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Evaluate The Effectiveness Of Reminiscence Therapy Nursing Essay

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ON STRESS AND COPING STRATEGIES AMONG ELDERLY IN

SELECTED OLD AGE HOME , COIMBATORE .

By

ELIZABETH JEBAKANI. C

A Dissertation submitted to The Tamil Nadu Dr.M.G.R Medical College,

Chennai in partial success of requirement for the Diploma of

MASTER OF SCIENCE IN NURSING

APRIL – 2011

A STUDY TO EVALUATE THE EFFECTIVENESS OF REMINISCENCE THERAPY

ON STRESS AND COPING STRATEGIES AMONG ELDERLY IN

SELECTED OLD AGE HOME , COIMBATORE .

By

ELIZABETH JEBAKANI .C

A Dissertation submitted to The Tamil Nadu Dr.M.G.R Medical College, Chennai

in partial success of requirement for the Diploma of

MASTER OF SCIENCE IN NURSING

APRIL – 2011

INTERNAL EXAMINER EXTERNAL EXAMINER

CERTIFICATE

Licensed that that is the bonafide work of Mrs. Elizabeth Jebakani.C of Ok.G. Faculty of Nursing, Coimbatore, submitted in partial success of the requirement for the Diploma of Grasp of Science in Nursing to The Tamil Nadu Dr. M.G.R Medical College underneath the Registration No: 30096442.

MRS.VAIJAYANTHI MOHANDAS, PROF.(MRS.) SONIA DAS,

Director of Schooling, Principal,

Ok.G.Faculty of Well being Sciences, Ok.G Faculty of Nursing,

Coimbatore. Coimbatore.

A STUDY TO EVALUATE THE EFFECTIVENESS OF REMINISCENCE THERAPY

ON STRESS AND COPING STRATEGIES AMONG ELDERLY IN

SELECTED OLD AGE HOME , COIMBATORE .

Permitted by the Dissertation Committee on: 09-04-2010

___________________________

Prof. (Mrs.) TAMILSELVI. ,

Head of the division,

Psychiatry Nursing,

Ok.G.Faculty of Nursing,

Ok.G.Hospital,

Coimbatore- 641018.

___________________________

Dr.(Mrs.) V. PONNI MURALIDHARAN. ,

Psychiatrist,

Ok.G.Hospital,

Coimbatore- 641018.

___________________________

Prof. (Mr.) Ok.SUBRAMANIAN. ,

Biostatistics and Analysis,

Ok.G.Faculty of Nursing,

Ok.G.Hospital,

Coimbatore- 641018.

A Dissertation submitted to The Tamil Nadu Dr.M.G.R Medical College,

Chennai, in partial success of requirement for the Diploma of

MASTER OF SCIENCE IN NURSING

APRIL – 2011

ACKNOWLEDGEMENT

“I can do all issues by means of him who strengthens me”

(Philippians Four:13)

I reward and thank the Almighty for the chance he gave me and the blessings bestowed on me all through the course of my examine.

The essence of all stunning artwork, all nice artwork, is gratitude. Gratitude can by no means be expressed in phrases however that is solely deep notion, which makes the phrases to movement from ones interior coronary heart

My heartfelt due to Padmashri. Dr. G. BAKTHAVATHSALAM,

Chairman, Ok.G. Hospital, Coimbatore, for giving me a chance to hold out this examine profitable.

“Modifications aren’t made on this world till any person brings them out”. I categorical my honest, respectful and entire hearted gratitude to Mrs.VAIJAYANTHI MOHANDAS, Director of Schooling, Ok.G.Faculty of Well being Sciences, for her fixed Help, encouragement and steerage in all my endeavours.It’s my nice honor and privilege to have accomplished this examine underneath her steerage.

“Better achievements come from experiences they usually stand as key to successes”. It’s my privilege to specific my honest gratitude and heartfelt due to Prof. (Mrs.) SONIA DAS, Principal, Ok.G .Faculty of Nursing for her encouragement, Help and fixed steerage to pursue this examine.

My heartfelt due to Prof. (Ms.) RAJI. Ok, Vice-Principal, Ok.G Faculty of Nursing for her Help throughout this examine.

“The dream begins with a trainer who believes in you, who tugs and pushes and leads you to the subsequent plateau, known as “fact.” I solicit my esteem gratitude to my analysis information Prof.(Mrs.)TAMILSELVI , Head of the Division of Psychiatry Nursing, Ok.G.Faculty of Nursing for her constructive outlook,path,precious steerage and unwavering Help which contributed in the direction of the profitable completion of this work.

