Attributions of elder neglect: A phenomenological study of older people in Ghana

2020 ◽  
Vol 28 (6) ◽  
pp. 2172-2178 ◽  
Author(s):  
Kofi Awuviry‐Newton ◽  
Jacob Oppong Nkansah ◽  
Kwadwo Ofori‐Dua
Keyword(s):  
Older People ◽  
Phenomenological Study ◽  
Elder Neglect

Experiences of intermediate care among older people: a phenomenological study

2015 ◽  
Vol 20 (2) ◽  
pp. 74-79 ◽  
Author(s):  
Bente Martinsen ◽  
Annelise Norlyk ◽  
Kirsten Lomborg
Keyword(s):  
Older People ◽  
Phenomenological Study ◽  
Intermediate Care

Neglect of Older People: Touching on Forensic and Pathophysiological Aspects

2019 ◽  
Vol 60 (6) ◽  
pp. e449-e465
Author(s):  
Annette Altendorf ◽  
Brian Draper ◽  
Chanaka Wijeratne ◽  
Jason Schreiber ◽  
Daniella Kanareck
Keyword(s):  
Older People ◽  
Cause Of Death ◽  
Health Care Professionals ◽  
Case Reports ◽  
Fatal Outcome ◽  
Allied Health Professionals ◽  
Sufficient Detail ◽  
Forensic Case ◽  
Elder Neglect ◽  
Design And Methods

Abstract Background and Objectives Neglect of older people is common and may result in fatal and nonfatal outcomes. Normal changes of aging and disease-related symptoms may overlap with markers of neglect and lead to under-detection. This review aims to delineate medical, psychiatric, and pathophysiological indicators in the victim—identified in forensic case reports—to point out areas of overlap and raise awareness in Health Care Professionals. Research Design and Methods Medical and forensic databases were searched with the search terms: neglect, elder, elderly, forensic, homicide for detailed case reports on elder neglect. Cases were reviewed as to victim age, sex, medical/psychiatric diagnosis, perpetrator, victim-to-perpetrator relationship, cause of death (if fatal), location of incident, autopsy findings (if fatal), and ancillary studies. A total of 168 publications were retrieved, of these 11 publications, containing a total of 25 cases, yielded sufficient detail on each case to be included in the qualitative analysis. Results Neglect is associated with poor physical, psychological, and mental health. Neglect can be a direct cause of death or contribute to a fatal outcome by exacerbating existing conditions. Red flags of neglect included malnutrition, dehydration, poor hygiene, untreated decubitus ulcers, hypothermia, contractures, and an uncooperative caregiver. However, incontrovertible evidence of neglect is not always easy to obtain due to age and disease-related changes. Discussion and Implications The findings document the extent and seriousness of elder neglect and highlight the importance of detailed documentation as well as collaboration between clinicians, allied health professionals, law enforcement and medical forensic services to improve patient outcomes and reduce the risk of further incidents.

Limitation in mobility: Experiences of visually impaired older people. A phenomenological study

2005 ◽  
Vol 1282 ◽  
pp. 474-476 ◽  
Author(s):  
D.M. Brouwer ◽  
G. Sadlo ◽  
K. Winding ◽  
M.I.G. Hanneman
Keyword(s):  
Older People ◽  
Visually Impaired ◽  
Phenomenological Study

scholarly journals Reflections on Care: Older People Speak about Experiences of Nursing Care in Acute Medical and Surgical Wards

2021 ◽  
Author(s):  
◽  
Christine Wilson
Keyword(s):  
Nursing Education ◽  
Older People ◽  
Lived Experience ◽  
Nursing Care ◽  
Phenomenological Study ◽  
Education Practice ◽  
Equal Importance ◽  
Excellent Care ◽  
The Times ◽  
Hospital Wards

