Science.gov

Sample records for adult day care

  1. Adult Day Care

    MedlinePlus

    ... care Physical therapy Recreation Respite care Socialization Supervision Transportation Medication management Back to top Center Operations Centers ... social activities. They may also help to arrange transportation to and from the center. Back to top ...

  2. 38 CFR 59.160 - Adult day health care requirements.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2012-07-01 2012-07-01 false Adult day health care... (CONTINUED) GRANTS TO STATES FOR CONSTRUCTION OR ACQUISITION OF STATE HOMES § 59.160 Adult day health care requirements. As a condition for receiving a grant and grant funds under this part for an adult day health...

  3. 38 CFR 59.160 - Adult day health care requirements.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2011-07-01 2011-07-01 false Adult day health care... (CONTINUED) GRANTS TO STATES FOR CONSTRUCTION OR ACQUISITION OF STATE HOMES § 59.160 Adult day health care requirements. As a condition for receiving a grant and grant funds under this part for an adult day health...

  4. Adult Day Care--Extended Family.

    ERIC Educational Resources Information Center

    Smith, Bert Kruger

    This pamphlet describes a multi-purpose day-care center for the elderly in Abilene, Texas which is intended to fill the "extended family" role of offering companionship, medical attention, and other aspects of concern to older persons in the community. The goals of the program are as follows: (1) to keep individuals out of institutions as long as…

  5. 38 CFR 59.160 - Adult day health care requirements.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2014-07-01 2014-07-01 false Adult day health care requirements. 59.160 Section 59.160 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS (CONTINUED) GRANTS TO STATES FOR CONSTRUCTION OR ACQUISITION OF STATE HOMES § 59.160 Adult day health care requirements. As a condition...

  6. 38 CFR 59.160 - Adult day health care requirements.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false Adult day health care requirements. 59.160 Section 59.160 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS (CONTINUED) GRANTS TO STATES FOR CONSTRUCTION OR ACQUISITION OF STATE HOMES § 59.160 Adult day health care requirements. As a condition...

  7. 38 CFR 59.160 - Adult day health care requirements.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2013-07-01 2013-07-01 false Adult day health care requirements. 59.160 Section 59.160 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS (CONTINUED) GRANTS TO STATES FOR CONSTRUCTION OR ACQUISITION OF STATE HOMES § 59.160 Adult day health care requirements. As a condition...

  8. Adult Day Care for Alzheimer's Patients and Their Families.

    ERIC Educational Resources Information Center

    Sands, Dan; Suzuki, Thelma

    1983-01-01

    Harbor Area Adult Day Care Center has operated for two years with a primary purpose of providing respite care to families caring for a relative with Alzheimer's disease or related disorders. The rationale, history, program, staffing, funding, and experience for the first two years of the project are provided. (Author/RC)

  9. Adult day care: promoting quality of life for the elderly.

    PubMed

    Hunter, S

    1992-02-01

    1. Adult day care allows elderly clients to continue to be a part of their family. The program promotes maintenance of joint mobility, challenges the mind, and allows the client to be a productive part of the community. 2. As director of an adult day care center, it is the RN's responsibility to ensure quality of care for all clients. This includes providing inservice education, establishing quality assurance monitoring, and individualizing care plans for each client. 3. For appropriate placement in day care, the client must be oriented, cooperative, and able to comprehend communication. Physical endurance must allow the client to remain out of bed during the day, and the staff must be able to manage physical handicaps. PMID:1538082

  10. Adult Day Care and Medical and Hospital Claims.

    ERIC Educational Resources Information Center

    Chappell, Neena L.; Blandford, Audrey A.

    1987-01-01

    Examined effect of adult day care (ADC) on utilization of health care practitioner and inpatient hospital services. Data from three separate ADC studies revealed that, when operative for some time, ADC may result in dramatic decreases in hospital inpatient stays. Findings warrant further research. (Author/NB)

  11. 38 CFR 52.61 - General requirements for adult day health care program.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... adult day health care program. 52.61 Section 52.61 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS (CONTINUED) PER DIEM FOR ADULT DAY HEALTH CARE OF VETERANS IN STATE HOMES Standards § 52.61 General requirements for adult day health care program. Adult day health care must be...

  12. 38 CFR 52.61 - General requirements for adult day health care program.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... adult day health care program. 52.61 Section 52.61 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS (CONTINUED) PER DIEM FOR ADULT DAY HEALTH CARE OF VETERANS IN STATE HOMES Standards § 52.61 General requirements for adult day health care program. Adult day health care must be...

  13. 38 CFR 52.61 - General requirements for adult day health care program.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... adult day health care program. 52.61 Section 52.61 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS (CONTINUED) PER DIEM FOR ADULT DAY HEALTH CARE OF VETERANS IN STATE HOMES Standards § 52.61 General requirements for adult day health care program. Adult day health care must be...

  14. 38 CFR 52.61 - General requirements for adult day health care program.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... adult day health care program. 52.61 Section 52.61 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS (CONTINUED) PER DIEM FOR ADULT DAY HEALTH CARE OF VETERANS IN STATE HOMES Standards § 52.61 General requirements for adult day health care program. Adult day health care must be...

  15. Sleep characteristics of Veterans Affairs Adult Day Health Care participants.

    PubMed

    Hughes, Jaime M; Martin, Jennifer L

    2015-01-01

    Addressing sleep disturbance can help to slow functional decline, delay nursing home admission, and improve overall health among older adults; however, sleep is not widely studied in high-risk older adults such as Adult Day Health Care (ADHC) participants. Sixty-eight ADHC participants were interviewed for sleep disturbance using a 28-item screening questionnaire. More than two thirds (n = 48, 70.6%) reported one or more characteristics of poor sleep, and 38% of participants met basic criteria for insomnia. Individuals with insomnia attended ADHC less frequently, reported worse sleep quality and shorter sleep duration, and were more likely to endorse trouble falling asleep, staying asleep, and waking up too early (ps < 0.001). Research is needed to better understand perceptions, predictors, and outcomes of sleep disturbance within ADHC participants. PMID:24654988

  16. Child Nutrition Programs: Child and Adult Care Food Program. Family Day Care Home Handbook.

    ERIC Educational Resources Information Center

    Oklahoma State Dept. of Education, Oklahoma City.

    This handbook details requirements for family day care homes in Oklahoma for providing child nutrition through the Child and Adult Care Food Program. The handbook includes contact information for state consultants. The basic responsibilities for sponsors of family day care home child nutrition programs are outlined, and the sponsoring organization…

  17. 78 FR 45176 - Child and Adult Care Food Program: National Average Payment Rates, Day Care Home Food Service...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-26

    ... Food and Nutrition Service Child and Adult Care Food Program: National Average Payment Rates, Day Care... Day Care Homes for the Period July 1, 2013 Through June 30, 2014 AGENCY: Food and Nutrition Service...-risk afterschool care centers, and adult day care centers; the food service payment rates for meals...

  18. 38 CFR 52.61 - General requirements for adult day health care program.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false General requirements for adult day health care program. 52.61 Section 52.61 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS (CONTINUED) PER DIEM FOR ADULT DAY HEALTH CARE OF VETERANS IN STATE HOMES Standards § 52.61 General requirements for adult...

  19. 75 FR 41793 - Child and Adult Care Food Program: National Average Payment Rates, Day Care Home Food Service...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-19

    ..., 2009, at 74 FR 34295. Child and Adult Care Food Program (CACFP) Lunch and Centers Breakfast supper \\1... Food and Nutrition Service Child and Adult Care Food Program: National Average Payment Rates, Day Care... Day Care Homes for the Period July 1, 2010 Through June 30, 2011 AGENCY: Food and Nutrition...

  20. 76 FR 43254 - Child and Adult Care Food Program: National Average Payment Rates, Day Care Home Food Service...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-20

    ..., 2010, at 75 FR 41793. Child and Adult Care Food Program (CACFP) [Per meal rates in whole or fractions... Food and Nutrition Service Child and Adult Care Food Program: National Average Payment Rates, Day Care... Day Care Homes for the Period July 1, 2011 Through June 30, 2012 AGENCY: Food and Nutrition...

  1. Adult Day Services

    MedlinePlus

    A Smart Choice Adult Day Services Comparison At-a-Glance 1 Adult Day Services Assisted Living Home Care Nursing Homes Live at home with family ... supervision Nursing care available as needed during the day Flexibility to receive care only on days when ...

  2. Use of Adult Day Care Centers: Do They Offset Utilization of Health Care Services?

    ERIC Educational Resources Information Center

    Iecovich, Esther; Biderman, Aya

    2013-01-01

    Purpose: Based on the medical offset effect, the goal of the study was to examine the extent to which users and nonusers of adult day care centers (ADCC) differ in frequency of use of out-patient health services (visits to specialists) and in-patient health services (number of hospital admissions, length of hospitalizations, and visits to…

  3. Staff Morale in Day Care Centres for Adults with Intellectual Disabilities

    ERIC Educational Resources Information Center

    Mascha, Katerina

    2007-01-01

    Background: Levels of burnout, job satisfaction and intended turnover of staff working in day care centres for adults with intellectual disabilities are investigated in relation to role clarity, staff support and supervision, and coping strategies used by staff. Materials and methods: Thirty six direct-care staff of four day care centres in the UK…

  4. Day Care.

    ERIC Educational Resources Information Center

    Merro, John; And Others

    Interviews on the quality of day care in the United States are presented in this transcript of a program broadcast in the National Public Radio weekly series, "Options in Education." Writers, day care center personnel and others describe and evaluate the current situation. Federal legislation concerning children is examined, and researchers…

  5. Adult Day Care: Its Impact on the Utilization of Other Health Care Services and on Quality of Life.

    ERIC Educational Resources Information Center

    Chappell, Neena L.; Blandford, Audrey

    The Adult Day Care Program (ADC) in the Province of Manitoba is a health and social service program providing socialization and recreation in a supportive environment to those who, without this intervention, might deteriorate in physical or mental health function. To examine the impact of adult day care on the utilization of other health care…

  6. 7 CFR 226.19a - Adult day care center provisions.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ..., DEPARTMENT OF AGRICULTURE CHILD NUTRITION PROGRAMS CHILD AND ADULT CARE FOOD PROGRAM Operational Provisions... requirements set forth in this part. (8) Adult day care centers shall collect and maintain documentation of the... require key operational staff, as defined by the State agency, to attend Program training prior to...

  7. 7 CFR 226.19a - Adult day care center provisions.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ..., DEPARTMENT OF AGRICULTURE CHILD NUTRITION PROGRAMS CHILD AND ADULT CARE FOOD PROGRAM Operational Provisions... requirements set forth in this part. (8) Adult day care centers shall collect and maintain documentation of the... require key operational staff, as defined by the State agency, to attend Program training prior to...

  8. 76 FR 44573 - Child and Adult Care Food Program: National Average Payment Rates, Day Care Home Food Service...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-26

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF AGRICULTURE Food and Nutrition Service Child and Adult Care Food Program: National Average Payment Rates, Day Care Home Food Service Payment Rates, and Administrative Reimbursement Rates for Sponsoring Organizations of Day Care Homes for the Period July 1,...

  9. Use of adult day care service centers in an ethnically diverse sample of older adults.

    PubMed

    Brown, Ellen L; Friedemann, Marie-Luise; Mauro, Ana C

    2014-03-01

    Our nation is aging and unprepared to meet the needs of community-dwelling seniors and their caregivers. This study explored the perceived need for and use of adult day care services (ADS) in a low-income population. A random sample of 537 patient-caregiver dyads were recruited in home care agencies, and separate in-home surveys were conducted. Patients and caregivers were primarily women and 50.2% were of Hispanic origin. Although half (n = 267/537, 49.7%) of the caregivers had a perceived need for using ADS, only 19.1% of these caregivers used these services, mostly in the context of severe patient cognitive impairment. There were no racial or ethnic differences among ADS users and nonusers. The overall low use of ADS in a growing ethnically diverse senior population with a perceived need for services warrants further investigation and action as states seek to decrease nursing home placement and find solutions for our looming caregiving crisis. PMID:24652954

  10. Family Day Care Handbook.

    ERIC Educational Resources Information Center

    Community Coordinated Child Care (4-C) in Dane County, Inc., Madison, WI.

    This handbook provides both general and specific information on child development and child care to help adults who are providing child care in their homes. Information is presented in six sections which describe: (1) the family day care system, the occupation of caregiver, and the development of relationships; (2) development of a health program,…

  11. 7 CFR 226.19a - Adult day care center provisions.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... participating in the Program must serve one or more of the following meal types—breakfast, lunch, supper, and... agreement between the center and school. The center shall maintain responsibility for all Program... document compliance with such requirements. (7) An adult day care center may obtain meals from a...

  12. 7 CFR 226.19a - Adult day care center provisions.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... participating in the Program must serve one or more of the following meal types—breakfast, lunch, supper, and... agreement between the center and school. The center shall maintain responsibility for all Program... document compliance with such requirements. (7) An adult day care center may obtain meals from a...

  13. 7 CFR 226.19a - Adult day care center provisions.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... participating in the Program must serve one or more of the following meal types—breakfast, lunch, supper, and... agreement between the center and school. The center shall maintain responsibility for all Program... document compliance with such requirements. (7) An adult day care center may obtain meals from a...

  14. Social and Environmental Infantilization of Aged Persons: Observations in Two Adult Day Care Centers.

    ERIC Educational Resources Information Center

    Salari, Sonia Miner; Rich, Melinda

    2001-01-01

    Examines the social environments, staff behavior and social interaction of 72 elderly clients in adult day care centers, using qualitative research techniques. When the staff and environment were more infantilizing, provided less autonomy and fewer opportunities for privacy regulation, clients had lower social interaction with peers. In contrast,…

  15. Training unemployed women for adult day care in Izmir, Turkey: a program evaluation.

    PubMed

    Hussein, Shereen; Oğlak, Sema

    2014-01-01

    The proportion of older people in Turkey is increasing steadily with a subsequent growth of long-term care (LTC) needs. There is a scarcity of formal care provisions for residential and particularly nonresidential settings. Thus, formal caregiving is not meeting LTC needs nor attracting workers as a labor option. The authors examine the hypothesis that LTC may offer work opportunities for women unfamiliar with caregiving as an occupation, and also examine the need and acceptance of different types of LTC beyond residential care. The authors evaluate an innovative project introducing these two elements to 76 women in İzmir, Turkey, using an analysis framework that incorporates factors related to applications and progression; management assessment; trainees' self-assessment reflecting on their views on aging; and older people's perception of the experience and its impact on their well-being. Trainees reported a major positive shift in their attitudes toward working in LTC and toward the aging process. Users reported discovering a new dimension to care, which directly affected their quality of life. Overall, this community-based initiative appeared effective in enhancing the awareness of the concept of adult day centers providing a social model of care, and appears promising in addressing the growing need for formal LTC in Turkey. PMID:23701487

  16. Look at Me! Does the Adult Truly See and Respond to the Child in Finnish Day-Care Centres?

    ERIC Educational Resources Information Center

    Kalliala, Marjatta

    2011-01-01

    The aim of the Kangaroo research project was to enhance the well-being of children under three years of age in Finnish day-care centres. In this experimental intervention study adults were encouraged to take a more sensitive and active role especially during "free play." In six Kangaroo groups and five control groups adults (N = 28) and children…

  17. Family Day Care Associations.

    ERIC Educational Resources Information Center

    Bookman, Robert

    This paper presents information on the organization and accomplishments of Family Day Care Associations, organized groups of individuals who provide day care services in their own homes. Although primarily based on experiences of day care mothers in New York State, the paper presents information relevant to day care providers in any area.…

  18. Connecting the disconnected: adult day care for people with AIDS in New York City.

    PubMed

    Smith, M Y; Knickman, J R; Oppenheimer, L M

    1992-11-01

    Despite pressing need, the development of a continuum of long-term-care services for people with acquired immune deficiency syndrome (AIDS) has been hampered by the dearth of information on the characteristics and service needs of patients eligible for such care. This article presents findings from a process evaluation of an outpatient day care program for people with AIDS in New York City. The AIDS clients were highly functional but had a diverse range of needs and problems related to housing, substance abuse, medical care, and social support. The majority of clients reported being very satisfied with the level of staff support and with the overall program. The findings of the study suggest that day care is a valuable addition to the continuum of services and that the creative dissemination of this program may improve the delivery of services to people with AIDS. PMID:1478553

  19. Prevalence of Behavior Disorder and Disturbance to Family and Staff in a Sample of Adult Day Health Care Clients.

    ERIC Educational Resources Information Center

    Teresi, Jeanne A.; Holmes, Douglas; Dichter, Elizabeth; Koren, Mary Jane; Ramirez, Mildred; Fairchild, Susan

    1997-01-01

    Reports on the prevalence of behavior disorders in a sample of residents (N=360) in adult day health care programs. Findings indicate relatively high rates of behavior disorders. Most prevalent were the affective disorders (seeking reassurance, depression, crying) and verbal-vocal agitation. Differences between formal and informal caregivers'…

  20. Factors Affecting the Involvement of Day Centre Care Staff in the Delivery of Physiotherapy to Adults with Intellectual Disabilities: An Exploratory Study in One London Borough

    ERIC Educational Resources Information Center

    Middleton, M. -J.; Kitchen, S. S.

    2008-01-01

    Background: Physiotherapists for adults with intellectual disabilities often work in day centres, relying on care staff to support programmes. This study investigates factors affecting physiotherapy delivery in 4 day centres in one London borough. Materials and Method: Semi-structured interviews were carried out with day centre care staff,…

  1. Perspectives on Infant Day Care.

    ERIC Educational Resources Information Center

    Elardo, Richard, Ed.; Pagan, Betty, Ed.

    This second edition contains articles on (1) infant day care, (2) day care as a way to extend parental support systems, (3) meeting developmental needs of infants, (4) ecology of day care, (5) ecology of infant day care, (6) quality care for infants, (7) the daily schedule, (8) precautions in establishing infant day care, (9) teaching--learning…

  2. Day Care: Nutrition.

    ERIC Educational Resources Information Center

    Foster, Florence P.; And Others

    This collection of 12 short, bilingual papers on nutrition and preschool children is part of a series of papers on various aspects of day care published by the Canadian Department of Health and Welfare. Each paper is presented in both English and French. Topics dealt with include an overview of children's nutritional needs; development of…

  3. The Ecology of Infant Day Care.

    ERIC Educational Resources Information Center

    Elardo, Richard

    This paper explores some of the attributed of quality day care programs for infants, age 0 to 30 months. High-quality interactions with adults result in positive developmental outcomes for infants. Adults involved in day care should focus on providing an environment of stimulating experiences, which help infants to develop satisfactorily. Other…

  4. Foundations, Adult Dynamics, Teacher Education and Play. Advances in Early Education and Day Care.

    ERIC Educational Resources Information Center

    Reifel, Stuart, Ed.

    Providing a forum for current thinking related to early care and education, this book presents a wide range of views regarding research methodology, the nature of experience while teaching, teaching and program improvement, and conceptualizing play in the curriculum. The chapters are: (1) "Postmodern Research in Early Childhood Education" (Gaile…

  5. Family Day Care Training Curriculum.

    ERIC Educational Resources Information Center

    Nakatsu, Gail

    California's Family Day Care Training Program was designed to recruit and train in 7 weeks, Lao, Vietnamese, and Chinese refugees to establish their own state-licensed, family day care homes. Topics in the program's curriculum include an introduction to family day care, state licenses for family day care, state licensing requirements for family…

  6. QuickStats: Percentages* of Residential Care Communities and Adult Day Services Centers That Provided(†) Selected Services - United States, 2014.

    PubMed

    2016-01-01

    In 2014, a greater percentage of residential care communities than adult day service centers provided five of seven selected services. The majority of residential care communities provided pharmacy services (82%); followed by transportation for social activities (79%); physical, occupational, or speech therapy (69%); hospice (62%); skilled nursing (59%); and mental health services (52%). Fewer than half provided social work services (48%). The majority of adult day services centers provided transportation for social activities (69%); skilled nursing (66%); and social work (52%). %). Fewer than half provided physical, occupational, or speech therapy (49%). One third or less provided mental health (33%), pharmacy (27%), and hospice services (12%). PMID:27607333

  7. Perspectives on Infant Day Care.

    ERIC Educational Resources Information Center

    Elardo, Richard, E.; Pagan, Betty, Ed.

    These proceedings of the first annual SACUS workshop on infant day care contain the papers presented at the conference, plus an appendix--Developmental Objectives for Infants and Toddlers. The papers are: "Infant Day Care--Fads, Facts, and Fancies" by Bettye M. Caldwell; "Family Day Care""A Broad Perspective" by Malcolm S. Host; "Getting…

  8. Family Day Care Provider Handbook

    ERIC Educational Resources Information Center

    New York State Office of Children and Family Services, 2006

    2006-01-01

    Family day care providers are responsible for creating a high-quality program where children have opportunities to grow, learn and thrive. Part of providing high-quality child care includes complying with the family day care regulations from the New York State Office of Children and Family Services (OCFS). This Handbook will help day care…

  9. The Association Between Sleep and Physical Function Among Older Veterans in an Adult Day Health Care Program

    PubMed Central

    Song, Yeonsu; Dzierzewski, Joseph; Fung, Constance H.; Rodriguez, Juan C.; Jouldjian, Stella; Mitchell, Michael; Josephson, Karen R.; Alessi, Cathy A.; Martin, Jennifer L.

    2015-01-01

    OBJECTIVES To examine whether sleep disturbance is associated with poor physical function in older veterans in an adult day health care (ADHC) program. DESIGN Cross-sectional study. SETTING One ADHC program in a Veterans Affairs Ambulatory Care Center. PARTICIPANTS Older veterans (N = 50) who were enrolled in a randomized controlled trial of a sleep intervention program and provided complete baseline data. MEASUREMENTS Participant characteristics (e.g., age, depression, relationship to caregiver, pain, comorbidity) were collected using appropriate questionnaires. Physical function was measured using the total score of activities of daily living (ADLs) and instrumental ADLs (IADLs) from the Older Americans Resources and Services Multidimensional Functional Assessment Questionnaire. Sleep was assessed subjectively (by the Pittsburgh Sleep Quality Index and the Insomnia Severity Index) and objectively (by wrist actigraphy). RESULTS As expected, participants required substantial assistance with ADLs and IADLs. A regression model showed that participant characteristics (i.e., marital status, use of sleep medication, comorbidity, and posttraumatic stress disorder) and living arrangement (i.e., living with a spouse and/or others) were significantly associated with poor physical function. Poorer objective sleep (i.e., total sleep time, total numbers of awakenings, and total wake time) was significantly associated with poor physical function, accounting for a significant proportion of the variance above and beyond participant characteristics. CONCLUSION Objective measures of nighttime sleep disturbance were associated with poor physical function among older veterans in an ADHC program. Further research is needed to determine whether interventions to improve sleep will delay functional decline in this vulnerable population. PMID:26200520

  10. eHealth Technology Competencies for Health Professionals Working in Home Care to Support Older Adults to Age in Place: Outcomes of a Two-Day Collaborative Workshop

    PubMed Central

    Barakat, Ansam; Woolrych, Ryan D; Sixsmith, Andrew; Kearns, William D

    2013-01-01

    Background The demand for care is increasing, whereas in the near future the number of people working in professional care will not match with the demand for care. eHealth technology can help to meet the growing demand for care. Despite the apparent positive effects of eHealth technology, there are still barriers to technology adoption related to the absence of a composite set of knowledge and skills among health care professionals regarding the use of eHealth technology. Objective The objective of this paper is to discuss the competencies required by health care professionals working in home care, with eHealth technologies such as remote telecare and ambient assisted living (AAL), mobile health, and fall detection systems. Methods A two-day collaborative workshop was undertaken with academics across multiple disciplines with experience in working on funded research regarding the application and development of technologies to support older people. Results The findings revealed that health care professionals working in home care require a subset of composite skills as well as technology-specific competencies to develop the necessary aptitude in eHealth care. This paper argues that eHealth care technology skills must be instilled in health care professionals to ensure that technologies become integral components of future care delivery, especially to support older adults to age in place. Educating health care professionals with the necessary skill training in eHealth care will improve service delivery and optimise the eHealth care potential to reduce costs by improving efficiency. Moreover, embedding eHealth care competencies within training and education for health care professionals ensures that the benefits of new technologies are realized by casting them in the context of the larger system of care. These care improvements will potentially support the independent living of older persons at home. Conclusions This paper describes the health care professionals

  11. Day Care Infection Control Protocol.

    ERIC Educational Resources Information Center

    Seattle-King County Dept. of Public Health, Seattle, WA.

    This day care infection control manual was assembled to provide technical guidance for the prevention and control of communicable diseases to child day care facilities in Seattle and King County, Washington. For each disease, the manual provides background information, public health control recommendations, and letters that can be used to…

  12. Day Care Center Enrichment Program.

    ERIC Educational Resources Information Center

    West Virginia State Dept. of Welfare, Charleston.

    This guide to a West Virginia Department of Welfare project for upgrading the quality of day care centers throughout the state presents samples of the forms used in the program, accompanied by a brief description of the program's format, requirements and procedures. The Day Care Center Enrichment Program provides a monetary incentive for…

  13. Day Care for America's Children.

    ERIC Educational Resources Information Center

    LaCrosse, E. Robert

    High quality day care is a pressing social need for the 1970's. Factors responsible for the strong interest in day care include pressures for welfare reform, the growing number of women in the labor force, minority pressures for equal opportunities, and research findings stressing the importance of development during the early years of a child's…

  14. Delayed transfer of care from NHS secondary care to primary care in England: its determinants, effect on hospital bed days, prevalence of acute medical conditions and deaths during delay, in older adults aged 65 years and over

    PubMed Central

    Jasinarachchi, Krishantha H; Ibrahim, Ibrahim R; Keegan, Breffni C; Mathialagan, Rajaratnam; McGourty, John C; Phillips, James RN; Myint, Phyo K

    2009-01-01

    Background The delay in discharge or transfer of care back to the community following an acute admission to the hospital in older adults has long been a recognized challenge in the UK. We examined the determinants and outcomes of delayed transfer of care in older adults. Methods A prospective observational study was conducted in a district general hospital with a catchment population of 250,000 in England, UK. Those >= 65 years admitted to two care of the elderly wards during February 2007 were identified and prospectively followed-up till their discharge. Data was presented descriptively. Results 36.7% (58/158) of patients had a delay in transfer of care. They tended to be older, had poorer pre-morbid mobility, and were more likely to be confused at the time of admission. Compared to the 2003 National Audit Report, a significantly higher percentage (29.3%vs.17%) awaited therapist assessments or (27.6%vs.9%) domiciliary care, with a lower percentage (< 1%vs.14%) awaiting further NHS care. Of 18 in-patient deaths, five occurred during the delay. Seven patients developed medical conditions during the delay making them unfit for discharge. The number of extra bed days attributable to delayed discharges in this study was 682 (mean = 4.8) days. Conclusion Awaiting therapy and domiciliary care input were significant contributing factors in delayed transfer of care. Similar local assessments could provide valuable information in identifying areas for improvement. Based on available current evidence, efficacy driven changes to the organisation and provision of support, for example rapid response delayed discharge services at the time of "fit to discharge" may help to improve the situation. PMID:19161614

  15. Day Care and the Schools.

    ERIC Educational Resources Information Center

    Caldwell, Bettye M.

    1981-01-01

    Although it has always been considered the "poor relation" of early childhood education, day care in the public schools is the most effective way of establishing a continuity between the preschool and the elementary school. The Kramer Model of "extended day school" is a cooperative venture between a college and a public school. (JN)

  16. A Description of Title IV-A Infant and Toddler Day Care, 1974-1975: Adult-Child Interactions and Care Room Activities. Report No. 7641.

    ERIC Educational Resources Information Center

    Silbermann, David

    This report is concerned with the development and use of the Infant/Toddler Interaction and Activity Profile in 13 day care centers in Philadelphia. The Profile and its development are described and methods of data collection and analysis are explained briefly. Findings are reported in four major areas: (1) basic data characteristics, offering a…

  17. Child Development: Day Care. Administration, Number 7.

    ERIC Educational Resources Information Center

    Host, Malcolm S.; Heller, Pearl B.

    The organizing and administering of day care services are the focus of this handbook. The three parts of the handbook are: (1) Organizing Day Care Services (Starting a Day Care Program, The Board of Directors, and The Staff); (2) Components of Day Care Services (Purpose, Objectives and Evaluation of Day Care Programs; Health and Medical Program;…

  18. Infectious Diseases in Day Care.

    ERIC Educational Resources Information Center

    Sleator, Esther K.

    Discussed in this publication are infectious illnesses for which children attending day care appear to be at special risk. Also covered are the common cold, some infectious disease problems receiving media attention, and some other annoying but not serious diseases, such as head lice, pinworms, and contagious skin conditions. Causes,…

  19. Day Care Management. Final Report.

    ERIC Educational Resources Information Center

    Bourque, Janet

    A curriculum was developed and a pilot project was conducted to train 20 day care center directors at Lake Washington Vocational Technical Institute. This document summarizes the curriculum development project and provides the curriculum that was developed. The report contains a summary and outline of the course, a skills assessment, pretests and…

  20. State Plan for Child Day Care [Virginia].

    ERIC Educational Resources Information Center

    Gravett, Marty; And Others

    Virginia's first state plan for child day care begins with 14 sections covering several aspects of child care. Section I reviews child care history and trends. Sections II, III, IV, and V argue, respectively, that child day care is important to government, business, families, and children. Elements of a comprehensive child day care delivery system…

  1. Optimizing Infant Development: Strategies for Day Care.

    ERIC Educational Resources Information Center

    Chambliss, Catherine

    This guide for infant day care providers examines the importance of early experience for brain development and strategies for providing optimal infant care. The introduction discusses the current devaluation of day care and idealization of maternal care and identifies benefits of quality day care experience for intellectual development, sleep…

  2. Family Day Care Training Curriculum (Lao).

    ERIC Educational Resources Information Center

    Nakatsu, Gail

    California's Family Day Care Training Program was designed to recruit and train, in 7 weeks, Lao, Vietnamese, and Chinese refugees to establish their own state-licensed, family day care homes. Topics in the program's curriculum include an introduction to family day care, state licenses for family day care, state licensing requirements for family…

  3. Group Family Day Care Provider Handbook

    ERIC Educational Resources Information Center

    New York State Office of Children and Family Services, 2006

    2006-01-01

    Group family day care providers need to create high-quality programs where children have opportunities to grow, learn and thrive. Part of providing high-quality child care includes complying with the group family day care regulations from the New York State Office of Children and Family Services (OCFS). This Handbook will help day care providers:…

  4. 7 CFR 226.18 - Day care home provisions.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... AGRICULTURE CHILD NUTRITION PROGRAMS CHILD AND ADULT CARE FOOD PROGRAM Operational Provisions § 226.18 Day...-related expenses must complete documentation requested by their sponsor as described in § 226.16(k) prior... those children for whom the sponsoring organization or day care home possess documentation of the...

  5. 7 CFR 226.18 - Day care home provisions.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... AGRICULTURE CHILD NUTRITION PROGRAMS CHILD AND ADULT CARE FOOD PROGRAM Operational Provisions § 226.18 Day...-related expenses must complete documentation requested by their sponsor as described in § 226.16(k) prior... those children for whom the sponsoring organization or day care home possess documentation of the...

  6. Day Care Hopping: Stabilizing Day Care Options for Low-Income Mothers through Subsidies

    ERIC Educational Resources Information Center

    Drentea, Patricia; Durham, Suzanne; Mwaria, Mercie; Norman, Emily; Xi, Juan

    2004-01-01

    We examined how to allocate a subsidy to low-income women that would stabilize children in day care at a Young Women's Christian Association (YWCA). The subsidy is to alleviate day care hopping (i.e. when parents move from day care to day care) leaving unpaid tuitions at each place. Day care hopping is really a survival strategy for the working…

  7. Day Care Research: What Is the Treatment?

    ERIC Educational Resources Information Center

    Sugar, Judith

    The purposes of this paper are to consider how the prototypical research design of day care studies may unjustifiably emphasize day care as the effective factor or "treatment" in children's development, and to describe processes by which the family or some interaction between the family and day care may also affect preschoolers' development. The…

  8. Family Day Care Provider Support Services Directory.

    ERIC Educational Resources Information Center

    Galblum, Trudi W.; Boyer-Shesol, Cathy

    This directory profiles numerous organizational support services for family day care providers in the Kansas City metropolitan area. The first chapter, on operating a family day care home, concerns licensing and registration, the processes of starting and marketing a day care business, zoning and municipal regulation, and substitute providers. The…

  9. Dental Care Every Day: A Caregiver's Guide

    MedlinePlus

    ... Every Day: A Caregiver's Guide Dental Care Every Day: A Caregiver's Guide Main Content Getting Started Three ... regularly. Back to Top Step 1. Brush Every Day Angle the brush at the gumline and brush ...

  10. Day Care Licensing Study Summary Report on Phase I: State and Local Day Care Licensing Requirements.

    ERIC Educational Resources Information Center

    Consulting Services Corp., Seattle, WA.

    Phase I of the Day Care Licensing Study is presented. It includes a summary of findings, conclusions, and recommendations; two sections on day care regulations; a section on day care facilities; and a section on the climate for change. Appendices include: Methodology; Depts. of State Government Responsible for Licensing Day Care Facilities;…

  11. Low Income Family Day Care Home Demonstration. Final Report.

    ERIC Educational Resources Information Center

    Food and Nutrition Service (USDA), Washington, DC.

    A 1-year demonstration project was conducted by the United States Department of Agriculture's Food and Nutrition Service (FNS) to help remove or reduce barriers to the participation of low-income family day care homes in the Child and Adult Care Food Program (CACFP). FNS funded six grantees to conduct a demonstration of three different strategies.…

  12. Sanitation Practices for Day Care.

    ERIC Educational Resources Information Center

    Wisconsin State Dept. of Public Instruction, Madison.

    Specifically designed to assist child care food service personnel in providing wholesome food in a safe and sanitary manner, this sanitation guide interprets and expands on Chapter HSS 55 of the Wisconsin Department of Health and Social Services' code for licensing activities. Following a brief introduction, chapters 2 through 7 focus on…

  13. MIGRANT DAY CARE PROGRAM, 1961.

    ERIC Educational Resources Information Center

    NAYLOR, NAOMI L.

    WITH THE COOPERATION OF VARIOUS COMMUNITY AGENCIES AND WITH FEDERAL AID FROM THE PUBLIC WELFARE DEPARTMENT, SEVERAL MIGRANT CHILD CARE CENTERS WERE ESTABLISHED BY PENNSYLVANIA STATE UNIVERSITY IN THE CENTRAL PART OF THE STATE OF PENNSYLVANIA. STAFFS WERE COMPOSED OF DIRECTORS AND EXPERIENCED TEACHERS FROM PRESCHOOL AND ELEMENTARY EDUCATION.…

  14. Family Day Care Licensing Study, 1994: Family Day Care Advocacy Project.

    ERIC Educational Resources Information Center

    Children's Foundation, Washington, DC.

    This directory contains results of a nation-wide survey of state regulatory agencies on family day care licensing information. Data on family day care homes and group or large family day care homes are included. The study reflects changes in regulations in the states as a result of the guidelines for the Child Care and Development Block Grant.…

  15. Family Day Care. Curriculum and Instruction 481.

    ERIC Educational Resources Information Center

    Adams, Diane B.

    This study guide, used in association with the "Family Day Care Handbook" (1974), provides an independent study course for baby-sitters and others who want to acquire the knowledge and skills needed to become certified as family day care providers. Each of the six units in the guide consists of introductory reading material, assigned reading in…

  16. Family Day Care Internationally: An Annotated Bibliography.

    ERIC Educational Resources Information Center

    Deller, June

    The purpose of this bibliography is to provide researchers and family day care practitioners with an extensive overview of the literature related to family day care around the world. Like the literature review it supplements, the bibliography is organized by location. Australia, Belgium, Canada, Denmark, Finland, France, Great Britain, India,…

  17. From Teacher to Day Care Center Director!

    ERIC Educational Resources Information Center

    De Viteri, Jorge Saenz

    This paper addresses the roles and responsibilities of a day care center director, based on the author's personal experience as an interim director during his junior year at college and a survey of other directors. The paper aims to provide insight into the reality of being a day care center director, particularly the acquisition of knowledge,…

  18. What Is Quality Family Day Care?

    ERIC Educational Resources Information Center

    Hasegawa, Pam, Comp.

