• 제목/요약/키워드: Informal caregivers

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영국의 케어 제공자에 관한 정책 연구: 보호자 권리와 유급고용의 질 강조 (The Policies of Care Providers in the United Kingdom: Towards Emphasis On Carers Rights and Quality Employment)

  • 이가옥;우국희
    • 한국사회복지학
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    • 제57권2호
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    • pp.185-204
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    • 2005
  • 본 연구는 계속 증가하고 있는 케어 수요를 충당하기 위해 영국 정부가 시행해 온 정책과 제도를 살펴보았다. 영국 정부는 최근 케어 수요와 공급 간의 불균형이 초래할 문제를 심각하게 인식하고, 가족과 시장의 적극적인 참여를 유도하고 있다. 이 두 영역에 대해 초기의 의도와는 달리 점차 국가의 적극적인 개입이 이루어지고 있는데, 비공식적 보호자인 케어러에 대해서는 보상과 인정을 주는 형태로, 공식적 보호자인 유급 케어워커에 대해서는 규제와 감독 강화를 통한 질적 통제라는 형태로 정부 기능은 점차 확대되고 있다. 케어러의 지위와 권리 향상을 위해 3가지 법률이 제정되었으며, 유급 인력의 자격 강화를 위해 케어기준법과 그에 기반 한 5가지 공식 기구가 발족되었다. 이러한 제도적 정비 과정에서 영국은 비공식적 보호자에 대해서는 적극적 시민권이란 새로운 이념으로, 유급 케어워커에 대해서는 사회서비스의 현대화 가치라는 이념으로 그 기반을 다지고 있다. 그러나 영국의 케어 정책은 점차 혼자서 살아가기 어려운, 시장에서 케어를 사적으로 구입하기가 어려운 보다 열악한 환경에 놓인 서비스 이용자들을 외면하는 방향으로 나아가고 있다는 비판에 직면하고 있다.

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New Directions in Communicating Better Nutrition to Older Adults

  • Guldan, Georgia-Sue;Wendy Wai-Hing Hui
    • Journal of Community Nutrition
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    • 제2권1호
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    • pp.62-70
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    • 2000
  • Nutrition education should be an important component of ongoing health promotion for older adults and their caregivers. This is because prevention through sound nutrition and food hygiene practices and regular excercise is the most cost-effective way to reduce risks for and deal with their major health problems. nutritions education services should effectively promote optimum intake and successful self-care. Unfortunately, however relative to other vulnerable groups, nutrition education for older adults has not been systematically developed or evaluated. Usually oder adults care a lot about their health, so this should be a relatively easy group to teach - but their increasing numbers, longevity and great diversity with respect to health, physical, and economic status and educational level present challenges. Some older adults may not perceive they would benefit from nutrition education, so interesting and motivating them is a challenge. The food and nutrition knowledge of older people has been acquired through a lifetime of experience. For most older adults in the Asian region, their sources are restricted by their restricted education, so that their major sources of information have been informal sources, such as television, radio, friends, family, and perhaps newspapers and magazines if they are literature. Nonetheless, dietary advice for older people should build on their existing knowledge and ingrained values. It should provide information useful in daily food selection, and focus on food, not nutrients - the same foods and groups considered appropriate for younger people, with consistent messages as given throughout the population. Attention must also be paid to discovering learning styles in older people. When we teach in schools, the young students are a captive audience resigned to their learning role. Learning by an older adult, however, reflects an effort to meet his or her perceived needs. Therefore, nutrition education should be a positive experience in a non-threatening environment, relaxed and non-competitive, and perhaps even social environment. The messages also need to be practical and achievable. A needs assessment is essential, because our ability to provide the most effective nutrition education will depend on our success in matching the needs, both perceived and unperceived. of this vulnerable group. Therefore, go to the potential older learners to assess their interest and preferences. Nutrition education activities for older adults are widespread, but few have been evaluated. Evaluation is therefore also recommended, particularly when new methods are used. Tips from other countries for giving successful nutrition education will be given, including some examples of applications as attempted in Hong Kong. Research needs will also be described. In conclusion, successful nutrition education for older adults depends on positive needs-based messages. This is may be hard to do, as few good examples are available to illustrate these principles.

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