Background: Foreign home care services provided to frail older adults by individuals from the developing world are a global phenomenon. This study evaluated the challenges associated with live-in foreign home care from the perspective of older care recipients and their family members.

Methods: Qualitative interviews were conducted with 23 family members and seven older care recipients. Interviews were analyzed thematically.

Results: Three main themes were identified: (i) the intense fears associated with witnessing the decline of the older care recipient and the subsequent employment of a foreign home care worker; (ii) actual negative experiences within this caregiving setting; and (iii) the ways in which family members and older care recipients coped with these challenging experiences.

Conclusions: The key to this caregiving arrangement is the establishment of trust. Yet, many care recipients experienced violations of trust that resulted in abuse and neglect, which served to further intensify fears and concerns about this caregiving arrangement. The same coping methods used to maintain this arrangement, despite fears and concerns, are the ones responsible for maintaining the older care recipient in an abusive situation.

Background: Populations worldwide are aging and the overall prevalence of dementia at death is now 30%. Since the contemporary social impact of a disease is indicated by the frequency of its newspaper coverage and since obituary notices illuminate conceptions of death, we hypothesized that obituary notices placed by families would reflect societal attitudes to aging and dementia.

Methods: We undertook critical discourse analysis of obituaries in representative national and local newspapers in Canada and the U.K.

Results: In the 799 obituaries studied, chronological age, suggested donations in memory of the deceased, and donations to dementia charities were each included in significantly more obituaries in Canadian newspapers than in U.K. ones. Military service was explicit for significantly more men aged ≥ 80 years in Canada compared to the U.K. (41% versus 4%; p < 0.05). Of the donations to medical charities, nearly half (n = 117) were to cancer charities and one-fifth (54) to heart and stroke foundations. In the U.K., obituaries for those aged ≥ 70 years were more likely to recommend donations to children's charities (n = 12) or the Royal National Lifeboat Institution (8) than dementia charities (7).

Conclusions: Donations to dementia charities were significantly more common in obituaries in Canada than in the U.K. In both countries, donations to medical charities did not reflect disease prevalence or impact to the individual. Societal attitudes in the U.K. may be impacted by the fragmentation of aging research and antipathy to geriatric medicine in the national medical press.

In parallel with the aging of Japanese society, the number of older Japanese with dementia has been steadily increasing. In response to this trend, the Japanese government has established long-term care insurance and an adult guardianship system. At the same time, national and local governments, medical associations, the Alzheimer's Association and pharmaceutical companies have tried to promulgate knowledge regarding dementia. It is therefore important to assess whether these social movements are having an impact on the perception of dementia among the general population in Japan.

Hypertension affects millions of people worldwide and has been reported in patients with Alzheimer's disease (AD) some decades before the onset of the disease. High blood pressure has also been related to pathological manifestations of AD (Skoog and Gustafson, 2006). The hippocampus is a highly vulnerable and plastic structure that gets damaged by stimuli, e.g. hypoxia. In order to establish whether hypertension could damage the hippocampus and play a role in its atrophy we undertook a study to examine the relationship between hypertension and hippocampal atrophy in patients with AD.

Aggressive and violent behavior is a problem throughout healthcare services (Behar et al., 2008). The incidence of such acts is known to be over two and half times greater in mental health settings than in general hospital environments (National Audit Office, 2003). All types of aggression may have negative physical and psychological consequences for the victim, and therefore none ought not to be overlooked. However, one particularly serious feature is physical assault, which may result in a physical injury to the victim, although reported levels are relatively low (Stubbs et al., 2009). Physical assault may also affect the psychological, emotional and spiritual well-being of health staff and a minority may go on to develop post-traumatic stress type symptoms (Needham et al., 2005). Indeed, these symptoms may last longer than the original physical injury itself (Needham et al., 2005).