Deborah Coehlo - Academia.edu (original) (raw)
Papers by Deborah Coehlo
PubMed, Jul 12, 2011
Bowel control is an important developmental milestone for children. Failure to achieve or loss of... more Bowel control is an important developmental milestone for children. Failure to achieve or loss of bowel control by five years of age threatens both physical and mental health. Most children are successful at achieving bowel control by age four, but up to 3% of the pediatric population suffer from encopresis. Three in-depth case studies were reviewed, including the causes, symptoms, and treatment of this condition, one of which is presented in this article. Results indicate that treatment was successful when a combined approach using medical and behavioral strategies within the context of a developmental model was used. These results can be used by pediatric nurses, nurse practitioners, and pediatricians to assure more children will be identified and obtain the support they need for successful treatment of this complex condition.
The occurrence and timing of residential care of patients with dementia is impacted by several ca... more The occurrence and timing of residential care of patients with dementia is impacted by several care recipient and caregiver variables. Previous research has shown a strong relationship among residential placement and marital status, cognitive decline, deterioration in functional abilities, and presence of behavior problems in the care recipient. Research on caregivers has shown that, as the stress of caregiving increases and the well-being of the caregiver decreases, residential care is more likely to occur. Previous studies, however, have not explored the impact of problem behaviors over time or the impact of caregiver variables on the timing of residential placement. This study was designed to examine the relationship among care recipients' change in behavior over time and caregivers' 6 Means of Selected Measurements on Caregivers 7 Comparison of Means on Variables for Caregivers Choosing Residential Care versus Caregivers Choosing Home Care 8 Comparison of Means on Variables for Caregivers Choosing Residential Care and Interviewed versus Caregivers Choosing Residential Care and Not Interviewed 9
The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 2002
The purpose of this study was to examine the effects that changes in behavioral and psychological... more The purpose of this study was to examine the effects that changes in behavioral and psychological symptoms of dementia of persons with Alzheimer's disease have on their caregivers' mental health and physical health. The research design was a prospective, longitudinal follow-up study conducted in a major medical center and in participants' homes. Longitudinal analysis linking change in behavior to caregiver outcomes was based on 64 cases. Care recipients were assessed at the time of diagnosis with the Mini-Mental State Examination (MMSE). To provide information on the care recipient's behaviors, caregivers participated in an interview with the Modified Neuropsychiatric Inventory at diagnosis and at follow-up. Caregivers also completed a battery of established instruments to measure stress appraisal, mental health, and perceptions of their physical health at follow-up. Results showed that increases in problem behaviors among persons living with dementia, along with residence status, were significant predictors of caregivers' mental health and also their physical health. However, these relationships were mediated through stress appraisal. Variables such as MMSE score of the person with dementia, number of years caregiving, relationship status, and education level were not significant predictors of caregivers' health when behavior change was in the model.
Journal of Family Nursing, 2007
The decision to place an individual with dementia in an institutional care facility is often one ... more The decision to place an individual with dementia in an institutional care facility is often one of the most difficult judgments made in families. The purpose of this study was to determine the key variables that affect the occurrence and timing of institutional placement for families caring for an individual with dementia. The results of this study indicated that the most salient variables affecting the occurrence and timing of institutional placement for persons with dementia were the caregivers' depression scores and the care recipients' behavior change scores over time. These results indicate the need to screen for behavior change in the person with dementia and symptoms of depression in the caregivers to help families predict the need for institutional placement.
The decision to place an individual with dementia in an institutional care facil-ity is often one... more The decision to place an individual with dementia in an institutional care facil-ity is often one of the most difficult judgments made in families. The purpose of this study was to determine the key variables that affect the occurrence and timing of institutional placement for families caring for an individual with dementia. The results of this study indicated that the most salient variables affecting the occurrence and timing of institutional placement for persons with dementia were the caregivers ’ depression scores and the care recipients ’ behav-ior change scores over time. These results indicate the need to screen for behav-ior change in the person with dementia and symptoms of depression in the caregivers to help families predict the need for institutional placement.