    This position paper describes several aspects of ideal family day care. The importance of a mother substitute and a "home away from home" in which both preschool and school-age children are free to be themselves is emphasized. The key to an optimal relationship between the natural and day care parents is mutual cooperation, friendship and…

  19. Child Development: Day Care. 2. Serving Infants.

    ERIC Educational Resources Information Center

    Huntington, Dorothy S., Ed.; And Others

    This volume is the first in a series of Handbooks dealing with the child development aspects of any good day care program. The Handbook is divided into five sections. Chapter One covers the principles of day care that must be the foundation of any program. It reviews the developmental needs of children from birth to age three, and outlines some of…

  20. The Educational Day Care Consultation Program.

    ERIC Educational Resources Information Center

    Green, Melinda; Valenstein, Thelma

    A research and training program for family day care mothers at the University of Michigan involves both group meetings and individual home consultations by educational consultants, trained community para-professionals. The program is directed toward low income and working class licensed day care mothers and is conducted by the School of Education.…

  1. Resources for the Family Day Care Provider.

    ERIC Educational Resources Information Center

    Brown, Jeanne, Ed.; And Others

    The 34 brief articles in this sourcebook for family day care providers are presented mainly in two large sections: (1) management of family day care business, and (2) interaction with children. Many of these articles pose and provide answers to questions that are likely to occur to child caregivers, such as "Does the IRS really expect me to keep…

  2. Day Care Services: Industry's Involvement. Bulletin 296.

    ERIC Educational Resources Information Center

    Besner, Arthur

    This bulletin provides an overview of the need for services for the children of working mothers. Topics discussed include historical developments in industry day care programs, alternative roles for industry involvement, costs of operating day care centers, and income tax allowances. Also given are examples of unique programs which suggest various…

  3. Discourses of Professionalism in Family Day Care

    ERIC Educational Resources Information Center

    Cook, Kay; Davis, Elise; Williamson, Lara; Harrison, Linda J.; Sims, Margaret

    2013-01-01

    Family day care in Australia is currently undergoing rapid "professionalisation" within a national reform agenda that seeks to raise and standardise early childhood service quality. Included within this reform is a requirement that all family day care workers obtain formal qualifications and that workers are referred to as…

  4. Day Care Dilemma. Austin: A Community Responds.

    ERIC Educational Resources Information Center

    Fink, Dale B.

    1987-01-01

    The community of Austin, Texas has several programs for after school day care for students with disabilities, including: Extend-A-Care, where nondisabled peers participate in play and care activities with disabled children; summer camps for autistic children sponsored by the Parks and Recreation Department; and summer camps operated by the Easter…

  5. Family Day Care Zoning. Local Officials Guide.

    ERIC Educational Resources Information Center

    Cohen, Abby; And Others

    This guide discusses city planning issues related to family day care zoning. The guide is divided into five sections. The first section discusses child care as a planning issue and focuses on changes in working patterns of families and in residential neighborhoods. The second section describes components of the child care delivery system, which…

  6. Southeast Asian Family Day Care Resource Manual.

    ERIC Educational Resources Information Center

    Union of Pan Asian Communities, San Diego, CA.

    A companion publication to California's Family Day Care Training Curriculum, this resource manual is designed to help others replicate the child care provider training project and establish a child care network. The manual consists of seven sections. The first section provides an introduction. The second summarizes experiences of the agency that…

  7. Resident-Assisted Montessori Programming (RAMP): use of a small group reading activity run by persons with dementia in adult day health care and long-term care settings.

    PubMed

    Skrajner, Michael J; Camp, Cameron J

    2007-01-01

    Six persons in the early to middle stages of dementia ("leaders") were trained in Resident-Assisted Montessori Programming (RAMP) to lead a reading activity for 22 persons with more advanced dementia ("participants") in an adult day health center (ADHC) and a special care unit (SCU) in a skilled nursing facility. Researchers assessed the leaders' abilities to learn and follow the procedures of leading a group, as well as their satisfaction with their roles. In addition, participants' engagement and affect were measured, both during standard activities programming and during client-led activities. Results of this study suggest that persons with dementia can indeed successfully lead small group activities, if several important prerequisites are met. Furthermore, the engagement and affect of participants was more positive in client-led activities than in standard activities programming. PMID:17533999

  8. Day Care Related Federal Programs (An Addendum to Day Care Survey 1970).

    ERIC Educational Resources Information Center

    1971

    This document, an addendum to the Day Care Survey 1970, describes day care-related federal programs. Each program, is described briefly in terms of: the nature of the program, day care services provided, authorizing legislation, the administering agency, and miscellaneous information (funding, recipients, etc.). Types of programs included are: (1)…

  9. Health in Day Care: A Guide for Day Care Providers in Massachusetts.

    ERIC Educational Resources Information Center

    Kendrick, Abby Shapiro, Ed.; Messenger, Katherine P., Ed.

    This reference manual and resource guide describes high standards for health policies and day care procedures that reflect current research and recommendations of experts. Chapters 1 and 2, which concern day care's role in health, cover health education in day care and the basics relating to policies, providers, and records. Chapters 3-5 concern…

  10. Family Day Care Zoning Advocacy Guide.

    ERIC Educational Resources Information Center

    Stevenson, Carol; And Others

    Designed to help family day care providers and the agencies that support them reform local zoning laws that make it difficult or impossible to legally care for children in their homes, this guide outlines the process of obtaining a use permit, changing local laws, and strategizing for the passage of state legislation that preempts local laws. A…

  11. Parent Managed Day Care. Indian-Style.

    ERIC Educational Resources Information Center

    Taylor, Helen L. Sally

    The efforts of a group of Quinault parents and the Early Childhood Education program of Edmonds College resulted in the establishment of a quality child care program which is parent managed, relevant to the community, and able to meet state requirements for day care. Funded by a Technical Assistance Contract and administered by Alaska Federated…

  12. Diabetes and Adult Day Health Services

    ERIC Educational Resources Information Center

    Dabelko, Holly I.; DeCoster, Vaughn A.

    2007-01-01

    The purpose of this study is to provide a profile of individuals with diabetes who receive services in adult day centers. This exploratory study uses an administrative data set (N = 280) from five programs in central Ohio to examine four areas: demographics, health and mental health, financial and social resources, and disenrollment status. Older…

  13. Day Care: A Program in Search of a Policy.

    ERIC Educational Resources Information Center

    Bikales, Gerda

    This report examines current issues relating to day care and challenges many of the policy assumptions that underlie a major public program of subsidized day care for children. A historical perspective of day care is presented and various types of day care are described. The costs and benefits of day care are examined and the relation of day care…

  14. Family Day Care West: A Working Conference.

    ERIC Educational Resources Information Center

    Pacific Oaks Coll., Pasadena, CA.

    An attempt is made to condense data on family day care, i.e., a form of supplemental child care that takes place in the home of a nonrelative. An overview is presented of the kinds of studies that have been done and how they fit into the larger picture of what remains to be done before we can claim to have a body of knowledge to guide us in this…

  15. Integrating Behavioral Psychology Services into Adult Day Programming for Individuals with Dementia

    ERIC Educational Resources Information Center

    LeBlanc, Linda A.

    2010-01-01

    Many individuals with dementia and problem behavior are served in nursing home settings long before health issues necessitate constant medical care. Alternative community-based adult day health care programs allow individuals with dementia to remain in their home with their families at a substantially reduced cost; however, many adult day programs…

  16. Family Day Care Internationally: A Literature Review.

    ERIC Educational Resources Information Center

    Deller, June

    This literature review provides information on the status of family day care around the world. The three chapters of Part 1 introduce the report. Chapter 1 includes an outline of the organization, an explanation of the terminology, and a description of the methodology used in the review. Chapter 2 presents a policy framework which can be used to…

  17. Health and Safety in Day Care.

    ERIC Educational Resources Information Center

    Sells, Clifford J.; Paeth, Susan

    1987-01-01

    Basic health and day care policies and procedures should be implemented and closely monitored with the help of a health consultant, particularly in terms of respiratory tract, enteric, skin, invasive bacterial, and multiple system infections; Acquired Immune Deficiency Syndrome; vaccine preventable diseases; and general safety procedures.…

  18. Child Day Care Center Licensing Study, 1994.

    ERIC Educational Resources Information Center

    Children's Foundation, Washington, DC.

    An update of information first compiled by the Children's Foundation in 1991 and updated in 1993, this 1994 day care licensing study presents the results of a survey of the regulatory offices of the 50 states, the District of Columbia, Puerto Rico, and the Virgin Islands. Following a summary of results in question-answer format, the entries for…

  19. Child Day Care Center Licensing Study, 1993.

    ERIC Educational Resources Information Center

    Children's Foundation, Washington, DC.

    This study contains the results of a nationwide survey concerning day care regulations and licensing procedures throughout the United States. The regulatory offices of the 50 states, the District of Columbia, Puerto Rico, and the Virgin Islands were surveyed. The listings, which are arranged according to location, provide the address and telephone…

  20. [Palliative care day hospital and nursing coordination].

    PubMed

    Teillet, Fabienne

    2015-11-01

    The palliative care day hospital is still underdeveloped in France, unlike in Anglo-Saxon countries. Its main mission is to help improve the quality of life at home of the patient suffering from a serious and progressive disease. It offers an inter-disciplinary and global approach in which the nurse's role is quite specific. PMID:26567073

  1. Paraprofessional Social Workers in Day Care

    ERIC Educational Resources Information Center

    Peterman, Phylis Johnson

    1977-01-01

    Describes an 8-week, inservice, college-level course for paraprofessional social workers employed in day care centers. Bi-weekly classes, supplemented by on-site observation and consultation, covered child development, attitudes, systems, resources, roles and practice skills. Opportunities were also provided to test roles and techniques on the…

  2. Emotional Exhaustion in Day-Care Workers

    ERIC Educational Resources Information Center

    Løvgren, Mette

    2016-01-01

    Although childcare workers have the second-worst occupation for work-related health problems and the number of professional day-care centers is growing throughout Europe, few studies have examined these workers' emotional well-being. This study investigates the effect of position, competence, work role, role clarity, and work tasks on emotional…

  3. Simplified Recipes for Day Care Centers.

    ERIC Educational Resources Information Center

    Asmussen, Patricia D.

    The spiral-bound collection of 156 simplified recipes is designed to help those who prepare food for groups of children at day care centers. The recipes provide for 25 child-size servings to meet the nutritional needs and appetites of children from 2 to 6 years of age. The first section gives general information on ladle and scoop sizes, weights…

  4. The Day Care Center Diarrhea Dilemma.

    ERIC Educational Resources Information Center

    Pickering, Larry K.

    1986-01-01

    Prevention and control of diarrhea in day care settings depends on: maintenance of hygienic standards; disease surveillance; adhering to a policy for exclusion of children with diarrhea; and education of staff. When diarrhea afflicts several children, isolating together can stop the spread of disease without interrupting normal operation. (KH)

  5. The Family Day Care Providers' Legal Handbook.

    ERIC Educational Resources Information Center

    Treadwell, Lujuana Wolfe

    Designed specifically for family day care providers in Alameda County, California, this handbook provides legal and business advice thought to be useful as well to providers throughout the United States. A wide range of legal and business issues is covered in 15 brief chapters. Advice is offered on provider-parent contracts, planning for accidents…

  6. Facilities and Equpment for Day Care Centers.

    ERIC Educational Resources Information Center

    Campbell, Sheila D.

    This guide provides assistance in selecting and designing the day care center's building and grounds and in planning and arranging the center's playroom. In regard to the building and grounds, discussion considers program and support service functions, highly desirable features of buildings and grounds, playroom space, outdoor space, and…

  7. Child Day Care Program Evaluation System.

    ERIC Educational Resources Information Center

    Monroe, Marian

    In this document the Texas Department of Human Resources (DHR) presents criteria which day-care providers can use to evaluate their programs. The criteria can also be used by DHR staff to determine whether or not providers can deliver the services specified in their contracts with DHR. For each criterion, five achievement levels, clarification,…

  8. Day Care Legal Handbook: Legal Aspects of Organizing and Operating Day Care Programs.

    ERIC Educational Resources Information Center

    Aikman, William F.

    This guide for providers of day care services presents information on business regulations and other legal considerations affecting for-profit and not-for-profit day care programs. Three basic topics covered are: (1) choosing the type of organization (sole proprietorship, partnership or corporation), (2) forming the organization, and (3) operating…

  9. A Focus on Literacy in Home Day Care.

    ERIC Educational Resources Information Center

    Cress, Susan W.

    Although about 15 percent of young children are cared for in a home day care setting, there is little information available on literacy experiences provided for children in home day care. This study examined literacy environments in home day care centers in St. Joseph County, Indiana. Sixty-one family day care providers responded to a mail survey…

  10. Family Day Care and the School-Age Child.

    ERIC Educational Resources Information Center

    Seltzer, Michelle Seligson

    This paper provides portions of a workshop discussion at the Wheelock Conference on School-Age Child Care concerning the role of family day care for school-age children. The workshop participants included family day care providers affiliated with the day care system in the Greater Boston area, administrators of a family day care system which also…

  11. Contemporary Day Care: Does It Meet Either Educational or Family Needs?

    ERIC Educational Resources Information Center

    Blum, Marian

    Center-based day care, at its current level of funding, is meeting neither adult nor child needs. Parents, especially working mothers, need child care that is reliable, flexible, professional, and affordable, but day care is rarely flexible, has few accommodations for emergencies, and is often not satisfactory for the maximum development of…

  12. Dental care - adult

    MedlinePlus

    Tooth decay and gum disease are caused by plaque, a sticky combination of bacteria and food. Plaque begins ... cleaned well each day, plaque will lead to tooth decay. If you do not remove plaque, it turns ...

  13. A Study of Day Care Costs: Their Impact on Day Care Center Quality.

    ERIC Educational Resources Information Center

    REAP Associates, Washington, DC.

    This study analyzes the effects of costs on day care center quality for a total of 13 high cost ($40-50 per week for each child) and low cost ($20-30 per week) day care centers in three New York counties. A mail survey questionnaire (included in Appendix) was used to gather data on program operations, core services, and budget expenditures.…

  14. Better Baby Care: A Book for Family Day Care Providers.

    ERIC Educational Resources Information Center

    Nash, Margaret; Tate, Costella

    A resource for child caregivers providing family day care for infants and toddlers, this book is designed to provide information and suggestions in a format that is easy to follow, and in language that is easy to read. Chapter 1 gives tips on "baby-proofing" the home, as well as ideas for toys, equipment, and how to integrate a baby into the…

  15. Status of Day Care in Canada 1976: A Review of the Major Findings of the National Day Care Study 1976.

    ERIC Educational Resources Information Center

    Clifford, Howard

    This document presents a general overview of day care services in Canada. This study is part of a continuing process by the National Day Care Information Centre to obtain information concerning day care services and degree of unmet need, and to provide a basis for evaluating the impact of federal policies in the day care field. The National Day…

  16. Child Caregivers' Contingent Responsiveness Behaviors during Interactions with Toddlers within Three Day Care Contexts

    ERIC Educational Resources Information Center

    Rhyner, Paula M.; Guenther, Katie L.; Pizur-Barnekow, Kris; Cashin, Susan E.; Chavie, Amy L.

    2013-01-01

    Increasingly, children spend much of their day in the care of adults other than their parents, such as child care providers. Consequently, it is important to analyze nonparental adults' use of strategies suggested to foster language development, such as contingent responsiveness, during interactions with young children. This study examined…

  17. Day Care in Caracas: A Day Care Homes Program Evaluation Report. Volume I: Executive Summary.

    ERIC Educational Resources Information Center

    de Ruesta, Maria Carlota; de Vidal, Amalia Barrios

    This document provides a summary of a formative evaluation research project concerning the neighborhood day care homes program in Caracas, Venezuela. The evaluation included nine lines of study: (1) an assessment of sociodemographic conditions of Venezuelan preschool age children, legal and employment status of Venezuelan women, and general social…

  18. Family Day Care Licensing Study: Family Day Care Advocacy Project, 1986.

    ERIC Educational Resources Information Center

    Ainslie, Julie; And Others

    Fifth of a series, this report presents the results of a nationwide 1986 survey of state regulatory systems for family day care services. Findings indicate that in most states the number of regulated providers has increased dramatically since the 1984 study, while federal and state funding has decreased, making regulatory efforts more difficult.…

  19. Who Are the Clients?: Goal Displacement in an Adult Care Center for Elders with Dementia

    ERIC Educational Resources Information Center

    Abramson, Corey M.

    2009-01-01

    This ethnographic study of "goal displacement" in an adult day care center explains how and why certain goals come to surpass others in the organizational practices of elder day care settings. Adult day care is often oriented towards providing family caregivers with respite rather than attempting to directly improve the lives of the elders…

  20. An Annotated Bibliography of Day Care Reference Materials.

    ERIC Educational Resources Information Center

    Reif, Nadine

    This annotated bibliography contains day care reference sources available through ERIC. Specific contents are: (1) After School Care; (2) Analysis; (3) Analysis, Cost; (4) Bibliographies; (5) Comprehensive Programs; (6) Community-Coordinated Child Care; (7) Demonstration Centers; (8) Programs for the Disadvantaged; (9) Effects of Day Care; (10)…

  1. Day Care in Scandinavia: Denmark, Sweden and Norway.

    ERIC Educational Resources Information Center

    Esbensen, Steen B.

    Day care programs in the Scandinavian countries have been viewed as exemplary models to transfer to Canada and the United States. This publication, which provides an overview of day care in Denmark, Sweden and Norway, discusses conditions, facts, and programs contributing to the widespread acclaim. It is pointed out that day care in Denmark is an…

  2. Illusion and Reality in Community Research on Day Care.

    ERIC Educational Resources Information Center

    Fowler, William; Kahn, Nasim

    This paper outlines the design and outcomes of an investigation comparing a day care program and home-rearing of infants and preschool children and discusses at length some issues involved in day care research. The study proposed to develop and evaluate a program at a Toronto municipal day care center which accepted infants, and compare the…

  3. An International Perspective on Regulated Family Day Care Systems

    ERIC Educational Resources Information Center

    Davis, Elise; Freeman, Ramona; Doherty, Gillian; Karlsson, Malene; Everiss, Liz; Couch, Jane; Foote, Lyn; Murray, Patricia; Modigliani, Kathy; Owen, Sue; Griffin, Sue; Friendly, Martha; McDonald, Grace; Bohanna, India; Corr, Lara; Smyth, Lisa; Morkeseth, Elisabeth Ianke; Morreaunet, Sissel; Ogi, Mari; Fukukawa, Sumi; Hinke-Rahnau, Jutta

    2012-01-01

    Despite emerging evidence of the contributors to high-quality family day care, a comprehensive comparison of international family day care systems has not been undertaken. The aim of this paper is to compare regulated family day care (FDC) in Australia, Canada, England and Wales, Germany, Ireland, Japan, Norway, New Zealand, Sweden, and the USA,…

  4. Competence Supporting Aspects of Day Care Environments: A Preliminary Study.

    ERIC Educational Resources Information Center

    Biemiller, Andrew; And Others

    This study examined the applicability of Watts' Human Interaction Scale to day care settings, and was also concerned at a more general level with the question of whether it is possible for day care settings to approximate good homes. Six 2-year-olds in each of two day care centers were each videotaped for a total of 45 minutes in a variety of…

  5. Major Aspects of Day Care: Statements and Articles.

    ERIC Educational Resources Information Center

    Hutchinson, Shauneen, Comp.

    Published material concerned with various types of day care are provided. The material has been separated into four different sections: (1) General, which describes underlying policy, trends, and the present status of day care in the United States; (2) Working Mothers, covering day care arrangements made by women in the labor force; (3) Foreign,…

  6. Day Care Cost Analysis: A Manual of Instructions.

    ERIC Educational Resources Information Center

    McClellan, Keith; And Others

    This manual is designed to provide guidelines for the analysis of the costs of operating day care centers and not day care homes. Day care is defined as a broad term applied to a variety of programs that shelter preschool and school age children on something less than a 24-hour basis. The guidelines set forth by this manual aim to permit the…

  7. Authentic Learning and Teaching in the Infant Day Care Classroom.

    ERIC Educational Resources Information Center

    Howell, Christie; Long, Grace

    Children today are entering day care at younger ages than earlier generations, prompting concern at the differences between day care and home environments. This paper considers the infant classroom in a day care setting, discussing methods of teaching and learning designed to promote authentic learning in a natural educational environment.…

  8. Day Care and the Public Schools: Profiles of Five Communities.

    ERIC Educational Resources Information Center

    Levine, James A.

    This book presents a report of public school-affiliated day care programs in 5 communities and a discussion of issues connected with public school involvement in day care. The programs described are: (1) Oakland Children's Centers, Oakland, California (preschool and after school care), (2) Extended Day Programs, Brookline, Massachusetts…

  9. Informal care and health care use of older adults.

    PubMed

    Van Houtven, Courtney Harold; Norton, Edward C

    2004-11-01

    Informal care by adult children is a common form of long-term care for older adults and can reduce medical expenditures if it substitutes for formal care. We address how informal care by all children affects formal care, which is critically important given demographic trends and the many policies proposed to promote informal care. We examine the 1998 Health and Retirement Survey (HRS) and 1995 Asset and Health Dynamics Among the Oldest-Old Panel Survey (AHEAD) using two-part utilization models. Instrumental variables (IV) estimation controls for the simultaneity of informal and formal care. Informal care reduces home health care use and delays nursing home entry. PMID:15556241

  10. 7 CFR 226.13 - Food service payments to sponsoring organizations for day care homes.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... (Continued) FOOD AND NUTRITION SERVICE, DEPARTMENT OF AGRICULTURE CHILD NUTRITION PROGRAMS CHILD AND ADULT... and types of meals served each day to each enrolled child by name. The sponsoring organization shall... enrolled child in the day care home), or attendance lists (which show, by days or meals, the rate...

  11. Family Day Care Handbook. Fifth Edition.

    ERIC Educational Resources Information Center

    Bellm, Dan

    The California Child Care Initiative is a collaborative program with the objective of increasing the supply of licensed quality child care in the state to better meet demand. This handbook provides family child care providers with guidance in implementing and maintaining a family daycare operation. The handbook provides articles, sample forms and…

  12. Day Care for School-Agers: A Program for School-Agers, Parents, and Day Care Staff.

    ERIC Educational Resources Information Center

    Browne, Gayle, Comp.

    Activities for school age day care programs are presented in detail in this guide for children, parents, and day care staff. The guide consists of 14 illustrated booklets that provide activity instructions and some background information. Topics are: (1) functions of school age day care; (2) quiet and active games and materials; (3) toys and play…

  13. Group and Family Day Care: A Comparative Assessment.

    ERIC Educational Resources Information Center

    Prescott, Elizabeth

    The point is made that studies of day-care use consistently confirm that the most common form of day care is in-home day care by a relative or another person. Group care as it now functions is most practical for a mother who works regular daytime hours and lives within manageable commuting distance of a center. The yearly costs per child reported…

  14. Evaluating Home Day Care Mothers' Work with Young Children.

    ERIC Educational Resources Information Center

    Seattle Community Coll., Washington.

    This checklist was developed to determine the skills of day care home mothers before and after training as observed by a day care home educator. Areas evaluated are: Professional Attitude; Parent Relationships; Nutrition; Health and Safety; Baby Care; Preparing the Teaching Environment; Guidance; Teaching Techniques, Language and Literature; Art;…

  15. State Day Care Assistance Program. First Annual Report.

    ERIC Educational Resources Information Center

    Alaska State Dept. of Community and Regional Affairs, Juneau.

    This annual report of the recently established Alaska Day Care Assistance Program describes the system of state subsidies instituted to encourage local government participation in the delivery of day care services. Established to aid low-income families in providing for adequate child care, the program is administered by the state Department of…

  16. Family Day Care Services: Our Great-Grandmothers' Quilt

    ERIC Educational Resources Information Center

    Arruda, Joan

    2009-01-01

    This article features Family Day Care Services, one of the largest nonprofit providers of licensed home and centre-based child care programs in the Greater Toronto Area with 400 staff serving more than 4,000 children and their families. Family Day Care Services is also the lead agency for five Ontario Early Years Centres which are family…

  17. 7 CFR 226.18 - Day care home provisions.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... affecting § 226.18, see the List of CFR Sections Affected, which appears in the Finding Aids section of the... 7 Agriculture 4 2013-01-01 2013-01-01 false Day care home provisions. 226.18 Section 226.18... care home provisions. (a) Day care homes shall have current Federal, State or local licensing...

  18. 7 CFR 226.18 - Day care home provisions.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... affecting § 226.18, see the List of CFR Sections Affected, which appears in the Finding Aids section of the... 7 Agriculture 4 2012-01-01 2012-01-01 false Day care home provisions. 226.18 Section 226.18... care home provisions. (a) Day care homes shall have current Federal, State or local licensing...

  19. 7 CFR 226.18 - Day care home provisions.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... affecting § 226.18, see the List of CFR Sections Affected, which appears in the Finding Aids section of the... 7 Agriculture 4 2014-01-01 2014-01-01 false Day care home provisions. 226.18 Section 226.18... care home provisions. (a) Day care homes shall have current Federal, State or local licensing...

  20. A Survey of State Day Care Licensing Requirements.

    ERIC Educational Resources Information Center

    Day Care and Child Development Council of America, Inc., Washington, DC.

    Following a discussion of what day care licensing isn't and what it is, a study of day care licensing is presented. The study's objectives were to: describe licensing requirements, state licensing procedures, and licensing steps required of applicants in each of the 50 states; identify those factors that facilitate or inhibit the day care…

  1. The Day-Care Debate: A Wider View.

    ERIC Educational Resources Information Center

    Kamerman, Sheila B.; Kahn, Alfred J.

    1979-01-01

    This article examines five major arguments against day care. Several approaches already in use in other countries are suggested as answers to the problems raised in the debate over care of children of working mothers. (MC)

  2. Health of Children in Day Care, Volume I: A Regional Health Care/Day Care Workshop. Content Report of a 1978 Workshop.

    ERIC Educational Resources Information Center

    Sparling, Joseph, Ed.; And Others

    Workshop sessions focusing on the issue of collaboration between health care services and day care services are documented in this report. The keynote address elaborates the thesis that day care programs should provide therapeutic care, particularly primary health care for ill children and staff, and assistance in obtaining secondary care. In…

  3. Nurse-led day care detox.

    PubMed

    2014-05-13

    Alcohol detoxification nurse Anya Farmbrough and nurse consultant for homelessness and health inequality Pamela Campbell are central to the Alcohol Day Detoxification Service in Solent NHS Trust. PMID:24802497

  4. Military Day Care: Problems and Perspective.

    ERIC Educational Resources Information Center

    Corey, George D.

    This paper presents some legal and social policy aspects of military child care facilities in the United States. Under the jurisdiction of Article I of the United States Constitution, the federal government has the right to determine the social welfare rights of people living on military installations; yet these people are not included in programs…

  5. Primary care. Match of the day.

    PubMed

    Greenwood, Lynne

    2007-10-11

    Preston North End's Deepdale redevelopment is a prime example of the new wave of partnerships between primary care trusts and sports clubs. Warrington Wolves rugby league club was a pioneer, with a 1.3m pound sterling PCT health centre at its ground since 2005. Financial issues include sports club business stability. Benefits include health promotion opportunities. PMID:18163265

  6. Child Day Care Center Licensing Study, 1997.

    ERIC Educational Resources Information Center

    Children's Foundation, Washington, DC.

    The 1997 Child Care Center Licensing Study contains an update of information compiled in 1991 by the Children's Foundation. The data was obtained from the central regulatory office of each of the 50 states, the District of Columbia, Puerto Rico, and the Virgin Islands. The study is organized in alphabetical order by states and territories. The…

  7. 7 CFR 226.13 - Food service payments to sponsoring organizations for day care homes.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... (Continued) FOOD AND NUTRITION SERVICE, DEPARTMENT OF AGRICULTURE CHILD NUTRITION PROGRAMS CHILD AND ADULT..., each sponsoring organization must conduct reasonable edit checks on the day care homes' meal claims... and types of meals served each day to each enrolled child by name. The sponsoring organization...

  8. Care of Aging Parents by Adult Offspring.

    ERIC Educational Resources Information Center

    Ames, Barbara D.

    A prevailing myth holds that modern families, characterized by high mobility and individualistic life styles, do not care for their aging members. To assess the quantity and characteristics of the care of noninstitutionalized elderly parents by their adult children, parents and adult child pairs (N=50) responded to interviews. Specific research…

  9. Kansas Adult Care Home Aide Curriculum. Revised.

    ERIC Educational Resources Information Center

    Fornelli, Linda K.; Bartel, Myrna J.

    This curriculum guide is designed for use by instructors whose responsibility it is to prepare persons to provide basic direct care for residents living in adult care homes. Addressed in the individual units of part I (which contains information to be covered in the first 40 hours of training) are the following topics: working in an adult care…

  10. Day care monopolar transurethral resection of prostate: Is it feasible?

    PubMed Central

    Khan, Altaf

    2014-01-01

    Introduction: Benign prostatic hyperplasia is a common disease accounting for 30% of our OPD cases and about 25% of our surgery cases. Various treatment options are now available for more efficient care and early return to work. We wanted to determine the safety and feasibility of day care monopolar transurethral resection of prostate (m-TURP), by admitting the patients on the day of surgery and discharging the patient without catheter on the same day. We also compared the morbidity associated with conventional TURP where in the catheter is removed after 24-48 h of surgery and day care TURP where in the catheter is removed on the day of surgery. Materials and Methods: A total of 120 patients who fulfilled the criteria were included in the study which was conducted between November 2008 and December 2010. A total of 60 patients were assigned for day care and 60 for conventional monopolar TURP. There was no significant difference in age, prostatic volume or IPSS score. Day care patients were admitted on day of surgery and discharged the same day after the removal of catheter. Results: Both the groups were comparable in outcome. Stricture rate was less with day care TURP. Mean catheterization time was similar to laser TURP. Conclusion: Monopolar TURP is still the gold standard of care for BPH. If cases are selected properly and surgery performed diligently it remains the option of choice for small and medium sized glands and patients can be back to routine work early. PMID:25371612

  11. 25 CFR 20.331 - What is Adult Care Assistance?

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 25 Indians 1 2012-04-01 2011-04-01 true What is Adult Care Assistance? 20.331 Section 20.331... SOCIAL SERVICES PROGRAMS Direct Assistance Adult Care Assistance § 20.331 What is Adult Care Assistance? Adult care assistance provides non-medical care for eligible adult Indians who: (a) Have needs...

  12. 25 CFR 20.331 - What is Adult Care Assistance?

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 25 Indians 1 2014-04-01 2014-04-01 false What is Adult Care Assistance? 20.331 Section 20.331... SOCIAL SERVICES PROGRAMS Direct Assistance Adult Care Assistance § 20.331 What is Adult Care Assistance? Adult care assistance provides non-medical care for eligible adult Indians who: (a) Have needs...

  13. 25 CFR 20.331 - What is Adult Care Assistance?

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 25 Indians 1 2013-04-01 2013-04-01 false What is Adult Care Assistance? 20.331 Section 20.331... SOCIAL SERVICES PROGRAMS Direct Assistance Adult Care Assistance § 20.331 What is Adult Care Assistance? Adult care assistance provides non-medical care for eligible adult Indians who: (a) Have needs...

  14. 25 CFR 20.331 - What is Adult Care Assistance?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 25 Indians 1 2011-04-01 2011-04-01 false What is Adult Care Assistance? 20.331 Section 20.331... SOCIAL SERVICES PROGRAMS Direct Assistance Adult Care Assistance § 20.331 What is Adult Care Assistance? Adult care assistance provides non-medical care for eligible adult Indians who: (a) Have needs...

  15. Staffing and Training in Day Care: U.S.A.

    ERIC Educational Resources Information Center

    Honig, Alice Sterling

    This paper discusses the selection and training of appropriate staff for day care. It is suggested that an ecological view of a day care center which considers all environmental factors helps draw attention to the importance of all staff members (including cooks, bus drivers, secretaries) in providing enriching experiences for the children. Total…

  16. Children's Medications: A Guide for Schools and Day Care Centers.

    ERIC Educational Resources Information Center

    Bates, Richard D.; Nahata, Milap C.

    Noting the lack of reference sources available on the use of medications in schools and day care centers, this book was created to help school and day care center personnel become more aware of the medicine being given to children at home and at school. Using detailed medication charts, the book answers questions about how to administer medicines…

  17. Iowa Family Day Care Handbook. 3rd Edition.

    ERIC Educational Resources Information Center

    Holt, Bess Gene; Karas, Shirley C.

    The purposes of this handbook are (1) to help individuals who are thinking about becoming family day care providers decide whether the profession is appropriate for themselves and their families, and (2) to present ideas for setting up and maintaining a family day care home that provides high quality service to families, a developmental learning…

  18. Schools Out! Family Day Care for the School Age Child.

    ERIC Educational Resources Information Center

    Prescott, Elizabeth; Milich, Cynthia

    This paper presents a study of family day care services for school age children. The study involved telephone and home interviews concerning services provided by a sample of 247 family day care mothers from the Los Angeles area. The paper is divided into two parts. Part I describes the results of the interviews in numerical form and includes short…

  19. Highlights of the National Family Day Care Project.

    ERIC Educational Resources Information Center

    Cohen, Nancy, Ed.

    The National Council of Jewish Women's National Family Day Care Project (NFDCP) is a 3-year initiative which is intended to pioneer effective roles for community groups in increasing the quality, supply, and visibility of family day care. This publication provides: (1) a statement on the importance of the NFDCP by Edward Zigler; (2) a paper called…

  20. CTEPP-OH DATA CHILD DAY CARE CENTER WEEKLY MENUS

    EPA Science Inventory

    This data set contains information on the weekly day care menus for CTEPP-OH. The day care centers provided menus up to three months prior to field sampling.

    The Children’s Total Exposure to Persistent Pesticides and Other Persistent Pollutant (CTEPP) study was one of the larg...

  1. PENNSYLVANIA MIGRANT DAY CARE PROGRAM AND PARTICIPATING AGENCIES.

    ERIC Educational Resources Information Center

    NAYLOR, NAOMI L.

    A DESCRIPTION OF A MIGRANT DAY CARE PROGRAM WAS GIVEN. A TOTAL OF 180 PRESCHOOL AND SCHOOL AGE CHILDREN WERE ENROLLED IN SIX DAY CARE CENTERS. SOME FINANCIAL AID, EQUIPMENT, MATERIALS, AND ADVISORY HELP WERE GIVEN TO TWO OTHER CENTERS ENROLLING 40 MORE CHILDREN. FUNDS FOR THE OPERATION OF THE CENTERS WERE FEDERAL FUNDS, ALLOCATED TO PROVIDE…

  2. How to do Day Care: Some Shared Experiences.

    ERIC Educational Resources Information Center

    Day Care and Child Development Council of America, Inc., Washington, DC.

    This booklet provides basic information for those involved in creating new day care programs or revising existing ones in their own communities. Chapters 1 and 2 offer discussions on basic approaches to day care as well as general aspects of programming. In Chapter 3 three types of staff training are investigated. A black studies inservice…

  3. Common Day Care Safety Renovations: Descriptions, Explanations and Cost Estimates.

    ERIC Educational Resources Information Center

    Spack, Stan

    This booklet explains some of the day care safety features specified by the new Massachusetts State Building Code (January 1, 1975) which must be met before a new day care center can be licensed. The safety features described are those which most often require renovation to meet the building code standards. Best estimates of the costs involved in…

  4. Day Care Programs: A Part of the Educational Continuum.

    ERIC Educational Resources Information Center

    Blackwell, Jacqueline; Leeper, Sarah H.

    In order to determine the effect of day care center sponsorship on children's development, the authors examined the ways in which programs, objects and materials, and teacher/child interactions affected the preoperational behavior of 4-year-old black children in publicly and privately supported day care centers. A total of 120 4-year-olds (30 from…

  5. CTEPP NC DATA CHILD DAY CARE CENTER WEEKLY MENUS

    EPA Science Inventory

    This data set contains information on the weekly day care menus. The day care centers provided menus up to three months prior to field sampling.

    The Children’s Total Exposure to Persistent Pesticides and Other Persistent Pollutant (CTEPP) study was one of the largest aggregate...

  6. The Effects of Infant Day Care on Child Development.

    ERIC Educational Resources Information Center

    Avgar, Amy

    Studies on the effects of early day care can be characterized according to two distinct research trends. In the first, which occurred during the 1960s and 1970s, the principal issue was whether day care had any inevitable and negative consequences for the child and, particularly, the mother-child attachment. The second, more recent, trend has been…

  7. Analysis of Health, Education and Welfare Day Care Requirements.

    ERIC Educational Resources Information Center

    National Black Child Development Inst., Inc., Washington, DC.