I categorical my honest gratitude in the direction of Dr. V.PONNIMURALIDARAN, Psychiatrist, Ok.G.Hospital, for her fixed Help and steerage.

“There can’t be a wonderful piece of structure with out an architect”. I’m obliged to Prof. (Mr.) Ok.SUBRAMANIAN, Division of Biostatistics and Analysis for his crucial statistical recommendation, his super efforts to make figures significant.

I convey my honest due to Prof. (Mrs.) SOFIA CHRISTOPHER, class coordinator and head of the Division of Group Well being Nursing, for her endurance, affectionate, ethical Help and steerage all through my examine.

I lengthen my heartfelt due to Prof. (Mrs.) VIJAYALAKSHMI.N, Head of the Division of Little one Well being Nursing and Prof. (Mrs.) SHEEBA. R, Head of the Division of Obstetrics and Gynecological Nursing, for his or her fixed inspiration all through the examine.

I sincerely thank Mrs. NUZIBA BEGUM, Ms.SANTHAKUMARI, Lecturers, Division of Psychiatry Nursing, and Ok. G. Faculty of Nursing for his or her important motivation and inspiration all through my examine.

My honest gratitude to all of the specialists Dr.(Mr.)MARIKANNAN, Dr.(Mrs.)PONNI MURALIDHARAN.V, Prof.(Mrs.)VIJAYALAKSHMI, Prof.(Mrs.)LALITHA VIJAY, Prof.(Mrs.)VANITHA, Prof.(Mrs.)MEERA SARAVANAN and Prof.(Mrs.)UTTRAMANI, who’ve given the content material validity and given options within the modification of the software.

I acknowledge the well timed Help of all of the FACULTY MEMBERS of Ok.G.Faculty of Nursing for his or her form Help in the course of the course of the examine.

My entire hearted due to the DIRECTOR of Sheela Senior Citizen Dwelling, Coimbatore for her precious permission and fixed Help all through my examine.

A phrase of appreciation to Mrs. JOSEPHINE PRINCEY, English Lecturer, Ok.G. Faculty of Nursing, for her precious editorial Help.

I’ve immense pleasure in thanking Prof.(Mr.)A.SUBRAMANIAN, Tamil Lecturer, J.J.Trainer Institute, Trichy, for his precious editorial Help.

I acknowledge my honest due to Mr.KADTHIRVADIVELU.M, Librarian, Ok.G.Faculty of Well being Sciences for rendering his Help and Help in procuring the literature associated to the examine.

I categorical my honest due to all of the PARTICIPANTS for his or her form co-operation all through the examine, with out them it might have been not possible to conduct the examine.

I dedicate this work to my PARENTS and HUSBAND for his or her unconditional love, care, supporting prayers and encouragement to finish this process.

It offers me nice pleasure to thank with deep sense of gratitude to Mr.ABRAHAM MESHAK, for his painstaking efforts in getting ready the memory remedy album for my examine.

I’m extraordinarily grateful to Mr.RANGARAJ, Xerox, Saravanampatty, who spent hours to organize the script of this thesis.

I might additionally wish to render a phrase of appreciation to all my FRIENDS and CLASSMATES for his or her well timed Help and Help all through the examine.

I thank every person who immediately and not directly helped within the profitable completion of this dissertation.

INDEX

CHAPTER

CONTENT

PAGE NO

I

II

III

IV

V

VI

INTRODUCTION

Want for the examine

Assertion of the issue

Goals

Operational definitions

Assumptions

Speculation

Limitations

Projected outcomes

Conceptual framework

REVIEW OF LITEATURE

Literature research associated to emphasize.

Literature research associated to memory remedy.

Literature research associated to coping.

METHODOLOGY

Introduction

Analysis method

Analysis design

Setting of the examine

Variables

Inhabitants

Pattern measurement

Sampling method

Standards for pattern choice

Description of the software

Content material validity

Pilot examine

Reliability

Methodology of knowledge assortment

Plan for knowledge Assessment

DATA ANALYSIS AND INTERPRETATION

RESULTS AND DISCUSSION

SUMMARY,RECOMMENDATIONS AND

NURSING IMPLICATIONS OF THE STUDY

BIBLIOGRAPHY

APPENDICES

1-Three

Four-6

7

7

7-Eight

Eight

Eight

Eight

9

9-12

13-21

13-16

17-20

20-21

22-32

22

22

22-24

24

25-26

27

27

28

28

28-30

30

30-31

31

31

32

33-57

58-62

63-67

LIST OF TABLES

Fig No

TABLES

1.

