The present study examines the relationships between health status, medication usage and depression in a community sample of elderly francophones. The results reveal that the use of non-psychotherapeutic medication is significantly greater by subjects who are physically impaired and those who are depressed. In addition, physically impaired subjects use significantly more psychotherapeutic medication than those in good health, whereas there is no difference between depressed and non-depressed subjects. The results also show that women use more psychotherapeutic medication than men. Thus, health status and depression both account for the increased use of non-psychotherapeutic medication in the elderly. In addition, the greater use of psychotherapeutic medication by the physically impaired and the lack of difference in the use of psychotherapeutic medication between depressed and non-depressed may point to possible over prescription for the elderly.

Age differences in verbal and spatial learning and information processing were tested using a verbal word list learning task and a spatial analogue of this task. Recall was assessed across five learning trials and the same measures of information processing and organization strategy were derived from both tasks. Normal subjects divided into three age groups of 24 subjects each were compared on these instruments. Significant age group differences were found for total recall averaged across trials and type of task (verbal vs. spatial). Age was not differentially related to verbal versus spatial learning and age groups did not show different patterns of recall across trials. Age was related to a clustering measure which assessed organization of information according to verbal semantic categories or inherent spatial clusters. Younger subjects showed increased levels of clustering on earlier learning trials. Similar effects were observed for the verbal and spatial clustering measures. Age was not related to differences in organization according to temporal order of presentation of information. Results show similar age-related changes in verbal and spatial learning and provide evidence that spatial learning, like verbal learning, is dependent upon effortful information processing.

Tube feeding is a common, and frequently long-term, form of life support. Currently, no distinction is made between short-and long-term tube feeding; the latter being a replacement of the ability to eat on an ongoing, possibly permanent, basis. Little research has focussed on long-term feeding. Consequently, the implications and practices of long-term feeding remain undetermined. Hospital charts of ten accessible patients, who had long-term tube feeding were examined in order to answer pre-determined questions. Reporting includes: feeding solution types, tubes, and methods; medical diagnoses and functional reasons for tube feeding; changes in mental and physical conditions since initiation of tube feeding; involvement of nurses and others in tube feeding decisions, and decisions to continue tube feeding after initiation. Tube feeding was demonstrated to be capable of sustaining life over long periods of time. Despite improved nutrition, patients' overall levels of mental and physical capacity and self-care abilities were found unimproved. Maintenance of life may be the only goal of long-term tube feeding.

The purpose of this paper is to introduce, define and test a theoretical model which explains elderly people's use of urban shopping centres as places for social exchange. We suggest that elderly people use shopping centres to satisfy social and leisure are individual or predisposing variables and environmental or encouraging variables which differentiate elderly people who engage in this activity. Using a secondary data analysis of a probability sample of 300 non-institutionalized elderly people in Montreal, we found that mallingering is an activity that 67 per cent of this sample do in three shopping centres in this city. Predisposing variables such as age, gender, education and feelings of loneliness, along with encouraging variables such as design and ambiance of the centre are related to this activity. Based on these findings, we suggest that this model contributes to our understanding of the leisure activities of non-institutionalized elderly people.

This paper discusses different dimensions of social support which can be examined in the context of family care of the elderly. It calls for a greater measure of theoretical and empirical precision in relating specific types and sources of actual and perceived support to the particular demands and burdens faced by family caregivers at different stages in the course of caregiving. In addition, it spotlights three critical topics for future research: (1) analysis of the ways in which social support affects and is affected by chronic stressors; (2) examination of the determinants of actual and perceived support; and (3) the design and evaluation of interventions aimed to mobilize or augment the support provided to family caregivers.