    This document analyzes Department of Health, Education and Welfare (DHEW) regulations for day care centers and homes. New DHEW day care proposals are paraphrased and the content and history of related regulations are summarized. Topics discussed include definitions, applicability, Office of Education waivers, program activities for children,…

  8. School's Out! Group Day Care for the School Age Child.

    ERIC Educational Resources Information Center

    Prescott, Elizabeth; Milich, Cynthia

    This report on group day care is designed to: (1) examine the kinds of group programs for school-age children which exist in Los Angeles County, (2) describe the conditions necessary for program operation, and (3) consider the issue of quality as it relates to community expansion of day care services for children of school age. The report is…

  9. JDC Handbook for Teachers in Day Care Centers.

    ERIC Educational Resources Information Center

    American Joint Distribution Committee, Geneva (Switzerland).

    This guide for teachers in day care centers offers discussions (both philosophical and practical) about the needs and behaviors of preschool children, makes suggestions for teacher guidance throughout the daily program activities and routines, and defines a suitable nurturing and educational day care center environment. Directed to the teacher,…

  10. The Effects of Infant Day Care on Psychological Development.

    ERIC Educational Resources Information Center

    Kagan, Jerome; And Others

    This is a partial report of a longitudinal investigation designed to assess the psychological effects of an experimentally conducted day care program on children during the first 30 months of life. The experimental subjects were Chinese and Caucasian children from working and middle class families who were cared for at a special group care center…

  11. Quality in Child Day Care Centres: How to Promote It? A Study of Six Day-Care Centres.

    ERIC Educational Resources Information Center

    Singer, Elly; Miltenburg, Ruth

    1994-01-01

    Explored how research can be useful for improving day-care quality. Studied relationship of pedagogic content and parent policy to day-care center aims, finding a strong relationship between special goals and quality standards. Suggested that improvement requires context-bound theories and a stronger theoretical framework for working with groups…

  12. The Evaluation of Existing Federal Interagency Day Care Requirements: Day Care for the School-Age Child.

    ERIC Educational Resources Information Center

    Bergstrom, Joan M.; Dreher, Donna L.

    As part of an evaluation of the existing Federal Interagency Day Care Requirements (FIDCR), this paper reviews the current regulations and presents recommendations for modifications in the requirements as they relate to group or family day care services for school age children from 5 to 14 years of age. The paper is divided into five major…

  13. Stability in Center Day Care: Relations with Children's Well-Being and Problem Behavior in Day Care

    ERIC Educational Resources Information Center

    de Schipper, J. Clasien; Van IJzendoorn, Marinus H.; Tavecchio, Louis W. C.

    2004-01-01

    Mothers and primary professional caregivers of 186 children, aged 6-30 months, participated in this study in which a new measure for daily stability in center day care was developed, describing staffing, grouping, and program features. Relative contributions of infants' daily experiences of care stability, quality of care, and mother's daily…

  14. Cortisol Levels and Children's Orientation in Day Care

    ERIC Educational Resources Information Center

    Reunamo, Jyrki; Sajaniemi, Nina; Suhonen, Eira; Kontu, Elina

    2012-01-01

    Children's stress in day care is related to the stressful qualities of the environment and to children's orientations in that environment. The study involved 55 children in five day centres in Finland. Baseline saliva samples for measuring cortisol (stress) levels were collected five times during the day. Children were interviewed to measure their…

  15. Transition from Pediatric to Adult OI Care

    MedlinePlus

    ... what OI is and the medical and life style issues involved. • Being comfortable speaking directly to doctors ... the adult years especially if there is good communication between the center and the hometown primary care ...

  16. Policies for control of communicable disease in day care centres.

    PubMed Central

    Chouillet, A; Maguire, H; Kurtz, Z

    1992-01-01

    A survey was carried out to identify the availability and quality of guidelines for the prevention and control of communicable disease and procedures in use in child day care centres within the South West Thames Regional Health Authority. A sample of 50 day care centres was investigated including those funded by social services and privately funded day care centres. Policies for the prevention and control of communicable disease for children and staff showed a wide variation between different centres. Exclusion criteria were unclear especially in relation to carriers of the hepatitis B virus and HIV positive children. Channels for reporting and seeking advice were inconsistent. It is recommended that clear and up to date written guidelines on the prevention and control of communicable diseases should be available in all day care centres with clear indications of good practice and channels for reporting and advice. It is desirable that guidelines are agreed by the different health and local authorities throughout the region. PMID:1417054

  17. Family Day Care Mothers Work Together to Improve Services

    ERIC Educational Resources Information Center

    Sale, June Solnit

    1975-01-01

    Describes the history of Women Attentive to Children's Happiness (WATCH), a self-help organization of family day care mothers which has developed an effective method of producing developmental programs for children and families. (ED)

  18. Primary care of adults with developmental disabilities

    PubMed Central

    Sullivan, William F.; Berg, Joseph M.; Bradley, Elspeth; Cheetham, Tom; Denton, Richard; Heng, John; Hennen, Brian; Joyce, David; Kelly, Maureen; Korossy, Marika; Lunsky, Yona; McMillan, Shirley

    2011-01-01

    Abstract Objective To update the 2006 Canadian guidelines for primary care of adults with developmental disabilities (DD) and to make practical recommendations based on current knowledge to address the particular health issues of adults with DD. Quality of evidence Knowledgeable health care providers participating in a colloquium and a subsequent working group discussed and agreed on revisions to the 2006 guidelines based on a comprehensive review of publications, feedback gained from users of the guidelines, and personal clinical experiences. Most of the available evidence in this area of care is from expert opinion or published consensus statements (level III). Main message Adults with DD have complex health issues, many of them differing from those of the general population. Good primary care identifies the particular health issues faced by adults with DD to improve their quality of life, to improve their access to health care, and to prevent suffering, morbidity, and premature death. These guidelines synthesize general, physical, behavioural, and mental health issues of adults with DD that primary care providers should be aware of, and they present recommendations for screening and management based on current knowledge that practitioners can apply. Because of interacting biologic, psychoaffective, and social factors that contribute to the health and well-being of adults with DD, these guidelines emphasize involving caregivers, adapting procedures when appropriate, and seeking input from a range of health professionals when available. Ethical care is also emphasized. The guidelines are formulated within an ethical framework that pays attention to issues such as informed consent and the assessment of health benefits in relation to risks of harm. Conclusion Implementation of the guidelines proposed here would improve the health of adults with DD and would minimize disparities in health and health care between adults with DD and those in the general population

  19. Guidelines for Establishing a Family Day Care System.

    ERIC Educational Resources Information Center

    Newsome, Barbara; And Others

    Written as a basic guide, this report of the Community Coordinated Child Care Committee of Dane County, Wisconsin, aims to assist people interested in establishing family day care systems in their own communities. Practical information is provided on the prime factors that should be taken into account in selecting the ideal physical location and…

  20. A Family Day Care Primer: A Procedural Guide.

    ERIC Educational Resources Information Center

    1977

    This report on a Comprehensive Community Child Care (4C) pilot project to train family day care providers describes the step-by-step procedures for setting up, operation and assessment of the program. The program was conducted primarily through home visits and group meetings, with extensive use of handout materials. Sixty voluntary participants,…

  1. Norway's Day-Care Initiative: A Municipal Approach

    ERIC Educational Resources Information Center

    Nemeth, Beate; Lokken, Gisle

    2012-01-01

    Norway is gearing up to provide places in day care centres for all children aged between one and six and the need for more facilities has therefore increased substantially in recent years. In Tromso, the municipality has become closely involved in child-care pedagogics and architecture; a design competition it launched has brought rewarding…

  2. A Behavioral Approach to Training Day Care Workers

    ERIC Educational Resources Information Center

    Ivy, Jonathan W.; Schreck, Kimberly A.

    2008-01-01

    Day care workers are not only responsible for meeting the needs of the children they care for but creating an enriched and friendly environment as well. Few daycare centers require any specific inservice training for their staff members. When provided, training typically occurs as a didactic workshop. For this study a multiple baseline design…

  3. Food Buying Guide for Family Day Care Homes.

    ERIC Educational Resources Information Center

    Food and Nutrition Service (USDA), Chicago, IL. Midwest Regional Office.

    Offered in this guide are facts enabling family day care providers in Michigan to serve meals meeting meal pattern requirements of the state's Child Care Food Program. Adapted from the "Food Buying Guide for Child Nutrition Programs," contents are based on the latest Federal regulations and meal pattern requirements, current food production and…

  4. Views on Pre-School Education and Day Care.

    ERIC Educational Resources Information Center

    Rambusch, Nancy McCormick

    There is a clear need in our country today for early education programs aimed at accelerating the cognitive development of disadvantaged children. Another need is for centers to care for the children of working mothers. Our traditional nursery schools have deemphasized early cognitive development while day care programs have been focused on…

  5. Social Development of Infants and Toddlers in Japanese Day Care.

    ERIC Educational Resources Information Center

    Shigaki, Irene S.

    To examine children's patterns of social interaction in group care, the activities and verbal behavior of 50 preschool children attending 5 Japanese day care centers in metropolitan Tokyo were observed and recorded during a total of 20 minutes of free play for each child. Participants were equally dispersed across five age categories each…

  6. DAY-CARE REHABILITATION CENTER FOR EMOTIONALLY DISTURBED ADOLESCENTS. FINAL REPORT.

    ERIC Educational Resources Information Center

    CRAWFORD, HUGH A.; VAN DUYNE, WILLIAM V.

    IN THIS FIVE YEAR DEMONSTRATION PROJECT, EMOTIONALLY DISTURBED ADULTS AND ADOLESCENTS RECEIVED TREATMENT AT A DAY CARE REHABILITATION CENTER SPONSORED BY THE RHODE ISLAND DIVISION OF VOCATIONAL REHABILITATION (DVR) LOCATED IN A PRIVATE PSYCHIATRIC HOSPITAL (BUTLER HOSPITAL). THE MAJOR TREATMENT GOALS WERE PRESERVATION AND RESTORATION OF…

  7. The Day Care Experience of Minority Families in Norway

    ERIC Educational Resources Information Center

    Nergaard, Trude Brita

    2009-01-01

    This article evaluates the results of a Norwegian trial scheme involving free half-day day care for all four and five-year-olds in a district of Oslo with a large immigrant population. Although the scheme applied to all children in this age group, the target group was children whose parents came from non-Western countries. The evaluation, which is…

  8. Parent-Caregiver Relationship Dyad in Greek Day Care Centres

    ERIC Educational Resources Information Center

    Rentzou, Konstantina

    2011-01-01

    High quality early childhood education and care programmes encourage frequent, positive communication with and positive, effective relationships between parents and early childhood educators. The present study aimed to examine the adult relationship aspects of childcare and, more precisely, the parent/caregiver relationship dyad. The way in which…

  9. Exploring Parental Preferences: Care or Education: What Do Greek Parents Aspire from Day Care Centres?

    ERIC Educational Resources Information Center

    Rentzou, Konstantina

    2013-01-01

    Early childhood education and care is a multifaceted institution. Based on children's age, a number of different settings operate, which have usually two distinct aims. Kindergartens provide mainly education whereas day care centres provide care. Yet, in recent years, the need to establish programmes which provide both education and care to…

  10. Oral health for adults in care homes.

    PubMed

    Berry, Lisa

    2016-08-01

    Essential facts It is estimated that more than 400,000 adults live in UK care homes, 80% of whom have dementia. More than half of older people in care homes have tooth decay compared with 40% of over 75s and 33% of over 85s who do not live in care homes. Care home residents are more likely to have fewer natural teeth, and those with teeth are less likely to have enough teeth to eat comfortably and socialise without embarrassment. PMID:27573950

  11. Why carers use adult day respite: a mixed method case study

    PubMed Central

    2014-01-01

    Background We need to improve our understanding of the complex interactions between family carers’ emotional relationships with care-recipients and carers use of support services. This study assessed carer’s expectations and perceptions of adult day respite services and their commitment to using services. Methods A mixed-method case study approach was used with psychological contract providing a conceptual framework. Data collection was situated within an organisational case study, and the total population of carers from the organisation’s day respite service were approached. Fifty respondents provided quantitative and qualitative data through an interview survey. The conceptual framework was expanded to include Maslow’s hierarchy of needs during analysis. Results Carers prioritised benefits for and experiences of care-recipients when making day respite decisions. Respondents had high levels of trust in the service and perceived that the major benefits for care-recipients were around social interaction and meaningful activity with resultant improved well-being. Carers wanted day respite experiences to include all levels of Maslow’s hierarchy of needs from the provision of physiological care and safety through to the higher levels of belongingness, love and esteem. Conclusion The study suggests carers need to trust that care-recipients will have quality experiences at day respite. This study was intended as a preliminary stage for further research and while not generalizable it does highlight key considerations in carers’ use of day respite services. PMID:24906239

  12. Cognitive and affective assessment in day care versus institutionalized elderly patients: a 1-year longitudinal study

    PubMed Central

    Maseda, Ana; Balo, Aránzazu; Lorenzo–López, Laura; Lodeiro–Fernández, Leire; Rodríguez–Villamil, José Luis; Millán–Calenti, José Carlos

    2014-01-01

    Purpose Cognitive decline and depression are two common mental health problems that may create a need for long-term care among the elderly. In the last decade, the percentage of older adults who receive health care in nursing homes, day care centers, or home support services has increased in Europe. The objectives of this descriptive and nonrandomized longitudinal study were to evaluate and to compare the cognitive and affective evolution of day care versus institutionalized older patients through a 1-year period, and to assess the presence of cognitive and affective impairment as a function of the care setting. Patients and methods Ninety-four patients were assessed at baseline, and 63 (67.0%) were reassessed 1 year later. Neuropsychological assessment included measures of cognitive performance (general cognitive status, visuospatial, and language abilities) and affective status (depressive symptoms). Results Our findings indicated that the majority of the participants (day care and institutionalized patients) had mild–moderate cognitive impairment at baseline, which significantly increased in both groups after 1-year follow-up. However, the rate of change in global cognitive function did not significantly differ between groups over time. Regarding language abilities, naming function maintained among day care patients in comparison with institutionalized patients, who showed worse performance at follow-up. As regards to affective status, results revealed that institutionalized patients had a significant reduction in depressive symptoms at follow-up, when compared to day care patients. Results also highlight the high frequency of cognitive impairment and depressive symptoms regardless of the care setting. Conclusion Our findings revealed a similar global cognitive decline rate between patients receiving day care services and those residing in a nursing home at the 1-year follow-up, and slightly different trajectories in other outcomes such as naming function and

  13. Within-day and between-day Reproducibility of Baroreflex Sensitivity in Healthy Adult Males.

    PubMed

    Reynolds, L J; De Ste Croix, M; James, D V B

    2016-06-01

    Within-day and between-day reproducibility of supine and tilt baroreflex sensitivity were investigated utilising sequence and spectral indices in 46 healthy adult males employing 3 repeat measures; baseline, +60 min and +24 h. Reproducibility was assessed via the 95% limits of agreement and by the technical error of the measurement. For spectral parameters, the limits of agreement indicated same day was marginally better than between-day reproducibility. For sequence parameters, between-day had marginally better agreement than same-day reproducibility. Tilt markedly improved reproducibility across all outcome measures. Precision expressed by the technical error of the measurement for all spectral outcomes was good in both supine and tilt baroreflex sensitivity (<6%). Precision was lower, but acceptable, for sequence baroreflex sensitivity outcomes in both positions (<11%). Baroreflex sensitivity transfer gain provided the best agreement and reproducibility during supine and tilt conditions. These findings suggest time and spectral techniques may be employed to assess within-day and between-day baroreflex sensitivity changes in healthy individuals. The inclusion of a tilt manoeuvre may improve the reproducibility of the outcome measure, which may aid in the detection of modest baroreflex sensitivity changes in studies employing limited sample sizes. PMID:26928916

  14. MULTIMEDIA CONCENTRATIONS OF PAH IN SEVERAL DAY CARE CENTERS

    EPA Science Inventory

    Concentrations of polycyclic aromatic hydrocarbons were measured in nine day care centers in the spring of 1997. Indoor and outdoor air, food and beverages, indoor dust, and outdoor play area soil were sampled. The mean sums of 20 target PAH concentrations were 265 and 199 ng...

  15. A Planning and Budget Management System for Day Care.

    ERIC Educational Resources Information Center

    Byers, Bruce B.

    Federal guidelines and pressures for accountability make it essential that more and better planning management information be made available concerning the delivery of day care services. With the existence of a fully developed and operational system, planning and management of resource allocations can be made that can lead to an improved quality…

  16. Growing Healthy Bodies: Nutrition Education for Day Care Providers.

    ERIC Educational Resources Information Center

    Viebrock, Margaret A.; Berry, Holly

    This booklet discusses the important role that day care providers can play in ensuring that children eat healthy snacks and meals and learn good eating habits. Section one of the booklet examines snack foods, discusses the difference between nutritious and less-nutritious snacks, and recommends snack foods appropriate for different age groups.…

  17. Extended Day-Care Attendance and First Grade School Performance.

    ERIC Educational Resources Information Center

    Larson, John C.

    The relationship to first grade ability and achievement levels of children with day-care attendance for as long as five years prior to entry into the first grade was studied. In particular, the study was concerned with the potentially harmful effects of prolonged program attendance itself as a form of maternal separation rather than with speed and…

  18. Family Day Care: How to Provide it in Your Home.

    ERIC Educational Resources Information Center

    Squibb, Betsy

    Tips, recommendations, ideas, and background information are offered to providers of family day care. After a brief discussion of licensing and registration and a listing of learning activities for young children at home, additional learning activities and materials are described that are considered appropriate for infants, toddlers, preschool…

  19. Intestinal parasites in metropolitan Toronto day-care centres.

    PubMed Central

    Keystone, J S; Yang, J; Grisdale, D; Harrington, M; Pillon, L; Andreychuk, R

    1984-01-01

    In 1981, 900 children (aged 3 months to 10 years) and 146 staff attending 22 day-care centres in metropolitan Toronto chosen at random provided a stool specimen in a survey for intestinal parasites. Of the children, 4% to 36% were infected in 20 of 22 centres. Overall, 19% of the children and 14% of the staff had intestinal parasites: 8.6% and 4.0% respectively had Dientamoeba fragilis, and 7.8% and 2.0% respectively had Giardia lamblia. The highest prevalence of dientamebiasis was in the 7- to 10-year-olds, whereas giardiasis was detected most frequently in the 6-year-olds. Infection with intestinal parasites was not correlated with age, sex, duration in the day-care centre, dog ownership, travel history, gastrointestinal symptoms or the proportion of children in the day-care centre who were born in less developed countries. Immigrant children and children of parents born in industrialized countries (including Canada) were more likely to be infected than were children born in Canada of parents from the developing world. Dientamebiasis was associated with cat ownership. Thus, intestinal protozoa--in particular, D. fragilis and G. lamblia--are endemic in Toronto day-care centres. PMID:6478361

  20. Learning Characteristics of Title XX Day Care Children.

    ERIC Educational Resources Information Center

    Kinnison, Lloyd R.; And Others

    A study was conducted of 55 preschool children attending Title XX day care centers in Amarillo, Texas, to investigate the cognitive, language, fine motor, and socioemotional development of the children. Results indicated that the students were below the 50th percentile for their age group norms on the Peabody Picture Vocabulary Test Revised, the…

  1. Cultural Support Workers and Long Day Care Services

    ERIC Educational Resources Information Center

    Miller, Melinda G.; Knowles, Meg; Grieshaber, Susan

    2011-01-01

    In Australia, eligible long day care services may apply for support at the state level to assist with the transition of children from culturally or linguistically diverse backgrounds into childcare settings. For staff in childcare services, this support comes in the form of a cultural support worker (CSW). The primary role of a CSW is to build…

  2. Transition from Long Day Care to Kindergarten: Continuity or Not?

    ERIC Educational Resources Information Center

    Barblett, Lennie; Barratt-Pugh, Caroline; Kilgallon, Pam; Maloney, Carmel

    2011-01-01

    Transition practices that ensure continuity between early childhood settings have been shown to be important in assisting children's short-term and long-term growth and development (Vogler, Cravello & Woodhead, 2008). In Western Australia many young children move from and between long day care (LDC) settings to kindergarten. In that state,…

  3. Preventing Sexual Abuse in Day Care Programs: National Program Inspection.

    ERIC Educational Resources Information Center

    Zimlich, Norm; And Others

    In October 1984, a national program inspection on preventing child sexual abuse in day care programs was begun. Program inspections are short-term studies designed to provide qualitative information and quantitative data for use by the Department of Health and Human Services as an additional source of information. Participants in this study, from…

  4. The Burn-Out Syndrome in the Day Care Setting

    ERIC Educational Resources Information Center

    Maslach, Christina; Pines, Ayala

    1977-01-01

    Results of a study of personal job-stress factors among day care center personnel focus on impact of staff-child ratio, working hours, time out, staff meetings and program structure. Recommended institutional changes for prevention of staff "burn-out" involve reduction in amount of direct staff-child contact, development of social-professional…

  5. Infant Family Day Care Training: Discussion and Workshop Sheets.

    ERIC Educational Resources Information Center

    Lauritzen, Phyllis; McClain, Doris G.

    Training materials for family day care providers are offered in this document in the form of pages providing topics for discussion and suggested workshop activities. Discussion materials consist of prototype forms for gathering data and keeping records, as well as guidelines for caregiving functions such as feeding, first aid, arranging the home…

  6. The Effects of Day Care: A Literature Review.

    ERIC Educational Resources Information Center

    Heist, Michele E.

    This paper reviews research reported in the last 10 years on the effects of day care on children and their families. The review is organized around the following areas: attachment and emotional development; psycho-social development; intellectual and cognitive development; health and nutritional effects; the effect of caregiver stability; the…

  7. History of the Federal Interagency Day Care Requirements.

    ERIC Educational Resources Information Center

    Cooper, Sara Pope

    This paper is a synthesis of available documents, surviving files and personal interviews pertaining to the history of the Federal Interagency Day Care Requirements (FIDCR). The general outlines of what took place, the principal issues and viewpoints involved and the interplay among these issues are described. Also included are: accounts of the…

  8. Day-to-day Variability in Nap Duration Predicts Medical Morbidity in Older Adults

    PubMed Central

    Dautovich, Natalie D.; Kay, Daniel B.; Perlis, Michael L.; Dzierzewski, Joseph M.; Rowe, Meredeth A.; McCrae, Christina S.

    2014-01-01

    Objective The objectives for the present study were to: 1) examine within-person variability of nap duration and 2) assess how variability in nap duration is related to the number of health conditions in a sample of older adults. For highly variable behaviors such as sleep, it is important to consider fluctuations within the person instead of solely comparing averages of behaviors across persons. Methods Data were drawn from a previous study examining sleep in 103 community-dwelling older adults. Subjective estimates of napping behavior were obtained from sleep diaries and objective estimates of napping behavior were obtained using actigraphy. Both measures were collected for 14 consecutive days. The sampled data were aggregated in terms of: 1) average daily time spent napping and 2) average within-person fluctuations in daily nap duration. The health measure consisted of the number of self-reported health conditions. Results Both the objective and subjective measures revealed that there was considerable day-to-day fluctuation in nap duration and that variability in nap duration, not mean duration, uniquely predicted the number of health conditions, [b=.03, b*=.26, t(100)= 2.71, p = .01]. Conclusions Duration of napping in the elderly is a highly variable behavior, fluctuating as much within- as between-person. Further, variability in nap duration from day-to-day is predictive of greater medical morbidity, suggesting that clinicians should assess for inconsistencies in nap behavior in addition to duration, frequency, and timing. PMID:22369491

  9. Designing Day Care: A Resource Manual for Development of Child Care Services.

    ERIC Educational Resources Information Center

    Jones, Jacquelyn O.

    Compiled to promote the development of high quality, affordable, and accessible day care programs in West Tennessee, this manual helps prospective child caregivers decide which kind of day care to operate and describes start-up steps and program operation. Section 1 focuses on five basic questions of potential caregivers: (1) Which type of child…

  10. Assessing Quality Day-Care: The WHO Child Care Facility Schedule.

    ERIC Educational Resources Information Center

    Dragonas, Thalia; And Others

    Focusing on how the definition and assessment of quality day care are culturally specific, this paper reviews the development and validity of the Child Care Facility Schedule (CCFS), a procedure for assessing quality in child care settings in many countries. This project was initiated by the Division of Mental Health of the World Health…

  11. The Ecology of Day Care: Building a Model for an Integrated System of Care and Education.

    ERIC Educational Resources Information Center

    Haddad, Lenira

    In the past few years, the care and education dimensions of day care have occupied a prominent place in scientific and political debate in Brazil and internationally. This study used an ecological perspective to examine the interconnections surrounding the dimensions of early care and childhood education and the forces that promote or restrain…

  12. Adults with childhood-onset chronic conditions admitted to U.S. pediatric and adult intensive care units

    PubMed Central

    Edwards, Jeffrey D; Vasilevskis, Eduard E; Yoo, Erika J; Houtrow, Amy J; Boscardin, W John; Dudley, R Adams; Okumura, Megumi J

    2014-01-01

    Purpose To compare demographics, intensive care units (ICU) admission characteristics, and ICU outcomes among adults with childhood-onset chronic conditions (COCC) admitted to U.S. pediatric and adult ICUs. Materials and Methods Retrospective cross-sectional analyses of 6,088 adults aged 19–40 years admitted in 2008 to 70 pediatric ICUs that participated in the Virtual Pediatric Intensive Care Unit Performance Systems and 50 adult ICUs that participated in Project IMPACT. Results COCC were present in 53% of young adults admitted to pediatric units, compared to 9% of those in adult units. The most common COCC in both groups were congenital cardiac abnormalities, cerebral palsy, and chromosomal abnormalities. Adults with COCC admitted to pediatric units were significantly more likely to be younger, have lower functional status, and be non-trauma patients than those in adult units. The median ICU length-of-stay was 2 days and the intensive care unit mortality rate was 5% for all COCC patients with no statistical difference between pediatric or adult units. Conclusions There are marked differences in characteristics between young adults with COCC admitted to PICUs and adult ICUs. Barriers to accommodating these young adults may be reasons why many such adults have not transitioned from pediatric to adult critical care. PMID:25466316

  13. Rehospitalization of Older Adults Discharged to Home Hospice Care

    PubMed Central

    Goldenheim, Anna; Oates, Daniel; Parker, Victoria; Russell, Matthew; Winter, Michael

    2014-01-01

    Abstract Background: Acute hospital readmission of older adults receiving hospice care is not aligned with hospice goals. Objective: To identify factors associated with 30-day readmission among older adults newly discharged to hospice. Design/Subjects: Medical record review of 59 patients, 19 readmitted within 30 days and 40 randomly selected controls not readmitted, from 206 patients newly discharged to home hospice care between February 1, 2005 and January 31, 2010. Measures/Analysis: Information was collected about hospital course, end-of-life planning, and posthospitalization follow-up. We calculated bivariate associations and developed a Cox Proportional Hazards model examining the relation between index admission characteristics and readmission. Results: Patients' mean age was 79.7±8.4; 74.6% were female; 52.5% were black. Among those readmitted, 25% had received a palliative care consultation, compared to 47.1% of those not readmitted (p=0.06). Patients without a participating decision-maker involved in their hospice decision had 3.5 times the risk of readmission within 30 days, compared to those with (hazard ratio [HR] 3.53, confidence interval [CI] 0.97, 12.82). Patients who had one or more telephone contacts with their primary care physician (PCP) during week 1 after discharge had 2.4 times the readmission risk within 30 days, compared to patients with no such contacts during this period (HR 2.35, CI 0.9, 6.1). Conclusions: Readmission within 30 days of initial discharge to hospice is associated with several measures of care and care planning. Further study of these measures may identify opportunities for interventions to improve the hospital-to-hospice transition and to decrease hospital readmissions. PMID:24708490

  14. The Safety and Efficacy of Day Care Cataract Surgery

    PubMed Central

    Cabric, Emir; Zvornicanin, Jasmin; Jusufovic, Vahid

    2014-01-01

    ABSTRACT Purpose: To evaluate safety and efficacy of day care cataract surgery in developing country. Patients and Methods: This prospective study included 200 patients planned for cataract surgery during October and November 2012 divided in to two groups, day care cataract surgery (DCCS) and inpatient cataract surgery (ICS), with same number of male and female patients right and left eyes. All patients had same operative conditions and postoperative follow up. Results: The average age of patients in this study was 68.4 ± 7.47 years. Visual acuity before cataract extraction was 0.1754 where 44.5% of patients had severe visual impairment and another 23% had complicated cataract. Posterior capsule rupture was noted in 4.5% of cases. The main risk factors in both groups were: higher age, female gender, left side, complicated cataract, higher dioptric power of IOL and ECCE. Regular control opthalmologic examinations 30, 90 and 180 days after the cataract extraction did not reveal signs bullous keratopathy, wound dehiscence, cystoid macular edema and endophtalmitis in any of patients. Postoperative visual acuity 180 days after the operation in DCCS was 0.920 ± 0.154 and 0.928 ± 0.144 in ICS. Visual acuity less than 0.5 was noted in 4.5% due to posterior eye segment changes. Patients in DCCS group had 30 control examinations more and 95 days of hospitalization less than ICS with 16.5% cost reduction. Conclusion: The concept of day care cataract surgery is equally safe and more cost effective than inpatient cataract surgery. PMID:24937936

  15. Older Adults in Child Care: A Job-Training Model.

    ERIC Educational Resources Information Center

    Ward, Christopher R.; Smith, Thomas B.

    Recognizing the increasing demand for older adults to work as child care employees, this manual presents the Generations Together model for training older adults at the community college level to work in child care settings. The manual describes the steps necessary to implement a community-college-based, older-adult child care employment training…

  16. 25 CFR 20.331 - What is Adult Care Assistance?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false What is Adult Care Assistance? 20.331 Section 20.331 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR HUMAN SERVICES FINANCIAL ASSISTANCE AND SOCIAL SERVICES PROGRAMS Direct Assistance Adult Care Assistance § 20.331 What is Adult Care...

  17. The Organization of Group Care Environments: The Infant Day Care Center.

    ERIC Educational Resources Information Center

    Cataldo, Michael F.; Risley, Todd R.

    In designing group day care for infants, special attention has been given to efficient care practices, so that all the children's health needs can be met and so that the staff will have ample time to interact with the children. One efficient method is to assign each staff member the responsibility of a particular area rather than a particular…

  18. A Measure of the Child Care Ecology: Day Care Program Compliance with State Regulations.

    ERIC Educational Resources Information Center

    Fiene, Richard

    Between July 1978 and June 1980 a program evaluation was undertaken in Pennsylvania in order to measure compliance with state day care licensing regulations. The evaluation involved approximately 1000 licensed/approved child care centers and 50,000 children. Statistical data indicate that by the period April to June 1980 the statewide compliance…

  19. Solving the Puzzle of Child Care: Report of the Cuyahoga County Child Day Care Planning Project.

    ERIC Educational Resources Information Center

    Child Day Care Planning Project, Cleveland, OH.

    This report describes the Child Day Care Planning Project, which was developed by private and public representatives to meet the needs for child care in Cuyahoga County, Ohio. The project consisted of five major components. The first component, the Data Project, documented the needs and resources of the community. The second component, the Quality…

  20. Spotlight on Day Care. Proceedings of the National Conference on Day Care Services (Washington, D.C., May 13-15, 1965).

    ERIC Educational Resources Information Center

    Children's Bureau (DHEW), Washington, DC.

    The proceedings of the National Conference on Day Care Services are reported. Addresses before general sessions were: (1)"The Nation Looks at Day Care Services" by Hubert H. Humphrey; (2) "Spotlight on Day Care" by Ellen Winston; (3) "Education and Welfare: Allies Against Poverty" by Francis Keppel; (4) "Twenty Percent of the Nation" by Julius B.…

  1. A Profile of Federally Supported Day Care in Region X. Volume 3. Final Report.

    ERIC Educational Resources Information Center

    Knape, Lawrence E.

    This report, the third in a three-volume study evaluating day care in Alaska, Idaho, Oregon, and Washington, contains a profile of various day care characteristics and an estimate of the potential impact of the proposed federal day care requirements on current day care costs in the four states. The profile includes data describing the definitions…

  2. Family Day Care as Observed in Licensed Homes in Montgomery County, Maryland.

    ERIC Educational Resources Information Center

    Allen, Rebecca Blundell

    A questionnaire was administered to 19 licensed day-care mothers in Montgomery County, Maryland. This report presents what was found in observations of the family day care homes, and points out the relative merits and disadvantages of family day care and group day care. The sections of the report are: I. Introduction; II. The Needs of Children;…

  3. Training day care staff to facilitate children's language.

    PubMed

    Girolametto, Luigi; Weitzman, Elaine; Greenberg, Janice

    2003-08-01

    This exploratory study investigated the outcome of in-service training on language facilitation strategies of child care providers in day care centers. Sixteen caregivers were randomly assigned to experimental and control groups. Caregivers were taught to be responsive to children's initiations, engage children in interactions, model simplified language, and encourage peer interactions. At posttest, the experimental group waited for children to initiate, engaged them in turn-taking, used face to face interaction, and included uninvolved children more frequently than the control group. In turn, children in the experimental group talked more, produced more combinations, and talked to peers more often than the control group. The results support the viability of this training model in early childhood education settings and suggest directions for future research. PMID:12971819

  4. Children, Food, and Family Day Care: A Manual for Sponsorship of the Child Care Food Program in Licensed Family Day Care.

    ERIC Educational Resources Information Center

    O'Konski, Gerry, Ed.

    This manual provides detailed information on how local non-profit organizations can sponsor licensed family day care homes for participation in the federally funded Child Care Food Program. This program subsidizes the provision of nutritious meals to children who are not in school. The introductory section of the manual answers basic questions…

  5. Health care transition from pediatric care to adult care: opportunities and challenges under the Affordable Care Act.

    PubMed

    Webb, Lauren; Shah, Parag K; Harisiades, James P; Boudos, Rebecca; Agrawal, Rishi

    2015-01-01

    Enrollment of young adults is foundational to the success of the Affordable Care Act (ACA). This article analyzes the implications for young adults transitioning from pediatric to adult care with the implementation of the ACA. We review the key characteristics of this population relevant to health care utilization and access as well as the impact of private insurance market reforms, health insurance marketplaces, Medicaid expansion, and workforce development provisions on this population. We then analyze how reform is impacting and will continue to impact specific populations of young adults, including individuals with disabilities, college students, immigrants, young adults who age out of the foster care system and individuals involved with the criminal justice system. Finally, we look at the socio-economic and political factors influencing outreach efforts, and make recommendations to maximize the benefits of the law for young adults to empower them to have access to care and financial security. PMID:25737348

  6. Working with advanced dementia patients in a day care setting.

    PubMed

    Abramowitz, Leah

    2008-01-01

    Alzheimer's disease and most other causes of dementia are regressive by nature. As such one can expect patients with such types of mental impairment to gradually decline in function and ability to participate in day care activities. This paper attempts to show that with the right kind of orientation, staff can "tune into" the more advanced dementia patients, find the key to their personal needs, desires and remaining abilities and design a program that allows them not only to continue to participate in a social and therapeutic framework, but also to gain some meaningful human contact and quality of life despite their cognitive deterioration. PMID:18510188

  7. The economics of early childhood education and day-care

    NASA Astrophysics Data System (ADS)

    Psacharopoulos, George

    1982-03-01

    This article discusses the economic rationale of providing educational and day-care facilities to young children, using an expanded social cost-benefit frame-work. The benefits side, in particular, includes the direct lifetime productive gains by working mothers and the indirect earnings increments of the recipients of these social services via the boosting of early abilities and eventual higher scholastic achievement. Recently compiled statistics in OECD Member Countries are used to support the argument that we know very little about the socio-economic effects of providing kindergarten and nursery facilities. An interdisciplinary research agenda is proposed to increase our understanding in this elusive area of social policy.

  8. Day Care Babies Catch Stomach Bugs Earlier, but Get Fewer Later

    MedlinePlus

    ... nlm.nih.gov/medlineplus/news/fullstory_158513.html Day Care Babies Catch Stomach Bugs Earlier, But Get ... TUESDAY, April 26, 2016 (HealthDay News) -- Babies in day care catch their first stomach bug earlier than ...

  9. Day Care Babies Catch Stomach Bugs Earlier, but Get Fewer Later

    MedlinePlus

    ... page: https://medlineplus.gov/news/fullstory_158513.html Day Care Babies Catch Stomach Bugs Earlier, But Get ... TUESDAY, April 26, 2016 (HealthDay News) -- Babies in day care catch their first stomach bug earlier than ...

  10. QuickStats: Percentage of Adult Day Services Center Participants, by Selected Diagnoses

    MedlinePlus

    ... MMWR ) MMWR Share Compartir QuickStats: Percentage of Adult Day Services Center Participants,* by Selected Diagnoses † — National Study ... which is the estimated number of enrolled adult day services center participants in the United States on ...

