Carolyn J. Rosenthal

Well being in Canadian seniors: Findings from the Canadian Study of Health and Aging.

While aging is associated with increased health problems and disability, most seniors subjectively rate their health positively, and view aging as a positive period of life evaluation, increased wisdom and maturity. The somewhat paradoxical nature of these findings suggests that later life well-being is multidimensional and variable. Drawing on data from a nationally representative survey, this paper describes the subjective well-being of a sample of Canadian seniors, using the Ryff multidimensional measure of well-being, and investigates the effects of various demographic, health and socio-economic conditions on reported levels of well-being. Seniors’ well-being is robust in terms of the dimension of autonomy, which is resilient to the physical and social circumstances of later life. But, as seniors age, they experience declines in their sense of purpose in life and opportunities for personal growth, in part, due to socio-economic factors. Good health and functional status are important for seniors’ sense of mastery over their surrounding world.

Care management and care provision for older relatives amongst employed informal care-givers

ABSTRACT This paper examines care management, or ‘managerial care’, a type of informal care for older adults that has been relatively neglected by researchers. While previous research has acknowledged that care-giving may involve tasks other than direct ‘hands-on’ care, the conceptualisation of managerial care has often been vague and inconsistent. This study is the first explicitly to investigate managerial care amongst a large sample of carers. In our conceptualisation, care management includes care-related discussions with other family members or the care recipient about the arrangements for formal services and financial matters, doing relevant paperwork, and seeking information. The study examines the prevalence of this type of care, the circumstances under which it occurs, its variations by care-giver characteristics, and its impact on the carers. We drew from the Canadian CARNET ‘Work and Family Survey’ a sub-sample of 1,847 full-time employed individuals who were assisting older relatives. The analysis shows that managerial care is common, distinct from other types of care, a meaningful construct, and that most care-givers provide both managerial and direct care. Care management includes both the orchestration of care and financial and bureaucratic management. Providing managerial care generates stress amongst women and interferes with work amongst men, and the aspect that generates the greatest personal and job costs amongst both men and women is the orchestration of care.

Older parents' expectations for filial support

A measure of general filial obligation expectations is presented. With data from a representative sample aged 70 and older, we show that generalized expectations for support from adult children are not patterned systematically by sociodemographic factors or by health needs of the older respondents. A typology is presented which relates expectations for help to judgments of the level received. This typology is meaningfully related to social indicators presumably related to need such as marital status and socioeconomic status. Whether one is dissatisfied, satisfied, or pleasantly surprised by the assistance one receives is associated with evaluative judgments of children. The parent-child bond is affected not only by exchange patterns but by the fit between expectations and exchange patterns.

Postgraduate medical training, stress, and marriage.

In a pilot study, 20 interviews were conducted with married female interns and residents and their spouses in order to explore both positive effects of spousal support and negative effects of additional role obligations during medical training. The marital state has been shown to be related to lowered levels of stress. Past studies of medical marriage have focused on male physicians and their wives. However, marriage and parenthood impact differently on women than men, and thus on women physicians. To explore these differences, our findings are contrasted with findings on male medical students and their wives by R. Coombs. Compared to our subjects, Coombs found spouses were either housewives or held lower level jobs rather than demanding careers, and consequently our subjects experienced greater difficulty meeting demands of everyday life (cooking, cleaning, child care). Coombs’ wives showed greater vicarious identification with the goals and satisfactions of the physician in-training; greater feelings of obligation to nurture, support and make sacrifices on behalf of their spouses; and less resentment toward the current system of medical training. They stressed the nurturing aspect of marital support rather than instrumental aspects. Subjects in both studies feared growing apart but while Coombs’ wives feared being outgrown intellectually, our husbands were critical of their wives’ narrowness of interests. Subjects in both studies believed marriage provided benefits (intimacy, support, affection, sex) but also complained of the negative impact of exhausting and emotionally draining medical training. Implications of findings for reducing the stress of medical training are discussed.

The Impact of Ethnicity on Helping Older Relatives: Findings From a Sample of Employed Canadians

This study examines the relationship between ethnicity and the provision of assistance to older relatives. A sample of employed Canadians ( N = 2,753), a subsample of the CARNET Work and Family Survey, is used to explore how ethnicity influences the amount of assistance provided to older relatives. Findings from our study suggest that Asians, East Indians, and Southern Europeans provide higher levels ofhelp than British respondents. Final obligation affects the amount of help provided but plays a similar role within each ethnic group. However, structural factors — in particular, living arrangement and age — are stronger predictors of the level of involvement in helping older relatives than are cultural factors of filial obligation and belonging to a particular ethnic group.

AGING WITH A PREEXISTING DISABILITY: DEVELOPING A BIBLIOGRAPHY AND CURRICULUM GUIDE FOR HEALTH AND SOCIAL SCIENCE EDUCATORS

One of the most exciting and challenging aspects of aging in Canada is the increasing numbers of individuals with preexisting disabilities surviving into old age. Many of these individuals are among the first generation of people with disabilities to survive and experience aging with a disability. As a response to this challenge, a multidisciplinary, interuniversity group of faculty in Ontario prepared a computerized bibliographic database and curriculum guide on aging with a preexisting disability. One aspect of the project was a survey of health and social science educators in Ontario. This article presents a summary of the faculty survey results, describes the current bibliography and database, and provides an overview of the four learning units designed to accompany the bibliography.

Career Choices: A Comparison of Two Occupational Therapy Practice Groups.

The increasing number of elderly people in the population and their greater use of the health care system require an increasing number of health care providers to work with older adults. A shortage of health care professionals to provide this care, as well as a reluctance to provide such care have been reported in the literature. The purpose of this qualitative study was to investigate how occupational therapists decide to work with older adults. Using a comparative approach, 40 occupational therapists were interviewed, 20 working in gerontology and 20 working in paediatrics. The findings indicate that social characteristics and experiences of the individual, as well as the context of work are important influences for practice choice decisions. Mapping of career paths led to the development of a typology to further describe the different influences involved in the career choices of these occupational therapists. Recommendations related to education and practice provide practical means by which to implement change.

You're saying something by giving things to them: communication and family inheritance

The study purpose was to contribute to a more complete understanding of the experience and meaning of family inheritance. The aim of this article is to describe and discuss the meaning of communication in inheritance experiences among Canadian families. A constructivist/interpretive methodological approach guided this research. Participants were recruited through purposive, convenience sampling from two cities and one town in southern and southwestern Ontario, Canada. Fifty face-to-face, semi-structured, audio-taped, in-depth interviews were conducted between June 2006 and April 2007. NVivo software was used to organize and analyze the data. A content analysis method guided data analysis. Participants interpreted the meaning of family structure, relationships, feelings, and past inheritance experiences to construct their family inheritance communication. Analysis of the findings revealed four themes regarding the role of communication in family inheritance including: (a) avoiding conflict and preserving biological ties, (b) resisting conversations about possessions, (c) achieving confidence withpossession communication, and (d) lasting effects. Participants from non-blended and blended families experienced similar inheritance communication challenges related to past experience with their parents’ wills and distribution of their own possessions. Participants with past positive inheritance experiences with parents adopted similar strategies when communicating their own inheritance wishes. Negative messages conveyed to participants by their parent’s wills inspired participants to communicate in opposite ways in their own inheritance planning. The study findings are useful for gerontologists, lawyers, family counselors, and estate planners.