| 1. |
|
|
| 2. |
- Andersson, Jenny, 1972-
(författare)
-
Older Women and Food : Dietary Intake and Meals in Self-Managing and Disabled Swedish Females Living at Home
- 2002
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The aim of the present thesis was to study elderly self-managing and disabled women’s dietary intake and meals in relation to age, household structure (single-living or cohabitant), disability and cooking ability. The women were aged 64-88 years and living at home, in the mid-eastern part of Sweden. The self-managing women were randomly selected. The disabled women – suffering from Parkinson's disease, rheumatoid arthritis or stroke – were selected from patient records. A total of 139 self-managing and 63 disabled women participated. Two dietary assessment methods were used: a repeated 24-h recall and a three-day estimated food diary, providing dietary intake for five non-consecutive days. The results indicate that elderly women still living in their homes seem to manage a sufficient dietary intake despite disability and high age. The reported energy intakes in all groups of women were low, which might be explained by an actual low intake and/or under-reporting. The portion sizes seemed to be smaller in the highest age group, leading to lower intakes of some nutrients. Thus also the nutrient density of the food should be given greater consideration. The meal pattern was shown to be regular and the distribution of main meals and snacks was found to be satisfactory. Meals and snacks that were defined as such by the women themselves thus seem to be more significant from an energy and nutritional perspective. Perceived cooking ability co-varied with energy and nutrient intake as well as with meal pattern.Further, a qualitative dietary assessment method, FBCE, was analysed. It was concluded that it must be supplemented with a dietary assessment method providing energy intake figures to ensure a sufficient intake, especially when studying groups at risk for low energy intake.Furthermore, the aim was to perform a dropout analysis. When studying older women and food, a low participation rate might be expected since the most active, the very ill as well as the disabled tend to decline participation, but also since food is a gender issue. Food could, especially for women, be a sensitive area of discussion, even though older women seem to choose "healthy foods" and eat "proper meals".
|
|
| 3. |
|
|
| 4. |
- Andrén, Signe, et al.
(författare)
-
Former Family Carers’ Subjective Experiences of Burden
- 2002
-
Ingår i: Dementia. - : SAGE Publications. - 1741-2684 .- 1471-3012. ; 1:2, s. 241-254
-
Tidskriftsartikel (refereegranskat)abstract
- The general knowledge of family caregivers’ experience of burden during the continuing care of a close relative with dementia is incomplete. Several types of care settings are available today, and, for carers, modalities of burden probably differ between these settings. The aim of this study was to explore whether burden differed significantly between former family caregivers (FFCs) to people with dementia who were in group living care (GLC), a small home-like unit for six to eight people, compared with people with dementia in nursing homes (NH). Twenty-six FFCs to people with dementia living in GLC and 17 FFCs to people with dementia living in NHs participated in the study. Validated scales were used to assess symptoms of dementia and provide a picture of caregiver burden, including factors such as strain, emotional involvement and environmental burden. We found that FFCs to people with dementia in NH care had a significantly higher degree of total burden, strain and environmental burden compared with FFCs to people with dementia in GLC. A significant percentage of FFCs also reported receiving insufficient information about dementia and support services. It is suggested that by adjusting physical and psychosocial settings to the cognitive state of the resident, as was done in the GLC approach, may explain the feelings of reduced burden experienced in these group of FFCs.
|
|
| 5. |
- Annerstedt, Lena, et al.
(författare)
-
Family caregiving in dementia
- 2000
-
Ingår i: Scandinavian Journal of Public Health. - 1651-1905. ; 28:1, s. 23-31
-
Tidskriftsartikel (refereegranskat)abstract
- The burden of caregivers of patients suffering from of Alzheimer type dementia (DAT) and vascular dementia (VD) was analysed at the critical time, the “breaking-point”, when home care becomes insufficient and/or inadequate and the caregiver burden has probably reached its upper limit. Primary family caregivers of 39 DAT and 40 VD patients who were being considered for relocation into group-living units were studied. Total caregiving burden and different aspects of the burden: general strain, isolation, disappointment, and emotional involvement, were correlated with the patients’ diagnoses, abilities, and symptoms. Closer kinship to the patient imposed a heavier burden. The caregiver’s gender, social class, and previous institutionalization of the patient did not influence the caregiver burden. There was no significant correlation between the patients’ ADL ability or cognition and the burden. A higher level of disappointment was found among the VD carers. Different symptomatology in patients of the two diagnostic groups was related to special aspects of the burden. Multiple regression analysis showed that the amount of caregiving time each week and impaired sense of own identity, misidentifications, clinical fluctuations, and nocturnal deterioration in the patients predicted the breaking-point.
|
|
| 6. |
|
|
| 7. |
- Axelsson, Johan, et al.
(författare)
-
Home care aides in the administration of medication.
- 2004
-
Ingår i: International Journal for Quality in Health Care. - : Oxford University Press (OUP). - 1464-3677 .- 1353-4505. ; 16:3, s. 237-243
-
Tidskriftsartikel (refereegranskat)
|
|
| 8. |
- Axelsson, Johan, et al.
(författare)
-
Outbildad personal i hemtjänsten utsätter vårdtagaren för risk. Bättre kunskaper i läkemedelshantering måste krävas
- 2002
-
Ingår i: Läkartidningen. - 0023-7205. ; 99:11, s. 83-1178
-
Tidskriftsartikel (refereegranskat)abstract
- During the last few years the home care services have had to face an increased responsibility for medical tasks. A study in the city of Malmö in 1993, repeated in 1998, shows that 95% of the health care assistants are engaged in the administration of medication. The studies demonstrate that health care assistants have inadequate knowledge not only about medicines and their administration but also about common diseases and their symptoms. Delegating the task of medication administration to non-nurse personnel within the social services therefore entails an increased risk for the patient.
|
|
| 9. |
- Bengtsson, Anders, et al.
(författare)
-
No serological indications that systemic lupus erythematosus is linked with exposure to human parvovirus B19
- 2000
-
Ingår i: Annals of the Rheumatic Diseases. - : BMJ. - 1468-2060 .- 0003-4967. ; 59:1, s. 64-66
-
Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVES: Infectious agents like parvovirus have been implicated as exogenous factors that could trigger onset of systemic lupus erythematosus (SLE). A number of case reports describing a SLE-like presentation of acute human parvovirus B19 infection have been published, but no systematic investigation of the actual seroprevalence in epidemiologically defined SLE populations has previously been reported. METHODS: Sera from 99 SLE patients from a defined area in Southern Sweden, representing 88% of all new SLE cases 1981-1995 within the Lund-Orup Health Care district with 175 000 adult inhabitants (> 15 years of age), and sera from 99 age and sex matched healthy controls were investigated for the presence of IgG parvovirus antibodies. Two different commercially available EIA kits were used; one using E coli synthesised parvovirus VP1/VP2 antigen, and one using baculovirus derived parvovirus VP2 antigen. RESULTS: The EIA using baculovirus derived antigen was more sensitive and surprisingly the controls were more often positive than the SLE patients were (79% versus 65%, chi(2) p=0.027). No difference between the groups was seen with the EIA using E coli derived antigen (46% versus 49%). Titration experiments indicated that the discordance between the two tests was a matter of sensitivity rather than specificity. CONCLUSION: No evidence was found of human parvovirus B19 infection being more prevalent among SLE patients. On the contrary, in one of the parvovirus EIAs the controls were more often positive than the SLE patients were.
|
|
| 10. |
|
|