  11. Gene Test Might One Day Gauge Alzheimer's Risk in Younger Adults

    MedlinePlus

    ... 159737.html Gene Test Might One Day Gauge Alzheimer's Risk in Younger Adults But doctors say the ... day be able to predict the risk for Alzheimer's disease in young adults, a new study suggests. ...

  12. Diabetes care for emerging adults: transition from pediatric to adult diabetes care systems.

    PubMed

    Lee, Young Ah

    2013-09-01

    With the increasing prevalence of diabetes mellitus in children, transitioning patients from childhood to adulthood are increasing. High-risk behaviors and poor glycemic control during the transition period increase the risk for hypoglycemia and hyperglycemia as well as chronic microvascular and macrovascular complications. Discussions regarding complications and preparations for transition must take place before the actual transition to adult care systems. Pediatric care providers should focus on diabetes self-management skills and prepare at least 1 year prior to the transfer. Pediatric providers should also provide a written summary about previous and current glycemic control, complications and the presence of mental health problems such as disordered eating behaviors and affective disorders. Transition care should be individualized, with an emphasis on diabetes self-management to prevent acute and long-term complications. Regular screening and management of complications should proceed according to pediatric and adult guidelines. Birth control, use of alcohol, smoking and driving should also be discussed. Barriers to self-management and care must be recognized and solutions sought. The goals of transitional care are to effectively transition the diabetic patient from the pediatric to adult care system with less elapsed time in between and to improve post-transition outcome. Previous studies regarding diabetes transitional care programs including patient education programs, medical coordinators and auxiliary service systems reported promising results. However, there is a lack of evidence regarding best practices in transition care. Further studies are needed to provide evidence based transitional care programs that take both medical and psychosocial aspects of diabetes care into consideration. PMID:24904862

  13. Evaluation of a social interaction coaching program in an integrated day-care setting.

    PubMed Central

    Hendrickson, J M; Gardner, N; Kaiser, A; Riley, A

    1993-01-01

    We used a multiple baseline design across teachers (with a reversal phase for 1 teacher) to evaluate the direct and indirect effects of a structured coaching procedure on the teaching behaviors of 3 day-care teachers. Structured coaching preceding daily caregiver routines resulted in (a) substantial increases in adult delivery of behavioral support of social interaction during group activities with 2- and 4-year-old children and (b) marked collateral increases in positive interactions of socially withdrawn children. Long-term maintenance effects were demonstrated by both the teachers and target children, and social validity measures indicated that the teachers rated coaching very positively on several dimensions. The results are discussed in relation to in-service training of day-care staff, the concept of coaching as a setting event, and the dissemination of teaching technology related to social interaction of young children. PMID:8331018

  14. Ten years of asthma admissions to adult critical care units in England and Wales

    PubMed Central

    Gibbison, Ben; Griggs, Kathryn; Mukherjee, Mome; Sheikh, Aziz

    2013-01-01

    Objectives To describe the patient demographics, outcomes and trends of admissions with acute severe asthma admitted to adult critical care units in England and Wales. Design 10-year, retrospective analysis of a national audit database. Setting Secondary care: adult, general critical care units in the UK. Participants 830 808 admissions to adult, general critical care units. Primary and secondary outcome measures Demographic data including age and sex, whether the patient was invasively ventilated or not, length of stay (LOS; both in the critical care unit and acute hospital), survival (both critical care unit and acute hospital) and time trends across the 10-year period. Results Over the 10-year period, there were 11 948 (1.4% of total) admissions with asthma to adult critical care units in England and Wales. Among them 67.5% were female and 32.5% were male (RR F:M 2.1; 95% CI 2.0 to 2.1). Median LOS in the critical care unit was 1.8 days (IQR 0.9–3.8). Median LOS in the acute hospital was 7 days (IQR 4–14). Critical care unit survival rate was 95.5%. Survival at discharge from hospital was 93.3%. There was an increase in admissions to adult critical care units by an average of 4.7% (95% CI 2.8 to 6.7)/year. Conclusions Acute asthma represents a modest burden of work for adult critical care units in England and Wales. Demographic patterns for admission to critical care unit mirror those of severe asthma in the general adult community. The number of critical care admissions with asthma are rising, although we were unable to discern whether this represents a true increase in the incidence of acute asthma or asthma severity. PMID:24056484

  15. The Rise in Cortisol in Family Day Care: Associations with Aspects of Care Quality, Child Behavior, and Child Sex

    ERIC Educational Resources Information Center

    Gunnar, Megan R.; Kryzer, Erin; Van Ryzin, Mark J.; Phillips, Deborah A.

    2010-01-01

    This study examined the increase in salivary cortisol from midmorning to midafternoon in 151 children (3.0-4.5 years) in full-time home-based day care. Compared to cortisol levels at home, increases were noted in the majority of children (63%) at day care, with 40% classified as a stress response. Observations at day care revealed that intrusive,…

  16. Wives and Daughters: The Differential Role of Day Care Use in the Nursing Home Placement of Cognitively Impaired Family Members

    ERIC Educational Resources Information Center

    Cho, Soyeon; Zarit, Steven H.; Chiriboga, David A.

    2009-01-01

    Purpose: To expand knowledge concerning the significance of kin relationships in caregiving, this study assessed predictors of the timing of institutionalization for persons with dementia. The focus was on whether use of adult day care by wives and daughters holds the same implications for placement. Design and Methods: Guided by a caregiving…

  17. Gene Test Might One Day Gauge Alzheimer's Risk in Younger Adults

    MedlinePlus

    ... news/fullstory_159737.html Gene Test Might One Day Gauge Alzheimer's Risk in Younger Adults But doctors ... 2016 (HealthDay News) -- A gene test may one day be able to predict the risk for Alzheimer's ...

  18. Day Care in Vermont: An Evaluation of the Vermont Model FAP Child Care Service System.

    ERIC Educational Resources Information Center

    Siedman, Eileen

    This book presents an extensive examination of the organization and operation of the Vermont model day care delivery system which was designed in the context of the proposed Family Assistance Plan (FAP). The model tested the ability of Federal and State employees to work together and share resources in designing a new approach to welfare reform.…

  19. Employed Mothers and Family Day-Care Substitute Caregivers: A Comparative Analysis of Infant Care.

    ERIC Educational Resources Information Center

    Stith, Sandra M.; Davis, Albert J.

    1984-01-01

    Provides a comparative assessment of maternal and nonmaternal infant caregiving practices in own-home and unregulated family day-care homes, respectively. A total of 30 caregivers (10 employed mothers, 10 substitute caregivers, and 10 nonemployed mothers) were observed in interaction with five- to six-month-old infants. (Author/RH)

  20. Palliative care - what the final days are like

    MedlinePlus

    End of life - final days; Hospice - final days ... serious illnesses or who are in the final days of life. ... do symptoms change for patients in the last days and hours of life? In: Goldstein NE, Morrison ...

  1. A Study in Child Care (Case Study from Volume II-A): "A Rolls-Royce of Day Care." Day Care Programs Reprint Series.

    ERIC Educational Resources Information Center

    O'Farrell, Brigid

    The Amalgamated Day Care Center is an independent trust established through a collective bargaining agreement between the Amalgamated Clothing Workers of America, AFL-CIO, and the employers of the garment industry. The free center, open from 6:00 a.m. to 6:00 p.m., is located near the Chicago garment industries to minimize transportation problems…

  2. Integration and continuity of Care in health care network models for frail older adults

    PubMed Central

    Veras, Renato Peixoto; Caldas, Célia Pereira; da Motta, Luciana Branco; de Lima, Kenio Costa; Siqueira, Ricardo Carreño; Rodrigues, Renata Teixeira da Silva Vendas; Santos, Luciana Maria Alves Martins; Guerra, Ana Carolina Lima Cavaletti

    2014-01-01

    A detailed review was conducted of the literature on models evaluating the effectiveness of integrated and coordinated care networks for the older population. The search made use of the following bibliographic databases: Pubmed, The Cochrane Library, LILACS, Web of Science, Scopus and SciELO. Twelve articles on five different models were included for discussion. Analysis of the literature showed that the services provided were based on primary care, including services within the home. Service users relied on the integration of primary and hospital care, day centers and in-home and social services. Care plans and case management were key elements in care continuity. This approach was shown to be effective in the studies, reducing the need for hospital care, which resulted in savings for the system. There was reduced prevalence of functional loss and improved satisfaction and quality of life on the part of service users and their families. The analysis reinforced the need for change in the approach to health care for older adults and the integration and coordination of services is an efficient way of initiating this change. PMID:24897058

  3. Integration and continuity of Care in health care network models for frail older adults.

    PubMed

    Veras, Renato Peixoto; Caldas, Célia Pereira; Motta, Luciana Branco da; Lima, Kenio Costa de; Siqueira, Ricardo Carreño; Rodrigues, Renata Teixeira da Silva Vendas; Santos, Luciana Maria Alves Martins; Guerra, Ana Carolina Lima Cavaletti

    2014-04-01

    A detailed review was conducted of the literature on models evaluating the effectiveness of integrated and coordinated care networks for the older population. The search made use of the following bibliographic databases: Pubmed, The Cochrane Library, LILACS, Web of Science, Scopus and SciELO. Twelve articles on five different models were included for discussion. Analysis of the literature showed that the services provided were based on primary care, including services within the home. Service users relied on the integration of primary and hospital care, day centers and in-home and social services. Care plans and case management were key elements in care continuity. This approach was shown to be effective in the studies, reducing the need for hospital care, which resulted in savings for the system. There was reduced prevalence of functional loss and improved satisfaction and quality of life on the part of service users and their families. The analysis reinforced the need for change in the approach to health care for older adults and the integration and coordination of services is an efficient way of initiating this change. PMID:24897058

  4. What's Wrong with Day Care: Freeing Parents To Raise Their Own Children.

    ERIC Educational Resources Information Center

    Siegel, Charles

    Federal and state tax laws and most private programs give funding to all parents who put their children in day care but give nothing to parents who cut back on their work hours to care for their own children. Challenging the conventional wisdom about child care, this book argues that Americans have wrongly embraced day care and devalued work that…

  5. Huge Increase in Day-Care Workers: A Result of Multiple Societal Changes.

    ERIC Educational Resources Information Center

    Bureau of Labor Statistics (DOL), Washington, DC.

    Using Bureau of Labor Statistics estimates of employment in day-care establishments, this study analyzes changes in day care over the past 20 years. Growth in day-care employment has been much stronger than that of other industries. Since 1972, employment has increased by nearly 250 per cent. Causes of growth includes changing trends in enrollment…

  6. CTEPP DATA COLLECTION FORM 05: CHILD DAY CARE CENTER PRE-MONITORING QUESTIONNAIRE

    EPA Science Inventory

    This data collection form is used to identify the potential sources of pollutants at the day care center. The day care teacher is asked questions related to the age of their day care building; age and frequency of cleaning carpets or rugs; types of heating and air conditioning de...

  7. CTEPP-OH DATA COLLECTED ON FORM 05: CHILD DAY CARE CENTER PRE-MONITORING QUESTIONNAIRE

    EPA Science Inventory

    This data set contains data for CTEPP-OH concerning the potential sources of pollutants at the day care center including the chemicals that have been applied in the past at the day care center by staff members or by commercial contractors. The day care teacher was asked questions...

  8. More than Motherhood: Reasons for Becoming a Family Day Care Provider

    ERIC Educational Resources Information Center

    Armenia, Amy B.

    2009-01-01

    This article examines motivations for entering family day care work as they relate to responsibilities of motherhood and the prominence of these motivations for the women providing day care within and across groups of workers. Using data from a large-scale representative survey of family day care workers in Illinois, the author examines the range…

  9. Australian Family Day Care Educators: A Snapshot of Their Qualifications, Training and Perceived Support

    ERIC Educational Resources Information Center

    Williamson, Lara; Davis, Elise; Priest, Naomi; Harrison, Linda

    2011-01-01

    Introduction: Although the family day care workforce has changed over the past decade in response to evolving childcare regulations and accreditation requirements, there is little research on family day care educators in Australia. The aim of this study was to describe characteristics of Australian family day care educators, including their…

  10. Family Day Care: Out of the Shadows and into the Limelight. Research Monograph, Volume 5.

    ERIC Educational Resources Information Center

    Kontos, Susan

    Because of the increased attention to family day care resulting from several state and national initiatives to improve quality, there is a need for a solid knowledge base about family day care. This book examines recent research on family day care. The book is divided into six chapters according to focus. Chapter 1 examines the ecology of family…

  11. CTEPP NC DATA COLLECTED ON FORM 05: CHILD DAY CARE CENTER PRE-MONITORING QUESTIONNAIRE

    EPA Science Inventory

    This data set contains data concerning the potential sources of pollutants at the day care center including the chemicals that have been applied in the past at the day care center by staff members or by commercial contractors. The day care teacher was asked questions related to t...

  12. An Ounce of Prevention: An Administrative Guide for Day Care Center Directors.

    ERIC Educational Resources Information Center

    Gray, Norma; Hall, Don

    One of three training manuals developed for day care center staff, this administrative guide was written to assist day care center directors in developing policies and procedures aimed at improving all aspects of the day care program, and thus reducing the risk of child abuse. Four chapters focus on (1) selection of staff, including recruiting,…

  13. Standards for Day Care Centers for Infants and Children Under 3 Years of Age.

    ERIC Educational Resources Information Center

    American Academy of Pediatrics, Evanston, IL.

    The Committee on Infant and Preschool Child of the American Academy of Pediatrics has developed basic standards for quality day care for children under 3 years of age. The availability of day care provides a mother with the choice of group day care as one of the means of providing for her children. Options should include full-time or part-time day…

  14. Risk factors for gastroenteritis in child day care.

    PubMed

    Enserink, R; Mughini-Gras, L; Duizer, E; Kortbeek, T; Van Pelt, W

    2015-10-01

    The child day-care centre (DCC) is often considered as one risk factor for gastroenteritis (GE) rather than a complex setting in which the interplay of many factors may influence the epidemiology of GE. This study aimed to identify DCC-level risk factors for GE and major enteropathogen occurrence. A dynamic network of 100 and 43 DCCs participated in a syndromic and microbiological surveillance during 2010-2013. The weekly incidence of GE events and weekly prevalence of five major enteropathogens (rotavirus, norovirus, astrovirus, Giardia lamblia, Cryptosporidium hominis/parvum) were modelled per DCC using mixed-effects negative binomial/Poisson regression models. Sixteen hundred children were surveyed up to 3 years, during which 1829 GE episodes were reported and 5197 faecal samples were analysed. Identified risk factors were: large DCC capacity, crowding, having animals, nappy changing areas, sandpits, paddling pools, cleaning potties in normal sinks, cleaning vomit with paper towels (but without cleaner), mixing of staff between child groups, and staff members with multiple daily duties. Protective factors were: disinfecting fomites with chlorine, cleaning vomit with paper towels (and cleaner), daily cleaning of bed linen/toys, cohorting and exclusion policies for ill children and staff. Targeting these factors may reduce the burden of DCC-related GE. PMID:25592679

  15. Noroviruses associated with acute gastroenteritis in a children's day care facility in Rio de Janeiro, Brazil.

    PubMed

    Gallimore, C I; Barreiros, M A B; Brown, D W G; Nascimento, J P; Leite, J P G

    2004-03-01

    Noroviruses (Norwalk-like viruses) are an important cause of gastroenteritis worldwide. They are the most common cause of outbreaks of gastroenteritis in the adult population and occur in nursing homes for the elderly, geriatric wards, medical wards, and in hotel and restaurant settings. Food-borne outbreaks have also occurred following consumption of contaminated oysters. This study describes the application of a reverse transcription-polymerase chain reaction (RT-PCR) assay using random primers (PdN6) and specific Ni and E3 primers, directed at a small region of the RNA-dependent RNA polymerase-coding region of the norovirus genome, and DNA sequencing for the detection and preliminary characterisation of noroviruses in outbreaks of gastroenteritis in children in Brazil. The outbreak samples were collected from children <5 years of age at the Bertha Lutz children's day care facility at Oswaldo Cruz Foundation (Fiocruz), Rio de Janeiro, that occurred between 1996 and 1998, where no pathogen had been identified. At the Bertha Lutz day care center facility, only Fiocruz's employee children are provided for, and they come from different social, economic and cultural backgrounds. Three distinct genogroup II strains were detected in three outbreaks in 1997/98 and were most closely related to genotypes GII-3 (Mexico virus) and GII-4 (Grimsby virus), both of which have been detected in paediatric and adult outbreaks of gastroenteritis worldwide. PMID:15060697

  16. Effects of Group Day Care in the First Two Years.

    ERIC Educational Resources Information Center

    Schwarz, J. Conrad

    Because many children in Bermuda receive substitute care while their mothers work, several comparative studies were made of effects of maternal and nonmaternal care on children's development. Findings of an initial investigation indicated that 2-year-old children who had been in group-center care differed unfavorably from children in other forms…

  17. Diarrhea - what to ask your health care provider - adult

    MedlinePlus

    What to ask your health care provider about diarrhea - adult; Loose stools - what to ask your health care provider - adult ... Questions you should ask: Can I eat dairy foods? What foods can make my problem worse? Can I have greasy or spicy foods? ...

  18. Community-Based Care

    MedlinePlus

    ... our e-newsletter! Aging & Health A to Z Community-Based Care Basic Facts & Information A variety of ... Adult Day Care Adult day care is a community-based option that has become more common. It ...

  19. Caring for Yourself

    MedlinePlus

    ... help out, doing things you enjoy, using adult day care services, or getting help from a local home ... for help from home health care or adult day care services when you need it. To find providers ...

  20. A Comparison of Helping, Sharing, Comforting, Honesty, and Civic Awareness for Home Care, Day Care, and Preschool Children.

    ERIC Educational Resources Information Center

    Austin, Ann M. Berghout; And Others

    In a study designed to determine whether experience in day care or preschool affects children's knowledge and enactment of prosocial behaviors, 59 children in day care, preschool, and home care were pre- and post-tested concerning: (1) their understanding of helping, sharing, comforting, honesty, and civic awareness; (2) their definitions of…

  1. Risk of diarrheal disease in Ecuadorian day-care centers.

    PubMed

    Sempértegui, F; Estrellá, B; Egas, J; Carrión, P; Yerovi, L; Díaz, S; Lascano, M; Aranha, R; Ortiz, W; Zabala, A

    1995-07-01

    To determine the risk for diarrheal disease (DD) in day-care centers (DCC) for children residing in a poor urban slum area of Quito, Ecuador, compared with that for children from the same environment but cared for in their own residential home (RH), a prospective age-, sex- and locale-controlled study of DD was conducted, including 115 children in DCC and 115 in RH, ages 12 to 42 months. The overall incidence of DD was 46/1000 child weeks. Diarrhea was more common in DCC than in RH (relative risk (RR), 1.75; 95% confidence interval (CI), 1.38 to 2.22; P < 0.001). Poor hygienic practices were more prevalent in DCC than in RH. The use of reused water for child handwashing before eating and for washing raw vegetables was associated with a higher risk of DD in DCC than in RH (RR = 4.08, CI 2.93 to 5.67, P < 0.001; RR = 3.90, CI 2.79 to 5.44, P < 0.001, respectively). These two practices were risk factors in the DCC (RR = 2.74, CI 2.08 to 3.68, P < 0.001; RR = 2.05, CI 1.55 to 2.71, P < 0.001, respectively) when compared with their absence in the same DCC. Shigella (RR = 3.58, CI 1.19 to 10.78, P < 0.02), Aeromonas (RR = 10.47, CI 1.35 to 81.05, P < 0.01), rotavirus (RR = 2.86, CI 1.87 to 4.39, P < 0.001) and Giardia (RR = 1.59, CI 1.00 to 2.59, P < 0.05) were more common in DCC than in RH. More than two-fifths of the Shigella and Aeromonas isolates were resistant to trimethoprim-sulfamethoxazole.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:7567291

  2. Up Close and Personal: Theorising Care Work in Adult Education

    ERIC Educational Resources Information Center

    John, Vaughn M.

    2016-01-01

    How do we account for the close personal bonds and deeply caring relationships forged by educators with learners in many adult educational encounters? The literature is relatively silent on the emotional and relational basis to adult educator work. This is a serious silence, given the stressful nature of adult education in developing contexts such…

  3. Depression in Older Adults in Primary Care: An Integrative Approach to Care.

    PubMed

    Lill, Sheila

    2015-09-01

    Depression in older adults is a problem often encountered in primary care. While depression is evident in all populations in the primary care setting, assessment and care are more complicated in the older adult due to factors such as comorbidities, clinical presentation, adverse drug effects and drug interactions, and psychosocial factors. Due to these complications, it is essential to incorporate both conventional and alternative methods in assessment and treatment. This article aims to define depression in older adults, present the epidemiology, discuss clinical presentation and screening, and offer an integrative approach to intervention, including both pharmacological and nonpharmacological methods. Providing holistic and integrative care to older adults diagnosed with depression in the primary care setting is essential to promote healing and recovery. This article aims to provide insight for nurses, nurse practitioners, and other providers regarding the holistic and integrative care of depression in older adults in the primary care setting. PMID:25673577

  4. Geriatric simulation: practicing management and leadership in care of the older adult.

    PubMed

    Miller, Sally; Overstreet, Maria

    2015-06-01

    According to the Centers for Disease Control and Prevention, patients age 65 and older account for 43% of hospital days. The complexity of caring for older adults affords nursing students opportunities to assess, prioritize, intervene, advocate, and experience being a member of an interdisciplinary health care team. However, these multifaceted hospital experiences are not consistently available for all students. Nursing clinical simulation (NCS) can augment or replace specific clinical hours and provide clinically relevant experiences to practice management and leadership skills while caring for older adults. This article describes a geriatric management and leadership NCS. PMID:25999076

  5. HIV care engagement within 30 days after hospital discharge among patients from a Thai tertiary-care centre.

    PubMed

    Ayudhya, Daruni Phalakawong Na; Khawcharoenporn, Thana

    2015-06-01

    A cohort study was conducted to assess the rate of follow-up visit within 30 days after hospital discharge and to determine factors associated with no follow-up among Thai HIV-infected adults during the period from November 2012 to October 2013. Of the 120 eligible patients, 76 (63%) were males, median age was 40 years, and 57 (48%) were newly diagnosed with HIV infection. The rate of follow-up within 30 days after hospital discharge was 69%. Independent factors associated with no follow-up were no caregiver (adjusted odds ratio [aOR] 7.82; p = 0.002), age (aOR 1.06; p = 0.007 for each year younger), being immigrant (aOR 5.10; p = 0.03) and monthly household income less than $US 300 (aOR 2.99; p = 0.04). These findings suggest the need for interventions to improve care engagement including close monitoring for follow-up, pre-discharge financial and medical coverage planning, assessment for the need for caregiver and patient education about the importance of care engagement. PMID:25015932

  6. Older Adults' Reports of Formal Care Hours and Administrative Records

    ERIC Educational Resources Information Center

    Albert, Steven M.; Brassard, Andrea B.; Simone, Bridget; Stern, Yaakov

    2004-01-01

    Purpose: Personal assistance care is a Medicaid benefit in New York, but few data are available on its prevalence and contribution to home care. We examined these issues in a New York City sample by assessing older adults' reports of weekly home care hours and Medicaid billing records. Design and Methods: With help from New York City's Human…

  7. In The Best Interest Of The (Adult) Child: Ideas About Kinship Care Of Older Adults.

    PubMed

    Jennings, Tezra; Perry, Tam E; Valeriani, Julia

    2014-01-01

    This article uses a qualitative, ethnographic approach to examine the experiences older adults and their kin, as the older adult engages in relocation. Studies looking at caregiving by kin for older adults highlight burdens for the adult child. This study offers a life course perspective on kinship care, analyzing older adults' decisions' to move. It was found that many older adults are strongly influenced by the desire to not be cared for by their kin as well as to select housing near their existing social network, which might exclude kin. In conclusion, policy implications are discussed. PMID:25278741

  8. Dignity in Practice: Day-to-Day Life in Intensive Care Units in Western Europe.

    PubMed

    Koksvik, Gitte H

    2015-01-01

    Dignity is a key concept in contemporary health care ethics, but the practical meaning of dignity in care remains unclear. In this article, I show that in practice, different and possibly conflicting notions of what dignity means are engaged simultaneously in the care of critical patients. The empirical data is based on ethnographic fieldwork conducted in three separate intensive care units in three European countries, Spain, Norway, and France, in the spring of 2014. Four weeks were spent at each site. Using participant observations and semi-structured interviews with 24 intensive care unit staff, I illustrate how the ideal of patient dignity is carried out in practice in the daily life of these units. PMID:26106928

  9. [Day care and female employment in Mexico: descriptive evidence and policy considerations].

    PubMed

    Knaul, F; Parker, S

    1996-01-01

    "This paper analyzes the supply and organization of public day care in Mexico and presents a series of considerations as to the formulation of future policy. The research concentrates on the evolution of public policies to provide day care to working women in the formal sector through the Mexican Social Security Institute (IMSS). Data on the evolution of female labor force participation, changes in family structure, the supply of day care and patterns of child care arrangements, suggest that access to formal facilities falls short of demand.... Innovative policies for the reorganization and expansion of the provision of day care are presently under consideration." (EXCERPT) PMID:12321406

  10. Opening Your Door to Children: How To Start a Family Day Care Program.

    ERIC Educational Resources Information Center

    Modigliani, Kathy; And Others

    This handbook describes family day care with the aim of helping interested persons determine whether or not the occupation of child care provider is appropriate for them. Part 1 focuses on factors to consider in deciding to start a family day care business and cites problems experienced by practicing caregivers. Part 2 deals with relations between…

  11. The Relationship of Staffing Characteristics to Child Outcomes in Day Care.

    ERIC Educational Resources Information Center

    Oyemade, Ura Jean; Chargois, Michele

    This paper presents evidence of the need to apply specific levels of competence to day care center staff, and describes the impact of these levels of competence on the children receiving care. Nine categories of staff necessary for quality day care are discussed and the duties of each are outlined. The categories are center director, director of…

  12. An Evaluation of Health and Safety Hazards in Family Based Day Care Homes in Philadelphia

    ERIC Educational Resources Information Center

    Perez, Hernando; Haynes, Sonia; Michael, Karen; Burstyn, Igor; Jandhyala, Malica; Palermo, Peter

    2011-01-01

    In Pennsylvania, Family Day Care Homes (FDCH) are private residences used to care for up to six children in a 24 h period. These homes are often times the most affordable alternative to day care centers parents have in low-income communities. The aims of this study were to evaluate FDCH providers' knowledge of hazards and their understanding of…

  13. Day Care in Vermont (Excerpts from the Introduction and the Executive Summary).

    ERIC Educational Resources Information Center

    Siedman, Eileen

    A pretest of the Vermont model of the Family Assistance Plan to provide statewide day care services for working parents is presented as to summary findings, conclusions, and recommendations. Facilitating factors towards the delivery of quality child care services were the day care licensing procedure, the focus on child development, talented…

  14. Fundamentals of Day Camping. An Ideal Reference for Administrators of Day Camps and School-Age Day Care Programs. Revised.

    ERIC Educational Resources Information Center

    Mitchell, Grace; And Others

    This revised edition of a 1961 publication outlines the steps involved in establishing a new day camp, and presents guidelines for day camp operation. Four chapters cover: (1) preliminary decisions and planning for a new camp; (2) site selection, legal and regulatory considerations, and property management; (3) deciding on buildings and equipment…

  15. Validity of a Self-Administered 3-Day Physical Activity Recall in Young Adults

    ERIC Educational Resources Information Center

    Han, Jennifer L.; Dinger, Mary K.

    2009-01-01

    Background: Most physical activity recall questionnaires assess activity over a 7-day period. However, questionnaires have been validated in adolescents and adults using shorter recall timeframes. Purpose: The purpose of this study was to assess the validity of a self-administered 3-day physical activity recall instrument (3DR) in young adults.…

  16. Palliative care - what the final days are like

    MedlinePlus

    ... D, Caraceni AT, Fainsinger R, et al., eds. Palliative Medicine . 1st ed. Philadelphia, PA: Elsevier Saunders; 2008:chap 177. Rakel RE, Strauch EM. Care of the dying patient. Rakel RE, Rakel DP, ...

  17. Teacher/Child Behaviors in an Open Environment Day Care Program. Final Report.

    ERIC Educational Resources Information Center

    Lay, Margaret Z.; Meyer, William J.

    A limited set of behaviors of three-, four-, and five-year-old children were observed in a day-care program designed to permit the children a maximum of freedom for environmental encounters. The sample consists of 20 children with day-care experience dating back to infancy and a group of 20 children (a contrast group) without prior day-care…

  18. Addressing the Supply Problem: The Family Day Care Approach. Background Paper No. 28.

    ERIC Educational Resources Information Center

    Friedman, Dana E.

    While analysts debate the shortage of child care, the efforts of several major corporations, including I.B.M. Corporation, Bank of America, and Mervyn's Department Stores, are spending millions of dollars trying to recruit and train new child care providers. Nearly half of all children in child care are in family day care homes. Millions of…

  19. The History and Current Status of Federal Legislation Pertaining to Day Care Programs.

    ERIC Educational Resources Information Center

    Searcy, Ellen O.; Ouellet, Ronald

    This report is a brief summary of the history of Federal Day Care provisions through the sixties and an analysis of the child care legislation pending in Congress during 1971. The 92nd Congress, in attempts to answer the growing demands for Federally-sponsored child care, introduced four separate bills dealing with child care financing: HR. 1…

  20. Factors affecting burnout when caring for older adults needing long-term care services in Korea.

    PubMed

    Won, Seojin; Song, Inuk

    2012-01-01

    The purpose of this study was to address factors related to caregiver burnout as a result of caring for an older adult with a chronic disease. Characteristics of care recipients and caregivers as well as social support were included to identify the relationships with caregiver burnout. The analysis was based on a sample of 334 older adults and their caregivers in Korea. The logistic regression results indicated that the period of being in need of another's help among care-recipients, co-residence, caregivers' health condition, previous care experience, and caregivers' free time were correlated with the caregivers' future caregiving. Interestingly, the more experience caregivers had in caring for older adults, the more willing they were to provide care in the future. Thus, the discussion focuses on services for those who are new to providing care for older adults because they tend to have less coping skills. PMID:22696842

  1. 25 CFR 20.332 - Who can receive Adult Care Assistance?

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 25 Indians 1 2013-04-01 2013-04-01 false Who can receive Adult Care Assistance? 20.332 Section 20... AND SOCIAL SERVICES PROGRAMS Direct Assistance Adult Care Assistance § 20.332 Who can receive Adult Care Assistance? An adult Indian is eligible to receive adult care assistance under this part if...

  2. 25 CFR 20.332 - Who can receive Adult Care Assistance?

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 25 Indians 1 2014-04-01 2014-04-01 false Who can receive Adult Care Assistance? 20.332 Section 20... AND SOCIAL SERVICES PROGRAMS Direct Assistance Adult Care Assistance § 20.332 Who can receive Adult Care Assistance? An adult Indian is eligible to receive adult care assistance under this part if...

  3. 25 CFR 20.332 - Who can receive Adult Care Assistance?

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 25 Indians 1 2012-04-01 2011-04-01 true Who can receive Adult Care Assistance? 20.332 Section 20... AND SOCIAL SERVICES PROGRAMS Direct Assistance Adult Care Assistance § 20.332 Who can receive Adult Care Assistance? An adult Indian is eligible to receive adult care assistance under this part if...

  4. 25 CFR 20.332 - Who can receive Adult Care Assistance?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 25 Indians 1 2011-04-01 2011-04-01 false Who can receive Adult Care Assistance? 20.332 Section 20... AND SOCIAL SERVICES PROGRAMS Direct Assistance Adult Care Assistance § 20.332 Who can receive Adult Care Assistance? An adult Indian is eligible to receive adult care assistance under this part if...

  5. Hepatitis and the Need for Adequate Standards in Federally Supported Day Care.

    ERIC Educational Resources Information Center

    Silva, Richard J.

    1980-01-01

    This article examines findings in three epidemiological studies of day care centers and concludes that higher standards of care can reduce the incidence of hepatitis among parents and staff. (Author/DB)

  6. Spousal caregiving when the adult day services center is closed.

    PubMed

    Campell, D D; Travis, S S

    1999-08-01

    Of those spousal caregivers who identified a time when they most needed assistance, morning or afternoon time periods appeared to be most problematic. Spousal caregivers who reported receiving respite time on the weekends identified adult children as the informal support person most often available. However, more than half of the caregivers reported having no respite time during the weekend. Differences in the ways spousal caregivers spent their respite time on the weekends, if available, varied by gender, length of tenure as a caregiver, and age. PMID:10461273

  7. The Day Care Needs of the Indigent Children of West Virginia, with Recommendations for a Model Day Care Program and Delivery System. Volume 2.

    ERIC Educational Resources Information Center

    Hodges, Walter L.; And Others

    This volume describes and discusses six major proposals for a complete model system of day care for indigent children in West Virginia. The recommendations include: (1) developing more specific objectives to be accomplished for children, parents, care providers, and the state; (2) developing a public education program designed to help parents…

  8. Effects of Early Day Care Experience on Subsequent Observed Program Behaviors.

    ERIC Educational Resources Information Center

    Lay, Margaret Z.; Meyer, William J.

    To determine if there are discernable effects on children of a group child-care program, the performance of 20 children, 3 to 4 years 10 months of age, who had been cared for in a day-care center from the age of 6 months is compared with that of 20 matched children with no prior day-care program experience. The 40 children participated in…

  9. Home health care with telemonitoring improves health status for older adults with heart failure.

    PubMed

    Madigan, Elizabeth; Schmotzer, Brian J; Struk, Cynthia J; DiCarlo, Christina M; Kikano, George; Piña, Ileana L; Boxer, Rebecca S

    2013-01-01

    Home telemonitoring can augment home health care services during a patient's transition from hospital to home. Home health care agencies commonly use telemonitors for patients with heart failure although studies have shown mixed results in the use of telemonitors to reduce rehospitalizations. This randomized trial investigated if older patients with heart failure admitted to home health care following a hospitalization would have a reduction in rehospitalizations and improved health status if they received telemonitoring. Patients were followed up to 180 days post-discharge from home health care services. Results showed no difference in the time to rehospitalization or emergency visit between those who received telemonitoring versus usual care. Older heart failure patients who received telemonitoring had better health status by home health care discharge than those who received usual care. Therefore, for older adults with heart failure, telemonitoring may be an important adjunct to home health care services to improve health status. PMID:23438509

  10. Caring for older adults: the parables in Confucian texts.

    PubMed

    Koh, Eun-Kang; Koh, Chin-Kang

    2008-10-01

    Confucianism is one of the frequently mentioned social factors in the research of care for the older adults in East Asian countries such as China, Taiwan, Japan, and Korea. Although Confucian philosophy functions as a powerful source of reference for care, the context of care in Confucian texts is not yet largely studied in nursing. This column focuses on the meaning of care in two key Confucian texts, the Analects and Mencius. The context of care in Confucian texts should provide a sound foundation and substantial understanding for researchers studying care in East Asian society. PMID:18953016

  11. Day-to-day care: the interplay of CNAs' views of residents & nursing home environments.

    PubMed

    Fisher, Lucy Takesue; Wallhagen, Margaret I

    2008-11-01

    This qualitative study identified certified nursing assistants' (CNAs') perspectives of nursing home residents and how these perspectives translate into care practices. Data included observations of and interviews with 27 CNAs in three dissimilar nursing homes. All participants were people of color, and all but 3 were immigrants. CNAs constructed three views of residents: as fictive kin, as a commodity, and as an autonomous person. Although individual CNAs held one primary view of residents in general, select residents were viewed from an alternative perspective, resulting in variations in care practices. These findings suggest that such distinctions, in tandem with structural, organizational, and cultural differences in nursing homes, present opportunities for nursing leadership to affect the visible, everyday practice of nursing CNAs. To target interventions, further research is needed on how CNAs come to differentially view residents and how these differences influence CNAs' care relationships with residents. PMID:19024427

  12. Foster Care Experiences and Educational Outcomes of Young Adults Formerly Placed in Foster Care

    ERIC Educational Resources Information Center

    Havalchak, Anne; White, Catherine Roller; O'Brien, Kirk; Pecora, Peter J.; Sepulveda, Martin

    2009-01-01

    This study contributes to the body of research on the educational outcomes of young adults who were formerly placed in foster care. Telephone interviews were conducted with 359 young adults (a 54.6% response rate). Participants must have been served for at least one year by one private foster care agency in one of its twenty-two offices. Results…

  13. Factors Affecting Burnout when Caring for Older Adults Needing Long Term Care Services in Korea

    ERIC Educational Resources Information Center

    Won, Seojin; Song, Inuk

    2012-01-01

    The purpose of this study was to address factors related to caregiver burnout as a result of caring for an older adult with a chronic disease. Characteristics of care recipients and caregivers as well as social support were included to identify the relationships with caregiver burnout. The analysis was based on a sample of 334 older adults and…

  14. A Study in Child Care (Case Study from Volume II-A): "Children as 'Kids'." Day Care Programs Reprint Series.

    ERIC Educational Resources Information Center

    O'Farrell, Brigid

    The Georgetown Day Care Center, in Washington, D.C., is dually sponsored by a large hospital and a private non-profit organization and offers day care services to a small number of the children of parents who work at the hospital. The center also functions as a halfway house for children in a diagnostic center which identifies preschool children…

  15. Day Care for All Children: Integrating Children with Special Needs into Community Child Care Settings. A Resource and Consultation Manual.

