Self-Reported Health-Promoting Behaviors of Black and White Caregivers

The purpose of this study was to describe the behaviors that caregivers report carrying out to maintain their own health, and to compare the health-promoting behaviors of Black and White caregivers. Although many studies have examined health-promoting behaviors, few have examined health promotion among caregivers. Reported studies of caregivers’ health-promoting behaviors have not compared cultural groups. The sample for this study was selected by random digit dialing, and included 136 Black and 257 White caregivers of frail elders. Content analysis of respondents’ answers to the open-ended question, “In general, what do you do to stay healthy?” was used to address the research questions. Most caregivers reported specific behaviors they engaged in for the purpose of staying healthy. Although most of their behaviors addressed physical health, caregivers also mentioned behaviors that contribute to mental and spiritual health. Both differences and similarities were found in Black and White caregivers’ self-reported health behaviors, which have important implications for nursing practice and research in the future.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/69087/2/10.1177_01939459922044027.pd

Impact of Role Discrepancies on Caregiver Burden among Spouses

Using caregiver identity theory, the authors investigated whether role discrepancies mediated the relationships between illness-related stressors (activities of daily living [ADLs] limitations and problem behaviors) and burden (stress, relationship, and objective burden) for spouse caregivers. Participants completed measures of identity standards for spouse and caregiver roles and behaviors, burden, assistance with ADLs, and problem behaviors. Structural equation modeling analyses revealed that role discrepancies completely mediated the relationships between ADLs and stress and relationship burden. Although role discrepancies mediated the relationships between problem behaviors and all forms of burden, there were direct relationships between problem behaviors and burden. Finally, participants who exceeded their relationship identity standards experienced greater burden. Supporting caregiver identity theory, the results suggest that ADL assistance is burdensome for caregivers when it highlights inconsistencies between their behaviors and their relationship expectations. However, unpredictable stressors such as problem behaviors are both inherently burdensome and highlight role discrepancies

Pollination of two species of Vellozia (Velloziaceae) from high-altitude quartzitic grasslands, Brazil Polinização de duas espécies de Vellozia (Velloziaceae) de campos quartzíticos de altitude, Brasil

The pollinators and breeding system of two species of Vellozia (Velloziaceae) from high-altitude quartzitic grasslands in SE Brazil were studied. Vellozia leptopetala is shrubby and grows solely on rocky outcrops, V. epidendroides is herbaceous and grows on stony soils. Both bear solitary, hermaphrodite flowers, and have massive, short-lasting annual blooms. We evaluated the level of self-compatibility and need for pollinators of 50 plants of each species and 20-60 flowers per treatment: hand self- and cross-pollination, spontaneous pollination, agamospermy and control. The behavior of floral visitors on flowers and within plants was recorded. Both species are mostly self-incompatible, but produce a small number of seeds by self-fertilization. The pollen-ovule ratio suggests facultative xenogamy. They were visited primarily by bees, of which the most important pollinators were two leaf-cutting bees (Megachile spp.). Vellozia leptopetala was also pollinated by a territorial hummingbird. Low natural seed production compared to cross-pollination seed numbers suggests that pollen limitation is the main cause of low seed set. This was attributed to the combined effect of five mechanisms: selfing prior to anthesis, enhanced geitonogamy as a result of large floral displays, low number of visits per flower for the same reason, pollen theft by many insect species, and, in V. leptopetala, delivery of mixed pollen loads on the stigma as a consequence of hummingbird promiscuity.<br>Foram pesquisados os polinizadores e o sistema reprodutivo de duas espécies de Vellozia (Velloziaceae) de campos rupestres quartzíticos do sudeste do Brasil. Vellozia leptopetala é arborescente e cresce exclusivamente sobre afloramentos rochosos, V. epidendroides é de porte herbáceo e espalha-se sobre solo pedregoso. Ambas têm flores hermafroditas e solitárias, e floradas curtas em massa. Avaliou-se o nível de auto-compatibilidade e a necessidade de polinizadores, em 50 plantas de cada espécie e 20-60 flores por tratamento: polinização manual cruzada e autopolinização, polinização espontânea, agamospermia e controle. O comportamento dos visitantes florais nas flores e nas plantas foi registrado. As espécies são auto-incompatíveis, mas produzem poucas sementes autogâmicas. A razão pólen-óvulo sugere xenogamia facultativa em ambas. Foram visitadas principalmente por abelhas, das quais as mais importantes polinizadoras foram duas cortadeiras (Megachile spp.). Vellozia leptopetala também foi polinizada por uma espécie de beija-flor territorial. A produção de sementes em frutos de polinização cruzada sugere que limitação por pólen é a causa principal da baixa produção natural de sementes. Isto foi atribuído ao efeito combinado de cinco mecanismos: autopolinização prévia à antese, elevada geitonogamia resultante de arranjo floral, número reduzido de visitas por flor pelo mesmo motivo, pilhagem de pólen por diversas espécies de insetos e, em V. leptopetala, deposição de pólen heteroespecífico em conseqüência da promiscuidade dos beija-flores

The impact of residential and respite care on the behaviour of older people with dementia: literature review

Aim. The aim of this review was to examine the impact of residential respite care on the behaviour displayed by older people with dementia. Background. Relocation of older people with dementia to a different care setting could have a negative impact on their behaviour. If such a response is anticipated, a short-term admission to a residential aged care facility for respite care would appear to be futile for the older person and their home caregiver. Therefore, it is important to know what the outcomes of residential respite care are in relation to behaviour for older people with dementia. Methods. A literature search was undertaken and papers emerged from a range of disciplines. The search terms ‘respite’; ‘respite care’; ‘residential respite care’; ‘short-stay’, ‘short-term’, ‘overnight stays/admissions’, ‘behav*’ and various combinations of these terms were used to find relevant publications in English from Ageline, CINAHL, Medline and, Psychinfo databases dating from 1966. Other key publications were located when searching through the reference lists of retrieved publications. A limited body of literature on residential respite care for older people with dementia was revealed. Results. Six studies were identified, which met the criteria of residential respite care as the intervention and behaviour as an outcome. Conclusions. The studies had a variety of methodological limitations and produced contradictory findings. The strength of the studies was the reporting of outcomes for respite recipients who are usually overlooked in the outcomes for respite research. Relevance to clinical practice. Residential respite care has great anecdotal support but more empirical and evaluative research is needed on outcomes for the respite recipients