Distribution of demographic variables amongst aged in experimental group and management group.

2.

Distribution of pre check stress and coping rating amongst aged in experimental group and management group.

Three.

Distribution of put up check stress and coping rating amongst aged in experimental group and management group.

Four.

Comparisons of scores on pre check and put up check stress amongst aged in experimental group.

5.

Comparisons of scores on pre check and put up check coping amongst aged in experimental group.

6.

Comparisons of scores on stress amongst aged in experimental and management group.

7.

Comparisons of scores on coping amongst aged in experimental and management group.

Eight.

Correlation coefficient between stress and coping amongst aged in experimental group.

9.

Correlation coefficient between stress and coping amongst aged in management group.

10.

Affiliation on stress rating with chosen demographic variables in experimental group.

11.

Affiliation on coping rating with chosen demographic variables in experimental group.

LIST OF FIGURES

Fig No

FIGURES

1.

Conceptual Framework.

2.

Schematic Illustration of Research Design.

Three.

Relationship of Variables.

Four.

Diagram exhibiting the demographic variables with regard to age of the aged within the experimental and management group.

5.

Diagram exhibiting the demographic variables with regard to remain of the aged within the experimental and management group.

6.

Diagram exhibiting the demographic variables with regard to marital standing within the experimental and management group.

7.

Diagram exhibiting the comparisons of scores on pre check and put up check stress amongst aged within the experimental group.

Eight.

Diagram exhibiting the comparisons of scores on pre check and put up check coping amongst aged within the experimental group.

9.

Diagram exhibiting the comparisons of scores on stress amongst aged within the experimental and management group.

10.

Diagram exhibiting the comparisons of scores on coping amongst aged within the experimental and management group.

LIST OF APPENDICES

APPENDIX

TITLE

A

B

C

D

E

F

G

H

I

Letter looking for permission for conducting the examine.

Letter granting permission for conducting the examine.

Letter looking for specialists opinion for content material validity of the software.

Format for content material validity.

Listing of specialists for content material validity.

Certificates of English modifying.

Certificates of Tamil modifying.

Software I: Demographic Variables

Software II: Modified Sheldon Cohen’s Perceived Stress Scale.

Software III: Modified Lazarus Coping Scale.

Process of memory remedy.

APPENDIX – A

LETTER SEEKING PERMISSION FOR CONDUCTING THE STUDY

To,

The Director,

Sheela Senior Citizen Dwelling,

26, Annai Amirthanandha Nagar,

Thadagam Highway,

Velandipalayam,

Coimbatore.

Revered Madam,

That is to deliver your form discover that Mrs. Elizabeth jebakani.C, scholar of Ok. G. Faculty of Nursing is conducting a analysis on “A STUDY TO ASSESS THE EFFECTIVENESS OF REMINISCENCE THERAPY ON STRESS AND COPING STRATEGIES AMONG ELDERLY IN SELECTED OLD AGE, COIMBATORE.” For the aim of submission to the TamilNadu Dr.M.G.R Medical College, Chennai, as a partial success of the requirement for the award of M. Sc (N) Diploma.

I kindly request you to grant her permission to conduct this examine in your outdated age house. Additional particulars of the proposed venture, if required shall be furnished by the scholar personally. Kindly do the needful.

Thanking you

Yours actually,

Prof. Sonia Das

PRINCIPAL

APPENDIX – C

LETTER SEEKING EXPERTS OPINION FOR CONTENT VALIDITY

From,

Mrs. Elizabeth jebakani.C

II 12 months M. Sc Nursing,

Ok. G. Faculty of Nursing,

Coimbatore.

To,

By means of Principal of Ok. G. Faculty of Nursing,

Revered Madam / Sir,

Sub: Requisition for professional opinion and options for content material validity of the software.

I’m a scholar of M.Sc Nursing II 12 months, of Ok. G. Faculty of Nursing, Coimbatore affiliated to the Dr. M.G. R. Medical College, Chennai. As a partial success of M.Sc, Nursing Programme, I’m conducting a examine on “A STUDY TO ASSESS THE EFFECTIVENESS OF REMINISCENCE THERAPY ON STRESS AND COPING STRATEGIES AMONG ELDERLY IN SELECTED OLD AGE, COIMBATORE.”

Right here with I’m sending the developed software for content material validity and on your professional opinion and potential suggestion. It is going to be very type of you to return the identical to the undersigned on the earliest potential.