    ERIC Educational Resources Information Center

    Gaumer, Nancy; And Others

    This manual provides guidance on using the consultation method to help meet the needs of families of children with disabilities in integrated community-based day care settings. The introductory section provides an overview, a statement of philosophy, the history of the day care consultation program in Illinois, and instructions for using the…

  16. Associations between Relationship Status and Day-to-Day Health Behaviors and Weight among Diverse Young Adults

    PubMed Central

    Berge, Jerica M.; Bauer, Katherine W.; MacLehose, Rich; Eisenberg, Marla E.; Neumark-Sztainer, Dianne

    2014-01-01

    Introduction Previous research has shown strong positive associations between physical and psychological health outcomes and being in a committed relationship, such as marriage, however little research has investigated whether being in a committed relationship is protective for day-to-day health behaviors such as dietary patterns and physical activity. The main aim of this paper is to examine associations between relationship status and day-to-day health behaviors (e.g. dietary intake, physical activity) and weight status among a diverse cohort of young adults. Methods This cross-sectional study utilized data from Project EAT-III, a 10-year longitudinal population-based study (n = 1853) of Midwest young adults. Young adult participants had an average age of 25.3, and were 45% male and 55% female. Participants were socio economically and racially/ethnically diverse, including 48.4% white, 18.6% African American, 5.9% Hispanic, 19.6% Asian, 3.3% Native American, and 4.2% mixed or other race/ethnicity. Results Results indicated that married men were more likely to be overweight/obese (BMI ≥ 25) compared to single/casually dating and committed dating/engaged men. Married women were more likely to eat breakfast ≥ 5 times per week compared to women in other relationship categories. No differences were observed in young adults’ other health behaviors by relationship status. There were no significant interactions by race/ethnicity. Discussion Relationship status seems largely unrelated to young adults’ participation in physical activity and dietary behaviors. However, findings suggest that being married may be a risk factor for overweight/obesity in young adult men and may be a protective factor for other health-related behaviors associated with overweight/obesity such as eating breakfast for young adult women. PMID:24417654

  17. Keep Your Mouth Healthy: Oral Care for Older Adults

    MedlinePlus

    ... please review our exit disclaimer . Subscribe Keep Your Mouth Healthy Oral Care for Older Adults Oral health ... decay. You can take steps to keep your mouth healthy throughout your lifetime. And if you’re ...

  18. Diarrhea - what to ask your health care provider - adult

    MedlinePlus

    What to ask your health care provider about diarrhea - adult; Loose stools - what to ask your health ... medicines, vitamins, herbs, or supplements I take cause diarrhea? Should I stop taking any of them? What ...

  19. How to Start and Operate a Day Care Home.

    ERIC Educational Resources Information Center

    Griffin, Al

    This book includes information on licensing, regulations, zoning, equipment and toys, daily schedules, meals and nutrition, naps and rest periods, parental relationships, problem children, advertising and promotion, and financing and bookkeeping. A bibliography on aspects of child care is included, as well as a list of the addresses of all state…

  20. Preschool Education and Day Care for Swedish Children.

    ERIC Educational Resources Information Center

    Mueller, Jeanne

    A comprehensive study of the types of care provided for Swedish children is presented. The point is made that the three major frameworks which support the Swedish philosophy of early childhood education are those of Arnold Gesell, Jean Piaget, and Erik H. Erikson. From all three sources, preschool teachers learn the concept of epigenesis, the…

  1. Work Rewards, Job Satisfaction and Accreditation in Long Day Care.

    ERIC Educational Resources Information Center

    Lyons, M. F.

    1997-01-01

    Surveyed Australian child-care workers on job satisfaction. Found that although 80% indicated satisfaction with their job, 40% said they frequently thought of quitting. Found a past and projected turnover rate of about 30%; although workers' qualifications and skills base have increased significantly in the past decade, the accreditation process…

  2. Michigan Day Care Provider Training Project, Year One: An Evaluation.

    ERIC Educational Resources Information Center

    Kaplan, Melissa G.; And Others

    A Title XX funded statewide training program offering 20 hours of instruction for 1,662 licensed center and home child care providers who served Title XX eligible children in Michigan was evaluated at the end of its first year of operation. The first three chapters of this evaluation report discuss (1) the history, philosophy, and goals of the…

  3. 'Have a nice day': consumerism, compassion and health care.

    PubMed

    Sturgeon, David

    Plans to implement a quality measurement framework that will rate nurses according to the level of care and compassion they demonstrate have been proposed and discussed in a number of Department of Health documents. From September 2010 degree-level nursing students in Wales will receive regular feedback on their communication skills and whether they are exhibiting sufficient levels of compassion. This article examines the reasons why there have been such moves by both politicians and health professionals to demonstrate, in quantifiable terms, that they are able to measure something that is frequently contextual and subject to individual interpretation. It explores how these moves have been influenced by the disclosure of unacceptable standards of care by the Patients Association report and the enquiry into Mid-Staffordshire NHS Foundation Trust. It also discusses how the adoption of targets to evaluate care and compassion seems to reflect a market-driven and bureaucratic approach to health care that has resulted in a system in which measurability and outcome are considered the most important indicator of quality. PMID:20852468

  4. Challenges and solutions for care of frail older adults.

    PubMed

    Young, Heather M

    2003-01-01

    Frail older adults are at risk for negative outcomes and are the most significant consumers of health resources across both acute and community settings. Both formal systems and families are involved in this care of frail elders. This article reviews health care issues for frail older adults and addresses the impact of frailty on the future health care system. It also presents challenges for future care, creative solutions that are currently being tested and explored, and suggestions for future nursing priorities. Challenges in the care of frail elders include: the organization and sustainability of the continuum of services, resource allocation, and cultural competence in service delivery. Creative solutions include intensive case management programs, targeting at risk older adults, partnerships with families, enhanced use of telemedicine and assistive technology, and promoting healthy aging. Nurses have the potential to improve elder health across settings through clinical practice, education, leadership, and research. PMID:12795634

  5. Diabetes Self-Care and the Older Adult

    PubMed Central

    Weinger, Katie; Beverly, Elizabeth A.; Smaldone, Arlene

    2014-01-01

    The prevalence of diabetes is highest in older adults, a population that is increasing. Diabetes self-care is complex with important recommendations for nutrition, physical activity, checking glucose levels, and taking medication. Older adults with diabetes have unique issues which impact self-care. As people age, their health status, support systems, physical and mental abilities, and nutritional requirements change. Furthermore, comorbidities, complications, and polypharmacy complicate diabetes self-care. Depression is also more common among the elderly and may lead to deterioration in self-care behaviors. Because of concerns about cognitive deficits and multiple comorbidities, adults older than 65 years are often excluded from research trials. Thus, little clinical evidence is available and the most appropriate treatment approaches and how to best support older patients’ self-care efforts are unclear. This review summarizes the current literature, research findings, and expert and consensus recommendations with their rationales. PMID:24510969

  6. Dental Care among Young Adults with Intellectual Disability

    ERIC Educational Resources Information Center

    Kancherla, Vijaya; Van Naarden Braun, Kim; Yeargin-Allsopp, Marshalyn

    2013-01-01

    Dental care among young adults with intellectual disability (ID) is poorly documented and largely unmet. By using population-based data from the Metropolitan Atlanta Developmental Disabilities Follow-Up Study, we assessed factors associated with at least one or two dental visits per year among young adults with and without ID. Significantly fewer…

  7. Optimizing Health Care for Adults with Spina Bifida

    ERIC Educational Resources Information Center

    Webb, Thomas S.

    2010-01-01

    Survival into adulthood for individuals with spina bifida has significantly improved over the last 40 years with the majority of patients now living as adults. Despite this growing population of adult patients who have increased medical needs compared to the general population, including spina bifida (SB)-specific care, age-related secondary…

  8. College and University Summer Camps: Creative Alternatives to Day Care.

    ERIC Educational Resources Information Center

    Wever, Matthew F.

    1995-01-01

    The successful summer day camp program of Saint Louis University (Missouri) is described. Program rationale, philosophy, objectives, structure, staffing, activities, and benefits to the university community are discussed. A majority of the children served by the camp are the children, ages 6 to 12, of university employees. (MSE)

  9. Psychology and primary care: New collaborations for providing effective care for adults with chronic health conditions.

    PubMed

    Fisher, Lawrence; Dickinson, W Perry

    2014-01-01

    The rapid transformation of primary care in the United States provides an opportunity for psychologists to become actively involved as integrated members of primary care teams in the provision of services for adults with chronic disease. The differences between primary care clinicians and psychologists with respect to education, culture, practice styles, reimbursement, and roles, however, pose notable barriers to effective integration. In this report we review models of collaboration, barriers to effective integration of services, and potential areas in which psychologists can make major contributions both to direct service delivery and to primary care practice, with special reference to the care of adults with chronic conditions. PMID:24820685

  10. Theme with Variations: Social Policy, Community Care and Adult Education.

    ERIC Educational Resources Information Center

    Lavender, Peter

    1990-01-01

    Changes in British social policy regarding community health care has implications for local education agency (LEA) providers of adult continuing education. LEAs will either have a role in providing staff training and other learning opportunities, will be forced to provide cheaper forms of community care, or will be ignored altogether. (SK)

  11. Evaluation of the Child Care Class for Older Adults.

    ERIC Educational Resources Information Center

    Gallegos, Sandra

    In 1986, the Ability Based on Older Dependable Experience (ABODE) Program was developed at De Anza College to train older adults to serve as a temporary source of child care on an emergency basis. The program was sponsored by Tandem Computers, Incorporated, out of a desire to provide better employee benefits with respect to child care. The program…

  12. Nursing care of transgendered older adults. Implications from the literature.

    PubMed

    Berreth, Margaret E

    2003-07-01

    Although there has been considerable medical and psychological research into the phenomenon of transgenderism, little attention has been paid to issues specific to the older transgendered adult. This article seeks to address this gap by exploring issues relevant to the nursing care of the older transgendered adult. The specific topics covered include social support, abuse and neglect, medical concerns, and access to medical care. Resources for the transgendered older adult also are included. Journal articles and texts from nursing, medicine, and psychology are used. This review highlights implications for nursing, offers suggestions for promoting a therapeutic relationship in both the inpatient and outpatient setting, and concludes with areas for future research. PMID:12874939

  13. Public School Center vs. Family Home Day Care: Single Parents' Reasons for Selection.

    ERIC Educational Resources Information Center

    Rothschild, Maria Stupp

    This study investigates the reasons single parents in San Diego had for choosing either a public day care center or a licensed day care home for their children. A sample of 30 single parents with children in school district administered children's centers was drawn and matched by a similarly geographically distributed sample of 23 parents with…

  14. Recursos/Resources: A Bibliography of Spanish-Language Family Day Care Training Materials.

    ERIC Educational Resources Information Center

    California Child Care Resource and Referral Network, San Francisco.

    This bibliography provides descriptions and contact information regarding resources produced by American and Canadian family day care training projects and other educational organizations for agencies working with Spanish-speaking family day care providers. Included are resources in the following areas: (1) "Recruitment Resources"; (2) "Family Day…

  15. Establishing a Successful Family Day Care Home: A Resource Guide for Providers.

    ERIC Educational Resources Information Center

    Massachusetts State Office for Children, Boston.

    A resource guide for family day care providers in Massachusetts was developed as an initiative of the state Office for Children. Chapters are as follows: (1) Getting Ready to Do Family Day Care (e.g., definitions, provider qualifications, preparing your home, assistants, complaints); (2) Partnership with Parents (e.g., interviews, trial period,…

  16. Evaluation of the Get Set Day Care Program, 1978-1979.

    ERIC Educational Resources Information Center

    Figgures, Cleo

    This study reports results of an evaluation of the developmental, parent involvement, staff development, and supportive services components of the Get Set Day Care Program in Philadelphia. During 1978-1979, the program provided day care and educational services to approximately 4,100 children in 70 sites. Developmental Behavior Checklist (DBC)…

  17. Concept Paper on Health and Safety Issues in Day Care. Final Manuscript.

    ERIC Educational Resources Information Center

    Pizzo, Peggy; Aronson, Susan S.

    This report discusses the existence and prevention of major health and safety risks for children in day care and makes recommendations for the Federal Interagency Day Care requirements (FIDCR) concerning health and safety. Section I describes varying concepts of risk related to probability and to possibility of adverse events, and discusses…

  18. The Good-Bye Window: A Year in the Life of a Day-Care Center.

    ERIC Educational Resources Information Center

    Brown, Harriet N.

    Started 25 years ago by a group of parents in Madison, Wisconsin, the Red Caboose is one of the oldest independent day-care centers in the United States. This book recounts observations of the activities at the center for 1 year, exploring what makes a good day care center successful and what obstacles a center is up against. Interspersed among…

  19. Factors Related to Depression among Higher Income Mothers with Young Children in Day Care Centers.

    ERIC Educational Resources Information Center

    Fagan, Jay

    1994-01-01

    Examined the association between maternal depression, maternal separation anxiety, social support, and maternal involvement in the day-care center among 54 upper-income mothers and their infants. Found that higher levels of maternal involvement in day care were associated with lower levels of maternal depression. (MDM)

  20. So You're Going to Run a Day Care Service!

    ERIC Educational Resources Information Center

    Grosett, Marjorie D.; And Others

    A handbook for citizens taking on the responsibility of running a day care program for the first time, starting at the beginning and presupposing nothing, is presented. Sections are provided on: organizing to establish a day care service; getting started as a sponsoring group; functioning as an ongoing board of directors; board-staff relations;…

  1. 7 CFR 226.13 - Food service payments to sponsoring organizations for day care homes.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... use the information submitted by the homes to produce an actual count, by type and by category (tier I... system, day care homes shall be required to submit the number of meals served, by type, to enrolled... calculation. Under this system, day care homes shall be required to submit the number of meals served, by...

  2. 7 CFR 226.13 - Food service payments to sponsoring organizations for day care homes.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... use the information submitted by the homes to produce an actual count, by type and by category (tier I... system, day care homes shall be required to submit the number of meals served, by type, to enrolled... calculation. Under this system, day care homes shall be required to submit the number of meals served, by...

  3. 7 CFR 226.13 - Food service payments to sponsoring organizations for day care homes.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... use the information submitted by the homes to produce an actual count, by type and by category (tier I... system, day care homes shall be required to submit the number of meals served, by type, to enrolled... calculation. Under this system, day care homes shall be required to submit the number of meals served, by...

  4. Children's Physical Activity in Day Care and Preschool

    ERIC Educational Resources Information Center

    Reunamo, Jyrki; Hakala, Liisa; Saros, Leila; Lehto, Satu; Kyhälä, Anna-Liisa; Valtonen, Juha

    2014-01-01

    The purpose of the study was to investigate the dynamics of physical activity (PA) in day care and preschool. The participants were 823 Finnish 1-7-year-old children from 50 day care centres and preschools. The research methods were systematic observation, evaluation of children's skills and interviews with children. Altogether 18,366…

  5. Not Babies Anymore: Young Children's Narrative Identities in Finnish Day Care Centers

    ERIC Educational Resources Information Center

    Puroila, Anna-Maija; Estola, Eila

    2014-01-01

    With the aim of deepening understanding of young children's identity construction, the study explores small stories produced in a Finnish day care center context. Small stories are understood as identity-constituting social practices that occur and recur in day care settings. Taking ideas on narrative ethnography as starting point, research…

  6. Canadian Parents' Knowledge and Satisfaction Regarding Their Child's Day-Care Experience

    ERIC Educational Resources Information Center

    Howe, Nina; Jacobs, Ellen; Vukelich, Goranka; Recchia, Holly

    2013-01-01

    The purpose of this study was to examine parental selection criteria and satisfaction with day care, knowledge about centre philosophy, teacher education and quality of the day-care environment. Parents ("n" = 261) and educators ("n" = 94) in 44 non-profit centres in three Canadian cities participated. Parent knowledge was assessed by phone…

  7. What I'm Really Looking For: Family Day Care from the Parent's Perspective

    ERIC Educational Resources Information Center

    Huang, Grace Hui-Chen

    2007-01-01

    The purpose of this study was to describe parents' experiences in sending their children to non-regulated family day care. Noticeably absent were studies about non-regulated family day care culture as well as parental experiences. Phenomenology, the study of human experiences, was the methodology used to identify the meaning behind parents' search…

  8. Professionalism--A Breeding Ground for Struggle. The Example of the Finnish Day-Care Centre

    ERIC Educational Resources Information Center

    Kinos, Jarmo

    2008-01-01

    This article examines the Finnish day-care centre out of a neo-Weberian-Bourdieuan frame of reference. The leading idea is that the day-care centre field is continuously shaping as a result of both inner struggles and struggles with other fields. The state, the education system, and trade unions act as the dealers of professional playing cards.…

  9. Pediatric Language Laboratory--A Day Care Center Program During 1977-78.

    ERIC Educational Resources Information Center

    Dodson, Susan; And Others

    The document describes the Pediatric Language Laboratory, a day care center which provides day care and therapeutic services to 20 mild to moderate communicatively delayed children, 1 to 4 years old. Initial sections address program philosophy; program components (diagnostics, remedial services, typical services, parent education, and community…

  10. Home-SAFE: A New Approach in Day Care for the Young Child.

    ERIC Educational Resources Information Center

    Kornfeld, Maurine

    The Los Angeles Section, National Council of Jewish Women, has developed an innovative pilot program in day care geared to the changing life style of child rearing by single parents. Home-SAFE provides children a warm, secure environment in supervised, subsidized, licensed day care homes, and includes enrichment activities by trained volunteers;…

  11. The Infant Center: A Complete Guide to Organizing and Managing Infant Day Care.

    ERIC Educational Resources Information Center

    Herbert-Jackson, Emily; And Others

    This book is a guide to organizing and managing an infant day care center. Part I includes two chapters: About Infant Day Care; and Arranging Space for Babies. Part II discusses being a caregiver and includes chapters on play; feeding; diapering; sleep; receiving/departing; and handling emergencies and illnesses. Part III focuses on the role of…

  12. Day Care and the Working Poor: The Struggle for Self-Sufficiency.

    ERIC Educational Resources Information Center

    McMurray, Georgia L.; Kazanjian, Dolores P.

    This follow-up study of a 1979 survey of families involved in New York City's public day care program is based on field interviews with a random sample of 211 families in contact with the program in the past 4 years. Section 1 of this report describes the Agency for Child Development's day care programs for children from low-income working…

  13. Child Development: Day Care. 6. Health Services: A Guide for Project Directors and Health Personnel.

    ERIC Educational Resources Information Center

    North, A. Frederick, Jr.

    This manual is written to help day care directors, physicians, and others concerned with the health of children in day care to plan and carry out a group of services that will meet the health needs of children and their parents. It is divided into three parts. Part One is primarily concerned with Planners and Project Directors, and includes…

  14. When Risk Becomes Invisible in the Everyday Life of Day Care

    ERIC Educational Resources Information Center

    Villumsen, Anne Marie; Kristensen, Ole Steen

    2016-01-01

    Both the identification of children at risk in day care and multidisciplinary collaboration with other professions have a political focus. This study was designed as an organizational field study and attempts to establish a coherent practice of multidisciplinary collaboration between day care and social services. This article focuses on the…

  15. Public Policy Report. The Federal Day Care Regulations: More to Be Done.

    ERIC Educational Resources Information Center

    Young Children, 1980

    1980-01-01

    Reactions are given to the final draft of the federal day-care regulations published in the Federal Register on March 19, 1980. Issues noted include enforcement of day care regulations, use of advisory committees, provision of inservice training, dissemination of health and social services information, and difficulties of implementing vague…

  16. Rehabilitation Needs of Chronic Female Inpatients Attending Day-care in a Tertiary Care Psychiatric Hospital

    PubMed Central

    Waghmare, Avinash; Sherine, Linda; Sivakumar, Thanapal; Kumar, C. Naveen; Thirthalli, Jagadisha

    2016-01-01

    Background: Female patients hospitalized for a long duration in psychiatric hospitals are a special population with unique needs. Aims and Objectives: To assess rehabilitation needs of chronic female inpatients attending psychiatric rehabilitation services in a tertiary care psychiatric hospital. Materials and Methods: Rehabilitation needs of nine chronic female inpatients were assessed with an interview schedule developed by expert consensus. The needs were elicited from the patients. Perspectives of nursing staff, vocational instructors, and treating psychiatrists were also sought. Results and Conclusion: Most patients expressed the need for more incentives for working in day-care, variety in food and grooming items. The nursing staff felt many patients could be placed outside, and the family members should come more frequently to meet them. Vocational instructors felt that patients need more incentives, variety in food and work. Treating psychiatrists said that major barriers in discharging and placing them were nonavailability or poor involvement of family members. Services like supported housing, supported education and supported employment are necessary to cater to their complex needs. PMID:27011400

  17. Nutrition and hydration in older adults in critical care.

    PubMed

    Dimaria-Ghalili, Rose Ann; Nicolo, Michele

    2014-03-01

    Nutrition and hydration are vital components of critical care nursing. However, meeting the nutrition and hydration needs of the critically ill older adult is often complex, because of preexisting risk factors (malnutrition, unintentional weight loss, frailty, and dehydration); as well as intensive care unit-related challenges (catabolism, eating and feeding, end-of-life care). This article highlights the challenges of managing nutrition and hydration in the critically ill older adult, reviews assessment principles, and offers strategies for optimizing nutrition and hydration. PMID:24484922

  18. Youth with special health care needs: transition to adult health care services.

    PubMed

    Oswald, Donald P; Gilles, Donna L; Cannady, Mariel S; Wenzel, Donna B; Willis, Janet H; Bodurtha, Joann N

    2013-12-01

    Transition to adult services for children and youth with special health care needs (CYSHCN) has emerged as an important event in the life course of individuals with disabilities. Issues that interfere with efficient transition to adult health care include the perspectives of stakeholders, age limits on pediatric service, complexity of health conditions, a lack of experienced healthcare professionals in the adult arena, and health care financing for chronic and complex conditions. The purposes of this study were to develop a definition of successful transition and to identify determinants that were associated with a successful transition. The 2007 Survey of Adult Transition and Health dataset was used to select variables to be considered for defining success and for identifying predictors of success. The results showed that a small percentage of young adults who participated in the 2007 survey had experienced a successful transition from their pediatric care. PMID:23160763

  19. Youth with Special Health Care Needs: Transition to Adult Health Care Services

    PubMed Central

    Oswald, Donald P.; Gilles, Donna L.; Cannady, Mariel S.; Wenzel, Donna B.; Willis, Janet H.; Bodurtha, Joann N.

    2016-01-01

    Transition to adult services for children and youth with special health care needs (CYSHCN) has emerged as an important event in the life course of individuals with disabilities. Issues that interfere with efficient transition to adult health care include the perspectives of stakeholders, age limits on pediatric service, complexity of health conditions, a lack of experienced healthcare professionals in the adult arena, and health care financing for chronic and complex conditions. The purposes of this study were to develop a definition of successful transition and to identify determinants that were associated with a successful transition. The 2007 Survey of Adult Transition and Health dataset was used to select variables to be considered for defining success and for identifying predictors of success. The results showed that a small percentage of young adults who participated in the 2007 survey had experienced a successful transition from their pediatric care. PMID:23160763

  20. 7 CFR 226.12 - Administrative payments to sponsoring organizations for day care homes.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... (Continued) FOOD AND NUTRITION SERVICE, DEPARTMENT OF AGRICULTURE CHILD NUTRITION PROGRAMS CHILD AND ADULT... sponsoring organizations of child care centers or outside-school-hours care centers, independent centers, and... section shall be entitled to receive start-up payments to develop or expand successful Program...

  1. Khoa Trinh Huan Luyen Giu Tre Ban Ngay Tai Gia (Family Day Care Training Curriculum--Vietnamese).

    ERIC Educational Resources Information Center

    Nakatsu, Gail

    California's Family Day Care Training Program was designed to recruit and train, in 7 weeks, Lao, Vietnamese, and Chinese refugees to establish their own state-licensed, family day care homes. Topics in the program's curriculum include an introduction to family day care, state licenses and licensing requirements for family day care, licensing…

  2. 25 CFR 20.335 - What is the payment standard for Adult Care Assistance?

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 25 Indians 1 2012-04-01 2011-04-01 true What is the payment standard for Adult Care Assistance? 20... FINANCIAL ASSISTANCE AND SOCIAL SERVICES PROGRAMS Direct Assistance Adult Care Assistance § 20.335 What is the payment standard for Adult Care Assistance? The approved payment for adult care assistance...

  3. 25 CFR 20.335 - What is the payment standard for Adult Care Assistance?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 25 Indians 1 2011-04-01 2011-04-01 false What is the payment standard for Adult Care Assistance... FINANCIAL ASSISTANCE AND SOCIAL SERVICES PROGRAMS Direct Assistance Adult Care Assistance § 20.335 What is the payment standard for Adult Care Assistance? The approved payment for adult care assistance...

  4. 25 CFR 20.333 - How do I apply for Adult Care Assistance?

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 25 Indians 1 2014-04-01 2014-04-01 false How do I apply for Adult Care Assistance? 20.333 Section... ASSISTANCE AND SOCIAL SERVICES PROGRAMS Direct Assistance Adult Care Assistance § 20.333 How do I apply for Adult Care Assistance? To apply for adult care assistance, you or someone acting on your behalf...

  5. 25 CFR 20.333 - How do I apply for Adult Care Assistance?

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 25 Indians 1 2012-04-01 2011-04-01 true How do I apply for Adult Care Assistance? 20.333 Section... ASSISTANCE AND SOCIAL SERVICES PROGRAMS Direct Assistance Adult Care Assistance § 20.333 How do I apply for Adult Care Assistance? To apply for adult care assistance, you or someone acting on your behalf...

  6. 25 CFR 20.333 - How do I apply for Adult Care Assistance?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 25 Indians 1 2011-04-01 2011-04-01 false How do I apply for Adult Care Assistance? 20.333 Section... ASSISTANCE AND SOCIAL SERVICES PROGRAMS Direct Assistance Adult Care Assistance § 20.333 How do I apply for Adult Care Assistance? To apply for adult care assistance, you or someone acting on your behalf...

  7. 25 CFR 20.335 - What is the payment standard for Adult Care Assistance?

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 25 Indians 1 2013-04-01 2013-04-01 false What is the payment standard for Adult Care Assistance... FINANCIAL ASSISTANCE AND SOCIAL SERVICES PROGRAMS Direct Assistance Adult Care Assistance § 20.335 What is the payment standard for Adult Care Assistance? The approved payment for adult care assistance...

  8. 25 CFR 20.335 - What is the payment standard for Adult Care Assistance?

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 25 Indians 1 2014-04-01 2014-04-01 false What is the payment standard for Adult Care Assistance... FINANCIAL ASSISTANCE AND SOCIAL SERVICES PROGRAMS Direct Assistance Adult Care Assistance § 20.335 What is the payment standard for Adult Care Assistance? The approved payment for adult care assistance...

  9. 25 CFR 20.333 - How do I apply for Adult Care Assistance?

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 25 Indians 1 2013-04-01 2013-04-01 false How do I apply for Adult Care Assistance? 20.333 Section... ASSISTANCE AND SOCIAL SERVICES PROGRAMS Direct Assistance Adult Care Assistance § 20.333 How do I apply for Adult Care Assistance? To apply for adult care assistance, you or someone acting on your behalf...

  10. Clustering of serotypes in a longitudinal study of Streptococcus pneumoniae carriage in three day care centres

    PubMed Central

    Leino, Tuija; Hoti, Fabian; Syrjänen, Ritva; Tanskanen, Antti; Auranen, Kari

    2008-01-01

    Background Streptococcus pneumoniae (pneumococcus) causes a wide range of clinical manifestations that together constitute a major burden of disease worldwide. The main route of pneumococcal transmission is through asymptomatic colonisation of the nasopharynx. Studies of transmission are currently of general interest because of the impact of the new conjugate-polysaccharide vaccines on nasopharyngeal colonisation (carriage). Here we report the first longitudinal study of pneumococcal carriage that records serotype specific exposure to pneumococci simultaneously within the two most important mixing groups, families and day care facilities. Methods We followed attendees (N = 59) with their family members (N = 117) and the employees (N = 37) in three Finnish day care centres for 9 months with monthly sampling of nasopharyngeal carriage. Pneumococci were cultured, identified and serotyped by standard methods. Results Children in day care constitute a core group of pneumococcal carriage: of the 36 acquisitions of carriage with documented exposure to homologous pneumococci, the attendee had been exposed in her/his day care centre in 35 cases and in the family in 9 cases. Day care children introduce pneumococci to the family: 66% of acquisitions of a new serotype in a family were associated with simultaneous or previous carriage of the same type in the child attending day care. Consequently, pneumococcal transmission was found to take place as micro-epidemics driven by the day care centres. Each of the three day care centres was dominated by a serotype of its own, accounting for 100% of the isolates of that serotype among all samples from the day care attendees. Conclusion The transmission of pneumococci is more intense within than across clusters defined by day care facilities. The ensuing micro-epidemic behaviour enhances pneumococcal transmission. PMID:19116005

  11. Care of Adult Refugees with Chronic Conditions.

    PubMed

    Terasaki, Genji; Ahrenholz, Nicole Chow; Haider, Mahri Z

    2015-09-01

    Refugees share a common experience of displacement from their country of origin, migration, and resettlement in an unfamiliar country. More than 17 million people have fled their home countries due to war, generalized violence, and persecution. US primary care physicians must care for their immediate and long-term medical needs. Challenges include (1) language and cultural barriers, (2) high rates of mental health disorders, (3) higher prevalence of latent infections, and (4) different explanatory models for chronic diseases. This article discusses management strategies for common challenges that arise in the primary care of refugees. PMID:26320045

  12. Preventive Care Recommendations for Adults with MS

    MedlinePlus

    Preventive Care Recommendations THE BASIC FACTS MULTIPLE SCLEROSIS The Three Most Common Eye Disorders Carlos Healey, diagnosed in 2001 in Multiple Sclerosis Medical checklist: Recommendations: Dates of last & next test ...

  13. [A behavioural rating scale of activity engagement in psychogeriatric day care].

    PubMed

    Diesfeldt, H F A

    2014-09-01

    The Participation Scale was developed as an observational measure of activity engagement (as rated by group facilitators) of adult day care clients with mild to moderate dementia. In a consecutive sample of 448 subjects Mokken scaling procedure was conducted to assess the latent structure of 27 questionnaire items. The study included an exploratory and a confirmatory approach. For that purpose the sample was randomly divided into two halves. Exploratory analysis revealed three dimensions of participation that adequately captured the item structure: motivation (10 items; Loevinger's H = 0.48), competence (7 items; H = 0.56) and self-confidence (4 items; H = 0.57). The structure was validated in a confirmatory analysis. In a stepwise multiple regression model 49% of the variance in motivation was explained by independent behavioural measures of apathy and affect. Apathy and cognitive impairment were significant predictors of competence in participation (R(2) = 31.2%). Negative affect was the main predictor of reduced self-confidence (R(2) = 37.9%). Cross-validation of these exploratory regression models on the confirmatory sample explained 39.6%, 29.2% and 23.1% of the variance in motivation, competence and self-confidence, respectively. Test-retest intraclass correlation coefficients (ICC2(A,1)) as determined in a random subsample of 56 participants, were 0.77 (motivation), 0.85 (competence) and 0.76 (self-confidence). The three measures allow the differentiation and ordering of individual participants on separate dimensions of activity engagement in psychogeriatric day care. PMID:25007866

  14. Supportive Care in Older Adults with Cancer: Across the Continuum.

    PubMed

    Koll, Thuy; Pergolotti, Mackenzi; Holmes, Holly M; Pieters, Huibrie C; van Londen, G J; Marcum, Zachary A; MacKenzie, Amy R; Steer, Christopher B

    2016-08-01

    Supportive care is an essential component of anticancer treatment regardless of age or treatment intent. As the number of older adults with cancer increases, and supportive care strategies enable more patients to undergo treatment, greater numbers of older patients will become cancer survivors. These patients may have lingering adverse effects from treatment and will need continued supportive care interventions. Older adults with cancer benefit from geriatric assessment (GA)-guided supportive care interventions. This can occur at any stage across the cancer treatment continuum. As a GA commonly uncovers issues potentially unrelated to anticancer treatment, it could be argued that the assessment is essentially a supportive care strategy. Key aspects of a GA include identification of comorbidities, assessing for polypharmacy, screening for cognitive impairment and delirium, assessing functional status, and screening for psychosocial issues. Treatment-related issues of particular importance in older adults include recognition of increased bone marrow toxicity, management of nausea and vomiting, identification of anemia, and prevention of neurotoxicity. The role of physical therapy and cancer rehabilitation as a supportive care strategy in older adults is important regardless of treatment stage or intent. PMID:27342609

  15. Advances in the Care of Adults With Congenital Heart Disease.

    PubMed

    Nasr, Viviane G; Kussman, Barry D

    2015-09-01

    The significant decline in mortality among children and adolescents with congenital heart disease (CHD) is associated with an increasing prevalence of CHD in adults, particularly those with moderate to severe defects. As a significant percentage of adolescents and young adults are lost to follow-up in the transition from pediatric to adult care, they may present for elective procedures with substantial CHD-associated morbidity. In addition to the specific cardiac defect, the procedures performed, and the current pathophysiological status, several factors should be considered when managing the adult with CHD. These include the type of setting (adult vs pediatric institution); surgeon (pediatric vs adult cardiac surgeon); coexisting diseases associated with CHD, such as coronary artery disease, hepatic dysfunction, renal dysfunction, cerebrovascular accidents, myopathy, and coagulation disorders; acquired diseases of aging; pregnancy; and psychosocial functioning. The current status of the management of common and important congenital cardiac defects is also described. PMID:25542866

  16. Comparison of motor and cognitive performance of children attending public and private day care centers

    PubMed Central

    Santos, Mariana M.; Corsi, Carolina; Marques, Luisa A. P.; Rocha, Nelci A. C. F.

    2013-01-01

    Background Given that environmental factors, such as the school environment, can influence child development, more attention should be paid to the development of children attending day care centers. Objective Todetermine whether there are differences in the gross motor, fine motor, or cognitive performances of children between 1 and3 years-old of similar socioeconomic status attending public and private day care centers full time. Method Participants were divided into 2 groups, 1 of children attending public day care centers (69 children) and another of children attending private day care centers (47 children). All children were healthy and regularly attended day care full time for over 4 months. To assess cognitive, gross and fine motor performance, the Bayley Scales of Infant and Toddler Development III was used. The Mann-Whitney test was used for comparative analyses between groups of children between 13 and 24 months, 25 and 41 months, and 13 and 41 months. Results Children in public day care centers exhibited lower scores on the cognitive development scale beginning at 13 months old. The fine and gross motor performance scores were lower in children over the age of 25 months attending public centers. Maternal education was not related to the performance of children in either group. Conclusion The scores of cognitive performance as well as fine and gross motor performance of children of similar socioeconomic status who attend public day care centers are lower than children attending private daycare centers. PMID:24346293

  17. Parent Choice of Day Care Services: A Statistical Study of the Amount and Type of Care Used.

    ERIC Educational Resources Information Center

    Moore, John C., Jr.

