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Finishing Our story: Preparing for the End of Life 结束我们的故事:为生命的终结做准备
IF 2.8 0 GERONTOLOGY Pub Date : 2021-04-16 DOI: 10.1080/01924788.2021.1916314
Cheryl Osborne
Considering an individual’s needs and desires (for oneself, a family member, or friend), and creating ways that will support their end of life journey, are the primary “take home” lessons from Gregory Eastwood’s Finishing our story: Preparing for the end of life. This small book is easy to read and presents facts clearly and in a manner that facilitates application to one’s own life when preparing for, and encountering the joys and challenges faced by most people when dealing with the end of life. Eastwood views this book as being relevant for “people who have questions about the end of life – what to expect, how to prepare for it, (and) what to do when you get there” (p. 3). He provides numerous opportunities for the reader to become aware of and be attentive to their own feelings and assumptions and examine these in relation to the end-of-life process. Finishing our story: Preparing for the end of life is packed with helpful general information that can assist in navigating the uncharted waters often found when grappling with the end-of-life journey. Personal stories and professional vignettes are interwoven throughout the chapters and address shared human conditions and beliefs; clearly enhancing the reader’s understanding of the content. The book is organized in a logical manner leading the reader to consider historical concepts on end-of-life, how one defines/redefines their own personal “quality of their life” as the journey progresses, and presents potential ethical issues that may arise between and among the individual, family, and friends. Eastwood also addresses legal instruments that can be used to make one’s wishes known (ie. Durable Power of Attorney for Health Care, DNR/DNI – Do Not Resuscitate/Do Not Intubate, POLSTPhysician’s Orders for Life-Sustaining Treatment), the possible need for, and use of, an ethics committee or consultant, palliative care as it relates to hospice care, and alternatives for medical aid in dying/physician-assisted death and voluntary stopping and drinking [VSED] in states that have legal statutes allowing for these. The last two sections, of course, are fluid as time moves forward and need to be read and updated within the context of changes after early 2019 (ie. the Palliative Care Delivery Model for patients who are diagnosed with chronic diseases but who are not yet in need of hospice, and changes in the “end life option act/right to die” legislation). Finally, Eastwood concludes with a discussion about legacy building and how reflecting on one’s life and communicating one’s life story to others as a helpful way to manage the end-of-life journey and make it more fulfilling. Finishing our story: Preparing for the end of life is a good adjunct book for all people wanting to learn about the personal and practical aspects surrounding the end-of-life journey. Eastwood’s three gifts to the reader include: 1) a better understanding of lived experiences at the end of life; 2) concrete ways to assist with “Finis
考虑到个人的需求和愿望(为自己,为家人或朋友),并创造出支持他们生命终结之旅的方法,这是格雷戈里·伊斯特伍德的《结束我们的故事:为生命的终结做准备》教给我们的主要“带回家”的课程。这本小书易于阅读,并以一种易于应用于自己生活的方式,在准备和面对大多数人在处理生命结束时所面临的快乐和挑战时,清晰地呈现事实。伊斯特伍德认为这本书与“那些对生命结束有疑问的人——期待什么,如何准备,(以及)当你到达那里时该做什么”(第3页)有关。他为读者提供了许多机会,让他们意识到并注意自己的感受和假设,并将这些与生命结束的过程联系起来。结束我们的故事:为生命的终结做准备这本书包含了很多有用的一般信息,可以帮助你在与生命终结之旅作斗争时,在未知的水域中导航。个人故事和职业小插曲交织在章节中,讲述共同的人类状况和信仰;清晰地增强读者对内容的理解。这本书以一种合乎逻辑的方式组织,引导读者考虑关于生命终结的历史概念,随着旅程的进展,一个人如何定义/重新定义他们自己的“生活质量”,并提出了个人、家庭和朋友之间可能出现的潜在伦理问题。伊斯特伍德还谈到了可以用来表达一个人的愿望的法律工具(即。医疗保健持久授权书,DNR/DNI -不复苏/不插管,polst医生维持生命治疗的命令),道德委员会或顾问的可能需求和使用,与临终关怀相关的姑息治疗,以及死亡医疗援助/医生协助死亡的替代方案和自愿停止饮酒[VSED]在有法律法规允许这些的州。当然,随着时间的推移,最后两部分是不稳定的,需要在2019年初之后的变化背景下阅读和更新。为被诊断患有慢性疾病但尚未需要临终关怀的病人提供姑息治疗的模式,以及“结束生命选择法/死亡权利”立法的变化)。最后,伊斯特伍德总结了关于遗产建设的讨论,以及如何反思一个人的生活并与他人交流一个人的生活故事,作为一种管理生命终结之旅并使其更充实的有益方式。结束我们的故事:《为生命的终结做准备》是一本很好的辅助书,适合所有想要了解围绕生命终结之旅的个人和实际方面的人。伊斯特伍德给读者的三个礼物包括:1)更好地理解生命结束时的生活经历;2)具体的方法来帮助“完成我们的故事”,3)一个提醒,去寻找和尊重“内心的人”,考虑他们在任何情况下的需求和愿望。
