little has changed in LTC homes in the last 50 years. Rooted in dichotomies between medical and social care paradigms, ideologies of rationality and professionalism created tensions, hierarchical roles, and staff's minimal involvement in decision-making. A relational approach is needed to account for the interdependency of care and the relationships that LTC home staff have with residents, family care partners, and the sociopolitical environment.Aging in place policies have been adopted internationally as a response to population aging. The approach historically referred to the goal of helping people to remain in their own homes so that they can retain connections with friends and family in their community. However, the places in which people grow old are often hostile and challenging, presenting potential barriers to the policy ideal of aging in place. This may be especially the case in cities characterized by rapid population turnover and redevelopment of buildings through urban regeneration. Yet, to date, there has been limited research focusing on the places of aging, and how these affect the experience of aging in place over time. This paper addresses this gap by presenting four in-depth case-studies from a qualitative longitudinal study of older people living in neighborhoods characterized by high levels of deprivation and rapid population change. The analysis illustrates how aging in place is affected by changing life-course circumstances and the dynamics of these neighborhoods over time. The conclusion suggests that further attention must be given to the changing dynamics of the places where people grow older. It also makes policy suggestions for how aging in place could be supported, taking account of the needs of people as they grow older as well as changes in the communities in which they live. The paper extends theoretical understanding of the interrelationship between aging in place and the places of aging, revealing how these processes change over time.

This phenomenological inquiry explored what it is like to become and to be old. The principal aims of this study were to first characterize participants' lived experience of becoming and being an older person, then to determine the extent to which they were aging in a conscious way that evidenced aspects of gerotranscendence, and finally, to contextualize participants' responses within existing research on the phenomenon.

In a concurrent embedded mixed-methods design using an interpretive inquiry strategy, 17 men and women living independently in their communities responded to questions about their experience of aging and completed measures of gerotranscendence and adjustment to aging and their psychosocial correlates. A structural analysis of the verbatim transcripts of the interviews employed a phenomenological-hermeneutic approach. The quantitative measures informed further interpretations of interview data.

Most participants exemplified aging well with strengths and positive experiences across multitenth decades of life should inform the development of policies, programs, and services to enhance their day-to-day lives.

Convergences and divergences between the themes identified in this study and prior literature on the phenomenology of aging are discussed. Findings from this and similar studies have implications both for older adults and for those who care for and about them. If an older person is motivated to adapt in positive ways, then the potential to continue developing and growing into very old age is enhanced. On the macro level, an increased understanding of and appreciation for the breadth of older adults' experience of their eighth, ninth, and tenth decades of life should inform the development of policies, programs, and services to enhance their day-to-day lives.José Maria Vargas, (1786-1854), who was born on March 10, 1796, graduated with a Doctor of Medicine degree from the Central University of Venezuela in 1808. He was subsequently imprisoned in 1813 by the Spanish authorities for his independence activities. When finally freed, he traveled to Edinburgh for postgraduate medical training and became the first Venezuelan to earn a Fellowship of the Royal Colleges of Surgeons of Edinburgh. He worked afterward in medicine, surgery, botany, and chemistry, practicing in Scotland, France, and Puerto Rico. Upon his return to Venezuela in 1825 from 1827 to 1829, he became Professor of Surgery and later, President (Rector) of the Central University of Venezuela. He was elected the second president of newly independent Venezuela serving from 1835 to 1836 and carried out his tasks with honor and dignity, even after surviving a coup d'état. Finally, he resigned his position as president and returned to the practice of medicine and his teaching duties. He reasoned and wrote a beautiful differential diagnosis in a case supposedly of pellagra, but actually of erythema marginatum. Dr Vargas died in New York on July 13, 1854, after a long illness.Stem cells have recently garnered increased attention, especially pertaining to their use in cutaneous rejuvenation. Their popularity has continued to grow with patients and consumers alike, which has followed the substantial marketing bolstering them. Although limited, studies have begun to demonstrate promise in the field of esthetics. Selleck Olaparib We review the prominent studies in the literature to shed more light on the use of stem cells for cosmetic practitioners.