    Selected findings and policy implications from a statistical study of the amount and type of day care used by a national sample of parents are presented in this paper. For the analysis of hours used, the sample consisted of families (n=2,149) reporting use of at least one hour of care per week for whom complete data sets were available. For…

  18. Measuring Physical Activity with Pedometers in Older Adults with Intellectual Disability: Reactivity and Number of Days

    ERIC Educational Resources Information Center

    Hilgenkamp, Thessa; Van Wijck, Ruud; Evenhuis, Heleen

    2012-01-01

    The minimum number of days of pedometer monitoring needed to estimate valid average weekly step counts and reactivity was investigated for older adults with intellectual disability. Participants (N = 268) with borderline to severe intellectual disability ages 50 years and older were instructed to wear a pedometer for 14 days. The outcome measure…

  19. Integrating Adolescents and Young Adults into Adult-Centered Care for IBD.

    PubMed

    Trivedi, Itishree; Holl, Jane L; Hanauer, Stephen; Keefer, Laurie

    2016-05-01

    Planned healthcare transition, initiated in pediatric care, is a gradual process aimed at fostering the adolescent patient's disease knowledge and skills with the ultimate objective of preparing patients and families for adult-centered care. The process is critical in inflammatory bowel diseases (IBD) where there is an increased risk of non-adherence, hospitalizations, and emergency department use as young adult patients graduate from pediatric to adult-centered care. While evidence for healthcare transition in IBD is mounting, important gaps remain in the understanding of this process from the perspective of the adult gastroenterologist. This paper summarizes what is known about healthcare transition in IBD and explores the unanswered questions-a conceptual and methodological framework for transition interventions, relevant outcomes that define successful transition, and key stakeholder perspectives. For the adult gastroenterologist managing the young adult patient population, this paper presents the paradigm of "care integration"-a process of ongoing, multi-modality support for the patient, initiated in the adult care setting, with the goal of improving self-management skills and active participation in medical decision-making. PMID:27086002

  20. Transition to Adult-Oriented Health Care: Perspectives of Youth and Adults with Complex Physical Disabilities

    ERIC Educational Resources Information Center

    Gorter, Jan Willem

    2009-01-01

    In their qualitative study, Young and colleagues (2009) found that youth and adults with cerebral palsy (CP), spina bifida, and acquired brain injuries of childhood in the province of Ontario, Canada, perceive or have perceived their transfer from pediatric to adult-oriented health care services as a struggle. Although publications on transition…

  1. Transition to Adult-Oriented Health Care: Perspectives of Youth and Adults with Complex Physical Disabilities

    ERIC Educational Resources Information Center

    Young, Nancy L.; Barden, Wendy S.; Mills, Wendy A.; Burke, Tricia A.; Law, Mary; Boydell, Katherine

    2009-01-01

    Introduction: The transition to adulthood is extremely difficult for individuals with disabilities. We sought to explore the specific issue of transition to adult-oriented health care in a Canadian context. Methods: We conducted semi-structured individual interviews with 15 youth and 15 adults with cerebral palsy, spina bifida, and acquired brain…

  2. Later life care planning conversations for older adults and families.

    PubMed

    Stolee, Paul; Zaza, Christine; Sharratt, Michael T

    2014-09-01

    While most older adults have thought about their future care needs, few have discussed their preferences with family members. We interviewed older persons (24), adult children (24), health professionals (23), and representatives of stakeholder associations (3) to understand their views and experiences on later life care (LLC) planning conversations, in terms of (a) their respective roles, and (b) barriers and facilitators that should be taken into account when having these conversations. Roles described included that of information user (older persons), information seeker (family members), and information provider (health care providers). The study identified practical and emotional considerations relevant to LLC planning conversations. This study found strong support for planning for LLC before the need arises, as well as important potential benefits for older adults, family members, and health professionals. There is interest in, and need for, resources to guide families in LLC planning. PMID:24652903

  3. Measuring physical activity with pedometers in older adults with intellectual disability: reactivity and number of days.

    PubMed

    Hilgenkamp, Thessa; Van Wijck, Ruud; Evenhuis, Heleen

    2012-08-01

    The minimum number of days of pedometer monitoring needed to estimate valid average weekly step counts and reactivity was investigated for older adults with intellectual disability. Participants (N  =  268) with borderline to severe intellectual disability ages 50 years and older were instructed to wear a pedometer for 14 days. The outcome measure was steps per day. Reactivity was investigated with repeated measures analysis of variance, and monitoring frame was assessed by comparing combinations of days with average weekly step counts (with intraclass correlation coefficients [ICCs] and regression analyses). No reactivity was present. Any combination of 4 days resulted in ICCs of 0.96 or higher and 90% of explained variance. The study concludes that any 4 days of wearing a pedometer is sufficient to validly measure physical activity in older adults with intellectual disability. PMID:22861135

  4. Health care professionals' understanding and day-to-day practice of patient empowerment in diabetes; time to pause for thought?

    PubMed

    Asimakopoulou, K; Newton, P; Sinclair, A J; Scambler, S

    2012-02-01

    This exploratory study examines what Health Care Professionals (HCPs) working with diabetes patients, understand by the term 'empowerment', their attitudes towards it and whether they believe they practise in ways consistent with empowerment principles. A small sample of diabetes HCPs (N=13), from National Health Service (NHS) hospital, walk-in and General Practitioner (GP) clinics in South-East England, was interviewed. In-depth semi-structured interviews established attitudes towards and use of empowerment in day-to-day practice. Interviews were recorded, transcribed verbatim and analysed thematically. There was no clear specific understanding of what empowerment is and what it involves, although there was broad reporting of factors around education and informed choices. Disagreement was evident about the level of freedom patients should have in making choices - from leading them to the 'right' choice to an acceptance that they may have the right to choose not to be empowered. No consensus emerged on what is successful empowerment and how it is measured. The resistance of some patients to the process of empowerment in its original definition of active partnership in care, was seen as problematic by HCPs. Although empowerment is a popular concept in theory, its practical, clinical implementation day to day, can be problematic. PMID:22036297

  5. Primary care for adults on the autism spectrum.

    PubMed

    Nicolaidis, Christina; Kripke, Clarissa Calliope; Raymaker, Dora

    2014-09-01

    Autism spectrum disorder (ASD) is defined by differences in social communication and restricted, repetitive patterns of behavior, interests, or activities. Skills and challenges can change depending on environmental stimuli, supports, and stressors. Quality of life can be improved by the use of accommodations, assistive technologies, therapies to improve adaptive function or communication, caregiver training, acceptance, access, and inclusion. This article focuses on the identification of ASD in adults, referrals for services, the recognition of associated conditions, strategies and accommodations to facilitate effective primary care services, and ethical issues related to caring for autistic adults. PMID:25134878

  6. Dental Care Every Day: A Caregiver's Guide. Practical Oral Care for People with Developmental Disabilities

    ERIC Educational Resources Information Center

    National Institute of Dental and Craniofacial Research (NIDCR), 2009

    2009-01-01

    Taking care of someone with a developmental disability requires patience and skill. As a caregiver, you know this as well as anyone does. You also know how challenging it is to help that person with dental care. It takes planning, time, and the ability to manage physical, mental, and behavioral problems. Dental care isn't always easy, but you can…

  7. Adolescent and young adult cancer: principles of care

    PubMed Central

    Ramphal, R.; Aubin, S.; Czaykowski, P.; De Pauw, S.; Johnson, A.; McKillop, S.; Szwajcer, D.; Wilkins, K.; Rogers, P.

    2016-01-01

    Adolescents and young adults (ayas) with cancer in active treatment face a number of barriers to optimal care. In the present article, we focus on the 3 critical domains of care for ayas—medical, psychosocial, and research—and how changes to the system could overcome barriers. We summarize the current literature, outline recommended principles of care, raise awareness of barriers to optimal care, and suggest specific changes to the system to overcome those barriers in the Canadian context. Many of the recommendations can nevertheless be applied universally. These recommendations are endorsed by the Canadian Task Force on Adolescents and Young Adults with Cancer and build on outcomes from two international workshops held by that group. PMID:27330350

  8. Adolescent and young adult cancer: principles of care.

    PubMed

    Ramphal, R; Aubin, S; Czaykowski, P; De Pauw, S; Johnson, A; McKillop, S; Szwajcer, D; Wilkins, K; Rogers, P

    2016-06-01

    Adolescents and young adults (ayas) with cancer in active treatment face a number of barriers to optimal care. In the present article, we focus on the 3 critical domains of care for ayas-medical, psychosocial, and research-and how changes to the system could overcome barriers. We summarize the current literature, outline recommended principles of care, raise awareness of barriers to optimal care, and suggest specific changes to the system to overcome those barriers in the Canadian context. Many of the recommendations can nevertheless be applied universally. These recommendations are endorsed by the Canadian Task Force on Adolescents and Young Adults with Cancer and build on outcomes from two international workshops held by that group. PMID:27330350

  9. Waterborne Elizabethkingia meningoseptica in Adult Critical Care.

    PubMed

    Moore, Luke S P; Owens, Daniel S; Jepson, Annette; Turton, Jane F; Ashworth, Simon; Donaldson, Hugo; Holmes, Alison H

    2016-01-01

    Elizabethkingia meningoseptica is an infrequent colonizer of the respiratory tract; its pathogenicity is uncertain. In the context of a 22-month outbreak of E. meningoseptica acquisition affecting 30 patients in a London, UK, critical care unit (3% attack rate) we derived a measure of attributable morbidity and determined whether E. meningoseptica is an emerging nosocomial pathogen. We found monomicrobial E. meningoseptica acquisition (n = 13) to have an attributable morbidity rate of 54% (systemic inflammatory response syndrome ≥2, rising C-reactive protein, new radiographic changes), suggesting that E. meningoseptica is a pathogen. Epidemiologic and molecular evidence showed acquisition was water-source-associated in critical care but identified numerous other E. meningoseptica strains, indicating more widespread distribution than previously considered. Analysis of changes in gram-negative speciation rates across a wider London hospital network suggests this outbreak, and possibly other recently reported outbreaks, might reflect improved diagnostics and that E. meningoseptica thus is a pseudo-emerging pathogen. PMID:26690562

  10. Pain Assessment in Noncommunicative Adult Palliative Care Patients.

    PubMed

    McGuire, Deborah B; Kaiser, Karen Snow; Haisfield-Wolfe, Mary Ellen; Iyamu, Florence

    2016-09-01

    Palliative care patients who have pain are often unable to self-report their pain, placing them at increased risk for underrecognized and undertreated pain. Use of appropriate pain assessment tools significantly enhances the likelihood of effective pain management and improved pain-related outcomes. This paper reviews selected tools and provides palliative care clinicians with a practical approach to selecting a pain assessment tool for noncommunicative adult patients. PMID:27497016

  11. Memo to Day Care Staff: Helping Children With Minimal Brain Dysfunction

    ERIC Educational Resources Information Center

    Shrier, Diane K.

    1975-01-01

    Presents the emotional factors related to the learning disabilities of children with minimal brain dysfunction and offers suggestions to aid the day care worker in counseling the parents of such children. (Author/SDH)

  12. How to Choose the Best Day-Care Program for Your Child.

    ERIC Educational Resources Information Center

    Patten, Peggy

    1984-01-01

    When selecting a day-care program, parents should observe the center personally and talk with other parents for references. Suggestions for evaluating curriculum, staff, physical space, and family-school relations are offered. (DF)

  13. KSC volunteers help paint Baxley Manor as part of Days of Caring '99

    NASA Technical Reports Server (NTRS)

    1999-01-01

    KSC volunteers with Days of Caring '99 share tasks while getting ready to paint at Baxley Manor, an apartment building for senior citizens on Merritt Island. Coordinated by the KSC Community Relations Council, Days of Caring provides an opportunity for employees to volunteer their services in projects such as painting, planting flowers, reading to school children, and more. Organizations accepting volunteers include The Embers, Yellow Umbrella, Serene Harbor, Domestic Violence Program, the YMCA of Brevard County, and others.

  14. KSC volunteers help paint Baxley Manor as part of Days of Caring '99

    NASA Technical Reports Server (NTRS)

    1999-01-01

    Volunteers for Days of Caring '99 set up the paint trays for painting at Baxley Manor, an apartment building for senior citizens on Merritt Island. Coordinated by the KSC Community Relations Council, Days of Caring provides an opportunity for employees to volunteer their services in projects such as painting, planting flowers, reading to school children, and more. Organizations accepting volunteers include The Embers, Yellow Umbrella, Serene Harbor, Domestic Violence Program, the YMCA of Brevard County, and others.

  15. KSC volunteers help paint Baxley Manor as part of Days of Caring '99

    NASA Technical Reports Server (NTRS)

    1999-01-01

    A volunteer for Days of Caring '99 prepares a light fixture before painting the walls in the hallway at Baxley Manor, an apartment building for senior citizens on Merritt Island. Coordinated by the KSC Community Relations Council, Days of Caring provides an opportunity for employees to volunteer their services in projects such as painting, planting flowers, reading to school children, and more. Organizations accepting volunteers include The Embers, Yellow Umbrella, Serene Harbor, Domestic Violence Program, the YMCA of Brevard County, and others.

  16. KSC volunteers help paint Baxley Manor as part of Days of Caring '99

    NASA Technical Reports Server (NTRS)

    1999-01-01

    KSC volunteers for Days of Caring '99 unfold protective materials before getting ready to paint at Baxley Manor, an apartment building for senior citizens on Merritt Island. Coordinated by the KSC Community Relations Council, Days of Caring provides an opportunity for employees to volunteer their services in projects such as painting, planting flowers, reading to school children, and more. Organizations accepting volunteers include The Embers, Yellow Umbrella, Serene Harbor, Domestic Violence Program, the YMCA of Brevard County, and others.

  17. How many steps/day are enough? For older adults and special populations

    PubMed Central

    2011-01-01

    Older adults and special populations (living with disability and/or chronic illness that may limit mobility and/or physical endurance) can benefit from practicing a more physically active lifestyle, typically by increasing ambulatory activity. Step counting devices (accelerometers and pedometers) offer an opportunity to monitor daily ambulatory activity; however, an appropriate translation of public health guidelines in terms of steps/day is unknown. Therefore this review was conducted to translate public health recommendations in terms of steps/day. Normative data indicates that 1) healthy older adults average 2,000-9,000 steps/day, and 2) special populations average 1,200-8,800 steps/day. Pedometer-based interventions in older adults and special populations elicit a weighted increase of approximately 775 steps/day (or an effect size of 0.26) and 2,215 steps/day (or an effect size of 0.67), respectively. There is no evidence to inform a moderate intensity cadence (i.e., steps/minute) in older adults at this time. However, using the adult cadence of 100 steps/minute to demark the lower end of an absolutely-defined moderate intensity (i.e., 3 METs), and multiplying this by 30 minutes produces a reasonable heuristic (i.e., guiding) value of 3,000 steps. However, this cadence may be unattainable in some frail/diseased populations. Regardless, to truly translate public health guidelines, these steps should be taken over and above activities performed in the course of daily living, be of at least moderate intensity accumulated in minimally 10 minute bouts, and add up to at least 150 minutes over the week. Considering a daily background of 5,000 steps/day (which may actually be too high for some older adults and/or special populations), a computed translation approximates 8,000 steps on days that include a target of achieving 30 minutes of moderate-to-vigorous physical activity (MVPA), and approximately 7,100 steps/day if averaged over a week. Measured directly and

  18. Group Day Care in Denmark: A Century and a Half of Experience.

    ERIC Educational Resources Information Center

    Wagner, Mary G.; Wagner, Marsden G.

    The national and local organization and administration of group day care programs in Denmark are outlined in this report. Financing, basic programs, standards, and staff training in each of the four main child care groups are discussed under the following categories: cretches, kindergartens, afterschool groups, and youth clubs. Although all four…

  19. "Constructing the Child: A History of Canadian Day Care," by Donna Varga. Book Review.

    ERIC Educational Resources Information Center

    Prochner, Larry

    1998-01-01

    Reviews Varga's book on Canadian day care. Suggests that the work's linkage of ideas concerning scientific child study and ideologies about the child to changes in structure and practice of child care highlights the concerns of children, mothers, teachers, and administrators. Notes that the limitations of the book are its brevity and the nature of…

  20. Measuring Therapeutic Alliance with Children in Residential Treatment and Therapeutic Day Care

    ERIC Educational Resources Information Center

    Roest, Jesse; van der Helm, Peer; Strijbosch, Eefje; van Brandenburg, Mariëtte; Stams, Geert Jan

    2016-01-01

    Purpose: This study examined the construct validity and reliability of a therapeutic alliance measure (Children's Alliance Questionnaire [CAQ]) for children with psychosocial and/or behavioral problems, receiving therapeutic residential care or day care in the Netherlands. Methods: Confirmatory factor analysis of a one-factor model ''therapeutic…

  1. Information-Seeking in Family Day Care: Access, Quality and Personal Cost

    ERIC Educational Resources Information Center

    Corr, L.; Davis, E.; Cook, K.; Mackinnon, A.; Sims, M.; Herrman, H.

    2014-01-01

    Family day-care (FDC) educators work autonomously to provide care and education for children of mixed ages, backgrounds and abilities. To meet the demands and opportunities of their work and regulatory requirements, educators need access to context-relevant and high quality information. No previous research has examined how and where these workers…

  2. Family Day Care in Australia: A Systematic Review of Research (1996-2010)

    ERIC Educational Resources Information Center

    Bohanna, India; Davis, Elise; Corr, Lara; Priest, Naomi; Tan, Huong

    2012-01-01

    Family Day Care (FDC) is a distinctive form of child care chosen by many Australian families. However, there appears to be little empirical research on FDC conducted in Australia. The aim of this study was to systematically review the recent published literature on FDC research in Australia, assess its quality, and identify pertinent topics for…

  3. Educator Talk in Long Day Care Nurseries: How Context Shapes Meaning

    ERIC Educational Resources Information Center

    Torr, Jane; Pham, Lien

    2016-01-01

    Little is known about the quality and characteristics of the language used by childcare staff when interacting with infants in non-parental group care settings. This qualitative study analysed the manner in which staff used language when interacting with ten children aged between 9 and 20 months in four different long day care centres in Sydney,…

  4. The Effects of Otitis Media on the Attention Skills of Day-Care-Attending Toddlers.

    ERIC Educational Resources Information Center

    Feagans, Lynne V.; And Others

    1994-01-01

    Investigated whether otitis media (OM), middle ear disease, affected toddlers' attention to language. Children were studied during a picture book-reading task at high- or low-quality day-care centers. Children with chronic OM in low-quality care showed the most negative effects on attention during episodes of OM; mothers rated children with…

  5. Food Assistance: Efforts To Control Fraud and Abuse in the Child and Adult Care Food Program Should Be Strengthened. United States General Accounting Office Report to Congressional Committees.

    ERIC Educational Resources Information Center

    Robertson, Robert E.

    The Child and Adult Care Food Program provides over $1.5 billion in benefits annually to children and adults in day care. In order to address the longstanding problems of fraud and abuse present in the program, state agencies have been charged with the responsibility for implementing Food and Nutrition Service's (FNS) regulations to prevent and…

  6. Intravenous fish oil in adult intensive care unit patients.

    PubMed

    Heller, Axel R

    2015-01-01

    Omega-3 fatty acids contained in fish oils have shown efficacy in the treatment of chronic and acute inflammatory diseases due to their pleiotropic effects on inflammatory cell signalling pathways. In a variety of experimental and clinical studies, omega-3 fatty acids attenuated hyperinflammatory conditions and induced faster recovery. This chapter will shed light on the effects of intravenous fish oil in adult intensive care unit (ICU) patients and will discuss clinical data and recent meta-analyses on the topic. While significant beneficial effects on infection rates and the lengths of ICU and hospital stays have concordantly been identified in three recent meta-analyses on non-ICU surgical patients, the level of evidence is not so clear for critically ill patients. Three meta-analyses published in 2012 or 2013 explored data on the ICU population. Although the present data suggest the consideration of enteral nutrition enriched with fish oil, borage oil and antioxidants in mild to severe acute respiratory distress syndrome, only one of the three meta-analyses found a trend (p = 0.08) of lower mortality in ICU patients receiving intravenous omega-3 fatty acids. Two of the meta-analyses indicated a significantly shorter hospital stay (5.17-9.49 days), and one meta-analysis found a significant reduction in ICU days (1.92). As a result of these effects, cost savings were postulated. Unlike in surgical patients, the effects of fish oil on infection rates were not found to be statistically significant in ICU patients, and dose-effect relationships were not established for any cohort. Thus, obvious positive secondary outcome effects with intravenous fish oil have not yet been shown to transfer to lower mortality in critically ill patients. There is a need for adequately powered, well-planned and well-conducted randomized trials to give clear recommendations on the individual utility and dosage of intravenous omega-3 fatty acids in critical illness. PMID:25471809

  7. Enhancing Disaster Management: Development of a Spatial Database of Day Care Centers in the USA

    DOE PAGESBeta

    Singh, Nagendra; Tuttle, Mark A.; Bhaduri, Budhendra L.

    2015-07-30

    Children under the age of five constitute around 7% of the total U.S. population and represent a segment of the population, which is totally dependent on others for day-to-day activities. A significant proportion of this population spends time in some form of day care arrangement while their parents are away from home. Accounting for those children during emergencies is of high priority, which requires a broad understanding of the locations of such day care centers. As concentrations of at risk population, the spatial location of day care centers is critical for any type of emergency preparedness and response (EPR). However,more » until recently, the U.S. emergency preparedness and response community did not have access to a comprehensive spatial database of day care centers at the national scale. This paper describes an approach for the development of the first comprehensive spatial database of day care center locations throughout the USA utilizing a variety of data harvesting techniques to integrate information from widely disparate data sources followed by geolocating for spatial precision. In the context of disaster management, such spatially refined demographic databases hold tremendous potential for improving high resolution population distribution and dynamics models and databases.« less

  8. Enhancing Disaster Management: Development of a Spatial Database of Day Care Centers in the USA

    SciTech Connect

    Singh, Nagendra; Tuttle, Mark A.; Bhaduri, Budhendra L.

    2015-07-30

    Children under the age of five constitute around 7% of the total U.S. population and represent a segment of the population, which is totally dependent on others for day-to-day activities. A significant proportion of this population spends time in some form of day care arrangement while their parents are away from home. Accounting for those children during emergencies is of high priority, which requires a broad understanding of the locations of such day care centers. As concentrations of at risk population, the spatial location of day care centers is critical for any type of emergency preparedness and response (EPR). However, until recently, the U.S. emergency preparedness and response community did not have access to a comprehensive spatial database of day care centers at the national scale. This paper describes an approach for the development of the first comprehensive spatial database of day care center locations throughout the USA utilizing a variety of data harvesting techniques to integrate information from widely disparate data sources followed by geolocating for spatial precision. In the context of disaster management, such spatially refined demographic databases hold tremendous potential for improving high resolution population distribution and dynamics models and databases.

  9. Intake of protein, calcium and sodium in public child day care centers

    PubMed Central

    Longo-Silva, Giovana; Toloni, Maysa Helena de A.; de Menezes, Risia Cristina E.; Temteo, Tatiane Leocádio; Oliveira, Maria Alice A.; Asakura, Leiko; Costa, Emília Chagas; Taddei, José Augusto de A. C.

    2014-01-01

    OBJECTIVE: To assess calcium, protein and sodium intake, of children that attend public day-care centers and to compare it with the recommended one. METHODS: Cross-sectional descriptive study in seven public day care centers of São Paulo city, Southeast Brazil, which enrolled 366 children between 12 and 36 months of age. The data collection occurred between September and December 2010. Each day care center was evaluated for three non-consecutive days, totaling 42 days and 210 meals. Dietary intake was assessed by a direct food weighing method. For the nutritional calculation, DietWin(r) Profissional 2.0 was used, and the adequacy was calculated according to the recommendations of the National School Feeding Program for energy, protein, calcium and sodium. The calcium/protein relation was also calculated, as well as calcium density (mg/1,000kcal). RESULTS: The energy (406.4kcal), protein (18.2g) and calcium (207.6mg) consumption did not reach the recommended values ​​in all the evaluated day care centers. Sodium intake exceeded up to three times the recommendation. The calcium/protein ratio of 11.7mg/g was less than the adequate one (20mg/g). CONCLUSIONS: There was inadequacy of calcium, protein and sodium dietary intake, in children attending public day-care centers. PMID:25119750

  10. Adult Basic Education. Child Care, Transportation, Support Services Workbook.

    ERIC Educational Resources Information Center

    Porter, Deborah; Morris, Jamie, Ed.

    This workbook focuses on two primary needs of adult basic education (ABE) students--child care and transportation--and provides ideas to assist program administrators (especially in Texas) to develop appropriate, workable, community-based strategies to meet these needs. The book contains five chapters. Each chapter addresses a particular aspect of…

  11. How much will we pay to increase steps per day? Examining the cost-effectiveness of a pedometer-based lifestyle program in primary care.

    PubMed

    Johnson, S T; Lier, D A; Soprovich, A; Mundt, C; Johnson, J A

    2015-01-01

    We previously demonstrated the Healthy Eating and Active Living for Diabetes (HEALD) intervention was effective for increasing daily steps. Here, we consider the cost-effectiveness of the HEALD intervention implemented in primary care. HEALD was a pedometer-based program for adults with type-2 diabetes in Alberta, Canada completed between January 2010 and September 2012. The main outcome was the change in pedometer-determined steps/day compared to usual care. We estimated total costs per participant for HEALD, and total costs of health care utilization through linkage with administrative health databases. An incremental cost-effectiveness ratio (ICER) was estimated with regression models for differences in costs and effects between study groups. The HEALD intervention cost $340 per participant over the 6-month follow-up. The difference in total costs (intervention plus health care utilization) was $102 greater per HEALD participant compared to usual care. The intervention group increased their physical activity by 918 steps/day [95% CI 116, 1666] compared to usual care. The resulting ICER was $111 per 1000 steps/day, less than an estimated cost-effectiveness threshold. Increasing daily steps through an Exercise Specialist-led group program in primary care may be a cost-effective approach towards improving daily physical activity among adults with type-2 diabetes. Alternative delivery strategies may be considered to improve the affordability of this model for primary care. PMID:26844131

  12. How much will we pay to increase steps per day? Examining the cost-effectiveness of a pedometer-based lifestyle program in primary care

    PubMed Central

    Johnson, S.T.; Lier, D.A.; Soprovich, A.; Mundt, C.; Johnson, J.A.

    2015-01-01

    We previously demonstrated the Healthy Eating and Active Living for Diabetes (HEALD) intervention was effective for increasing daily steps. Here, we consider the cost-effectiveness of the HEALD intervention implemented in primary care. HEALD was a pedometer-based program for adults with type-2 diabetes in Alberta, Canada completed between January 2010 and September 2012. The main outcome was the change in pedometer-determined steps/day compared to usual care. We estimated total costs per participant for HEALD, and total costs of health care utilization through linkage with administrative health databases. An incremental cost–effectiveness ratio (ICER) was estimated with regression models for differences in costs and effects between study groups. The HEALD intervention cost $340 per participant over the 6-month follow-up. The difference in total costs (intervention plus health care utilization) was $102 greater per HEALD participant compared to usual care. The intervention group increased their physical activity by 918 steps/day [95% CI 116, 1666] compared to usual care. The resulting ICER was $111 per 1000 steps/day, less than an estimated cost–effectiveness threshold. Increasing daily steps through an Exercise Specialist-led group program in primary care may be a cost-effective approach towards improving daily physical activity among adults with type-2 diabetes. Alternative delivery strategies may be considered to improve the affordability of this model for primary care. PMID:26844131

  13. Early Education and Care, and Reconceptualizing Play. Advances in Early Education and Day Care.

    ERIC Educational Resources Information Center

    Reifel, Stuart, Ed.; Brown, Mac H., Ed.

    Providing a forum for current thought about the field of early education and care, this book reviews efforts worldwide to educate young children. The book examines child care quality, presents a cultural feminist perspective on caregiving, discusses curricular issues, and considers the role of play in early childhood practice. The chapters are:…

  14. CTEPP DATA COLLECTION FORM 01: RECRUITMENT SURVEY FOR DAY CARE CENTER SAMPLE SUBJECTS

    EPA Science Inventory

    This data collection form is used to identify eligible preschool children who attend day care during the day and recruit them into the study.

    The Children's Total Exposure to Persistent Pesticides and Other Persistent Pollutant (CTEPP) study was one of the largest aggregate ex...

  15. Scenes from Day Care: How Teachers Teach and What Children Learn.

    ERIC Educational Resources Information Center

    Platt, Elizabeth Balliett

    This book describes the results of film study of every day events in day care. It focuses on teacher and child behavior as they interact at meals, naps, and play, and proposes that minute examination of what actually happens to children in specific situations is necessary to identify the kinds of positive behaviors caregivers want to build on, as…

  16. Cortisol Response to Physical Activity in African American Toddlers Attending Full-Time Day Care

    ERIC Educational Resources Information Center

    Wall, Sarah J.; Rudisill, Mary E.; Gladden, L. Bruce

    2009-01-01

    The purpose of this study was to examine African American toddlers' cortisol response to acute physical play activity within a full-time subsidized day care environment. Saliva samples were taken from participants (N = 22, ages 26-45.5 months) before and after physical play and control play conditions at the same time of day. Actiheart[TM]monitors…

  17. CTEPP-OH DATA COLLECTED ON FORM 01: RECRUITMENT SURVEY FOR DAY CARE CENTER SAMPLE SUBJECTS

    EPA Science Inventory

    This data set contains data for CTEPP-OH concerning the eligiblity of preschool children who attended day care during the day and were recruited them into the study.

    The Children’s Total Exposure to Persistent Pesticides and Other Persistent Pollutant (CTEPP) study was one of...

  18. Crying and the Relief of Distress in an Infant Day Care Nursery.

    ERIC Educational Resources Information Center

    Johnson, Joan E.; Ricciuti, Henry N.

    This study analyzes infant distress (fussing and crying) and the resulting responses of caregivers in an infant day care nursery. Six babies (mean age 4.8 months when the study began) and their caregivers were observed in seven sequences of observations over a total span of 10 months. Each sequence of observations took place on six days during a…

  19. Sex Differences in Young Children's Responses to an Infant: An Observation Within a Day Care Setting.

    ERIC Educational Resources Information Center

    Berman, Phyllis W.

    A sample of 43 boys and 43 girls (aged 32 to 63 months) was observed during interactions with a 13-month-old infant in a structured situation in a day care center. Attendance in an area surrounding an empty playpen, and behaviors in that area, were recorded on four preliminary days to adapt children to observers and measure baseline behavior; on…

  20. CTEPP NC DATA COLLECTED ON FORM 01: RECRUITMENT SURVEY FOR DAY CARE CENTER SAMPLE SUBJECTS

    EPA Science Inventory

    This data set contains data concerning the eligiblity of preschool children who attended day care during the day and were recruited them into the study.

    The Children’s Total Exposure to Persistent Pesticides and Other Persistent Pollutant (CTEPP) study was one of the largest ...

  1. Safety and outcomes of day care based coronary angioplasty – First report from India

    PubMed Central

    Singh, Vivek Raj; Jayaraman, Balachander; Satheesh, Santhosh; Ananthakrishna Pillai, Ajith

    2015-01-01

    Background The concept of day care based coronary angioplasty might be frugal especially in countries like India where epidemic of coronary disease is enduring and healthcare delivery systems are limited. Published literature addressing the feasibility and safety of day care percutaneous coronary interventions (PCI) is lacking from our country. Objectives To study the safety and outcomes in stable cardiac patients undergoing day care coronary angioplasty. Methods A single centre nonrandomized active controlled trial of patients undergoing elective transradial coronary angioplasty and same day discharge after triaging was compared with a conventional arm of hospital overnight stay. Results Fifty six patients with stable coronary artery disease underwent day care angioplasty. There were no major immediate adverse cardiac and cerebral events noted in the first 24 h. The procedural result followed by a 6-h observation period allowed adequate triage of patients to same-day discharge or to extended clinical observation. Apart from one possible stent thrombosis on day 3 in the treatment arm where the patent received fibrinolytic treatment in a local hospital, there were no major adverse cardiac or cerebral vascular events in the study group. The six month clinical follow up in the day care procedure group was also unevenful for any major adverse cardiac events. Conclusion The study albeit small shows the feasibility and safety of day care PCI in the Indian scenario. It did not lead to additional complications compared with overnight stay. Triage of patients for an extended observation period can be performed adequately on the basis of clinical and procedural criteria. PMID:26071288

  2. Risk Factors of High Burden Caregivers of Dementia Patients Institutionalized at Day-Care Centres.

    PubMed

    Maseda, Ana; González-Abraldes, Isabel; de Labra, Carmen; Marey-López, José; Sánchez, Alba; Millán-Calenti, José C

    2015-08-01

    We examined which variables are associated with day care centres utilization among caregivers of dementia patients. A cross-sectional analysis of socio-demographic variables, relationship with caring and psychological aspects was conducted in 58 informal caregivers with intense burden. 58.6 % used day care assistance and 41.4 % did not. The results showed the importance of the commitment between the caregiver and their family and friends. The use of day care services is independent of the age, gender, educational level, marital status, occupation and relationship with the patient. However, in the multivariate analysis the provision of help by families and friends predicted the use of day care assistance. The bivariate analysis showed a significant relationship between depressive symptoms and self-rated health with day care attendance. Screening the help provision from families and friends in caregivers of dementia patients with intense burden would be relevant to design interventions which delay their institutionalization and reduce costs. PMID:25535044

  3. Young Adult Perspectives on a Successful Transition from Pediatric to Adult Care in Sickle Cell Disease

    PubMed Central

    Sobota, Amy E.; Umeh, Emeka; Mack, Jennifer W.

    2016-01-01

    Objective This qualitative study sought to learn from young adults with sickle cell disease (SCD) about their experience leaving pediatric care and perspective on what makes a successful transition. Methods Fifteen young adults with SCD who had left pediatric care within the previous five years participated in focus groups led by a trained moderator. Transcripts were analyzed using grounded theory. Results Four main themes emerged from the analysis: facilitators of transition (meeting the adult provider prior to transfer, knowing what to expect, gradually taking over disease self-management and starting the process early), barriers to transition (negative perceived attitude of adult staff, lack of SCD specific knowledge by both patients and staff, and competing priorities interfering with transition preparation), what young adults wished for in a transition program (opportunities to meet more staff prior to transfer, more information about the differences between pediatric and adult care, learning from a peer who has been through the process, more SCD teaching, and flexibility in transition preparation) and how they define a successful transition (gradually assuming responsibility for self-management of their SCD). Conclusion Our findings present unique opportunities to learn from young adults with SCD about ways to improve current transition programs. PMID:27175364

  4. Caring for independent lives: geographies of caring for young adults with intellectual disabilities.

    PubMed

    Power, Andrew

    2008-09-01

    This paper engages with the emerging disciplinary clash between 'care' and 'independence' within disability studies by examining the geography of home care for young adults with intellectual disabilities. The care system as a whole is viewed as central to disablist structures within disability studies (see Thomas, C. (2007). Sociologies of disability and illness: Contested ideas in disability studies and medical sociology. Hampshire: Palgrave Macmillan.). However, despite the theorisation of dependency as being in antipathy to the goals of the disability movement, caregiving at home still continues to dominate community care. The paper attempts to address how family carers are 'caught-in-the-middle' between their 'duty' to care and at the same time, perpetuating dependency; the reality being that parents have to deal with issues of being overprotective and confronting various social assumptions about disability. It examines the narratives from 25 family caregivers in Ireland who provide personal assistance to young adults with intellectual disabilities. PMID:18573581

  5. Status of Day Care in Canada: A Review of the Major Findings of the National Day Care Study, 1974. (Situation De La Garde De Jour Au Canada: Une Revue des Principales Constatations Sur La Garde De Jour, 1974).

    ERIC Educational Resources Information Center

    Department of National Health and Welfare, Ottawa (Ontario).

    This booklet presents (in both French and English) the results of a 1974 survey which assessed the growth of day care services in Canada. Similar national surveys had been conducted in 1971 and 1973. Results indicated that the number of day care spaces and the number of children of working mothers in day care increased substantially from 1973 to…

  6. The effect of exercise intervention on frail elderly in need of care: half-day program in a senior day-care service facility specializing in functional training.

    PubMed

    Sakamoto, Ryota; Miura, Yasushi

    2016-07-01

    [Purpose] This study investigated the long-term effect of a half-day exercise intervention program on health-related quality of life, life function, and physical function in frail elderly in need of care. The program was conducted at a senior day-care facility specializing in functional training. [Subjects and Methods] Subjects included 41 elderly in need of care who had visited the service facility for at least 1 year. Physical function and life function were evaluated at baseline, 6 months, and 12 months. Quality of life was evaluated with the Short Form-36 at baseline and 12 months. [Results] Improvements in balance, walking speed and endurance, complex performance abilities, self-efficacy during the activities, and the level and sphere of activity were observed at 6 months and maintained up to 12 months. Moreover, improvements in agility, activities of daily living, life function, and quality of life were also observed at 12 months. Improvements in muscle strength, walking ability, self-efficacy over an action, and activities of daily living were related to the improvement in quality of life. [Conclusion] The use of individualized exercise programs developed by physiotherapists led to improvements in activities of daily living and quality of life among elderly in need of care. PMID:27512243

  7. The effect of exercise intervention on frail elderly in need of care: half-day program in a senior day-care service facility specializing in functional training

    PubMed Central

    Sakamoto, Ryota; Miura, Yasushi

    2016-01-01

    [Purpose] This study investigated the long-term effect of a half-day exercise intervention program on health-related quality of life, life function, and physical function in frail elderly in need of care. The program was conducted at a senior day-care facility specializing in functional training. [Subjects and Methods] Subjects included 41 elderly in need of care who had visited the service facility for at least 1 year. Physical function and life function were evaluated at baseline, 6 months, and 12 months. Quality of life was evaluated with the Short Form-36 at baseline and 12 months. [Results] Improvements in balance, walking speed and endurance, complex performance abilities, self-efficacy during the activities, and the level and sphere of activity were observed at 6 months and maintained up to 12 months. Moreover, improvements in agility, activities of daily living, life function, and quality of life were also observed at 12 months. Improvements in muscle strength, walking ability, self-efficacy over an action, and activities of daily living were related to the improvement in quality of life. [Conclusion] The use of individualized exercise programs developed by physiotherapists led to improvements in activities of daily living and quality of life among elderly in need of care. PMID:27512243

  8. [Humanitarian care of the heart. Celebrating World Heart Day: "Wellness in the workplace"].

