In this sample of adults near or in retirement, resilience predicted lower HCU and improved SRH. Resilience is a dynamic state that can be enhanced in adults with positive impacts on subjective well-being and HCU.

Barbara LeRoy and Cherie Simpson describe the Michigan system which sets out to improve the quality of inclusive education for pupils with disabilities. The planning process consists of three stages, team identification, team orientation and individual programme development. An individual case is given.

Aims and objectives To examine caregiver sleep quality, especially in relation to the daytime and nighttime behaviors and psychological symptoms exhibited by persons with dementia (PWDs). Background Caregivers of PWDs experience poorer sleep in comparison with noncaregivers, and poor sleep is related to negative health outcomes. The reasons for caregivers’ poor sleep are complex, and it is known that the nighttime behaviors of the PWD contribute to caregiver sleep disruption. However, the frequency of behavioral and psychological symptoms of dementia has hitherto not been sufficiently explored as a contributing factor to poor caregiver sleep. Design A nonexperimental cross-sectional design. Methods Eighty caregivers completed questionnaires on the frequency of behavioral and psychological symptoms of the PWD, the Dementia Severity Rating Scale, the Pittsburgh Sleep Quality Index, and the Center for Epidemiologic Studies–Depression Scale. Results Poor sleep was reported with awakenings by the PWD occurring for more than half of the caregivers. The frequency of behaviors and symptoms did not make a unique contribution to the variance of caregivers’ global sleep. The frequency of behaviors, and specifically of agitation and apathy, contributed to the variance in subjective sleep quality, as defined by the caregivers’ appraisal of their sleep. Conclusions The findings demonstrate the relationship between (a) daytime and nighttime behaviors of PWDs and (b) their caregivers’ sleep quality, and emphasize the complexity of the factors that contribute to caregiver sleep quality. Relevance to clinical practice These findings suggest that nurses should be cognizant of the relationship between daytime behaviors of the PWD and the caregivers’ appraisal of their sleep, realizing that appraising one’s sleep as poor can be a contributing factor to perpetuating sleep problems. Interventions aimed at helping the caregiver manage the PWD’s agitation or the caregiver’s emotional response to PWD apathy may improve caregivers’ perception of their sleep.

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The results of this pilot study suggest that the intervention is feasible and acceptable and produces promising effects on insomnia and depressive symptoms in bereaved family caregivers.