California Employer Perspectives on Older Working Adults Sepcific to the Affordable Care Act Health Insurance Mandate
The Patient Protection and Affordable Care Act, commonly known as the Affordable Care Act or the ACA, introduced legislation that mandated all large employers to offer health insurance to their employees or a monetary penalty will be assessed. The mandate inherently impacted employers with older workers. This paper analyzed how California employers viewed their older workers specific to the ACA through qualitative interviews. Ten participants made up the sample size (N = 10) in the study: eight employers and two professionals managing health insurance plans. Themes emerged from participant employers who viewed their older workers as valuable and like family, while the age of the older workers did not influence the participant employers during the decision making process to offer a health plan in light of the ACA’s mandate.
Sexual Behavior in Older Adults with Dementia: Curriculum for Caregivers
Behavioral complications, such as Inappropriate Sexual Behavior (ISB), are developed in many cases of dementia. Sex, even for those with dementia, is a primary need, but supporting this need in an appropriate manner may overwhelm caregivers. The purpose of this project was the create a curriculum for Dementia Friendly Community (DFC) residential caregivers on the topic of sexual expression amont older adults with dementia. By offering training on sexuality and dementia it is expected that caregiverse can increase the DFC's provision of quality of life. This project presented an assessment tool and plan on how to manage ISB, activities relevant to the discussed topics, and curriculum evaluation forms. Expert reviewers offered recommendations to further improve the curriculum's quality.
An Educational Curriculum on Death and Dying for Caregivers in California Assisted Living
The purpose of this project was to develop a curriculum addressing the topic of death and dying for unlicensed professional caregivers in assisted living. By understanding the course of death through a well-rounded gerontological approach, it is expected that unlicensed assisted living caregivers will be able to provide better, more informed care to their residents and address their own emotions concerning death. This curriculum includes four major topics: physical changes during death and dying, psychosocial changes during death and dying, communication with the dying and their loved ones, and professional grief management and support. Each topic also contains prompted discussion questions and interactive group activities. Two expert reviewers and the program developer’s committee members evaluated the course and offered suggestions for further development. These recommendations were then incorporated into the final version of the curriculum/
Factors Associated with Poor Oral Health Among Older Adults
The purpose of this study was to assess factors affecting oral health practices among adults 65 years of age and older, in an urban dental practice. The study looked at factors contributing to overall oral health including (a) age, (b) sex, (c) annual income, (d) diagnosed illness, (e) the number of prescribed medications being taken, and (f) highest education completed A convenience sample was obtained in the city of San Jose, California from a dental office. The researcher presented specific self-made surveys for his research on oral health to eligible participants in order to measure oral health. The significance level utilized on each hypothesis was p < .05. A total of 100 qualified surveys were used for analysis. Results showed that there was no significant relationship with the factor of sex. However, there was a significant relationship among all other factors and brushing at least twice a day. Future studies in a different setting or having a larger sample may be more appropriate to confirm or deny findings.
Knowledge and Attitudes about Advance Health Care Directives Among Community Dwelling Hispanic Older Adults
Alma C. Madrid
The purpose of this qualitative study was to examine the knowledge and attitudes about advance health care directives among community dwelling Hispanic older adults. The theme that emerged from 10 interviews was shared decision-making; with the older adult having the power to make autonomous decisions regarding their own end of life medical care and diffusing controls to external factors such as family, God, and doctors. Although respondents viewed the advance health care directive as a positive tool for end of life decision making, barriers to completion included (a) lack of knowledge, (b) lack of initiative on the part of the older adult and the physician to discuss end of life care, (c) health status, (d) religious beliefs, and (e) provoking sadness and worry within the family. Education and resources should be directed to the responsible parties in end of life decision making, including the older Hispanic adult, family, and physician.
Exercises for Older Adults with Dementia: A Meta-Analysis
The purpose of this study was to identify, through meta-analytical techniques, evidence-based recommendations for the type, frequency, and duration of exercise to slow the progression of dementia. Inclusion criteria were that the research had to be published between January 2000 and January 2012 and include both pre- and post-Mini Mental State Examination (MMSE) scores. After conducting extensive computer-aided and manual searches, eight studies were chosen for analysis. Of those eight studies, one study in particular indicated the optimal type, frequency, and duration of exercise to slow the progression of dementia, which was walking four times per week for thirty minutes per session. Future research should include the impact of other forms of exercise on the progression of dementia and the role of physicians in the prescription of exercise to slow the progression of dementia.
John Fay , M.S.
Elena Ionescu , M.S.
Jessica Brenner, M.S.
B.S. University of Arizona
Joy Dias, M.S.
B.D.S Ghandi University, Bangalore
Alma Madrid, M.S.
B.S. California State University Long Beach
Christine, Weber, M.S.
B.B.A. College of William and Mary