Incorporating a life course perspective, this qualitative study used focus groups to explore the ... more Incorporating a life course perspective, this qualitative study used focus groups to explore the experiences of midlife adults who were simultaneously providing support to emerging adult children and aging parents. Results indicated that adults situated in middle generations held beliefs that endorsed family-based responsibility to both younger and older members. Parents gladly supported children despite their longer transition to adulthood. Often unanticipated but accepted, provisions of care to aging parents were experienced with ambivalence – a joy and a burden. The transition of their parents to greater dependence helped participants gain insights into the terrain of late life and encouraged reflections about the intersection of aging, independence, and family responsibility. Participants expressed intentions to preserve their own independence and spare children of caregiving burdens through self-directed actions. Implications focused on negotiations of family relationships arou...
Journal of Aging Studies, 2013
Family health care nursing : , Family health care nursing : , کتابخانه دیجیتال جندی شاپور اهواز
Journal of Family Nursing, 2010
The National Council on Family Relations (NCFR; http://www.ncfr.org) is a national organization b... more The National Council on Family Relations (NCFR; http://www.ncfr.org) is a national organization based in the United States, dedicated to providing a platform for family researchers, educators, and practitioners to share information and research regarding families as context and families as clients. The NCFR is also active in establishing and evaluating professional standards for disciplines serving families, including psychologists, sociologists, nurses, family therapists, and family educators. The overreaching goal of the organization is to promote family well-being. The Family Health Section of NCFR (http://www.ncfr.org/member/ sections/familyhealth/home.asp) has traditionally been an avenue for North American family scholars to network and share interest in research, policy, and practice. Over the past 30 years, nurses with a focus on family care have joined this section and have produced family nursing books, articles, and research grants. The conversations at section meetings were lively as nursing clinicians and scholars shared ideas about curriculum needs in nursing education, research needs for family nursing, and writing opportunities. Nurses helped develop focus groups within the Family Health Section, including the “Families and Chronic Conditions Across the Lifecourse” focus group and “Issues in Aging” focus group. In the past, 85% to 90% of the members of the Family Health Section were nurses. This trend has dramatically changed over the past 5 years. Today, only 27% of the members of the Family Health Section are nurses,
PubMed, Jul 12, 2011
Bowel control is an important developmental milestone for children. Failure to achieve or loss of... more Bowel control is an important developmental milestone for children. Failure to achieve or loss of bowel control by five years of age threatens both physical and mental health. Most children are successful at achieving bowel control by age four, but up to 3% of the pediatric population suffer from encopresis. Three in-depth case studies were reviewed, including the causes, symptoms, and treatment of this condition, one of which is presented in this article. Results indicate that treatment was successful when a combined approach using medical and behavioral strategies within the context of a developmental model was used. These results can be used by pediatric nurses, nurse practitioners, and pediatricians to assure more children will be identified and obtain the support they need for successful treatment of this complex condition.
The occurrence and timing of residential care of patients with dementia is impacted by several ca... more The occurrence and timing of residential care of patients with dementia is impacted by several care recipient and caregiver variables. Previous research has shown a strong relationship among residential placement and marital status, cognitive decline, deterioration in functional abilities, and presence of behavior problems in the care recipient. Research on caregivers has shown that, as the stress of caregiving increases and the well-being of the caregiver decreases, residential care is more likely to occur. Previous studies, however, have not explored the impact of problem behaviors over time or the impact of caregiver variables on the timing of residential placement. This study was designed to examine the relationship among care recipients' change in behavior over time and caregivers' 6 Means of Selected Measurements on Caregivers 7 Comparison of Means on Variables for Caregivers Choosing Residential Care versus Caregivers Choosing Home Care 8 Comparison of Means on Variables for Caregivers Choosing Residential Care and Interviewed versus Caregivers Choosing Residential Care and Not Interviewed 9
The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 2002
The purpose of this study was to examine the effects that changes in behavioral and psychological... more The purpose of this study was to examine the effects that changes in behavioral and psychological symptoms of dementia of persons with Alzheimer's disease have on their caregivers' mental health and physical health. The research design was a prospective, longitudinal follow-up study conducted in a major medical center and in participants' homes. Longitudinal analysis linking change in behavior to caregiver outcomes was based on 64 cases. Care recipients were assessed at the time of diagnosis with the Mini-Mental State Examination (MMSE). To provide information on the care recipient's behaviors, caregivers participated in an interview with the Modified Neuropsychiatric Inventory at diagnosis and at follow-up. Caregivers also completed a battery of established instruments to measure stress appraisal, mental health, and perceptions of their physical health at follow-up. Results showed that increases in problem behaviors among persons living with dementia, along with residence status, were significant predictors of caregivers' mental health and also their physical health. However, these relationships were mediated through stress appraisal. Variables such as MMSE score of the person with dementia, number of years caregiving, relationship status, and education level were not significant predictors of caregivers' health when behavior change was in the model.
