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The 1950s and 1960s were years of shifting values and social changes that did not sit well with many citizens of Richmond, Virginia, and in particular with one conservative family, a staunchly southern mother and father and their two daughters. A powerful evocation of time and place, this memoir—a gifted poet's first book of prose—is the story of an inquisitive and sensitive young woman's coming of age and a deeply moving recounting of her reconciliation later in life with the family she left behind. Returning us to a Cold War world marked by divisions of race, gender, wealth, and class, The Prodigal Daughter is an exploration of difference, the powerful wedge that separates individuals within a social milieu and within a family. Echoing the biblical Prodigal Son, Margaret Gibson's memoir is less concerned with the years of excess away from home than with the seeds of division sown in this family's early years. Hers is the story of a mother proud to be a Lady, a Southerner, and a Christian; of two daughters trapped by their mother's power; and of their father's breakdown under social and family expectations. Slow to rebel, young Margaret finally flees the world of manners and custom—which she deems poor substitutes for right thought and right action in the face of the Civil Rights movement and the Vietnam War—and abandons her fundamentalist upbringing. In a defiant gesture that proves prophetic, she once signed a postcard home \"The Prodigal.\" After years of being the distant, absent daughter, she finds herself returning home to meet the needs of her stroke-crippled younger sister and her incapacitated parents. In this tale of homecoming and forgiveness, death and dying, Gibson recounts how she overcame her long indifference to a sister she had thought different from herself, recognizing the strengths of the bonds that both hold us and set us free. Interweaving astute social observations on social pressures, race relations, sibling rivalry, adolescent angst, and more, The Prodigal Daughter is a startlingly honest portrayal of one family in one southern city and the story of all too many families across America.

When it comes time to provide care for those who once cared for us, where can we turn? This book offers practical guidance for a broad range of caregiving situations when family caregivers assume their new role.Uses the latest research and draws on case histories and interviews.Is a resource as well as a source of inspiration, with a blend of powerful stories and practical advice.Helps caregivers cope with numerous challenges, including parents who need but refuse help; siblings who don't get along; the complexity of healthcare systems; financial issues; juggling work and caregiving; the use of technology; the power of connecting with a loved one who has dementia; and realizing the benefits amid the burdens of caregiving.

First published in 1998.It is likely that as long as dementia has been in existence, caregivers of cognitively-impaired individuals have supported them.Today's caregivers, however, are different in some ways from their predecessors.

Caring for a parent whose health is in decline turns the world upside down. The emotional fallout can be devastating, but it doesn't have to be that way. Empathic guidance from an expert who's been there can help. Through an account of two sisters and their ailing mother--interwoven with no-nonsense advice--The Emotional Survival Guide for Caregivers helps family members navigate tough decisions and make the most of their time together as they care for an aging parent. The author urges readers to be honest about the level of commitment they're able to make and emphasizes the need for clear communication within the family. While acknowledging their guilt, stress, and fatigue, he helps caregivers reaffirm emotional connections worn thin by the routine of daily care. This compassionate book will help families everywhere avoid burnout and preserve bonds during one of life's most difficult passages.

The Sandwich Generation refers to the growing numbers of middle-aged people who must care for both children and elderly parents while trying to manage the stress of full-time jobs. 'Everything they say is practical and useful.' - Globe and Mail

In der vorliegenden Arbeit wurde mittels einer Studie die Pharmazeutische Betreuung von Patienten mit COPD während des Krankenhausaufenthaltes untersucht und anhand verschiedener Zielparameter evaluiert. Von Bedeutung waren insbesondere die Optimierung der Arzneimitteltherapie, die Inhalationstechnik, das krankheitsbezogene Patientenwissen, das Selbstmanagement, die Compliance und die Lebensqualität. Ausgehend von einer intensiven pharmazeutischen Betreuungsleistung und Patientenschulung bei insgesamt 105 Patienten (47m, 58w; Alter 69, 9, SD = 6, 6) mit mittel- bis schwergradiger COPD konnte das krankheitsbezogene Patientenwissen, die Inhalationstechnik, die Fähigkeiten zum Selbstmanagement, die Compliance sowie der Umgang mit krankheitsbezogenen Ängsten und Befürchtungen statistisch signifikant verbessert werden. Auch für die Lebensqualität, differenziert nach der allgemeinen Lebensqualität und der krankheitsspezifischen Lebensqualität, ließ sich für die Mehrzahl der einzelnen Domänen bzw. Subskalen eine statistisch signifikante Verbesserung feststellen. Ein ökonomischer Nutzen wurde durch die Reduktion der Krankenhausverweildauer bzw. der vergleichenden Ermittlung erneuter Krankenhauseinweisungen nachgewiesen. Insgesamt konnte gezeigt werden, dass die pharmazeutische Betreuung von COPD-Patienten in Form einer klinischen Betreuung durch den Krankenhausapotheker effektiv ist und einen Beitrag zu einer leitlinien-orientierten Versorgung leistet.Stichwörter: Pharmazeutische Betreuung, Klinische Pharmazie, COPD, Arzneimittel- therapie, integrierte Versorgung, Patientenschulung, arzneimittelbezogene Probleme, Inhalationstechnik, Compliance, Selbstmanagement, Lebensqualität, Krankenhausverweildauer.