Thanking you

Date

Place: Coimbatore

Yours faithfully,

(Mrs. Elizabeth jebakani.C)

APPENDIX – D

FORMAT FOR CONTENT VALIDITY

Title of the professional :

Deal with :

Whole content material for the software : Sufficient / Not Sufficient

Kindly validate every software and (ƒ-) whether it is relevant.

S. No

No. of Software / Part

Strongly Agree

Agree

Want Modification

Remarks

Signature of the professional with date

APPENDIX-E

LIST OF EXPERTS FOR CONTENT VALIDITY

1. Dr. (Mr.) MARIKANNAN,

Psychiatrist,

Authorities Hospital,

Coimbatore – 641018.

2. Dr. (Mrs.) PONNI MURALIDHARAN. V,

Psychiatrist,

Ok.G.Faculty of Nursing,

Coimbatore – 641018.

Three. Prof. (Mrs.) VIJAYALAKSHMI. R,

Head of Psychiatry Nursing Division,

Chettinad Faculty of Nursing,

Chennai – 600044.

Four. Prof. (Mrs.) LALITHA VIJAY,

Head of Psychiatry Nursing Division,

Sri Gokulam Faculty of Nursing,

Salem – 636412.

5. Prof. (Mrs.) VANITHA,

Head of Psychiatry Nursing Division,

Ramakrishna Faculty of Nursing,

Coimbatore – 641044.

6. Prof. (Mrs.) MEERA SARAVANAN,

Head of Psychiatry Nursing Division,

P.S.G Faculty of Nursing,

Coimbatore – 641004.

7. Prof. (Mrs.) UTTRAMANI,

Head of Psychiatry Nursing Division,

Rabindharanath Tagore Faculty of Nursing,

Salem – 637303.

APPENDIX – F

CERTIFICATE For ENGLISH EDITING

TO WHOMSOEVER IT MAY CONCERN

That is to certify that the software developed by Mrs. Elizabeth Jebakani.C II 12 months M.Sc Nursing Pupil of Ok.G. Faculty of Nursing for dissertation “A STUDY TO ASSESS THE EFFECTIVENESS OF REMINISCENCE THERAPY ON STRESS AND COPING STRATEGIES AMONG ELDERLY IN SELECTED OLD AGE HOME ,COIMBATORE.” edited for English language appropriateness by Mrs. JOSEPHINE PRINCY M.A, M. Phil.

Signature

APPENDIX – G

CERTIFICATE For TAMIL EDITING

TO WHOMSOEVER IT MAY CONCERN

That is to certify that the software developed by Mrs. Elizabeth Jebakani.C II 12 months M.Sc Nursing Pupil of Ok.G. Faculty of Nursing for dissertation “A STUDY TO ASSESS THE EFFECTIVENESS OF REMINISCENCE THERAPY ON STRESS AND COPING STRATEGIES AMONG ELDERLY IN SELECTED OLD AGE HOME , COIMBATORE.” is edited for Tamil language appropriateness by Mr. A. SUBRAMANIAN, M.A, M.Ed.

APPENDIX-H

TOOL-I

SECTION:A

SECTION:A

DEMOGRAPHIC VARIABLES:

1. AGE years

2. GENDER

a. Male

b. Feminine

Three. EDUCATIONAL QUALIFICATION

a. Illiterate

b. Major

c. Highschool

d. Increased secondary

e. Faculty stage

Four. MARITAL STATUS

a. Single

b. Married

c. Widow/Widower

d. Separated

5. PAST OCCUPATION

a. Unemployed

b. Coolie

c. Skilled

d. Others

6. MONTHLY INCOME

a. < Rs.1000

b. Rs.1001-2000

c. >Rs.2000

7. SOURCE OF INCOME

a. Pension

b. Deposit

c. Relations

d. Establishment

Eight. DURATION OF STAY

a.

b. One 12 months

c. 2-5years

d. greater than 5 years

9. FREQUENCY OF VISIT BY FAMILY MEMBERS

a. As soon as in every week

b. Twice in every week

c. Thrice in every week

d. By no means

10. NUMBER OF CHILDREN

a. One

b. Two

c. Three

d. None.

11. STAY OF THE ELDERLY

a. Staying along with partner

b. Staying alone.

12. PHYSICAL ILLNESS

a. Diabetes Mellitus

b. Hypertension

c. Respiratory issues

d. Others

13. SOCIAL SUPPORT

Associates

Relations

Relations

None.

TOOL-II

SECTION:B

MODIFIED SHELDON COHENS PERCIEVED STRESS SCALE

The Perceived stress scale [PSS] is essentially the most extensively used psychological instrument for measuring the notion of stress. It’s a measure of the diploma to which conditions in a single’s life are appraised as worrying.