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引用次数: 0
Creative Engagement: A Handbook of Activities for People with Dementia 创造性参与:痴呆症患者活动手册
IF 2.8 0 GERONTOLOGY Pub Date : 2021-04-15 DOI: 10.1080/01924788.2021.1916319
Lisa A. Hollis-Sawyer
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引用次数: 0
Comparison of the Cognitive Benefits of Doing Aerobic Exercise versus Performing Theater in Healthy Older Adults 健康老年人有氧运动与戏剧表演的认知益处比较
IF 2.8 0 GERONTOLOGY Pub Date : 2021-04-14 DOI: 10.1080/01924788.2021.1910152
Á. F. Villalva-Sánchez, H. Salgado-Ceballos, M. Rodríguez-Camacho, J. A. Guzmán-Cortés, Jorge Bernal Hernández
ABSTRACT Previous studies have shown cognitive benefits for healthy older adults who engage in aerobic exercise training (AET) or artistic activities such as theater training (TT). However, these two activities have not been compare on their cognitive effects. So, this study compares the cognitive functioning of healthy older adults engaging in AET by playing Newcomb ball (volleyball-based game) versus those who participated in TT. Participants were 20 healthy older adults (10 women), 60–78 years of age, with an average education of 10.8 years and practitioners of AET or TT. The composition of the groups was controlled with respect to age, sex, schooling, and periodicity and time of practice of each activity. Neuropsychological functions of planning, working memory, cognitive flexibility, inhibition, and learning were evaluated. A high normal neuropsychological performance was observed in the AET group in the majority of the normalized scores for almost all the cognitive areas studied, whereas the TT group showed high average performance only in inhibition and cognitive flexibility. Although the results indicate that AET is a better option than TT as a protective factor against the cognitive decline that comes along with aging, TT cannot be ruled out as an option for elderly with physical limitations.
先前的研究表明,参加有氧运动训练(AET)或艺术活动(如戏剧训练(TT))对健康老年人的认知有好处。然而,这两种活动的认知效果还没有被比较过。因此,本研究比较了通过玩纽科姆球(基于排球的游戏)参与AET的健康老年人与参加TT的老年人的认知功能。参与者为20名健康老年人(10名女性),年龄60-78岁,平均受教育程度为10.8年,从事AET或TT治疗。小组的组成根据年龄、性别、学校教育、每项活动的周期和时间进行控制。评估计划、工作记忆、认知灵活性、抑制和学习的神经心理功能。AET组在几乎所有研究的认知领域的大多数标准化得分中表现出较高的正常神经心理表现,而TT组仅在抑制和认知灵活性方面表现出较高的平均表现。虽然结果表明,作为防止随年龄增长而出现的认知能力下降的保护因素,AET是比TT更好的选择,但不能排除TT是有身体限制的老年人的一种选择。
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引用次数: 4
The Brain Health Book: Using the Power of Neuroscience to Improve Your Life 大脑健康书:利用神经科学的力量来改善你的生活
IF 2.8 0 GERONTOLOGY Pub Date : 2021-04-13 DOI: 10.1080/01924788.2021.1916317
Regina Parnell
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引用次数: 0
Authentic Health: The Definitive Guide to Losing Weight, Feeling Better, Mastering Stress, Sleeping Well Every night, & Enjoying a Sense of Purpose 真实的健康:减肥,感觉更好,控制压力,每晚睡得好,享受目标感的权威指南
IF 2.8 0 GERONTOLOGY Pub Date : 2021-04-12 DOI: 10.1080/01924788.2021.1915675
Lisa A. Hollis-Sawyer
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引用次数: 0
Exploring Neighbourhood-based Programming for Older Adults: A Seniors’ Satellite 探索面向老年人的基于社区的编程:老年人的卫星
IF 2.8 0 GERONTOLOGY Pub Date : 2021-04-12 DOI: 10.1080/01924788.2021.1910153
C. Hand, Karen R Schouten, Michelle C. Dellamora, L. Letts, Tracy Drenth
ABSTRACT Community-based programs for older adults are key health-promoting resources; however, barriers to participation exist, including transportation, cost, accessibility, and social in-groups. To address such barriers, a neighborhood-based Seniors’ Satellite program was implemented. We explored the benefits of participating in this program, and barriers and facilitators to participation, through a mixed methods program evaluation. The Satellite attracted older adults at risk of isolation and those more socially connected, from the local neighborhood and more distant areas. Findings suggest program participants valued the combination of social contact, exercise, and fun, in a local, friendly setting, and gained social and health benefits.
