40 research outputs found
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èŠæ§ã瀺åããããThe objective of this study is to illustrate how the elderly perceive death through a review of literature dealing with the elderly\u27s attitudes towards death. Using the two key phrases "the elderly" and "attitudes towards death" with the "AND" function, we searched through literature dating from 1998 â 2008 at the "Igaku Chuo Zasshi [Ichushi]" website (ver. 4), and 160 items were retrieved. The results revealed the following; ã»The elderly people have different expectations on how to face death. ã»Thinking about death is linked to anxiety and fear. ã»Elderly people recognize the necessity for preparing for death. ã»There was no report that preparatory education for death was offered systematically for elderly people. Therefore, we suggest that it is necessary to provide a preparatory education for death that takes characteristics of the elderly into consideration and seeks to eliminate the occurrence of health problems due to excessive anxiety and fear,
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èŠæ§ã瀺åããããThis report aims to clarify the viewpoints taken by nursing students when they assess home environments for the risk of falling from the perspective of the elderly. Forty-nine sophomores taking a Gerontological Nursing course were asked to do a fall-risk assessment of their own residences and write a report. Data concerning risk locations and factors was extracted and examined. As a result, seven risk locations were identified. Topping the list were bathrooms, entranceways, stairs and living rooms, which were identified by a majority of students ranging from 32 to 39. Also mentioned were toilets, kitchens and washrooms. As for risk factors, tripping over differences in floor levels topped the list, followed by slipping, absence of banisters on stairways, narrow spaces and insufficient lighting. The students also attached importance to prevention, i.e. the installation of handrails, nonslip surfaces, and so forth. The students were able to conduct risk assessment from the standpoint of the elderly. Results of this study highlight the necessity of continuing fall-risk assessment exercises within gerontological nursing education
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èŠããã.The purpose of this study is to clarify the meaning of illness among elderly stroke survivors in the introductive phase of rehabilitation by using narrative approach. The subjects were two female elderly in their 80 s, and materials were collected with participating observation method. "The meaning of illness" was extracted from the collected material, and the contents of extracted data were analyzed qualitatively. Elderly stroke survivors tend to end up with suffering from physical disability, and they sometimes become hopeless because of it. This situation suggests that the elderly stroke survivors need to re-write their narrative story at the early phase of their recovering process. It is found that people tend to become positive to their situation when "Meaning of illness" is definite ; however, it is not so often to be clear. Whether the "Meaning of illness" is clear or not is depending on if he/she has been re-writing narrative stories in their life. Nurses need to know that the narrative story should be re-written at the introductive phase of rehabilitation in order to deepen their understanding of elderly stroke survivors and provide appropriate nursing care
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èŠã§ããããšã瀺åããããThe objective of this study of healthy elderly persons living at home is to clarify their thoughts toward their own death. The study was conducted through an interview with a cooperative male who was in his seventies and interested in thanatology. From the interview, five categories (thoughts on life tasks, thoughts on life after death, experience of discussing death, implication of learning about death, and important points learned about death), and 19 sub-categories were extracted. The results revealed that, when the elderly think about their own death, it is necessary for them to think about both their own death and life tasks, and discussing death among the elderly makes it possible to know about another person\u27s experience and increases opportunities to learn more about death. It was also discovered that it does not matter whether a world after death exists in reality ; rather, each person needs to actively consider life after death in the discussion. Therefore, it was suggested that nurses could encourage the elderly to have such discussions and to approach them with a wait-and-see attitude regarding the details to be discussed
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ãè¡ã察åŠæ³ã«ã¯ãäžäººã²ãšãã®çãæ¹ãã®ãã®ã圱é¿ããŠããå¯èœæ§ããããããåŠå®ããå°éããªãããé©åãªãµããŒããåããããããã«èª¿æŽããŠããããšããçè·åž«ã®åœ¹å²ã§ããããšã瀺åããããThis paper describes a case study that used narrative analysis to clarify the reasons why an at-home elderly woman with degenerative joint disease of the knee delayed having a medical check-up. The patient, a woman in her eighties, despite enduring gonalgia and a tumor in her knee, delayed having it examined until she experienced difficulty walking. Data was collected through an interview. In the subsequent analysis, three recurrent themes, or categories, were extracted from the narrative"; life and death is beyond human power,"" nothing can compare to the pain of my girlhood,"and" I don\u27t want to trouble my daughter."It was revealed that the hard experiences of her girlhood contributed to coping behaviors that resulted in her delaying to get an examination. Therefore, given that every patient\u27s life experiences are likely to shape their individual coping behaviors, it is suggested that, rather than denying this, one of the roles of nurses is to coordinate appropriate support that respects such personal experience
