The differences between what health professionals and the elderly perceive concerning the need for home health care were studied. Elderly persons were interviewed to ascertain their perceived needs while health professionals responded to a questionnaire. Preliminary analysis of the resulting data revealed that the most frequently perceived…

This handbook is designed for use by personnel delivering recreation services to the homebound elderly. It helps the staff members discover more about recreational activities suitable to a specific client's needs, selection of activities, and the methods of introducing activities to the homebound. Assessment techniques aid the worker in learning…

The ethics education program for home health aides in New Jersey centers around a casebook focusing on four issues: (1) autonomy and decision making; (2) identification and treatment of clients suspected of being victims of abuse and neglect; (3) decisions to terminate life support; and (4) allocation of limited resources. (SK)

Purpose: As funds have increased for the provision of in-home care, so too have concerns about the quality of services. In response, care management agencies and home-care providers have developed an array of monitoring activities designed to ensure the quality of services. In this article, we show how an area agency on aging both collected and…

Two programs in the Miami area enable Florida senior citizens to earn money while aiding others. The Senior Surrogate Parent Program offers classroom instruction and on-the-job training in child care. Home nursing skills and nutrition are taught in the Companion Aide to the Elderly Program. (Author/MS)

Careful staff selection, training, and review are among the methods the author recommends to home care agencies striving to provide top-notch services. Discusses measuring the quality of care employees are providing, accreditation, and the benefits of accreditation. (CT)

The OEO-funded Sangre de Cristo Comprehensive Health System in Costilla and Conejos Counties, Colorado, and northern Taos County, New Mexico, utilizes medical practitioners who are certified to practice a variety of medical techniques under the supervision of licensed physicians. (JM)

This article identifies home care practitioners' perceptions of the responsibilities, difficulties, and needs for support of caregivers. It is based on a study undertaken in Quebec with 55 practitioners and 10 administrators from 10 CLSCs located in rural, urban, and metropolitan areas. The study had a qualitative, multiple-case design and used…

Recounts the aftermath of Hurricane Gloria and necessity of frail individuals to be hospitalized for respite care due to loss of home services. Advances a new category of respite care which includes care for losses related to natural disasters. Describes characteristics of individuals requiring such care and specific reasons for their care.…

Caregivers of family members with dementia of the Alzheimer's type were surveyed for their experiences with early symptoms, obtaining a diagnosis, home care, and institutionalization. At each stage in the process of providing care there are new and different stresses that can be ameliorated by appropriate professional assistance. (Author)

Purpose: This study analyzed the effect of consumer-directed versus agency-directed home care on satisfaction with paid personal assistance services among Medicaid beneficiaries in Washington State. Design and Methods: The study analyzed a survey of 513 Medicaid beneficiaries receiving home- and community-based services. As part of a larger study,…

The paper discusses two reforms in Ontario's long-term care. The first is the commercialization of home care as a result of the implementation of a "managed competition" delivery model. The second is the Ministry of Health and Long-Term Care's privileging of "health care" over "social care" through changes to which…

Describes a research program designed to discover more of the behavioral characteristics of unselected secondary school students. Reports the results of two questionnaires; one claims to measure manifestations of aggression, hostility, and punitiveness; the second surveyed the use of medications, alcohol, and cigarettes. (GS)

Pressure for greater accountability is being exerted on programs for care of terminally ill and increasing demand for evaluation research. Components, implications, and limitations of evaluation systems are discussed, and their application in the terminal care setting addressed. Buckingham evaluation of hospice home care service is cited as a…