Journal of Family Nursing, 2007
The decision to place an individual with dementia in an institutional care facility is often one ... more The decision to place an individual with dementia in an institutional care facility is often one of the most difficult judgments made in families. The purpose of this study was to determine the key variables that affect the occurrence and timing of institutional placement for families caring for an individual with dementia. The results of this study indicated that the most salient variables affecting the occurrence and timing of institutional placement for persons with dementia were the caregivers' depression scores and the care recipients' behavior change scores over time. These results indicate the need to screen for behavior change in the person with dementia and symptoms of depression in the caregivers to help families predict the need for institutional placement.
The decision to place an individual with dementia in an institutional care facil-ity is often one... more The decision to place an individual with dementia in an institutional care facil-ity is often one of the most difficult judgments made in families. The purpose of this study was to determine the key variables that affect the occurrence and timing of institutional placement for families caring for an individual with dementia. The results of this study indicated that the most salient variables affecting the occurrence and timing of institutional placement for persons with dementia were the caregivers ’ depression scores and the care recipients ’ behav-ior change scores over time. These results indicate the need to screen for behav-ior change in the person with dementia and symptoms of depression in the caregivers to help families predict the need for institutional placement.
Incorporating a life course perspective, this qualitative study used focus groups to explore the ... more Incorporating a life course perspective, this qualitative study used focus groups to explore the experiences of midlife adults who were simultaneously providing support to emerging adult children and aging parents. Results indicated that adults situated in middle generations held beliefs that endorsed family-based responsibility to both younger and older members. Parents gladly supported children despite their longer transition to adulthood. Often unanticipated but accepted, provisions of care to aging parents were experienced with ambivalence – a joy and a burden. The transition of their parents to greater dependence helped participants gain insights into the terrain of late life and encouraged reflections about the intersection of aging, independence, and family responsibility. Participants expressed intentions to preserve their own independence and spare children of caregiving burdens through self-directed actions. Implications focused on negotiations of family relationships arou...
Journal of Aging Studies, 2013
Family health care nursing : , Family health care nursing : , کتابخانه دیجیتال جندی شاپور اهواز
Journal of Family Nursing, 2010
The National Council on Family Relations (NCFR; http://www.ncfr.org) is a national organization b... more The National Council on Family Relations (NCFR; http://www.ncfr.org) is a national organization based in the United States, dedicated to providing a platform for family researchers, educators, and practitioners to share information and research regarding families as context and families as clients. The NCFR is also active in establishing and evaluating professional standards for disciplines serving families, including psychologists, sociologists, nurses, family therapists, and family educators. The overreaching goal of the organization is to promote family well-being. The Family Health Section of NCFR (http://www.ncfr.org/member/ sections/familyhealth/home.asp) has traditionally been an avenue for North American family scholars to network and share interest in research, policy, and practice. Over the past 30 years, nurses with a focus on family care have joined this section and have produced family nursing books, articles, and research grants. The conversations at section meetings were lively as nursing clinicians and scholars shared ideas about curriculum needs in nursing education, research needs for family nursing, and writing opportunities. Nurses helped develop focus groups within the Family Health Section, including the “Families and Chronic Conditions Across the Lifecourse” focus group and “Issues in Aging” focus group. In the past, 85% to 90% of the members of the Family Health Section were nurses. This trend has dramatically changed over the past 5 years. Today, only 27% of the members of the Family Health Section are nurses,