<p>This phenomenological study describes what it is like for people over 74 years to experience nursing care in acute medical and surgical wards, and relates their insights to implications for nursing practice. The six people who took part responded to newspaper stories inviting older people who had been in hospital recently to speak with a nurse researcher about the times they spent with nurses. They included eight episodes of hospitalisation in seven acute care public hospital wards. All chose to be interviewed in their own homes. The approach followed van Manen's (1990) method for researching lived experience. Their stories are contained in this thesis as individual chapters. The analysis moved from description largely in the respondents' own words, to the researcher's portrayal of the "free act of seeing" resulting in explication of salient features or structures of each story, and then to hermeneutic reflection using the four existentials of lived body, lived space, lived time and lived relation to others. Aggregation of the concerns revealed in each story illuminates the commonalities and differences of each and uncovers aspects of lived care for these people. Notions of care may be experienced negatively, as when care is absent or deficient in meeting patient need and expectation, or positively as when care is fully realised in the nurse-patient encounter. Nursing which includes negotiating the systems, mediating interpersonal issues, and practical help was excellent care for these patients. Value was given to the ability to quickly evaluate a patient's life ways of being and acknowledge these as of equal importance to the expected health outcomes from the particular medical diagnosis and intervention. The description of older people's experience of nursing care is useful for the potential to increase understanding of the needs and expectations of older people in acute wards. Through the phenomenological practice of reflecting and re-writing new perspectives on nursing are developed. These are expressed through myth and metaphor as one means of enhancing the caring work of nursing toward older people. The study offers some implications for nursing education, practice and the organisation of health (illness) care.</p>

scholarly journals "In the Middle of Everywhere:" A Phenomenological Study of Mobility and Dwelling Amongst Rural Elders

2012 ◽  
Vol 6 (1) ◽  
Author(s):  
Les Todres ◽  
Kathleen T. Galvin
Keyword(s):  
Older People ◽  
Rural Areas ◽  
Phenomenological Study ◽  
Well Being ◽  
Rural Space ◽  
Rural Living ◽  
Slowing Down ◽  
Spatial Dimensions ◽  
Virtual Mobility ◽  
Rural Elders

This study aimed to investigate the phenomenon of the meaning of mobility for elders living in rural areas. A phenomenological study was undertaken with older people living in rural South West England and Wales. Ten interviews were undertaken in peoples’ homes and focused on the spatial dimensions of what it was like to live in the rural area and the everyday experiences of traversing rural space. Spatial mobility was experienced by our sample as any of the possible ways that achieved personal life activities where the traverse of space was normally relevant. We describe the meaning of mobility sensitised by the terms used in the “continuum of mobilities” (Parkhurst et al., 2012): “literal mobility,” “virtual mobility,” “potential mobility,” and “imaginative mobility.” Our phenomenological findings revealed that the transport and mobility needs of older people living in rural areas could not be meaningfully understood without understanding their well-being priorities, the kinds of movement that constituted well-being, and how this related to the phenomenon of “dwelling,” which included their feeling of “at-homeness” in their rural environment. But also what emerged was a second phenomenon that we have called rural living as a portal to well-being in older people. The connection between well-being and rural place was constituted by two interrelated experiences: the importance of dwelling and slowing down in older age, and the importance of a “rich textured locale” for the well-being of rural older people. We conclude by considering how the elders in our study may have something important to remind us: that mobility and sense of place are mutually implicated and that our present culture places an over emphasis on mobility, which may obscure the value of dwelling.

scholarly journals The experiences of older individuals providing care to older dependents: A phenomenological study in Spain

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0255600
Author(s):  
M. Alcañiz-Garrán ◽  
S. García-Sanjuán ◽  
J. D. Ramos-Pichardo ◽  
A. Sanjuán-Quiles ◽  
R. Montejano-Lozoya
Keyword(s):  
Older People ◽  
Old Age ◽  
Interpersonal Relationships ◽  
Phenomenological Study ◽  
Care Service ◽  
Older Individuals ◽  
Public And Private ◽  
Care Experience ◽  
Home Based ◽  
Professional Care

Objective Non-professional care provided in domestic settings by a family member or someone from the close environment and without a connection to a professional care service, is increasingly assumed by older people, mainly the spouses of those requiring care. The aim of this study was to describe the experience of older people providing care at home to older dependents. Methods A qualitative study was carried out to describe and explore the experience of older people, caregivers of dependent older people in the home. Results Four themes emerged as a result of the analysis: interpersonal relationships established in the caregivers’ immediate environment; the need and request for public and private resources; consequences of providing care during old age; and adaptation to the circumstance of being a caregiver during old age. Older people who provide home-based care, experience their situation as stressful, feel that it limits their daily life, deprives them of their freedom, and affects their interpersonal relationships and social activities. Discussion Older caregivers learn quickly and can manage the skills issues. The volume of work is their challenge. Interpersonal relationships are altered depending on the length of time spent together and the demand for care. Public services and benefits are not adapted to the demands of caregivers or dependent persons.