    PubMed

    Chávez-Domínguez, Rafael

    2010-01-01

    Heart care is the biggest challenge of cardiovascular disease, a problem of humanity and not just of the individual. Holistic approach offers the opportunity to know determinants from near and far, and look forward at the possible solutions. The issue is open to the contribution of everybody. The World Heart Day is a good opportunity to communicate and nurture the spirit for cooperation, with the interest of the heart health. Health care, life care and heart care are complementary and comply as an indissoluble unity. PMID:21147587

  9. Primary Care Endocrinology in the Adult Woman.

    PubMed

    Thomas, Celeste C; Zeytinoglu, Meltem

    2016-06-01

    Diabetes mellitus, thyroid disorders, and osteoporosis are endocrine conditions affecting a significant proportion of women presenting to the obstetrician-gynecologist. Obstetrician-gynecologists are often the first health-care providers that young women see in adulthood, and thus, have a critical opportunity to identify women at risk for gestational and overt diabetes and manage the condition in those who have developed it. The obstetrician-gynecologist should be aware of the appropriate therapeutic options and treatment goals (eg, hemoglobin A1c) for women with diabetes. Thyroid disorders often present with menstrual irregularities or infertility, can affect pregnancy outcomes, and contribute to cardiovascular and bone disorders as women age. Finally, osteoporosis and low bone mineral density affect a substantial proportion of older women and some younger women with risk factors for secondary osteoporosis. The morbidity and mortality of osteoporotic fractures is substantial. There are many lifestyle interventions and therapeutic options available for these conditions, and the gynecologist plays a key role in optimizing risk factor assessment, screening, and providing treatment when appropriate. PMID:27212095

  10. Reporting and Charting Residents' Behaviors and Care in an Adult Residential Care Home. Adult Residential Care Home 12, Lesson Plan No. 2.

    ERIC Educational Resources Information Center

    Basuel, Terry

    Designed as part of a 40-hour course on adult residential care homes (ARCH's), this lesson plan was developed to explain the importance of and correct procedures for charting (i.e., keeping a written record of observations and care of ARCH residents). The objectives of the 50-minute lesson are to enable students to: (1) list reasons why the…

  11. Role of Physical Therapists in Reducing Hospital Readmissions: Optimizing Outcomes for Older Adults During Care Transitions From Hospital to Community.

    PubMed

    Falvey, Jason R; Burke, Robert E; Malone, Daniel; Ridgeway, Kyle J; McManus, Beth M; Stevens-Lapsley, Jennifer E

    2016-08-01

    Hospital readmissions in older adult populations are an emerging quality indicator for acute care hospitals. Recent evidence has linked functional decline during and after hospitalization with an elevated risk of hospital readmission. However, models of care that have been developed to reduce hospital readmission rates do not adequately address functional deficits. Physical therapists, as experts in optimizing physical function, have a strong opportunity to contribute meaningfully to care transition models and demonstrate the value of physical therapy interventions in reducing readmissions. Thus, the purposes of this perspective article are: (1) to describe the need for physical therapist input during care transitions for older adults and (2) to outline strategies for expanding physical therapy participation in care transitions for older adults, with an overall goal of reducing avoidable 30-day hospital readmissions. PMID:26939601

  12. Hospitalization of older adults due to ambulatory care sensitive conditions

    PubMed Central

    Marques, Aline Pinto; Montilla, Dalia Elena Romero; de Almeida, Wanessa da Silva; de Andrade, Carla Lourenço Tavares

    2014-01-01

    OBJECTIVE To analyze the temporal evolution of the hospitalization of older adults due to ambulatory care sensitive conditions according to their structure, magnitude and causes. METHODS Cross-sectional study based on data from the Hospital Information System of the Brazilian Unified Health System and from the Primary Care Information System, referring to people aged 60 to 74 years living in the state of Rio de Janeiro, Souhteastern Brazil. The proportion and rate of hospitalizations due to ambulatory care sensitive conditions were calculated, both the global rate and, according to diagnoses, the most prevalent ones. The coverage of the Family Health Strategy and the number of medical consultations attended by older adults in primary care were estimated. To analyze the indicators’ impact on hospitalizations, a linear correlation test was used. RESULTS We found an intense reduction in hospitalizations due to ambulatory care sensitive conditions for all causes and age groups. Heart failure, cerebrovascular diseases and chronic obstructive pulmonary diseases concentrated 50.0% of the hospitalizations. Adults older than 69 years had a higher risk of hospitalization due to one of these causes. We observed a higher risk of hospitalization among men. A negative correlation was found between the hospitalizations and the indicators of access to primary care. CONCLUSIONS Primary healthcare in the state of Rio de Janeiro has been significantly impacting the hospital morbidity of the older population. Studies of hospitalizations due to ambulatory care sensitive conditions can aid the identification of the main causes that are sensitive to the intervention of the health services, in order to indicate which actions are more effective to reduce hospitalizations and to increase the population’s quality of life. PMID:25372173

  13. Epilepsy: addressing the transition from pediatric to adult care

    PubMed Central

    Rajendran, Seetha; Iyer, Anand

    2016-01-01

    Adolescence is a period of rapid change, both physical and psychosocial for any young person. It can be challenging when they have ongoing health problems and when their care needs to be transitioned to the adult health care system. Transition should be a planned process of addressing the medical and associated comorbid conditions from pediatric to adult care in a coordinated manner. In most cases, the young person and their family are well known to the pediatrics services and have built a relationship based on trust and often friendship over many years. Understandably, there is significant apprehension about moving from this familiar setting to the unknown adult services. Apart from having a sound knowledge of specific childhood epileptic conditions and associated comorbid disorders, it is important that both the pediatric and adult epilepsy teams are motivated to provide a successful and safe transition for these patients. It is essential that transition is seen as a continual process and not as a single event, and good preparation is the key to its success. It is also important that general practitioners are closely engaged to ensure successful transition. An overview of how to effectively address transition in epilepsy, different models of transition, transition of relevant epilepsies, and their management is discussed. PMID:27390536

  14. Understanding Cortisol Reactivity across the Day at Child Care: The Potential Buffering Role of Secure Attachments to Caregivers

    ERIC Educational Resources Information Center

    Badanes, Lisa S.; Dmitrieva, Julia; Watamura, Sarah Enos

    2012-01-01

    Full-day center-based child care has been repeatedly associated with rising cortisol across the child care day. This study addressed the potential buffering role of attachment to mothers and lead teachers in 110 preschoolers while at child care. Using multi-level modeling and controlling for a number of child, family, and child care factors,…

  15. Adult Day Health Center Participation and Health-Related Quality of Life

    ERIC Educational Resources Information Center

    Schmitt, Eva M.; Sands, Laura P.; Weiss, Sara; Dowling, Glenna; Covinsky, Kenneth

    2010-01-01

    Purpose: The purpose of this study was to assess the association between Adult Day Health Center (ADHC) participation and health-related quality of life. Design and Methods: Case-controlled prospective study utilizing the Medical Outcomes Survey Form 36 (SF-36) to compare newly enrolled participants from 16 ADHC programs with comparable…

  16. Impact of Adult Day Services on Behavioral and Psychological Symptoms of Dementia

    ERIC Educational Resources Information Center

    Femia, Elia E.; Zarit, Steven H.; Stephens, Mary Ann Parris; Greene, Rick

    2007-01-01

    Purpose: This study explored whether adult day service (ADS) use was associated with reductions in behavioral and psychological symptoms of dementia (BPSD) in individuals with dementia. Design and Methods: We used a quasi-experimental design to compare a group of 133 persons with dementia (PWDs) who initially enrolled in an ADS program to a…

  17. The Relationship between Infant Day Care and Socio-Emotional Development with French Children Aged 3-4 Years.

    ERIC Educational Resources Information Center

    Balleyguier, Genevieve; Melhuish, Edward C.

    1996-01-01

    Studies French children who had diverse day care experiences to determine whether day care is a risk factor in socio-emotional development. Finds that early day care is associated with increased social competence and not associated with behavioral problems; contradicts a similar U.S. study. Suggests difference may be due to poorer quality U.S. day…

  18. Do Welfare States Raise Welfare(d) Kids? Day-Care Institutions and Inequality in the Danish Welfare State

    ERIC Educational Resources Information Center

    Ringsmose, Charlotte; Winther-Lindqvist, Ditte Alexandra; Allerup, Peter

    2014-01-01

    There is an increasing focus on early-childhood education quality globally, reflecting a growing political awareness that education starts earlier than primary school, and that high quality in day-care influence children's learning and development. In Denmark, almost all children attend day-care, and day-care institutions are considered part…

  19. Laparoscopic Nissen Rossetti fundoplication: Possibility towards day care anti-reflux surgeries

    PubMed Central

    Bharatam, Kaundinya Kiran; Raj, Rajiv; Subramanian, Jayantan Bhaskar; Vasudevan, Anjana; Bodduluri, Sudeep; Sriraman, K.B.; Abineshwar, N.J.

    2015-01-01

    Introduction As we proceed towards more and more day care surgeries we always need to choose patients and procedures within a great deal of safety margin. Anti reflux surgeries are gaining more popularity and awareness and Laparoscopic Nissen Rosetti fundoplication is a safe and effective method of performing them. Methods and observations Our case series of 25 patients who underwent day care Laparoscopic Nissen Rossetti fundoplication done over a period of 3 years suggests the feasibility and safety of performing day care anti reflux surgeries with no complications. Discussion Surgical outcomes of procedure are unaffected and the main challenge faced remains pain relief and which can be effectively tackled by local blocks or plain NSAIDs. Results Laparoscopic Nissen Rossetti fundoplication is a safe procedure to be offered as day care anti-reflux surgery. We encourage more studies in this regards with appropriate blinding to enforce its possibility as day care surgery and help patients with early recovery and decreasing cost of surgeries. PMID:26594356

  20. High Detection Rates of Enteropathogens in Asymptomatic Children Attending Day Care

    PubMed Central

    Enserink, Remko; Scholts, Rianne; Bruijning-Verhagen, Patricia; Duizer, Erwin; Vennema, Harry; de Boer, Richard; Kortbeek, Titia; Roelfsema, Jeroen; Smit, Henriette; Kooistra-Smid, Mirjam; van Pelt, Wilfrid

    2014-01-01

    Background Gastroenteritis morbidity is high among children under the age of four, especially amongst those who attend day care. Objective To determine the prevalence of a range of enteropathogens in the intestinal flora of children attending day care and to relate their occurrence with characteristics of the sampled child and the sampling season. Methods We performed three years of enteropathogen surveillance in a network of 29 child day care centers in the Netherlands. The centers were instructed to take one fecal sample from ten randomly chosen children each month, regardless of gastrointestinal symptoms at time of sampling. All samples were analyzed for the molecular detection of 16 enteropathogenic bacteria, parasites and viruses by real-time multiplex PCR. Results Enteropathogens were detected in 78.0% of the 5197 fecal samples. Of the total, 95.4% of samples were obtained from children who had no gastroenteritis symptoms at time of sampling. Bacterial enteropathogens were detected most often (most prevalent EPEC, 19.9%), followed by parasitic enteropathogens (most prevalent: D. fragilis, 22.1%) and viral enteropathogens (most prevalent: norovirus, 9.5%). 4.6% of samples related to children that experienced symptoms of gastroenteritis at time of sampling. Only rotavirus and norovirus were significantly associated with gastroenteritis among day care attendees. Conclusions Our study indicates that asymptomatic infections with enteropathogens in day care attendees are not a rare event and that gastroenteritis caused by infections with these enteropathogens is only one expression of their presence. PMID:24586825

  1. Health system strategies supporting transition to adult care

    PubMed Central

    Hepburn, Charlotte Moore; Cohen, Eyal; Bhawra, Jasmin; Weiser, Natalie; Hayeems, Robin Z; Guttmann, Astrid

    2015-01-01

    Background The transition from paediatric to adult care is associated with poor clinical outcomes, increased costs and low patient and family satisfaction. However, little is known about health system strategies to streamline and safeguard care for youth transitioning to adult services. Moreover, the needs of children and youth are often excluded from broader health system reform discussions, leaving this population especially vulnerable to system ‘disintegration’. Objectives (1) To explore the international policy profile of paediatric-to-adult care transitions, and (2) to document policy objectives, initiatives and outcomes for jurisdictions publicly committed to addressing transition issues. Methods An international policy scoping review of all publicly available government documents detailing transition-related strategies was completed using a web-based search. Our analysis included a comparable cohort of nine wealthy Organisation for Economic Co-operation and Development (OECD) jurisdictions with Beveridge-style healthcare systems (deemed those most likely to benefit from system-level transition strategies). Results Few jurisdictions address transition of care issues in either health or broader social policy documents. While many jurisdictions refer to standardised practice guidelines, a few report the intention to use powerful policy levers (including physician remuneration and non-physician investments) to facilitate the uptake of best practice. Most jurisdictions do not address the policy infrastructure required to support successful transitions, and rigorous evaluations of transition strategies are rare. Conclusions Despite the well-documented risks and costs associated with a poor transition from paediatric to adult care, little policy attention has been paid to this issue. We recommend that healthcare providers engage health system planners in the design and evaluation of system-level, policy-sensitive transition strategies. PMID:25688098

  2. Self-care in adults with asthma: how they cope.

    PubMed

    Mäkinen, S; Suominen, T; Lauri, S

    2000-07-01

    The purpose of this study was to find out how well adult asthma patients in Finland cope with self-care in three areas of asthma treatment. The areas of physical, psychological and social asthma treatment were examined. Associations between demographic background data and self-care were also studied. Data (n = 130) for the study were collected using a questionnaire specially developed for this study. A deductive perspective was employed in data analysis. Respondents showed fairly good competence in self-care in all three areas of asthma treatment. However, up to 30% of the asthma patients had pets and 16% were smokers. Extra stress was reduced by exercise and positive thinking. Humour was also important in helping most of the respondents cope mentally. Social support played a significant part in fighting the sense of powerlessness which is caused by asthma. According to the results, women coped better than men in the social area of self-care. PMID:11261136

  3. Providing palliative care to older adults: context and challenges.

    PubMed

    Ross, M M; McDonald, B

    1994-01-01

    This paper presents the findings of a study aimed at understanding more fully the work of nurses who provide care to older adults who are dying at home. The method employed was qualitative in nature and involved the use of focus groups for data collection. Data were gathered from a total of 40 community-based nurses during four sessions lasting approximately two hours each. Analysis revealed that the provision of care occurred within a context of aging and dying characterized by clients' awareness of impending death, the presence of multiple pathologies, diminishing social support, and a lack of control. Challenges to providing care stemmed from an ethic of high expectation and a health care system experienced as fragmented, bureaucratic, and driven by cost efficiency. Challenges included working in isolation, achieving closure, securing personal support, working collaboratively with others, and keeping up to date. Findings from this study have implications for both education and practice. PMID:7535351

  4. The Integration of Adult Acute Care Surgeons into Pediatric Surgical Care Models Supplements the Workforce without Compromising Quality of Care.

    PubMed

    Judhan, Rudy J; Silhy, Raquel; Statler, Kristen; Khan, Mija; Dyer, Benjamin; Thompson, Stephanie; Richmond, Bryan

    2015-09-01

    Acute care of children remains a challenge due to a shortage of pediatric surgeons, particularly in rural areas. In our institutional norm, all cases in patients age six and older are managed by dedicated general surgeons. The provision of care to these children by these surgeons alleviates the impact of such shortages. We conducted a five-year retrospective analysis of all acute care pediatric surgical cases performed in patients aged 6 to 17 years by a dedicated group of adult general surgeons in a rural tertiary care hospital. Demographics, procedure, complications, outcomes, length of stay, and time of consultation/operation were obtained via chart review. Elective, trauma related, or procedures performed by a pediatric surgeon were excluded. Descriptive statistics are reported. A total of 397 cases were performed by six dedicated general surgeons during the study period. Mean age was 11.5 ± 3.1 years. In all, 100 (25.2%) were transferred from outlying facilities and 52.6 per cent of consultations/operations occurred at night (7P-7A), of which 33.2 per cent occurred during late night hours (11P-7A). On weekends, 34.0 per cent occurred. Appendectomy was the most commonly performed operation (n = 357,89.9%), of which 311 were laparoscopic (87.1%). Others included incision/drainage (4.5%), laparoscopic cholecystectomy (2.0%), bowel resection (1.5%), incarcerated hernia (0.5%), small bowel obstruction (0.5%), intra-abdominal abscess drainage (0.3%), resection of intussusception (0.3%), Graham patch (0.3%), and resection omental torsion (0.3%). Median length of stay was two days. Complications occurred in 23 patients (5.8%), of which 22(5.5%) were the result of the disease process. These results parallel those published by pediatric surgeons in this age group and for the diagnoses treated. Models integrating dedicated general surgeons into pediatric call rotations can be designed such that quality of pediatric care is maintained while providing relief to an

  5. Adaptations of young adult rat cortical bone to 14 days of spaceflight

    NASA Technical Reports Server (NTRS)

    Vailas, A. C.; Vanderby, R., Jr.; Martinez, D. A.; Ashman, R. B.; Ulm, M. J.; Grindeland, R. E.; Durnova, G. N.; Kaplanskii, A.

    1992-01-01

    To determine whether mature humeral cortical bone would be modified significantly by an acute exposure to weightlessness, adult rats (110 days old) were subjected to 14 days of microgravity on the COSMOS 2044 biosatellite. There were no significant changes in peak force, stiffness, energy to failure, and displacement at failure in the flight rats compared with ground-based controls. Concentrations and contents of hydroxyproline, calcium, and mature stable hydroxylysylpyridinoline and lysylpyridinoline collagen cross-links remained unchanged after spaceflight. Bone lengths, cortical and endosteal areas, and regionl thicknesses showed no significant differences between flight animals and ground controls. The findings suggest that responsiveness of cortical bone to microgravity is less pronounced in adult rats than in previous spaceflight experiments in which young growing animals were used. It is hypothesized that 14 days of spaceflight may not be sufficient to impact the biochemical and biomechanical properties of cortical bone in the mature rat skeleton.

  6. A Study in Child Care (Case Study from Volume II-A): "Tacos and Tulips." Day Care Programs Reprint Series.

    ERIC Educational Resources Information Center

    O'Farrell, Brigid

    The Holland Day Care Center in Michigan serves a diverse community of Anglo children of Dutch ancestry and children of former migrant workers of Chicano, Black, Puerto Rican and Cuban origins who have settled in the area. Located in two churches which are about three blocks apart, the program divides children by ability and age into five…

  7. Goodness-of-Fit in Center Day Care: Relations of Temperament, Stability, and Quality of Care with the Child's Adjustment

    ERIC Educational Resources Information Center

    De Schipper, J. Clasien; Tavecchio, Louis W. C.; Van IJzendoorn, Marinus H.; Van Zeijl, Jantien

    2004-01-01

    In this study, the concept of "goodness-of-fit" between the child's temperament and the environment, introduced by Thomas and Chess [Temperament and Development, Brunner/Mazel, New York, 1977], is applied within the setting of center day care. Mothers and primary professional caregivers of 186 children, aged 6-30 months, participated in this…

  8. 25 CFR 20.335 - What is the payment standard for Adult Care Assistance?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false What is the payment standard for Adult Care Assistance? 20.335 Section 20.335 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR HUMAN SERVICES FINANCIAL ASSISTANCE AND SOCIAL SERVICES PROGRAMS Direct Assistance Adult Care Assistance § 20.335 What is the payment standard for Adult Care...

  9. Family Policy and Practice in Early Child Care. Advances in Early Education and Day Care.

    ERIC Educational Resources Information Center

    Reifel, Stuart, Ed.; Dunst, Carl J., Ed.; Wolery, Mark, Ed.

    Family issues are an abiding concern for members of the profession of early education, and debate regarding government policies about families and child care continues to be timely. This volume provides a foundation for understanding programs, families, and the current social context, as well as particular areas of concern for families and child…

  10. Day Care Deception: What the Child Care Establishment Isn't Telling Us.

    ERIC Educational Resources Information Center

    Robertson, Brian C.

    Over the last generation, parents have felt more and more intimidated by child care "experts" and have increasingly surrendered their role as the primary educators of their children. On the premise that theories of development, often colored by ideological positions on the family and its function in society, should take a back seat to the…

  11. Changes in Young Adult Primary Care Under the Affordable Care Act

    PubMed Central

    Ford, Carol A.; French, Benjamin; Rubin, David M.

    2015-01-01

    Objectives. We sought to describe changes in young adults’ routine care and usual sources of care (USCs), according to provider specialty, after implementation of extended dependent coverage under the Affordable Care Act (ACA) in 2010. Methods. We used Medical Expenditure Panel Survey data from 2006 to 2012 to examine young adults’ receipt of routine care in the preceding year, identification of a USC, and USC provider specialties (pediatrics, family medicine, internal medicine, and obstetrics and gynecology). Results. The percentage of young adults who sought routine care increased from 42.4% in 2006 to 49.5% in 2012 (P < .001). The percentage identifying a USC remained stable at approximately 60%. Among young adults with a USC, there was a trend between 2006 and 2012 toward increasing percentages with pediatric (7.6% vs 9.1%) and family medicine (75.9% vs 80.9%) providers and declining percentages with internal medicine (11.5% vs 7.6%) and obstetrics and gynecology (5.0% vs 2.5%) providers. Conclusions. Efforts under the ACA to increase health insurance coverage had favorable effects on young adults’ use of routine care. Monitoring routine care use and USC choices in this group can inform primary care workforce needs and graduate medical education priorities across specialties. PMID:26447914

  12. Respiratory Virus Detection and Clinical Diagnosis in Children Attending Day Care

    PubMed Central

    Moe, Nina; Pedersen, Bård; Nordbø, Svein Arne; Skanke, Lars Høsøien; Krokstad, Sidsel; Smyrnaios, Anastasios; Døllner, Henrik

    2016-01-01

    Background Respiratory viruses often have been studied in children with respiratory tract infection (RTI), but less knowledge exists about viruses in asymptomatic children. We have studied the occurrence of a broad panel of respiratory viruses in apparently healthy children attending day care, taking into account the influence of possible confounding factors, such as age, clinical signs of respiratory tract infection (RTI), location (day-care section) and season. Methods We have studied 161 children in two day-care centers, each with separate sections for younger and older children, during four autumn and winter visits over a two-year period. A total of 355 clinical examinations were performed, and 343 nasopharyngeal samples (NPS) were analyzed by semi-quantitative, real-time, polymerase chain reaction (PCR) tests for 19 respiratory pathogens. Result Forty-three percent of all NPS were PCR-positive for ≥ 1 of 13 virus species, with high species variation during visits. Rhinovirus 26% (88/343 NPS), enterovirus 12% (40/343) and parechovirus 9% (30/343) were detected in every visit, and the rates varied in relation to age, day-care section and season. Ten other viruses were detected in ≤ 3% of the NPS. Generally, viruses occurred together in the NPS. In 24% (79/331) of the clinical examinations with available NPS, the children had clear signs of RTI, while in 41% (135/331) they had mild signs, and in 35% (117/331) the children had no signs of RTI. Moreover, viruses were found in 70% (55/79) of children with clear signs of RTI, in 41% (55/135) with mild signs and in 30% (35/117) without any signs of RTI (p < 0.001). Conclusions Positive PCR tests for respiratory viruses, particularly picornaviruses, were frequently detected in apparently healthy children attending day care. Virus detection rates were related to age, presence of clinical signs of RTI, location in day care and season. PMID:27433803

  13. Advance Care Planning and the Quality of End-of-Life Care among Older Adults

    PubMed Central

    Bischoff, Kara E.; Sudore, Rebecca; Miao, Yinghui; Boscardin, W. John; Smith, Alexander K.

    2013-01-01

    Background Advance care planning is increasingly common, but whether it influences end-of-life quality of care remains controversial. Design Medicare data and survey data from the Health and Retirement Study were combined to determine whether advance care planning was associated with quality metrics. Setting The nationally representative Health and Retirement Study. Participants 4394 decedent subjects (mean age 82.6 years at death, 55% women). Measurements Advance care planning was defined as having an advance directive, durable power of attorney or having discussed preferences for end-of-life care with a next-of-kin. Outcomes included previously reported quality metrics observed during the last month of life (rates of hospital admission, in-hospital death, >14 days in the hospital, intensive care unit admission, >1 emergency department visit, hospice admission, and length of hospice ≤3 days). Results Seventy-six percent of subjects engaged in advance care planning. Ninety-two percent of advance directives stated a preference to prioritize comfort. After adjustment, subjects who engaged in advance care planning were less likely to die in a hospital (adjusted RR 0.87, 95% CI 0.80-0.94), more likely to be enrolled in hospice (aRR 1.68, 1.43-1.97), and less likely to receive hospice for ≤3 days before death (aRR 0.88, 0.85-0.91). Having an advance directive, a durable-power-of-attorney or an advance care planning discussion were each independently associated with a significant increase in hospice use (p<0.01 for all). Conclusion Advance care planning was associated with improved quality of care at the end of life, including less in-hospital death and increased use of hospice. Having an advance directive, assigning a durable power of attorney and conducting advance care planning discussions are all important elements of advance care planning. PMID:23350921

  14. Impact of a 2-Day Critical Care Ultrasound Course during Fellowship Training: A Pilot Study

    PubMed Central

    Dinh, Vi Am; Giri, Paresh C.; Rathinavel, Inimai; Nguyen, Emilie; Hecht, David; Dorotta, Ihab; Nguyen, H. Bryant; Chrissian, Ara A.

    2015-01-01

    Objectives. Despite the increasing utilization of point-of-care critical care ultrasonography (CCUS), standards establishing competency for its use are lacking. The purpose of this study was to evaluate the effectiveness of a 2-day CCUS course implementation on ultrasound-naïve critical care medicine (CCM) fellows. Methods. Prospective evaluation of the impact of a two-day CCUS course on eight CCM fellows' attitudes, proficiency, and use of CCUS. Ultrasound competency on multiple organ systems was assessed including abdominal, pulmonary, vascular, and cardiac systems. Subjects served as self-controls and were assessed just prior to, within 1 week after, and 3 months after the course. Results. There was a significant improvement in CCM fellows' written test scores, image acquisition ability, and pathologic image interpretation 1 week after the course and it was retained 3 months after the course. Fellows also had self-reported increased confidence and usage of CCUS applications after the course. Conclusions. Implementation of a 2-day critical care ultrasound course covering general CCUS and basic critical care echocardiography using a combination of didactics, live models, and ultrasound simulators is effective in improving critical care fellows' proficiency and confidence with ultrasound use in both the short- and long-term settings. PMID:26346694

  15. Impact of a 2-Day Critical Care Ultrasound Course during Fellowship Training: A Pilot Study.

    PubMed

    Dinh, Vi Am; Giri, Paresh C; Rathinavel, Inimai; Nguyen, Emilie; Hecht, David; Dorotta, Ihab; Nguyen, H Bryant; Chrissian, Ara A

    2015-01-01

    Objectives. Despite the increasing utilization of point-of-care critical care ultrasonography (CCUS), standards establishing competency for its use are lacking. The purpose of this study was to evaluate the effectiveness of a 2-day CCUS course implementation on ultrasound-naïve critical care medicine (CCM) fellows. Methods. Prospective evaluation of the impact of a two-day CCUS course on eight CCM fellows' attitudes, proficiency, and use of CCUS. Ultrasound competency on multiple organ systems was assessed including abdominal, pulmonary, vascular, and cardiac systems. Subjects served as self-controls and were assessed just prior to, within 1 week after, and 3 months after the course. Results. There was a significant improvement in CCM fellows' written test scores, image acquisition ability, and pathologic image interpretation 1 week after the course and it was retained 3 months after the course. Fellows also had self-reported increased confidence and usage of CCUS applications after the course. Conclusions. Implementation of a 2-day critical care ultrasound course covering general CCUS and basic critical care echocardiography using a combination of didactics, live models, and ultrasound simulators is effective in improving critical care fellows' proficiency and confidence with ultrasound use in both the short- and long-term settings. PMID:26346694

  16. Control of a non-foodborne outbreak of salmonellosis: day care in isolation.

    PubMed Central

    Chorba, T L; Meriwether, R A; Jenkins, B R; Gunn, R A; MacCormack, J N

    1987-01-01

    We report an outbreak of Salmonella typhimurium in the infant room of a day care center. Time between onset dates, clustering of cases in the room, lack of a common food exposure, lack of illness among other children and staff, and lack of community-wide infection suggested person-to-person or continuing-common-source transmission. Successful preventive measures included instruction of personnel in proper handwashing and diaper-changing procedures and cohorting of infected and non-infected children. This is the second description of a non-foodborne outbreak of salmonellosis in a day care center, and the first involving S. typhimurium. PMID:3300382

  17. KSC volunteers help Meals on Wheels as part of Days of Caring '99

    NASA Technical Reports Server (NTRS)

    1999-01-01

    KSC volunteers at Miracle City Mall, Titusville, help unload containers for Meals on Wheels delivery as part of their '99 Days of Caring participation. The volunteers will also help deliver the meals. Coordinated by the KSC Community Relations Council, Days of Caring provides an opportunity for employees to volunteer their services in projects such as painting, planting flowers, reading to school children, and more. Organizations accepting volunteers include The Embers, Yellow Umbrella, Serene Harbor, Domestic Violence Program, the YMCA of Brevard County, and others.

  18. Clinical care of adult Turner syndrome--new aspects.

    PubMed

    Trolle, Christian; Mortensen, Kristian Havmand; Hjerrild, Britta E; Cleemann, Line; Gravholt, Claus H

    2012-05-01

    Turner syndrome (TS) is characterized by numerous medical challenges during adolescence and adulthood. Puberty has to be induced in most cases, and female sex hormone replacement therapy (HRT) should continue during adult years. These issues are normally dealt with by the paediatrician, but once a TS female enters adulthood it is less clear who should be the primary care giver. Morbidity and mortality is increased, especially due to the risk of dissection of the aorta and other cardiovascular diseases, as well as the risk of type 2 diabetes, hypertension, osteoporosis, thyroid disease and other diseases. The proper dose of HRT with female sex steroids has not been established, and, likewise, benefits and/or drawbacks from HRT have not been thoroughly evaluated. The transition period from paediatric to adult care seems to be especially vulnerable and the proper framework for transition has not yet been established. Likewise, no framework is in place for continuous follow-up during adult years in many countries. Today, most treatment recommendations are based on expert opinion and are unfortunately not evidence based, although more areas, such as growth hormone and oxandrolone treatment for increasing height, are becoming well founded. Osteoporosis, diabetes, both type 1 and 2, hypothyroidism, obesity and a host of other endocrine diseases and conditions are seen more frequently in TS. Prevention, intervention and proper treatment is only just being recognized. Hypertension is frequent and can be a forerunner of cardiovascular disease. The description of adult life with TS has been broadened and medical, social and psychological aspects are being added at a compelling pace. Proper care during adulthood should be studied and a framework for care should be in place, since most morbidity potentially is amenable to intervention. In summary, TS is a condition associated with a number of diseases and conditions which need the attention of a multi-disciplinary team during

  19. Assisting the Adult with a Respiratory Condition: Pharmacology. Care of the Adult.

    ERIC Educational Resources Information Center

    Anoka-Hennepin Area Vocational Technical Inst., MN.

    These two units for students in a practical nursing program provide supplemental instruction, with a focus on pharmacology, in caring for adult patients with a respiratory condition. Unit titles are Antibiotics, and Drugs that Affect the Respiratory System. Each unit contains the following: objectives, an introduction, and five to nine learning…

  20. Child to adult: transitional care for young adults with cystic fibrosis.

    PubMed

    Al-Yateem, Nabeel

    Managing the transitional care needs of young adults with a complex chronic illness such as cystic fibrosis (CF) as they move from a child-orientated to adult setting has been reported in the literature as challenging and stressful, and may impart additional risks to the young person's health. However, in the Republic of Ireland, which has the highest incidence of CF in the world, the current services provided for children during this transitional period are still reported as underdeveloped. The aim of the author's research was to explore and understand the experience of young people before and after their transitional care, and the factors that both contribute to and hinder that experience. A qualitative approach guided by phenomenological tradition, and using in-depth interviews. The findings suggest that there are a range of needs required for patients during this transitional period, including the need for information, interventions that decrease the negative feelings associated with transition (e.g. distress, anxiety, uncertainty), structured service, and an approach to care that focuses on young adults. The author concludes that health professionals in the clinical setting who have responsibility for young adults in transitional care should focus on these needs to provide a more relevant and effective transition service. PMID:23252167

  1. Assisting the Adult Receiving Inhalation and Intravenous Therapy. Care of the Adult.

    ERIC Educational Resources Information Center

    Anoka-Hennepin Area Vocational Technical Inst., MN.