摘要社区老年人项目是促进健康的重要资源;然而,参与的障碍是存在的,包括交通、成本、可及性和群体社交。为了解决这些障碍,实施了一项基于社区的老年人卫星计划。我们通过混合方法的项目评估,探讨了参与该项目的好处,以及参与的障碍和促进因素。该卫星吸引了来自当地社区和更远地区的有隔离风险的老年人和社交联系更紧密的人。研究结果表明,项目参与者重视在当地友好的环境中进行社交、锻炼和娱乐的结合,并获得了社会和健康益处。
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引用次数: 4
Ageing in Australia: Challenges and Opportunities 澳大利亚老龄化:挑战与机遇
IF 2.8 0 GERONTOLOGY Pub Date : 2021-04-12 DOI: 10.1080/01924788.2021.1915682
Alissa M. Dickey
impact on organizations and the final section is on caregiving and caregivers. There are links to current research throughout the book. These links are both the book’s strength and a potential weakness. Users might have some problems with the links. For example, the link on page six takes one to The Lancet, a major medical journal, but others take readers to a Google page. This is positive in that the links should continue to work, but negative in that readers are surrounded by potentially misleading sites that could lead people to misinformation. Another of the book’s strengths is that many readers will be comforted by the summary of the impodgzrtance of spirituality (see p. 62 and following) for both the caregiver and the care recipient. The research is approached critically, as befits a scientific appraisal. There are good cautions about the limitations of dietary studies, even those studies the authors want to promote and a warning about websites that require the reader to register their details in order to access the content. Preventing Alzheimer’s and other Dementias Now is short, helpful, and especially useful for persons who are familiar with Internet-based searches and checking out online library books – though very few library books incorporate links to further information.
对组织的影响最后一部分是关于看护和看护人。书中有与当前研究的链接。这些链接既是这本书的优点,也是潜在的缺点。用户可能对链接有一些问题。例如,第6页上的链接将读者带到主要医学杂志《柳叶刀》(the Lancet),但其他链接将读者带到谷歌页。这是积极的,因为链接应该继续工作,但消极的是,读者被潜在的误导网站包围,可能导致人们获得错误的信息。这本书的另一个优点是,对于照顾者和被照顾者来说,灵性的重要性的总结(见第62页及以下)会让许多读者感到安慰。这项研究是批判性地进行的,这符合科学的评价。对于饮食研究的局限性,即使是那些作者想要推广的研究,也有很好的警告,对于那些要求读者注册详细信息才能访问内容的网站,也有警告。《预防阿尔茨海默氏症和其他痴呆症》简短而有用,对熟悉互联网搜索和查看在线图书馆图书的人尤其有用——尽管很少有图书馆图书包含进一步信息的链接。
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引用次数: 4
The Relationship between Physical Fitness and Reasoning in Community-Dwelling Older Adults 社区老年人体质与推理的关系
IF 2.8 0 GERONTOLOGY Pub Date : 2021-04-06 DOI: 10.1080/01924788.2021.1910150
Jodi Tommerdahl, John Biggan, Fred McKee, Monica Nesbitt, Christopher Ray
ABSTRACT This study examines two independent aspects of cognition, deductive and probabilistic reasoning to differentiate between their relationship to physical fitness in older adults. This study measured the deductive and probabilistic reasoning abilities of 65 community dwelling older adults ranging in age from 55 to 92 (M = 74.88, SD = 6.70). A series of three-line syllogisms was used to measure both probabilistic and deductive reasoning while physical testing was carried out using the Senior Fitness Test (SFT). Results showed deductive reasoning to be positively correlated with the SFT, particularly lower body strength (chair stands; r = .40), aerobic fitness (2-minute step test; r = .37), and agility/dynamic balance (8-foot up-and-go [smaller score is better]; r = −.29). However, no relationship was found between physical fitness and probabilistic reasoning.