This research traced the process of caregiver selection among adult children longitudinally, investigating how transitions to parent care were influenced by previous constellations of caregiving costs and commitments within sibling groups. The authors used data from 6 waves (1998–2008) of the Health and Retirement Study, selecting a sample of families (N = 641 parents comprising N = 2,452 parent–child dyads) in which they observed at least 1 adult child becoming a caregiver to a previously self-sufficient parent. Among cost-related factors, this transition was predicted primarily by between-sibling differences in previous geographical distances to the parent and, to a lesser extent, competing demands in work and family spheres. The indicators for caregiving commitments showed the importance of reciprocity, path dependency, and parental expectations as motivational forces affecting the process of caregiver selection among adult children. Gender effects revealed the primacy of the mother–daughter tie, as daughters were overrepresented only in transitions to mother care.

Objective We aim to examine whether having been separated from parents during childhood influences multiple dimensions of intergenerational solidarity during adulthood. Background In developing countries, many children experience geographic separation from one or both parents due to parental out‐migration. Previous research has examined the concurrent effects of parental migration on parent–child relationships, but little is known about the long‐term implications of parental absence during childhood for intergenerational relationships in adulthood. Method Our study used data from the China Family Panel Studies (2010 and 2016) to examine the relationship between mothers' and fathers' absence during childhood and intergenerational solidarity during adulthood. The sample includes adult respondents aged 25–54 with a living mother or father in 2016, generating 8889 respondent‐mother and 7159 respondent‐father dyads. We estimated multilevel regression models predicting emotional, associational, and functional solidarity with the mother and the father during adulthood. Results For both mother and father, the parent's absence during childhood is negatively associated with children's closeness to and frequency of seeing the parent in adulthood. Parental absence during childhood has little impact on the economic and instrumental support of parents in adulthood. A longer duration of parental absence has a stronger detrimental impact on intergenerational solidarity than a shorter duration for both mother–child and father–child relationships. Moreover, one parent's absence during childhood can influence the child's relationship with the other parent during adulthood (a spillover effect). Conclusion Parents' absence during childhood has long‐term implications for parent–child relationships during adulthood.

Due to extended transitions to adulthood and declining marital rates, bonds between adults and parents have grown increasingly salient in individuals' lives. This review organizes research around these topics to address ties between parents and grown children in the context of broader societal changes over the past decade. Literature searches included tables of contents of premier journals (e.g., Journal of Marriage and Family), Psychological Info, and Google Scholar. The literature review revealed patterns of social and intergenerational changes. Technological advances (e.g., introduction of the smart phone) co‐occurred with more frequent contact and interdependence between generations. The Great Recession and financial strains altered the nature of many parent/child ties, including increased rates of intergenerational coresidence. Individual life problems such as divorce, addiction, and physical health problems were reflected in complex changes in positive and negative relationship qualities, ambivalence, and intergenerational support. Government policies reflect societal values and in turn, affected the distribution of parents' and grown children's resources. Political disruptions instigated migration, separating generations across large geographic regions. Political disruptions instigated migration, separating generations across large geographic regions. Demographic changes (e.g., constellation of family members, delayed marriage, same sex marriage) were also manifest in ties between adults and parents. Findings were consistent with the Intergenerational Systems in Context Model, which posits that societal transformations co‐occur with changes in intergenerational relationships via reciprocal influences.