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ã察象ãšããçè·éçšã®å±éãå®è·µãïŒèªãã®æŽå©ãæ¢åã®çè«ïŒç§åŠçæ ¹æ ã«ã€ããŠæ€èšŒãããªã©ïŒæèå±éãéèŠããç®æšãæ²ããŠïŒãè幎çè·åŠå®ç¿ããšããŠçµ±åãå³ã£ãïŒIn the Department of nursing, Faculty of Human Science of Hokkaido Bunkyo University, it wasdecided to introduce a revised curriculum for students enrolled from April, 2012 onward. The revision of the curriculum was made following the ministerial ordinance (The Ordinance of the Ministry of Education, Culture, Sports, Science and Technology and the Ministry of Health, Labor and Welfare, No. 1., 2008) that stipulates a partial revision of the specific regulation for vocational schools of public health nurses, midwives and regular nurses (Specified Regulation). Therefore, we worked on reconstructing a geriatric nursing study curriculum in conformity with the revision of the regulation involved. Furthermore, we also examined the contents of the "questionnaire for faculty members about the curriculum results," and "evaluation of the present geriatric nursing study curriculum." Consequently, a new course "Introduction to Geriatric Nursing Study II" was established so that students could acquire knowledge related to theories and models which will help them work as geriatric nurses. Under the previous curriculum, practical training was divided into two stages, "Geriatric Nursing Practical Training I" and "Geriatric Nursing Practical Training II." However, we integrated these two into one course named "Geriatric Nursing Practical Training" in order that the candidates might broaden their perspectives by practicing nursing procedures for the elderly and by reviewing their care, existing theories, and evidence
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芳ãè²æããéã«å¹æçã§ããããšã瀺åããããThe objective of this study is to illustrate nursing students\u27 outlook toward the elderly after having visited adult daycare centers. The subjects were 38 students in the second year of a 4-year nursing college. Data was collected from reports on their perceptions of the elderly,written after visiting the adult daycare centers, and were analyzed using Berelson\u27s method From the results,five categories and 25 subcategories were derived. Among the categories, there was a high frequency of three positive items "They are active," "They show concern for others " and "They have rich facial expressions" It can be assumed that the positive nature of these categories resulted from the strong impact of seeing ,with their own eyes ,how energetically the elderly lived despite sickness or handicap. Another characteristic of the elderly that students were able to take notice of gave the category "There are physical differences between them". Therefore, it was suggested that introducing a visit to an adult daycare center as a part of the elderly nursing education program is an effective way of enriching students\u27 perceptions of the elderly
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ã®æ°æã¡ãæ±²ã¿åãå°å³ã»å°éããçµæ«æã®ãèŠçç·©åãã±ã¢ãéèŠã§ããããšã瀺åããããThe purpose of this study is to clarify how senior citizens consider"life and death"at their end-of-life stage, which would be useful for end-of-life care. Semi-structured interview was conducted, targeting 10 subjects, and data was analyzed qualitatively and then 7 categories were extracted. It was found that senior citizens hope"to avoid pain"and "someone will be around them,"etc. to alleviate their agony. To prepare for death, they thought about"conversation with their wives,""putting their affairs straight,"and"testaments,"etc. Those who do not want life-prolonging treatment felt that advanced medicine is unnecessary. They wished to die"at home"or"in a place where they have lived, but they hoped to stay"at a hospital if their symptoms worsen,"caring about their family members. For peaceful death, they wished to"die as if they fell asleep"or"naturally."As for the fear of death, they consider that life and death are two sides of the same coin, while fearing death. They believe in the afterworld and think that they will be able to meet their parents there. This indicates that they dream of the afterworld. This study indicates that it is important to alleviate their agony at the end-of-life stage, by considering the abovementionedfeelings of senior citizens and respecting them
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èŠãããããThe objective of this study is to describe the thoughts an at-home elderly felt about her symptoms qualitatively, and obtain suggestions to help in nursing. The person under study is a woman in her 80âs. Data were collected through an unstructured interview and the data were analyzed by a qualitative descriptive method. As a result, six theme categories concerning how the person under study felt about her symptoms were obtained:âfrustration that no one can understand her feeling,â âa sense of ease which comes from the thought that someone can understand her feeling,ââ the fact that the symptoms have not been easily alleviated,ââ the desire to live independently,ââ fear about the thought that her condition will worsen and trouble others,â andâ a sense of ease feeling she has a good relationship with other elderly people.â Thus, the symptoms in this study work as an indicator that shows whether or not the patient can live independently. Also, it was suggested that the behavior of the patientâs complaining about her symptoms can be a coping behavior in order to gain a sense of ease by having someone know how she feels and to prevent her from troubling others when her symptoms worsen