Descriptive phenomenological study on ego‐integrity among older people in nursing homes

2020 ◽  
Vol 22 (2) ◽  
pp. 472-479
Author(s):  
Yeter Sinem Üzar‐Özçetin ◽  
Nilay Ercan‐Şahin
Keyword(s):  
Nursing Homes ◽  
Older People ◽  
Phenomenological Study ◽  
Ego Integrity

scholarly journals Reflections on Care: Older People Speak about Experiences of Nursing Care in Acute Medical and Surgical Wards

2021 ◽  
Author(s):  
◽  
Christine Wilson
Keyword(s):  
Nursing Education ◽  
Older People ◽  
Lived Experience ◽  
Nursing Care ◽  
Phenomenological Study ◽  
Education Practice ◽  
Equal Importance ◽  
Excellent Care ◽  
The Times ◽  
Hospital Wards

<p>This phenomenological study describes what it is like for people over 74 years to experience nursing care in acute medical and surgical wards, and relates their insights to implications for nursing practice. The six people who took part responded to newspaper stories inviting older people who had been in hospital recently to speak with a nurse researcher about the times they spent with nurses. They included eight episodes of hospitalisation in seven acute care public hospital wards. All chose to be interviewed in their own homes. The approach followed van Manen's (1990) method for researching lived experience. Their stories are contained in this thesis as individual chapters. The analysis moved from description largely in the respondents' own words, to the researcher's portrayal of the "free act of seeing" resulting in explication of salient features or structures of each story, and then to hermeneutic reflection using the four existentials of lived body, lived space, lived time and lived relation to others. Aggregation of the concerns revealed in each story illuminates the commonalities and differences of each and uncovers aspects of lived care for these people. Notions of care may be experienced negatively, as when care is absent or deficient in meeting patient need and expectation, or positively as when care is fully realised in the nurse-patient encounter. Nursing which includes negotiating the systems, mediating interpersonal issues, and practical help was excellent care for these patients. Value was given to the ability to quickly evaluate a patient's life ways of being and acknowledge these as of equal importance to the expected health outcomes from the particular medical diagnosis and intervention. The description of older people's experience of nursing care is useful for the potential to increase understanding of the needs and expectations of older people in acute wards. Through the phenomenological practice of reflecting and re-writing new perspectives on nursing are developed. These are expressed through myth and metaphor as one means of enhancing the caring work of nursing toward older people. The study offers some implications for nursing education, practice and the organisation of health (illness) care.</p>

scholarly journals Life after falls prevention exercise – experiences of older people taking part in a clinical trial: a phenomenological study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Susanne Finnegan ◽  
Julie Bruce ◽  
Kate Seers
Keyword(s):  
Clinical Trial ◽  
Older People ◽  
Lived Experience ◽  
Exercise Intervention ◽  
Phenomenological Study ◽  
Exercise Programme ◽  
Falls Prevention ◽  
List Type ◽  
Post Intervention ◽  
Exercise Programmes

Abstract Background There is little evidence about the lived experience of older people who have completed a falls prevention exercise programme and their life beyond their intervention. Method A phenomenological interview study with 23 participants (12 females), mean age 81 years (range 74–93 years), residing in their own homes across England, who had participated in a falls prevention exercise intervention within the Prevention of Falls Injury Trial (PreFIT). The aims were to explore their experiences of: being in a clinical trial involving exercise. exercise once their falls prevention intervention had finished. Interpretative data analysis was informed by van Manen’s (1997) framework for phenomenological data. Results Analysis of interviews about experiences of participating in PreFIT and what happened once the falls intervention ended identified five themes: Happy to help; Exercise behaviours; “It keeps me going”; “It wasn’t a real fall”; and Loss. Participants did not continue their specific exercises after they had completed the intervention. They preferred walking as their main exercise, and none reported preventing falls as a motivator to continue exercising. Participant experiences suggest that they have their own ideas about what constitutes a fall and there is disparity between their interpretation and the definition used by healthcare professionals and researchers. Conclusion Despite good intentions and perceived benefits, on-going participation in falls prevention exercises beyond a structured, supervised intervention was not a priority for these older people. Promoting continuation of falls prevention exercises post-intervention is just as challenging as promoting uptake to and adherence during exercise programmes.

Sign in / Sign up

Export Citation Format

Share Document