The Interface between Family Responsibility and State Responsibility in Caring for the Elderly in Israel

Author(s):  
Esther Iecovich
2018 ◽  
Vol 38 (11/12) ◽  
pp. 1101-1115 ◽  
Author(s):  
Isabel Valarino ◽  
Gerardo Meil ◽  
Jesús Rogero-García

PurposeSpain is typically considered a familialistic country where the family is the main responsible for individuals’ well-being. Recent demographic, socioeconomic and policy changes raise the question to what extent familialism is regarded as the preferred care arrangement in society or whether more state support is considered legitimate. The purpose of this paper is to analyse individual preferences among Spanish residents regarding care responsibility for pre-school children and the frail elderly, and the factors that influence such preferences.Design/methodology/approachRepresentative data from the 2012 International Social Survey Programme are used (n=1419). Six patterns of care responsibility that capture preferences regarding who, between the family or the state, should provide and pay for the care of pre-school children and the frail elderly are identified. Logistic regressions are performed on each care responsibility pattern to analyse the factors influencing individuals’ preferences.FindingsMultiple preferences coexist and state responsibility is often preferred over family responsibility, especially for elderly-care. It suggests that the tendency to rely on the family in Spain is due to insufficient support rather than to familialistic values. Individuals who usually bear most care work responsibilities, such as women and individuals in caring ages, or those with a poor health, high care load or low income consider there should be extra-family support. Individuals’ values also matter: the least religious, the most supportive of maternal employment and left-wing voters are most likely to reject traditional care arrangements.Originality/valueThis is the first study to analyse both elderly- and childcare policy preferences in one single study. It shows that childcare is more often seen as a family responsibility than elderly care.


1995 ◽  
pp. 80-95
Author(s):  
Heikki Ervasti

In the last few years, demands for replacing the welfare state with family responsibility for the care of children and the elderly have become more and more insistent. Using data from a recent postal survey (N = 1,737), the article’s aim is to estimate the caring possibilities and caring potential of the family. The results show that compared to outside-home care and especially publicly provided outside-home care, family care is not supported by public opinion. However, the results provide no evidence of a decline in the caregiving potential of the family. Thus, the introduction of new family care-oriented policies and cuts in the public welfare services aimed at increasing family responsibility for the care of dependants could even be counterproductive, as families would soon be overloaded with caring tasks.


1982 ◽  
Vol 25 (1) ◽  
pp. 131-145 ◽  
Author(s):  
M. A. Crowther

In his autobiography, Joseph Arch recalled a trial which had taken place in Bedford in 1875, and which had caused much local dissatisfaction:Samuel Dawson, a farm labourer aged fifty-seven, whose wages averaged twelve shillings a week, was sent to Bedford gaol for two months with hard labour…because he could not pay one shilling a week towards the maintenance of his parents… It was a cruel business and it touched scores and scores of labourers on the raw^-fof'this question of maintaining parents was a burning one.


Author(s):  
J. Jacob ◽  
M.F.M. Ismail

Ultrastructural changes have been shown to occur in the urinary bladder epithelium (urothelium) during the life span of humans. With increasing age, the luminal surface becomes more flexible and develops simple microvilli-like processes. Furthermore, the specialised asymmetric structure of the luminal plasma membrane is relatively more prominent in the young than in the elderly. The nature of the changes at the luminal surface is now explored by lectin-mediated adsorption visualised by scanning electron microscopy (SEM).Samples of young adult (21-31 y old) and elderly (58-82 y old) urothelia were fixed in buffered 2% glutaraldehyde for 10 m and washed with phosphate buffered saline (PBS) containing Ca++ and Mg++ at room temperature. They were incubated overnight at 4°C in 0.1 M ammonium chloride in PBS to block any remaining aldehyde groups. The samples were then allowed to stand in PBS at 37°C for 2 h before incubation at 37°C for 30 m with lectins. The lectins used were concanavalin A (Con A), wheat germ agglutinin (WGA), phytohaemagglutinin (PHA) and pokeweed mitogen (PWM) at a concentration of 500 mg/ml in PBS at pH 7.A.


1988 ◽  
Vol 52 (9) ◽  
pp. 516-518 ◽  
Author(s):  
J Mann ◽  
TJ Bomberg ◽  
JM Holtzman ◽  
DB Berkey
Keyword(s):  

Author(s):  
Angel L. Ball ◽  
Adina S. Gray

Pharmacological intervention for depressive symptoms in institutionalized elderly is higher than the population average. Among the patients on such medications are those with a puzzling mix of symptoms, diagnosed as “dementia syndrome of depression,” formerly termed “pseudodementia”. Cognitive-communicative changes, potentially due to medications, complicate the diagnosis even further. This discussion paper reviews the history of the terminology of “pseudodementia,” and examines the pharmacology given as treatment for depressive symptoms in the elderly population that can affect cognition and communication. Clinicians can reduce the risk of misdiagnosis or inappropriate treatment by having an awareness of potential side effects, including decreased attention, memory, and reasoning capacities, particularly due to some anticholinergic medications. A team approach to care should include a cohesive effort directed at caution against over-medication, informed management of polypharmacology, enhancement of environmental/communication supports and quality of life, and recognizing the typical nature of some depressive signs in elderly institutionalized individuals.


Haemophilia ◽  
2001 ◽  
Vol 7 (4) ◽  
pp. 428-432 ◽  
Author(s):  
S. Godreuil ◽  
R. Navarro ◽  
P. Quittet ◽  
L. Landreau ◽  
J-F. Schved ◽  
...  

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