摘要本研究考察了认知的两个独立方面,演绎推理和概率推理,以区分它们与老年人身体素质的关系。本研究测量了65名年龄在55-92岁(M=74.88,SD=6.70)的社区老年人的演绎和概率推理能力。在使用老年人体质测试(SFT)进行身体测试时,使用一系列三线三段论来测量概率推理和演绎推理。结果显示,演绎推理与SFT呈正相关,尤其是下半身力量(椅子支架;r=.40)、有氧健身(2分钟步进测试;r=.37)和敏捷性/动态平衡(8英尺高[得分越小越好];r=−.29)。然而,身体素质和概率推理之间没有关系。
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引用次数: 4
Preventing Falls Together: Social Identification Matters for Engaging Older Adults in a Group-based Exercise Program 预防跌倒在一起:社会认同对参与以团体为基础的锻炼计划的老年人很重要
IF 2.8 0 GERONTOLOGY Pub Date : 2021-01-11 DOI: 10.1080/01924788.2020.1871540
Greta M. A. Steckhan, L. Warner, L. Fleig
ABSTRACT According to socioemotional selectivity theory, older adults may attend a falls prevention program due to social-emotional rather than health-related factors. Within a prospective design, N = 174 participants completed a questionnaire (T1) assessing social identification with the training group, risk perception, outcome expectancies, self-efficacy beliefs, intention, health status and form of housing. At follow-up six month later (T2), n = 125 participants provided information on training attendance. A multiple regression analysis with form of housing as moderator revealed that social identification predicted attendance, but only for those participants living alone (β = .87, p < .001). Health-related predictors were not associated with attendance.
摘要根据社会情感选择性理论,老年人参加跌倒预防计划可能是由于社会情感因素,而不是健康因素。在前瞻性设计中,N=174名参与者完成了一份问卷(T1),评估对培训组的社会认同、风险感知、预期结果、自我效能信念、意图、健康状况和住房形式。在六个月后(T2)的随访中,n=125名参与者提供了培训出席情况的信息。以住房形式为调节因素的多元回归分析显示,社会认同可以预测出勤率,但仅适用于那些独居的参与者(β=.87,p<.001)。健康相关的预测因素与出勤率无关。
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引用次数: 9
Crack the Code: 10 Proven Secrets that Motivate Healthy Behavior and Inspire Fulfillment in Men Over 50 破解密码:50岁以上男性激励健康行为和激励成就感的10个被证明的秘密
IF 2.8 0 GERONTOLOGY Pub Date : 2021-01-02 DOI: 10.1080/01924788.2021.1872281
D. Wilson
The title of the book Crack the Code: 10 Proven Secrets that Motivate Healthy Behavior and Inspire Fulfillment in Men Over 50 captures this topic well. The author focuses on motivating men over 50 to take responsibility for their own health and make healthy changes. Its intent is to present a concrete framework to set personal goals and ways to ensure change endures. This book is targeted to the lay public, specifically men over 50 years of age, though it might have value to men younger or even women as well. There are numerous positive approaches reviewed and These are grounded in social theory. Many of the conclusions reached in this book are a result of surveys and research conducted by the author. However, the generalization of characteristics of men over 50 did not fit my lived experience. It started out with a great framework and suggested approach, but then got muddled in stories and eclectic organization. I think Crack the Code: 10 Proven Secrets that Motivate Healthy Behavior and Inspire Fulfillment in Men Over 50 might be good reading for someone looking for theory-based approaches to positive psychology and change theory. These are loosely applied to personal experience, with a life lesson wrapped in. I believe some readers will become more mindful of their own habits.
《破解密码:50岁以上男性激励健康行为和激励成就感的10个被证明的秘密》一书的标题很好地抓住了这个话题。作者的重点是激励50岁以上的男性对自己的健康负责,并做出健康的改变。它的目的是提出一个具体的框架来设定个人目标和确保变化持续的方法。这本书的目标受众是普通大众,特别是50岁以上的男性,尽管它可能对年轻男性甚至女性也有价值。有许多积极的方法被审查,这些都是基于社会理论。书中得出的许多结论都是作者进行调查和研究的结果。然而,对50岁以上男性特征的概括并不符合我的生活经验。它一开始有一个很好的框架和建议的方法,但后来在故事和折衷的组织中变得混乱。我认为《破解密码:50岁以上男性激励健康行为和激发成就感的10个被证明的秘密》可能是寻找积极心理学和改变理论的理论基础方法的人的好读物。这些都松散地应用于个人经历中,其中包含着人生教训。我相信一些读者会更加注意自己的习惯。
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引用次数: 0
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Activities Adaptation & Aging
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