The questions on this scale ask about your emotions and ideas in the course of the lifetime. In every case, you’ll be requested to point by tick mark how usually you felt or thought in a sure means. Perceived stress scale scores are obtained by reversing responses (eg:Zero=Four,1=Three,2=2,Three=1 &Four=Zero)to the 4 positively acknowledged objects(Four,5,7,&Eight)and summing throughout all scale objects.

KEY:

[0=Never; 1=Almost never; 2=Sometimes; 3=Fairly often; 4=Very often]

S.NO

CONTENTS

Zero

1

2

Three

Four

1

How usually have you ever been upset due to one thing that occurred unexpectedly?

2

How usually have you ever felt That you simply had been unable to manage the necessary issues in your life?

Three

How usually have you ever felt nervous and careworn?

Four

How usually have you ever felt assured about your potential to deal with your private issues?

5

How usually have you ever felt that issues had been going your means?

6

How usually have you ever discovered that you would not deal with all of the issues that you simply needed to do?

7

How usually have you ever been capable of management irritations in your life?

Eight

How usually have you ever felt that you simply had been up to the mark?

9

How usually have you ever been angered due to issues that had been outdoors of your management?

10

How usually have you ever felt difficulties had been piling up so excessive that you would not overcome them?

SCORE:

Zero-10: No Stress,

11-20: Delicate Stress,

21-30: Reasonable Stress,

31-40: Extreme Stress.

TOOL-III

SECTION:C

MODIFIED LAZARUS COPING SCALE:

The coping technique instrument which is made by Lazarus in 1991 to evaluate the coping strategies utilized by the members of the family. The instrument is assessed into downside oriented technique and affective oriented technique.

This technique consists of 15 objects and the responses as all the time, typically, by no means and undecided. The questions on this scale ask about your emotions and ideas relating to coping methods. In every case, you’ll be requested to point by tick mark within the following.

KEY: By no means=1; Typically=2; All the time=Three; Undecided=Zero.

SCORE:<50= Insufficient coping ; 51-70= Reasonable coping ;

>70= Sufficient coping.

S.no

Coping strategies

By no means

Typically

All the time

Undecided

Downside Oriented Strategies

No

%

No

%

No

%

No

%

Attempt to preserve some management over the state of affairs.

Have a look at the issue objectively.

Settle for the state of affairs as it’s.

Suppose by means of alternative ways to deal with the state of affairs.

Check out alternative ways of fixing the issue.

Attempt to discover that means within the state of affairs.

Discover out extra concerning the state of affairs so that you could deal with in higher.

Break the issue down in to “Smaller Items”.

Set particular objectives to Help clear up the issue.

Accept the subsequent neatest thing.

Speak the Downside over with somebody who has been in the identical kind of state of affairs.

Draw on previous expertise that can Help you deal with the state of affairs.

Actively attempt to change the state of affairs.

Do something simply to do one thing.

Let another person clear up the issue.

S. no

Coping Strategies

By no means

Typically

All the time

Undecided

Affective- Oriented Strategies

No

%

No

%

No

%

No

%

1

Hope that issues will get higher.

2

Pray.

Three

Fear.

Four

Attempt to put the issue out of your thoughts.

5

Snicker out off, figuring that issues might be worse.

6

Get nervous.

7

Search consolation or Help from household or mates.

Eight

Over eat.

9

Smoke.

10

Drink.

11

Fall asleep, figuring that issues will look higher within the morning.

12

Work off rigidity with bodily exercise.

13

Get ready to count on the worst.

14

Don’t fear about it; all the things will in all probability work out positive.

15

Get mad, curse, swear.

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t.

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igj;jpak;, rgpj;jy;, rj;jpak; bra;jy;

APPENDIX-I

PROCEDURE OF REMINISCENCE THERAPY

REMINISCENCE THERAPY:

Measures to stimulate long run aged sufferers with memorabilia, movies and songs significant to their era used together with or as a prelude to actuality orientation remedy. Reminiscing is a common exercise in outdated particular person. Up to now 20 years there was a change in our understanding of the psychological position performed by reminiscing theoreticians and clinicians to-day view it as an adaptive mechanism for the ageing particular person. [LEWIS, 19752]

So it as come up as a therapeutic measure to reinforce psychological effectively being in aged.

PURPOSE:

To study and admire lifetime of particular person.

To collect precious data regarding psychological elements underlying well being beliefs, coping abilities and cultural perspective.

To Help in bette

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