    These two units for students in a practical nursing program provide supplemental instruction in caring for adult patients receiving inhalation and intravenous therapy. Unit titles are The Administration of Intermittent Positive Pressure Breathing (IPPB RX) and Intravenous Therapy of Fluids and Blood. Each unit contains the following: objectives,…

  2. Health care expenditures associated with depression in adults with cancer

    PubMed Central

    Pan, Xiaoyun; Sambamoorthi, Usha

    2015-01-01

    Background The rates of depression in adults with cancer have been reported as high as 38%–58%. How depression affects overall health care expenditures in individuals with cancer is an under-researched area. Objective To estimate excess average total health care expenditures associated with depression in adults with cancer by comparing those with and without depression after controlling for demographic, socioeconomic, access to care, and other health status variables. Methods Cross-sectional data on 4,766 adult survivors of cancer from 2006–2009 of the nationally representative household survey, Medical Expenditure Panel Survey (MEPS), were used. The patients were older than 21 years. Cancer and depression were identified from the patients’ medical conditions files. Dependent variables consisted of total, inpatient, outpatient, emergency department, prescription drugs, and other expenditures. Ordinary least square (OLS) on logged dollars and generalized linear models with log-link function were performed. All analyses (SAS 9.3 and STATA12) accounted for the complex survey design of the MEPS. Results Overall, 14% of individuals with cancer reported having depression. In those with cancer and depression, the average annual health care expenditures were $18,401 compared with $12,091 in those without depression. After adjusting for demographic, socio-economic, access to care, and other health status variables, those with depression had about 31.7% greater total expenditures compared with those without depression. Total, outpatient, and prescription expenditures were higher in individuals with depression than in those without depression. Individuals with cancer and depression were significantly more likely to use emergency departments (adjusted odds ratio, 1.46) compared with their counterparts without depression. Limitations Cancer patients who died during the reporting year were excluded. The financial burden of depression may have been underestimated because

  3. Effects of Fourteen-Day Bed Rest on Trunk Stabilizing Functions in Aging Adults

    PubMed Central

    Sarabon, Nejc; Rosker, Jernej

    2015-01-01

    Bed rest has been shown to have detrimental effects on structural and functional characteristics of the trunk muscles, possibly affecting trunk and spinal stability. This is especially important in populations such as aging adults with often altered trunk stabilizing functions. This study examined the effects of a fourteen-day bed rest on anticipatory postural adjustments and postural reflex responses of the abdominal wall and back muscles in sixteen adult men. Postural activation of trunk muscles was measured using voluntary quick arm movement and sudden arm loading paradigm. Measurements were conducted prior to the bed rest, immediately after, and fourteen days after the bed rest. Immediately after the bed rest, latencies of anticipatory postural adjustments showed significant shortening, especially for the obliquus internus and externus muscles. After a fourteen-day recuperation period, anticipatory postural adjustments reached a near to complete recovery. On the contrary, reactive response latencies increased from pre-bed-rest to both post-bed-rest measurement sessions. Results indicate an important effect of bed rest on stabilizing functions of the trunk muscles in elderly adults. Moreover, there proved to be a significant deterioration of postural reactive responses that outlasted the 14-day post-bed-rest rehabilitation. PMID:26601104

  4. Socioeconomic Considerations and Shared-Care Models of Cancer Care for Older Adults.

    PubMed

    Dale, William; Chow, Selina; Sajid, Saleha

    2016-02-01

    Older adults with cancer require a geriatrics approach to treatment. Such an approach targets appropriate treatments based on physiologic, not chronologic, age. Patients older than 65 years of age constitute the largest group of patients with cancer, making them the most expensive group of patients with cancer, especially with the advent of expensive new treatments with minimal impact on overall survival. Geriatric assessment, combined with targeted inventions, can optimize the value propositions in caring for older patients with cancer. Over the past 20 years, geriatric oncology care models have emerged applying these care principles in clinical practice. PMID:26614859

  5. Familism and Health Care Provision to Hispanic Older Adults.

    PubMed

    Savage, Brittany; Foli, Karen J; Edwards, Nancy E; Abrahamson, Kathleen

    2016-01-01

    HOW TO OBTAIN CONTACT HOURS BY READING THIS ARTICLE INSTRUCTIONS 1.2 contact hours will be awarded by Villanova University College of Nursing upon successful completion of this activity. A contact hour is a unit of measurement that denotes 60 minutes of an organized learning activity. This is a learner-based activity. Villanova University College of Nursing does not require submission of your answers to the quiz. A contact hour certificate will be awarded once you register, pay the registration fee, and complete the evaluation form online at http://goo.gl/gMfXaf. To obtain contact hours you must: 1. Read the article, "Familism and Health Care Provision to Hispanic Older Adults" found on pages 21-29, carefully noting any tables and other illustrative materials that are included to enhance your knowledge and understanding of the content. Be sure to keep track of the amount of time (number of minutes) you spend reading the article and completing the quiz. 2. Read and answer each question on the quiz. After completing all of the questions, compare your answers to those provided within this issue. If you have incorrect answers, return to the article for further study. 3. Go to the Villanova website listed above to register for contact hour credit. You will be asked to provide your name; contact information; and a VISA, MasterCard, or Discover card number for payment of the $20.00 fee. Once you complete the online evaluation, a certificate will be automatically generated. This activity is valid for continuing education credit until December 31, 2018. CONTACT HOURS This activity is co-provided by Villanova University College of Nursing and SLACK Incorporated. Villanova University College of Nursing is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation. ACTIVITY OBJECTIVES 1. Explain familism and its potential effect on health care provision to Hispanic older adults. 2. Describe cultural

  6. Is Personality Associated with Health Care Use by Older Adults?

    PubMed Central

    Friedman, Bruce; Veazie, Peter J; Chapman, Benjamin P; Manning, Willard G; Duberstein, Paul R

    2013-01-01

    Context The patterns of health care utilization in the United States pose well-established challenges for public policy. Although economic and sociological research has resulted in considerable knowledge about what influences the use of health services, the psychological literature in this area is underdeveloped. Importantly, it is not known whether personality traits are associated with older adults’ use of acute and long-term care services. Methods Data were collected from 1,074 community-dwelling seniors participating in a Medicare demonstration. First they completed a self-report questionnaire measuring the “Big Five” personality traits: Neuroticism, Extraversion, Openness to Experience, Agreeableness, and Conscientiousness. During the next two years, the participants maintained daily journals of their use of health care services. We used regression models based on the Andersen behavioral model of health care utilization to test for associations. Findings Our hypothesis that higher Neuroticism would be associated with greater health care use was confirmed for three services—probability of any emergency department (ED) use, likelihood of any custodial nursing home use, and more skilled nursing facility (SNF) days for SNF users—but was disconfirmed for hospital days for those hospitalized. Higher Openness to Experience was associated with a greater likelihood of custodial home care use, and higher Agreeableness and lower Conscientiousness with a higher probability of custodial nursing home use. For users, lower Openness was associated with more ED visits and SNF days, and lower Conscientiousness with more ED visits. For many traits with significant associations, the predicted use was 16 to 30 percent greater for people high (low) versus low (high) in specific traits. Conclusions Personality traits are associated with Medicare beneficiaries’ use of many expensive health care services, findings that have implications for health services research and

  7. Long-term (30 days) toxicity of NiO nanoparticles for adult zebrafish Danio rerio

    PubMed Central

    Kovrižnych, Jevgenij A.; Zeljenková, Dagmar; Rollerová, Eva; Szabová, Elena

    2014-01-01

    Nickel oxide in the form of nanoparticles (NiO NPs) is extensively used in different industrial branches. In a test on adult zebrafish, the acute toxicity of NiO NPs was shown to be low, however longlasting contact with this compound can lead to its accumulation in the tissues and to increased toxicity. In this work we determined the 30-day toxicity of NiO NPs using a static test for zebrafish Danio rerio. We found the 30-day LC50 value to be 45.0 mg/L, LC100 (minimum concentration causing 100% mortality) was 100.0 mg/L, and LC0 (maximum concentration causing no mortality) was 6.25 mg/L for adult individuals of zebrafish. Considering a broad use of Ni in the industry, NiO NPs chronic toxicity may have a negative impact on the population of aquatic organisms and on food web dynamics in aquatic systems. PMID:26038672

  8. New approaches to health and well-being for dementia day-care clients, family carers and day-care staff.

    PubMed

    Kilstoff, K; Chenoweth, L

    1998-06-01

    This study was conducted in one multicultural dementia day-care centre over a period of 18 months. It introduced a gentle hand treatment for clients using three essential oils. The study evolved out of the process of action research where the family carers and day-care staff participated with the researchers to choose, design, develop and evaluate a hand treatment programme. Data was collected through in-depth interviews pre- and post-treatment, focus group discussions, client observation logbooks and a disability scale. The findings indicate a positive strengthening of the relationship between the person with dementia and their family carer, and an improvement in feelings of health and well-being for both. The specific improvements for clients include increased alertness, self-hygiene, contentment, initiation of toileting, sleeping at night and reduced levels of agitation, withdrawal and wandering. Family carers have reported less distress, improved sleeping patterns and feelings of calm. They also found the treatment useful in helping them manage the difficult behaviours exhibited by their relative with dementia. The benefits of this treatment for nursing practice are that it is safe, effective and easily administered by staff in any setting. PMID:9748936

  9. Getting Down to Business: Day Care Center, Module 23. [Student Manual]. Entrepreneurship Training Components.

    ERIC Educational Resources Information Center

    Kingi, Marcella

    This module on owning and operating a day care center is one of 36 in a series on entrepreneurship. The introduction tells the student what topics will be covered and suggests other modules to read in related occupations. Each unit includes student goals, a case study, and a discussion of the unit subject matter. Learning activities are divided…

  10. Women's Reflections on Choosing Quality Long Day Care in a Regional Community

    ERIC Educational Resources Information Center

    Harris, Nonie

    2008-01-01

    This article qualitatively explores women's experiences of choosing quality long day care in a regional community. The study complements recent quantitative research on the quality implications of increased for-profit childcare provision. It also adds to our understanding of current childcare policy by focusing on the experiences of women in a…

  11. Prevention of Fatherhood Disorders--Accompanying Early Father-Child Interaction in Day-Care Centers

    ERIC Educational Resources Information Center

    Lamour, Martine; Letronnier, Paulette

    2003-01-01

    Over the last fifteen years, increasing numbers of fathers have been attending medical or day-care centers for young children, traditionally "reserved" for mothers and babies. Thus the professionals who work there are able to take an active part in the "co-construction of the fathers" by accompanying their emerging fatherhood. The…

  12. Developing a Family Day Care System with a Low Turnover Rate.

    ERIC Educational Resources Information Center

    Harris, Lottie

    Nine components of Westchester County's Family Day Care System in White Plains, New York, are outlined in some detail. Westchester County, comprising 450 square miles of cities, suburbs, towns, and villages, borders on the Bronx, and, while very affluent, has the second largest number of homeless persons in the nation, and an ethnically and…

  13. Improving Nutrition in a Day Care Program through a Multidimensional Approach.

    ERIC Educational Resources Information Center

    Mohanty, Pranoti S.

    This practicum project sought to improve nutrition in a day care program serving children ages 2 through 14 years by increasing staff, student, and parent knowledge about nutrition. The primary goal was to increase knowledge and interest in nutrition and its relation to wellness of students, staff, and parents. The second goal was to provide…

  14. Food Sanitation and Safety Self-assessment Instrument for Family Day-Care Homes.

    ERIC Educational Resources Information Center

    1990

    This self-assessment instrument for family day care providers is designed to help caregivers provide safe food to children. The eight sections of the instrument, presented in checklist format, concern: (1) personal hygiene; (2) purchasing and inspecting of food; (3) food storage; (4) kitchen equipment; (5) food preparation; (6) infant food…

  15. Malaysia's First Day Care Center for Children with Disabilities: Future Needs in Research in Early Intervention.

    ERIC Educational Resources Information Center

    Bhagwanji, Yash

    This paper describes the development and implementation of the first private nonprofit day care program serving children with disabilities in Malaysia. Preliminary information describes Malaysia's economic, ethnic, and cultural situation. The naturalistic inquiry approach used to prepare this report, involving interviews and observations, is then…

  16. CTEPP DATA COLLECTION FORM 03:HOUSE/BUILDING CHARACTERISTICS OBSERVATION SURVEY FOR THE DAY CARE CENTER

    EPA Science Inventory

    This data collection form is used to document the physical characteristics of the day care center and identify and inventory possible sources of pollutants.

    The Children's Total Exposure to Persistent Pesticides and Other Persistent Pollutant (CTEPP) study was one of the large...

  17. Pedagogy in the Nursery: Establishing Practitioner Partnerships in High-Quality Long Day Care Programs

    ERIC Educational Resources Information Center

    Macfarlane, Kym; Noble, Karen; Cartmel, Jennifer

    2004-01-01

    One of the most significant societal changes over the past few decades has been the growing number of women in the paid work force. As a direct result of this sociological phenomenon, childcare centres have been providing long day care for vastly increasing numbers of very young children. The speed of this change has created a societal dilemma…

  18. Evaluation of employees in public day care centers knowledge about breastfeeding and complementary feeding

    PubMed Central

    Souza, Joelânia Pires de O.; Prudente, Amanda Moura; Silva, Dyene Aparecida; Pereira, Leandro Alves; Rinaldi, Ana Elisa M.

    2013-01-01

    OBJECTIVE: To evaluate the knowledge of public day care centers employees about breastfeeding and complementary feeding. METHODS: A cross-sectional study was conducted in 15 public day care centers randomly selected in the city of Uberlandia, Southeast Brazil. A questionnaire applied to school principals, teachers, educators and general services assistants (GSA) included demographic and socioeconomic variables and questions about knowledge on breastfeeding, complementary feeding besides employees' perceptions about these subjects. Kruskal-Wallis with multiple comparison and chi-square tests were used to compare variables by professional category. RESULTS: 304 employees participated in the study. The highest percentages of correct answers were noted for questions about exclusive breastfeeding: definition - 97% (n=296) and duration - 65% (n=199). Regarding complementary feeding, 61% (n=187) correctly answered about the appropriate age to introduce it, with a lower percentage for meat (56%; n=170) and sugar (16%; n=50). Concerning employees' perceptions, 9% (n=29) believed that there is weak breast milk, 79% (n=241) and 51% (n=157) reported the negative influence of bottle feeding and pacifier use on breastfeeding. Among the interviewed subjects, 77% (n=234) answered that they had a positive influence on the quality of the food given to the children. There were no differences in the answers according to professional category, except for the negative influence of pacifiers on breastfeeding. CONCLUSIONS: Employees of public day care centers knew more about breastfeeding than about complementary feeding. Educational activities about breastfeeding and complementary feeding are necessary for day care centers employees. PMID:24473953

  19. The Need for Privacy and the Application of Privacy to the Day Care Setting.

    ERIC Educational Resources Information Center

    Jacobs, Ellen

    This paper, focusing on young children's need for privacy, describes a study conducted to determine the manner in which children in day care centers resolve the problem of reduced space and time for privacy. A pilot study revealed that children displayed three privacy seeking behaviors: (1) verbal and nonverbal territorial behavior (use or defense…

  20. An Analysis of Toddlers' Social Behavior in a Day Care Setting.

    ERIC Educational Resources Information Center

    Atwater, Jane B.; Morris, Edward K.

    This study was designed to provide a detailed description of toddlers' social interactions in day care settings and to identify variables that promote positive encounters among children. Twenty-four toddlers, ranging in age from 17 to 28 months, were each observed for approximately 4 hours during regular center activities. Across all center…

  1. Social Behavior of Infants and Toddlers in a Day-Care Environment.

    ERIC Educational Resources Information Center

    Finkelstein, Neil W.; And Others

    1978-01-01

    Observation of infants and toddlers in a day care setting revealed that frequency of teacher-child interaction decreased and peer interaction increased with age. The increase in peer interaction appeared to be related to the toddlers' greater capacity for reciprocating social behaviors and increased use of vocal behavior in interactions. (JMB)

  2. Some Aspects of the Effects of Day Care on Infants' Emotional and Personality Development.

    ERIC Educational Resources Information Center

    Saunders, Minta M.

    To identify any differences in emotional/personality development of a group of infants reared at home and a matched groups of infants enrolled in a day care center, data were obtained on behaviors of two groups of infants. The sample consisted of 15 demographically matched pairs of infants, ages 3-24 months at entrance. Data were collected through…

  3. Menu Planning, Food Consumption, and Sanitation Practices in Day Care Facilities.

    ERIC Educational Resources Information Center

    Kuratko, Connye N.; Martin, Ruth E.; Lan, William Y.; Chappell, James A.; Ahmad, Mahassen

    2000-01-01

    In 102 day care centers, data were collected on nutritional content of menus, compliance with guidelines, children's food consumption, and safety/sanitation. Although menus exceeded recommended daily allowances, quantities of food were below recommendations. No menu components were consumed by more than 65% of children. Sanitation problems were…

  4. Toddlers' Bids and Teachers' Responses in Title XX Day Care Centers.

    ERIC Educational Resources Information Center

    Honig, Alice S.; Wittmer, Donna S.

    Part of a larger investigation of teacher-child-peer interactions among two- and three-year-old children in day care, this microanalytic study of toddler-initiated bids (attempts to communicate with caregivers) and teacher responses depicts in detail toddler-caregiver interaction. Subjects for the study were 25 males and 25 females between the…

  5. Regulations for Child Day Care Centers Operated by Religious Bodies or Groups.

    ERIC Educational Resources Information Center

    South Carolina State Dept. of Social Services, Columbia.

    As set forth in this manual, the regulations for child day care centers operated by religious bodies or groups constitute the minimum requirements to be met and maintained by each such facility in South Carolina. Regulation 114-5-20 sets out definitions and procedures for preapplication consultation, original registration, inspection, and…

  6. Control of a Non-foodborne Outbreak of Salmonellosis: Day Care in Isolation.

    ERIC Educational Resources Information Center

    Chorba, Terence, L.; And Others

    1987-01-01

    In this study of a salmonellosis outbreak at a day care center an analysis of five variables revealed that the disease was transferred person to person or by a continuing common source. Successful preventive measures included instruction in proper handwashing and diaper changing procedures and isolation of the infected children. (VM)

  7. 7 CFR 226.12 - Administrative payments to sponsoring organizations for day care homes.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... amount of administrative payments and food service payments for day care home operations. (b) Start-up... section shall be entitled to receive start-up payments to develop or expand successful Program operations... start-up payments only once for any eligible sponsoring organization, but may approve expansion...

  8. Does Santa Exist? Children's Everyday Narratives as Dynamic Meeting Places in a Day Care Centre Context

    ERIC Educational Resources Information Center

    Puroila, Anna-Maija; Estola, Eila; Syrjala, Leena

    2012-01-01

    The article attempts to answer the question: What is the nature of children's everyday narratives in a day care centre context? The theoretical framework of this study is based on a narrative approach. The research material was gathered through applying the methodology of narrative ethnography. The article is based on observational material…

  9. Having, Loving, and Being: Children's Narrated Well-Being in Finnish Day Care Centres

    ERIC Educational Resources Information Center

    Puroila, Anna-Maija; Estola, Eila; Syrjala, Leena

    2012-01-01

    The aim of this study is to answer the following question: what do children tell about their well-being in Finnish day care centres? The theoretical and methodological framework of this study is based on a narrative approach. The research material was collected by participating in the everyday life of three groups of children and listening to…

  10. Hearing Parents' and Carers' Voices: Experiences of Accessing Quality Long Day Care in Northern Regional Australia

    ERIC Educational Resources Information Center

    Harris, Nonie; Tinning, Beth

    2012-01-01

    This article explores parents' and carers' experiences of accessing quality long day care in northern regional Australia. The data was gathered in 2009, after the collapse of ABC Developmental Learning Centres (herein referred to as ABC Learning) and before the implementation of the "National Quality Framework," and provides a snapshot of…

  11. Children's Attachment Relationships with Day Care Caregivers: Associations with Positive Caregiving and the Child's Temperament

    ERIC Educational Resources Information Center

    De Schipper, J. Clasien; Tavecchio, Louis W. C.; Van IJzendoorn, Marinus H.

    2008-01-01

    In this study, children's attachment relationships with their professional caregivers in center day care were observed for 48 children. We explored whether more positive caregiving was associated with a more secure attachment relationship and whether this association was stronger for more temperamentally irritable children compared to less…

  12. Teachers' Perceptions of Their Personal Early Childhood Special Education Competence in Day Care

    ERIC Educational Resources Information Center

    Holst, Teija K.; Pihlaja, Paivi M.

    2011-01-01

    The purpose of this study is to examine and compare kindergarten and special kindergarten teachers' perceptions of their own competence in early childhood special education (ECSE) in Finnish day care. This comparison is based on the kindergarten teachers' and special kindergarten teachers' self-evaluation. Teachers evaluated their theoretical and…

  13. Disadvantaged Single Teenage Mothers and Their Children: Consequences of Free Educational Day Care.

    ERIC Educational Resources Information Center

    Campbell, Frances A.; And Others

    1986-01-01

    Examined the benefits of providing free educational day care to children of single teen-age mothers. Results indicated that the children benefitted intellectually from the program, scoring significantly higher than controls on a general cognitive index. Mothers had an increased likelihood of completing high school, obtaining postsecondary…

  14. Improving an Extended Day Care Environment through Staff Training and Activity Development.

    ERIC Educational Resources Information Center

    Lopez, Mary Kathryn

    The aim of this practicum was to increase parent, child, and caregiver satisfaction with the university lab elementary school site's extended day care program through training of caregivers and development of appropriate activities. Two groups participated, one for preschoolers through first graders, the other for second through fifth graders.…

  15. Thin Blue Lines and Red Crosses: Signposts to Quality in Family Day Care?

    ERIC Educational Resources Information Center

    White, Jayne

    2005-01-01

    This paper explores some of the findings of a study focussing on constructions of family day care from the perspectives of caregivers/educators and coordinators as they engaged in a quality review process using a recently developed resource--The Quality Journey/He haerenga whai hua (2000). The paper positions quality review as a part of a…

  16. Opening Our Doors: Taking Public Library Service to Preschool and Day-Care Facilities.

    ERIC Educational Resources Information Center

    Harris, Sally

    The Opening Our Doors Project of the Pioneer Library System of Norman, Oklahoma takes public library service to preschool and day care facilities by means of learning kits housed in tote bags. The sturdy, zippered tote bags are full of books, games, toys, learning folders, and so forth. There is a tote bag for each of 75 different topics. Topics…

  17. The Challenge of Day Care in the Seventies: One Agency's Response.

    ERIC Educational Resources Information Center

    Blumenfeld, Harry; Schwimmer, Barbara

    The Jewish Board of Guardians, in collaboration with the Agency for Child Development, developed a program to respond to the complex mental health concerns of children in day care, their families and the communities in which they live. The program includes on-site consultation, staff development sessions and paraprofessional training. In this…

  18. A REPORT ON HEALTH AND DAY CARE SERVICES FOR CHILDREN OF MIGRANT WORKERS, KANSAS - 1963.

    ERIC Educational Resources Information Center

    Kansas State Dept. of Health, Topeka.

    THE SPREAD OF HEALTH AND DAY CARE SERVICES FOR MIGRANT CHILDREN IN KANSAS IN 1963 WAS DESCRIBED. IN ADDITION TO A GENERAL TREATMENT OF THE SUBJECT, PROGRAMS IN EACH COUNTY WERE DESCRIBED SEPARATELY BECAUSE OF LOCAL VARIATION, ALTHOUGH THEY WERE ALL VERY SIMILAR. MONEY WAS APPROPRIATED BY THE KANSAS LEGISLATURE IN 1963 TO THE KANSAS STATE…

  19. Values, Classroom Interaction, and Social Continuity: A Case Study of Day Care.

    ERIC Educational Resources Information Center

    Klass, Carol Speekmann

    This dissertation provides a case study of the daily experiences of children and teachers in a nonprofit day care center. Located in a middle class suburb of a midwestern metropolitan area, the center serves 54 three- and four-year-olds of varied economic and racial background (20% of the children are black; family incomes range from below $8,000…

  20. Dagliga Separationer och Tidig Daghemsstart (Daily Separations and Early Entry into Day Care).

    ERIC Educational Resources Information Center

    Harsman, Ingrid

    The purpose of this thesis [Swedish language with English abstract and summary] was to study the reactions of infants when they started attending day care centers and to elucidate the process of adjustment. The theoretical perspective employed is the J. Bowlby/M. Ainsworth attachment theory. U. Bronfenbrenner's ecological theory of human…

  1. The Link between Professional Caregiving and Childrens Rights in the Family Day Care Program.

    ERIC Educational Resources Information Center

    Clyde, Margaret

    The growth of family day care is assessed from a personal viewpoint. Observations on trends since the United Nations Declaration of the Rights of the Child and the International Year of the Child are offered. A review of historical, moral, and legal perspectives on children's rights covers views on childhood during the middle ages and into the…

  2. Demographic Data for Special Needs Children in Title XX Day Care. Report No. 7698.

    ERIC Educational Resources Information Center

    Asano, Mildred

    Presented are demographic data for handicapped children in the Philadelphia area who might be eligible for federally funded (Title XX) day care services. The report consists of data tables and narrative sections for the following information: estimated number of handicapped children within catchment areas (CA's); estimated median income level of…

  3. A Public Review in Federal Region VI of the Federal Interagency Day Care Requirements.

    ERIC Educational Resources Information Center

    Office of Human Development (DHEW), Dallas, TX. Region 6.

    The basic objective of this investigation was to conduct an input-review of the 1968, 1972 and Title XX Federal Interagency Day Care Requirements (FIDCR) and to make inferences gleaned from the results as these relate to appropriate revisions. Respondents from a number of states were asked to review and comment on each requirement. The document…

  4. Status of School Age Child Care or Extended Day Programs in Minnesota Schools.

    ERIC Educational Resources Information Center

    Minnesota State Dept. of Education, St. Paul.

    This report is based upon survey responses from 139 school districts and 59 nonpublic schools in Minnesota that offer School Age Child Care (SACC), or extended day programs. The report presents data on public and private SACC programs related to: (1) administration and growth; (2) number of children served; (3) types of services offered; (4)…

  5. A Curriculum Guide for Inservice Education of Group Day Care and Nursery School Personnel.

    ERIC Educational Resources Information Center

    Thielges, Iva; Andersen, Rose

    This curriculum guide outlines 10 inservice training courses for group day care and nursery school personnel. Each course outline presents a list of learning experiences and related resources from which the instructor can choose to meet the needs of his/her students. Materials are designed to meet the Minnesota Department of Public Welfare…

  6. One- to Three-Year-Old Children's Experience of Subjective Wellbeing in Day Care

    ERIC Educational Resources Information Center

    Seland, Monica; Sandseter, Ellen Beate Hansen; Bratterud, Åse

    2015-01-01

    The aim of the study on which this paper is based was to explore in which situations and contexts Norwegian 1-3-year-olds experience subjective wellbeing in day care. The data in this study was collected through qualitative phenomenological observations of 18 children, and an inductive process of analysis was conducted. The results show that…

  7. A Comparison of Three Levels of Structure of Educational Programs in Family Day Care.

    ERIC Educational Resources Information Center

    Goodman, Norman; And Others

    This research project evaluated and compared three educational programs of high, medium, and low structure in family day care settings for a period of 10 months, to determine their impact on cognitive and social development in 60 children aged 2 1/2 to 4 years. The high-structure program followed the Bereiter-Engelmann approach, the…

  8. The Relationship between Same-Day Access and Continuity in Primary Care and Emergency Department Visits

    PubMed Central

    Cordasco, Kristina M.; Chow, Adam

    2015-01-01

    We examined how emergency department (ED) visits for potentially preventable, mental health, and other diagnoses were related to same-day access and provider continuity in primary care using administrative data from 71,296 patients in 22 VHA clinics over a three-year period. ED visits were categorized as non-emergent; primary care treatable; preventable; not preventable; or mental health-related. We conducted multi-level regression models adjusted for patient and clinic factors. More same-day access significantly predicted fewer non-emergent and primary care treatable ED visits while continuity was not significantly related to any type of ED visit. Neither measure was related to ED visits for mental health problems. PMID:26332981

  9. An audit of paediatric day care surgery in a district general hospital.

    PubMed

    Jolliffe, D M

    1997-01-01

    At a 620 bed District General Hospital, questionnaires were issued to the patients of 142 consecutive paediatric day surgery cases and the nurses involved in the care of these children. Most of the children were not upset by day case surgery, although nearly a quarter were distressed by changing into a theatre gown. Postoperatively, pain was more of a problem than nausea and vomiting. Relatively minor problems occurred at home. The majority of the 93 parents who replied were happy with the overall care of their child. They valued being present for induction of anaesthesia and would have liked to be present in recovery when their child was awake, although the nurses felt this would not have been helpful. Nonclinical matters also influenced their assessment of the quality of care. PMID:9243690

  10. [Differential effectiveness of youth welfare measures: a comparative study on the effectiveness of day care measures].

    PubMed

    Rücker, Stefan; Petermann, Ulrike; Büttner, Peter; Petermann, Franz

    2010-01-01

    Single parent families not only differ from traditional families regarding socioeconomic problems and missing a parent, but also concerning the duration of using youth welfare measures, psychological problems in single parents, and the way youth welfare measures are ended. Due to different basic parameters in these two family settings, this study investigates the differential effectiveness of youth day care measures. In total, 55 children and adolescents (aged 6 to 14 years) and their parents were involved. Using axis I, II and V, ICD-10 multiaxial presentation, data on the general burden of problems, externalizing problems, emotional problems, and parenting skills were recorded before care measures began and again after they had ended. Although day care measures were very effective in both family settings, traditional families showed a significantly stronger decline of externalizing problems than single parent families, exceptions being emotional problems and burdens. PMID:20491426

  11. Cuidado de ninos con necesidades especiales en el hogar: Manual de referencia para las personas que cuidan ninos en sus hogares (Children with Special Needs in Family Day Care Homes: A Handbook for Family Day Care Home Providers).

    ERIC Educational Resources Information Center

    de la Brosse, Beatrice

    The Spanish translation of this guide offers information to Spanish-speaking family day care providers who desire to expand their knowledge of early childhood development in order to work with infants and young children with special needs in their day care settings. The first of four chapters answers common questions and concerns of day care…

  12. Threading the cloak: palliative care education for care providers of adolescents and young adults with cancer

    PubMed Central

    Wiener, Lori; Weaver, Meaghann Shaw; Bell, Cynthia J; Sansom-Daly, Ursula M

    2015-01-01

    Medical providers are trained to investigate, diagnose, and treat cancer. Their primary goal is to maximize the chances of curing the patient, with less training provided on palliative care concepts and the unique developmental needs inherent in this population. Early, systematic integration of palliative care into standard oncology practice represents a valuable, imperative approach to improving the overall cancer experience for adolescents and young adults (AYAs). The importance of competent, confident, and compassionate providers for AYAs warrants the development of effective educational strategies for teaching AYA palliative care. Just as palliative care should be integrated early in the disease trajectory of AYA patients, palliative care training should be integrated early in professional development of trainees. As the AYA age spectrum represents sequential transitions through developmental stages, trainees experience changes in their learning needs during their progression through sequential phases of training. This article reviews unique epidemiologic, developmental, and psychosocial factors that make the provision of palliative care especially challenging in AYAs. A conceptual framework is provided for AYA palliative care education. Critical instructional strategies including experiential learning, group didactic opportunity, shared learning among care disciplines, bereaved family members as educators, and online learning are reviewed. Educational issues for provider training are addressed from the perspective of the trainer, trainee, and AYA. Goals and objectives for an AYA palliative care cancer rotation are presented. Guidance is also provided on ways to support an AYA's quality of life as end of life nears. PMID:25750863

  13. Fundamental reform of payment for adult primary care: comprehensive payment for comprehensive care.

    PubMed

    Goroll, Allan H; Berenson, Robert A; Schoenbaum, Stephen C; Gardner, Laurence B

    2007-03-01

    Primary care is essential to the effective and efficient functioning of health care delivery systems, yet there is an impending crisis in the field due in part to a dysfunctional payment system. We present a fundamentally new model of payment for primary care, replacing encounter-based imbursement with comprehensive payment for comprehensive care. Unlike former iterations of primary care capitation (which simply bundled inadequate fee-for-service payments), our comprehensive payment model represents new investment in adult primary care, with substantial increases in payment over current levels. The comprehensive payment is directed to practices to include support for the modern systems and teams essential to the delivery of comprehensive, coordinated care. Income to primary physicians is increased commensurate with the high level of responsibility expected. To ensure optimal allocation of resources and the rewarding of desired outcomes, the comprehensive payment is needs/risk-adjusted and performance-based. Our model establishes a new social contract with the primary care community, substantially increasing payment in return for achieving important societal health system goals, including improved accessibility, quality, safety, and efficiency. Attainment of these goals should help offset and justify the costs of the investment. Field tests of this and other new models of payment for primary care are urgently needed. PMID:17356977

  14. [The founding and development of day care hospitals as integral structural subunits of therapeutic and preventive care institutions].

    PubMed

    Ladnyĭ, A Ia; Bazilevich, Ia P; Rafaliuk, I Ia; Nakonechnyĭ, Ia R; Zubarev, G P; Telishevskaia, M G; Polataĭko, E N; Postoenko, E N; Liman, O F; Chaklosh, I N

    1990-01-01

    The experience gained in the complex approach to the organization of day hospitals at curative and preventive facilities in Lvov and Lvov region is described. The problems in the delivery of in-patient care for the population formed the basis for the drafting of programme aimed at developing the network of out-patient departments of active treatment of patients. The description is given of the main components of day hospitals activities, schedule of work, indications and contra-indications for the treatment of patients. The work indicators of day hospitals of different types are provided. Highlighted is the importance of this vasically new and highly effective type of health care for the population. The data on the problem-oriented training of medical directors and physicians of day hospitals at the Faculty of Advanced Training of Physicians of the Lvov Medical Institute is provided, the emphasis being placed on the inclusion of issues on the organization of day hospital activities into the curricula for students and interns. PMID:2333569

  15. Social Policy and Its Effects on the Daily Experiences of Infants and Toddlers in Family Day Care in Israel.

    ERIC Educational Resources Information Center

    Rosenthal, Miriam K.

    This study examined: (1) the accuracy with which standards of the state-subsidized Israeli family day care (FDC) program were implemented; and (2) the relationships between specific program service characteristics, program quality, and children's daily experiences in care. Israeli family day care standards concern program participants, caregivers…

  16. [Relationship between child day-care attendance and acute infectious disease. A systematic review].

    PubMed

    Ochoa Sangrador, Carlos; Barajas Sánchez, M Verisima; Muñoz Martín, Beatriz

    2007-01-01

    Child day-care attendance is considered to be an acute early childhood disease risk factor, the studies available however not affording the possibility of fully quantifying this risk. A systematic review of clinical trials and cohort studies was conducted, in which the effects child day-care attendance had on the health of young children based on the Cochrane Collaboration, PubMed and Spanish Medical Index databases, without any time or language-related limits, were analyzed and rounded out with analyses of referenced works and an additional EMBASE search. The methodological quality was evaluated by means of personalized criteria. Pooling measures (relative risks, incidence density ratios and weighted mean differences) were calculated with their confidence intervals, assuming random effects models. A significant increase was found to exist of a risk consistent over time and among different social and geographical environments. Considering the most methodologically-stringent studies with adjusted effect estimates, child day-care attendance was related to an increased risk of upper respiratory tract infection (RR=1,88), acute otitis media (RR=1,58), otitis media with fluid draining (RR=2,43), lower respiratory tract infections (overall RR=210; acute pneumonia RR=1.70; broncholitis RR=1,80; bronchitis RR=2,10) and gastroenteritis (RR=1,40). Child day-care attendance could be responsible for 33%-50% of the episodes of respiratory infection and gastroenteritis among the exposed population. In conclusion, it can be said that the risk for childhood health attributable to the child day-care attendance is discreet but of high-impact. This information has some major implications for research, clinical practice, healthcare authorities and society as a whole. PMID:17639680

  17. 25 CFR 20.333 - How do I apply for Adult Care Assistance?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false How do I apply for Adult Care Assistance? 20.333 Section 20.333 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR HUMAN SERVICES FINANCIAL ASSISTANCE AND SOCIAL SERVICES PROGRAMS Direct Assistance Adult Care Assistance § 20.333 How do I apply for Adult Care Assistance? To apply for adult...

  18. Medicaid Managed Care and Health Care Access for Adult Beneficiaries with Disabilities

    PubMed Central

    Burns, Marguerite E

    2009-01-01

    Objective To evaluate the impact of Medicaid managed care organizations (MCO) on health care access for adults with disabilities (AWDs). Data Sources Mandatory and voluntary enrollment data for AWDs in Medicaid MCOs in each county were merged with the Medical Expenditure Panel Survey and the Area Resource File for 1996–2004. Study Design I use logit regression and two evaluation perspectives to compare access and preventive care for AWDs in Medicaid MCOs with FFS. From the state's perspective, I compare AWDs in counties with mandatory, voluntary, and no MCOs. From the enrollee's perspective, I compare AWDs who must enroll in an MCO or FFS to those who may choose between them. Principal Findings Mandatory MCO enrollees are 24.9 percent more likely to wait >30 minutes to see a provider, 32 percent more likely to report a problem accessing a specialist, and 10 percent less likely to receive a flu shot within the past year. These differences persist from the state evaluation perspective. Conclusions States should not expect a dramatic change in health care access when they implement Medicaid MCOs to deliver care to the adult disabled population. However, continued attention to specialty care access is warranted for mandatory MCO enrollees. PMID:19555397

  19. Computerized decision support in adult and pediatric critical care

    PubMed Central

    Williams, Cydni N; Bratton, Susan L; Hirshberg, Eliotte L

    2013-01-01

    Computerized decision support (CDS) is the most advanced form of clinical decision support available and has evolved with innovative technologies to provide meaningful assistance to medical professionals. Critical care clinicians are in unique environments where vast amounts of data are collected on individual patients, and where expedient and accurate decisions are paramount to the delivery of quality healthcare. Many CDS tools are in use today among adult and pediatric intensive care units as diagnostic aides, safety alerts, computerized protocols, and automated recommendations for management. Some CDS use have significantly decreased adverse events and improved costs when carefully implemented and properly operated. CDS tools integrated into electronic health records are also valuable to researchers providing rapid identification of eligible patients, streamlining data-gathering and analysis, and providing cohorts for study of rare and chronic diseases through data-warehousing. Although the need for human judgment in the daily care of critically ill patients has limited the study and realization of meaningful improvements in overall patient outcomes, CDS tools continue to evolve and integrate into the daily workflow of clinicians, and will likely provide advancements over time. Through novel technologies, CDS tools have vast potential for progression and will significantly impact the field of critical care and clinical research in the future. PMID:24701413

  20. Care of adolescents and young adults with diabetes - much more than transitional care: a personal view.

    PubMed

    Winocour, Peter H

    2014-06-01

    There is increasing recognition that type 1 diabetes mellitus (T1DM) acquired in childhood and adolescence requires a sophisticated approach that facilitates better self-management through adherence to generic principles in managing chronic disease in this age group, allied to the complex clinical needs of managing T1DM and related conditions. Transitional care should be seen as a process over time supported by both paediatric and adult diabetologists within a multidisciplinary team, given the complementary skills that can be brought to bear. Undoubtedly, there is a need for more effective training of all healthcare professionals working in this service. However, the accumulation of older teenagers over time and new diagnoses in those aged 19 years or more confirms that a new paradigm is necessary for the successful care of young adults beyond transitional care. Traditional clinical models will often not work for those in employment and higher education, with evidence that ongoing engagement following transfer to adult services often ceases. The alarming evidence of progressive complications in T1DM of longer duration in patients under the age of 40 years is a wake-up call to transform the care of this most vulnerable group. PMID:24889572