The current study focused on 296 adult daughter caregivers who were simultaneously providing care to an impaired parent, mothers to children living at home, wives, and employees. How mastery (perceived competence and control) in each of these 4 roles was related to well-being was examined. Women experienced higher levels of mastery in the employee role than in any other role. After controlling for household income and dispositional optimism, only employee mastery contributed unique variance to physical health, but mastery in each of the 4 roles contributed unique variance to either depression or life satisfaction. Results also suggest that women's satisfaction with life was related to an accumulation of mastery across roles. The study expands previous research by revealing that mastery in women's additional roles can supplement the benefits of mastery stemming from parent care.
This article describes the process for alignment of the personnel preparation standards developed by the Council for Exceptional Children and Division for Early Childhood with the standards developed by the National Association for the Education of Young Children. The results identify areas of convergence across the two sets of standards and areas that were primarily addressed through only one set of standards. Areas of nonalignment may constitute specialized knowledge and skills within the disciplines of special education, early childhood special education and early intervention, and early childhood education. This standards alignment can be used by states and university and college personnel preparation programs to develop blended programs that highly qualified early childhood professionals to meet the needs of all children in a variety of settings.
Social inclusion in community work settings remains an elusive outcome for many employees with intellectual disabilities. This study explored how the structure of work relationships with colleagues facilitates or inhibits social integration. Data were collected on 22 employees with disabilities through semi-structured interviews with six employment specialists and participant observations of six employees at their community worksites. Data were interpreted using intergroup contact theory, a longstanding theory within the intergroup relations literature that addresses the role of contact in reducing prejudice toward members of negatively stereotyped groups. As predicted by intergroup contact theory, interviews and observations revealed that coworkers were generally more accepting of an employee with a disability if (a) they had the opportunity to get to know the employee as an individual rather than as a stereotype or label, (b) they worked with the employee as an equal peer to accomplish common work goals, and (c) the employer or worksite supervisor unequivocally supported the equality and workplace inclusion of the employee with a disability. Findings suggest intervention strategies to promote inclusion in the integrated workplace.
Activities can be a nonpharmacological intervention for depression in long-term care. To address the activity needs of men, 183 residents of a VA long-term care facility were surveyed about activity interests, past and present, and activity satisfaction. With a 30% return rate, residents reported 85% overall satisfaction with activities and identified television as the most preferred activity, past and present. Bingo, movies, and listening to music ranked high for current activities. Prayer, reading, and pets increased in popularity. Current satisfaction with flea markets, pool, and gardening decreased from prior levels of satisfaction. Model making and arts and crafts activities were rated poorly. Long-term care facilities may want to expand television-based activities for older men in ways that promote increased socialization and mental activity.Activities can enhance a person's sense of well being and serve as a source of interest, satisfaction, and structure in daily life (Harel, 1981). Lewinsohn
Background: Vasovagal responses associated with acupuncture therapy are relatively uncommon adverse events, occurring in *0.02%-7% of treatments. The complex neurocardiovascular reflexes involved in vasovagal responses can induce a range of symptoms such as dizziness, nausea, sweating, bradycardia, hypotension, and, in some cases, syncope or convulsions. Although patients typically recover quickly with proper support, these events may be of concern and anxiety-producing for both patient and provider. Providers need to be well-versed in methods for prevention and treatment of acupuncture-associated vasovagal responses to promote safe practice environments, patient satisfaction and comfort, and cost-effectiveness. Objectives: To examine the biomedical and Traditional Chinese Medicine mechanisms of vasovagal responses, propose updated terminology, and outline steps for prevention and treatment. Methods: During an 18-month period, 281 community-style acupuncture treatments were performed on family members of admitted patients and hospital staff members at the University of Minnesota Masonic Children's Hospital. Five (1.8%) treatments resulted in documented acupuncture-associated vasovagal response (AAVR) symptoms. Results: All 5 patients recovered from their AAVR symptoms after treatment interventions. After recovery, 3 patients reported reductions in their main complaint symptoms; main complaint symptom outcomes were not recorded for the other 2 patients. Conclusions: As integrative practices become more prevalent in academic institutions and primary care environments, clear communication about, as well as prevention treatment, documentation and reporting of acupuncture-associated adverse events will become increasingly valuable. The authors recommend that clinicians in integrative practice clinical environments consider developing formal AAVR response plans as well as training students, supervising and attending providers, and ancillary staff members to ensure rapid, prepared handling and documentation of AAVR incidents.
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